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1.0 INTRODUCTION............................................................................................................ 1
1.1 Purpose
1.2 Scope
1.3 Definitions, Synonyms, and Abbreviations
1.4 References
1.5 Overview
1.1 Purpose
The purpose of this document is to allow Clinical Laboratory Information System vendors to
develop hardware and software that will connect to a CELL-DYN 4000 instrument and
successfully exchange messages with a CELL-DYN 4000 instrument.
1.2 Scope
This document applies to the CELL-DYN 4000 instrument (CELL-DYN 4000 SL model). It
specifies the messages and behaviors of the initial version of the CELL-DYN 4000 LIS
Interface (see section 3.3.2.1.3; LISVID).
NOTE: The parameters: WVF, PCT, and PDW are provided for laboratory use only and
are not reportable in the U.S.A.
1.4 References
1.4.1 ASTM Standards
E 1381-91, Specification for Low-Level Protocol to Transfer Messages Between Clinical
Laboratory Instruments and Computer Systems, 1991 Annual Book of ASTM
Standards, Section 14, Volume 14.01
E 1394-91, Standard Specification for Transferring Information Between Clinical
Instruments and Computer Systems, 1991 Annual Book of ASTM Standards, Section
14, Volume 14.01
1.5 Overview
The remainder of this document is divided into the following sections:
Section 2
indicates the standards to which the interface will conform, and specifies general
implementation-dependent behavior. Implementation-dependent behavior that is context-
specific (i.e., within a particular message) shall be specified in the next section under the
appropriate context (i.e., message, field, etc.).
Section 3
specifies all of the transactions supported by instruments, all messages that make up the
transactions and their ordering, and the format of the messages. Implementation-dependent
behavior is specified in the appropriate context (i.e., if the contents of a field in message 1 are
different from the contents of the same field in message 2, the description of the field in
message 1 contains only those contents allowable within the context of message 1).
Section 4
the handling of semantic errors, and logical transmission errors.
3.1 Overview
There are three conversations that can be held between the CLIMS and the CELL-DYN 4000
Instrument. The CELL-DYN 4000 Instrument maintains coordination between separate send
and receive threads; however all conversations are funneled through one serial port driver.
The conversations are:
• Serial Communications Link Test
• Submission of Worklist Entries
• Transfer of Test Results
3.1.1 Serial Communications Link Test
3.1.1.1 The Serial Communications Link Test is used to determine if the connection
between the CELL-DYN 4000 instrument and the CLIMS is operational. It
can also be held between the CELL-DYN 4000 instrument and Serial
Loopback Device in order to check that the CELL-DYN 4000 Data Station
hardware supporting the LIS link is functional. If this complete conversation
takes place, the “Host Up” status is shown on the CELL-DYN 4000 Data
Station screen; otherwise the Link status is shown as “Host Down” and the
CELL-DYN 4000 and CLIMS will be unable to converse with each other.
3.1.2 Submission of Worklist Entries
3.1.2.1 The Submit Worklist Entries request shall be initiated by the CELL-DYN 4000
instrument at a programmable interval (default value = every 60 seconds)
whenever the CELL-DYN 4000 instrument’s “Autodownload” Feature is
enabled. The CLIMS may send one or many Worklist Entries while the
Autodownload Feature is enabled. The CELL-DYN 4000 checks through each
entry and sends a rejection message for each entry that is not accepted. If
the CELL-DYN 4000 rejects a Worklist Entry, the CLIMS will have to re-submit
the entry. No acknowledgment is sent for Worklist Entries that are accepted.
3.1.2.2 The CELL-DYN 4000 does not allow the CLIMS to update or delete a Worklist
Entry after it has been submitted to the CELL-DYN 4000. However, the
CELL-DYN 4000 instrument will accept multiple independent Worklist Entries
pertaining to the same specimen identifier. Therefore, if the first Worklist
Entry received for Patient A (with Specimen ID = M34566) was semantically
and syntactically correct, but not what the doctor ordered, the CLIMS may
send a second Worklist Entry for Patient A (Specimen ID = M34566). Both
Worklist Entries will co-exist in the CELL-DYN 4000 instrument’s Worklist.
Worklist Entries are deleted from the CELL-DYN 4000 instrument by the
CELL-DYN 4000 operator or by execution (aspiration) of the test specified in
the Worklist Entry. The CLIMS cannot instruct the CELL-DYN 4000
instrument to delete a Worklist Entry.
3.3.2.1.1 Record ID
The Record ID must be the single letter H in either upper or lower
case.
