| 1 | GMRAPEM0 ;HIRMFO/WAA,FT-ALLERGY/ADVERSE REACTION PATIENT EDIT DRIVER ;9/22/06  09:35 | 
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| 2 | ;;4.0;Adverse Reaction Tracking;**2,5,17,21,36**;Mar 29, 1996;Build 9 | 
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| 3 | EN11 ; Entry point for GMRA USER E/E PAT REC DATA option | 
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| 4 | ; GMRAUSER is a flag that indicates that this is a User | 
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| 5 | ; If user has Verifier Key then user will act normal | 
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| 6 | I '$D(^XUSEC("GMRA-ALLERGY VERIFY",DUZ)) S GMRAUSER=1 | 
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| 7 | EN1 ; Entry for ENTER/EDIT PATIENT REACTION DATA option | 
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| 8 | ; EDIT PATIENT A/AR (DFN UNK.) | 
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| 9 | S GMRAOUT=0 | 
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| 10 | W @IOF D PAT^GMRAPAT ; Select A Patient | 
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| 11 | D:'GMRAOUT EN21 G:'GMRAOUT EN1 | 
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| 12 | K DFN,DIC,GMRAOUT,GMRARET,GMA,GMRAUSER | 
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| 13 | D EXIT,EN1^GMRAKILL | 
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| 14 | Q | 
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| 15 | EN21 ; Process patient data and determine if patient is NKA | 
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| 16 | S GMRAOUT=$G(GMRAOUT,0) | 
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| 17 | ; check patient assessment before enter/edit reaction | 
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| 18 | I $$NKA^GMRANKA(DFN),$$NKASCR^GMRANKA(DFN) D  ;delete 120.86 entry if assessment=yes, but no active reactions in 120.8 | 
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| 19 | .N DA,DIK | 
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| 20 | .S DIK="^GMR(120.86,",DA=DFN D ^DIK | 
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| 21 | .Q | 
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| 22 | I '$$NKA^GMRANKA(DFN) D NKAASK^GMRANKA(DFN,.GMRAOUT) Q:GMRAOUT  I '$$NKA^GMRANKA(DFN) Q | 
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| 23 | L +^XTMP("GMRAED",DFN):1 I '$T D MESS^GMRAGUI1 Q  ;21 | 
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| 24 | S GMRAOUT=0 | 
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| 25 | D:'GMRAOUT SELECT | 
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| 26 | I $G(GMRAPA)'>0 S GMRAOUT=0 | 
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| 27 | S GMRARP=1 I 'GMRAOUT D | 
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| 28 | .D ASK^GMRAUTL("Enter another Causative Agent? ",.GMRAOUT,.GMRARP) | 
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| 29 | .I 'GMRARP S GMRACNT=$O(^TMP($J,"GMRASF","B"),-1) D | 
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| 30 | ..I GMRACNT D SIGNOFF^GMRASIGN | 
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| 31 | ..I 'GMRAOUT D IDBAND^GMRASIGN | 
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| 32 | ..I GMRAOUT S GMRAOUT=2-GMRAOUT D:GMRAOUT&($D(^TMP($J,"GMRASF"))) ALERT^GMRASIGN K ^TMP($J,"GMRASF"),GMRACNT | 
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| 33 | ..Q | 
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| 34 | .Q | 
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| 35 | I GMRARP,'GMRAOUT K GMRARP L -^XTMP("GMRAED",DFN) G EN21 ;21 | 
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| 36 | K GMRARP | 
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| 37 | ; check patient assessment when exiting enter/edit reaction | 
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| 38 | I $$NKA^GMRANKA(DFN),$$NKASCR^GMRANKA(DFN) D  ;delete 120.86 entry if assessment=yes, but no active reactions in 120.8 | 
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| 39 | .N DA,DIK | 
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| 40 | .S DIK="^GMR(120.86,",DA=DFN D ^DIK | 
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| 41 | .Q | 
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| 42 | L -^XTMP("GMRAED",DFN) ;21 | 
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| 43 | Q | 
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| 44 | EN2 ; EDIT PATIENT A/AR (DFN KNOWN) | 
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| 45 | ; Called from the GMRAOR ALLERGY ENTER/EDIT protocol | 
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| 46 | I '$D(^XUSEC("GMRA-ALLERGY VERIFY",DUZ)) S GMRAUSER=1 | 
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| 47 | N GMRAOUT | 
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| 48 | D EN21 D | 
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| 49 | .;N GMRAOUT | 
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| 50 | .D EXIT,EN1^GMRAKILL | 
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| 51 | .Q | 
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| 52 | K GMA,GMRARET,GMRAUSER | 
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| 53 | Q | 
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| 54 | ALERT ; PROCESS ALERTS FOR ART | 
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| 55 | N DFN,GMRAPA,GMRACNT,GMRAOUT,GMRANEW,GMRAUSER | 
