[613] | 1 | GMVHS ;HIOFO/FT-RETURN PATIENT DATA UTILITY ;6/10/05 11:32
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| 2 | ;;5.0;GEN. MED. REC. - VITALS;**3**;Oct 31, 2002
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| 3 | ;
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| 4 | ; This routine uses the following IAs:
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| 5 | ; #10040 - FILE 44 references (supported)
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| 6 | ; #10104 - ^XLFSTR calls (supported)
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| 7 | ;
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| 8 | ; This routine supports the following IAs:
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| 9 | ; EN1 - 4791 (private)
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| 10 | ;
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| 11 | EN1 ; Entry to gather patients vital/measurment data
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| 12 | ; Input variables
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| 13 | ;
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| 14 | ; DFN = Entry number of patient in Patient file. (Required)
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| 15 | ; GMRVSTR = types of vital/measurments desired. Use the abbreviations
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| 16 | ; found in the Vital Type (120.51) file. For multiple
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| 17 | ; vitals, use the ; as a delimiter. (Required)
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| 18 | ; GMRVSTR(0) = GMRVSTDT^GMRVENDT^GMRVOCC^GMRVSORD
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| 19 | ; where GMRVSTDT = The start date/time that the utility will
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| 20 | ; use in obtaining patient data. (Required)
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| 21 | ; GMRVENDT = The end date/time that the utility will use
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| 22 | ; to stop the search. (Required)
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| 23 | ; GMRVOCC = The number of occurrences of the data that
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| 24 | ; is desired by the search. (Required)
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| 25 | ; GMRVSORD = The sort order desired in output. 0 will sort
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| 26 | ; the data by vital type, then by date/time entered.
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| 27 | ; 1 will sort the data by date/time entered, then by
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| 28 | ; vital type. (REQUIRED)
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| 29 | ; GMRVSTR("LT") = ^TYP1^[TYP2^...] (OPTIONAL)
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| 30 | ; THIS VARIABLE IS AN ^ DELIMITED LIST OF HOSPITAL LOCATION
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| 31 | ; TYPES TO EXTRACT MEASUREMENT DATA FOR. E.G., ^C^M^, WILL
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| 32 | ; EXTRACT DATA FOR ONLY THOSE MEASUREMENTS TAKEN ON CLINICS
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| 33 | ; OR MODULES.
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| 34 | ;
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| 35 | ; Output variables:
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| 36 | ;
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| 37 | ; The utility will create an array with the desired information. The
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| 38 | ; array structure will be as follows if '$P(GMRVSTR,"^",4):
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| 39 | ; ^UTILITY($J,"GMRVD",GMRVTYP,GMRVRDT,GMRVIEN)=GMRVDATA
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| 40 | ; or if $P(GMRVSTR,"^",4) then the following will be returned:
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| 41 | ; ^UTILITY($J,"GMRVD",GMRVRDT,GMRVTYP,GMRVIEN)=GMRVDATA
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| 42 | ; where GMRVRDT = Reverse FileMan date/time.
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| 43 | ; 9999999-Date/time vital/measurement was taken.
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| 44 | ; GMRVTYP = The abbreviation used in the GMRVSTR string for the
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| 45 | ; type of vital/measurment taken.
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| 46 | ; GMRVIEN = Entry number in file Vital/Measurement (120.5) file.
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| 47 | ;
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| 48 | ; $P(GMRVDATA,"^",1) = date/time of the reading (FileMan internal)
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| 49 | ; $P(GMRVDATA,"^",2) = Patient (#2) number (i.e., DFN)
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| 50 | ; $P(GMRVDATA,"^",3) = vital type ien (File 120.51)
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| 51 | ; $P(GMRVDATA,"^",4) = date/time of data entry (FileMan internal)
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| 52 | ; $P(GMRVDATA,"^",5) = hospital location ien (File 44)
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| 53 | ; $P(GMRVDATA,"^",6) = user ien (File 200)
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| 54 | ; $P(GMRVDATA,"^",7) = always null
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| 55 | ; $P(GMRVDATA,"^",8) = reading (e.g., 98.6, Unavailable)
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| 56 | ; $P(GMRVDATA,"^",9) = always null
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| 57 | ; $P(GMRVDATA,"^",10) = the first qualifier
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| 58 | ; $P(GMRVDATA,"^",11) = the second qualifier
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| 59 | ; $P(GMRVDATA,"^",12)= "*" for abnormal measurement, otherwise = ""
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| 60 | ; $P(GMRVDATA,"^",13)= values in centigrade for T; kilos for WT;
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| 61 | ; centimeters for HT and Circumference/Girth;
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| 62 | ; and mmHg for CVP
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| 63 | ; $P(GMRVDATA,"^",14)= Body Mass Index
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| 64 | ; $P(GMRVDATA,"^",15)= L/Min of supplemental O2
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| 65 | ; $P(GMRVDATA,"^",16)= % of supplemental O2
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| 66 | ; $P(GMRVDATA,"^",17)= all qualifiers delimited by semi-colons
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| 67 | ; The variable GMRVSTR will be killed upon exit.
