STANDARD DATA DICTIONARY #743 -- QA MONITOR FILE                                                                  3/24/25    PAGE 1
STORED IN ^QA(743,  (6 ENTRIES)   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                                         (VERSION 1.0)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file contains the full description of a monitor.  Some of the data is purely descriptive.  Other data in this file is used by
the auto enroll portion of the Clinical Monitoring System.  


              DD ACCESS: @
             DEL ACCESS: @

   APPLICATION GROUP(S): QAQ, FHAS, QAM
IDENTIFIED BY: TITLE (#.02)[R]
      "WRITE": W "   ",@("$P($P($C(59)_$S($D(^DD(743,7,0)):$P(^(0),U,3),1:0)_$E("_DIC_"Y,0),0),$C(59)_$P(^(0),U,5)_"":"",2),$C(59),
               1)")

POINTED TO BY: ASSOCIATED MONITOR field (#200) of the QA OCCURRENCE SCREEN CRITERIA File (#741.1) 
               MONITOR field (#.02) of the FALL OUT File (#743.1) 
               MONITOR field (#.01) of the MONITOR HISTORY File (#743.2) 
               MONITOR field (#.01) of the MONITOR sub-field (#743.61) of the AUTO ENROLL RUN DATE File (#743.6) 
               

CROSS
REFERENCED BY: SERVICE(ASRV), CODE(B), CODE(BU), TITLE(C), TITLE(CU)



743,.01       CODE                   0;1 FREE TEXT (Required)

              INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
              LAST EDITED:      MAY 13, 1993 
              HELP-PROMPT:      Answer must be 3-30 characters in length. 
              DESCRIPTION:      This can either be free text or a predetermined list (of initial identifying letters or numbers) as
                                defined by the site so that monitors can be grouped and easily retrieved by the service, section,
                                or whatever.  

              DELETE TEST:      1,0)= S $P(^QA(743,0),"^",3)=1 I 0

              CROSS-REFERENCE:  743^B 
                                1)= S ^QA(743,"B",$E(X,1,30),DA)=""
                                2)= K ^QA(743,"B",$E(X,1,30),DA)

              CROSS-REFERENCE:  743^BU^MUMPS 
                                1)= S ^QA(743,"BU",$E($$UP^XLFSTR(X),1,30),DA)=""
                                2)= K ^QA(743,"BU",$E($$UP^XLFSTR(X),1,30),DA)
                                Uppercase cross-reference of the CODE.  



743,.02       TITLE                  0;2 FREE TEXT (Required)

              INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>30!($L(X)<3) X
              LAST EDITED:      MAY 13, 1993 
              HELP-PROMPT:      Answer must be 3-30 characters in length. 
              DESCRIPTION:
                                This is a short free text name determined by the user for this monitor.  

              CROSS-REFERENCE:  743^C 
                                1)= S ^QA(743,"C",$E(X,1,30),DA)=""
                                2)= K ^QA(743,"C",$E(X,1,30),DA)

              CROSS-REFERENCE:  743^CU^MUMPS 
                                1)= S ^QA(743,"CU",$E($$UP^XLFSTR(X),1,30),DA)=""
                                2)= K ^QA(743,"CU",$E($$UP^XLFSTR(X),1,30),DA)
                                Uppercase cross-reference of the TITLE.  



743,1         SERVICE                0;3 POINTER TO SERVICE/SECTION FILE (#49)

              LAST EDITED:      DEC 17, 1990 
              HELP-PROMPT:      Enter the service this monitor belongs to. 
              DESCRIPTION:      This field will allow the manager to track what monitors are currently being used by each service. 
                                The service entered has nothing to do with the conditions chosen or what data is auto enrolled.  

              CROSS-REFERENCE:  743^ASRV 
                                1)= S ^QA(743,"ASRV",$E(X,1,30),DA)=""
                                2)= K ^QA(743,"ASRV",$E(X,1,30),DA)


743,2         STANDARD OF CARE       STDC;0   WORD-PROCESSING #743.02

              DESCRIPTION:
                                This word processing field defines the standard of care to be monitored.  


                LAST EDITED:      DEC 06, 1990 
                HELP-PROMPT:      Enter the standard of care to be monitored. 
                DESCRIPTION:
                                  This word processing field defines the standard of care to be monitored.  




743,3         CLINICAL INDICATOR     CLIN;0   WORD-PROCESSING #743.03

              DESCRIPTION:
                                This word processing field defines the criteria necessary to meet the standard of care.  


                LAST EDITED:      DEC 06, 1990 
                HELP-PROMPT:      Enter the criteria of the standard of care. 
                DESCRIPTION:
                                  This word processing field defines the criteria necessary to meet the standard of care.  




