| 1 | C0QGMRAD ;HIRMFO/RM,WAA-UTILITY TO GATHER PATIENT DATA ;1/15/98 13:47
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| 2 | ;;4.0;Adverse Reaction Tracking;**2,10**;Mar 29, 1996;Build 19
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| 3 | EN1 ; ENTRY TO GATHER PATIENT A/AR DATA
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| 4 | ;INPUT VARIABLES:
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| 5 | ;
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| 6 | ; DFN Pointer to Patient file.
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| 7 | ; GMRA (OPTIONAL) A^B^C DEFAULT="0^0^111^0" **LOCAL
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| 8 | ; where A = 0 return all reactions (allergic/non-allergic).
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| 9 | ; 1 return allergies only.
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| 10 | ; 2 return non-allergies only.
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| 11 | ; B = 0 return all data (verified or non-verified).
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| 12 | ; 1 return only verified data.
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| 13 | ; 2 return only non-verified data.
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| 14 | ; C = X_Y_Z
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| 15 | ; where X, Y, and Z are either 0 or 1. 1 would mean to
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| 16 | ; return an Adverse Reaction of that particular type,
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| 17 | ; and zero means do not return an Adverse Reaction of
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| 18 | ; that type.
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| 19 | ; X is for TYPE=OTHER
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| 20 | ; Y is for TYPE=FOOD
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| 21 | ; Z is for TYPE=DRUG.
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| 22 | ; E.g., 001 (return drug only), 111 (returns all types),
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| 23 | ; and 010 (returns food only).
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| 24 | ; **LOCAL
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| 25 | ; D = 0 return both Observed and Historical
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| 26 | ; 1 return only Observed
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| 27 | ; **LOCAL
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| 28 | ;OUTPUT VARIABLES:
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| 29 | ; GMRAL = 1 if patient has Adverse Reaction
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| 30 | ; 0 if patient has no known Adverse Reaction
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| 31 | ; null if patient has not been asked about Adverse Reaction
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| 32 | ; GMRAL(PTR TO 120.8) = A^B^C^D^E^F^G^H^I
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| 33 | ; where A = Pointer to Patient file.
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| 34 | ; B = Free text of causative agent.
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| 35 | ; *C = Type of reaction, where D is drug, F is food, and O is
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| 36 | ; other.
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| 37 | ; D = 1 if Adverse Reaction has been verified
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| 38 | ; 0 if Adverse Reaction has not been verified
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| 39 | ; E = 0 if this is an allergic reaction
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| 40 | ; 1 if this is not an allergic reaction
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| 41 | ; **F = the mechanism of reaction in the format:
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| 42 | ; External format;Internal format
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| 43 | ; (ALLERGY;0, PHARMACOLOGIC;2, UNKNOWN;U).
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| 44 | ; G = Type of reaction.
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| 45 | ; where D = drug
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| 46 | ; DF = drug/food
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| 47 | ; DFO = drug/food/other
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| 48 | ; DO = drug/other
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| 49 | ; F = food
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| 50 | ; FO = food/other
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| 51 | ; O = other
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| 52 | ; H = the mechanism of reaction in the format:
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| 53 | ; External format;Internal format
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| 54 | ; (ALLERGY;A, PHARMACOLOGIC;P, UNKNOWN;U)
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| 55 | ; I = IEN and Global root of reactant (stored in piece B above)
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| 56 | ; set equal to the GMR ALLERGY field (#1) of the PATIENT
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| 57 | ; ALLERGY file (#120.8)
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| 58 | ; GMRAL(PTR TO 120.8,"S",COUNT) = S
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| 59 | ; where COUNT = number 1 to number of signs/symptoms for this
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| 60 | ; reaction.
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| 61 | ; S = a sign/symptom for this reaction in the format:
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| 62 | ; External format;Internal format
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| 63 | ;
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| 64 | ;* NOTE: This piece will no longer be supported after 9/1/97,
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| 65 | ; Please use piece G.
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| 66 | ;** NOTE: This piece will no longer be supported after 9/1/97,
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| 67 | ; Please use piece H.
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| 68 | ;
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| 69 | N GMRAOTH
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| 70 | Q:'$D(DFN) S:'$D(GMRA)#2 GMRA="0^0^111^1" K GMRAL
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| 71 | DPT ;
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| 72 | ;Read NKA Node in file 120.86
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| 73 | S GMRAL=$P($G(^GMR(120.86,DFN,0)),U,2)
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| 74 | ;Do not set GMRAL array if patient is unassessed or NKA.