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| 68 | ;
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| 69 | Q:'$D(GMRVSTR(0))!'($D(GMRVSTR)#2)!'($D(DFN)#2)
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| 70 | Q:DFN'>0
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| 71 | I $G(GMRVSTR("LT"))="" S GMRVSTR("LT")="" ;hospital location list
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| 72 | HSKPING ; Housekeeping
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| 73 | K ^UTILITY($J,"GMRVD")
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| 74 | N GMVABNML,GMVDATA,GMVEND,GMVHTIEN,GMVIEN,GMVLOOP,GMVMAX,GMVNODE,GMVOCC,GMVRATE,GMVSORD,GMVSTART,GMVTIEN,GMVTYPE,GMVWTIEN
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| 75 | D RANGE
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| 76 | F GMVLOOP=1:1:$L(GMRVSTR,";") D
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| 77 | .S GMVTYPE=$P(GMRVSTR,";",GMVLOOP)
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| 78 | .Q:GMVTYPE=""
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| 79 | .S GMVMAX(GMVTYPE)=0
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| 80 | .Q
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| 81 | S GMVOCC=$P(GMRVSTR(0),U,3) ;max # of occurrences
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| 82 | S GMVSORD=$P(GMRVSTR(0),U,4) ;sort order
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| 83 | S GMVWTIEN=$$GETTYPEI("WT"),GMVHTIEN=$$GETTYPEI("HT")
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| 84 | F GMRVSTR(1)=1:1:$L(GMRVSTR,";") S GMVTYPE=$P(GMRVSTR,";",GMRVSTR(1)) I $L(GMVTYPE) S GMVSTART=$S($P(GMRVSTR(0),"^",2):9999999-$P(GMRVSTR(0),"^",2)-.0000001,1:0),GMVEND=9999999-$P(GMRVSTR(0),"^"),GMRVSTR("O")=0 D GETDATE
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| 85 | K GMRVSTR
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| 86 | Q
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| 87 | GETDATE ; Loop thru AA xref
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| 88 | S GMVTIEN=$O(^GMRD(120.51,"C",GMVTYPE,0)) ;vital type ien
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| 89 | Q:'GMVTIEN
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| 90 | S GMVLOOP=GMVSTART
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| 91 | F S GMVLOOP=$O(^GMR(120.5,"AA",DFN,GMVTIEN,GMVLOOP)) Q:GMVLOOP>GMVEND!(GMVLOOP'>0) D GETNODE Q:GMVMAX(GMVTYPE)>GMVOCC
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| 92 | Q
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| 93 | GETNODE ; Get patient record
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| 94 | S GMVIEN=0
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| 95 | F S GMVIEN=$O(^GMR(120.5,"AA",DFN,GMVTIEN,GMVLOOP,GMVIEN)) Q:GMVIEN'>0!(GMVMAX(GMVTYPE)>GMVOCC) I '$P($G(^GMR(120.5,+GMVIEN,2)),U) D
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| 96 | .S GMVNODE=$G(^GMR(120.5,+GMVIEN,0))
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| 97 | .Q:GMVNODE=""!($P(GMVNODE,U,8)="")
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| 98 | .I $L(GMRVSTR("LT")) Q:$P(GMVNODE,U,5)'>0 Q:GMRVSTR("LT")'[("^"_$$GET1^DIQ(44,$P(GMVNODE,U,5)_",",2,"I")_"^") ;hospital location check
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| 99 | .;max # of occurrence check needed
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| 100 | .S GMVMAX(GMVTYPE)=GMVMAX(GMVTYPE)+1
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| 101 | .S GMVRATE=$P(GMVNODE,U,8)
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| 102 | .D ZERONODE
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| 103 | .D QUALS
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| 104 | .I GMVTYPE="PO2" D PO2($P(GMVNODE,U,10))
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| 105 | .D METRIC
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| 106 | .D:$P(GMVNODE,U,3)=GMVWTIEN BMI ;calculate BMI for weight
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| 107 | .D:$$TEXT(GMVRATE) ABNORMAL
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| 108 | .D SET
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| 109 | .Q
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| 110 | Q
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| 111 | GETTYPEI(GMVTIEN) ; Return vital type (120.51) ien
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| 112 | ; GMVTIEN = vital type abbreviation
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| 113 | S GMVTIEN=$G(GMVTIEN)
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| 114 | I GMVTIEN="" Q 0
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| 115 | Q $O(^GMRD(120.51,"C",GMVTIEN,0))
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| 116 | ;
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| 117 | ZERONODE ; Get zero node data
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| 118 | S GMVDATA=$P($G(GMVNODE),U,1,8)_"^^^^^^^^^"
