Mindray

Patient Data Share Protocol

Programmer’s Guide
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this Mindray product and this manual. This
manual may refer to information protected by copyright or patents and does not convey any
license under the patent rights or copyright of Mindray, or of others.

Mindray intends to maintain the contents of this manual as confidential information.

Disclosure of the information in this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden.

Release, amendment, reproduction, distribution, rental, adaptation, translation or any other

derivative work of this manual in any manner whatsoever without the written permission of
Mindray is strictly forbidden.

, and are the trademarks, registered or otherwise, of

Mindray in China and other countries. All other trademarks that appear in this manual are
used only for informational or editorial purposes. They are the property of their respective
owners.

Customer Service Department

Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address: Mindray Building,Keji 12th Road South, High-tech industrial
park,Nanshan,Shenzhen 518057,P.R.China
Website: www.mindray.com
E-mail Address: [email protected]
Tel: +86 755 81888998
Fax: +86 755 26582680

Intended Use
This manual describes data transfer, networking mode and network configuration about
Mindary patient monitor, anesthesia machine, HYPERVIOSR VI Central Monitoring System
and Patient Data Share Gateway, and providing guidelines for third-party developers to
connect to the aforementioned products.
Besides, how to install and use Mindray gateway software is described in Chapter 6.

I
Intended Audience
This manual is intended for professional software developers. Professional software
developers are expected to have a working knowledge of software development and
application, network basics and network product development.

Warranty
This warranty is exclusive and is in lieu of all other warranties, expressed or implied,
including warranties of merchantability or fitness for any particular purpose.

The physiological parameters and alarm information outputted from products designed by
Mindray using Patient Data Share Protocol are for doctors' reference only and cannot be
directly used as basis for clinical treatment. Before giving intervention treatment to a patient,
you must go to the corresponding monitor to confirm the patient's condition.

Revision History
This document has a revision number. This revision number is subject to change without
prior notice whenever this document is updated due to software or technical specification
change. Revision 1.0 is the initial release of this document:

Revision number: 10.0

Release time: July 2013

Document number : 0010-20-43061-2
© 2005-2013 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.

Conventions

Italic text is used in this document to quote the referenced chapters or sections.

[ ] is used to enclose screen texts.

→ is used to indicate operational procedures.

II
Safety Information

WARNING
 Indicates a potential hazard or unsafe practice that, if not avoided, could result in
serious injury or property damage.

CAUTION
 Indicates a potential hazard or unsafe practice that, if not avoided, could result in
minor personal injury or product/property damage.

NOTE
 Calls attention to an important point in the text.

III
Contents
1 Overview ........................................................................................................................... 1-1
1.1 Communication Layers ................................................................................................... 1-1
1.1.1 HL7 Low-Level Protocol ................................................................................... 1-1
1.1.2 HL7 Protocol Layer............................................................................................ 1-2
1.2 Character Set ................................................................................................................... 1-2
1.3 Message Separator and Escape character ........................................................................ 1-2
1.4 Coding System ................................................................................................................ 1-3
1.5 Interface introduction ...................................................................................................... 1-3
1.5.1 Unsolicited Results Interface ............................................................................. 1-3
1.5.2 Solicited Results Interface.................................................................................. 1-3
1.5.3 ADT Net Query Interface ................................................................................... 1-4
1.5.4 ADT DB interface .............................................................................................. 1-4
1.5.5 Realtime Results Interface ................................................................................. 1-4
1.6 Application scope ............................................................................................................ 1-5
1.7 Patient unique identification ........................................................................................... 1-5
1.8 Valid value of results data ............................................................................................... 1-5

2 Unsolicited Results Interface ........................................................................................... 2-1

2.1 Communication Process .................................................................................................. 2-1
2.1.1 Network Connection .......................................................................................... 2-1
2.1.2 Data Communication ......................................................................................... 2-1
2.2 ORU^R01 Message ......................................................................................................... 2-4
2.2.1 Format ................................................................................................................ 2-4
2.2.2 Example ............................................................................................................. 2-5
2.2.3 MSH Segment .................................................................................................... 2-8
2.2.4 PID Segment ...................................................................................................... 2-9
2.2.5 PV1 Segment.................................................................................................... 2-10
2.2.6 OBR Segment................................................................................................... 2-10
2.2.7 OBX Segment .................................................................................................. 2-10
2.3 ACK Message ............................................................................................................... 2-15
2.3.1 Format .............................................................................................................. 2-15
2.3.2 MSH Segment .................................................................................................. 2-15
2.3.3 MSA Segment .................................................................................................. 2-15
2.4 ADT^A03 Message ....................................................................................................... 2-16

3 Solicited Results Interface ............................................................................................... 3-1

3.1 Communication Process .................................................................................................. 3-1
3.1.1 Network Connection .......................................................................................... 3-1
3.1.2 Data Communication ......................................................................................... 3-1
3.2 QRY^R02 Message ......................................................................................................... 3-3

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3.2.1 Format ................................................................................................................ 3-3

3.2.2 Example ............................................................................................................. 3-3
3.2.3 MSH Segment .................................................................................................... 3-3
3.2.4 QRD Segment .................................................................................................... 3-4
3.2.5 QRF Segment ..................................................................................................... 3-4
3.2.6 Example ............................................................................................................. 3-6
3.3 ACK Message ................................................................................................................. 3-7
3.3.1 Format ................................................................................................................ 3-7
3.3.2 Example ............................................................................................................. 3-7
3.3.3 MSH Segment .................................................................................................... 3-7
3.3.4 MSA Segment .................................................................................................... 3-8
3.3.5 ERR Segment ..................................................................................................... 3-9
3.4 ORF^R04 Message ....................................................................................................... 3-10
3.4.1 Format .............................................................................................................. 3-10
3.4.2 Example ............................................................................................................3-11
3.4.3 Definition of segments ..................................................................................... 3-13

4 ADT Net Query Interface ................................................................................................ 4-1

4.1 Communication Process .................................................................................................. 4-1
4.1.1 Network Connection .......................................................................................... 4-1
4.1.2 Data Communication ......................................................................................... 4-1
4.2 QRY^A19 Message ......................................................................................................... 4-2
4.2.1 Format ................................................................................................................ 4-2
4.2.2 Example ............................................................................................................. 4-2
4.2.3 MSH Segment .................................................................................................... 4-2
4.2.4 QRD Segment .................................................................................................... 4-3
4.3 ADR^A19 Message ......................................................................................................... 4-4
4.3.1 Format (Patient queried is found)....................................................................... 4-4
4.3.2 Format (Patient queried is not found)................................................................. 4-4
4.3.3 Example ............................................................................................................. 4-4
4.3.4 MSH Segment .................................................................................................... 4-5
4.3.5 MSA Segment .................................................................................................... 4-6
4.3.6 QRD Segment .................................................................................................... 4-7
4.3.7 PID Segment ...................................................................................................... 4-7
4.3.8 PV1 Segment...................................................................................................... 4-7
4.3.9 OBR Segment..................................................................................................... 4-7
4.3.10 OBX Segment .................................................................................................. 4-7
4.4 ACK Message ................................................................................................................. 4-8
4.4.1 Format ................................................................................................................ 4-8
4.4.2 Example ............................................................................................................. 4-8
4.4.3 MSH Segment .................................................................................................... 4-8
4.4.4 MSA Segment .................................................................................................... 4-8

5 ADT DB Interface ............................................................................................................ 5-1

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5.1 Communication Process .................................................................................................. 5-1

5.1.1 Network Connection .......................................................................................... 5-1
5.1.2 Data Communication（Input direction） .......................................................... 5-1
5.1.3 Data Communication (Output direction)............................................................ 5-3
5.1.4 ACK ................................................................................................................... 5-4
5.2 ADT Message .................................................................................................................. 5-4
5.2.1 Format ................................................................................................................ 5-5
5.2.2 Example ............................................................................................................. 5-5
5.2.3 MSH Segment .................................................................................................... 5-6
5.2.4 EVN Segment..................................................................................................... 5-6
5.2.5 PID Segment ...................................................................................................... 5-6
5.2.6 PV1 Segment...................................................................................................... 5-6
5.2.7 OBR Segment..................................................................................................... 5-7
5.2.8 OBX Segment .................................................................................................... 5-7
5.3 ADT^A17 Message (Swap Patients) ............................................................................... 5-7
5.3.1 Format ................................................................................................................ 5-7
5.3.2 Example ............................................................................................................. 5-8
5.3.3 Segments ............................................................................................................ 5-8
5.4 ADT^A47 Message (Change Patient ID) ........................................................................ 5-8
5.4.1 Format ................................................................................................................ 5-8
5.4.2 Example ............................................................................................................. 5-9
5.4.3 MRG Segment.................................................................................................... 5-9
5.5 ADT^A40 Message (Merge Patient ID) .......................................................................... 5-9
5.5.1 Format ................................................................................................................ 5-9
5.5.2 Example ........................................................................................................... 5-10

6 Realtime Results Interface .............................................................................................. 6-1

6.1 Data Content ................................................................................................................... 6-1
6.2 Difference between Unsolicited Results Interface and Solicited Results Interface......... 6-3
6.3 Communication process .................................................................................................. 6-3
6.3.1 Broadcast Messages ........................................................................................... 6-3
6.3.2 Acquire Bed List ................................................................................................ 6-3
6.3.3 Acquire unsolicited realtime data from bedside device ...................................... 6-3
6.3.4 Acquire unsolicited realtime data from Central Monitoring System or PDS
Gateway ...................................................................................................................... 6-4
6.3.5 Disconnect .......................................................................................................... 6-7
6.4 HL7 Message Type.......................................................................................................... 6-7
6.4.1 Definition ........................................................................................................... 6-7
6.4.2 Coding System ................................................................................................... 6-8
6.5 Broadcast Message .......................................................................................................... 6-9
6.5.1 Online Notification Message of the Patient Monitor (ADT^A01) ..................... 6-9
6.5.2 Online Broadcast Message of the CMS and PDS Gateway(ORU^R01) ...........6-11
6.6 Bed List ......................................................................................................................... 6-12
6.6.1 Query Message ................................................................................................. 6-12

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6.6.2 Bed List Message ............................................................................................. 6-12

6.7 TCP Echo Message ....................................................................................................... 6-14
6.7.1 Message Format ............................................................................................... 6-14
6.7.2 Segment Definition .......................................................................................... 6-14
6.8 Patient Information Change Message (ORU^R01) ....................................................... 6-14
6.8.1 Message Format ............................................................................................... 6-15
6.8.2 MSH Segment .................................................................................................. 6-15
6.8.3 PID Segment .................................................................................................... 6-15
6.8.4 PV1 Segment.................................................................................................... 6-16
6.8.5 OBR Segment................................................................................................... 6-16
6.8.6 OBX Segment .................................................................................................. 6-17
6.9 Query Message (QRY) .................................................................................................. 6-17
6.9.1 Introduction ...................................................................................................... 6-17
6.9.2 Message Format ............................................................................................... 6-17
6.9.3 MSH Segment .................................................................................................. 6-18
6.9.4 QRD Segment .................................................................................................. 6-18
6.9.5 QRF Segment ................................................................................................... 6-19
6.9.6 Example Analysis ............................................................................................. 6-21
6.9.7 Query Response Message................................................................................. 6-23
6.10 Unsolicited Observation Reporting Message (ORU) .................................................. 6-23
6.10.1 Periodic parameters ........................................................................................ 6-23
6.10.2 NIBP Parameter Message ............................................................................... 6-25
6.10.3 Physiological Alarm Message ........................................................................ 6-26
6.10.4 Technical Alarm Message .............................................................................. 6-29
6.10.5 Module Loading Message .............................................................................. 6-29
6.10.6 Alarm Limits Message ................................................................................... 6-32
6.10.7 Alarm Level Message ..................................................................................... 6-33
6.10.8 Module Unloading Message........................................................................... 6-34
6.10.9 Parameter Loading & Unloading Messages ................................................... 6-35

A Introduction to HL7 Syntax........................................................................................... A-1

A.1 Message Packaging Format ........................................................................................... A-1
A.2 Message Creation Rules ................................................................................................ A-2
A.3 Message Definition ....................................................................................................... A-3
A.4 Message Format ............................................................................................................ A-3
A.5 Segment Definition ....................................................................................................... A-3

B Mindray HL7 Code (MHC) ............................................................................................ B-1

B.1 Parameter ID Part ........................................................................................................... B-1
B.2 Parameter Attribute Part ............................................................................................... B-36
B.3 Module ID Part ............................................................................................................. B-38
B.4 Patient and Monitor Information Part........................................................................... B-42
B.5 Control and Setting Part ............................................................................................... B-44
B.6 Physiological Alarm ID Part......................................................................................... B-47

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B.7 Technical Alarm ID Part ............................................................................................... B-64

5
1 Overview
Note
 Before stat work with this document, please read “Mindray Patient Data Share
Solution Guide” at first.

1.1 Communication Layers

Mindray Patient Data Share Protocol (hereinafter called PDS Protocol) is defined above
TCP/IP layer.
The following diagram shows the communication layers involved in the communication
between a Mindray monitor and a client PC. The layers in yellow color are defined in this
document.

1.1.1 HL7 Low-Level Protocol

TCP/IP is a byte-stream protocol and does not provide messaging boundaries. HL7, which
belongs to application layer protocol, defines message format but does not provide a
mechanism to detect message start and end. To mark message boundaries, the Minimal
Lower Layer Protocol is used (as described in HL7 Interface Standards Version 2.3.1).
On the network, a message is transmitted in the following format:

1-1
 Overview

Where,

Message start mark (1 byte) that corresponds to ASCII <VT>. Its hexadecimal value is
<0x0B>.

HL7 message of multiple bytes.
1. It includes only ISO 8859-1 characters (hexadecimal values between 0x20 and
0xFF) and <CR>. must not contain other control/non-printable characters.
2. There is no spectial treatment for forbidden control characters in the messages
received by the server side.

Message end mark (2 bytes) that respectively corresponds to ASCII <FS> and <CR>.
Their respective hexadecimal values are <0x1C> and <0x0D>.

1.1.2 HL7 Protocol Layer

HL7 is a communication protocol for data exchange between medical systems. Initially
defined in the United States, the HL7 protocol is now used in many countries.
Mindray PDS protocol is based on HL7 protocol version 2.3.1. It uses only part of it,
including:

Chapter 2：‘Control/Query’

Chapter 3：‘Patient Administration’

Chapter 7：‘Observation Reporting’
For a detailed description of HL7 V2.3.1, refer to the HL7 standard.

Appendix A gives a simple description of the syntax of HL7 V2.3.1.

1.2 Character Set

Mindray PDS protocol supports multiple character sets. It does not support Unicode. The
default character set is ISO8859_1. Character sets are defined in segment MSH. For example,
MSH|^~\&|||||||ORU^R01|154155500|P|2.3.1||||||ISO8859_1|
The ISO8859_1 character set can be omitted if it is default.
The following character sets are supported: GB2312, from ISO8859_1 to ISO8859_16.

1.3 Message Separator and Escape character

The following table lists the separators used in HL7 message.

Table A-1 Element & Separator

Element Separator
Segment <cr> The hexadecimal value is 0x0D
Field |

1-2
 Overview

Field Repetition ~
Component ^
Sub Component &

If the HL7 message do uses the above separator characters in field content (i.e. the patient
demographics), please use the escape character “\” before them.
For example, string “A & B” should be transfer to “A\&B”.
Special wide char type transfer string:
Special char Transfer string
WCHAR(916) {#}
WCHAR(9651)

1.4 Coding System

Mindray PDS protocol uses Mindray HL7 coding system (Mindray HL7 Code, hereinafter
called MHC).) Please refer Appendix B.

1.5 Interface introduction

1.5.1 Unsolicited Results Interface
This interface listens to the client side’s connection as the server side of TCP socket. Once the
connection is established, this interface will send data unsolicitedly at a configured transmit
interval.
The main characteristics of the interface are:
1. The transmit interval can be set through configuration user interface. The minimum
interval is 15s.
2. Multiple patients’ data can sent through one TCP connection in each interval.
3. One or more types of following data can be selected for sending: vital sign parameter,
physiological alarm, technical alarm, alarm setting and “module settings and device status”.
4. Aperiodic parameters shall also be sent when they are changed.

1.5.2 Solicited Results Interface

This interface listens to the client side’s connection as the server side of TCP socket. Once the
connection is established, this interface waits for results requests. Upon receiving a request it
sends the current results data to the requesting results data consumer. This is all done via the
same TCP connection.
The main characteristics of the interface are:
1. The client side can send query message and request the interface to send one or more types

1-3
 Overview

of following data: vital sign parameter, physiological alarm, technical alarm, alarm setting
and “module settings and device status”.
2. Multiple patients’ data can be returned through the same TCP connection upon request.
3. This interface will not send any data unsolicitedly unless by requesting.
4. The minimum interval of this interface can accept requesting is 15s. Only the first request
will be acknowledged and the others will be dispatched if they come within 15s.

1.5.3 ADT Net Query Interface

This interface as client side connects the hospital’s HIS or EMR system and queries specific
patient’s detailed information based on the PID.
The main characteristics of the interface are:
1. Only one patient’s information will be queried at one time from HIS/EMR.
2. The keyword for querying is PID.
3. Does not process any other patient data except for receiving the queried patient.

1.5.4 ADT DB interface

This interface as client side connects the hospital’s HIS or EMR system and stores all the
ADT messages received from HIS or EMR.
The main characteristics of the interface are:
1. Receives all the HL7 ADT messages from HIS/EMR and stores them in a local small
database. The Central Monitoring System can query patient demographics from this database.
2. When the patient demographics on patient monitor changes, a HL7 ADT message will be
sent outwards.
3. Does not send a query message outwards.

