IBDEI0U1 ; ; 01-FEB-2022
;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 01, 2022
Q:'DIFQR(358.3) F I=1:2 S X=$T(Q+I) Q:X="" S Y=$E($T(Q+I+1),4,999),X=$E(X,4,999) S:$A(Y)=126 I=I+1,Y=$E(Y,2,999)_$E($T(Q+I+1),5,999) S:$A(Y)=61 Y=$E(Y,2,999) X NO E S @X=Y
Q Q
;;^UTILITY(U,$J,358.3,13514,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13514,1,3,0)
;;=3^Personal Hx of Non-Suicidal Self-Harm
;;^UTILITY(U,$J,358.3,13514,1,4,0)
;;=4^Z91.52
;;^UTILITY(U,$J,358.3,13514,2)
;;=^5161318
;;^UTILITY(U,$J,358.3,13515,0)
;;=Z91.51^^51^638^2
;;^UTILITY(U,$J,358.3,13515,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13515,1,3,0)
;;=3^Personal Hx of Suicidal Behavior
;;^UTILITY(U,$J,358.3,13515,1,4,0)
;;=4^Z91.51
;;^UTILITY(U,$J,358.3,13515,2)
;;=^5161317
;;^UTILITY(U,$J,358.3,13516,0)
;;=Z82.1^^51^639^1
;;^UTILITY(U,$J,358.3,13516,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13516,1,3,0)
;;=3^Family Hx Blindness/Visual Loss
;;^UTILITY(U,$J,358.3,13516,1,4,0)
;;=4^Z82.1
;;^UTILITY(U,$J,358.3,13516,2)
;;=^5063365
;;^UTILITY(U,$J,358.3,13517,0)
;;=Z83.518^^51^639^3
;;^UTILITY(U,$J,358.3,13517,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13517,1,3,0)
;;=3^Family Hx Other Specified Eye Disorder
;;^UTILITY(U,$J,358.3,13517,1,4,0)
;;=4^Z83.518
;;^UTILITY(U,$J,358.3,13517,2)
;;=^5063383
;;^UTILITY(U,$J,358.3,13518,0)
;;=Z83.511^^51^639^2
;;^UTILITY(U,$J,358.3,13518,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13518,1,3,0)
;;=3^Family Hx Glaucoma
;;^UTILITY(U,$J,358.3,13518,1,4,0)
;;=4^Z83.511
;;^UTILITY(U,$J,358.3,13518,2)
;;=^5063382
;;^UTILITY(U,$J,358.3,13519,0)
;;=97533^^52^640^18^^^^1
;;^UTILITY(U,$J,358.3,13519,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13519,1,2,0)
;;=2^97533
;;^UTILITY(U,$J,358.3,13519,1,3,0)
;;=3^Sensory Integration Techniques,Ea 15 min
;;^UTILITY(U,$J,358.3,13520,0)
;;=97535^^52^640^17^^^^1
;;^UTILITY(U,$J,358.3,13520,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13520,1,2,0)
;;=2^97535
;;^UTILITY(U,$J,358.3,13520,1,3,0)
;;=3^Self-Care Mgmt/ADL,Ea 15 min
;;^UTILITY(U,$J,358.3,13521,0)
;;=97110^^52^640^19^^^^1
;;^UTILITY(U,$J,358.3,13521,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13521,1,2,0)
;;=2^97110
;;^UTILITY(U,$J,358.3,13521,1,3,0)
;;=3^Therapy/Exercise,Ea 15 min
;;^UTILITY(U,$J,358.3,13522,0)
;;=97116^^52^640^4^^^^1
;;^UTILITY(U,$J,358.3,13522,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13522,1,2,0)
;;=2^97116
;;^UTILITY(U,$J,358.3,13522,1,3,0)
;;=3^Basic Mobility/Gait Training,Ea 15 min
;;^UTILITY(U,$J,358.3,13523,0)
;;=97755^^52^640^3^^^^1
;;^UTILITY(U,$J,358.3,13523,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13523,1,2,0)
