| 1 | IMRUTST ;HCIOFO/FAI-UPDATE LAB TEST VALUES ;08/31/00  09:48; | 
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| 2 | ;;2.1;IMMUNOLOGY CASE REGISTRY;**5**;Feb 09, 1998 | 
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| 3 | ;  Category logic below | 
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| 4 | ;CATEGORY 1 SET TO 2 - CD4 COUNT IS 200 - 499 | 
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| 5 | ;CATEGORY 1 SET TO 3 - CD4 COUNT IS LESS THAN 200 | 
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| 6 | ;CATEGORY 2 SET TO 3 - CD4 COUNT IS LESS THAN 200 | 
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| 7 | ;CATEGORY 1 SET TO 3 - CD4 % IS LESS THAN 14 | 
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| 8 | ;CATEGORY 2 SET TO 3 - CD4 % IS LESS THAN 14 | 
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| 9 | ; | 
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| 10 | BGIN D ICRPT,KILL | 
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| 11 | Q | 
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| 12 | ICRPT F IMRFN=0:0 S IMRFN=$O(^IMR(158,IMRFN)) Q:IMRFN'>0  S X=+^(IMRFN,0),IMRCAT=$P($G(^(0)),U,42) D ^IMRXOR S DFN=X I $D(^DPT(DFN,0)) D DEMOG,SETLR | 
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| 13 | Q | 
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| 14 | DEMOG D DEM^VADPT S IMRDOD=$P(VADM(6),U),(IMRRACE,X)=$P(VADM(8),U) | 
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| 15 | I X>0 S X=$S($D(^DIC(10,X,0)):$P(^(0),U,2),1:0) I X>0 S $P(^IMR(158,IMRFN,0),U,2)=$S(X=1:3,X=2:3,X=3:5,X=4:2,X=5:4,X=6:1,1:9) K VA,VADM,X | 
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| 16 | S IMRXCAT=$P($G(^IMR(158,IMRFN,0)),U,42) | 
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| 17 | I IMRXCAT="" S $P(^IMR(158,IMRFN,0),U,42)=1,$P(^IMR(158,IMRFN,0),U,36)=DT | 
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| 18 | I (IMRXCAT="1")!(IMRXCAT="2")!(IMRXCAT="3") S $P(^IMR(158,IMRFN,0),U,23)="" | 
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| 19 | Q:$P($G(^IMR(158,IMRFN,5)),U,19)'="" | 
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| 20 | S:$G(IMRDOD)="" $P(^IMR(158,IMRFN,1),U,34)="1" | 
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| 21 | S:$G(IMRDOD)'="" $P(^IMR(158,IMRFN,1),U,34)="2",$P(^IMR(158,IMRFN,5),U,19)=IMRDOD,$P(^IMR(158,IMRFN,5),U,20)="1" | 
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| 22 | ;patient status above [1;34]=(1:alive,2:dead,9:unknown) | 
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| 23 | K IMRDOD,IMRRACE | 
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| 24 | Q | 
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| 25 | SETLR S PNAM=$P($G(^DPT(DFN,0)),U,1),SSN=$P($G(^DPT(DFN,0)),U,9),IMRTSTLR=$P($G(^DPT(DFN,"LR")),U,1) D DATA | 
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| 26 | Q | 
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| 27 | DATA K IMRCD | 
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| 28 | Q:$G(IMRTSTLR)="" | 
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| 29 | S (IMRTSTI,IMRTSTII)="",ILR=IMRTSTLR | 
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| 30 | S LGN="" F  S LGN=$O(^IMR(158.95,"B",LGN)),LIG="" Q:LGN=""  S LIG=$O(^IMR(158.95,"B",LGN,LIG)) Q:LIG=""  D LOCAL,LOCAL2 | 
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| 31 | Q | 
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| 32 | LOCAL Q:LGN'="CD4" | 
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| 33 | S IMRCD="" F  S IMRCD=$O(^IMR(158.9,1,3,"B",LIG,IMRCD)),IMS="" Q:IMRCD=""  F  S IMS=$O(^IMR(158.9,1,3,IMRCD,1,"B",IMS)),IMLM="" Q:IMS=""  F  S IMLM=$O(^IMR(158.9,1,3,IMRCD,1,"B",IMS,IMLM)) Q:IMLM=""  D LLT | 
