- SROAPCA1 ;BIR/MAM - PRINT CARDIAC CATH INFO ;02/05/08
- ;;3.0; Surgery ;**38,63,71,88,95,125,142,153,166**;24 Jun 93;Build 6
- N SRX F I=200:1:202,206,208,209,202.1 S SRA(I)=$G(^SRF(SRTN,I))
- I $Y+14>IOSL D PAGE^SROAPCA I SRSOUT Q
- D LAB^SROAPCA4
- I $Y+16>IOSL D PAGE^SROAPCA I SRSOUT Q
- S Y=$P(SRA(209),"^",4),SRAO(1)=$S(Y="C":"CATH",Y="I":"IVUS",Y="B":"BOTH",Y="NS":" NS",1:"")_"^476"
- S Y=$P(SRA(206),"^",24),SRX=357,SRAO(2)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(206),"^",25),SRX=358,SRAO(3)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(206),"^",26),SRX=359,SRAO(4)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(206),"^",27),SRX=360,SRAO(5)=$$OUT(SRX,Y)_"^"_SRX
- S NYUK=$P(SRA(206),"^",30) D LV S SRAO(6)=SHEMP_"^363"
- S Y=$P(SRA(206),"^",9),SRX=415,SRAO(7)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(209),"^",5),SRX=477,SRAO(8)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(206),"^",28),SRX=361,SRAO(9)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(206),"^",33),SRX=362.1,SRAO(10)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(206),"^",34),SRX=362.2,SRAO(11)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(206),"^",35),SRX=362.3,SRAO(12)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(209),"^",6),SRX=478,SRAO(13)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(209),"^",7),SRX=479,SRAO(14)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(209),"^",8),SRX=480,SRAO(15)=$$OUT(SRX,Y)_"^"_SRX
- W !!,"IV. CARDIAC CATHETERIZATION AND ANGIOGRAPHIC DATA"
- S Y=$P($G(^SRF(SRTN,207)),"^",21) I Y>1 D DT S Y=X
- D NS W !,"Cardiac Catheterization Date: ",$E(Y,1,8)
- W !,"Procedure:",?26,$P(SRAO(1),"^"),?41,"Native Coronaries:"
- S SRX=$P(SRAO(2),"^") W !,"LVEDP:",?26,$J(SRX,3) D MMHG
- S SRX=$P(SRAO(9),"^") W ?41,"Left Main Stenosis:",?71,$J(SRX,3) I SRX?1.3N W "%"
- S SRX=$P(SRAO(3),"^") W !,"Aortic Systolic Pressure:",?26,$J(SRX,3) D MMHG
- S SRX=$P(SRAO(10),"^") W ?41,"LAD Stenosis:",?71,$J(SRX,3) I SRX?1.3N W "%"
- S SRX=$P(SRAO(11),"^") W !,?41,"Right Coronary Stenosis:",?71,$J(SRX,3) I SRX?1.3N W "%"
- W !,"For patients having right heart cath:" S SRX=$P(SRAO(12),"^") W ?41,"Circumflex Stenosis:",?71,$J(SRX,3) I SRX?1.3N W "%"
- ;
- S SRX=$P(SRAO(4),"^") W !,"PA Systolic Pressure:",?26,$J(SRX,3) D MMHG
