LIS Interface

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LIS Interface

7414
009883-901R1, 2015-06
©2015 Medica Corporation (all rights reserved)

No part of this manual may be reproduced in any form without prior consent in writing from Medica Corporation.

The EasyStat and EasyBloodGas analyzer are for In Vitro Diagnostic Use.

Medica Corporation, 5 Oak Park Drive

Bedford, MA 01730-1413 USA

Emergo Europe, Molenstraat 15NL-2513 BH

The Hague, The Netherlands

The information in this manual was correct at the time of printing. However, Medica Corporation continues to improve
products and reserves the right to change specifications, equipment, and maintenance procedures at any time
without notice. If the system is used in a manner differently than specified by Medica Corporation, performance of the
equipment may be impaired. See all Hazards, Precautions, and Warnings.

EasyStat® is a registered trademark of Medica Corporation.

EasyBloodGas is a trademark of Medica Corporation.
LIS Interface manual

Table of Contents

Introduction................................................................................................................. 1
LIS Functions.................................................................................................................... 1
Communications Protocol................................................................................................. 1

.Operational Overview............................................................................................2
Barcoded Samples.........................................................................................................2
Uploaded Test Results....................................................................................................... 2
Mechanical and Electrical Interfaces................................................................................3
Communications Interface...............................................................................................3
.RS-232 Protocols...........................................................................................................3
Datalink Layer................................................................................................................3
.Record Processing..........................................................................................................3

LIS Application Interface.........................................................................................4

Record Types.................................................................................................................4
.Record Processing..........................................................................................................4
Header Record...............................................................................................................4
Patient Record................................................................................................................5
Order Record................................................................................................................6
Result Record.................................................................................................................7
.Result Flags Code...........................................................................................................8
Terminator Record..........................................................................................................9
Sample Transmission...................................................................................................... 10

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Introduction

The analyzer has the capability to communicate with a laboratory

information system (LIS), based on the CLSI standards LIS02-A2 and
LIS01-A2. The communication protocol is not a complete implementation of
the standard, but covers those areas that will allow the analyzer to send test
results to an LIS consistent with the requirements of the standard. The details
of the communication are described in this document.

LIS Functions
The analyzer provides the central LIS function of remote access. Through an
attached barcode reader or through the user interface, samples are assigned
an ID and upon test completion, results are sent back to the laboratory
computer. In addition, the LIS provides a means for configuring and testing the
status of the LIS connection.

Communications Protocol
The CLSI communications protocol was designed specifically for medical
devices and supports the transfer of an array of medical data. Information
about this protocol can be found in publications produced by the CLSI –
Designation: LIS02-A2 : "Standard Specification for Transferring Information
Between Clinical Laboratory Instruments and Computer Systems" and
Designation: LIS01-A2 : "Specification for Low Level Protocol to Transfer
Messages Between Clinical Laboratory Instruments and Computer Systems".

References:
(CLSI. Standard Specification for Low-Level Protocol to Transfer Messages
Between Clinical Laboratory Instruments and Computer Systems. CLSI
document LIS01-A2 [ISBN 1-56238-665-4]. CLSI, 950 West Valley Road,
Suite 2500, Wayne, Pennsylvania 19087-1898 USA, 2003.)

(CLSI. Specification for Transferring Information Between Clinical

Laboratory Instruments and Information Systems; Approved Standard–
Second [Link] document LIS02-A2 [ISBN 1-56238-550-X]. CLSI 950
West Valley Road, Suite 2500, Wayne, Pennsylvania 19087-1898 USA,
2004.)

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 Operational Overview

Barcoded Samples
The analyzer recognizes barcode labeled sample tubes using one of the following
formats: Codebar, Code39, UPC and Interleaved 2 of 5. Barcodes must be no longer
than 3.00 inches and have a line width of no less than 0.5mm. A maximum of 14
characters is allocated for the sample ID.

When the analyzer is in the LIS mode of operation a successfully read barcode will be
displayed for confirmation at the "Run Sample" menu. If an ID is confirmed the program
attaches the ID to the sample for subsequent transmission to the LIS.

Uploaded Test Results

As a test result becomes available a result record is composed, attached to its patient
and order record and sent to the LIS.