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| 119 | Q
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| 120 | QUALS ; Get qualifiers for record
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| 121 | N GMVQCNT,GMVQIEN,GMVQLIST,GMVQUALS
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| 122 | S (GMVQCNT,GMVQIEN)=0,GMVQLIST=""
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| 123 | F S GMVQIEN=$O(^GMR(120.5,GMVIEN,5,"B",GMVQIEN)) Q:'GMVQIEN D
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| 124 | .S GMVQCNT=GMVQCNT+1
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| 125 | .S GMVQUALS(GMVQCNT)=$P($G(^GMRD(120.52,+GMVQIEN,0)),U,1)
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| 126 | .Q
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| 127 | I $D(GMVQUALS(1)) S $P(GMVDATA,U,10)=GMVQUALS(1)
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| 128 | I $D(GMVQUALS(2)) S $P(GMVDATA,U,11)=GMVQUALS(2)
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| 129 | I $O(GMVQUALS(0)) D
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| 130 | .S GMVQCNT=0
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| 131 | .F S GMVQCNT=$O(GMVQUALS(GMVQCNT)) Q:'GMVQCNT D
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| 132 | ..S GMVQLIST=GMVQLIST_GMVQUALS(GMVQCNT)_";"
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| 133 | ..Q
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| 134 | .Q
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| 135 | I $G(GMVQLIST)]"" D
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| 136 | .S GMVQLIST=$E(GMVQLIST,1,$L(GMVQLIST)-1)
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| 137 | .S $P(GMVDATA,U,17)=GMVQLIST
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| 138 | .Q
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| 139 | Q
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| 140 | PO2(X) ; Get flow rate and liters/minute for Pulse Oximetry reading
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| 141 | N GMVCONC,GMVFLOW
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| 142 | S (GMVFLOW,GMVCONC)=""
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| 143 | I X["%" D
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| 144 | .S GMVCONC=$P(X,"%")
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| 145 | .I GMVCONC["l/min" S GMVCONC=$P(GMVCONC,"l/min",2)
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| 146 | I X["l/min" D
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| 147 | .S GMVFLOW=$P(X,"l/min")
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| 148 | .I GMVFLOW["%" S GMVFLOW=$P(GMVFLOW,"%",2)
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| 149 | S GMVFLOW=$$STRIP^XLFSTR(GMVFLOW," ")
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| 150 | S GMVCONC=$$STRIP^XLFSTR(GMVCONC," ")
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| 151 | S $P(GMVDATA,U,15)=GMVFLOW
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| 152 | S $P(GMVDATA,U,16)=GMVCONC
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| 153 | Q
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| 154 | METRIC ; Calculate metric value for temperature, height, weight and
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| 155 | ; circumference/girth
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| 156 | N GMVMETRC
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| 157 | S GMVMETRC=""
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| 158 | Q:'$$TEXT(GMVRATE) ;quit if not a numeric reading
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| 159 | I GMVTYPE="T" D
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| 160 | .S GMVMETRC=$J(GMVRATE-32*5/9,0,1)
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| 161 | .Q
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| 162 | I GMVTYPE="HT" D
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| 163 | .S GMVMETRC=$J(2.54*GMVRATE,0,2)
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| 164 | .Q
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| 165 | I GMVTYPE="WT" D
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| 166 | .S GMVMETRC=$J(GMVRATE*.45359237,0,2)
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| 167 | .Q
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| 168 | I GMVTYPE="CG" D
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| 169 | .S GMVMETRC=$J(2.54*GMVRATE,0,2)
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| 170 | .Q
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| 171 | I GMVTYPE="CVP" D
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| 172 | .S GMVMETRC=$J(GMVRATE/1.36,0,2)
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| 173 | .Q
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| 174 | I GMVMETRC]"" S $P(GMVDATA,U,13)=GMVMETRC
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| 175 | Q
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| 176 | ABNORMAL ; Is reading outside of normal range?
