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1. Underlying Protocol MLLP This module obeys the rules of underlying protocol‐MLLP and it is used for transferring messages. MLLP default setting: Messages Block starting symbol =0X0B Messages Block ending symbol =0X1C Message section separator =0X0D Message encapsulation in HL7 protocol: Starting with single byte 0B, ending with double byte 1C 0D.
2. External protocol
HL7 Message type used in this module:
ORU – Unsolicited Observation Message (Event R01) : When the external system is
sending messages, it will download the test results from the operating software and transfer the test results with initiative. ORU^R01^ORU_R01
Unsolicited Observation
Status
Chapter
Message MSH
Message Header
2
[{ SFT }]
Software Segment
2
{
--- PATIENT_RESULT begin [
--- PATIENT begin PID
Patient Identification
3
[PD1]
Additional Demographics
3
[{NTE}]
Notes and Comments
2
[{NK1}]
Next of Kin/Associated
3
Parties [
--- VISIT begin PV1
Patient Visit
3
[PV2]
Patient Visit - Additional
3
Info ]
--- VISIT end
]
--- PATIENT end
{
--- ORDER_OBSERVATION begin [ORC]
Order common
4
OBR
Observations Request
7
{[NTE]}
Notes and comments
2
[{
--- TIMING_QTY begin TQ1
Timing/Quantity
4
ORU^R01^ORU_R01
Unsolicited Observation
Status
Chapter
Message [{TQ2}]
Timing/Quantity Order
4
Sequence }]
--- TIMING_QTY end
[CTD]
Contact Data
[{
--- OBSERVATION begin
11
OBX
Observation related to OBR
7
{[NTE]}
Notes and comments
2
}]
--- OBSERVATION end
[{FT1}]
Financial Transaction
6
{[CTI]}
Clinical Trial
7
Identification [{
--- SPECIMEN begin SPM
Specimen
[{OBX}]
Observation related to Specimen
}] }
--- SPECIMEN end --- ORDER_OBSERVATION end
}
--- PATIENT_RESULT end
[DSC]
Continuation Pointer
ACK^R01^ACK
Acknowledgment
MSH
Message header
2
[{ SFT }]
Software segment
2
MSA
Message acknowledgment
2
[{ ERR }]
Error
2
2
Status
Chapter
ORM - general order message (event O01): When the external system is sending
messages, it is used for sending sample request instruction to analyzer. ORM^O01^ORM_O01
General Order Message
MSH
Message Header
2
[{ NTE }]
Notes and Comments (for Header)
2
[
--- PATIENT begin PID
Status
Chapter
Patient Identification
3
Additional Demographics
3
[{ NTE }]
Notes and Comments (for Patient ID)
2
[
--- PATIENT_VISIT begin
[
PD1
]
PV1 [ ]
PV2
]
Patient Visit
3
Patient Visit- Additional Info
3
--- PATIENT_VISIT end
ORM^O01^ORM_O01 [{
Status
Chapter
--- INSURANCE begin IN1
Insurance
6
[
IN2
]
Insurance Additional Info
6
[
IN3
]
Insurance Add'l Info – Cert.
6
}] [
General Order Message
--- INSURANCE end GT1
]
[{ AL1 }] ]
Guarantor
6
Allergy Information
3
--- PATIENT end
{
--- ORDER begin ORC
Common Order
[
4
--- ORDER_DETAIL begin
Contact Data
11
[{ DG1 }]
CTD
]
Diagnosis
6
[{
--- OBSERVATION begin OBX [{ NTE }]
}]
}
Observation/Result
7
Notes and Comments (for Results)
2
--- OBSERVATION end
]
--- ORDER_DETAIL end
[{ FT1 }]
Financial Transaction
6
[{ CTI }]
Clinical Trial Identification
7
[
Billing Segment
4
BLG
]
--- ORDER end
Message content
Database field
HL7 Protocol
Send
Receive
Remark
Field separator
MSH‐1
Y
Y
Fixed at "|"
Coding character
MSH‐2
Y
Y
Fixed at "^~\&"
Manufacturer
MSH‐3
Y
N
For example: LandWind
Model
MSH‐4
Y
N
For example: LWC 200
Message date/time
MSH‐7
Y
Y
(PC current) Sending time
System Information
and date Message type
MSH‐9
Y
Y
For example: ORU^R01
Serial No.
MSH‐10
Y
Y
For
example:
LWC20099999 Process ID No.
MSH‐11
Y
Y
Fixed at "P"(stands for Product)
HL7 Version ID No.
MSH‐12
Y
Y
Fixed at "2.5"
Character set
MSH‐16
Y
Y
Fixed at "UNICODE" (Use UNICODE character to send messages)
Patient information Patient No.
