| 1 | MCRPEC ;HCIOFO/JCC-ECHO Report Print ;4/28/97  10:55 | 
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| 2 | ;;2.3;Medicine;**6,32**;09/13/1996 | 
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| 3 | ;;This routine references DBIA 10060 | 
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| 4 | Q:'$D(MCARGDA) | 
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| 5 | S DN=1 | 
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| 6 | N D1,MCDISP,MCIEN,MCPAT,MCAGE,MCSEX,MCWAR,MCLBS,MCHTS,MCBSA,MCN13,MCP1,MCP12,MCP14,MCP2,MCP3,MCP6,MCP6,MCP7,MCP8 | 
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| 7 | S MCIEN=MCARGDA | 
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| 8 | S MCPAT=$P($G(^MCAR(691,MCIEN,0)),U,2) Q:MCPAT="" | 
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| 9 | S MCAGE=$$RPTAGE^MCARUTL4(691,MCIEN) | 
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| 10 | S MCSEX=$P($G(^DPT(MCPAT,0)),U,2),MCWAR=$P($G(^MCAR(691,MCIEN,11)),U,2) I MCWAR'="" S MCWAR=$$GET1^DIQ(44,MCWAR,.01) | 
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| 11 | W !,"AGE: ",MCAGE,?25,"SEX: ",$S(MCSEX="M":"MALE",1:"FEMALE"),?50,"WARD/CLINIC: ",MCWAR | 
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| 12 | D PAGE Q:$G(MCOUT) | 
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| 13 | S MCN13=$G(^MCAR(691,MCIEN,13)) | 
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| 14 | S MCLBS=$P(MCN13,U,1),MCHTS=$P(MCN13,U,2),MCBSA=$P(MCN13,U,3) | 
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| 15 | W !,"HEIGHT (INCH): ",MCHTS,?25,"WEIGHT (POUND): ",MCLBS,?50,"BSA: ",MCBSA | 
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| 16 | D PAGE Q:$G(MCOUT) | 
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| 17 | W !!,"TEST RESULTS:" | 
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| 18 | D PAGE Q:$G(MCOUT) | 
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| 19 | N MCN4,MCP19,MCP328 | 
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| 20 | S MCN4=$G(^MCAR(691,MCIEN,4)) S MCDISP=0 | 
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| 21 | F I=1:1:9 N @("MCP"_I) S @("MCP"_I)=$P(MCN4,U,I) I @("MCP"_I)'="" S MCDISP=1 | 
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| 22 | S MCP19=$$GET1^DIQ(691,MCIEN,19) I MCP19'="" S MCDISP=1 | 
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| 23 | S MCP328=$$GET1^DIQ(691,MCIEN,32.8) I MCP328'="" S MCDISP=1 | 
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| 24 | I MCDISP W !!,"M-MODE MEASUREMENTS" D  Q:$G(MCOUT)  ; | 
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| 25 | .D PAGE Q:$G(MCOUT) | 
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| 26 | .W !,"  LV DIASTOLE:" I MCP7'="" W ?20,$J(MCP7,4),"  (40-55mm)" | 
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| 27 | .W ?40,"E PNT SEP SPN:" I MCP9'="" W ?60,$J(MCP9,4),"  (0-10mm)" | 
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| 28 | .D PAGE Q:$G(MCOUT) | 
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| 29 | .W !,"  LV SYSTOLE:" I MCP8'="" W ?20,$J(MCP8,4),"  (25-30mm)" | 
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| 30 | .W ?40,"LT ATRIUM:" I MCP3'="" W ?60,$J(MCP3,4),"  (25-35mm)" | 
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| 31 | .D PAGE Q:$G(MCOUT) | 
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| 32 | .W !,"  % FRACT SHORT:" I MCP19'="" W ?20,$J(MCP19,4),"  (25-45%)" | 
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| 33 | .W ?40,"AORTIC ROOT:" I MCP4'="" W ?60,$J(MCP4,4),"  (20-35mm)" | 
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| 34 | .D PAGE Q:$G(MCOUT) | 
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| 35 | .W !,"  SEPTUM:" I MCP1'="" W ?20,$J(MCP1,4),"  (8-11mm)" | 
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| 36 | .W ?40,"RV DIASTOLE:" I MCP5'="" W ?60,$J(MCP5,4),"  (10-25mm)" | 
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| 37 | .D PAGE Q:$G(MCOUT) | 
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| 38 | .W !,"  POST LV WALL:" I MCP2'="" W ?20,$J(MCP2,4),"  (8-11mm)" | 
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| 39 | .W ?40,"ANT RV WALL:" I MCP6'="" W ?60,$J(MCP6,4),"  (2-4mm)" | 
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| 40 | .D PAGE Q:$G(MCOUT) | 