- S SRX=$P(SRAO(5),"^") W !,"PAW Mean Pressure:",?26,$J(SRX,3) D MMHG
- W ?41,"If a Re-do, indicate stenosis",!,?44," in graft to:"
- S SRX=$P(SRAO(13),"^") W !,?41,"LAD:",?71,$J(SRX,3) I SRX?1.3N W "%"
- S SRX=$P(SRAO(14),"^") W !,?41,"Right coronary (include PDA): ",$J(SRX,3) I SRX?1.3N W "%"
- S SRX=$P(SRAO(15),"^") W !,?41,"Circumflex:",?71,$J(SRX,3) I SRX?1.3N W "%"
- W !,LN
- W !,"LV Contraction Grade (from contrast or radionuclide angiogram or 2D Echo):",!,?7,"Grade",?17,"Ejection Fraction Range",?51,"Definition"
- W !,?8,$P(SRAO(6),"^")
- W !,LN,!,"Mitral Regurgitation:",?26,$P(SRAO(7),"^")
- W !,"Aortic stenosis:",?26,$P(SRAO(8),"^")
- I $Y+14>IOSL D PAGE^SROAPCA I SRSOUT Q
- K SRAO S Y=$P(SRA(206),"^",31),SRX=364,SRAO(1)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P($G(^SRF(SRTN,1.1)),"^",3),SRX=1.13,SRAO(2)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(208),"^",12),SRX=414,SRAO(3)=$$OUT(SRX,Y)_"^"_SRX
- S Y=$P(SRA(206),"^",32),SRX=364.1 D DT S SRAO("1A")=X_"^"_SRX
- S Y=$P(SRA(208),"^",13),SRX=414.1 D DT S SRAO("3A")=X_"^"_SRX
- S Y=$P($G(^SRF(SRTN,.2)),"^",2),SRX=.22 D DT S SRAO(0)=X_"^"_SRX
- W !!,"V. OPERATIVE RISK SUMMARY DATA" S X=$P(SRAO(0),"^") W ?40,"(Operation Began: "_X_")"
- W !,?5,"Physician's Preoperative" S Y=$P($G(^SRF(SRTN,.2)),"^",3) D DT W ?40,"(Operation Ended: "_X_")"
- W !,?7,"Estimate of Operative Mortality: "_$P(SRAO(1),"^") I $P(SRAO(1),"^")'=""&($P(SRAO(1),"^")'="NS") W "%"
- S X=$P(SRAO("1A"),"^") I X'="" W ?57,"("_X_")"
- W !,?5,"ASA Classification:",?35,$P(SRAO(2),"^")
- S X=$P(SRAO(3),"^") W !,?5,"Surgical Priority:",?($S($L(X)>10:24,1:35)),X S X=$P(SRAO("3A"),"^") I X'="" W ?57,"("_X_")"
- S X=$P($G(^SRO(136,SRTN,0)),"^",2) I X S Y=$P($$CPT^ICPTCOD(X),"^",2) D SSPRIN^SROCPT0 S X=Y
- S X=$S(X'="":X,1:"CPT Code Missing")
- W !,?5,"Principal CPT Code:",?35,X,!,?5,"Other Procedures CPT Codes: "
- S CNT=32,OTH=0 F S OTH=$O(^SRO(136,SRTN,3,OTH)) Q:'OTH S CPT=$P($G(^SRO(136,SRTN,3,OTH,0)),"^") D
- .I CPT S Y=$P($$CPT^ICPTCOD(CPT),"^",2) S SRDA=OTH D SSOTH^SROCPT0 S CPT=Y
- .S:CPT="" CPT="NONE" S CNT=CNT+3
- .I CNT+$L(CPT)'>80 W:CNT>35 ";" W ?(CNT),CPT S CNT=CNT+$L(CPT) Q
- .W !,?35,CPT S CNT=35+$L(CPT)
- W !,?5,"Preoperative Risk Factors: "
- I $G(^SRF(SRTN,206.1))'="" S SRQ=0 S X=$G(^SRF(SRTN,206.1)) W:$L(X)<49 X,! I $L(X)>48 S Z=$L(X) D
- .I X'[" " W ?25,X Q