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| 177 | N GMVASTRK,GMVDIA,GMVSYS
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| 178 | S GMVASTRK=""
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| 179 | I GMVTYPE="T" D
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| 180 | .S:GMVRATE>$P(GMVABNML("T"),U,1) GMVASTRK="*"
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| 181 | .S:GMVRATE<$P(GMVABNML("T"),U,2) GMVASTRK="*"
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| 182 | .Q
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| 183 | I GMVTYPE="P" D
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| 184 | .S:GMVRATE>$P(GMVABNML("P"),U,1) GMVASTRK="*"
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| 185 | .S:GMVRATE<$P(GMVABNML("P"),U,2) GMVASTRK="*"
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| 186 | .Q
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| 187 | I GMVTYPE="R" D
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| 188 | .S:GMVRATE>$P(GMVABNML("R"),U,1) GMVASTRK="*"
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| 189 | .S:GMVRATE<$P(GMVABNML("R"),U,2) GMVASTRK="*"
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| 190 | .Q
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| 191 | I GMVTYPE="BP" D
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| 192 | .S GMVSYS=$P(GMVRATE,"/",1)
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| 193 | .S GMVDIA=$S($P(GMVRATE,"/",3)="":$P(GMVRATE,"/",2),1:$P(GMVRATE,"/",3))
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| 194 | .S:GMVSYS>$P(GMVABNML("BP"),U,7) GMVASTRK="*"
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| 195 | .S:GMVSYS<$P(GMVABNML("BP"),U,9) GMVASTRK="*"
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| 196 | .S:GMVDIA>$P(GMVABNML("BP"),U,8) GMVASTRK="*"
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| 197 | .S:GMVDIA<$P(GMVABNML("BP"),U,10) GMVASTRK="*"
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| 198 | .Q
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| 199 | I GMVTYPE="CVP" D
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| 200 | .S:GMVRATE>$P(GMVABNML("CVP"),U,1) GMVASTRK="*"
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| 201 | .S:GMVRATE<$P(GMVABNML("CVP"),U,2) GMVASTRK="*"
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| 202 | .Q
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| 203 | I GMVTYPE="PO2" D
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| 204 | .S:GMVRATE<$P(GMVABNML("PO2"),U,2) GMVASTRK="*"
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| 205 | .Q
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| 206 | S $P(GMVDATA,U,12)=GMVASTRK
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| 207 | Q
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| 208 | BMI ; Calculate Body Mass Index
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| 209 | N GMVBMI
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| 210 | S GMVBMI=""
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| 211 | S GMVBMI=$$CALCBMI^GMVHS1(GMVNODE,GMVLOOP)
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| 212 | S $P(GMVDATA,U,14)=GMVBMI
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| 213 | Q
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| 214 | SET ; Set UTILITY($J,"GMRVD") node
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| 215 | S:'GMVSORD ^UTILITY($J,"GMRVD",GMVTYPE,GMVLOOP,GMVIEN)=GMVDATA
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| 216 | S:GMVSORD ^UTILITY($J,"GMRVD",GMVLOOP,GMVTYPE,GMVIEN)=GMVDATA
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| 217 | Q
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| 218 | TEXT(RATE) ; Is rate a text code?
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| 219 | ; Returns 0 if RATE has a text code and 1 if a numeric reading
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| 220 | N GMVYES
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| 221 | S RATE=$G(RATE),GMVYES=1
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| 222 | I "REFUSEDPASSUNAVAILABLE"[$$UP^XLFSTR(RATE) S GMVYES=0
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| 223 | Q GMVYES
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| 224 | ;
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| 225 | RANGE ; Find normal ranges and store in array
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| 226 | N GMVPIEN,GMVPNODE
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| 227 | S GMVABNML("T")="0^0" ;high^low
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| 228 | S GMVABNML("P")="0^0" ;high^low
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| 229 | S GMVABNML("R")="0^0" ;high^low
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| 230 | S GMVABNML("CVP")="0^0" ;high^low
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| 231 | S GMVABNML("PO2")="0^0" ;low
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| 232 | S GMVABNML("BP")="0^0^0^0" ;sys high^sys low^dia high^dia low
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| 233 | S GMVPIEN=$O(^GMRD(120.57,0))
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| 234 | Q:'GMVPIEN
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| 235 | S GMVPNODE=$G(^GMRD(120.57,GMVPIEN,1))
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| 236 | S GMVABNML("T")=$P(GMVPNODE,U,1)_U_$P(GMVPNODE,U,2)
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| 237 | S GMVABNML("P")=$P(GMVPNODE,U,3)_U_$P(GMVPNODE,U,4)
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| 238 | S GMVABNML("R")=$P(GMVPNODE,U,5)_U_$P(GMVPNODE,U,6)
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| 239 | S GMVABNML("BP")=$P(GMVPNODE,U,7)_U_$P(GMVPNODE,U,9)_U_$P(GMVPNODE,U,8)_U_$P(GMVPNODE,U,10)
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| 240 | S GMVABNML("CVP")=$P(GMVPNODE,U,11)_U_$P(GMVPNODE,U,12)
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| 241 | S GMVABNML("PO2")=""_U_$P(GMVPNODE,U,13)
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| 242 | Q
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