1.5.5 Realtime Results Interface

This interface listens to the client side’s connection as the server side of TCP socket. Once the
connection is established, the interface will send data every second.
The main characteristics of the interface are:
1. The time interval of data sending is fixed to 1 second, causing a great network throughput.
2. Only one patients’ data can sent through one TCP connection in each interval.
3. Specific vital sign parameter can be sent every second only after receiving query message
from client side.
4. Physiological alarms and technical alarms are sent every second unsolicitedly without
query.
5. Detailed device configuration and status information are sent unsolicitedly upon
connection is established or they are changed.
6. Aperiodic data, device configuration and status information shall also be sent when they
are changed.

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 Overview

7. For this interface on bedside device, dynamically, the client side can request this interface
to change to send different vital sign parameters at runtime by resent different query
messages.
8. For this interface on Central Monitoring System and PDS Gateway, dynamically, the client
side can request this interface to change to send different vital sign parameters from different
bedside monitors at runtime by resent different query messages.

This interface also provides two functions using UDP connection or other TCP connection:
1. Broadcast online message using UDP connection.
2. Bedside monitors list can be queried from Central Monitoring System or PDS Gateway.

Note
 Mindray will no longer update and maintain Realtime Results Interface. Please
make cautious decision for using it.

1.6 Application scope

Please refer to “Mindray patient data sharing solution” for finding out which bedside devices
or products support the above interfaces.

1.7 Patient unique identification

CIS can receive different patient’s results data in one TCP connection, so unique patient
identification should be used.
Mindray bedside devices and Central Monitoring System are not able to insure the patient
identification (i.e. Medical Record Number/MRN or name or bed number) is unique. After
the patient is discharged, all his demographics are clear, and there is no mechanism to make
different patient’s MRN, name or bed number are unique.
Hospital and services personal should carry out some means to make the patient identification
is unique. At least, the bed number should be unique.
Notes, the patient Medical Record Number is present in the OBX segment on “Realtime
Results Interface” (refer to Appendix B.4), while it is present in the field PID-3 on other
interfaces (refer to section 2.2.4).

1.8 Valid value of results data

The valid range of normal vital sign parameters is positive, except these:
The valid range of ST is from -2 to 2; The valid range of IBP is from -50.
-100 or -10 are used to indicate a invalid value normally.

1-5
2 Unsolicited Results Interface
2.1 Communication Process
2.1.1 Network Connection
The unsolicited results interface acts as TCP server socket and always listens for connections
on the client socket. Once the number of connected client sockets reaches the maximum, new
client socket connection will be rejected. The client socket listened to can be set via the
configuration screen.
The unsolicited results interface doesn’t break TCP connection spontaneously. In case of
unexpected network interruption, connection needs to be reestablished between the server
socket and the client socket. But the unsolicited results interface will not resend data occurred
during the network disconnection period.
Two methods are optional to break or close the connection. One is that the client socket turns
off Socket spontaneously to break the connection. The other is that the client socket sends
HL7 message containing a network disconnection command to the unsolicited results
interface which then turns off Socket.
If interruption of network physical connection occurs, TCP Socket of Windows operating
system may be unable to notify the unsolicited results interface or the client socket of
network disconnection in time, which results in Socket being considered to have normal
connection by both the unsolicited results interface and the client socket. However, the
network physical connection has been disconnected, which finally makes data unable to be
sent and received properly. Therefore, it is suggested that the client socket reestablish the
connection spontaneously if it doesn’t receive any data sent from the unsolicited results
interface at the set time interval. If connection can't be established, measures should be taken
to solve network faults.

2.1.2 Data Communication

2.1.2.1 Unsolicited Sending
The unsolicited results interface sends data (ORU^R01 message) to the client socket when
TCP connection has been established (within 1 second after TCP connection is established)
and the set time interval has reached.
The sending interval is configurable in the configuration screen.
This interface doesn’t handle any data sent from the client socket except for the network
disconnection message (See Section 2.3).
The data of all the bedside monitors is sent at each set time interval when connection is
established. With network data traffic and computer performance considered, the interface

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 Unsolicited Results Interface

will send data of one bed after another about every 200 milliseconds after starting to send
data. Therefore, based on the number of bedside monitors, the lasting time of data
transmission at each set time interval may amount to several seconds.

The sent data of each bedside monitor is the most recent data points at current time.

Upon receiving data sent by this interface, the client socket can respond by sending either
ACK or NACK, but they will be ignored by the unsolicited results interface.

This interface will not send data of the bedside monitor, when any of the three conditions
occurs:
Network disconnection occurs between a bedside monitor and CMS or between a bedside
monitor and PDS gateway;
The bedside monitor is turned off;
A patient is discharged from the bedside monitor.

Aperiodic parameters like NIBP, C.O., and CCO will also be sent at the set time interval. The
value sent is the most recent manual measurement value at next transfer interval.

2.1.2.2 Sent Data Contents

Once configured in the configuration screen, the following data can be sent.
1. Vital sign parameters
2. Physiological alarms
3. Technical alarms
4. Alarm setups including the upper and lower limits of each parameter, alarm on/off, and
alarm priority
5. Module configuration and device status that include:
(1) ECG lead type
(2) HR alarm source
(3) PR source
(4) Whether the equipment is in standby state
(5) Currently highest alarm priority of the equipment
(6) Type of currently highest alarm priority of the equipment: physiological alarm or
technical alarm
(7) Whether alarms of the equipment are in one of these statuses: alarm off, alarm pause,
audio alarm off, alarm silence, or none of above statuses (i.e. in normal alarming status).

NOTE
 If the patient monitor uses the ‘CMS protocol’ to connect Central Monitor System
or PDS Gateway, the point 7 above is invalid and the receiver should ignore this
content. About ‘CMS protocol’, please refer to the document Mindray patient data

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 Unsolicited Results Interface

sharing solution .

(8) If the equipment is telemetry equipment, is Nurse Call or Event available?

The data sent is the most recent data at the time of data sending. Data measurement time is
indicated by the OBR segment of HL7 message.

2.1.2.3 Data Sent when Triggered

Once triggered, the following contents will be sent by the interface.
1. Aperiodic parameters like NIBP, C.O., and CCO measurement completion. When network
connection between bedside monitors and gateway is established and only when the option of
Physiological Parameter in the configuration screen is selected, aperiodic parameters are
sent to CIS client socket.
2. State of a monitor entering or exiting standby. Even though the data contents to be sent are
not selected from the configuration screen, when a monitor enters or exits standby state, this
event (a monitor entering/exiting standby state) is also sent.
3. Event of network disconnection between a bedside monitor and this interface or a monitor
turned off . Even though the data contents to be sent are not selected from the configuration
screen, when a monitor enters or exits standby state, this event is also sent via HL7 message.
When a monitor is not networked to this interface, it will no longer receive any data from this
interface.
4. The message ADT^A03 is sent only when a patient is discharged from a bedside monitor
and the option Device Configuration and Status Information is selected.

2.1.2.4 Data Sent when a Bedside Monitor Is in Standby state

1. Standby state change: whatever data contents to be sent is selected from the configuration
screen, when a bedside monitor accesses or exits standby state, this interface will send
standby state change via HL7 message.
2. Unsolicited sending: If a bedside monitor is in standby state currently, this interface only
sends patient information and standby state at each interval. Even if other data contents are
selected from the configuration screen, these contents will not be sent at all. If the bedside
monitor is in normal monitoring mode and the option of Module Configuration and Device
Status is selected from the configuration screen, this interface will send the status
information of “Being Monitored” to the client socket.

For the format and contents of HL7 message when a bedside monitor is in standby state, see
Appendix B.4.

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 Unsolicited Results Interface

2.2 ORU^R01 Message

2.2.1 Format
There are two methods to send results data. First is to send out all patient data in one HL7
message. Second is to send out one patient data per one HL7 message. One of them can be
selected from the user configuration dialog.

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 Unsolicited Results Interface

2.2.2 Example
1. At each time interval

MSH|^~\&|Mindray|Gateway|||||ORU^R01|2|P|2.3.1| <CR>
PID|||M1015_00010||John^||20091112|M|||^^^^||| <CR>
PV1||I|^^ICU&Bed5&3232241659&0&0|||||||||||||||A||||||||||||||||||||||||||20091201111211 <CR>
OBR||||Mindray Monitor|||20091203121631| <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||1^A||||||F <CR>
OBX||CE|2303^PACE_Switch||0^Off||||||F <CR>
OBX||NM|101^HR|2101|60||||||F <CR>
OBX||NM|151^RR|2102|20||||||F <CR>
OBX||NM|200^T1|2104|37.00||||||F <CR>
OBX||NM|201^T2|2104|37.20||||||F <CR>
OBX||NM|202^Td|2104|0.20000||||||F <CR>
OBX||NM|160^SpO2|2103|98||||||F <CR>
OBX||NM|213^TB|2108|37.20||||||F <CR>
OBX||NM|500^ART-Sys|2116|120||||||F <CR>
OBX||NM|501^ART-Mean|2116|93||||||F <CR>
OBX||NM|502^ART-Dia|2116|80||||||F <CR>
OBX||NM|503^PA-Sys|2117|20||||||F <CR>
OBX||NM|504^PA-Mean|2117|12||||||F <CR>
OBX||NM|505^PA-Dia|2117|8||||||F <CR>
OBX||NM|506^Ao-Sys|2130|120||||||F <CR>
OBX||NM|507^Ao-Mean|2130|93||||||F <CR>
OBX||NM|508^Ao-Dia|2130|80||||||F <CR>
OBX||NM|515^FAP-Sys|2133|120||||||F <CR>
OBX||NM|516^FAP-Mean|2133|93||| <CR>
OBX||NM|171^Dia|2105|80||||||F||APERIODIC|20091203120508 <CR>
OBX||NM|172^Mean|2105|93||||||F||APERIODIC|20091203120508 <CR>
OBX||NM|170^Sys|2105|120||||||F||APERIODIC|20091203120508 <CR>
OBX||CE|2|1|10033^**SpO2 Too High||||||F||PHY_ALM|20091203120540| <CR>
OBX||CE|2|1|10043^**RR Too High||||||F||PHY_ALM|20091203120540| <CR>
OBX||CE|3||457^NIBP Communication Error||||||F||TECH_ALM| <CR>
OBX||CE|2404^Lead_Type||2^Lead_5||||||F <CR>
OBX||CE|2415^HR_PR_Alm_Src||1^HR||||||F <CR>
OBX||CE|3902^PR_Source||1^SPO2||||||F <CR>
OBX||CE|2306^HighestAlmLevel||3^LowLevel||||||F <CR>
OBX||CE|2307^HighestAlmType||2^Tech||||||F <CR>
OBX||CE|2032^AlarmSetting||0^AlmNormal||||||F <CR>
OBX||CE|2305^WorkState||0^Monitoring||||||F <CR>

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 Unsolicited Results Interface

2. After the bedside device enters “Standby” status

MSH|^~\&|Mindray|Gateway|||||ORU^R01|19|P|2.3.1| <CR>
PID|||M1015_00010||Jhon^||20091112|M|||^^^^||| <CR>
PV1||I|^^ICU&Bed5&3232241659&0&0|||||||||||||||A||||||||||||||||||||||||||20091201111211 <CR>
OBR||||Mindray Monitor|||20091203121631| <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||1^A||||||F <CR>
OBX||CE|2303^PACE_Switch||0^Off||||||F <CR>
OBX||CE|2305^WorkState||1^Standby||||||F <CR>

3. After the NIBP measurement is finished

MSH|^~\&|Mindray||||||ORU^R01|3|P|2.3.1| <CR>
PID|||M1015_00010||John^||20091112|M|||^^^^||| <CR>
PV1||I|^^ICU&Bed5&3232241659&0&0|||||||||||||||A||||||||||||||||||||||||||20091201111211 <CR>
OBR||||Mindray Monitor|||20091203121631| <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||1^A||||||F <CR>
OBX||CE|2303^PACE_Switch||0^Off||||||F <CR>
OBX||NM|171^Dia|2105|89||||||F||APERIODIC|20091203115457 <CR>
OBX||NM|172^Mean|2105|99||||||F||APERIODIC|20091203115457 <CR>
OBX||NM|170^Sys|2105|129||||||F||APERIODIC|20091203115457 <CR>

4. After the C.O. measurement is finished.

MSH|^~\&|Mindray||||||ORU^R01|3|P|2.3.1|
PID|||M1015_00010||John^||20091112|M|||^^^^||| <CR>
PV1||I|^^ICU&Bed5&3232241659&0&0|||||||||||||||A||||||||||||||||||||||||||20091201111211 <CR>
OBR||||Mindray Monitor|||20091203121631| <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||1^A||||||F <CR>
OBX||CE|2303^PACE_Switch||0^Off||||||F <CR>
OBX||NM|210^C.O.|2108|5.400||||||F||APERIODIC|20091203114943 <CR>
OBX||NM|212^C.I.|2108|2.0000||||||F||APERIODIC|20091203114943 <CR>

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 Unsolicited Results Interface

5. After the bedside device is offline or power off.

MSH|^~\&|Mindray||||||ORU^R01|7|P|2.3.1| <CR>
PID|||M1015_00010||John^||20091112|M|||^^^^||| <CR>
PV1||I|^^ICU&Bed5&3232241659&0&0|||||||||||||||A||||||||||||||||||||||||||20091201111211 <CR>
OBR||||Mindray Monitor|||20091203121631| <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||1^A||||||F <CR>
OBX||CE|2303^PACE_Switch||0^Off||||||F <CR>
OBX||CE|2394^Connect_State||1^Disconnected||||||F <CR>

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2.2.3 MSH Segment

MSH segment is first segment of HL7 message, it defines the message type.

SEQ LEN DT OPT Used Field Name Description

1 1 ST R Yes Field Separator Always ‘|’

2 4 ST R Yes Encoding Always ‘^~\&’

Characters
3 30 HD O Yes Sending Application Mindray

4 30 HD O Yes Sending Facility

9 7 CM R Yes Message Type ORU^R01

10 20 ST R Yes Message Control ID This field contains a

number or other
identifier that uniquely
identifies the message.
The receiving system
echoes this ID back to
the sending system in
the Message
acknowledgment
segment (MSA).

11 3 PT R Yes Processing ID Always ‘P’

12 60 VID R Yes Version ID Always ‘2.3.1’

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 Unsolicited Results Interface

2.2.4 PID Segment

SEQ LEN DT OPT Used Field NAME Description

3 20 CX R Yes Patient Identifier List Patient Medical Record
Number as populated in the
HY-VI CMS or bedside
monitor.

5 24 XPN R Yes Patient Name <First Name>^<Last Name>

7 24 TS O Yes Date/Time of Birth Format: YYYYMMDD

8 1 IS O Yes Sex Contains the sex of the patient

as entered at the Information
Center. The format is:
Male: M
Female: F
Unknown: U

11 128 XAD O Yes Patient Address <Address>^^^^<Zip Code>

13 16 XTN O Yes Phone Number -

Home

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2.2.5 PV1 Segment

SEQ LEN DT OPT Used Field Name Description
2 1 IS R Yes Patient Class ‘I’ for Inpatient.
‘O’ for Outpatient.

3 60 PL O Yes Assigned Patient Only the third component (bed) is used. The
Location firsttwo components are empty..
Format: <point of care>^<room>^<bed>.
The <bed> component divides into the
following subcomponents:
<Office Name>&<bed id>&<IP>&<IPSeq>&0

The <IP> is the bedside device IP Address

and the <IPSeq> is the telemetry transmitter’s
sequence number.
7 30 XCN O Yes Attending Doctor

18 2 IS O Yes Patient Type “N”: Neonate

“A”: Adult
“P”: Pediatric
“U”: Unknown

44 24 DTM O Yes Admit Date/Time Format: YYYYMMDDHHmmss

2.2.6 OBR Segment

The OBR Segment is used to carry the measurement time of real-time vital sign parameter.

SEQ LEN DT OPT Used Field Name Description

4 200 CE R Yes Universal Service ID Always

“Mindray Monitor”

7 26 TS C Yes Observation Date/Time YYYYMMDDhhmmss

2.2.7 OBX Segment

2.2.7.1 Patient demographics

Some patient demographics are carried in PID segment and PV1 segment. The others are
carried through OBX segment, including patient height, patient weight, blood type and pace
switch.
Patient height and weight are defined in section

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 Unsolicited Results Interface

2.2.7.2 Periodic Parameter

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “NM”

3 80 CE R Yes Observation Identifier The format is:<ID>^<text>.

<ID>: Parameter ID. It cannot
be empty. Refer to Appendix
B.1
<text>: Parameter name. It
cannot be empty. The
parameter name is defined by
the server side.

4 20 ST O Yes Observation Sub-ID ID of the module to which the

parameter belongs. Refer to
Appendix B.3.

5 65K R Yes Observation Results Parameter value.

6 60 CE O Yes Units Omitted. The default unit is

used. Refer to Appendix B.1.

7 60 ST O Yes Reference Range Omitted.

