GMRAFN4 ;HIRMFO/WAA-FDA MEDWATCH FORM ;11/30/95 15:22 ;;4.0;Adverse Reaction Tracking;;Mar 29, 1996 REL ;This code is to find all the revelant test S GMRANOR=0,GMRANOC=0 I GMRAPG1'=1 G RELCON I $D(^GMR(120.85,GMRAPA1,4,0)) S GMRAXX=1 D S GMRANOR=1 .S GMRAX=0 F S GMRAX=$O(^GMR(120.85,GMRAPA1,4,GMRAX)) Q:GMRAX<1 S ^TMP($J,"GMR","T",GMRAXX)=$G(^GMR(120.85,GMRAPA1,4,GMRAX,0)),GMRAXX=GMRAXX+1 .K GMRAX,GMRAXX .Q CON ;This code is to find all the concomitant drug info I $D(^GMR(120.85,GMRAPA1,13,0)) S GMRAXX=1,GMRANOC=1 D .S GMRAX=0 F S GMRAX=$O(^GMR(120.85,GMRAPA1,13,GMRAX)) Q:GMRAX<1 S ^TMP($J,"GMR","C",(GMRAXX))=^GMR(120.85,GMRAPA1,13,GMRAX,0),GMRAXX=GMRAXX+1 .K GMRAX,GMRAXX .Q RELCON W !,"6. Relevant test/laboratory data. including dates",?66,"|10. Concomitant medical products/therapy dates(exclude treatment)" W ! I GMRANOR I $D(^TMP($J,"GMR","T",1)) W "PLEASE SEE ATTACHED" W ?66,"|" I GMRANOC S GMRACCT=1 D CONCO^GMRAFN5 W ! W ?66,"|" I GMRANOC S GMRACCT=2 D CONCO^GMRAFN5 W ! W ?66,"|" I GMRANOC S GMRACCT=3 D CONCO^GMRAFN5 W ! W ?66,"|" I GMRANOC D .I $D(^TMP($J,"GMR","C",5)) W "PLEASE SEE ATTACHED" Q .S GMRACCT=4 D CONCO^GMRAFN5 .Q W ! W ?66,"|",$E(LINE2,68,131) W !,$E(LINE1,1,66),"|D. Suspect Medical Devices" OTHER ;This code is for other relevant history S GMRANOO=0 I GMRAPG1'=1 G OTHER2 I $D(^GMR(120.85,GMRAPA1,14,0)) S GMRANOO=1 K ^UTILITY($J,"W") S DIWL=5,DIWR=63,DIWF="" S GMRAX=0 D .F S GMRAX=$O(^GMR(120.85,GMRAPA1,14,GMRAX)) Q:GMRAX<1 S X=$G(^(GMRAX,0)) D ^DIWP .S X=0 F S X=$O(^UTILITY($J,"W",5,X)) Q:X<1 S ^TMP($J,"GMR","O",X)=$G(^UTILITY($J,"W",5,X,0)) .Q OTHER2 W !,"7. Other relevant History, including preexisting medical",?66,"|",$E(LINE1,68,131) W !," conditions",?66,"| Note: Please use the actual MedWatch form if the event" W ! I GMRANOO W ?5,^TMP($J,"GMR","O",1) K ^(1) S:'$D(^TMP($J,"GMR","O",2)) GMRANOO=0 W ?66,"| involves a suspected device as well as a suspect drug" W ! I GMRANOO W ?5,^TMP($J,"GMR","O",2) K ^(2) S:'$D(^TMP($J,"GMR","O",3)) GMRANOO=0 W ?66,"|",$E(LINE2,68,131) W ! I GMRANOO W ?5,^TMP($J,"GMR","O",3) K ^(3) S:'$D(^TMP($J,"GMR","O",4)) GMRANOO=0 W ?66,"|E. Reporter" W ! I GMRANOO W ?5,^TMP($J,"GMR","O",4) K ^(4) S:'$D(^TMP($J,"GMR","O",5)) GMRANOO=0 W ?66,"|",$E(LINE1,68,131) W ! I GMRANOO D .I $D(^TMP($J,"GMR","O",6)) W ?5,"PLEASE SEE ATTACHED" Q .W ?5,^TMP($J,"GMR","O",5) K ^(5) .Q Q