Data elements in a result record include: sequence number, selected test, result value,
units, abnormality flags, operator ID, result status, and time of result. A detailed
description of the abnormality flags (Result Flags Code) is included later in this
document.

Downloaded order and comment records are not supported. Uploaded comment records
are not supported.

The Header Record in a result message will contain sufficient information to determine
which analyzer is sending results information should there be more than one analyzer
connected to the LIS.

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Mechanical and Electrical Interfaces

A standard RS-232 interface cable with a DB9M termination is used to
connect the analyzer's computer interface to the laboratory computer. If the
laboratory computer connection is not standard RS-232, an interface adapter
must be used. The interface uses standard voltage levels and electrical
characteristics as defined in the EIA Standard RS-232.

Communications Interface
RS-232 Protocols
The default RS-232 protocols for the analyzer are: 2400 baud, 8 data
bits, no parity, and 1 stop bit. The system cannot be configured to alternate
settings.

Datalink Layer
The datalink layer supports the CLSI protocol LIS01-A2, Specification for Low-
Level Protocol to Transfer Messages Between Clinical Laboratory Instruments
and Computer Systems. These requirements include the means of establishing
communication, error detection, error recovery and the formatting for sending
and receiving messages.

Record Processing
The record processing layer specifies the content of the records in accordance
with CLSI protocol LIS02-A2, Specification for Transferring Information
Between Clinical Laboratory Instruments and Information Systems. These
requirements define the hierarchical message structure, record and field
composition and delimiters.

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 LIS Application Interface

Record Types
The instrument supports the following record types: Header Record, Patient Record, Order
Record, Result Record and Terminator Record. The instrument ignores all other record types.

Record Processing
The tables below describe the contents of the supported fields within the records recognized by
the analyzer. Downloaded transmissions apart from acknowledgement and error handling are
ignored. A null is assigned to these fields on an upload.

Header Record
Field Field Type Download Upload Max Description
Requirement Requirement Len

1 Record Type N A 1 Required Field containing H

2 Delimiters N A 4 Default values:

Field Delimiter |
Repeat Delimiter \
Component Delimiter ^
Escape Delimiter &

3 Message ID N A 1 Always '1'

5 Sender ID N A 10 Serial Number of device
sending data

13 Version# N A 8 ASTM Protocol Version

(LIS02-A2)

14 Date and Time N A 14 Date and time of

transmission
Formatted as
YYYYMMDDHHMMSS.
Upload Requirements Field Legend:
N Never
A Always

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Patient Record
Field Field Type Download Upload Max Description
Requirement Requirement Len

1 Record Type N A 1 Required Field containing P

2 Sequence N A 1 Starts with 1 for the first patient

Number and is incremented by one for each
patient in the transmission

3 Lab Assigned N A 14 User entered Patient ID (must be

Patient ID numeric)

Upload Requirements Field Legend:

N Never
A Always

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Order Record
Field Field Type Download Upload Max Description
Requirement Requirement Len

1 Record Type N A 1 Required Field containing O

2 Sequence N A 1 Starts with 1 for the first order

Number record and is incremented by
one for each additional order
record for a patient

3 Specimen ID N A 14 Sample ID entered via barcode

or interface. Identical to Field 3
of the Patient record

5 Universal N A 8 Contains four components.

Test ID The first three are null. The fourth
component indicates the battery
of tests: "ES" on the EasyStat and
"EBG" on the EasyBloodGas

8 Collection N O 14 Date and time of sample

Time collection. Formatted as
YYYYMMDDHHMMSS.

16 Sample Type N A 11 Indicates sample material:

Blood, QC^xxxxxxxx, CAL

Upload Requirements Field Legend:

N Never
O Optional
A Always

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Result Record
Field Field Type Download Upload Max Description
Requirement Requirement Len

1 Record Type - A 1 Required Field containing R

2 Sequence - A 2 Starts with 1 for the first result and

Number is incremented by one for each
additional result within the order.
Resets to 1 when the results of
another order are transmitted.

3 Universal Test ID - A 9 Contains four components. The

first three are ignored. The fourth
component is the Manufacturer's
Code (see Analytes Code Table)

4 Test Result - A 8 Floating point number if the

number of decimal places is
configured in the instrument to be
greater than 0. An unreportable
result is represented by “-E-“ or
“---“

5 Units of Measure - S 8 Configured by the operator for

individual analytes

7 Abnormality Flags - S 30 Two character code to represent

abnormal results (see Result Flag
Code table). This field may have
multiple components.