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| 56 | S (GMRACNT,GMRAOUT,GMRANEW)=0 D | 
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| 57 | .  I $G(XQADATA)="" S XQAKILL=0 Q | 
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| 58 | .  S DFN=$P(XQADATA,U),GMRAPA=$P(XQADATA,U,2),GMRAUSER=$P(XQADATA,U,3) Q:'DFN!'GMRAPA | 
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| 59 | .  I $D(^XUSEC("GMRA-ALLERGY VERIFY",DUZ)) K GMRAUSER | 
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| 60 | .  S GMRAPA(0)=$G(^GMR(120.8,GMRAPA,0)) Q:GMRAPA(0)="" | 
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| 61 | .  I $P(GMRAPA(0),U,12) D  Q | 
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| 62 | .  .  W !,"This reaction has been signed off.",$C(7) | 
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| 63 | .  .  D HANGT^GMRAPEH0 | 
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| 64 | .  .  S XQAKILL=0 | 
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| 65 | .  .  Q | 
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| 66 | .  D EDIT^GMRAPEM4 | 
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| 67 | .  D UPDATE^GMRAPEM3 | 
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| 68 | .  I '$P(GMRAPA(0),U,12) D SIGNOFF^GMRASIGN | 
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| 69 | .  I GMRAOUT S GMRAOUT=2-GMRAOUT K XQAKILL | 
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| 70 | .  E  D | 
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| 71 | .  .I $P(GMRAPA(0),U,12) S XQAKILL=0 | 
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| 72 | .  .I '$P(GMRAPA(0),U,12) K XQAKILL | 
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| 73 | .  D EXIT,EN1^GMRAKILL | 
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| 74 | .  Q | 
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| 75 | Q | 
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| 76 | SELECT ;Select a patient reaction | 
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| 77 | S GMRACNT=0 D 1^VADPT | 
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| 78 | S GMRALOC=$P(VAIN(4),U,2),GMRANAM=VADM(1),GMRASEX=VADM(5),GMRAOUT=0,GMRAOTH=$O(^GMRD(120.83,"B","OTHER REACTION",0)) D KVAR^VADPT K VA,VAROOT | 
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| 79 | K GMRADUP S GMRALAGO=1 | 
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| 80 | D REACT^GMRAPAT(DFN) ; Load all reaction for this patient. | 
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| 81 | D EN1^GMRAPES0 | 
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| 82 | I GMRAPA>0 D TYPE D | 
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| 83 | .I GMRAOUT D:$G(GMRANEW) DELETE S:'$$MISSREQ&('$P($G(GMRAPA(0)),U,12)) GMRAOUT=0,^TMP($J,"GMRASF","B",GMRAPA,GMRACNT)="",^TMP($J,"GMRASF",GMRACNT,GMRAPA)="" D:GMRAOUT UPOUT^GMRAPEM3 Q  ; 21,36 | 
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| 84 | .I GMRAERR D ERR^GMRAPEM3 Q  ;The reaction was entered in error | 
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| 85 | .I $P(GMRAPA(0),U,12) D SIGNED^GMRAPEM3 Q  ;The reaction has been signed | 
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| 86 | .; Reaction is a new reaction or Update data | 
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| 87 | .D UPDATE^GMRAPEM3 | 
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| 88 | .Q | 
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| 89 | Q | 
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| 90 | TYPE ; Select the type of the process to use this reaction | 
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| 91 | S GMRAERR=0 | 
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| 92 | ; If reaction is not new check to see if user want to enter in error | 
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| 93 | I 'GMRANEW W @IOF N GMRADFN D EN1^GMRAPEE0 I GMRAERR!GMRAOUT Q | 
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| 94 | ;If reaction is observed and signed off | 
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| 95 | I $P(GMRAPA(0),U,6)="o",$P(GMRAPA(0),U,12) D  Q:GMRAOUT | 
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| 96 | .Q:$G(GMRAUSER,0) | 
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| 97 | .N GMRARP | 
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| 98 | .S GMRARP=0 D ASK^GMRAUTL("DO YOU WISH TO EDIT OBSERVED DATA? ",.GMRAOUT,.GMRARP) Q:GMRAOUT | 
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| 99 | .Q:'GMRARP  ;Observed data | 
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| 100 | .N GMRAOD S GMRAOD=$D(^GMR(120.85,"C",GMRAPA)) ;Existing observation data? | 
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| 101 | OBSDATE .; | 
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| 102 | .S GMRALAGO=1 F  D EN2^GMRAU85 Q:GMRAPA1>0  Q:GMRAOUT  W !,"You must enter a valid date or an Up-arrow to exit",!,$C(7) | 
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| 103 | .I 'GMRAOUT,GMRAPA1>0  D EN2^GMRAROBS | 
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| 104 | .I '$D(^GMR(120.85,"C",GMRAPA)),$G(GMRANEW)!('$G(GMRANEW)&($G(GMRAOD))) D OBSPROB S GMRAOUT=0 G OBSDATE | 
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| 105 | .Q | 
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| 106 | ;Verify data | 
