1 | GMRAFN4 ;HIRMFO/WAA-FDA MEDWATCH FORM ;11/30/95 15:22
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2 | ;;4.0;Adverse Reaction Tracking;;Mar 29, 1996
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3 | REL ;This code is to find all the revelant test
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4 | S GMRANOR=0,GMRANOC=0
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5 | I GMRAPG1'=1 G RELCON
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6 | I $D(^GMR(120.85,GMRAPA1,4,0)) S GMRAXX=1 D S GMRANOR=1
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7 | .S GMRAX=0 F S GMRAX=$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
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8 | .K GMRAX,GMRAXX
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9 | .Q
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10 | CON ;This code is to find all the concomitant drug info
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11 | I $D(^GMR(120.85,GMRAPA1,13,0)) S GMRAXX=1,GMRANOC=1 D
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12 | .S GMRAX=0 F S GMRAX=$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
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13 | .K GMRAX,GMRAXX
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14 | .Q
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15 | RELCON W !,"6. Relevant test/laboratory data. including dates",?66,"|10. Concomitant medical products/therapy dates(exclude treatment)"
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16 | W ! I GMRANOR I $D(^TMP($J,"GMR","T",1)) W "PLEASE SEE ATTACHED"
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17 | W ?66,"|" I GMRANOC S GMRACCT=1 D CONCO^GMRAFN5
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18 | W !
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19 | W ?66,"|" I GMRANOC S GMRACCT=2 D CONCO^GMRAFN5
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20 | W !
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21 | W ?66,"|" I GMRANOC S GMRACCT=3 D CONCO^GMRAFN5
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22 | W !
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23 | W ?66,"|" I GMRANOC D
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24 | .I $D(^TMP($J,"GMR","C",5)) W "PLEASE SEE ATTACHED" Q
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25 | .S GMRACCT=4 D CONCO^GMRAFN5
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26 | .Q
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27 | W !
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28 | W ?66,"|",$E(LINE2,68,131)
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29 | W !,$E(LINE1,1,66),"|D. Suspect Medical Devices"
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30 | OTHER ;This code is for other relevant history
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31 | S GMRANOO=0 I GMRAPG1'=1 G OTHER2
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32 | 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
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33 | .F S GMRAX=$O(^GMR(120.85,GMRAPA1,14,GMRAX)) Q:GMRAX<1 S X=$G(^(GMRAX,0)) D ^DIWP
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34 | .S X=0 F S X=$O(^UTILITY($J,"W",5,X)) Q:X<1 S ^TMP($J,"GMR","O",X)=$G(^UTILITY($J,"W",5,X,0))
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35 | .Q
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36 | OTHER2 W !,"7. Other relevant History, including preexisting medical",?66,"|",$E(LINE1,68,131)
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37 | W !," conditions",?66,"| Note: Please use the actual MedWatch form if the event"
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38 | W ! I GMRANOO W ?5,^TMP($J,"GMR","O",1) K ^(1) S:'$D(^TMP($J,"GMR","O",2)) GMRANOO=0
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39 | W ?66,"| involves a suspected device as well as a suspect drug"
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40 | W ! I GMRANOO W ?5,^TMP($J,"GMR","O",2) K ^(2) S:'$D(^TMP($J,"GMR","O",3)) GMRANOO=0
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41 | W ?66,"|",$E(LINE2,68,131)
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42 | W ! I GMRANOO W ?5,^TMP($J,"GMR","O",3) K ^(3) S:'$D(^TMP($J,"GMR","O",4)) GMRANOO=0
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43 | W ?66,"|E. Reporter"
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44 | W ! I GMRANOO W ?5,^TMP($J,"GMR","O",4) K ^(4) S:'$D(^TMP($J,"GMR","O",5)) GMRANOO=0
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45 | W ?66,"|",$E(LINE1,68,131)
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46 | W ! I GMRANOO D
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47 | .I $D(^TMP($J,"GMR","O",6)) W ?5,"PLEASE SEE ATTACHED" Q
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48 | .W ?5,^TMP($J,"GMR","O",5) K ^(5)
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49 | .Q
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50 | Q
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