;;=2^97755
;;^UTILITY(U,$J,358.3,13523,1,3,0)
;;=3^Assistive Technology Assessment,Ea 15 min
;;^UTILITY(U,$J,358.3,13524,0)
;;=T1016^^52^640^5^^^^1
;;^UTILITY(U,$J,358.3,13524,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13524,1,2,0)
;;=2^T1016
;;^UTILITY(U,$J,358.3,13524,1,3,0)
;;=3^Case Management,Ea 15 min
;;^UTILITY(U,$J,358.3,13525,0)
;;=G9012^^52^640^6^^^^1
;;^UTILITY(U,$J,358.3,13525,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13525,1,2,0)
;;=2^G9012
;;^UTILITY(U,$J,358.3,13525,1,3,0)
;;=3^Case Mangement,NEC,Ea 15 min
;;^UTILITY(U,$J,358.3,13526,0)
;;=97750^^52^640^16^^^^1
;;^UTILITY(U,$J,358.3,13526,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13526,1,2,0)
;;=2^97750
;;^UTILITY(U,$J,358.3,13526,1,3,0)
;;=3^Physical Performance Test,Ea 15 min
;;^UTILITY(U,$J,358.3,13527,0)
;;=98960^^52^640^8^^^^1
;;^UTILITY(U,$J,358.3,13527,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,13527,1,2,0)
;;=2^98960
;;^UTILITY(U,$J,358.3,13527,1,3,0)
;;=3^Ed/Training,Self-Mgmnt,1 Pt,Ea 15 min
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI0U1 3798 printed Sep 23, 2025@19:31:45 Page 2
IBDEI0U1 ; ; 01-FEB-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 01, 2022
+2 if 'DIFQR(358.3)
QUIT
FOR I=1:2
SET X=$TEXT(Q+I)
if X=""
QUIT
SET Y=$EXTRACT($TEXT(Q+I+1),4,999)
SET X=$EXTRACT(X,4,999)
if $ASCII(Y)=126
SET I=I+1
SET Y=$EXTRACT(Y,2,999)_$EXTRACT($TEXT(Q+I+1),5,999)
if $ASCII(Y)=61
SET Y=$EXTRACT(Y,2,999)
XECUTE NO
IF '$TEST
SET @X=Y
Q QUIT
+1 ;;^UTILITY(U,$J,358.3,13514,1,0)
+2 ;;=^358.31IA^4^2
+3 ;;^UTILITY(U,$J,358.3,13514,1,3,0)
+4 ;;=3^Personal Hx of Non-Suicidal Self-Harm
+5 ;;^UTILITY(U,$J,358.3,13514,1,4,0)
+6 ;;=4^Z91.52
+7 ;;^UTILITY(U,$J,358.3,13514,2)
+8 ;;=^5161318
+9 ;;^UTILITY(U,$J,358.3,13515,0)
+10 ;;=Z91.51^^51^638^2
+11 ;;^UTILITY(U,$J,358.3,13515,1,0)
+12 ;;=^358.31IA^4^2
+13 ;;^UTILITY(U,$J,358.3,13515,1,3,0)
+14 ;;=3^Personal Hx of Suicidal Behavior
+15 ;;^UTILITY(U,$J,358.3,13515,1,4,0)
+16 ;;=4^Z91.51
+17 ;;^UTILITY(U,$J,358.3,13515,2)
+18 ;;=^5161317
+19 ;;^UTILITY(U,$J,358.3,13516,0)
+20 ;;=Z82.1^^51^639^1
+21 ;;^UTILITY(U,$J,358.3,13516,1,0)
+22 ;;=^358.31IA^4^2
+23 ;;^UTILITY(U,$J,358.3,13516,1,3,0)
+24 ;;=3^Family Hx Blindness/Visual Loss
+25 ;;^UTILITY(U,$J,358.3,13516,1,4,0)
+26 ;;=4^Z82.1
+27 ;;^UTILITY(U,$J,358.3,13516,2)
+28 ;;=^5063365
+29 ;;^UTILITY(U,$J,358.3,13517,0)
+30 ;;=Z83.518^^51^639^3
+31 ;;^UTILITY(U,$J,358.3,13517,1,0)
+32 ;;=^358.31IA^4^2
+33 ;;^UTILITY(U,$J,358.3,13517,1,3,0)
+34 ;;=3^Family Hx Other Specified Eye Disorder
+35 ;;^UTILITY(U,$J,358.3,13517,1,4,0)
+36 ;;=4^Z83.518
+37 ;;^UTILITY(U,$J,358.3,13517,2)
