GMRAPEL0 ;HIRMFO/YMP,WAA-EDIT LIKELIHOOD ; 8/25/92
;;4.0;Adverse Reaction Tracking;;Mar 29, 1996
EN1 ;ENTRY FROM MAIN TO EDIT THE LIKELIHOOD OF REACTION FIELD USING THE FDA
;ALGORITHM
Q:$G(GMRASUS)<1
Q:GMRAPA1'>0
W !!,"DETERMINATION OF LIKELIHOOD OF ALLERGY/ADVERSE REACTION:"
S GMRAPA("LIKE")=$P($G(^GMR(120.85,GMRAPA1,3,GMRASUS,"LIKE")),"^",7)
I GMRAPA("LIKE")>0 W !?2,"The likelihood of this reaction was previously determined as ",$S(GMRAPA("LIKE")=1:"REMOTE",GMRAPA("LIKE")=2:"POSSIBLE",GMRAPA("LIKE")=3:"PROBABLE",GMRAPA("LIKE")=4:"HIGHLY PROBABLE",1:""),"."
YNED W !,?2,"Would you like to enter/edit Likelihood" S %=2 D YN^DICN S:%=-1 GMRAOUT=1 G:%=2!GMRAOUT EXIT
I '% W !?5,$C(7),"ANSWER YES IF YOU WISH TO CHANGE THIS LIKELIHOOD, ELSE ANSWER NO." G YNED
QUEST1 S GMRALIKB=$S($D(^GMR(120.85,GMRAPA1,3,GMRASUS,"LIKE")):$P(^("LIKE"),"^",1,6),1:""),GMRALIKA=""
W !?2,"Does the event have a reasonable temporal association with use of drug"
S %=$F("yn",$P(GMRALIKB,"^"))-1 D YN^DICN D:%=0 HELP G:%=0 QUEST1 S:%=-1 GMRAOUT=1 G:GMRAOUT EXIT
I %=2 S GMRAFDA=1,$P(GMRALIKA,"^")="n" G SETTING
E S $P(GMRALIKA,"^")="y"
QUEST2 W !?2,"Was there a dechallenge from the drug"
S %=$F("yn",$P(GMRALIKB,"^",2))-1 D YN^DICN D:%=0 HELP G:%=0 QUEST2 S:%=-1 GMRAOUT=1 G:GMRAOUT EXIT
I %=2 S GMRAFDA=2,$P(GMRALIKA,"^",2)="n" G SETTING
E S $P(GMRALIKA,"^",2)="y"
QUEST3 W !?2,"Did the observed event abate upon dechallenge"
S %=$F("yn",$P(GMRALIKB,"^",3))-1 D YN^DICN D:%=0 HELP G:%=0 QUEST3 S:%=-1 GMRAOUT=1 G:GMRAOUT EXIT
I %=2 S GMRAFDA=2,$P(GMRALIKA,"^",3)="n" G SETTING
E S $P(GMRALIKA,"^",3)="y"
QUEST4 W !?2,"Was there a rechallenge"
S %=$F("yn",$P(GMRALIKB,"^",4))-1 D YN^DICN D:%=0 HELP G:%=0 QUEST4 S:%=-1 GMRAOUT=1 G:GMRAOUT EXIT
I %=2 S $P(GMRALIKA,"^",4)="n" G LAST
E S $P(GMRALIKA,"^",4)="y"
QUEST5 W !?2,"Did the reaction or event reappear upon rechallenge"
S %=$F("yn",$P(GMRALIKB,"^",6))-1 D YN^DICN D:%=0 HELP G:%=0 QUEST5 S:%=-1 GMRAOUT=1 G:GMRAOUT EXIT