743,4         RATIONALE              RAT;0 POINTER Multiple #743.04 (Add New Entry without Asking)

              LAST EDITED:      DEC 17, 1990 
              DESCRIPTION:
                                This field defines the rationale for the use of this monitor.  You may select all that apply.  


743.04,.01      RATIONALE              0;1 POINTER TO RATIONALE FILE (#743.91) (Multiply asked)

                LAST EDITED:      DEC 17, 1990 
                HELP-PROMPT:      Enter the rationale for this monitor from the list displayed. 
                DESCRIPTION:
                                  This field defines the rationale for the use of this monitor.  You may select all that apply.  

                CROSS-REFERENCE:  743.04^B 
                                  1)= S ^QA(743,DA(1),"RAT","B",$E(X,1,30),DA)=""
                                  2)= K ^QA(743,DA(1),"RAT","B",$E(X,1,30),DA)


743.04,1        EXPLAIN RATIONALE      EXP;0   WORD-PROCESSING #743.05

                LAST EDITED:      APR 15, 1991 
                DESCRIPTION:      If a rationale was chosen that requires an explanation please explain the reasons for its
                                  selection.  


                  LAST EDITED:      DEC 17, 1990 
                  HELP-PROMPT:      Explain why this rationale was chosen. 
                  DESCRIPTION:      If a rationale was chosen that requires an explanation please explain the reasons for its
                                    selection.  






743,6         AUTO ENROLL MONITOR    0;4 SET (Required)

                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      MAR 01, 1991 
              HELP-PROMPT:      Enter Y(es) if this is an auto enroll monitor. 
              DESCRIPTION:      This field determines whether or not this is an auto enroll monitor.  You should answer Y(es) to
                                this field only if this monitor can be auto enrolled.  Your answer to this field will determine
                                which conditions you will be allowed to select.  


743,7         MONITOR STATUS         0;5 SET

                                '1' FOR FINISHED; 
                                '0' FOR UNDER CONSTRUCTION; 
              LAST EDITED:      DEC 11, 1990 
              HELP-PROMPT:      Enter FINISHED if you are totally finished editing this monitor. 
              DESCRIPTION:      Answer FINISHED to this field only when you are sure you are completely finished entering/editing
                                this monitor.  Once you answer FINISHED you will no longer be able to edit selected monitor fields.  


743,20        CONDITION              COND;0 POINTER Multiple #743.01 (Add New Entry without Asking)

              DESCRIPTION:      A condition applies a True/False test on selected data elements in a patient's record.  If the
                                result of the test is true that patient's record is captured for further processing.  


743.01,.01      CONDITION              0;1 POINTER TO CONDITION FILE (#743.3) (Multiply asked)

                INPUT TRANSFORM:S DIC("S")="I $S($D(QAMD0)[0:1,$D(^QA(743,+QAMD0,0))[0:0,+$P(^QA(743,+QAMD0,0),""^"",4)=+$P(^QA(743
                                .3,+Y,0),""^"",2):1,1:0)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:    JAN 28, 1992 
                HELP-PROMPT:    Enter a condition that will make up the monitor. 
                DESCRIPTION:    A condition applies a True/False test on selected data elements in a patient's record.  If the
                                result of the test is true that patient's record is captured for further processing.  

                TECHNICAL DESCR:The screen on this field makes use of the namespaced variable QAMD0.  QAMD0 is the internal entry
                                number of the monitor, ie ^QA(743,QAMD0,.  If QAMD0 is undefined the screen equates to I 1 to allow
                                for regular VA FileMan editing of this multiple.  If the Clinical Monitoring System edit options
                                are used QAMD0 will be defined and the screen will function properly.  

                SCREEN:         S DIC("S")="I $S($D(QAMD0)[0:1,$D(^QA(743,+QAMD0,0))[0:0,+$P(^QA(743,+QAMD0,0),""^"",4)=+$P(^QA(743
                                .3,+Y,0),""^"",2):1,1:0)"
                EXPLANATION:    You may only select conditions that match the monitor type, auto/manual enroll.
                CROSS-REFERENCE:743.01^B 
                                1)= S ^QA(743,DA(1),"COND","B",$E(X,1,30),DA)=""
                                2)= K ^QA(743,DA(1),"COND","B",$E(X,1,30),DA)


743.01,1        CONTRIBUTES TO SAMPLE 0;2 SET

                                '1' FOR YES; 
                                '0' FOR NO; 
                LAST EDITED:    DEC 14, 1990 
                HELP-PROMPT:    Enter Y(es) if this condition contributes to the sample size (denominator). 
                DESCRIPTION:    This field determines whether or not this condition contributes to the sample size (denominator). 
                                This affects how information is collected to determine the size of the sample (denominator). 
                                Answer 'YES' to this question if the patients meeting this condition should be counted in the
                                sample size.  Answer 'NO' if these patients should not be counted.  