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| 34 | Q | 
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| 35 | LOCAL2 Q:LGN'="VIRAL LOAD" | 
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| 36 | S IMRCD="" F  S IMRCD=$O(^IMR(158.9,1,3,"B",LIG,IMRCD)),IMS="" Q:IMRCD=""  F  S IMS=$O(^IMR(158.9,1,3,IMRCD,1,"B",IMS)),IMLM="" Q:IMS=""  F  S IMLM=$O(^IMR(158.9,1,3,IMRCD,1,"B",IMS,IMLM)) Q:IMLM=""  D LLT | 
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| 37 | Q | 
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| 38 | LLT S IMLO="" F  S IMLO=$O(^IMR(158.9,1,3,IMRCD,1,IMLM,1,"B",IMLO)),TNN="" Q:IMLO=""  F  S TNN=$O(^IMR(158.9,1,3,IMRCD,1,IMLM,1,"B",IMLO,TNN)) Q:TNN=""  D LWK | 
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| 39 | Q | 
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| 40 | LWK S IMWK=$P($G(^IMR(158.9,1,3,IMRCD,1,IMLM,1,TNN,0)),U,2),LNM=$P($G(^LAB(60,IMLO,0)),U,1),LLOC=$P($G(^LAB(60,IMLO,0)),U,5) | 
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| 41 | I LLOC'="" S UNN=$P($G(^LAB(60,IMLO,1,0)),U,3),LDAT=$P(LLOC,";",2) S:UNN'="" UNS=$P($G(^LAB(60,IMLO,1,UNN,0)),U,7) D CHEMS Q | 
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| 42 | I LLOC="" D PANEL Q | 
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| 43 | Q | 
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| 44 | PANEL F PN=0:0 S PN=$O(^LAB(60,IMLO,2,PN)) Q:PN'>0  S LPN=$P($G(^LAB(60,IMLO,2,PN,0)),U,1),LNM=$P($G(^LAB(60,LPN,0)),U,1),LLOC=$P($G(^LAB(60,LPN,0)),U,5) D PAN2 | 
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| 45 | Q | 
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| 46 | PAN2 S UNN=$P($G(^LAB(60,LPN,1,0)),U,3) | 
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| 47 | S:UNN'="" UNS=$P($G(^LAB(60,LPN,1,UNN,0)),U,7) | 
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| 48 | S:LLOC'="" LDAT=$P(LLOC,";",2) | 
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| 49 | D CHEMS | 
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| 50 | Q | 
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| 51 | CHEMS S LDT="" F  S LDT=$O(^LR(ILR,"CH",LDT)),DNAM="" Q:LDT=""  F  S DNAM=$O(^LR(ILR,"CH",LDT,DNAM)) Q:DNAM=""  S LRES=$P($G(^LR(ILR,"CH",LDT,LDAT)),U,1),DTRC=$P($G(^LR(ILR,"CH",LDT,0)),U,1),Y=DTRC D DD^%DT S DTAA=Y D PLBS,CDTWO,VIRONE | 
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| 52 | Q | 
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| 53 | PLBS Q:(LRES["CANC")!(LRES["canc") | 
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| 54 | Q:(DTRC["CANC")!(DTRC["canc") | 
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| 55 | S DTR1=$E(DTAA,1,3),DTR2=$E(DTAA,9,12),DTRD=DTR1_","_DTR2,DTAA=$E(DTAA,1,12),LDO=$E(LDT,1,7) | 
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| 56 | I LGN="CD4" Q:DNAM'=LDAT  Q:UNS["%"  D CHRG,CHLV | 
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| 57 | Q | 
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| 58 | CDTWO Q:(LRES["CANC")!(LRES["canc") | 
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| 59 | Q:(DTRC["CANC")!(DTRC["canc") | 
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| 60 | S DTR1=$E(DTAA,1,3),DTR2=$E(DTAA,9,12),DTRD=DTR1_","_DTR2,DTAA=$E(DTAA,1,12),LDO=$E(LDT,1,7) | 
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| 61 | I LGN="CD4" Q:DNAM'=LDAT  Q:UNS'["%"  D CHPR | 
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| 62 | Q | 
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| 63 | VIRONE Q:(LRES["CANC")!(LRES["canc") | 
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| 64 | Q:(DTRC["CANC")!(DTRC["canc") | 
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| 65 | S DTR1=$E(DTAA,1,3),DTR2=$E(DTAA,9,12),DTRD=DTR1_","_DTR2,DTAA=$E(DTAA,1,12),LDO=$E(LDT,1,7) | 