3.3.2.1.2 Delimiter Definition
The Delimiter Definition field contents must conform to E1394
with no additional restrictions. The CELL-DYN 4000 shall use
delimiters of |\^& in any record which it sends to the CLIMS.
3.3.2.1.3 Sender ID
The Sender ID field shall be composed of five component fields
as described in Table 2; the field order shall be
ASN^FM^M^SVID^LISVID. The first three components
collectively describe the CELL-DYN 4000’s concept of Analyzer
ID.
Table 2 — Sender ID components
Mnemonic Definition
ASN Analyzer Serial Number
FM CELL-DYN 4000 Family Member
M CELL-DYN 4000 Model
SVID CELL-DYN 4000 Software Version ID
LISVID CELL-DYN 4000 LIS Revision ID
3.3.2.2.1 Record ID
The Record ID must be the single letter Q in either upper or lower
case.
3.3.2.2.2 Request Information Record (RIR) Sequence Number
The RIR Sequence Number shall be the single digit 1.
3.3.2.2.3 Starting Range ID Number
The Starting Range ID Number shall be a two component field.
The first component shall be null. The second component shall
be the uppercase 3 character ASCII string, “ALL” to request all
Test Orders and shall be a Specimen ID as described in Section
3.3.3.3.3 to request all Test Orders for that Specimen ID. When
requesting Test Orders for a particular Specimen ID, the
CELL-DYN 4000 waits for the Host Query Timeout period
(default = 5.5 seconds, LIS response time + 1 second) before
using the CELL-DYN 4000 Work List defaults to process the
sample. The LIS must respond within 4.5 seconds. That part of
the Host Query Timeout period within which the LIS must
respond begins when the CELL-DYN 4000 transmits the E1381
end of transmission (EOT) character at the end of the Worklist
Entry Request Message and ends when the CELL-DYN 4000
receives the E1381 EOT character at the end of the Worklist
Entry Submission message.
3.3.2.2.4 Examples
Examples of CD4000 Request Information Records are:
Q|1|^ALL<CR> to request all Test Orders
Q|1|^M34566<CR> to request all Test Orders
for M34566
3.3.2.3.1 Record ID
The Record ID must be the single letter L in either upper or lower
case.
3.3.2.3.2 Sequence Number
The Sequence Number shall be the single digit 1.
3.3.2.3.3 Termination Code
The Termination Code must be either N, T, or E. If the
Termination Code is N, the message shall be processed
normally. If the Termination Code is T or E, the entire message
should/shall be discarded.
3.3.2.3.4 Example
A valid example of a Message Terminator Record is:
L|1|N<CR>
3.3.3 Worklist Entry Submission (issued by CLIMS, received by CELL-DYN 4000)
3.3.3.1 Header Record
The Header Record issued by the CLIMS as part of its Worklist Entry
Submission must conform to section 7.0 of the E1394. Table 5, below,
indicates which fields are of interest to the CELL-DYN 4000. Required fields
must contain non-null entries; optional fields may contain null or non-null
values. Optional fields need not be included in the record unless needed for
field count (see E1394, section 6.4.8 and 6.4.9). Any additional fields
produced by the CLIMS as part of the Header Record shall be ignored by the
CELL-DYN 4000. Extra fields, if properly delimited, shall not invalidate the
record.
3.3.3.2.1 Record ID
The Record ID must be the single letter P in upper or lower case.
3.3.3.2.2 PIR Sequence Number
The Sequence Number for the first Patient Identification Record
in the Worklist Entry Submission message must be the single
digit 1; each successive Patient Identification Record contained
in the same Worklist Entry Submission message shall increment
the Sequence Number by one (1).
3.3.3.2.9 Example
An example of a conforming Patient Information Record is:
P|1||||Jones^David||19640315|M|||||Roberts|32^y
|Phillips^sickle crisis^ICU^327-56-9567<CR>
3.3.3.3 Test Order Record (TOR)
The Test Order Record shall conform to E1394 section 9.0, with the fields
used as shown in Table 8. Multiple test orders within a single Test Order
Record are not supported; however, replicate analysis of the same specimen
under the same test conditions is supported within a single Test Order
Record.
3.3.3.3.1 Record ID
The Record ID must be the single letter O in either upper or lower
case.
3.3.3.3.2 Sequence Number
The Sequence Number for the Test Order Record in the Worklist
Entry Submission message shall be the single digit 1 as there
shall be one and only one Test Order Record per Patient
Identification Record. There can be only one test selected per
Test Order Record (see section 3.3.3.3.4 Universal Test ID).