                CROSS-REFERENCE:743.01^AS 
                                1)= S ^QA(743,DA(1),"COND","AS",$E(X,1,30),DA)=""
                                2)= K ^QA(743,DA(1),"COND","AS",$E(X,1,30),DA)


743.01,10       PARAMETER 1          P1;E1,245 FREE TEXT

                INPUT TRANSFORM:K:$L(X)>245!($L(X)<1) X
                LAST EDITED:    DEC 06, 1990 
                HELP-PROMPT:    Answer must be 1-245 characters in length. 
                DESCRIPTION:    Parameters further narrow down the definition of a condition.  The format of a parameter is
                                determined by the condition.  


743.01,20       PARAMETER 2          P2;E1,245 FREE TEXT

                INPUT TRANSFORM:K:$L(X)>245!($L(X)<1) X
                LAST EDITED:    DEC 06, 1990 
                HELP-PROMPT:    Answer must be 1-245 characters in length. 
                DESCRIPTION:    Parameters further narrow down the definition of a condition.  The format of a parameter is
                                determined by the condition.  


743.01,30       PARAMETER 3          P3;E1,245 FREE TEXT

                INPUT TRANSFORM:K:$L(X)>245!($L(X)<1) X
                LAST EDITED:    DEC 06, 1990 
                HELP-PROMPT:    Answer must be 1-245 characters in length. 
                DESCRIPTION:    Parameters further narrow down the definition of a condition.  The format of a parameter is
                                determined by the condition.  


743.01,40       PARAMETER 4          P4;E1,245 FREE TEXT

                INPUT TRANSFORM:K:$L(X)>245!($L(X)<1) X
                LAST EDITED:    DEC 06, 1990 
                HELP-PROMPT:    Answer must be 1-245 characters in length. 
                DESCRIPTION:    Parameters further narrow down the definition of a condition.  The format of a parameter is
                                determined by the condition.  


743.01,50       PARAMETER 5          P5;E1,245 FREE TEXT

                INPUT TRANSFORM:K:$L(X)>245!($L(X)<1) X
                LAST EDITED:    DEC 06, 1990 
                HELP-PROMPT:    Answer must be 1-245 characters in length. 
                DESCRIPTION:    Parameters further narrow down the definition of a condition.  The format of a parameter is
                                determined by the condition.  




743,25        FALL OUT RELATIONSHIP  REL;E1,245 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>245!($L(X)<1) X D:$D(X) EN1^QAMUTL0
              LAST EDITED:      DEC 14, 1990 
              HELP-PROMPT:      Enter the relationship among the conditions. 
              DESCRIPTION:      This field specifically states the relationship between the conditions entered by the user.  The
                                user may use & (and), ! (or), ' (not), and parentheses () to specify the relationship.  

              EXECUTABLE HELP:  D EN2^QAMUTL0
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


743,26        SAMPLE RELATIONSHIP    SMP;E1,245 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>245!($L(X)<1) X D:$D(X) EN4^QAMUTL0
              LAST EDITED:      DEC 14, 1990 
              HELP-PROMPT:      Enter the relationship among the sample conditions. 
              DESCRIPTION:      Enter the relationship among the conditions.  This field specifically states the relationship
                                between the conditions that contribute to the sample size.  The user may use & (and), ! (or), '
                                (not) and parentheses () to specify the relationship.  

              EXECUTABLE HELP:  D EN5^QAMUTL0
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


743,30        OTHER DATA TO CAPTURE  DAT;0 POINTER Multiple #743.06 (Add New Entry without Asking)

              DESCRIPTION:      When a patient meets the conditions of the monitor and falls out, the other data to capture entries
                                define which data elements in the patient's record should be collected.  


743.06,.01      OTHER DATA TO CAPTURE  0;1 POINTER TO DATA ELEMENT FILE (#743.4) (Multiply asked)

                INPUT TRANSFORM:  S DIC("S")="D EN7^QAMUTL0" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:      MAY 16, 1991 
                HELP-PROMPT:      Enter the data elements of a patients record you want to collect. 
                DESCRIPTION:      When a patient meets the conditions of the monitor and falls out the other data to capture
                                  entries define which data elements in the patient's record should be collected.  