I %=2 S GMRAFDA=2,$P(GMRALIKA,"^",6)="n" G SETTING
S GMRAFDA=4,$P(GMRALIKA,"^",6)="y" G SETTING
LAST W !?2,"Could the event be due to an existing clinical condition"
S %=$F("yn",$P(GMRALIKB,"^",5))-1 D YN^DICN D:%=0 HELP G:%=0 LAST S:%=-1 GMRAOUT=1 G:GMRAOUT EXIT
I %=2 S GMRAFDA=3,$P(GMRALIKA,"^",5)="n"
S:%'=2 GMRAFDA=2,$P(GMRALIKA,"^",5)="y"
SETTING ;
W !,"THE LIKELIHOOD IS DETERMINED AS ",$S(GMRAFDA=1:"REMOTE",GMRAFDA=2:"POSSIBLE",GMRAFDA=3:"PROBABLE",GMRAFDA=4:"HIGHLY PROBABLE",1:""),":"
W !,"IS THAT OK" S %=1 D YN^DICN G:%=2 QUEST1
I '% W !?4,$C(7),"Answer Yes if this is correct, else answer No." G SETTING
S DIE="^GMR(120.85,"_GMRAPA1_",3,",DA(1)=GMRAPA1,DA=GMRASUS,DR="" F X=11:1:16 S DR=DR_$S($P(GMRALIKB,"^",X-10)'="":$S(DR'="":";",1:"")_X_"///@",1:"")
D ^DIE
F X=11:1:16 S DR=DR_$S($P(GMRALIKA,"^",X-10)'="":$S(DR'="":";",1:"")_X_"///"_$P(GMRALIKA,"^",X-10),1:"")
D ^DIE
S DIE="^GMR(120.85,"_GMRAPA1_",3,",DA(1)=GMRAPA1,DA=GMRASUS,DR="17///"_GMRAFDA D ^DIE
G EXIT
HELP ;
W !?5,$C(7),"ENTER YES IF THIS QUESTION IS TRUE, ELSE ANSWER NO."
Q
EXIT K %,DA,DIE,DR,GMRAFDA,GMRALIKA,GMRALIKB,X
Q
GMRAPEL0 ;HIRMFO/YMP,WAA-EDIT LIKELIHOOD ; 8/25/92
+1 ;;4.0;Adverse Reaction Tracking;;Mar 29, 1996
EN1 ;ENTRY FROM MAIN TO EDIT THE LIKELIHOOD OF REACTION FIELD USING THE FDA
+1 ;ALGORITHM
+2 IF $GET(GMRASUS)<1
QUIT
+3 IF GMRAPA1'>0
QUIT
+4 WRITE !!,"DETERMINATION OF LIKELIHOOD OF ALLERGY/ADVERSE REACTION:"
+5 SET GMRAPA("LIKE")=$PIECE($GET(^GMR(120.85,GMRAPA1,3,GMRASUS,"LIKE")),"^",7)
+6 IF GMRAPA("LIKE")>0
WRITE !?2,"The likelihood of this reaction was previously determined as ",$SELECT(GMRAPA("LIKE")=1:"REMOTE",GMRAPA("LIKE")=2:"POSSIBLE",GMRAPA("LIKE")=3:"PROBABLE",GMRAPA("LIKE")=4:"HIGHLY PROBABLE",1:""),"."
YNED WRITE !,?2,"Would you like to enter/edit Likelihood"
SET %=2
DO YN^DICN
IF %=-1
SET GMRAOUT=1
IF %=2!GMRAOUT
GOTO EXIT
+1 IF '%
WRITE !?5,$CHAR(7),"ANSWER YES IF YOU WISH TO CHANGE THIS LIKELIHOOD, ELSE ANSWER NO."
