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Text File | 1989-08-04 | 10.8 KB | 213 lines

Arden L. Ashton Jr. MD 1521 Kiowa Leavenworth, Kansas 66048 (913)682-9116 Dear Doctors I hope the enclosed copy of the IBM PC conversion of the Center For Disease Control health risk appraisal will help you in delivering quality care. I have found it very useful in my patient education program. I feel my patients are more likely to change there health habits if I can show them how this will benefit their long term health. This program is designed to run on the IBM personal computer with at least 128k of random access memory, a 80 column display, one double sided floppy diskette and a printer. The program can be ran on a hard disk or completly in a "RAM" disk mode (these will speed up the program). The program and documentation can be copied and distributed as long as it is not for commercial gain and the copyright notice is not altered. We recommend that the program only be use by qualified health professionals who have the experience and training to adequately interpret individual results. Further information on the program can be obtained directly from the Center for Disease Control in Atlanta, Georgia. The program is currently designed to run off a single double sided disk drive. The program is distributed on two single sided diskettes (a latter version will allow the program to run off two single sided disk drives). GETTING STARTED First copy all the files from the distribution diskettes to a newly formated double sided diskette. Store the distribution diskettes in a safe place and use the diskette you made as your working diskette. (NOTE: do NOT use the diskcopy command in making your copy of the program; rather use the COPY command with the global file symbols, i.e. COPY *.*) You should now have a copy of the following files on your diskette: HRAINP1 EXE 52992 2-23-83 11:57a-- interactive input module HRA1 EXE 63744 1-21-83 8:52p-- main hlth risk program HRAPRINT EXE 24832 1-21-83 8:21p-- program to set up printer SYSTAB 501 7-27-82 6:26p --- data tables DIATAB 501 7-27-82 5:51p " " M1 1920 7-27-82 5:26a " " OWTAB 947 7-24-82 " " AGETAB 2250 7-24-82 " " TITLES 1148 10-18-82 7:09p " " RRSKFCT 384 8-03-82 10:47p " " EDT 361 8-03-82 10:37p " " RM2 3200 8-06-82 1:48p " " RWTTAB 1152 7-27-82 7:37a " " RTOP12 7424 10-23-82 4:09p " " RDTH 14848 7-27-82 7:57a " " RPRTHED 5376 8-04-82 12:43a " " RSMOHED 1280 8-06-82 8:29p " " HDATA ??? ?-??-83 6:26p --active pt. data HRADATA ??? ?-??-83 ?:??a --archival file PRINTSTY 128 1-21-83 7:56p --printer parameters HRADOC.TXT --documentation Before getting started let us first see how the program basically works. We may start the program in either an interactive mode or a batch mode. In the batch mode we would type in HRA1 (enter to the system prompt). The main health risk program is then loaded and it automaticaly looks for patient data in the file named "HDATA". It completes the first patient's appraisal then returns to the file "HDATA" to see if any other patients are listed. If another patient's data is found, it does his risk appraisal and again returns to "HDATA" looking for another patient's data. After all the patients have been done in "HDATA", it automatically goes into the interactive data input program "HRAINP1". This interactive program DESTROYES the old HDATA and writes the new patients information to the diskette in a completely new HDATA file. The program adds the current patients data to an archival file HRADATA (this file was designed to be used with future programs which would allow you to go back and analysis the demographics etc. of the patient's data). After the participant has successfully entered his responses the program automatically goes to the health appraisal program. The only other program you need to be aware of is the program to set up your printer. You can enter the printer control codes for your printer (i.e. compressed print, double strike, etc.) and the number of copies of each print- out you want. To start this program all you need to do is type HRAPRINT (enter to the DOS prompt. The default print codes in the distribution diskette are 0,0,0 (null codes) and one copy of the printout. You can now start working with the programs and see how they work in your environment. I would recommend initially running the sample cases. First make sure your printer is on and the paper is set to the top of the form. You enter the command HRA1 <enter to the DOS prompt. (<enter= hit return key). The program will now do the risk appraisal for 3 patients and then automati- cally go into the interactive data entry program. If you should want to stop the program before it is completed you can enter the "ESC" key. The program periodically looks for this key and will stop execution (depending where you are in the program, it can take several minutes). Once you have gone throught the example cases and an interactive session, you may want to try the program to set up the control codes for your printer. The program is started by entering the command HRAPRINT <enter to the DOS prompt. The program will take you through the program step by step to store the