- .S I=0,LINE=1 F S SRL=$S(LINE=1:48,1:80) D Q:SRQ
- ..I $E(X,1,SRL)'[" " W X,! S SRQ=1 Q
- ..S J=SRL-I,Y=$E(X,J),I=I+1 I Y=" " W $E(X,1,J-1),!,?5 S X=$E(X,J+1,Z),Z=$L(X),I=0,LINE=LINE+1 I Z<SRL W X S SRQ=1 Q
- I $Y+20>IOSL D PAGE^SROAPCA I SRSOUT Q
- K SRA,SRAO D ^SROAPCA2
- Q
- YN ; store answer
- S SHEMP=$S(NYUK="NS":"NS",NYUK="N":"NO",NYUK="Y":"YES",1:"")
- Q
- DT I 'Y S X="" Q
- S Z=$E($P(Y,".",2),1,4),Z=Z_"0000",Z=$E(Z,1,4),X=$E(Y,4,5)_"/"_$E(Y,6,7)_"/"_$E(Y,2,3)_" "_$E(Z,1,2)_":"_$E(Z,3,4)
- Q
- OUT(SRFLD,SRY) ; get data in output form
- N C,Y
- S Y=SRY,C=$P(^DD(130,SRFLD,0),"^",2) D:Y'="" Y^DIQ
- I Y="NO STUDY" S Y="NS" Q Y
- Q Y
- MMHG I SRX="NO STUDY"!(SRX="NS") Q
- W " mm Hg"
- Q
- NS S Y=$S(Y="NS":"NO STUDY",1:Y)
- Q
- LV K SHEMP S SHEMP=$S(NYUK="I":" I > or = 0.55 NORMAL",NYUK="II":"II 0.45-0.54 MILD DYSFUNCTION",1:NYUK)
- Q:SHEMP'=NYUK S SHEMP=$S(NYUK="III":"III 0.35-0.44 MODERATE DYSFUNCTION",1:NYUK)
- Q:SHEMP'=NYUK S SHEMP=$S(NYUK="IIIa":"IIIa 0.40-0.44 MODERATE DYSFUNCTION A",1:NYUK)
- Q:SHEMP'=NYUK S SHEMP=$S(NYUK="IIIb":"IIIb 0.35-0.39 MODERATE DYSFUNCTION B",1:NYUK)
- Q:SHEMP'=NYUK S SHEMP=$S(NYUK="IV":"IV 0.25-0.34 SEVERE DYSFUNCTION",NYUK="V":" V <0.25 VERY SEVERE DYSFUNCTION",NYUK="NS":"NO LV STUDY",1:"")
- Q
- SROAPCA1 ;BIR/MAM - PRINT CARDIAC CATH INFO ;02/05/08
- +1 ;;3.0; Surgery ;**38,63,71,88,95,125,142,153,166**;24 Jun 93;Build 6
- +2 NEW SRX
- FOR I=200:1:202,206,208,209,202.1
- SET SRA(I)=$GET(^SRF(SRTN,I))
- +3 IF $Y+14>IOSL
- DO PAGE^SROAPCA
- IF SRSOUT
- QUIT
- +4 DO LAB^SROAPCA4
- +5 IF $Y+16>IOSL
- DO PAGE^SROAPCA
- IF SRSOUT
- QUIT
- +6 SET Y=$PIECE(SRA(209),"^",4)
- SET SRAO(1)=$SELECT(Y="C":"CATH",Y="I":"IVUS",Y="B":"BOTH",Y="NS":" NS",1:"")_"^476"
- +7 SET Y=$PIECE(SRA(206),"^",24)
- SET SRX=357
- SET SRAO(2)=$$OUT(SRX,Y)_"^"_SRX
- +8 SET Y=$PIECE(SRA(206),"^",25)
- SET SRX=358
- SET SRAO(3)=$$OUT(SRX,Y)_"^"_SRX
- +9 SET Y=$PIECE(SRA(206),"^",26)
- SET SRX=359
- SET SRAO(4)=$$OUT(SRX,Y)_"^"_SRX
- +10 SET Y=$PIECE(SRA(206),"^",27)
- SET SRX=360
- SET SRAO(5)=$$OUT(SRX,Y)_"^"_SRX
- +11 SET NYUK=$PIECE(SRA(206),"^",30)
- DO LV
- SET SRAO(6)=SHEMP_"^363"
- +12 SET Y=$PIECE(SRA(206),"^",9)
- SET SRX=415
- SET SRAO(7)=$$OUT(SRX,Y)_"^"_SRX
- +13 SET Y=$PIECE(SRA(209),"^",5)
- SET SRX=477
- SET SRAO(8)=$$OUT(SRX,Y)_"^"_SRX
- +14 SET Y=$PIECE(SRA(206),"^",28)