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| 66 | I LGN="VIRAL LOAD" Q:DNAM'=LDAT  D STORE | 
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| 67 | Q | 
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| 68 | CHRG ; Update CD4 | 
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| 69 | Q:(LRES["CANC")!(LRES["canc") | 
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| 70 | Q:(LRES["COMMENT")!(LRES["comment") | 
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| 71 | Q:LRES="" | 
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| 72 | Q:(DTRC["CANC")!(DTRC["canc") | 
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| 73 | S IMRXCAT=$P($G(^IMR(158,IMRFN,0)),U,42) | 
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| 74 | I $D(IMRXCAT),LRES>199,LRES<500,IMRXCAT=1 S $P(^IMR(158,IMRFN,0),U,42)=2,$P(^IMR(158,IMRFN,0),U,44)=DT | 
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| 75 | I $D(IMRXCAT),LRES<200,IMRXCAT=1 S $P(^IMR(158,IMRFN,0),U,42)=3,$P(^IMR(158,IMRFN,0),U,35)=DT | 
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| 76 | I $D(IMRXCAT),LRES<200,IMRXCAT=2 S $P(^IMR(158,IMRFN,0),U,42)=3,$P(^IMR(158,IMRFN,0),U,35)=DT | 
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| 77 | S LCDD=$P($G(^IMR(158,IMRFN,102)),U,2) | 
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| 78 | S:(LCDD'="")&(DTRC>LCDD) $P(^IMR(158,IMRFN,102),U,2)=DTRC,$P(^IMR(158,IMRFN,102),U,1)=LRES | 
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| 79 | S:LCDD="" $P(^IMR(158,IMRFN,102),U,2)=DTRC,$P(^IMR(158,IMRFN,102),U,1)=LRES | 
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| 80 | Q | 
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| 81 | ; lowest CD4 value and date | 
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| 82 | CHLV Q:(LRES["CANC")!(LRES["canc") | 
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| 83 | Q:(LRES["COMMENT")!(LRES["comment") | 
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| 84 | Q:LRES="" | 
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| 85 | Q:(DTRC["CANC")!(DTRC["canc") | 
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| 86 | S PLOW=$P($G(^IMR(158,IMRFN,102)),U,5) ;get lowest CD4 value in File 158 for comparison | 
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| 87 | S:(PLOW'="")&(LRES<PLOW) $P(^IMR(158,IMRFN,102),U,5)=LRES,$P(^IMR(158,IMRFN,102),U,6)=DTRC | 
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| 88 | S:PLOW="" $P(^IMR(158,IMRFN,102),U,5)=LRES,$P(^IMR(158,IMRFN,102),U,6)=DTRC | 
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| 89 | Q | 
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| 90 | CHPR ; Update CD4 Percentage & Current Category if Applicable | 
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| 91 | Q:(LRES["CANC")!(LRES["canc") | 
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| 92 | Q:(LRES["COMMENT")!(LRES["comment") | 
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| 93 | Q:LRES="" | 
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| 94 | Q:(DTRC["CANC")!(DTRC["canc") | 
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| 95 | S IMRXCAT=$P($G(^IMR(158,IMRFN,0)),U,42) | 
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| 96 | I $D(IMRXCAT),LRES<14,IMRXCAT=1 S $P(^IMR(158,IMRFN,0),U,42)=3,$P(^IMR(158,IMRFN,0),U,35)=DT | 
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| 97 | I $D(IMRXCAT),LRES<14,IMRXCAT=2 S $P(^IMR(158,IMRFN,0),U,42)=3,$P(^IMR(158,IMRFN,0),U,35)=DT | 
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| 98 | S LOWP=$P($G(^IMR(158,IMRFN,112)),U,9) | 