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| 41 | .W !,"  LV MASS:" I MCP328'="" W ?20,$J(MCP328,4,0) | 
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| 42 | .D PAGE Q:$G(MCOUT) | 
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| 43 | N MCP4,MCP11,MCP10,MCP5,MCP32 | 
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| 44 | S MCP4=$P($G(^MCAR(691,MCIEN,13)),U,4),MCP11=$P($G(^MCAR(691,MCIEN,5)),U,11),MCP10=$P($G(^MCAR(691,MCIEN,5)),U,10),MCP5=$$GET1^DIQ(691,MCIEN,31.1) | 
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| 45 | S MCP32=$$GET1^DIQ(691,MCIEN,32) | 
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| 46 | S MCDISP=0 I (MCP4'="")!(MCP11'="")!(MCP10'="")!(MCP5'="")!(MCP32'="")!($$GET1^DIQ(691.04,"1,"_MCIEN_",",.01)'="") S MCDISP=1 | 
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| 47 | I MCDISP W !!,"2-D ECHO MEASUREMENTS" D  Q:$G(MCOUT)  ; | 
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| 48 | .D PAGE Q:$G(MCOUT) | 
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| 49 | .W !,"  CALCULATED EF:" I MCP32'="" W ?19,$J(MCP32,5,0),"%" | 
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| 50 | .W ?40,"ESV:" I MCP11'="" W $J(MCP11,4),"  ml" | 
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| 51 | .W ?55,"EDV:" I MCP10'="" W $J(MCP10,4),"  ml" | 
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| 52 | .D PAGE Q:$G(MCOUT) | 
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| 53 | .W !,?40,"CARDIAC OUTPUT:" I MCP5'="" W ?20,$J(MCP5,5,0),"  ml/min" | 
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| 54 | .D PAGE Q:$G(MCOUT) | 
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| 55 | .W !,"  ESTIMATED EF:" I MCP4'="" W ?19,$J(MCP4,5,0),"%" | 
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| 56 | .D PAGE Q:$G(MCOUT) | 
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| 57 | .W !,"  EF DESCRIPTOR:  ",$$GET1^DIQ(691,MCIEN,32.2) | 
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| 58 | .D PAGE Q:$G(MCOUT) | 
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| 59 | .W !,"  REGIONAL WALL MOTION:" | 
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| 60 | .D PAGE Q:$G(MCOUT) | 
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| 61 | .S D1=0 F  S D1=$O(^MCAR(691,MCIEN,6,D1)) Q:D1=""  W !,?4,$$GET1^DIQ(691.04,D1_","_MCIEN_",",.01),", ",$$GET1^DIQ(691.04,D1_","_MCIEN_",",1) D PAGE Q:$G(MCOUT) | 
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| 62 | .Q | 
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| 63 | Q:$G(MCOUT) | 
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| 64 | N MC34,MC347,MC353,MCN8,MC3565,MCP9 | 
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| 65 | S MC34=$$GET1^DIQ(691.05,"1,"_MCIEN_",",.01) | 
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| 66 | S MC347=$$GET1^DIQ(691,MCIEN,34.7) | 
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| 67 | S MC353=$$GET1^DIQ(691,MCIEN,35.3) | 
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| 68 | S MCN8=$G(^MCAR(691,MCIEN,8)) | 
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| 69 | F I=7,12,8,14 N @("MCP"_I) S @("MCP"_I)=$P(MCN8,U,I) | 
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| 70 | S MC3565=$$GET1^DIQ(691,MCIEN,35.65) | 
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| 71 | S MCP9=$P($G(^MCAR(691,MCIEN,12)),U,9) | 
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| 72 | S MCDISP=0 I (MC34'="")!(MC347'?." ")!(MC353'?." ")!(MCP7'="")!(MCP12'="")!(MCP8'="")!(MC3565'="")!(MCP9'="")!(MCP14'="") S MCDISP=1 | 
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| 73 | I MCDISP D  Q:$G(MCOUT)  ; | 
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| 74 | .W !!,"DOPPLER MEASUREMENTS" ; | 
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| 75 | .D PAGE Q:$G(MCOUT) | 
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| 76 | .S D1=0 F  S D1=$O(^MCAR(691,MCIEN,7,D1)) Q:D1=""  W !,?4,$$GET1^DIQ(691.05,D1_","_MCIEN_",",.01),", ",$$GET1^DIQ(691.05,D1_","_MCIEN_",",1) D PAGE Q:$G(MCOUT) | 
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| 77 | .Q:$G(MCOUT) | 
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| 78 | .W !,"  AORTIC MAX GRAD:" I MC347'="" W ?20,$J(MC347,5),"  mm Hg" | 
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| 79 | .W ?40,"MITRAL MAX GRAD:" I MC353'="" W ?65,$J(MC353,5),"  mm Hg" | 