- SET SRX=361
- SET SRAO(9)=$$OUT(SRX,Y)_"^"_SRX
- +15 SET Y=$PIECE(SRA(206),"^",33)
- SET SRX=362.1
- SET SRAO(10)=$$OUT(SRX,Y)_"^"_SRX
- +16 SET Y=$PIECE(SRA(206),"^",34)
- SET SRX=362.2
- SET SRAO(11)=$$OUT(SRX,Y)_"^"_SRX
- +17 SET Y=$PIECE(SRA(206),"^",35)
- SET SRX=362.3
- SET SRAO(12)=$$OUT(SRX,Y)_"^"_SRX
- +18 SET Y=$PIECE(SRA(209),"^",6)
- SET SRX=478
- SET SRAO(13)=$$OUT(SRX,Y)_"^"_SRX
- +19 SET Y=$PIECE(SRA(209),"^",7)
- SET SRX=479
- SET SRAO(14)=$$OUT(SRX,Y)_"^"_SRX
- +20 SET Y=$PIECE(SRA(209),"^",8)
- SET SRX=480
- SET SRAO(15)=$$OUT(SRX,Y)_"^"_SRX
- +21 WRITE !!,"IV. CARDIAC CATHETERIZATION AND ANGIOGRAPHIC DATA"
- +22 SET Y=$PIECE($GET(^SRF(SRTN,207)),"^",21)
- IF Y>1
- DO DT
- SET Y=X
- +23 DO NS
- WRITE !,"Cardiac Catheterization Date: ",$EXTRACT(Y,1,8)
- +24 WRITE !,"Procedure:",?26,$PIECE(SRAO(1),"^"),?41,"Native Coronaries:"
- +25 SET SRX=$PIECE(SRAO(2),"^")
- WRITE !,"LVEDP:",?26,$JUSTIFY(SRX,3)
- DO MMHG
- +26 SET SRX=$PIECE(SRAO(9),"^")
- WRITE ?41,"Left Main Stenosis:",?71,$JUSTIFY(SRX,3)
- IF SRX?1.3N
- WRITE "%"
- +27 SET SRX=$PIECE(SRAO(3),"^")
- WRITE !,"Aortic Systolic Pressure:",?26,$JUSTIFY(SRX,3)
- DO MMHG
- +28 SET SRX=$PIECE(SRAO(10),"^")
- WRITE ?41,"LAD Stenosis:",?71,$JUSTIFY(SRX,3)
- IF SRX?1.3N
- WRITE "%"
- +29 SET SRX=$PIECE(SRAO(11),"^")
- WRITE !,?41,"Right Coronary Stenosis:",?71,$JUSTIFY(SRX,3)
- IF SRX?1.3N
- WRITE "%"
- +30 WRITE !,"For patients having right heart cath:"
- SET SRX=$PIECE(SRAO(12),"^")
- WRITE ?41,"Circumflex Stenosis:",?71,$JUSTIFY(SRX,3)
- IF SRX?1.3N
- WRITE "%"
- +31 ;
- +32 SET SRX=$PIECE(SRAO(4),"^")
- WRITE !,"PA Systolic Pressure:",?26,$JUSTIFY(SRX,3)
- DO MMHG
- +33 SET SRX=$PIECE(SRAO(5),"^")
- WRITE !,"PAW Mean Pressure:",?26,$JUSTIFY(SRX,3)
- DO MMHG
- +34 WRITE ?41,"If a Re-do, indicate stenosis",!,?44," in graft to:"
- +35 SET SRX=$PIECE(SRAO(13),"^")
- WRITE !,?41,"LAD:",?71,$JUSTIFY(SRX,3)
- IF SRX?1.3N
- WRITE "%"
- +36 SET SRX=$PIECE(SRAO(14),"^")
- WRITE !,?41,"Right coronary (include PDA): ",$JUSTIFY(SRX,3)
- IF SRX?1.3N
- WRITE "%"
- +37 SET SRX=$PIECE(SRAO(15),"^")
- WRITE !,?41,"Circumflex:",?71,$JUSTIFY(SRX,3)
- IF SRX?1.3N
- WRITE "%"
- +38 WRITE !,LN
- +39 WRITE !,"LV Contraction Grade (from contrast or radionuclide angiogram or 2D Echo):",!,?7,"Grade",?17,"Ejection Fraction Range",?51,"Definition"