(PID‐2)
Y
Y
Patient name
Name
(PID‐5)
Y
Y
Patient gender
Gender
(PID‐8)
Y
Y
Date of Birth
(PID‐7)
Y
Y
Blood type
None
Y
Y
Country
(PID‐28)
Y
Y
Nation
(PID‐22)
Y
Y
Native place
(PID‐23)
Y
Y
Tel
(PID‐13)
Y
Y
Address
(PID‐11)
Y
Y
Post code
(PID‐11)
Y
Y
Patient type (PV1‐18)
(PV1‐2)
Y
Y
Charge type
Y
Y
Health care account
(PID‐18)
Y
Y
Register No.
Register_number
PV1‐19
Y
Y
Room No.
(PV1‐3)
Y
Y
Admis No. (PV1‐5)
Admis_number
PID‐3
Y
Y
Bed No.
Bed number
(PV1‐3)
Y
Y
Treatment dept
PV1‐7
Y
Y
Physician
(PV1‐7)
Y
Y
Remark
remark
None
Y
N
Sample No.
Sample number
OBR‐3
Y
Y
Sample Barcode
OBR‐2
Y
Y
Sample disk No.
Sample_disk_numbe
OBR‐37
Y
N
OBR‐15
Y
N
Specimen Source Name
Sample information
r Sample tube position
Sample_position
No
or Code
Sample type
Sample_type
OBR‐15
Y
Y
Specimen Source Name or Code
STAT or not
STAT_or_not
OBR‐5
Y
Y
Blank: non‐emergency STAT: emergency
Sample character
Y
Y
Sender
sender
OBR‐16
Y
Y
Family
Name Sent from
Sent_from
OBR‐16
Y
Y
Department (CWE)
Sent time
Sent_time
OBR‐14
Y
Y
Blood bag No.
Y
Y
Clinical diagnosis
Clinical_diagnosis
OBR‐13
Y
N
Auditor
Auditor
OBR‐32
Y
N
Name
(CNN) Audit result
Y
N
Dilution or retest mark
Dilution_Type
Y
N
Retest times N
Test_times
Y
N
Retest No.
Y
N
A sample consists of
Test information
several tests. Item No.
Item_ID
OBX‐3
Y
N
Item Name
Abbr
OBX‐3
Y
N
Test result value type
(OBX‐2)
Y
N
“NM” Value type
Test_result
(OBX‐5)
Y
N
(qualitative
or
quantitative) Test
result
(Concentration
value or
Positive/negative and
so on)
Result unit
Item_result_unit
(OBX‐6)
Y
N
Reference range
Normal_range
(OBX‐7)
Y
N
Abnormal symbol
Abnormal_result_ma
(OBX‐8)
Y
N
rk Test original result
Y
N
Tester
tester
OBX‐16
Y
N
Family
Name
(FN)
Test dept
OBX‐16
Y
N
Department (CWE)
Test date
Test_date
OBX‐19
Y
N
Retest mark
Y
N
Retest times
Y
N
Retest No.
Y
N
For example: 血清(Serum) 样本(Sample)) MSH|^~\&|LandWind|LWC 200|||20100830141220||ORU^R01|LWC200999999|P|2.5||||||UNICODE PID|0 OBR|||1||||||||||||21&血清||||||||||||||||||||||1 OBX|0|NM|4^样本_2||4.82000|^mol|‐40000‐40000|1|||||||||||20100803092557 PID|1 OBR|||2||||||||||||22&血清||||||||||||||||||||||1 OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507 PID|2 OBR|||3||||||||||||23&血清||||||||||||||||||||||1 OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507 PID|3 OBR|||4||||||||||||24&血清||||||||||||||||||||||1 OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507 PID|4 OBR|||5||||||||||||25&血清||||||||||||||||||||||1 OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507 PID|5 OBR|||6||||||||||||26&血清||||||||||||||||||||||1 OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507 PID|6 OBR|||7||||||||||||27&血清||||||||||||||||||||||1 OBX|0|NM|4^样本_2||0.00000|^mol|‐40000‐40000|1|||||||||||20100813151404 PID|7 OBR|||8||||||||||||28&血清||||||||||||||||||||||1 OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100819094029 PID|8 OBR|||9||||||||||||29&血清||||||||||||||||||||||1 OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100819091940 PID|9 OBR|||10||||||||||||30&血清||||||||||||||||||||||1 OBX|0|NM|3^样本_1||0|^umol||1|||||||||||20100819114619 OBX|1|NM|4^样本_2||0|^mol||1|||||||||||20100819114619 Calibration test information Test type
“C”
SPM‐11
Y
N
[SPM] ‐ It always be "C" and stands for calibration test.
Item No.
Item_ID
OBX‐3
Y
N
[SPM]
Item name
Abbr
OBX‐3
Y
N
[SPM]
Calibration time
Test_date
OBX‐19
Y
N
[SPM]
Calibration method
Calibration_method
OBX‐17
Y
N
[SPM]
Calibration parameter
R0/K/a~5/b~5/c~5/d
OBX‐5
Y
N
[SPM] Value type‐‐ST
Calibrator No.