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

The HR parameter is shown below:

“60” HR Value

“2101” ECG Model ID

OBX||NM|101^HR|2101|60||||||F

“101”means HR parameter ID

“HR” parameter name

Example:
OBX||NM|101^HR|2101|60||||||F
OBX||NM|102^PVCs|2101|0||||||F
OBX||NM|151^RR|2102|20||||||F
OBX||NM|200^T1|2104|37.0||||||F
OBX||NM|201^T2|2104|37.2||||||F
OBX||NM|202^TD|2104|0.2||||||F

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 Unsolicited Results Interface

2.2.7.3 Aperiodic parameter

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “NM”
3 80 CE R Yes Observation The format is: <ID>^<text>.
Identifier <ID>: Parameter ID. It cannot be
empty. Refer to Appendix B.1 .
<text>: Parameter name. It cannot
be empty. The parameter name is
defined by the server side.

4 20 ST O Yes Observation Sub-ID ID of the module to which the

parameter belongs. Refer to
Appendix B.3.

5 65K R Yes Observation Results Parameter value.

6 60 CE O Yes Units Omitted. The default unit is used.

Refer to Appendix B.1.

7 60 ST O Yes Reference Range Omitted.

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status
13 20 ST O Yes User Defined Parameter type:
Access Checks “APERIODIC”: aperiodic
parameter.

14 26 TS O Yes Date/Time of the Omitted by default.

Observation The format is:
YYYYMMDDHHMMSS.
Only used for aperiodic
parameters, indicating
measurement time.

Example:
1. NIBP module
OBX||NM|171^Dia|2105|80||||||F||APERIODIC|20070106191915
OBX||NM|172^Mean|2105|93||||||F||APERIODIC|20070106191915
OBX||NM|170^Sys|2105|120||||||F||APERIODIC|20070106191915
2. C.O. module
OBX||NM|210^C.O.|2108|5.400||||||F||APERIODIC|20091203114943
OBX||NM|212^C.I.|2108|2.0000||||||F||APERIODIC|20091203114943
3. CCO module
OBX||NM|652^C.O.|2108|5.400||||||F||APERIODIC|20091203162913
OBX||NM|653^C.I.|2108|2.0000||||||F||APERIODIC|20091203162913
Notes: In continuous measurement mode of CCO module, the parameters CCO and CCI are
belong to ‘Periodic Parameter’.

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 Unsolicited Results Interface

2.2.7.4 Physiological Alarm

If the message has no OBX segment about physiological alarm, it indicates that there is no
physiological alarm currently.

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”

3 80 CE R Yes Observation “1”: high-level alarm

Identifier “2”: medium-level alarm
“3”: low-level alarm
“4”: message

4 20 ST O Yes Observation Sub-ID Not defined.

5 65K R Yes Observation Results The format is:<ID>^<text>.

<ID>: alarm ID
<text>: alarm text. It cannot be
empty. Multiple languages are
displayed based on different
character sets.

6 60 CE O Yes Units Omitted.

7 60 ST O Yes Reference Range Omitted.

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status
13 20 ST O Yes User Defined Access “PHY_ALM”
Checks
14 26 TS O Yes Date/Time of the The format is:
Observation YYYYMMDDHHMMSS
, indicating the time when the
alarm occurs.

Example:
OBX||CE|2|1|10033^**SpO2 Too High||||||F|||20070106193145|
OBX||CE|2|1|10002^**HR Too low||||||F|||20070106193145|

2.2.7.5 Technical Alarm

If the message has no OBX segment, it indicates that there is no physiological alarm
currently.
The format and definition is similar with physiological alarm, except these:
1. OBX-13: the value is “TECH_ALM”.
2. OBX-14: this field is null without time of alarm occurrence.

Example:
OBX||CE|3||457^NIBP Communication Error||||||F||TECH_ALM|

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 Unsolicited Results Interface

2.2.7.6 Parameter Alarm Limits

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “NM”
3 80 CE R Yes Observation Identifier “2002”: upper limit
“2003”: lower limit
4 20 ST O Yes Observation Sub-ID Parameter ID
5 65K R Yes Observation Results Upper/lower limits
11 1 ID R Yes Observation Results “F”, representing “Final”.
Status

Example:
OBX||NM|2002^|101|200||||||F
OBX||NM|2003^|101|100||||||F
OBX||NM|2002^|102|10||||||F
OBX||NM|2003^|102|0||||||F
OBX||NM|2002^|105|0.20||||||F
OBX||NM|2003^|105|-0.20||||||F

2.2.7.7 Parameter Alarm Level

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”
3 80 CE R Yes Observation “2009”
Identifier
4 20 ST O Yes Observation Sub-ID Parameter ID

5 65K R Yes Observation Results Alarm level:

0:Unknown
1:High
2:Middle
3:Low

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

Example:
OBX||CE|2009^|101|2^||||||F
OBX||CE|2009^|102|2^||||||F
OBX||CE|2009^|105|2^||||||F
OBX||CE|2009^|106|2^||||||F
OBX||CE|2009^|107|2^||||||F

2.2.7.8 Parameter Alarm Switch

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 Unsolicited Results Interface

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”
3 80 CE R Yes Observation “2004”
Identifier
4 20 ST O Yes Observation Sub-ID Parameter ID

5 65K R Yes Observation Results Alarm Switch:

0:OFF
1:ON
2:Unknown

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

Example:
OBX||CE|2004^|101|1^||||||F
OBX||CE|2004^|102|0^||||||F

2.2.7.9 Others
Please refer to the Appendix.

2.3 ACK Message

After the Unsolicited Results Interface receives ACK message, it will close the TCP
connection.

2.3.1 Format

MSH Message Header

MSA Message Acknowledgement

Example:

MSH|^~\&|CIS|Charting|||||ACK|2|P|2.3.1 <CR>
MSA|AR|0|Close <CR>

2.3.2 MSH Segment

Please refer to the section 2.2.3.

2.3.3 MSA Segment

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 Unsolicited Results Interface

SEQ LEN DT OPT Used Field Name Description

1 2 ID R Yes Acknowledgement • AR: Application
Code Reject (negative
acknowledgement)
Must be ‘AR’ with
case sensitive.

2 20 ST R Yes Message Control ID Always ‘0’

3 80 ST O Yes Text Message Must be ‘Close’ with

case sensitive.

MSA-1: The value should be ‘AR’ with case sensitive.

MSA-3: The value should be ‘Close’ with case sensitive.

2.4 ADT^A03 Message

Please refer to section 5.2.

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3 Solicited Results Interface
3.1 Communication Process
3.1.1 Network Connection
The network connection here is the same as that for the unsolicited results interface. For
network connection, see section 2.1.1Network Connection.

3.1.2 Data Communication

The solicited results interface adopts the method of request and response. It doesn’t send data
until it receives the query message (QRY^R02) from the client socket.
The client socket can query data of one, multiple, or all bedside monitors each time and can
designate the data type needed. Upon receiving the query message, the interface returns ACK
as a reply and then returns the message ORF^R04 containing the query results.
The interface returns NACK message, if the bed number or the data type that needs to be
queried is not designated in the query message
If connection between the queried bedside monitor and this interface is not established or
information of current patient admitted by the bedside monitor is not allowed to be sent, this
interface can’t send data of this bedside monitor.
Upon receiving data sent by this interface, the client socket will send ACK or NACK as a
reply, but the reply will be ignored by the interface.
When the interface is replying the previous query, if the client socket sends a new query, this
interface saves the last query information, responds to previous query, and then replies the
buffered query information.
With network data traffic and computer performance considered, the interface will send data
of one bed after another every 200 milliseconds after starting to send data. Therefore, the
lasting time of data transmission at each set time interval may amount to several seconds. The
sent data of each bedside monitor is the most recent value at current time.

3.1.2.1 Sent Data Contents

This interface returns query data only after receiving the query message (QRY^R02) from the
client socket.
No such conditions exist:
This interface sends data to client socket spontaneously upon completion of aperiodic
parameter measurement.
This interface sends data to client socket spontaneously after patient monitor status changes.
The client socket can request the interface to send one or several of the following data types

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 Solicited Results Interface

via the QRY information.

1. Vital sign parameters
2. Physiological alarms
3. Technical alarms
4; Alarm setups including the upper and lower alarm limits of each parameter, alarm on/off,
and alarm priority
5. Equipment configuration and status information that include
(1) ECG lead type
(2) HR alarm source
(3) PR source
(4) Whether the equipment is in standby state
(5) Currently highest alarm priority
(6) Type of currently highest alarm priority: physiological alarm or technical alarm
(7) Whether alarms of the equipment are in one of these statuses: alarm off, alarm pause,
audio alarm off, alarm silence, or none of above statuses (i.e. in normal alarming status).

NOTE
 If the patient monitor uses the ‘CMS protocol’ to connect Central Monitor System
or PDS Gateway, the point 7 above is invalid and the receiver should ignore this
content. About ‘CMS protocol’, please refer to the document Mindray patient data
sharing solution .

(8) If the equipment is telemetry equipment, is Nurse Call or Event available?

3.1.2.2 Data Transmission when a Bedside Monitor in Standby State

If the equipment queried by the client socket is in standby state, returned ORF message only
contains patient information and standby state and excludes anything else.

For the format and contents of HL7 message when a bedside monitor is in standby state, refer
to Appendix B.4.

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 Solicited Results Interface

3.2 QRY^R02 Message

3.2.1 Format

MSH Message Header

QRD Query definition
{
QRF Query filter
}

3.2.2 Example

MSH|^~\&|CIS|Charting|||||QRY^R02|2|P|2.3.1 <CR>
QRD|20091207140713|R|I|MRQry2|||||RES <CR>
QRF|MON||||168370462&0^16^0^0 <CR>
QRF|MON||||168370423&0^16^0^0 <CR>

3.2.3 MSH Segment

Please refer to section 2.2.3.
Here, message type is QRY^R02.
Example:
MSH|^~\&|||||||QRY^R02|Q12|P|2.3.1<CR>

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 Solicited Results Interface

3.2.4 QRD Segment

SEQ LEN DT OPT Used Field Name Description

1 26 TS R Yes Date/Time of Query Format:
YYYYmmDDhhMMs
s000

2 1 ID R Yes Query format mode Must always be R for

record-oriented

3 1 ID R Yes Query Priority Must always be I for

immediate

4 10 ST R Yes Query ID:Some Can not be Null.

unique identifier Byte count < 16
Bytes

9 3 PT R Yes What subject filter Must be RES for

results in query and
in response

Example:
QRD|19970731145557|R|I|Q839572|||||RES<CR>

Message processing rules:

The 1st field must be in valid time format. Otherwise, an error message is returned.

The 2nd field must be ‘R’. Otherwise, an error message is returned.

The 3rd field must be ‘1’. Otherwise, an error message is returned.

The 4th field cannot be empty. It should be less than 16 bytes. But this interface does not
judge the uniquess of the ID.

The 9th field must be ‘RES’ . Otherwise, an error message is returned.

3.2.5 QRF Segment

The QRF segment defines the detailed contents to be queried. There can be 0 (zero) to
multiple QRF segments.

3-4
 Solicited Results Interface

SEQ LEN DT OPT Used Field Name Description

1 20 ST R Yes Where subject filter Must always be
MON for monitoring
data in queries and
in responses.

5 1000 ST, O Yes Other query subject Query Filter pecifies

repeatable filter list with ID of
interest. Refer to
section 3.2.5.1

Example:
QRF|MON||||3232241478&11^8^0^0<CR>

Message processing mechanism:

The field QRF-1 must be ‘MON’. Otherwise, an error message is returned.

The field QRF-5 defines query conditions. It cannot be empty. Otherwise, an error
message is returned.

3.2.5.1 Field QRF-5 (Query Filter)

The Query Filter format is below:

<IP>&<IPSeq>^<SendType>^0^0

The following table resolves all the components of the segment.

Component Data type Value range Description

<IP> Integer 0 to Because the CMS or PDS Gateway is
4294967295 simultaneously connected to multiple
bedside monitors, so uses the IP
address to identify the unique bedside
monitor or telemetry receiver.
The IP address is the 32-bit integer in
the order of network byte. For details,
refer to Section 6.5.1.6.
<IPSeq> Integer 0 to 255 Serial number of the telemetry
transmitter minus one. It is used in
case when connect to the Central
Monitoring System..
Note: This is not TCP port number.
<SendType> Integer 0 to 5 What kind of data to be sent.
Value with bit mask:
Physiological parameter: bit 1 values

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 Solicited Results Interface

one.
Physiological alarms: bit 2 values one.
Technical alarms: bit 3 values one.
Alarm settings: bit 4 values one.
Device status: bit 5 values one.

Example:
When query only ‘Alarm settings’, the
decimal value is 8, and the binary
value is “1000”

NOTE
 The value of <SendType> of each QRF segment shall be same.
 The value of <IPSeq> shall be the serial number of the telemetry transmitter minus
one.

3.2.6 Example
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1|<CR>
QRD|20060713103045000|R|I|Q839572|||||RES<CR>
QRF|MON||||3232241453&1^1^0^0<CR>
QRF|MON||||3232241453&2^1^0^0<CR> QRF|MON||||3232241478&0^1^0^0<CR>

Analysis:
Querying three bedside devices data of physiological parameter:
The first one is a telemetry transmitter whose serial number is 2 (value of <IPSeq> is1); the
second one whose serial number is 3 (value of <IPSeq> is 2); both of them are belong to one
telemetry receiver whose IP address is “192.168.23.45” (value of <IP> is 3232241453).
The third is a bedside monitor with IP address “192.168.23.70” (value of <IP> is
3232241478).

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 Solicited Results Interface

3.3 ACK Message

For Solicited Interface, there are two types of ACK messages.
1. After receives a QRY^R02 message from CIS, this interface return a ACK message to CIS.
2. After receives a ACK message from CIS, this interface will close the TCP connection.

3.3.1 Format

MSH Message Header

MSA Message Acknowledgement
{[ERR]} Warning or Information

3.3.2 Example
1. Send to CIS
MSH|^~\&|Mindray|Gateway|||||ACK|3|P|2.3.1| <CR>
MSA|AA|Q002 <CR>

MSH|^~\&|Mindray|Gateway|||||ACK|2|P|2.3.1| <CR>
MSA|AE|1|Incorrect Message Syntax. Error code = -13 <CR>

2. Receive from CIS

MSH|^~\&|CIS|Charting|||||ACK|2|P|2.3.1 <CR>
MSA|AR|0|Close <CR>

3.3.3 MSH Segment

Please refer to section 2.2.3.

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 Solicited Results Interface

3.3.4 MSA Segment

SEQ LEN DT OPT Used Field Name Description
1 2 ID R Yes Acknowledgement • AA: Application
Code Accept (positive
acknowledgement)
• AE: Application
Error (negative
acknowledgement)
• AR: Application
Reject (negative
acknowledgement)

2 20 ST R Yes Message Control ID Contains the message

control ID that came
with the
requesting QRY query
message. This allows
the client to
map a response
message to the
corresponding request.

3 80 ST O Yes Text Message In case of errors or

rejects, the text
message contains a
textual description of
the reason for this
event. Typical
texts would be:
• “Message type not
supported”
• “Incorrect message
syntax”

If the format of the QRY^R02 message is correct, the field ACK-1 will be value of “AA”.
When the bedside device is off-line or unauthorized, the ERR segment will be used to
indicate these situation, but the field ACK-1 will still be value of “AA”.

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 Solicited Results Interface

3.3.5 ERR Segment

ERR segment is used in two messages: ACK and ORF^R04. When the bedside device is
off-line or unauthorized, the ERR segment will be used to indicate these situation.

SEQ LEN DT OPT Used Field Name Description

1 493 ELD B No Error Code and
Location

2 18 ERL O No Error Location

3 705 CWE R Yes HL7 Error Code 0： Message

accepted

4 2 ID R Yes Severity W： Warning

I： Information
E： Error
F： Fatal Error

5 705 CWE O Yes Application Error 1：Disconnected

Code 2：NotAuthorized

6 80 ST O Yes Application Error <IP>,<IPSeq>

Parameter
Please refer to section
3.2.5.1 for defination
of <IP> and <IPSeq>

Example:
MSH|^~\&|Mindray|Gateway|||||ACK|18|P|2.3.1|
MSA|AA|10
ERR|||0|W|1^Disconnected|3232241659,0
ERR|||0|I|2^NotAuthorized|3232241657,2
ERR|||0|W|1^Disconnected|3232241656,0
ERR|||0|W|1^Disconnected|3232241655,0

3-9
 Solicited Results Interface

3.4 ORF^R04 Message

3.4.1 Format

3-10
 Solicited Results Interface

There are two methods to send results data. First is to send out all patient data in one HL7
message. Second is to send out one patient data per one HL7 message. One of them can be
selected from the user configuration dialog.

3.4.2 Example
1. CIS queries for six bedside devices, but three of them are not returned any results data
because they are disconnected or unauthorized.