9 Result Status - A 1 Required field contains F

11 Operator ID - O 14 ID of operator running the test

13 Time Test - A 14 Date and time of test completion.

Completed Formatted as
YYYYMMDDHHMMSS.

Upload Requirements Field Legend:

A Always
O Optional
S Sometimes

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Terminator Record
Field Field Type Download Upload Max Description
Requirement Requirement Len

1 Record N A 1 Required Field containing L

Type

2 Sequence N A 1 Contains the value 1

Number
3 Termination N A 1 Contains the value N
Code

Upload Requirements Field Legend:

N Never
A Always

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Result Flags Code

The following table defines the abnormality flags that may be embedded in a result record.
A maximum of two flags may be included within any result record.

Flag Description Condition

AA Air in Cal A Air bubble was detected in A Calibration Fluid

AB Air in Cal B Air bubble was detected in B Calibration Fluid

AC Air in Rinse Air bubble was detected in the Rinse Fluid

AD Cal A mV Drift Two subsequent Cal A mV measurements differ by more

than a specified amount

AS Air in Sample Air bubble was detected in Sample Fluid

BC Cal B or C mV Cal B or C mV measurements outside the acceptance

range

CF Slope out of Range Calibration result for an analyte outside of the

acceptance range

HW Hardware Error Bad A/D converter or Valve Module

LH Linear Range High Results are above the test range limits for a particular
analyte

LL Linear Range Low Results are below the test range limits for a particular
analyte

MN mV Noise mV readings for one channel differ by more than a

specified amount from a mean value

MV mV Out of Range mVs are out of range for the specified analyte

NC Not Calibrated Channel result not reported because the channel is

not calibrated

NF No Flow System could not detect either sample or calibration

material

NR Outside Limits Test result for an analyte is outside the user defined
normal or critical range

QC QC Confidence Range QC result for an analyte is outside the user-defined limit

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Sample Transmission

H|\^&|1||0608031006||||||||LIS02-A2|20141229135714|<cr>
P|1|6363|<cr>
O|1|6363||^^^ES|||||||||||Blood|<cr>
R|1|^^^pH|7.137|||NR||F||1366||20141229135700|<cr>
R|2|^^^PCO2|67.6|mmHg||NR||F||1366||20141229135700|<cr>
R|3|^^^PO2|60|mmHg||NR||F||1366||20141229135700|<cr>
R|4|^^^Hct|10|%||LL||F||1366||20141229135700|<cr>
R|5|^^^Na+|115.9|mmol/L||NR||F||1366||20141229135700|<cr>
R|6|^^^K+|2.52|mmol/L||NR||F||1366||20141229135700|<cr>
R|7|^^^Cl-|70.7|mmol/L||NR||F||1366||20141229135700|<cr>
R|8|^^^THb|---|g/dL||||F||1366||20141229135700|<cr>
R|9|^^^pH(T)|7.137|||||F||1366||20141229135700|<cr>
R|10|^^^PCO2(T)|67.6|mmHg||||F||1366||20141229135700|<cr>
R|11|^^^PO2(T)|60|mmHg||||F||1366||20141229135700|<cr>
R|12|^^^TCO2|25.0|mmol/L||||F||1366||20141229135700|<cr>
R|13|^^^HCO3|22.9|mmol/L||||F||1366||20141229135700|<cr>
R|14|^^^BEb|---|mmol/L||||F||1366||20141229135700|<cr>
R|15|^^^BEecf|-6.4|mmol/L||||F||1366||20141229135700|<cr>
R|16|^^^SBC|---|mmol/L||||F||1366||20141229135700|<cr>
R|17|^^^%sO2c|80.9|%||||F||1366||20141229135700|<cr>
R|18|^^^ctO2|---|mL/dL||||F||1366||20141229135700|<cr>
R|19|^^^ANION-GAP|22.7|mEq/L||||F||1366||20141229135700|<cr>
R|20|^^^A-aDO2|8|mmHg||||F||1366||20141229135700|<cr>
R|21|^^^RI|0.1|||||F||1366||20141229135700|<cr>
L|1|N|<cr>

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