GOTO YNED
QUEST1 SET GMRALIKB=$SELECT($DATA(^GMR(120.85,GMRAPA1,3,GMRASUS,"LIKE")):$PIECE(^("LIKE"),"^",1,6),1:"")
SET GMRALIKA=""
+1 WRITE !?2,"Does the event have a reasonable temporal association with use of drug"
+2 SET %=$FIND("yn",$PIECE(GMRALIKB,"^"))-1
DO YN^DICN
IF %=0
DO HELP
IF %=0
GOTO QUEST1
IF %=-1
SET GMRAOUT=1
IF GMRAOUT
GOTO EXIT
+3 IF %=2
SET GMRAFDA=1
SET $PIECE(GMRALIKA,"^")="n"
GOTO SETTING
+4 IF '$TEST
SET $PIECE(GMRALIKA,"^")="y"
QUEST2 WRITE !?2,"Was there a dechallenge from the drug"
+1 SET %=$FIND("yn",$PIECE(GMRALIKB,"^",2))-1
DO YN^DICN
IF %=0
DO HELP
IF %=0
GOTO QUEST2
IF %=-1
SET GMRAOUT=1
IF GMRAOUT
GOTO EXIT
+2 IF %=2
SET GMRAFDA=2
SET $PIECE(GMRALIKA,"^",2)="n"
GOTO SETTING
+3 IF '$TEST
SET $PIECE(GMRALIKA,"^",2)="y"
QUEST3 WRITE !?2,"Did the observed event abate upon dechallenge"
+1 SET %=$FIND("yn",$PIECE(GMRALIKB,"^",3))-1
DO YN^DICN
IF %=0
DO HELP
IF %=0
GOTO QUEST3
IF %=-1
SET GMRAOUT=1
IF GMRAOUT
GOTO EXIT
+2 IF %=2
SET GMRAFDA=2
SET $PIECE(GMRALIKA,"^",3)="n"
GOTO SETTING
+3 IF '$TEST
SET $PIECE(GMRALIKA,"^",3)="y"
QUEST4 WRITE !?2,"Was there a rechallenge"
+1 SET %=$FIND("yn",$PIECE(GMRALIKB,"^",4))-1
DO YN^DICN
IF %=0
DO HELP
IF %=0
GOTO QUEST4
IF %=-1
SET GMRAOUT=1
IF GMRAOUT
GOTO EXIT
+2 IF %=2
SET $PIECE(GMRALIKA,"^",4)="n"
GOTO LAST
+3 IF '$TEST
SET $PIECE(GMRALIKA,"^",4)="y"
QUEST5 WRITE !?2,"Did the reaction or event reappear upon rechallenge"
+1 SET %=$FIND("yn",$PIECE(GMRALIKB,"^",6))-1
DO YN^DICN
IF %=0
DO HELP
IF %=0
GOTO QUEST5
IF %=-1
SET GMRAOUT=1
IF GMRAOUT
GOTO EXIT
+2 IF %=2
SET GMRAFDA=2
SET $PIECE(GMRALIKA,"^",6)="n"
GOTO SETTING
+3 SET GMRAFDA=4
SET $PIECE(GMRALIKA,"^",6)="y"
GOTO SETTING
LAST WRITE !?2,"Could the event be due to an existing clinical condition"
+1 SET %=$FIND("yn",$PIECE(GMRALIKB,"^",5))-1
DO YN^DICN
IF %=0
DO HELP
IF %=0
GOTO LAST
IF %=-1
SET GMRAOUT=1
IF GMRAOUT
GOTO EXIT
+2 IF %=2
SET GMRAFDA=3
SET $PIECE(GMRALIKA,"^",5)="n"
+3 IF %'=2
SET GMRAFDA=2
SET $PIECE(GMRALIKA,"^",5)="y"
SETTING ;
+1 WRITE !,"THE LIKELIHOOD IS DETERMINED AS ",$SELECT(GMRAFDA=1:"REMOTE",GMRAFDA=2:"POSSIBLE",GMRAFDA=3:"PROBABLE",GMRAFDA=4:"HIGHLY PROBABLE",1:""),":"
+2 WRITE !,"IS THAT OK"
SET %=1
DO YN^DICN
IF %=2
GOTO QUEST1
+3 IF '%
WRITE !?4,$CHAR(7),"Answer Yes if this is correct, else answer No."
GOTO SETTING
+4 SET DIE="^GMR(120.85,"_GMRAPA1_",3,"
SET DA(1)=GMRAPA1
SET DA=GMRASUS
SET DR=""
FOR X=11:1:16
SET DR=DR_$SELECT($PIECE(GMRALIKB,"^",X-10)'="":$SELECT(DR'="":";",1:"")_X_"///@",1:"")
+5 DO ^DIE
+6 FOR X=11:1:16
SET DR=DR_$SELECT($PIECE(GMRALIKA,"^",X-10)'="":$SELECT(DR'="":";",1:"")_X_"///"_$PIECE(GMRALIKA,"^",X-10),1:"")
+7 DO ^DIE
+8 SET DIE="^GMR(120.85,"_GMRAPA1_",3,"
SET DA(1)=GMRAPA1
SET DA=GMRASUS
SET DR="17///"_GMRAFDA
DO ^DIE
+9 GOTO EXIT
HELP ;
+1 WRITE !?5,$CHAR(7),"ENTER YES IF THIS QUESTION IS TRUE, ELSE ANSWER NO."
+2 QUIT
EXIT KILL %,DA,DIE,DR,GMRAFDA,GMRALIKA,GMRALIKB,X
+1 QUIT