                SCREEN:           S DIC("S")="D EN7^QAMUTL0"
                EXPLANATION:      Data elements are selectable based on the conditions chosen.
                CROSS-REFERENCE:  743.06^B 
                                  1)= S ^QA(743,DA(1),"DAT","B",$E(X,1,30),DA)=""
                                  2)= K ^QA(743,DA(1),"DAT","B",$E(X,1,30),DA)




743,50        TIME FRAME             1;1 POINTER TO TIME FRAME FILE (#743.92)

              LAST EDITED:      DEC 06, 1990 
              HELP-PROMPT:      Enter the time frame over which the collected data should be aggregated. 
              DESCRIPTION:      Time frame is the period of time over which the program begins capturing data and then sums up the
                                data to start all over again with the beginning of the next similar time frame.  


743,51        MINIMUM SAMPLE         1;2 NUMBER

              PRE-THRESHOLD ALERT LEVEL   
              INPUT TRANSFORM:  K:+X'=X!(X>1000000)!(X<1)!(X?.E1"."1N.N) X
              LAST EDITED:      MAY 07, 1991 
              HELP-PROMPT:      Type a Number between 0 and 1000000, 0 Decimal Digits 
              DESCRIPTION:      For PERCENT thresholds: This field defines the minimum sample size (denominator) that must be
                                reached before threshold checking occurs.  For NUMERIC thresholds: This field may be used along
                                with the BULLETIN WHEN MIN SAMPLE MET field (set to YES) as a pre-threshold notification.  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


743,52        THRESHOLD              1;3 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1)!(+X<1)!(X'?1.N.1"%") X I $D(X),X["%",+X>100 K X
              LAST EDITED:      MAY 07, 1991 
              HELP-PROMPT:      Enter a number, optionally followed by a per-cent (%) sign, 8 characters max. 
              DESCRIPTION:      Threshold defines the number or percentage of fall outs after which some specific action will
                                occur.  The threshold may be entered as a pure numeric response (e.g., 38), or as a percentage
                                (e.g., 38%).  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


743,53        HI/LO PERCENT          1;4 SET

                                'H' FOR HIGH; 
                                'L' FOR LOW; 
              LAST EDITED:      JAN 18, 1991 
              HELP-PROMPT:      Enter 'Hi' or 'Lo' to determine when threshold should be met. 
              DESCRIPTION:      If the user chooses 'Hi', the threshold will be met when the percentage is calculated to be >= the
                                threshold.  If the user chooses 'Lo', the threshold will be met when the percentage is calculated
                                to be <= the threshold.  Hi/Lo Percent is only meaningful for percent thresholds.  


743,54        ON/OFF SWITCH          1;5 SET

                                '1' FOR ON; 
                                '0' FOR OFF; 
              LAST EDITED:      DEC 11, 1990 
              HELP-PROMPT:      Enter whether or not this monitor is active or inactive. 
              DESCRIPTION:      This field controls whether or not a monitor is active.  For an auto enroll monitor to capture data
                                the switch must be turned on.  For a manual entry monitor to be selectable, the switch must be
                                turned on.  When you wish to stop using a monitor, this switch should be turned off.  


743,55        START DATE             1;6 DATE

              INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      DEC 06, 1990 
              HELP-PROMPT:      Enter the date to start this monitor. 
              DESCRIPTION:      This field determines when the monitor should start to capture data, or when manual entry of data
                                for this monitor may begin.  


743,56        END DATE               1;7 DATE

              INPUT TRANSFORM:  S %DT="EX",%DT(0)=$S($D(^QA(743,D0,1))#2:$P(^(1),"^",6),1:0) K:'%DT(0) %DT(0) D ^%DT K %DT(0) S X=Y
                                 K:Y<1 X
              LAST EDITED:      DEC 06, 1990 
              HELP-PROMPT:      Enter the date to stop this monitor. 
              DESCRIPTION:      This field determines when the monitor should stop capturing data, or when manual entry of data for
                                this monitor is no longer allowed.  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


743,57        PRINT DAILY FALL OUT LIST 1;8 SET

                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      JAN 08, 1991 
              HELP-PROMPT:      Enter Y(es) to print a daily list of all fall outs. 
              DESCRIPTION:      This field determines whether or not a generic list of all fall outs, sorted by monitor, is printed
                                daily.  


743,58        PRINT DAILY WORKSHEETS 1;9 SET

                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      DEC 11, 1990 
              HELP-PROMPT:      Enter Y(es) to print worksheets for all fall outs. 
              DESCRIPTION:      This field determines whether worksheets are printed daily for all fall outs for this monitor.  For
                                this to work, the worksheet must first be created by a programmer and linked to the monitor.  