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| 107 | I 'GMRAERR,$P($G(^GMR(120.8,GMRAPA,0)),U,16)=0,$P(GMRAPA(0),U,12)=1,$D(^XUSEC("GMRA-ALLERGY VERIFY",DUZ)) D  Q:GMRAOUT | 
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| 108 | .K GMRAVER S GMRAVER=0 | 
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| 109 | .N GMRAPRNT D EN1^GMRAVFY K GMRALLER,GMRAMEC,GMRAY | 
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| 110 | .I $P($G(^GMR(120.8,GMRAPA,0)),U,16)=1 S GMRASLL(GMRAPA)=1 | 
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| 111 | .Q | 
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| 112 | ;EDIT Verified data | 
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| 113 | I 'GMRAERR,$P($G(^GMR(120.8,GMRAPA,0)),U,16)=1,$D(^XUSEC("GMRA-ALLERGY VERIFY",DUZ)) D  Q:GMRAOUT | 
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| 114 | .Q:$G(GMRAVER)=1 | 
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| 115 | .N GMRARP | 
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| 116 | .S GMRARP=0 | 
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| 117 | .D ASK^GMRAUTL("DO YOU WISH TO EDIT VERIFIED DATA? ",.GMRAOUT,.GMRARP) Q:GMRAOUT | 
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| 118 | .D:GMRARP SITE^GMRAUTL,EN1^GMRAPED0 | 
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| 119 | .Q | 
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| 120 | ;if the reaction is new or not signed off | 
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| 121 | I '$P(GMRAPA(0),U,12) D | 
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| 122 | .D EDIT^GMRAPEM4 | 
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| 123 | .I $P($G(^GMR(120.8,GMRAPA,0)),U,16) S GMRASLL(GMRAPA)=1 | 
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| 124 | .Q | 
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| 125 | Q | 
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| 126 | EXIT S GMRAPA=0 F  S GMRAPA=$O(^TMP($J,"GMRASF","B",GMRAPA)) Q:GMRAPA<1  D UNLOCK^GMRAUTL(120.8,GMRAPA) | 
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| 127 | K ^TMP($J,"GMRASF") | 
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| 128 | K ^TMP($J,"GMRALST") | 
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| 129 | Q | 
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| 130 | ; | 
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| 131 | DELETE ;Delete entry if required information is not entered - section added in 17 | 
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| 132 | N DA,DIK,GMRAPA1 | 
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| 133 | W !!,"Entry process not completed, deleting entry...",! | 
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| 134 | S GMRAPA1=$O(^GMR(120.85,"C",GMRAPA,0)) | 
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| 135 | I GMRAPA1,$G(^GMR(120.85,GMRAPA1,0))="" K ^GMR(120.85,"C",GMRAPA,GMRAPA1) | 
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| 136 | I GMRAPA1 S DIK="^GMR(120.85,",DA=GMRAPA1 D ^DIK D UNLOCK^GMRAUTL(120.85,GMRAPA1) | 
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| 137 | I GMRAPA S DIK="^GMR(120.8,",DA=GMRAPA D ^DIK D UNLOCK^GMRAUTL(120.8,GMRAPA) | 
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| 138 | Q | 
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| 139 | ; | 
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| 140 | OBSPROB ;Display help information for missing observed date/time entry | 
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| 141 | W !!,"Observed reactions must have at least one observation entry.",!,"If this reaction is incorrect then enter a date and then proceed",!,"to mark it as entered in error.",! | 
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| 142 | Q | 
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| 143 | ; | 
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| 144 | MISSREQ() ;Function determines if required data is missing | 
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| 145 | N GMRA0,TYPE | 
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| 146 | S GMRA0=$G(^GMR(120.8,+$G(GMRAPA),0)) I GMRA0="" Q 1  ;Entry not found | 
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| 147 | S TYPE=$P(GMRA0,U,6) ;Get observed/historical | 
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| 148 | I TYPE="" Q 1  ;Type not entered | 
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| 149 | I TYPE="h" Q 0  ;Historical has no requirements | 
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| 150 | I TYPE="o" I '$D(^GMR(120.85,"C",GMRAPA))!('$O(^GMR(120.85,+$O(^GMR(120.85,"C",GMRAPA,0)),2,0)))!('$$REQCOM) Q 1  ;Missing obs date/time or sign/symptom or required comment | 
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| 151 | Q 0 | 
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| 152 | ; | 
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| 153 | REQCOM() ;Function determines if comments required | 
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| 154 | I '$D(GMRASITE) D SITE^GMRAUTL | 
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| 155 | I +$P(^GMRD(120.84,+GMRASITE,0),U,4)=0 Q 1  ;Comments required? | 
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| 156 | I $O(^GMR(120.8,GMRAPA,26,0)) Q 1 | 
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| 157 | Q 0 | 
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