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| 80 | .D PAGE Q:$G(MCOUT) | 
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| 81 | .W !,"  AORTIC MEAN GRAD:" I MCP7'="" W ?20,$J(MCP7,5,0),"  mm Hg" | 
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| 82 | .W ?40,"MITRAL MEAN GRAD:" I MCP12'="" W ?65,$J(MCP12,5,0),"  mm Hg" | 
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| 83 | .D PAGE Q:$G(MCOUT) | 
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| 84 | .W !,"  AORTIC VALVE AREA:" I MCP8'="" W ?20,$J(MCP8,5,1),"  cm-sq" | 
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| 85 | .W ?40,"MITRAL VALVE AREA(Dopp):" I MC3565'="" W ?65,$J(MC3565,5,1),"  cm-sq" | 
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| 86 | .D PAGE Q:$G(MCOUT) | 
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| 87 | .W !,"  PA SYSTOLIC:" I MCP9'="" W ?20,$J(MCP9,5,0),"  mm Hg" | 
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| 88 | .W ?40,"MITRAL VALVE AREA(Echo):" I MCP14'="" W ?65,$J(MCP14,5,1),"  cm-sq" | 
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| 89 | .D PAGE Q:$G(MCOUT) | 
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| 90 | W !!,"FINDINGS:" | 
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| 91 | D PAGE Q:$G(MCOUT) | 
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| 92 | S D1=0 F  S D1=$O(^MCAR(691,MCIEN,9,D1)) Q:D1=""  W !,?4,$$GET1^DIQ(691.06,D1_","_MCIEN_",",.01) D PAGE Q:$G(MCOUT) | 
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| 93 | Q:$G(MCOUT) | 
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| 94 | W !!,"DIAGNOSIS:" | 
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| 95 | D PAGE Q:$G(MCOUT) | 
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| 96 | S D1=0 F  S D1=$O(^MCAR(691,MCIEN,14,D1)) Q:D1=""  W !,?4,$$GET1^DIQ(691.15,D1_","_MCIEN_",",.01) D PAGE Q:$G(MCOUT) | 
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| 97 | Q:$G(MCOUT) | 
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| 98 | W !!,"OTHER CONCLUSION:" | 
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| 99 | D PAGE Q:$G(MCOUT) | 
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| 100 | S D1=0 F  S D1=$O(^MCAR(691,MCIEN,10,D1)) Q:D1=""  W !,?4,$$GET1^DIQ(691.07,D1_","_MCIEN_",",.01) D PAGE Q:$G(MCOUT) | 
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| 101 | Q:$G(MCOUT) | 
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| 102 | S MCPAT=$P($G(^MCAR(691,MCIEN,11)),U) I MCPAT'="" S MCPAT=$$GET1^DIQ(200,MCPAT,.01,"I") | 
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| 103 | W !!,"CARDIOLOGY ATTENDING:",?26,MCPAT | 
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| 104 | D PAGE Q:$G(MCOUT) | 
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| 105 | S MCPAT=$P($G(^MCAR(691,MCIEN,15)),U) I MCPAT'="" S MCPAT=$$GET1^DIQ(200,MCPAT,.01,"I") | 
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| 106 | W !!,"CARDIOLOGY FELLOW:",?26,MCPAT | 
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| 107 | D PAGE Q:$G(MCOUT) | 
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| 108 | W !!,"SUMMARY:",!,?4,$$GET1^DIQ(691,MCIEN,.03) | 
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| 109 | D PAGE Q:$G(MCOUT) | 
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| 110 | W !!,"PROCEDURE SUMMARY:",!,?4,$P($G(^MCAR(691,MCIEN,.2)),U,2) | 
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| 111 | Q | 
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| 112 | PAGE ; | 
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| 113 | I $Y>(IOSL-3) D | 
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| 114 | . N DIR,MCY | 
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| 115 | . S MCY=1 | 
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| 116 | . I $E($G(IOST),1,2)="C-" S DIR(0)="E" D ^DIR S MCY=+Y | 
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| 117 | . S MCY=$S(MCY'>0:U,1:"") | 
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| 118 | . I MCY=U S DN=0,MCOUT=1 | 
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| 119 | . I DN D HEAD^MCARP | 
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| 120 | . Q | 
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| 121 | Q | 
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