743,59        BULLETIN WHEN THRESHOLD MET 1;10 SET

                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      DEC 19, 1990 
              HELP-PROMPT:      Enter Y(es) if a bulletin should be sent when the threshold is met. 
              DESCRIPTION:      If this field is answered YES, then a bulletin will be sent to a specified mail group when the
                                threshold is met.  This bulletin is sent only once per time frame.  


743,60        BULLETIN AT END OF TIME FRAME 1;11 SET

                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      DEC 19, 1990 
              HELP-PROMPT:      Enter Y(es) if a bulletin should be sent at the end of each time frame. 
              DESCRIPTION:      If this field is answered YES, then a bulletin will be sent to a specified mail group when the end
                                of the time frame is reached.  This bulletin is sent only once per time frame.  


743,61        BULLETIN WHEN MIN SAMPLE MET 1;12 SET

              BULLETIN WHEN ALERT LEVEL MET   
                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      JAN 28, 1991 
              HELP-PROMPT:      Enter Y(es) if a bulletin should be sent when the minimum sample is met. 
              DESCRIPTION:      If this field is answered YES, than a bulletin will be sent to a specified mail group when the
                                minimum sample size is met or exceeded.  This bulletin is sent only once per time frame.  


743,62        BULLETIN MAIL GROUP    1;13 POINTER TO MAIL GROUP FILE (#3.8)

              INPUT TRANSFORM:  S DIC("S")="I $P(^(0),""^"",2)=""PU""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      JUL 13, 1992 
              HELP-PROMPT:      Enter the mail group bulletins should be sent to. 
              DESCRIPTION:      This field contains the name of the mail group that the threshold, minimum sample, and end of time
                                frame bulletins will be sent to.  

              SCREEN:           S DIC("S")="I $P(^(0),""^"",2)=""PU"""
              EXPLANATION:      Only 'public' mail groups are selectable.

743,63        ALLOW 'DUPLICATE' FALL OUTS 1;14 SET

                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      JAN 15, 1991 
              HELP-PROMPT:      Enter Y(es) if duplicate fall outs are allowed within a time frame. 
              DESCRIPTION:      Answering Y(es) to this question allows an event to fall out multiple times for the same patient
                                within a given time frame.  Answering N(o) will allow the event to fall out only once per time
                                frame.  
                                 
                                For example, a monitor is set up to capture all admissions over a monthly time frame.  Assume a
                                patient is admitted twice in the same month.  Answering 'NO' to this question will capture only the 
                                patient's first admission.  Answering 'YES' will capture both.  


743,64        CONDITION FOR DATE OF EVENT 1;15 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999999)!(X<1)!(X?.E1"."1N.N) X I $D(X) K:$D(^QA(743,D0,"COND",X,0))[0 X
              LAST EDITED:      JAN 28, 1992 
              HELP-PROMPT:      Enter the condition number that should be used to capture the event date. 
              DESCRIPTION:      This field controls which of the conditions will provide the date that will be used as the event
                                date for the fall out.  You will usually want to pick the condition whose date most uniquely
                                defines the event you are monitoring.  For example, if you were monitoring all female (Condition
                                #1: SEX) admissions (Condition #2: MAS MOVEMENT TYPE) you would pick condition number two as the
                                condition to supply the event date.  

              EXECUTABLE HELP:  D EN1^QAMUTL1
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


743,100       SPECIAL FUNCTIONS ROUTINE SFR;E1,245 MUMPS

              INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
              LAST EDITED:      DEC 06, 1990 
              HELP-PROMPT:      This is Standard MUMPS code. 
              DESCRIPTION:      This field may contain the entry point of a routine that will perform some special function on the
                                captured data.  

              WRITE AUTHORITY:  @

743,200       WORKSHEET ROUTINE      WSR;E1,245 MUMPS

              INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
              LAST EDITED:      DEC 10, 1990 
              HELP-PROMPT:      This is Standard MUMPS code. 
              DESCRIPTION:
                                This field may contain the entry point of a routine that will print a worksheet for all fallouts.  

              WRITE AUTHORITY:  @


      FILES POINTED TO                      FIELDS

CONDITION (#743.3)                CONDITION:CONDITION (#.01)

DATA ELEMENT (#743.4)             OTHER DATA TO CAPTURE:OTHER DATA TO CAPTURE (#.01)

MAIL GROUP (#3.8)                 BULLETIN MAIL GROUP (#62)

RATIONALE (#743.91)               RATIONALE:RATIONALE (#.01)

SERVICE/SECTION (#49)             SERVICE (#1)

TIME FRAME (#743.92)              TIME FRAME (#50)



INPUT TEMPLATE(S):

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):