- +40 WRITE !,?8,$PIECE(SRAO(6),"^")
- +41 WRITE !,LN,!,"Mitral Regurgitation:",?26,$PIECE(SRAO(7),"^")
- +42 WRITE !,"Aortic stenosis:",?26,$PIECE(SRAO(8),"^")
- +43 IF $Y+14>IOSL
- DO PAGE^SROAPCA
- IF SRSOUT
- QUIT
- +44 KILL SRAO
- SET Y=$PIECE(SRA(206),"^",31)
- SET SRX=364
- SET SRAO(1)=$$OUT(SRX,Y)_"^"_SRX
- +45 SET Y=$PIECE($GET(^SRF(SRTN,1.1)),"^",3)
- SET SRX=1.13
- SET SRAO(2)=$$OUT(SRX,Y)_"^"_SRX
- +46 SET Y=$PIECE(SRA(208),"^",12)
- SET SRX=414
- SET SRAO(3)=$$OUT(SRX,Y)_"^"_SRX
- +47 SET Y=$PIECE(SRA(206),"^",32)
- SET SRX=364.1
- DO DT
- SET SRAO("1A")=X_"^"_SRX
- +48 SET Y=$PIECE(SRA(208),"^",13)
- SET SRX=414.1
- DO DT
- SET SRAO("3A")=X_"^"_SRX
- +49 SET Y=$PIECE($GET(^SRF(SRTN,.2)),"^",2)
- SET SRX=.22
- DO DT
- SET SRAO(0)=X_"^"_SRX
- +50 WRITE !!,"V. OPERATIVE RISK SUMMARY DATA"
- SET X=$PIECE(SRAO(0),"^")
- WRITE ?40,"(Operation Began: "_X_")"
- +51 WRITE !,?5,"Physician's Preoperative"
- SET Y=$PIECE($GET(^SRF(SRTN,.2)),"^",3)
- DO DT
- WRITE ?40,"(Operation Ended: "_X_")"
- +52 WRITE !,?7,"Estimate of Operative Mortality: "_$PIECE(SRAO(1),"^")
- IF $PIECE(SRAO(1),"^")'=""&($PIECE(SRAO(1),"^")'="NS")
- WRITE "%"
- +53 SET X=$PIECE(SRAO("1A"),"^")
- IF X'=""
- WRITE ?57,"("_X_")"
- +54 WRITE !,?5,"ASA Classification:",?35,$PIECE(SRAO(2),"^")
- +55 SET X=$PIECE(SRAO(3),"^")
- WRITE !,?5,"Surgical Priority:",?($SELECT($LENGTH(X)>10:24,1:35)),X
- SET X=$PIECE(SRAO("3A"),"^")
- IF X'=""
- WRITE ?57,"("_X_")"
- +56 SET X=$PIECE($GET(^SRO(136,SRTN,0)),"^",2)
- IF X
- SET Y=$PIECE($$CPT^ICPTCOD(X),"^",2)
- DO SSPRIN^SROCPT0
- SET X=Y
- +57 SET X=$SELECT(X'="":X,1:"CPT Code Missing")
- +58 WRITE !,?5,"Principal CPT Code:",?35,X,!,?5,"Other Procedures CPT Codes: "
- +59 SET CNT=32
- SET OTH=0
- FOR
- SET OTH=$ORDER(^SRO(136,SRTN,3,OTH))
- IF 'OTH
- QUIT
- SET CPT=$PIECE($GET(^SRO(136,SRTN,3,OTH,0)),"^")
- Begin DoDot:1
- +60 IF CPT
- SET Y=$PIECE($$CPT^ICPTCOD(CPT),"^",2)
- SET SRDA=OTH
- DO SSOTH^SROCPT0
- SET CPT=Y
- +61 IF CPT=""
- SET CPT="NONE"
- SET CNT=CNT+3
- +62 IF CNT+$LENGTH(CPT)'>80
- IF CNT>35
- WRITE ";"
- WRITE ?(CNT),CPT
- SET CNT=CNT+$LENGTH(CPT)
- QUIT
- +63 WRITE !,?35,CPT
- SET CNT=35+$LENGTH(CPT)
- End DoDot:1
- +64 WRITE !,?5,"Preoperative Risk Factors: "
- +65 IF $GET(^SRF(SRTN,206.1))'=""
- SET SRQ=0
- SET X=$GET(^SRF(SRTN,206.1))
- IF $LENGTH(X)<49
- WRITE X,!