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| 75 | I GMRAL=0 Q ;PATIENT HAS NO KNOWN ALLERGIES
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| 76 | F GMRAREC=0:0 S GMRAREC=$O(^GMR(120.8,"B",DFN,GMRAREC)) Q:GMRAREC'>0 S GMRANODE=$S($D(^GMR(120.8,GMRAREC,0)):^(0),1:"") D:GMRANODE SETAL
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| 77 | I GMRAL=1,+$O(GMRAL(0))'>0 S GMRAL=0 ;if flag is set to 1 (reactions exist), then make certain the reactions are passed in the GMRAL array
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| 78 | K GMRA,GMRANODE,GMRAOSOF,GMRAREC,GMRATCNT
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| 79 | Q
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| 80 | SETAL ;
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| 81 | N %,GMRAI,GMRASIGN
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| 82 | ;Q:'$P(GMRANODE,"^",12)&'$D(GMRAOSOF) ;IF NOT SIGNED OFF MARK IT
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| 83 | Q:+$G(^GMR(120.8,GMRAREC,"ER"))&'$D(GMRAERR) ;IF ENTERED IN ERROR QUIT
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| 84 | I GMRAL'=1 S GMRAL=1 ; PATIENT HAS ALLERGIES
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| 85 | S GMRAI=0 ; BEGIN CHECK FOR ADR/ALL CRITERIA
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| 86 | I $P(GMRA,"^",4),$P(GMRANODE,"^",6)="h" Q ;QUIT IF HISTORICAL EXCLUDED **LOCAL
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| 87 | I '$P(GMRA,"^") S GMRAI=1
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| 88 | E I $P(GMRA,"^")=1 S:$F("AU",$P(GMRANODE,"^",14))>1 GMRAI=1
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| 89 | E S:$F("P",$P(GMRANODE,"^",14))>1 GMRAI=1
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| 90 | Q:'GMRAI ; QUIT IF ADR/ALL CRITERIA NOT MET
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| 91 | Q:2-$P(GMRA,"^",2)=(1-$P(GMRANODE,"^",16)) ;QUIT IF VER/NON VER CRITERIA NOT MET
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| 92 | S GMRAI=0 ; BEGIN CHECK FOR ALLERGY TYPE CRITERIA
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| 93 | F %=1:1:3 I $E($P(GMRA,"^",3),%),$P(GMRANODE,"^",20)[$E("OFD",%) S GMRAI=1 Q
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| 94 | Q:'GMRAI ; QUIT IF ALLERGY TYPE CRITERIA NOT MET
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| 95 | D PASS(GMRAREC,.GMRAL)
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| 96 | Q
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| 97 | PASS(GMRAREC,GMRAL) ; Data filer
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| 98 | ; This subroutine will store all the patient date for a reaction is an
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| 99 | ; array.
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| 100 | ; Input:
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| 101 | ; GMRAREC = The IEN for the entry in 120.8
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| 102 | ;Output:
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| 103 | ; GMRAL(GMRAREC) the array entry for the record
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| 104 | ;
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| 105 | N GMRANODE
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| 106 | S GMRANODE=$G(^GMR(120.8,GMRAREC,0)) Q:GMRANODE=""
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| 107 | S %=$P(GMRANODE,"^",14)
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| 108 | S GMRAL(GMRAREC)=$P(GMRANODE,"^",1,2)_"^"_$E($P(GMRANODE,"^",20))_"^"_+$P(GMRANODE,"^",16)_"^"_$S(%="A"!(%="U"):0,1:1)
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| 109 | S GMRAL(GMRAREC)=GMRAL(GMRAREC)_"^"_$S(%="A":"ALLERGY;0",%="P":"PHARMACOLOGIC;2",%="U":"UNKNOWN;U",1:"")_"^"_$P(GMRANODE,"^",20)_"^"_$S(%="A":"ALLERGY;A",%="P":"PHARMACOLOGIC;P",%="U":"UNKNOWN;U",1:"")
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| 110 | S GMRAL(GMRAREC)=GMRAL(GMRAREC)_"^"_$P(GMRANODE,"^",3)
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| 111 | Q:'$O(^GMR(120.8,GMRAREC,10,0)) ;QUIT IF NO SIGNS/SYMPTOMS
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| 112 | S:'$D(GMRAOTH) GMRAOTH=$O(^GMRD(120.83,"B","OTHER REACTION",0))
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| 113 | S GMRAX=0,GMRAY=1 F S GMRAX=$O(^GMR(120.8,GMRAREC,10,GMRAX)) Q:GMRAX<1 D I GMRAZ'="" S GMRAL(GMRAREC,"S",GMRAY)=GMRAZ(1),GMRAY=GMRAY+1
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| 114 | .S GMRAZ=$G(^GMR(120.8,GMRAREC,10,GMRAX,0))
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| 115 | .S GMRAZ(1)=$S(+GMRAZ'=GMRAOTH:$P($G(^GMRD(120.83,+GMRAZ,0)),U)_";"_+GMRAZ,1:$P(GMRAZ,U,2)_";"_+GMRAZ)
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| 116 | .Q
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| 117 | K GMRAX,GMRAY,GMRAZ
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| 118 | Q
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