3.3.3.3.3 Specimen ID
The Specimen ID must be at least one (1) and not more than
twelve (12) characters in length. The Specimen ID may not be
blank; it may not have embedded blanks. The Specimen ID
should match the bar code label on the sample tube that contains
the blood sample from the Patient identified in the associated
Patient Identification Record. Use of a check digit on the bar
code or as part of the Specimen ID should be coordinated
against the CELL-DYN 4000’s Analyzer Bar Code Reader Check
Digit Setup selections. The bar-coded sample tube has its bar
code read by the CELL-DYN 4000 Analyzer, transferred to the
CELL-DYN 4000 Data Station, and matched against the
Specimen ID field of the Worklist Entries to identify which test is
to be run on the specimen which is being aspirated. The content
of this field is critical to proper identification, analysis, and
reporting of patient results.
NOTE: A specimen ID that matches an identification string
reserved for Abbott use (such as “CD61” used on a CD61
Reagent Tube, or “CD34” or “CD38” used on CD3/4/8 Reagent
Tubes) will be accepted by the CELL-DYN 4000, but will never
be matched to and run from the work list.
3.4.2.5.6 Operator ID
If present, the Operator ID shall be a four-character ASCII string
(32-255, inclusive). It is mapped from the Operator ID field of the
CELL-DYN 4000. This field may be null.
A-2 Examples of Worklist Entry Submission Messages (sent by CLIMS to CELL-DYN 4000 in response to query)
Ex A-2.1 — The minimum Worklist Entry Submission Message (one (1) Worklist Entry, required elements only)
H|\^&<CR>
P|1<CR>
O|1|18465<CR>
L|1|N<CR>
This message will cause the CELL-DYN 4000 to put one (1) Worklist Entry in the Worklist for a human patient identified by Specimen ID = 18465.
The test, parameter set, limit set, and number of replicates to run will be whatever the CELL-DYN 4000 has in its Worklist Setup at the time that this
message is received from the CLIMS. The Worklist Entry will be activated (selected and run) when a sample tube labelled with bar code = 18465 is
presented to the aspiration probe by the Autoloader.
Ex A-2.2 — A Worklist Entry Submission using all required and optional elements of significance to the CELL-DYN 4000 (records terminated after
last used field)
H|\^&||||||||||P|1<CR>
P|1||||Jones^David||19640315|M|||||Roberts|32^y|Phillips^sickle crisis^ICU^327-56-9567<CR>
O|1|19345||^^^CBCEL+RETC^9^5^2|||19960810153028||||||||Patient^Human||||||||||Q<CR>
L|1|N<CR>
This message will cause the CELL-DYN 4000 to put one Worklist Entry in the Worklist for a human patient identified by Specimen ID = 19345. The
test to be run against this specimen will be an Extended Lyse CBC and RETC test. The chartable report will use Parameter Set #9, and the results
will have been evaluated against Limit Set #5. Two replicate aspirations will be conducted using the same test selection and reporting schemes. The
demographic information recorded on the CELL-DYN 4000 about this specimen includes the patient name (David Jones), birthdate (Mar 15, 1964),
sex (Male), and age (32 years old). The attending physician is Dr. Roberts.
Assuming the Laboratory and CLIMS have agreed upon definitions of the “user defined demographic fields” of the CELL-DYN 4000 to be: A = 2nd
physician, B = presenting symptoms, C = current patient location, and D = patient social security number; the additional information recorded in the
CELL-DYN 4000 demographics area will be: 2nd physician = Dr. Phillips; symptoms = sickle cell crisis; patient location = ICU; patient social security
# = 327-56-9567. The Worklist Entry will be activated (selected and run) when a sample tube labeled with bar code = 19345 is presented to the
aspiration probe by the Autoloader.
A-3 Examples of a Worklist Entry Rejection message sent by the CELL-DYN 4000 to the CLIMS
This example consists of the single Worklist Entry Rejection message sent in response to the Patient Order combinations of Example A-2.3. In this
example, the first Patient-Order combination has been accepted, the second Patient-Order combination is rejected due to a Worklist Full condition;
the third is accepted.
NOTE: The multitasking nature of the CELL-DYN 4000 Instrument software permits this type of behavior.
<no message in response to first(correctly received)Patient-Order combination>
H|\^&|||400096030101^CD4000R^SL^R5-4F^1.0|||||||P|1<CR>
P|1||||Jones^David||19640315|M|||||Roberts|32^y|Phillips^sickle crisis^ICU^327-56-9567<CR>
O|1|19345||^^^CBCEL+RETC^9^5^2|||19960810153028||||||||Patient^Human||||||||||X<CR>
C|1|I|Worklist Full|G<CR>
L|1|N<CR>
<no message in response to third (correctly received) Patient-Order combination>