(At first, Solicited Interface returns an ACK message)

MSH|^~\&|Mindray|Gateway|||||ACK|7|P|2.3.1|
MSA|AA|4
ERR|||0|W|1^Disconnected|3293316383,0|
ERR|||0|I|2^NotAuthorized|3293316385,0|
ERR|||0|W|1^Disconnected|3293316387,0|

(Secondly, Solicited Interface returns a ORF^R04 message if there are some bedside device
results data will be returned.)
MSH|^~\&|Mindray|Gateway|||||ORF^R04|8|P|2.3.1|
MSA|AA|4
ERR|||0|W|1^Disconnected|3293316383,0|
ERR|||0|I|2^NotAuthorized|3293316385,0|
ERR|||0|W|1^Disconnected|3293316387,0|
QRD|20091209162514|R|I|MRQry4|||||RES
QRF|MON||||3293316382&0^1^0^0
QRF|MON||||3293316383&0^1^0^0
QRF|MON||||3293316384&0^1^0^0
QRF|MON||||3293316385&0^1^0^0
QRF|MON||||3293316386&0^1^0^0
QRF|MON||||3293316387&0^1^0^0
PID|||M1015_00022||JONES^ MARY||19791015|M|||^^^^|||
PV1||I|^^ICU&22&3293316382&0&0||||DoctorA|||||||||||A|||||||||
|||||||||||||||||20091015000000
OBR||||Mindray Monitor|||20091209162514|
OBX||NM|52^Height||147.0||||||F
OBX||NM|51^Weight||67.0||||||F
OBX||CE|2302^BloodType||3^AB||||||F
OBX||CE|2303^PACE_Switch||0^OFF||||||F
OBX||NM|160^SpO2|2103|98||||||F
OBX||NM|101^HR|2101|60||||||F
OBX||NM|105^ST I|2101|0.10000||||||F
OBX||NM|102^PVCs|2101|8||||||F
OBX||NM|220^CO2|2109|52||||||F

3-11
 Solicited Results Interface

OBX||NM|221^INS|2109|20||||||F
OBX||NM|222^AWRR|2109|32||||||F
OBX||NM|151^RR|2102|20||||||F
OBX||NM|200^T1|2104|37.70||||||F
OBX||NM|201^T2|2104|37.20||||||F
OBX||NM|202^Td|2104|0.5000||||||F
PID|||M1015_00089||JONES^JAYNE|||F|||^^^^|||
PV1||I|^^ICU&24&3293316384&0&0|||||||||||||||A||||||||||||||||
||||||||||00000000000
OBR||||Mindray Monitor|||20091209162514|
OBX||NM|52^Height||0.0||||||F
OBX||NM|51^Weight||0.0||||||F
OBX||CE|2302^BloodType||1^A||||||F
OBX||CE|2303^PACE_Switch||1^On||||||F
OBX||NM|160^SpO2|2103|98||||||F
OBX||NM|101^HR|2101|60||||||F
OBX||NM|105^ST I|2101|0.10000||||||F
OBX||NM|102^PVCs|2101|8||||||F
OBX||NM|220^CO2|2109|52||||||F
OBX||NM|221^INS|2109|20||||||F
OBX||NM|222^AWRR|2109|32||||||F
OBX||NM|151^RR|2102|20||||||F
OBX||NM|200^T1|2104|37.70||||||F
OBX||NM|201^T2|2104|37.20||||||F
OBX||NM|202^Td|2104|0.5000||||||F
PID|||M1015_00181||JONES^WILLIAM|||M|||^^^^|||
PV1||I|^^ICU&26&3293316386&0&0|||||||||||||||A||||||||||||||||
||||||||||00000000000
OBR||||Mindray Monitor|||20091209162514|
OBX||NM|52^Height||0.0||||||F
OBX||NM|51^Weight||0.0||||||F
OBX||CE|2302^BloodType||2^B||||||F
OBX||CE|2303^PACE_Switch||1^On||||||F
OBX||NM|160^SpO2|2103|98||||||F
OBX||NM|101^HR|2101|60||||||F
OBX||NM|105^ST I|2101|0.10000||||||F
OBX||NM|102^PVCs|2101|8||||||F
OBX||NM|220^CO2|2109|52||||||F
OBX||NM|221^INS|2109|20||||||F
OBX||NM|222^AWRR|2109|32||||||F
OBX||NM|151^RR|2102|20||||||F
OBX||NM|200^T1|2104|37.70||||||F
OBX||NM|201^T2|2104|37.20||||||F
OBX||NM|202^Td|2104|0.5000||||||F

3-12
 Solicited Results Interface

2. The bedside monitor queried is in Standby status.

MSH|^~\&|Mindray|Gateway|||||ORF^R04|4|P|2.3.1| <CR>
MSA|AA|2 <CR>
QRD|20091207140713|R|I|MRQry2|||||RES <CR>
QRF|MON||||168370462&0^16^0^0 <CR>
PID|||M1015_00010||JONES^WILLIAM||20091112|M|||^^^^||| <CR>
PV1||I|^^ICU&Bed5&168370462&0&0|||||||||||||||A|||||||||||||||
|||||||||||20091201111211 <CR>
OBR||||Mindray Monitor|||20091203121631| <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||1^A||||||F <CR>
OBX||CE|2303^PACE_Switch||0^Off||||||F <CR>
OBX||CE|2305^WorkState||1^Standby||||||F <CR>

3.4.3 Definition of segments

QRD and QRF segments are the same as QRY^R02 message, please refer to section 3.2.
Please refer to section 3.3.4 for MSA segment definition.
Please refer to section 3.3.5 for ERR segment definition.
Please refer to Chapter 2 for other segments definition.

3-13
4 ADT Net Query Interface
4.1 Communication Process
4.1.1 Network Connection
This interface is the client side to establish a TCP connection and the HIS/CIS system is the
server side for listening. The IP address and the port number of the server side can be set on
the User Maintain Page of Central Monitoring System.
This interface does not take the initiative to close the connection after TCP connection is set
up.
TCP connection stays no matter whether a query is required currently. If TCP connection is
interrupted, this interface will re-connect within the fixed time automatically.

4.1.2 Data Communication

The query ADT message sent and the result returned by the HIS/CIS system should be
performed in a same TCP connection.
This interface sends a query message in QRY^A19 format. The QRY^A19 message contains
a Medical Record Number (MRN) as a unique query condition.
Accurate query is performed by the HIS/CIS system and an ADR^A19 message based on the
query condition is returned. If patient information in line with the query condition is found,
only one patient record is returned. If no patient information in line with the query condition
is found, the returned message does not contain any patient information. If the HIS/CIS
system does not return any message within the limited time, the interface treatments it as
query timeout.
After receives a HL7 message, this interface will return an ACK message to indicate whether
the format is correct or not. This interface will not do anything when receives an ACK
message.

4-1
 ADT Net Query Interface

4.2 QRY^A19 Message

4.2.1 Format

MSH Message Header

QRD Query definition (from QRY message)

4.2.2 Example
MSH|^~\&|Mindray|Gateway|||||QRY^A19|2|P|2.3.1|
QRD|20090925134901000|D|D|1|||1^RD|M2129|^DEM|^MindrayGateway|
<CR>

4.2.3 MSH Segment

Please refer to the section 2.2.3. Here the message type is “QRY^A19”.

4-2
 ADT Net Query Interface

4.2.4 QRD Segment

SEQ LEN DT OPT Used Field Name Description

1 26 TS R Yes Date/Time of Query Format:
YYYYmmDDhhMMs
s000

2 1 ID R Yes Query format mode Must always be D for

display format

3 1 ID R Yes Query Priority Must always be D for

Deferred

4 10 ST R Yes Query ID:Some unique Can not be Null.

identifier Byte count < 16 Bytes

7 10 CQ R Yes Quantity Limited Must be 1^RD

Request

8 60 XCN R Yes Who Subject Filter Patient PID/MRN

9 3 PT R Yes What subject filter Must be DEM for
Demographics in
query and in response

10 R What Department Data ‘MindrayGateway’

Code

4-3
 ADT Net Query Interface

4.3 ADR^A19 Message

4.3.1 Format (Patient queried is found)

MSH Message Header

MSA Message
Acknowledgment
QRD Query definition
[
PID Patient
Identification
PV1 Patient Visit
[ OBR ]
{
OBX
}
]

4.3.2 Format (Patient queried is not found)

MSH Message Header

MSA Message
Acknowledgment
QRD Query definition

4.3.3 Example
MSH|^~\&|Mindray|ADTServer|||||ADR^A19|2|P|2.3.1| <CR>
MSA|AA|2|The Patient is Found <CR>
QRD|20090925134901000|D|D|1|||1^RD|M2129|^DEM|^MindrayGateway|
<CR>
PID|||M2129||Jones^Eunice||19780924|F|||1634 J
St^^^^95616||(530) 555-4325| <CR>
PV1||I|^^ICU&Bed23&&&0||||Frank|||||||||||N|||||||||||||||||||
|||||||20090924000000 <CR>
OBR|||||||20091203121631| <CR>

4-4
 ADT Net Query Interface

OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||3^||||||F <CR>
OBX||CE|2303^PACE_Switch||1^||||||F <CR>

MSH|^~\&|Mindray|ADTServer|||||ADR^A19|3|P|2.3.1|
MSA|AA|2|The Patient is not found!
QRD|20091016161233000|D|D|1|||1^RD|QQQQ|^DEM|^MindrayGateway|

4.3.4 MSH Segment

Please refer to the section 2.2.3. Here the message type is “ADR^A19”.

4-5
 ADT Net Query Interface

4.3.5 MSA Segment

SEQ LEN DT OPT Used Field Name Description
1 2 ID R Yes Acknowledgement • AA: Application
Code Accept (positive
acknowledgement)
• AE: Application
Error (negative
acknowledgement)
• AR: Application
Reject (negative
acknowledgement)
If the QRY^A19
message is in correct
format, this field is
“AA”, otherwise is
“AE”.

2 20 ST R Yes Message Control ID Contains the message

control ID that came
with the requesting
QRY query message.
This allows the client
to map a response
message to the
corresponding request.

3 80 ST O Yes Text Message In case of the queried

patient is found,
typical texts would be
“The patient is
found!”. If the queried
patient is not found,
the typical text would
be “The patient is not
found”.
In case of errors or
rejects, the text
message contains a
textual description of
the reason for this
event. Typical texts
would be:
• “Message type not
supported”
• “Incorrect message
syntax”

4-6
 ADT Net Query Interface

4.3.6 QRD Segment

The format and content is the same as in QRY^A19 message received.

4.3.7 PID Segment

Please refer to section 2.2.4.

4.3.8 PV1 Segment

SEQ LEN DT OPT Used Field Name Description

2 1 IS R Yes Patient Class ‘I’ for Inpatient.
‘O’ for Outpatient.
.
3 60 PL O Yes Assigned Patient Only the third component (bed) is used. The
Location firsttwo components are empty..
Format: <point of care>^<room>^<bed>.
The <bed> component divides into the following
subcomponents:
<Office/Department>&<bed number>&0&0&0

7 30 XCN O Yes Attending Doctor

18 2 IS O Yes Patient Type “N”: Neonate

“A”: Adult
“P”: Pediatric
“U”: Unknown

44 24 DTM O Yes Admit Date/Time Format: YYYYMMDDHHmmss

4.3.9 OBR Segment

This interface will not handle this segment as it is optional.

4.3.10 OBX Segment

Some patient demographics are carried in PID segment and PV1 segment. The others are
carried through OBX segment, including patient height, patient weight, blood type and pace
switch. Please refer to section 2.2.7.1.

4-7
 ADT Net Query Interface

4.4 ACK Message

4.4.1 Format

MSH Message Header

MSA Message Acknowledgement

4.4.2 Example
MSH|^~\&|Mindray|Gateway|||||ACK|3|P|2.3.1| <CR>
MSA|AA|2 <CR>

4.4.3 MSH Segment

Please refer to section 2.2.3. Here the message type is “ACK”.

4.4.4 MSA Segment

Please refer to section 4.3.5

4-8
5 ADT DB Interface
5.1 Communication Process
5.1.1 Network Connection
This interface is the client side to establish a TCP connection and the HIS/CIS system is the
server side for listening.
This interface does not take the initiative to turn off the connection after TCP connection is
set up. If the TCP connection is interrupted or turned off, this interface will re-connect TCP
within the fixed time automatically.
All the ADT messages from both sides are transmitted within the same TCP connection.
The following two sections detail the data communication processes in the two transmission
directions.

（Input direction）
5.1.2 Data Communication（ ）
HIS/CIS system unsolicitedly sends ADT messages related with all patient information to the
this interface.
This interface maintains a local database to save all the received patient information. The
patient database saves only limited information. When the database is full, they are treated as
per the FIFO (first in first out) method.
Through the User Maintain Page of the CMS, a patient can be identified uniquely in the
patient database, such as identified by MRN or by name.
After receiving the patient information which the HIS/CIS system unsolicitedly sends, this
interface will take the following three types of actions:

Add-type
If the interface does not find the corresponding patient in the database according to the
MRN or name, the patient information received will be added into the database. If the
patient already exists in the database, his information will be updated.
 A01 Admit
 A04 Register
 A05 Pre-Admit
 A13 Cancel Discharge/End Visit
 A14 Pending Admit
 A25 Cancel Pending Discharge
 A28 Add Person or Patient Information

5-1
 ADT DB Interface

Update-type
If the interface finds the corresponding patient in the database according to the MRN or
name, the information of that patient will be updated. If not, the patient information will
be added into the database.
 A02 Transfer
 A06 Change an Outpatient to an Inpatient
 A07 Change an Inpatient to an Outpatient
 A08 Update Patient Information
 A12 Cancel Transfer
 A15 Pending Transfer
 A26 Cancel Pending Transfer
 A31 Update Person Information

Delete-type
If the interface finds the corresponding patient in the database, the patient information is
deleted. If not, no treatment is made.
 A03 Discharge/End Visit
 A11 Cancel Admit/Visit Notification
 A16 Pending Discharge
 A27 Cancel Pending Admit
 A38 Cancel Pre-Admit

In addition, there are three special messages. The processing methods and formats of these
three messages are different from the above patient information. They are:
 A17 Swap Patients
This message contains the information about the two patients who beds are
swapped. The CMS will update the information of the two patients simultaneously.
If the two patients is not found in the local database, their information received will
be added into the database.
 A40 Merge patient - patient identifier list
This message contains old PID to be merged and new merged PID. The CMS will
delete the patient with old PID from the local database and update the patient
information corresponding to the new PID. If the patient of the new merged PID is
not found, add one record.
 A47 Change patient identifier list
This message contains old PID to be modified and new PID. If the CMS finds the
patient to which the old PID corresponds in the local database and there is no
record to which the new PID corresponds, it will change the PID of the patient to
which the old PID corresponds into the new PID. Other patient information is not
changed. The CMS does not make any processing in other cases.

5-2
 ADT DB Interface

If the patient demographics like PID, Bed number, or department can be changed at the same
time, it is recommended to sent ADT^A02 and ADT^A08 messages in sequence. Please do
not use one ADT message to convey different changed information.

The interaction between this interface and the HIS/CIS system is shown as below:

Figure Unsolicited ADT Interface communications

5.1.3 Data Communication (Output direction)

When changing patient information on the monitor network side, the interface will send ADT
messages to the outside information system.
They are:

Update-type.
 A02 Transfer
 A08 Update Patient Information
 A47 Change patient identifier list

5-3
 ADT DB Interface

Delete-type
 A03 Discharge/End Visit

However, there are some exceptions:

1. When none of the Patient MRN, first name and last name is populated in CMS, there is no
ADT message will be sent.
2. When the updated location (department and bed number) are null, no A02 message will be
sent.
3. When the MRN, department, bed number and any other patient information are modified at
the same time on CMS, three ADT messages (A47, A02 and A08) will be sent in turn. Of
course, only when the new patient information meets the two restrictions above, the ADT
messages would be sent.
4. After the patient monitor device connects to the CMS (i.e. after network reconnected or
power on ), an A08 message will be sent no matter whether any of the patient information is
modified or not.

5.1.4 ACK
After receives a HL7 message, this interface will return an ACK/NACK message to indicate
whether the format is correct or not.
Also, the other side can send an ACK/NACK message when receive HL7 message from this
interface; but this interface will not do anything when receives an ACK message.

5.2 ADT Message

This section involves the following types of ADT messages whose formats are the same:

Add-type
 A01 Admit
 A04 Register
 A05 Pre-Admit
 A13 Cancel Discharge/End Visit
 A14 Pending Admit
 A25 Cancel Pending Discharge
 A28 Add Person or Patient Information


Update-type
 A02 Transfer
 A06 Change an Outpatient to an Inpatient
 A07 Change an Inpatient to an Outpatient
 A08 Update Patient Information
 A12 Cancel Transfer
 A15 Pending Transfer

5-4
 ADT DB Interface

 A26 Cancel Pending Transfer

A31 Update Person Information


Delete-type
 A03 Discharge/End Visit
 A11 Cancel Admit/Visit Notification
 A16 Pending Discharge
 A27 Cancel Pending Admit
 A38 Cancel Pre-Admit

Note:
1. For A02, A15 or other relevant transfer messages, the fields included when this message is
sent should be the fields pertinent to communicate this event. When other important fields
change, it is recommended that the A08 (update patient information) event be used in
addition. If the transfer function of your Patient Administration system allows demographics
to change at the same time as the transfer (for example an address change), we recommend
(but do not require) sending two messages (an A02 followed by an A08).

2. The formats of the following three messages are different from those of the above
messages.
A17 Swap Patients: refer to section 5.3.
A47 Change Patient ID: refer to section 5.4.
 A40 Merge patient - patient identifier list: refer to section 5.5.

5.2.1 Format

MSH Message Header

EVN Event Type
PID Patient Identification
PV1 Patient Visit
{
OBX Observation/Result
}

5.2.2 Example

MSH|^~\&|Mindray|ADTServerDemo|||||ADT^A01|1|P|2.3.1| <CR>
EVN|A01| <CR>
PID|||M0925_00009||family name^first
name||20090925|F|||address^^^^post code||telephone| <CR>
PV1||I|^^department&6&&&0||||doctor|||||||||||N|||||||||||||||
|||||||||||20090925000000 <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>

5-5
 ADT DB Interface

OBX||CE|2302^BloodType||3^||||||F <CR>
OBX||CE|2303^PACE_Switch||1^||||||F <CR>

5.2.3 MSH Segment

Please refer to section 2.2.3. Here the message type is “ADT^A01”.