printer control codes for your printer. After you have successfully done this every time a new risk appraisal is to be printed, the control codes will automatically be sent to the printer. APPENDIX A BATCH OPERATION In certain situations a batch mode of operation can be used to increase the number of risk appraisals done in a given period of time. In the interactive mode each participant can take a long time entering his personal data. If time is not a consideration, this is not a problem; but in other cases time is of the essence. An experienced operator can take the data from many questionnaires and put it into a file which can then run in a batch mode. In the batch mode the slowest part of the evaluation generally is the printer. The printer not only takes time printing out the evaluation but it also holds up the computer from going to the next case. (A print buffer can avoid this hang up allowing the computer to be calculating the next case while the printer is printing the report for the last case) The patient data file can be created in any text editor (not word processors). Included in the DOS is an adaquate test editor named "EDLIN". The "EDLIN" program can be copied to your working diskett and used to create a batch file. The following steps can be followed to creat your file: 1. Call up the editor program along with the data file by typing A> EDLIN HDATA <enter 2. If the data file HDATA had not already been created on the disk, you would be told that this is a new file. You would then enter the letter "I" (insert) to the editor prompt "*". You could now enter the data from the questionnaires in the exact form noted in example #1. After entering the data for one case, you would hit the return key and start entering data for the next case. After entering all the cases, you simultaneously hit the "CTRL" and "BREAK" keys. The file is then saved by entering the letter "e" to the editor prompt "*". 3. If the data file Hdata is on the disk, you can look at the first few lines of data by typing in the letter "L" to the editor prompt "*". All the lines of the old file will have to be deleted before you save the new data. You can delete all the lines except the first one by entering "2,500 D" (delete lines 2 to 500) to the editor prompt "*". 4. Use the retained data in line 1 as a guide for entering the other cases. To start adding data to line #2 type "2 I" to the prompt. You can now start adding data to line two in the editor. By retaining the old case in line #1 you can use it as a visual aid in making sure you enter the data in the right order and format. After you have entered all the cases you can delete the old case in line #1 by typing "1D" (delete #1) to the prompt. 5. Save the new data file by typing "E" to the prompt. EXAMPLE OF DATA FORMAT IN HDATA IN THE EDLIN PROGRAM *1. SMITH,SMAL,J,111111111,1,1,55,6,7,222,3,0,0,0,0,2,0,0,0,3,22000,99, 2,3,2,3,2,2,2,2,123,77,211,1,1,1,2,3,3,3,0,0,0,0,0,2,2,3,1,1,LV,KS EXAMPLE OF DATA (two cases) IN HDATA IN THE EDLIN PROGRAM *1. SMITH,SMAL,J,111111111,1,1,55,6,7,222,3,0,0,0,0,2,0,0,0,3,22000,99, 2,3,2,3,2,2,2,2,123,77,211,1,1,1,2,3,3,3,0,0,0,0,0,2,2,3,1,1,LV,KS 2. SMITH,JOHN,R,222222222,1,1,55,6,7,222,3,0,0,0,0,2,0,0,0,3,22000,99, 2,3,2,3,2,2,2,2,123,77,211,1,1,1,2,3,3,3,0,0,0,0,0,2,2,3,1,1,LV,KS NOTE: THE INTERACTIVE PROGRAM STORE EXTRA SPACES IN THE DATA FILE (EXAMPLE) *1. SMITH,NORM,J,1111111111, 1 , 1 , 55 , 6 , 8 , 222 , 3 , 0 , 0 , , 0 , 2 , 0 , 0 , 0 , 3 , 22000 , 99 , 2 , 3 , 2 , 3 , 2 , 2 , 2 , 2 , 123 , 077 , 211 , 1 , 1 , 1 , 2 , 3 , 3 , 3 , 0 , 0 , 0 , 0 , 0 , 2 , 2 , 3 , 1 , 1 ,LV,KS APPENDIXE B FORMAT OF ARCHIAVAL FILE The archival file HRADATA grows in size with each interactive case that it processes. It can become too large for the diskette and give a disk over- flow error. To provent this from happening you should periodically either erase the the file HRADATA or copy it to another diskette. The program to analysis this data is currently not available but the following code showing how it was created can help those who have some computer experience get to the data. OPEN "R",2,"HRADATA",193:FIELD #2,12 AS IDC$,4 AS I$( 1),177 AS D$ NREC=1 NREC=NREC+1 PRINT "NREC";NREC RECS=NREC:LSET I$(1)=MKS$(RECS) LSET IDC$="FIRST RECORD" PUT #2,1 FIELD #2,12 AS IDC$,4 AS I$( 1),4 AS I$( 2),4 AS I$( 3),4 AS I$( 4), 4 AS I$( 5),4 AS I$( 6) ,4 AS I$( 7),4 AS I$( 8),4 AS I$( 9),4 AS I$(10), 4 AS I$(11),4 AS I$(12) ,4 AS I$(13),4 AS I$(14),4 AS I$(15),121 AS D$ LSET IDC$=IDCODE$ FOR J=1 TO 15:LSET I$(J)=MKS$(INPT!(J)):NEXT J FIELD #2,72 AS D$ ,4 AS I$(16),4 AS I$(17),4 AS I$(18),4 AS I$(19), 4 AS I$(20),4 AS I$(21) ,4 AS I$(22),4 AS I$(23),4 AS I$(24),4 AS I$(25), 4 AS I$(26),4 AS I$(27) ,4 AS I$(28),4 AS I$(29),4 AS I$(30),61 AS D1$ FOR J=16 TO 30:LSET I$(J)=MKS$(INPT!(J)):NEXT J FIELD #2,132 AS D$ ,4 AS I$(31),4 AS I$(32),4 AS I$(33),4 AS I$(34), 4 AS I$(35),4 AS I$(36) ,4 AS I$(37),4 AS I$(38),4 AS I$(39),4 AS I$(40), 4 AS I$(41),4 AS I$(42) ,4 AS I$(43),4 AS I$(44),3 AS COT$ ,2 AS STA$ FOR J=31 TO 44:LSET I$(J)=MKS$(INPT!(J)):NEXT J:LSET COT$=CO$:LSET STA$=ST$ ARDEN L. ASHTON,JR M.D. PROGRAMED BY: JEFFREY BORBELY PRES. ADVANCED MEDICAL SYSTEMS, INC.