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| 99 | S:(LOWP'="")&(LRES<LOWP) $P(^IMR(158,IMRFN,112),U,9)=LRES,$P(^IMR(158,IMRFN,112),U,10)=DTRC | 
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| 100 | S:LOWP="" $P(^IMR(158,IMRFN,112),U,9)=LRES,$P(^IMR(158,IMRFN,112),U,10)=DTRC | 
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| 101 | Q | 
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| 102 | STORE ; Store viral load data in 113 nodes | 
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| 103 | Q:(LRES["CANC")!(LRES["canc") | 
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| 104 | Q:(LRES["COMMENT")!(LRES["comment") | 
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| 105 | Q:LRES="" | 
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| 106 | S:LRES["C" LRES=$P(LRES,"C",1) | 
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| 107 | S:LRES["c" LRES=$P(LRES,"c",1) | 
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| 108 | S:LRES["<" LRES=$P(LRES,"<",2) | 
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| 109 | S:LRES[">" LRES=$P(LRES,">",2) | 
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| 110 | S:LRES["(" LRES=$P(LRES,"(",1) | 
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| 111 | Q:(DTRC["CANC")!(DTRC["canc") | 
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| 112 | Q:$G(IMLO)=""  S IMRLTEST=IMLO | 
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| 113 | I '$D(^IMR(158,IMRFN,113,"B",IMRLTEST)) D  ;add viral test results if that test not in field 113 | 
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| 114 | .K DA,DD,DO | 
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| 115 | .S:'$D(^IMR(158,IMRFN,113,0)) DIC("P")=$P(^DD(158,122,0),U,2) | 
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| 116 | .S X=IMRLTEST,DA(1)=IMRFN,DIC="^IMR(158,IMRFN,113,",DIC(0)="L" | 
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| 117 | .D FILE^DICN | 
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| 118 | .K DD,DO | 
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| 119 | .Q:Y'>0 | 
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| 120 | .S DA=+Y | 
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| 121 | .S DA(1)=IMRFN,DIE="^IMR(158,IMRFN,113,",DR="1////"_LRES_";2////"_DTRC_";3////"_LRES_";4////"_DTRC | 
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| 122 | .D ^DIE | 
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| 123 | .Q | 
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| 124 | S IMRVLIEN=$O(^IMR(158,IMRFN,113,"B",IMRLTEST,0)) Q:'IMRVLIEN | 
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| 125 | S IMRLNODE=$G(^IMR(158,IMRFN,113,IMRVLIEN,0)) Q:IMRLNODE="" | 
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| 126 | I LRES>$P(IMRLNODE,U,2) S $P(IMRLNODE,U,2)=LRES,$P(IMRLNODE,U,3)=DTRC ;save the highest score and its date/time | 
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| 127 | I DTRC>$P(IMRLNODE,U,5) S $P(IMRLNODE,U,4)=LRES,$P(IMRLNODE,U,5)=DTRC ;save most recent date/time and its value | 
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| 128 | S ^IMR(158,IMRFN,113,IMRVLIEN,0)=IMRLNODE ;update global node | 
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| 129 | Q | 
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| 130 | KILL ; kill variables | 
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| 131 | K CDAR,CDP,HVR,IMDATE,IMRCD4,IMRCD4D,IMRCD4E,IMRCD4X,IMRCDX,IMRCDXD,IMREDIT,IMRESULT,IMRLOOP,IMRPN,X,Y | 
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| 132 | K IMRLNODE,IMRLTEST,IMRP103,IMRSTN,IMRTSTI,IMRTSTII,IMRVLIEN,IMRXCAT,LCDD,LLOC,MDT,PLOW,RC | 
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| 133 | Q | 
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