Calibrator_ID
INV‐1
Y
N
[OBR]
Calibrator name
Name
INV‐1
Y
N
[OBR]
Calibrator batch No.
INV‐17
Y
N
[OBR]
Calibrator validity date
INV‐12
Y
N
[OBR]
Calibrator
calibration_concentr
OBX‐5
Y
N
[OBR]
standard
concentration
ation
Calibrator
OBX‐5
Y
N
[OBR]
Item_result
OBX‐5
Y
N
[OBR]
concentration level Response
[OBR]OBX‐5: Response~Calibrator standard concentration~Calibrator Concentration level Parameter value: [ SPM]OBX‐5:R0~K~a~b~c~d~ a1~b1~c1~a2~b2~c2~a3~b3~c3~a4~b4~c4~a5~b5~c5 For example: 样本(Sample) 因数(Factor) 线性(Linearity) 定标液(Calibrator) MSH|^~\&|LandWind|LWC 200|||20100830141220||OUL^R23|LWC200999999|P|2.5||||||UNICODE SPM|0||||||||||C OBX|0|NM|4^样本_2||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 因数|| 20100729161315 SPM|1||||||||||C OBX|1|NM|3^样本_1||0~3.97200~0~6.16050~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 线性|| 20100729173308 INV|1^定标液_1 OBX|0|NM|1^定标液_1||6.161~0.000~ INV|2^定标液_2 OBX|1|NM|2^定标液_2||10.133~1.000~ SPM|2||||||||||C OBX|2|NM|3^样本_1||0~2.35750~0~5.66100~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 线性|| 20100730113436 INV|1^定标液_1 OBX|0|NM|1^定标液_1||5.661~0.000~ INV|2^定标液_2 OBX|1|NM|2^定标液_2||8.019~1.000~ SPM|3||||||||||C OBX|3|NM|4^样本_2||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 因数|| 20100730113436 SPM|4||||||||||C OBX|4|NM|3^样本_1||0~‐3.97350~0~3.97350~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 线性|| 20100730132146 INV|1^定标液_1 OBX|0|NM|1^定标液_1||3.974~0.000~ SPM|5||||||||||C OBX|5|NM|4^样本_2||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 因数|| 20100730132146 SPM|6||||||||||C OBX|6|NM|4^样本_2||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 因数|| 20100730135241 SPM|7||||||||||C OBX|7|NM|3^样本_1||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 线性|| 20100830112941 INV|6^定标液_6 OBX|0|NM|6^定标液_6||~0~ INV|6^定标液_6 OBX|1|NM|6^定标液_6||~0~ QC test information
Sample No.
ID
SPM‐2
Y
N
[SPM]
Test type
“E”
SPM‐11
Y
N
[SPM]‐It always be "E" and stands for QC test.
Control No.
Control_ID
INV‐1
Y
N
[SPM]
Control Name
Name
INV‐1
Y
N
[SPM]
Control batch No.
INV‐17
Y
N
[SPM]
Control validity date
INV‐12
Y
N
[SPM] SPM‐19/INV‐12
Item No.
Item_ID
OBX‐3
Y
N
[OBR]
QC time
Test_date
OBX‐19
Y
N
[OBR]
QC type
OBX‐17
Y
N
[OBR]
QC rule
OBX‐17
Y
N
[OBR]
Control concentration
OBX‐5
Y
N
[SPM]
OBX‐5
Y
N
[SPM]
Standard_differnece
OBX‐5
Y
N
[SPM]
Item_result
OBX‐5
Y
N
[SPM]
OBX‐5
Y
N
[OBR] Value type ‐IS
level Control
mean
value(Mean concentration) Control
standard
deviation QC
test
result(Concentration) In control or not
OBX‐5: QC test result (Concentration) ~Control mean value(Mean concentration)~Control concentration level~In control or not Send to Lis: MSH|^~\&|LandWind||||20120706141400||OUL^R22|LWC999999|P|2.5||||||UNICODE SPM|0||||||||||E||||||||20120708000000 OBX|0|NM|LDH||2.00~~~0||||||||||||||20120524112323 OBX|1|NM|LDH||136.16~~~0||||||||||||||20120629145100 OBX|2|NM|AMY||0~~~1||||||||||||||20110709145307 OBX|3|NM|AMY||5~~~1||||||||||||||20120621172442 OBX|4|NM|AMY||2~~~1||||||||||||||20120625173610 INV|^zhikong|||||||||||20120708000000 Receive from Lis : MSH|^~\&|||LandWind||20120706141400||ACK^R22|LWC999999|P|2.5||||||UNICODE| MSA|AA|LWC999999|Message Accepted|||0|
Note: Sample_Type (样本类型): For LWC400 and new UI: SERUM( 血 清 ), PLASMA( 血 浆 ), URINE( 尿 液 ), CSF( 脑 脊 液 ) are displayed in English. For old UI: Sample types are displayed in the language of system.