5.2.4 EVN Segment

SEQ LEN DT OPT Used Field Name Description

1 26 TS R Yes Event Type Code A01,A02 …

5.2.5 PID Segment

Please refer to section 2.2.4.

5.2.6 PV1 Segment

SEQ LEN DT OPT Used Field Name Description

2 1 IS R Yes Patient Class ‘I’ for Inpatient.
‘O’ for Outpatient. (i.e. ADT^A07)
.
3 60 PL O Yes Assigned Patient Only the third component (bed) is used. The first
Location two components are empty..
Format: <point of care>^<room>^<bed>.
The <bed> component divides into the following
subcomponents:
<Office/Department>&<bed number>&0&0&0

6 60 PL O Yes Prior Patient The same as PV1-3 field.

Location Used in the transfer type ADT messages (A02,
A15…), represent the old patient location.

7 30 XCN O Yes Attending Doctor

18 2 IS O Yes Patient Type “N”: Neonate

“A”: Adult
“P”: Pediatric
“U”: Unknown

44 24 DTM O Yes Admit Date/Time Format: YYYYMMDDHHmmss

5-6
 ADT DB Interface

5.2.7 OBR Segment

Incoming direction
For this direction, this segment is optional, so this segment is ignored.

Outgoing direction
Please refer to section 2.2.6.

5.2.8 OBX Segment

Some patient demographics are carried in PID segment and PV1 segment. The others are
carried through OBX segment, including patient height, patient weight, blood type and pace
switch. Please refer to section 2.2.7.1.

5.3 ADT^A17 Message (Swap Patients)

5.3.1 Format

MSH Message Header

EVN Event Type
PID Patient Identification
PV1 Patient Visit
{
OBX Observation/Result
}
PID Patient Identification
PV1 Patient Visit
{
OBX Observation/Result
}

Two groups of PID PV1 OBX segments are used to describe the information of the two
patients whose beds are swapped. The location or bed information (department and bed
number) the message contains is the content after swap.

5-7
 ADT DB Interface

5.3.2 Example
MSH|^~\&|Mindray|ADTServerDemo|||||ADT^A17|21|P|2.3.1| <CR>
EVN|A17| <CR>
PID|||M0925_00009||family name^first
name||20090925|F|||address^^^^post code||telephone| <CR>
PV1||I|^^ICU&6&&&0|||^^SICU&8&&&0|doctor|||||||||||N||||||||||
||||||||||||||||20090925000000 <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||3^||||||F <CR>
OBX||CE|2303^PACE_Switch||1^||||||F <CR>
PID|||M9999||John^||20090924|F|||address^^^^post
code||telephone| <CR>
PV1||I|^^SICU &8&&&0|||^^ICU&6&&&0|doctor|||||||||||N|||
|||||||||||||||||||||||20090924000000 <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||3^||||||F <CR>
OBX||CE|2303^PACE_Switch||1^||||||F <CR>

5.3.3 Segments
The same as other ADT messages, please refer to section 5.2.

5.4 ADT^A47 Message (Change Patient ID)

5.4.1 Format

MSH Message Header

EVN Event Type
PID Patient Identification
MRG Prior Patient Identifier List

The patient ID inside the PID segment is new patient ID.

MRG-1 Field inside the MRG segment is prior patient ID before modification.

Except that the MRG segment is newly added segment, other segments are same as before.

5-8
 ADT DB Interface

5.4.2 Example

MSH|^~\&|Mindray|ADTServerDemo|||||ADT^A47|23|P|2.3.1| <CR>
EVN|A47| <CR>
PID|||M05_0ff9||family name9^first
name9||20090925|F|||address9^^^^post code9||telephone9| <CR>
MRG|M20090925_00009| <CR>

5.4.3 MRG Segment

SEQ LEN DT OPT Used Field Name Description

1 64 ST R Yes Prior Patient Identifier List

5.5 ADT^A40 Message (Merge Patient ID)

5.5.1 Format

MSH Message Header

EVN Event Type
PID Merge Target Patient Identification
MRG Prior Patient Identifier List

PV1 Merge Target Patient Location

{
OBX Merge Target Patient Information
}

The patient ID inside the PID segment is the MRN of the merged target patient.
The information inside the PV1 and OBX segments are information about the merged target
patient.
The Field MRG-1 inside the MRG segment is the original patient ID.

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 ADT DB Interface

5.5.2 Example
MSH|^~\&|Mindray|ADTServerDemo|||||ADT^A40|25|P|2.3.1| <CR>
EVN|A40| <CR>
PID|||M2999999||uucfcc^||20090924|F|||address^^^^post
code||telephone| <CR>
MRG|M20090925_0V9| <CR>
PV1||I|^^department66&66&&&0||||doctor|||||||||||N||||||||||||
||||||||||||||20090924000000 <CR>
OBX||NM|52^Height||169.0||||||F <CR>
OBX||NM|51^Weight||59.0||||||F <CR>
OBX||CE|2302^BloodType||3^||||||F <CR>
OBX||CE|2303^PACE_Switch||1^||||||F <CR>

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6 Realtime Results Interface
6.1 Data Content
This interface is combined with several TCP and UDP connections.
The table summarizes these connections.

Data Time Port TCP/UDP Direction Chapter

Patient monitor online Periodic: 1s 4600 UDP Export Section
broadcast messages 6.3.1
containing patient name, 6.5
patient ID, department,
bed No., monitor name
and etc.
CMS and PDS Gateway Periodic: 1s 4679 UDP Export Section
online broadcast 6.3.2
messages containing 6.5
CMS name or the name
of PDS Gateway
Bed list information only when the server side 4678 TCP Export Section
for CMS or PDS gateway receives QRY 6.6
message 6.5.2
TCP echo message Periodic: 1s 4601& TCP Import Section
4678 & 6.7
export
Patient information 1. After the TCP 4601 TCP Export Section
connection is 6.8
established and the
QRY message is
received.
2. After patient
information is
changed.
Query message (QRY) Queried any time 4601 TCP Import Section
& 6.9
4678
Parameters Periodic: 1s; 4601 TCP Export Section
Aperiodic: after 6.10.1&

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 Realtime Results Interface

measurement. 6.10.2
Physiological alarms Periodic: 1s 4601 TCP Export Section
6.10.3
Technical alarms Periodic: 1s 4601 TCP Export Section
6.10.4
Alarm limits 1. After the TCP 4601 TCP Export Section
connection is 6.10.6
established and the
QRY message is
received.
2. After the alarm
limits are changed.
Alarm level 1. After the TCP 4601 TCP Export Section
connection is 6.10.7
established and the
QRY message is
received.
2. After the alarm
level is changed.
Module loading 1. After the TCP 4601 TCP Export Section
information containing: connection is 6.10.5
1. Module name & ID; established and the
2. Names & IDs of all QRY message is
parameters of the received.
module. 2. The module is
reloaded.
Module unloading When the module is 4601 TCP Export Section
information unplugged or 6.10.8
switched off.
Parameter loading & Example: When the 4601 TCP Export Section
unloading ECG module is 6.10.9
switched from 12
lead to 5 lead, it is
necessary to unload
some parameters and
then load new
parameters.
Or similar cases.

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 Realtime Results Interface

6.2 Difference between Unsolicited Results Interface

and Solicited Results Interface

1. Send only one patient’s data within one TCP Connection. The patient demographics is not
included in each HL7 message (that is to say, PID and PV1 segments are not present in each
HL7 message), it is sent only after the connection is established or changed.

2. Different contents are sent in separate HL7 messages. For example, physiological alarms
are sent in one ORU^R01 message, while technical alarms are sent in another ORU^R01
message. Periodic parameters of ECG module are sent in one ORU^R01 message, while
periodic parameters of SPO2 module are sent in another ORU^R01 message.

6.3 Communication process

6.3.1 Broadcast Messages
The bedside monitor, CMS or PDS Gateway broadcast online notification messages every
second, telling its existence to other hosts on the network. Then, the other hosts on the
network can make connection dynamically based on the broadcast messages.
The following table lists various broadcast ports and broadcast data.

Product Broadcast port Broadcast data

Patient monitor 4600 Patient basic information
CMS 4679 CMS name
PDS Gateway 4679 Name of the PDS Gateway

6.3.2 Acquire Bed List

In case it is necessary to acquire the data from the bedside monitor through the CMS or PDS
Gateway, the IP address of the corresponding bedside monitor, or the IP address of telemetry
receiver with serial number of telemetry transmitter must be obtained first.
The bed list can be queried through CMS or PDS gateway on the port 4678. The bed list
message contains the basic information of each bed, including the IP address and etc.
If the IP address of bedside device is fixed and available for CIS, there is no necessary to
acquire bed list.

6.3.3 Acquire unsolicited realtime data from bedside device

1. After the connection is established from CIS, this interface will sent the patient
demographics and all module settings (including parameter list, parameter alarm settings).
2. Physiological alarms and technical alarms are sent every one second.

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 Realtime Results Interface

3. Only when receives a QRY message from CIS, indicating which parameters to be sent, this
interface will send what CIS needs every one second.
4. CIS can send a new QRY message to this interface dynamically to refresh the parameters
to be sent.
5. When the measurement of Aperiodic parameters is finished, the results data will be sent
immediately in ORU message.
6. An ORU^R01 message is sent to the client when changes occur to the patient information.
7. An ORU^R01 message is sent to the client when changes occur to the parameter alarm
settings like alarm limits or alarm level.
8. A TCP echo message needs to be sent between the communication parties. If the sever does
not receive TCP echo message from the client within 10 seconds, it considers that network
fault occurs and then takes the initiative to interrupt network connection.

NOTE
 If the query message from CIS is in wrong format, this interface will not return an
ACK/NACK message.

6.3.4 Acquire unsolicited realtime data from Central

Monitoring System or PDS Gateway

After connected to this interface via the TCP port 4601, the client side must send a query
message to this interface at first, telling what data to be sent. Otherwise, this interface does
not send any data.
The query message sent to the CMS or PDS Gateway must contain the IP address of the
corresponding bedside monitor, or IP address of the telemetry receiver with the serial number
of the telemetry transmitter. Otherwise, the CMS or PDS gateway does not know which
bedside monitor or transmitter is required by the client.
If the query message sent by the client is correct in both contents and format, the server then
sends data periodically based on the query contents.

NOTE
 If the query message from CIS is in wrong format, this interface will not return an
ACK/NACK message.

Figure below describes the whole network handshake process.

1. After TCP connections are established between the communication parties, the client side
must send a query message (QRY) to this interface, telling what data (parameters, alarms, etc) are

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 Realtime Results Interface

expected. This interface then sends the required data to the client based on the query condition. If
the client side re-sends new query conditions, the server will refresh the old query condition.
2. If the query message is in correct format, this interface returns the patient basic information
(name, gender, birth date etc) and some initialized configuration information (such as parameter
ID, alarm limits, alarm level). If the query message is not in correct format, no error message
(ACK/NACK) would be sent.
3. If the client side resent a new query message of a different bedside monitor, this interface
will change to send the new bedside monitor’s data.
4. Physiological alarms and technical alarms are sent every one second.
5. The server sends real-time parameter data and alarm information periodically based on the
query condition. The aperiodic parameters are sent when the measurement is completed. All the
data above are sent by the ORU message.
6. An ORU^R01 message is sent to the client when changes occur to the patient information.
7. The server immediately sends an ORU message to the client when changes occur to the alarm
limits or alarm level of the parameter.
8. A TCP echo packet needs to be sent between the communication parties. If the sever does not
receive TCP echo packet from the client within 10 seconds, it considers that network fault occurs
and then takes the initiative to interrupt network connection.

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 Realtime Results Interface

Mindray iMec Multimonitor

Server Socket
(Mindray monitoring products) Our System Server ( Gateway )

Listening TCP connection on port ‘4601’

Establish TCP connection

Query conditions: which bedside

QRY msg
monitor

Refresh
Query
confitions
Patient Information & parameter id listORU msg
& alarm limits & alarm level etc.

Time to send Periodic Parameters

Send according to the query conditionsORU msg

Time to send Physiological Alarm or Technical Alarm

ORU msg

TCP echo packet per

second
TCP echo packet per
second

Alarm limits / level changed

Other configurations
changed
ORU msg

Patient Information
changed
ORU msg
Patient Information

TCP echo packet

time out

Disconnect

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6.3.5 Disconnect
This interface takes the initiative to disconnect the network under the following
circumstances:
1. This interface does not receive a TCP echo packet from the client side within 10 seconds in
case of TCP connections (port 4601 and 4678).
2. This interface encounters socket abnormal.
3. The client side takes the initiative to interrupt network connection.
4. For the CMS or PDS Gateway, the connected bedside monitor discharges a patient.
5. For the CMS or PDS Gateway, the connected bedside monitor is disconnected from the
network.

In case of 4 and 5, the CMS or PDS Gateway does not take the initiative to send a new bed
list. Therefore, the client side is recommended to query the bed list periodically.

6.4 HL7 Message Type

6.4.1 Definition
One type of HL7 message contains only the specific data contents. For example, parameters
and alarm are sent by two different types of HL7 message separately.

6.4.1.1 Definition of MSH Segment

The MSH segment is the 1st segment of HL7 message. It defines the message type.
The following table defines the syntax of MSH segment.

SEQ LEN DT OPT Used Field Name Description

1 1 ST R Yes Field Separator Always ‘|’
2 4 ST R Yes Encoding Characters Always ‘^~\&’
9 7 CM R Yes Message Type See 6.4.1.2
10 20 ST R Yes Message Control ID See 6.4.1.3
11 3 PT R Yes Processing ID Always ‘P’
12 60 VID R Yes Version ID Always ‘2.3.1’
18 16 ID O Yes Character Set Ignore
default ISO8859_1。

The message type is jointly defined by ‘Message Type’ and ‘Message Control ID’ fields.

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6.4.1.2 Message Type

The value of Message Type is defined by the HL7 protocol already.
The following table lists the message types used in Mindray PDS protocol.

Message Description Chapter HL7 v2.3.1

Chapter
ADT Patient Administration Chapter 6.5 Chapter 3
QRY Query Chapter 6.9 Chapter 2
ORU Unsolicited transmission of an Chapter 6.10 Chapter 11
observation message

6.4.1.3 Message Control ID

Every message has its unique Message Control ID. This ID is Arabic numerals defined by
Mindray PDS protocol. For details, refer to the definition of each message.

6.4.2 Coding System

6.4.2.1 OBX Segment
The OBX segment is used for sending parameters, alarm, alarm limits, alarm level and other
configuration information.
The following table defines the syntax of OBX segment.

SEQ LEN DT OPT Used Field Name

2 2 ID R No Value Type
3 80 CE R Yes Observation Identifier
4 20 ST O Yes Observation Sub-ID
5 65K R Yes Observation Results
6 60 CE O Yes Units
7 60 ST O Yes Reference Range
11 1 ID R Yes Observation Results Status
13 20 ST O Yes User Defined Access Checks
14 26 TS O Yes Date/Time of the Observation

In the table, the 3rd field ‘Observation Identifier’ identifies the unique OBX segment in the
<ID>^<Text> format, where <Text> is a description of <ID>.
For example, if the 3rd field is ‘101^HR’, it means that the OBX segment describes the HR
value and that the ID of OBX is ‘101’.

6.4.2.2 Mindray HL7 Code

Mindray HL7 Code (MHC) specifically describes the 3rd field of OBX segment. For details,
refer to Appendix B.

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 Realtime Results Interface

6.5 Broadcast Message

6.5.1 Online Notification Message of the Patient Monitor

(ADT^A01)
6.5.1.1 Message Content
The message contains:

Department name

Bed No.

Patient ID and Patient Name.

IP address and port number of the bedside monitor or telemetry receiver.

Flag for whether a patient is admiited

Monitor name

Monitor Standby status

Serial number of the telemetry transmitter (only used for CMS or PDS Gateway)

6.5.1.2 Message Format

The message format is shown below:

MSH Message Header

EVN Event Type
PID Patient Identification
PV1 Patient Visit
OBX Monitor Name
OBX Standby Status
OBX Telemetry transmitter serial No.
……

Example:
MSH|^~\&|||||||ADT^A01|101|P|2.3.1|
EVN||00000000|
PID|||d3050dc2-3c53-650c-5c965ac302b2e85e||Li^Ming|
PV1||I|^^ICU&33&3293316523&4601&1|||||||||||||||U|
OBX||ST|2304^MonitorName||ICUMON1||||||F
OBX||CE|2305^||0^||||||F
OBX||NM|2211^||0^||||||F

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6.5.1.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1 .
Here,

Message Type：ADT^A01

Message Control ID：101

Example:
MSH|^~\&|||||||ADT^A01|101|P|2.3.1|<CR>

6.5.1.4 EVN Segment

SEQ LEN DT OPT Used Field Name Description

2 26 TS R Yes Recorded Date/Time Date when the patient is
admitted as accurate as to
day. It is 0 (zero) by default.

Example:
EVN||20060906|<CR>

6.5.1.5 PID Segment

SEQ LEN DT OPT Used Field Name Description

3 20 CX R Yes Patient Identifier List Patient GUID
5 48 XPN R Yes Patient Name <First Name>^<Last Name>

Example:
PID|||d3050dc2-3c53-650c-5c965ac302b2e85e||Li^Ming|<CR>

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 Realtime Results Interface

6.5.1.6 PV1 Segment

SEQ LEN DT OPT Used Field Name Description

2 1 IS R Yes Patient Class Always ‘I’ (for Inpatient).