- IF $LENGTH(X)>48
- SET Z=$LENGTH(X)
- Begin DoDot:1
- +66 IF X'[" "
- WRITE ?25,X
- QUIT
- +67 SET I=0
- SET LINE=1
- FOR
- SET SRL=$SELECT(LINE=1:48,1:80)
- Begin DoDot:2
- +68 IF $EXTRACT(X,1,SRL)'[" "
- WRITE X,!
- SET SRQ=1
- QUIT
- +69 SET J=SRL-I
- SET Y=$EXTRACT(X,J)
- SET I=I+1
- IF Y=" "
- WRITE $EXTRACT(X,1,J-1),!,?5
- SET X=$EXTRACT(X,J+1,Z)
- SET Z=$LENGTH(X)
- SET I=0
- SET LINE=LINE+1
- IF Z<SRL
- WRITE X
- SET SRQ=1
- QUIT
- End DoDot:2
- IF SRQ
- QUIT
- End DoDot:1
- +70 IF $Y+20>IOSL
- DO PAGE^SROAPCA
- IF SRSOUT
- QUIT
- +71 KILL SRA,SRAO
- DO ^SROAPCA2
- +72 QUIT
- YN ; store answer
- +1 SET SHEMP=$SELECT(NYUK="NS":"NS",NYUK="N":"NO",NYUK="Y":"YES",1:"")
- +2 QUIT
- DT IF 'Y
- SET X=""
- QUIT
- +1 SET Z=$EXTRACT($PIECE(Y,".",2),1,4)
- SET Z=Z_"0000"
- SET Z=$EXTRACT(Z,1,4)
- SET X=$EXTRACT(Y,4,5)_"/"_$EXTRACT(Y,6,7)_"/"_$EXTRACT(Y,2,3)_" "_$EXTRACT(Z,1,2)_":"_$EXTRACT(Z,3,4)
- +2 QUIT
- OUT(SRFLD,SRY) ; get data in output form
- +1 NEW C,Y
- +2 SET Y=SRY
- SET C=$PIECE(^DD(130,SRFLD,0),"^",2)
- IF Y'=""
- DO Y^DIQ
- +3 IF Y="NO STUDY"
- SET Y="NS"
- QUIT Y
- +4 QUIT Y
- MMHG IF SRX="NO STUDY"!(SRX="NS")
- QUIT
- +1 WRITE " mm Hg"
- +2 QUIT
- NS SET Y=$SELECT(Y="NS":"NO STUDY",1:Y)
- +1 QUIT
- LV KILL SHEMP
- SET SHEMP=$SELECT(NYUK="I":" I > or = 0.55 NORMAL",NYUK="II":"II 0.45-0.54 MILD DYSFUNCTION",1:NYUK)
- +1 IF SHEMP'=NYUK
- QUIT
- SET SHEMP=$SELECT(NYUK="III":"III 0.35-0.44 MODERATE DYSFUNCTION",1:NYUK)
- +2 IF SHEMP'=NYUK
- QUIT
- SET SHEMP=$SELECT(NYUK="IIIa":"IIIa 0.40-0.44 MODERATE DYSFUNCTION A",1:NYUK)
- +3 IF SHEMP'=NYUK
- QUIT
- SET SHEMP=$SELECT(NYUK="IIIb":"IIIb 0.35-0.39 MODERATE DYSFUNCTION B",1:NYUK)
- +4 IF SHEMP'=NYUK
- QUIT
- SET SHEMP=$SELECT(NYUK="IV":"IV 0.25-0.34 SEVERE DYSFUNCTION",NYUK="V":" V <0.25 VERY SEVERE DYSFUNCTION",NYUK="NS":"NO LV STUDY",1:"")
- +5 QUIT