+38 ;;=^5063383
+39 ;;^UTILITY(U,$J,358.3,13518,0)
+40 ;;=Z83.511^^51^639^2
+41 ;;^UTILITY(U,$J,358.3,13518,1,0)
+42 ;;=^358.31IA^4^2
+43 ;;^UTILITY(U,$J,358.3,13518,1,3,0)
+44 ;;=3^Family Hx Glaucoma
+45 ;;^UTILITY(U,$J,358.3,13518,1,4,0)
+46 ;;=4^Z83.511
+47 ;;^UTILITY(U,$J,358.3,13518,2)
+48 ;;=^5063382
+49 ;;^UTILITY(U,$J,358.3,13519,0)
+50 ;;=97533^^52^640^18^^^^1
+51 ;;^UTILITY(U,$J,358.3,13519,1,0)
+52 ;;=^358.31IA^3^2
+53 ;;^UTILITY(U,$J,358.3,13519,1,2,0)
+54 ;;=2^97533
+55 ;;^UTILITY(U,$J,358.3,13519,1,3,0)
+56 ;;=3^Sensory Integration Techniques,Ea 15 min
+57 ;;^UTILITY(U,$J,358.3,13520,0)
+58 ;;=97535^^52^640^17^^^^1
+59 ;;^UTILITY(U,$J,358.3,13520,1,0)
+60 ;;=^358.31IA^3^2
+61 ;;^UTILITY(U,$J,358.3,13520,1,2,0)
+62 ;;=2^97535
+63 ;;^UTILITY(U,$J,358.3,13520,1,3,0)
+64 ;;=3^Self-Care Mgmt/ADL,Ea 15 min
+65 ;;^UTILITY(U,$J,358.3,13521,0)
+66 ;;=97110^^52^640^19^^^^1
+67 ;;^UTILITY(U,$J,358.3,13521,1,0)
+68 ;;=^358.31IA^3^2
+69 ;;^UTILITY(U,$J,358.3,13521,1,2,0)
+70 ;;=2^97110
+71 ;;^UTILITY(U,$J,358.3,13521,1,3,0)
+72 ;;=3^Therapy/Exercise,Ea 15 min
+73 ;;^UTILITY(U,$J,358.3,13522,0)
+74 ;;=97116^^52^640^4^^^^1
+75 ;;^UTILITY(U,$J,358.3,13522,1,0)
+76 ;;=^358.31IA^3^2
+77 ;;^UTILITY(U,$J,358.3,13522,1,2,0)
+78 ;;=2^97116
+79 ;;^UTILITY(U,$J,358.3,13522,1,3,0)
+80 ;;=3^Basic Mobility/Gait Training,Ea 15 min
+81 ;;^UTILITY(U,$J,358.3,13523,0)
+82 ;;=97755^^52^640^3^^^^1
+83 ;;^UTILITY(U,$J,358.3,13523,1,0)
+84 ;;=^358.31IA^3^2
+85 ;;^UTILITY(U,$J,358.3,13523,1,2,0)
+86 ;;=2^97755
+87 ;;^UTILITY(U,$J,358.3,13523,1,3,0)
+88 ;;=3^Assistive Technology Assessment,Ea 15 min
+89 ;;^UTILITY(U,$J,358.3,13524,0)
+90 ;;=T1016^^52^640^5^^^^1
+91 ;;^UTILITY(U,$J,358.3,13524,1,0)
+92 ;;=^358.31IA^3^2
+93 ;;^UTILITY(U,$J,358.3,13524,1,2,0)
+94 ;;=2^T1016
+95 ;;^UTILITY(U,$J,358.3,13524,1,3,0)
+96 ;;=3^Case Management,Ea 15 min
+97 ;;^UTILITY(U,$J,358.3,13525,0)
+98 ;;=G9012^^52^640^6^^^^1
+99 ;;^UTILITY(U,$J,358.3,13525,1,0)
+100 ;;=^358.31IA^3^2
+101 ;;^UTILITY(U,$J,358.3,13525,1,2,0)
+102 ;;=2^G9012
+103 ;;^UTILITY(U,$J,358.3,13525,1,3,0)
+104 ;;=3^Case Mangement,NEC,Ea 15 min
+105 ;;^UTILITY(U,$J,358.3,13526,0)
+106 ;;=97750^^52^640^16^^^^1
+107 ;;^UTILITY(U,$J,358.3,13526,1,0)
+108 ;;=^358.31IA^3^2
+109 ;;^UTILITY(U,$J,358.3,13526,1,2,0)
+110 ;;=2^97750
+111 ;;^UTILITY(U,$J,358.3,13526,1,3,0)
+112 ;;=3^Physical Performance Test,Ea 15 min
+113 ;;^UTILITY(U,$J,358.3,13527,0)
+114 ;;=98960^^52^640^8^^^^1
+115 ;;^UTILITY(U,$J,358.3,13527,1,0)
+116 ;;=^358.31IA^3^2
+117 ;;^UTILITY(U,$J,358.3,13527,1,2,0)
+118 ;;=2^98960
+119 ;;^UTILITY(U,$J,358.3,13527,1,3,0)
+120 ;;=3^Ed/Training,Self-Mgmnt,1 Pt,Ea 15 min