3 80 PL O Yes Assigned Patient Only the third component (bed) is used. The firsttwo
Location components are empty..
Format: <point of care>^<room>^<bed>.
The <bed> component divides into the following
subcomponents:
<Office Name>&<bed id>&<TCP Addr>&<TCP Connect
Port>&<Patient IID>&<Patient Admitted Flag>.
The <Patient IID> could possibly be empty.
The < Patient Admitted Flag > is either ‘1’ or ‘0’. ‘1’
means admitted, and ‘0’ means NOT admitted.

18 2 IS O Yes Patient Type “N”: Neonate

“A”: Adult
“P”: Pediatric
“U”: Unknown

Example:
PV1||I|^^CCU&12&3232241478&4601&&1|||||||||||||||U|

Description:
The department name is “CCU”. The bed No. is “12”. TCP port number, is “4601”. Patient
IID is empty. Flag for admitting patient is “1” (indicating that a patient is already admitted).

The IP address is the 32-bit number in the order of network byte. The IP address to which
“3232241478” corresponds is “192.168.23.70”. “3232241478” is “1100000 10101000
00010111 01000110” in the binary format. From left to right, the 1st eight-bit “11000000”
corresponds to “192” in the decimal format, the 2nd eight –bit “10101000” corresponds to
“168” in the decimal format, the 3rd eight –bit “00010111” corresponds to “23” in the decimal
format, and the 4th eight –bit “01000110” corresponds to “70” in the decimal format.

6.5.1.7 OBX Segment

Refer to Appendix B.4.

6.5.2 Online Broadcast Message of the CMS and PDS

Gateway(ORU^R01)
6.5.2.1 Message Content
Name of the CMS or PDS Gateway.

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 Realtime Results Interface

6.5.2.2 Message Format

The message format is shown below:

MSH Message Header

OBX CMS or PDS Gateway Name

Example:
MSH|^~\&|||||||ORU^R01|1205|P|2.3.1|
OBX||ST|4523^||cms_name||||||F

6.5.2.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：1205

6.5.2.4 OBX Segment

Refer to Appendix B.4.

6.6 Bed List

Bed list can be queried through CMS or PDS Gateway via the query port.

6.6.1 Query Message

QRY message is used. For details, refer to Chapter 6.9 .
Here, MSH and QRD segments are used and QRF segment is omitted.
The format is shown below:

MSH Message Header

QRD Query definition

Example:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1<CR>
QRD|19970731145557|R|I|Q839572|||||RES<CR>

6.6.2 Bed List Message

A bed list message is composed of the Online Notification Message of every bedside monitor
and start & end control messages.
The start & end control messages are used to judge whether bed list is complete, as shown

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 Realtime Results Interface

below:

Start control message

Monitor 1 online broadcast message

Monitor 2 online broadcast message

……

Monitor n online broadcast message

End control message

6.6.2.1 Control Message

Message Content
Amount of beds; start/end control flag.

Message Format
The message format is shown below:

MSH Message Header

OBX Bed Count
OBX Message Begin/End Flag

Example:
MSH|^~\&|||||||ORU^R01|1204|P|2.3.1|<CR>
OBX||NM|4520^||2||||||F<CR>
OBX||CE|4521^||1^||||||F<CR>

MSH segment
For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：1204

Example:
MSH|^~\&|||||||ORU^R01|1204|P|2.3.1|

OBX segment
For the definition of OBX segment, refer to Appendix B.5.

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6.6.2.2 Online Notification Message

Refer to Section 6.5.1.

6.7 TCP Echo Message

Both of the communication parties must send messages in the following format every second
to each other. If either party fails to receive the message within 10 seconds, it considers that
network fault occurs and then takes the initiative to interrupt network connection.

6.7.1 Message Format

The message format is shown below:

MSH Message Header

Example:
MSH|^~\&|||||||ORU^R01|106|P|2.3.1|

NOTE
 A TCP echo message must be in the above format.

6.7.2 Segment Definition

For the definition of MSH segment, refer to Section 6.4.1.1.

Here,

Message Type: ORU^R01

Message Control ID: 106

6.8 Patient Information Change Message (ORU^R01)

Mindray PDS protocol uses ORU^R01 message instead of ADT^A08 message to send patient
information change notifications. The reason is that ADT^A08 message cannot send such
information as patient height and weight.

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 Realtime Results Interface

6.8.1 Message Format

MSH Message Header
PID Patient Identification
PV1 Patient Visit
OBR Observations Report ID
{
OBX Observation/Result
}

The PID segment identifies patient basic information.

The PV1 segment identifies department and bed No.
The OBX segment transmits such information as patient height, weight, blood type, medical
record number and paced status.
Example:
MSH|^~\&|||||||ORU^R01|103|P|2.3.1|<CR>
PID|||dad6fc23-e283-be16-1d56d3b15b885fe6||Family name^first name||20060913|M|<CR>
PV1||I|^^ICU&23&3232241478&4601&0|||||||||||||||A|<CR>
OBR||||Mindray Monitor|||0|<CR>
OBX||NM|52^||34.5||||||F<CR>
OBX||NM|51^||44.9||||||F<CR>
OBX||ST|2301^||medical record number||||||F<CR>
OBX||CE|2302^blood type||1^A||||||F<CR>
OBX||CE|2303^pacemaker||1^ON||||||F<CR>

6.8.2 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type: ORU^R01

Message Control ID: 103
Example:
MSH|^~\&|||||||ORU^R01|103|P|2.3.1|<CR>

6.8.3 PID Segment

Table 6-1 Definition of PID segment
SEQ LEN DT OPT Used Field NAME Description
3 20 CX R Yes Patient Identifier List Patient GUID

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 Realtime Results Interface

SEQ LEN DT OPT Used Field NAME Description

5 48 XPN R Yes Patient Name <First Name>^<Last Name>

7 26 TS O Yes Date/Time of Birth Format: YYYYMMDD

8 1 IS O Yes Sex Contains the sex of the patient as

entered at the Information
Center. The format is:

Male: M

Female: F

Unknown: U

Example:
PID|||dad6fc23-e283-be16-1d56d3b15b885fe6||family name^first
name||20060913|M|<CR>

NOTE
 The GUID here is different from the Patient Medical Record Number entered on
the bedside monitor. It is come from background and meaningless. The Patient
Medical Record Number is sent using OBX segment, refer to Appendix B.4.

6.8.4 PV1 Segment

Refer to Section 6.5.1.6.
Example:
PV1||I|^^ICU&23&3232241478&4601&0|||||||||||||||A|<CR>

6.8.5 OBR Segment

Table 6-2 Definition of OBR segment
SEQ LEN DT OPT Used Field Name Description
4 200 CE R Yes Universal Service ID Always

“Mindray Monitor”

7 26 TS C Yes Observation Always “0”

Date/Time

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 Realtime Results Interface

Example:
OBR||||Mindray Monitor|||0|

6.8.6 OBX Segment

For the definition of OBX segment, refer to Appendix B.1 and Appendix B.4.

6.9 Query Message (QRY)

6.9.1 Introduction
The query message is used to:
1. Query the required data when bedside monitors are directly connected.
2. Acquire the bedside monitor or telemetry transmitter data through the CMS or PDS Gateway
using 4601 TCP port.
3. Query bed list through the CMS or PDS Gateway using 4678 TCP port. Refer to Chapter6.6

6.9.2 Message Format

The message format is shown below:

MSH Message Header

QRD Query definition
{
[
QRF Query filter
]
}

Example 1:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1<CR>
QRD|19970731145557|R|I|Q839572|||||RES<CR>
QRF|MON||||3232241478&5^1^1^0^101&102&103&104<CR>
QRF|MON||||3232241478&5^1^1^0^151&160&200<CR>

Example 2:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1<CR>
QRD|20060731145557|R|I|Q895211|||||RES<CR>
QRF|MON||||0&0^1^1^0^101&102&103&104<CR>

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6.9.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type: QRY^R02

Message Control ID: 1023
Example:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1<CR>

NOTE
 The MSH segment must be in the above formt. Moreover, the Message Control ID
of the 10th field must be "1203" Otherwise, it cannot be resolved.

6.9.4 QRD Segment

Table 6-3 describes the definition of QRD segment.
Table 6-3 Definition of QRD segment in QRY

SEQ LEN DT OPT Used Field Name Description

1 26 TS R Yes Date/Time of Query Format:
YYYYmmDDhhMMs
s000

2 1 ID R Yes Query format mode Must always be R for

record-oriented

3 1 ID R Yes Query Priority Must always be I for

immediate

4 10 ST R Yes Query ID:Some Can not be Null.

unique identifier Byte count < 16
Bytes

9 3 PT R Yes What subject filter Must be RES for

results in query and
in response

Example:
QRD|19970731145557|R|I|Q839572|||||RES<CR>

Message processing rules:

The 1st field must be in valid time format. Otherwise, an error message is returned.

The 2nd field must be ‘R’. Otherwise, an error message is returned.

The 3rd field must be ‘1’. Otherwise, an error message is returned.

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The 4th field cannot be empty. It should be less than 16 bytes. The server side does not
judge the uniquess of the ID.

The 9th field must be ‘RES’ . Otherwise, an error message is returned.

6.9.5 QRF Segment

The QRF segment defines the detailed contents to be queried. There can be 0 (zero) to
multiple QRF segments.

For the definition of QRF segment, refer to Table A-1.

Table A-1 Definition of QRF segment in QRY

SEQ LEN DT OPT Used Field Name Description
1 20 ST R Yes Where subject filter Must always be
MON for monitoring
data in queries and
in responses.

5 1000 ST, O Yes Other query subject Query Filter specifies

repeatable filter list with ID of
interest.
Refer to section
6.9.5.1

Example:
QRF|MON||||3232241478&11^2^1^0^1101&1151&1152<CR>

Message processing mechanism:

The 1st field must be ‘MON’. Otherwise, an error message is returned.

The 5th field defines query conditions. It cannot be empty. Otherwise, an error message
is returned.

6.9.5.1 Query Filter

The Query Filter format is below:

<IP>&<IPSeq>^<SendType>^<SendFreq>^<SendAll>^<List>

The following table resolves all the components of the segment.

Component Data type Value range Description

<IP> Integer 0 to 4294967295 IP address of the bedside monitor
connected with the CMS or PDS
Gateway.
Because the CMS or PDS

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Gateway is simultaneously
connected to multiple bedside
monitors, so uses the IP address to
identify the unique bedside
monitor or telemetry receiver.
The IP address is the 32-bit
integer in the order of network
byte. For details, refer to Section
6.5.1.6.

<IPSeq> Integer 0 to 255 Serial number of the telemetry

transmitter minus one.
Note: This is not TCP port
number.

<SendType> Integer 0 to 5 What kind of data to be sent.

The indication of the value of this
component is
“0”: invalid value
“1”: parameters
“3”: physiological alarm
“4”: technical alarm
“5”: other configuration
information
Note:“2” is reserved

<SendFreq> Integer 1 to 3600 Send frequency of periodic

parameter. Unit: second.
<SendAll> Integer 0 to 1 Whether to send all data specified
by <SendType>. It is only valid
for “parameters”.
0: No (Not all data of the
specified type are sent. Data need
to be filtered. What to be filtered
is defined by <List>).
1: Yes (all data of the specified
type are sent. Data are not filtered.
<List> is omitted).
<List> Integer 0 to 4294967295 <List> comprises multiple sub
components in the following
format:
<ID>&<ID>&<ID>...
1. Here, <ID> is defined by MHC.

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Every parameter has a unique ID.

For details, refer to Appendix B.
2. The amount of <ID> in each
“Query Filter” is less than 5.
3. If the value of <SendAll> is
“1”, <List> is meaningless. It is
omitted by the server side.
4. The value of <ID> cannot have
blank.

NOTE
 As the amount of <ID> in each “Query Filter” is less than 5, so when the total
count of <ID> is more than 5, mutiple QRF segments should be used.
 The max amount of <ID> allowed is not the same from different model of products
or version of software.
 If there are mutiple “Query Filter” in one QRY message, the <IP> & <IPSeq>
should have the same value.
 The component <SendFreq> must be the same for the same type of <SendType>.
 Every QRY message must contain all query conditions. When a new QRY message
comes, the previous query condition will be refreshed.
 If the QRY message is not in correct format, the server side does not retuns an
error message.

6.9.6 Example Analysis

Query the Bedside Monitor
Example 1:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1<CR>
QRD|20060731145557|R|I|Q895211|||||RES<CR>
QRF|MON||||0&0^1^1^0^101&102&103&104<CR>
QRF|MON||||0&0^1^1^0^151&160&170&171<CR>
QRF|MON||||0&0^1^1^0^172<CR>
QRF|MON||||0&0^3^1^1^<CR>
QRF|MON||||0&0^4^1^1^<CR>

Description:
Acquire only nine parameters of the bedside monitor. Their IDs are “101”, “102”, “103”,
“104”, “151”, “160”, “170”, “171”and“172”. The send frequency is 1s.
Acquire all the physiological alarm and technical alarm of the bedside monitor. The send

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frequency is 1s.
<IP> and <IPSeq> are not required for the bedside monitor. Therefore, the values of these
two sub components are “0”.

Example 2:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1<CR>
QRD|20060731145557|R|I|Q895211|||||RES<CR>
QRF|MON||||0&0^1^1^1^<CR>
QRF|MON||||0&0^3^1^1^<CR>
QRF|MON||||0&0^4^1^1^<CR>

Description:
Acquire all parameters, physiological alarm and technical alarm of the bedside monitor. The
send frequency is 1s.

Query the CMS or PDS Gateway

Example 1:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1|<CR>
QRD|20060713103045000|R|I|Q839572|||||RES<CR>
QRF|MON||||3232241478&0^1^1^0^101&102&103&104<CR>
QRF|MON||||3232241478&0^1^1^0^151&160&200<CR>

Description:
The IP address of the bedside monitor is “192.168.23.70” (<IP> value is “3232241478”).
Acquire the following parameters; IDs are “101”, “102”, “103”, “104”, “151”, “160” and
“200”. The transmission frequency is 1s.

Example 2:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1|<CR>
QRD|20060713103045000|R|I|Q839572|||||RES<CR>
QRF|MON||||3232241453&1^1^1^0^101&102&103&104<CR>
QRF|MON||||3232241453&1^1^1^0^151&160&200<CR>

Description:
The IP address of the telemetry receiver is “192.168.23.45” (<IP> value is “3232241453”).
The serial number of the telemetry transmitter is “1” (<IPSeq> value is “1”).
Acquire the following parameters; IDs are “101”, “102”, “103”, “104”, “151”, “160” and
“200”. The send frequency is 1s.

Query the Bed List

Example:
MSH|^~\&|||||||QRY^R02|1203|P|2.3.1<CR>

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QRD|19970731145557|R|I|Q839572|||||RES<CR>

Only MSH and QRD segments are used. The QRF segment is omitted.

6.9.7 Query Response Message

If the content and format of the QRY message is correct, the data queried is returned, using
ORU message, not ORF message. If the format is not correct, no ACK/NACK will be return.

6.10 Unsolicited Observation Reporting Message

(ORU)

6.10.1 Periodic parameters

6.10.1.1 Message Content

Generally, a message contains the parameters of a same module. Parameters of different
modules are sent in different messages.

6.10.1.2 Message Format

The message format is shown below:

MSH Message Header

{
OBX Parameters
}

6.10.1.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：204

Example:
MSH|^~\&|||||||ORU^R01|204|P|2.3.1|

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6.10.1.4 OBX Segment

The following table describes the definition of OBX segment.

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “NM”
3 80 CE R Yes Observation Identifier The format is:<ID>^<text>.
<ID>: Parameter ID. It cannot
be empty. Refer to Appendix
B.1
<text>: Parameter name. It
cannot be empty. The
parameter name is defined
by the server side.

4 20 ST O Yes Observation Sub-ID ID of the module to which the

parameter belongs. For
details of module ID, refer to
Appendix B.3.

5 65K R Yes Observation Results Parameter value.

6 60 CE O Yes Units Omitted. The default unit is
used. Refer to Appendix B.1.
7 60 ST O Yes Reference Range Omitted.
11 1 ID R Yes Observation Results “F”, representing “Final”.
Status

The HR parameter is shown below:

“60” HR Value

“2101” ECG Model ID

OBX||NM|101^HR|2101|60||||||F

“101”means HR parameter ID

“HR” parameter name

6.10.1.5 Example
MSH|^~\&|||||||ORU^R01|204|P|2.3.1|
OBX||NM|101^HR|2101|60||||||F
OBX||NM|102^PVCs|2101|0||||||F
OBX||NM|105^I|2101|-100.00||||||F
OBX||NM|106^II|2101|-100.00||||||F
OBX||NM|107^III|2101|-100.00||||||F
OBX||NM|108^aVR|2101|-100.00||||||F
OBX||NM|109^aVL|2101|-100.00||||||F
OBX||NM|110^aVF|2101|-100.00||||||F
OBX||NM|117^ST-V|2101|-100.00||||||F

MSH|^~\&|||||||ORU^R01|204|P|2.3.1|
OBX||NM|151^RR|2102|20||||||F

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MSH|^~\&|||||||ORU^R01|204|P|2.3.1|
OBX||NM|200^T1|2104|37.0||||||F
OBX||NM|201^T2|2104|37.2||||||F
OBX||NM|202^TD|2104|0.2||||||F

6.10.2 NIBP Parameter Message

As NIBP is aperiodic parameter, it is sent in a separate packet.

6.10.2.1 Message Format

The message format is shown below:

MSH Message Header

{
OBX Parameters
}

6.10.2.2 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：503

Example:
MSH|^~\&|||||||ORU^R01|503|P|2.3.1|

6.10.2.3 OBX Segment

The following table describes the definition of OBX segment.

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 Realtime Results Interface

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type "NM”

3 80 CE R Yes Observation The format is :<ID>^<text>.

Identifier <ID>: Parameter ID. It cannot be
empty. Refer to Appendix B.1
<text>: Parameter name. It cannot
be empty. The parameter name is
defined by the server side.

4 20 ST O Yes Observation Sub-ID ID of the module to which the

parameter belongs. Refer to
Appendix B.3.

5 65K R Yes Observation Results Parameter value.

6 60 CE O Yes Units Omitted. The default unit is used.

Refer to Appendix B.1.

7 60 ST O Yes Reference Range Omitted.

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status
13 20 ST O Yes User Defined Parameter type:
Access Checks “APERIODIC”: aperiodic
parameter.
“PERIODIC”: periodic parameter.
Default: “PERIODIC”.

14 26 TS O Yes Date/Time of the Omitted by default.

Observation The format is:
YYYYMMDDHHMMSS.
Only used for aperiodic
parameters, indicating
measurement time.

6.10.2.4 Example

MSH|^~\&|||||||ORU^R01|503|P|2.3.1|
OBX||NM|171^Dia|2105|80||||||F||APERIODIC|20070106191915
OBX||NM|172^Mean|2105|93||||||F||APERIODIC|20070106191915
OBX||NM|170^Sys|2105|120||||||F||APERIODIC|20070106191915

6.10.3 Physiological Alarm Message

6.10.3.1 Message Content
The message contains physiological alarm information.
If the message has no OBX segment, it indicates that there is no physiological alarm
currently.

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6.10.3.2 Message Format

The message format is shown below:

MSH Message Header

{
[
OBX Physiological Alarm
]
}

6.10.3.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：54

Example:
MSH|^~\&|||||||ORU^R01|54|P|2.3.1|

6.10.3.4 OBX Segment

The following table describes the definition of OBX segment.

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 Realtime Results Interface

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”

3 80 CE R Yes Observation “1”: high-level alarm

Identifier “2”: medium-level alarm
“3”: low-level alarm
“4”: message

4 20 ST O Yes Observation Sub-ID Not defined.

5 65K R Yes Observation Results The format is:<ID>^<text>.

<ID>: alarm ID
<text>: alarm text. It cannot be
empty. Multiple languages are
displayed based on different
character sets.

6 60 CE O Yes Units Omitted.

7 60 ST O Yes Reference Range Omitted.

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status
13 20 ST O Yes User Defined Access Omitted.
Checks
14 26 TS O Yes Date/Time of the The format is:
Observation YYYYMMDDHHMMSS
, indicating the time when the
alarm occurs.

6.10.3.5 Example

MSH|^~\&|||||||ORU^R01|54|P|2.3.1|
OBX||CE|2|1|10033^**SpO2 TOO HIGH||||||F|||20070106193145|
OBX||CE|2|1|10170^**Art-Sys TOO HIGH ||||||F|||20070106193145|
OBX||CE|2|1|10172^**Art-Mean TOO HIGH ||||||F|||20070106193145|
OBX||CE|2|1|10174^**Art-Dia TOO HIGH ||||||F|||20070106193145|
OBX||CE|2|1|10302^**CVP-Mean TOO HIGH ||||||F|||20070106193145|
OBX||CE|2|1|10002^**HR TOO LOW||||||F|||20070106193145|
OBX||CE|2|1|10044^**RR TOO LOW||||||F|||20070106193145|

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6.10.4 Technical Alarm Message

6.10.4.1 Message Content
The message contains technical alarm information.
If the message has no OBX segment, it indicates that there is no technical alarm currently.

6.10.4.2 Message Format

The message format is shown below:

MSH Message Header

{
[
OBX Technical alarm
]
}

6.10.4.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：56

Example:
MSH|^~\&|||||||ORU^R01|56|P|2.3.1|

6.10.4.4 OBX Segment

For the definition of OBX segment, refer to Section 6.10.3.4

6.10.4.5 Example

MSH|^~\&|||||||ORU^R01|56|P|2.3.1|
OBX||CE|3||457^NIBP COMMUNICATION ERROR||||||F|

6.10.5 Module Loading Message

6.10.5.1 Message Content
Contains:
Module ID & name.

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IDs & names of all the parameters of the module

6.10.5.2 Message Format

The message format is shown below:

MSH Message Header

OBX Module ID & Module Name
{
OBX Parameters ID & Name
}

6.10.5.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：11

Example:
MSH|^~\&|||||||ORU^R01|11|P|2.3.1|

6.10.5.4 OBX Segment

Module ID and name

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”

3 80 CE R Yes Observation Identifier The format is:<ID>^<text>.

<ID>: 2023
<text>: omitted

4 20 ST O Yes Observation Sub-ID Not defined

5 65K R Yes Observation Results The format is:<ID>^<text>.

<ID>: module ID
<text>: module name

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

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Parameter ID and name

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”

3 80 CE R Yes Observation Identifier The format is:

<ID>^<text>.
<ID>: 2025
<text>: omitted

4 20 ST O Yes Observation Sub-ID Module ID

5 65K R Yes Observation Results The format is:

<ID>^<text>.
<ID>: parameter ID
<text>: parameter name

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

6.10.5.5 Example

“11”, Message Control ID

MSH|^~\&|||||||ORU^R01|11|P|2.3.1|
Module
OBX||CE|2023^||2101^ECG||||||F
ID & Name
OBX||CE|2025^|2101|101^HR||||||F
OBX||CE|2025^|2101|102^PVCs||||||F
OBX||CE|2025^|2101|105^ST-I||||||F
Paramet
OBX||CE|2025^|2101|106^ST-II||||||F
erList OBX||CE|2025^|2101|107^ST-III||||||F
OBX||CE|2025^|2101|108^ST-aVR||||||F
OBX||CE|2025^|2101|109^ST-aVL||||||F
OBX||CE|2025^|2101|110^ST-aVF||||||F
OBX||CE|2025^|2101|117^ST-V||||||F

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6.10.6 Alarm Limits Message

6.10.6.1 Message Format
The message format is shown below:

MSH Message Header

{
OBX Alarm upper limit
}
{
OBX Alarm lower limit
}

6.10.6.2 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：51

Example:
MSH|^~\&|||||||ORU^R01|51|P|2.3.1|

6.10.6.3 OBX Segment

The following table describes the definition of OBX segment.

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “NM”
3 80 CE R Yes Observation Identifier “2002”: upper limit
“2003”: lower limit
4 20 ST O Yes Observation Sub-ID Parameter ID

5 65K R Yes Observation Results Upper/lower limits

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

6.10.6.4 Example
MSH|^~\&|||||||ORU^R01|51|P|2.3.1|
OBX||NM|2002^|101|200||||||F
OBX||NM|2003^|101|100||||||F

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OBX||NM|2002^|102|10||||||F
OBX||NM|2003^|102|0||||||F
OBX||NM|2002^|105|0.20||||||F
OBX||NM|2003^|105|-0.20||||||F

6.10.7 Alarm Level Message

6.10.7.1 Message Format
The message format is shown below:

MSH Message Header

{
OBX Alarm level
}

6.10.7.2 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：58

Example:
MSH|^~\&|||||||ORU^R01|58|P|2.3.1|

6.10.7.3 OBX Segment

The following table describes the definition of OBX segment.

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”
3 80 CE R Yes Observation Identifier “2009”
4 20 ST O Yes Observation Sub-ID Parameter ID

5 65K R Yes Observation Results Alarm level:

0:Unknown
1:High
2:Middle
3:Low

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

6.10.7.4 Example

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MSH|^~\&|||||||ORU^R01|58|P|2.3.1|
OBX||CE|2009^|101|2^||||||F
OBX||CE|2009^|102|2^||||||F
OBX||CE|2009^|105|2^||||||F
OBX||CE|2009^|106|2^||||||F
OBX||CE|2009^|107|2^||||||F
OBX||CE|2009^|108|2^||||||F
OBX||CE|2009^|109|2^||||||F
OBX||CE|2009^|110|2^||||||F
OBX||CE|2009^|117|2^||||||F

6.10.8 Module Unloading Message

6.10.8.1 Message Content
Specifies the ID of the module to be unloaded.
6.10.8.2 Message Format
The message format is shown below:

MSH Message Header

{
OBX Module ID Unloaded
}

6.10.8.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：12

Example:
MSH|^~\&|||||||ORU^R01|12|P|2.3.1|

6.10.8.4 OBX Segment

The following table describes the definition of OBX segment.

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SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”

3 80 CE R Yes Observation Identifier 2024
5 65K R Yes Observation Results Module ID
11 1 ID R Yes Observation Results “F”, representing “Final”.
Status

6.10.8.5 Example
To unload the ECG module:
MSH|^~\&|||||||ORU^R01|12|P|2.3.1|
OBX||CE|2024^||2101^||||||F

6.10.9 Parameter Loading & Unloading Messages

6.10.9.1 Message Content
Lists the parameters to be unloaded, then the parameters to be loaded of the same module.

6.10.9.2 Message Format

The message format is shown below:

MSH Message Header

{
OBX Parameters unloaded
OBX Parameters loading
}

6.10.9.3 MSH Segment

For the definition of MSH segment, refer to Section 6.4.1.1.
Here,

Message Type：ORU^R01

Message Control ID：1202

Example:
MSH|^~\&|||||||ORU^R01|1202|P|2.3.1|

6.10.9.4 OBX Segment

The following table describes the definition of OBX segment.

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Unloading

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “ST”

3 80 CE R Yes Observation Identifier 4502: unload parameter

5 65K R Yes Observation Results Format:<ID>^<ID>^<ID>

<ID>: parameter ID

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

Parameter loading

SEQ LEN DT OPT Used Field Name Description

2 2 ID R No Value Type “CE”

3 80 CE R Yes Observation Identifier 2025

5 65K R Yes Observation Results Format:<ID>^<text>

<ID>: parameter ID.
<text>: parameter name.

11 1 ID R Yes Observation Results “F”, representing “Final”.

Status

6.10.9.5 Example
When the ECG module is switched from 12 lead to 5 lead, it is necessary to unload some
parameters and then load new parameters.

MSH|^~\&|||||||ORU^R01|1202|P|2.3.1|
OBX||ST|4502^||105^106^107^108^109^110||||||F
OBX||ST|4502^||111^112^113^114^115^116||||||F
OBX||ST|4502^||117||||||F
OBX||CE|2025^||105^ST-I||||||F
OBX||CE|2025^||106^ST-II||||||F
OBX||CE|2025^||107^ST-III||||||F
OBX||CE|2025^||108^ST-aVR||||||F
OBX||CE|2025^||109^ST-aVL||||||F
OBX||CE|2025^||110^ST-aVF||||||F
OBX||CE|2025^||117^ST-V||||||F

6-36
A Introduction to HL7 Syntax
For a detailed description of HL7 syntax, refer to the HL7 protocol officially provided. Here
only the main points are listed.

A.1 Message Packaging Format

HL7 messages are in text format.
As shown below, each HL7 message consists of multiple segments in sequence. Each
segment consists of multiple fields in sequence. Every field can be repetitive. Thus, each filed
contains varying number of field repetitions. Each field repetition consists of multiple
components in sequence, which in turn can contain multiple sub components in sequence.
Message

Segment Segment

Field Field

Field Repetition Field Repetition

Component Component

Sub Component Sub Component

Figure A-1 Logical structure of an HL7 message

The following table lists the separators between the above elements.

Table A-1 Element & Separator

Element Separator
Segment <cr> The hexadecimal value is 0x0D
Field |
Field Repetition ~
Component ^
Sub Component &

A-1
 Introduction to HL7 Syntax

Example:
0x0BMSH|^~\&|||||||QRY^R02|||2.3.1<cr>QRD|19970731145557|R|I|Q839572|||||RES<cr>QR
F|MON||||3232241478&5^1^1^0^151&160&200|<cr>0x1C0x0D
The following diagram shows the complete message packaging in TCP transmission.

Figure A-2 HL7 message packing

A.2 Message Creation Rules

Write into a message every segment in the specified order. To create a segment, do as
follows:
1. The first three characters of every segment is the segment ID to uniquely identify the segment
such as “MSH” and “PID”.
2. Insert fields into the segment as per the following procedure:
（1）Insert a field separator “|”.
（2）If the field value does not exist, you do not need to insert any character.
（3）If the field value exists but is “empty” logically, inset ”” (two consecutive double
quotation marks).
（4）If the field value exists, insert the corresponding character string.
（5）If the definition of the field can be divided into components, do as follows:
（A）If there are two or more than two components, the components are separated by “^”.
（B）If the component does not exist, do not insert any character.
（C）If the component exists but its value is empty, insert ”” (two consecutive double
quotation marks).
（D）If a component can be further divided into sub components, do as follows:
a）If there are two or more than two sub components, the components are separated by “&”.
b）If the sub component does not exist, do not insert any character.
c）If the sub component exists but its value is empty, insert ”” (two consecutive double
quotation marks).

A-2
 Introduction to HL7 Syntax

A.3 Message Definition

An HL7 message is uniquely identified by message type ID and trigger event ID.
Expressed in the format of three capital letters, message type ID is placed in the
corresponding field, such as ORU message, indicating that the measured value is sent from
one system to the other.
Data exchange is triggered by the corresponding trigger event, whose ID is composed of
three capital letters and figures, to indicate data exchange events triggered by such events as
admitting, transferring and discharging patients. For example, A01stands for patient
admittance notification and A08 for modified patient information.
Message ID and trigger event ID are in one-to-multiple relationship. Generally, the
combination of message type ID and trigger event ID is used to uniquely identify a message.
For example, ADT^A01 means patient admittance notification message.
Mindray PDS protocol defines the following messages.

A.4 Message Format

Every message is composed of a set of segments arranged in the specified order. Every
segment is uniquely identified by a segment ID which is expressed in the format of three
capital letters such as MSH and PV1.
As shown in the following figure, a message is defined, where “{}” means that the set of
segments inside the {} must occur one or multiple times and “[]” means that the set of
segments inside the [] is optional. If a set of segments is both optional and repetitive, it is
indicated by {[]} or [{}]. Both forms are equivalent.
The message in the figure comprises more than two segments. The first segment is MSH and
the second PV1.
The words after message ID are for description purpose, such as “Message Header”.

MSH Message Header

{
PV1 Patient Visit
}
Figure A-3 Protocol message format

A.5 Segment Definition

Every segment is composed of a set of fields arranged in the specified order.
The following table defines the format of a segment.

A-3
 Introduction to HL7 Syntax

Table A-2 Segment definition

SEQ LEN DT OPT Used Field Name Description
1 1 ST R Yes Field Separator Always ‘|’
2 4 ST R Yes Encoding Characters Always ‘^~\&’
9 7 CM R Yes Message Type Here is ADT^A01
10 20 ST R Yes Message Control ID
11 3 PT R Yes Processing ID Always ‘P’
12 60 VID R Yes Version ID Always ‘2.3.1’

In which,
The SEQ column indicates the order of the filed in the segment.
The LEN column indicates the maximum number of characters of the field value.
The DT column indicates the data type of the field value.
The OPT column indicates that the value of the filed is mandatory. “R” stands for mandatory
and “O” for optional.
The Used column indicates whether the filed is used in Mindray PDS protocol. “Yes” stands
for used and “No” for not used.
The Field Name column indicates the name of the field.
The Description column indicates the description of the field.

The fields not included in the table are optional in the HL7 protocol and are not used in
Mindray PDS protocol.

A-4
B Mindray HL7 Code (MHC)
B.1 Parameter ID Part

Note
 The parameter names and module names below are for reference only. The actual
ones are subject to what the server side sends.

ID Text Module Name Description Default Unit

0 Unknown / Unknown Alarm /

1 Red / Red Alarm, critical alarm, high level /
2 Orange / Orange Alarm, serious alarm, medium level /
3 Yellow / Yellow Alarm, general alarm, low level /
4 Message / Common Message /

51 Weight / Patient Weight kg

B-1
 Introduction to HL7 Syntax

52 Height / Patent Height cm

101 HR ECG Heat Rate bpm

102 PVCs ECG PVC sum /min
103 ST1 ECG ST parameter - value ST1 mv
104 ST2 ECG ST parameter - value ST2 mv
105 ST_I ECG ST parameter - value ST_I mv
106 ST_II ECG ST parameter - value ST_II mv
107 ST_III ECG ST parameter - value ST_III mv
108 ST_aVR ECG ST parameter - value ST_aVR mv
109 ST_aVL ECG ST parameter - value ST_aVL mv
110 ST_aVF ECG ST parameter - value ST_aVF mv
111 ST_V1 ECG ST parameter - value ST_V1 mv
112 ST_V2 ECG ST parameter - value ST_V2 mv
113 ST_V3 ECG ST parameter - value ST_V3 mv
114 ST_V4 ECG ST parameter - value ST_V4 mv
115 ST_V5 ECG ST parameter - value ST_V5 mv
116 ST_V6 ECG ST parameter - value ST_V6 mv
117 ST_V ECG ST parameter - value ST_V mv

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151 RR RESP Respiration wave/rate rpm

160 SPO2 SPO2 Percent Oxyhemoglobin Saturation - Arterial %

161 PR SPO2 Pulse Rate bpm

170 NIBP S NIBP Non-invasive Blood Pressure Systolic mmHg

171 NIBP D NIBP Non-invasive Blood Pressure Diastolic mmHg
172 NIBP M NIBP Non-invasive Blood Pressure Mean mmHg

174 IBP1_M IBP CH1 Invasive Blood Pressure Mean: Channel 1 mmHg
175 IBP1_S IBP CH1 Invasive Blood Pressure Systolic: Channel 1 mmHg
176 IBP1_D IBP CH1 Invasive Blood Pressure Diastolic: Channel 1 mmHg

178 IBP2_M IBP CH2 Invasive Blood Pressure Mean: Channel 2 mmHg
179 IBP2_S IBP CH2 Invasive Blood Pressure Systolic: Channel 2 mmHg
180 IBP2_D IBP CH2 Invasive Blood Pressure Diastolic: Channel 2 mmHg

182 IBP3_M IBP CH3 Invasive Blood Pressure Mean: Channel 3 mmHg
183 IBP3_S IBP CH3 Invasive Blood Pressure Systolic: Channel 3 mmHg
184 IBP3_D IBP CH3 Invasive Blood Pressure Diastolic: Channel 3 mmHg

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186 IBP4_M IBP CH4 Invasive Blood Pressure Mean: Channel 4 mmHg
187 IBP4_S IBP CH4 Invasive Blood Pressure Systolic: Channel 4 mmHg
188 IBP4_D IBP CH4 Invasive Blood Pressure Diastolic: Channel 4 mmHg

200 T1 TEMP Non-specific temperature 1 ℃

201 T2 TEMP Non-specific temperature 2 ℃
202 TD TEMP Delta Temperature between non-specific temperature labels ℃
203 Temp TEMP temperature ℃

210 C.O. C.O. Cardiac output L/min

211 TI C.O. ℃
212 C.I. C.O. Aperiodic parameter，Cardiac Index L/min/m²
213 TB C.O. Aperiodic parameter，Blood temperature - delivered by C.O. ℃

220 CO2 CO2 End of Tidal CO2 mmHg

221 INS CO2 Inspired Minimum CO2 mmHg
222 AWRR CO2 Airway Respiration Rate rpm

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250 CO2Et AG End tidal Carbon Dioxide mmHg

251 CO2Fi AG Inspired C2O mmHg

253 O2Et AG End-Tidal O2 mmHg

254 O2Fi AG Inspired O2 mmHg

256 N2OEt AG End-Tidal N2O %

257 N2OFi AG Inspired N2O %

259 AAEt AG End-Tidal Anesthetic %

260 AAFi AG Inspired Anesthetic Agent %

262 HALEt AG End-Tidal Heathen %

263 HALFi AG Inspired Heathen %

265 ENFEt AG Inspired Enflurane %

266 ENFFi AG End-Tidal Enflurane %

268 ISOEt AG End-Tidal Isoflurane %

269 ISOFi AG Inspired Isoflurane %

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271 SEVEt AG End-Tidal Sevoflurane %

272 SEVFi AG Inspired Sevoflurane %

274 DESEt AG End-Tidal Desflurane %

275 DESFi AG Inspired Desflurane %

280 AgAwRR AG rpm

281 MAC AG /

301 Pmean VENT Mean airway pressure cmH2O

302 PEEP VENT Positive end-expiratory pressure cmH2O
303 Pplat VENT Plateau pressure cmH2O
304 Pmax VENT Maximum airway pressure cmH2O
305 MV VENT Minute volume l/min
306 VTE VENT Expired tidal volume ml
307 VTI VENT Inspired tidal volume ml
308 I:E VENT Inspiratory time:Expiratory time ratio /
309 Freq VENT Breath rate BPM
310 FiO2 VENT Fractional concentration of O2 in inspired gas %
311 Compliance VENT Compliance ml/cmH2O
312 Resistance VENT Resistance cmH2O/（l/s）

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313 SIMV Total Frequency VENT （SIMV）Total breath rate BPM

314 Spontaneous Frequency in SIMV VENT （SIMV）Spontaneous breath rates BPM
315 Spoutaneous MV in SIMV VENT （SIMV）Spontaneous minute volume l/min

350 BIS BIS BIS Parameters

351 SQI BIS BIS Parameters %
352 SR BIS BIS Parameters %
353 SEF BIS BIS Parameters Hz
354 EMG BIS BIS Parameters dB
355 TP BIS BIS Parameters dB

357 BIS_L BISX4 BISX4 Parameters /

358 BIS_R BISX4 BISX4 Parameters /
359 SQI_L BISX4 BISX4 Parameters %
360 SQI_R BISX4 BISX4 Parameters %
361 SR_L BISX4 BISX4 Parameters %
362 SR_R BISX4 BISX4 Parameters %
363 SEF_L BISX4 BISX4 Parameters Hz
364 SEF_R BISX4 BISX4 Parameters Hz
365 EMG_L BISX4 BISX4 Parameters dB
366 EMG_R BISX4 BISX4 Parameters dB

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367 TP_L BISX4 BISX4 Parameters dB

368 TP_R BISX4 BISX4 Parameters dB
369 BC_L BISX4 BISX4 Parameters /
370 BC_R BISX4 BISX4 Parameters /
371 sBIS_L BISX4 BISX4 Parameters /
372 sBIS_R BISX4 BISX4 Parameters /
373 sEMG_L BISX4 BISX4 Parameters /
374 sEMG_R BISX4 BISX4 Parameters /
375 ASYM BISX4 BISX4 Parameters %

400 RR RM RM Parameters rpm

401 MVE RM RM Parameters L/min
402 PEEP RM RM Parameters cmH2O
403 PIP RM RM Parameters cmH2O
404 I:E RM RM Parameters /
405 FEV1.0 RM RM Parameters %
406 Pmean RM RM Parameters cmH2O
407 Tvi RM RM Parameters ml
408 Tve RM RM Parameters ml
409 Mvi RM RM Parameters L/min
410 PEF RM RM Parameters L/min

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411 PIF RM RM Parameters L/min

412 Pplat RM RM Parameters cmH2O
413 WOB RM RM Parameters J
414 Compl RM RM Parameters ml/cmH2O
415 Raw RM RM Parameters cmH2O/L/s
416 RSBI RM RM Parameters rpm/L
417 NIP RM RM Parameters cmH2O
418 APNEA RM RM Parameters

450 C.I. ICG ICG Parameters L/min/m²

451 C.O. ICG ICG Parameters L/min
452 SV ICG ICG Parameters ml
453 SI ICG ICG Parameters ml/m²
454 SVR ICG ICG Parameters DS/cm5
455 SVRI ICG ICG Parameters DS·m²/cm5
456 PVR ICG ICG Parameters DS/cm5
457 PVRI ICG ICG Parameters DS·m²/cm5
458 TFC ICG ICG Parameters /kΩ
459 TFI ICG ICG Parameters Ω
460 EF ICG ICG Parameters %
461 ACI ICG ICG Parameters /100s²

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462 VI ICG ICG Parameters /1000s

463 LCW ICG ICG Parameters kg·m
464 LCWI ICG ICG Parameters kg·m/m²
465 LVSW ICG ICG Parameters g·m
466 LVSWI ICG ICG Parameters g·m/m²
467 RCW ICG ICG Parameters kg·m
468 RCWI ICG ICG Parameters kg·m/m²
469 RVSW ICG ICG Parameters g·m
470 RVSWI ICG ICG Parameters g·m/m²
471 STR ICG ICG Parameters
472 PEP ICG ICG Parameters ms
473 LVET ICG ICG Parameters ms
474 HR ICG ICG Parameters bpm
475 BSA ICG ICG Parameters m²
476 VEPT ICG ICG Parameters ml

500 Sys ART Art Module Invasive Blood Pressure Systolic mmHg
501 Mean ART Art Module Invasive Blood Pressure Mean mmHg
502 Dia ART Art Module Invasive Blood Pressure Diastolic mmHg
503 Sys PA PA Module Invasive Blood Pressure Systolic mmHg

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504 Mean PA PA Module Invasive Blood Pressure Mean mmHg

505 Dia PA PA Module Invasive Blood Pressure Diastolic mmHg
506 Sys Ao Ao Module Invasive Blood Pressure Systolic mmHg
507 Mean Ao Ao Module Invasive Blood Pressure Mean mmHg
508 Dia Ao Ao Module Invasive Blood Pressure Diastolic mmHg
509 Sys UAP UAP Module Invasive Blood Pressure Systolic mmHg
510 Mean UAP UAP Module Invasive Blood Pressure Mean mmHg
511 Dia UAP UAP Module Invasive Blood Pressure Diastolic mmHg
512 Sys BAP BAP Module Invasive Blood Pressure Systolic mmHg
513 Mean BAP BAP Module Invasive Blood Pressure Mean mmHg
514 Dia BAP BAP Module Invasive Blood Pressure Diastolic mmHg
515 Sys FAP FAP Module Invasive Blood Pressure Systolic mmHg
516 Mean FAP FAP Module Invasive Blood Pressure Mean mmHg
517 Dia FAP FAP Module Invasive Blood Pressure Diastolic mmHg

518 Sys IBP P1 IBP P1 Module Invasive Blood Pressure Systolic mmHg
519 Mean IBP P1 IBP P1 Module Invasive Blood Pressure Mean mmHg
520 Dia IBP P1 IBP P1 Module Invasive Blood Pressure Diastolic mmHg
521 Sys IBP P2 IBP P2 Module Invasive Blood Pressure Systolic mmHg
522 Mean IBP P2 IBP P2 Module Invasive Blood Pressure Mean mmHg
523 Dia IBP P2 IBP P2 Module Invasive Blood Pressure Diastolic mmHg

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524 Sys IBP P3 IBP P3 Module Invasive Blood Pressure Systolic mmHg
525 Mean IBP P3 IBP P3 Module Invasive Blood Pressure Mean mmHg
526 Dia IBP P3 IBP P3 Module Invasive Blood Pressure Diastolic mmHg
527 Sys IBP P4 IBP P4 Module Invasive Blood Pressure Systolic mmHg
528 Mean IBP P4 IBP P4 Module Invasive Blood Pressure Mean mmHg
529 Dia IBP P4 IBP P4 Module Invasive Blood Pressure Diastolic mmHg
530 Sys IBP P5 IBP P5 Module Invasive Blood Pressure Systolic mmHg
531 Mean IBP P5 IBP P5 Module Invasive Blood Pressure Mean mmHg
532 Dia IBP P5 IBP P5 Module Invasive Blood Pressure Diastolic mmHg
533 Sys IBP P6 IBP P6 Module Invasive Blood Pressure Systolic mmHg
534 Mean IBP P6 IBP P6 Module Invasive Blood Pressure Mean mmHg
535 Dia IBP P6 IBP P6 Module Invasive Blood Pressure Diastolic mmHg
536 Sys IBP P7 IBP P7 Module Invasive Blood Pressure Systolic mmHg
537 Mean IBP P7 IBP P7 Module Invasive Blood Pressure Mean mmHg
538 Dia IBP P7 IBP P7 Module Invasive Blood Pressure Diastolic mmHg
539 Sys IBP P8 IBP P8 Module Invasive Blood Pressure Systolic mmHg
540 Mean IBP P8 IBP P8 Module Invasive Blood Pressure Mean mmHg
541 Dia IBP P8 IBP P8 Module Invasive Blood Pressure Diastolic mmHg

542 Sys IBP AUX1 IBP AUX1 Module Invasive Blood Pressure Systolic mmHg
543 Mean IBP AUX1 IBP AUX1 Module Invasive Blood Pressure Mean mmHg

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544 Dia IBP AUX1 IBP AUX1 Module Invasive Blood Pressure Diastolic mmHg
545 Sys IBP AUX2 IBP AUX2 Module Invasive Blood Pressure Systolic mmHg
546 Mean IBP AUX2 IBP AUX2 Module Invasive Blood Pressure Mean mmHg
547 Dia IBP AUX2 IBP AUX2 Module Invasive Blood Pressure Diastolic mmHg
548 Sys IBP AUX3 IBP AUX3 Module Invasive Blood Pressure Systolic mmHg
549 Mean IBP AUX3 IBP AUX3 Module Invasive Blood Pressure Mean mmHg
550 Dia IBP AUX3 IBP AUX3 Module Invasive Blood Pressure Diastolic mmHg
551 Sys IBP AUX4 IBP AUX4 Module Invasive Blood Pressure Systolic mmHg
552 Mean IBP AUX4 IBP AUX4 Module Invasive Blood Pressure Mean mmHg
553 Dia IBP AUX4 IBP AUX4 Module Invasive Blood Pressure Diastolic mmHg
554 Sys IBP AUX5 IBP AUX5 Module Invasive Blood Pressure Systolic mmHg
555 Mean IBP AUX5 IBP AUX5 Module Invasive Blood Pressure Mean mmHg
556 Dia IBP AUX5 IBP AUX5 Module Invasive Blood Pressure Diastolic mmHg
557 Sys IBP AUX6 IBP AUX6 Module Invasive Blood Pressure Systolic mmHg
558 Mean IBP AUX6 IBP AUX6 Module Invasive Blood Pressure Mean mmHg
559 Dia IBP AUX6 IBP AUX6 Module Invasive Blood Pressure Diastolic mmHg
560 Sys IBP AUX7 IBP AUX7 Module Invasive Blood Pressure Systolic mmHg
561 Mean IBP AUX7 IBP AUX7 Module Invasive Blood Pressure Mean mmHg
562 Dia IBP AUX7 IBP AUX7 Module Invasive Blood Pressure Diastolic mmHg
563 Sys IBP AUX8 IBP AUX8 Module Invasive Blood Pressure Systolic mmHg
564 Mean IBP AUX8 IBP AUX8 Module Invasive Blood Pressure Mean mmHg

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565 Dia IBP AUX8 IBP AUX8 Module Invasive Blood Pressure Diastolic mmHg

566 Mean IBP CVP IBP CVP Module Invasive Blood Pressure Mean mmHg
567 Mean IBP RAP IBP RAP Module Invasive Blood Pressure Mean mmHg
568 Mean IBP LAP IBP LAP Module Invasive Blood Pressure Mean mmHg
569 Mean IBP ICP IBP ICP Module Invasive Blood Pressure Mean mmHg
570 Mean IBP UVP IBP UVP Module Invasive Blood Pressure Mean mmHg
571 Mean IBP LVP IBP LVP Module Invasive Blood Pressure Mean mmHg

573 Sys IBP CVP IBP CVP Module Invasive Blood Pressure Systolic mmHg
574 Sys IBP RAP IBP RAP Module Invasive Blood Pressure Systolic mmHg
575 Sys IBP LAP IBP LAP Module Invasive Blood Pressure Systolic mmHg
576 Sys IBP ICP IBP ICP Module Invasive Blood Pressure Systolic mmHg
577 Sys IBP UVP IBP UVP Module Invasive Blood Pressure Systolic mmHg
578 Sys IBP LVP IBP LVP Module Invasive Blood Pressure Systolic mmHg

580 Dia IBP CVP IBP CVP Module Invasive Blood Pressure Diastolic mmHg
581 Dia IBP RAP IBP RAP Module Invasive Blood Pressure Diastolic mmHg
582 Dia IBP LAP IBP LAP Module Invasive Blood Pressure Diastolic mmHg
583 Dia IBP ICP IBP ICP Module Invasive Blood Pressure Diastolic mmHg
584 Dia IBP UVP IBP UVP Module Invasive Blood Pressure Diastolic mmHg

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585 Dia IBP LVP IBP LVP Module Invasive Blood Pressure Diastolic mmHg
586 ICP_CePP IBP mmHg
587 PPV ART %
588 PPV AO %
589 PPV UAP %
590 PPV FAP %
591 PPV BAP %
592 PPV LVP %
593 PPV IBP1 %
594 PPV IBP2 %
595 PPV IBP3 %
596 PPV IBP4 %

600 PR PR PR Module Parameter PR bpm

601 Sys IBP pART IBP pART Module Invasive Blood Pressure Systolic mmHg
602 Mean IBP pART IBP pART Module Invasive Blood Pressure Mean mmHg
603 Dia IBP pART IBP pART Module Invasive Blood Pressure Diastolic mmHg
604 Sys IBP pCVP IBP pCVP Module Invasive Blood Pressure Systolic mmHg
605 Mean IBP pCVP IBP pCVP Module Invasive Blood Pressure Mean mmHg
606 Dia IBP pCVP IBP pCVP Module Invasive Blood Pressure Diastolic mmHg

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650 CCO CCO L/min

651 CCI CCO L/min/m²
652 C.O. CCO An aperiodic parameter L/min
653 C.I. CCO An aperiodic parameter L/min/m²
654 RVEF CCO %
655 TB CCO Blood temperature - delivered by CCO Module ℃
656 SVR CCO DS/cm5
657 SVRI CCO DS·cm²/cm5
658 SV CCO ml/b
659 SVI CCO ml/b/m²
660 EDV CCO ml
661 EDVI CCO ml/m²
662 ESV CCO ml
663 ESVI CCO ml/m²
664 CVP CCO mmHg
665 MAP CCO mmHg
666 HR CCO bpm
667 SVV CCO %
668 GEDV CCO ml
669 GEDI CCO ml/m2
670 ITBV CCO ml

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671 ITBI CCO ml/m2

672 PPV CCO %
673 EVLW CCO ml
674 ELWI CCO ml/Kg
675 CPO CCO W
676 CPI CCO W/m2
677 PVPI CCO /
678 GEF CCO %
679 dPmx CCO mmHg/s
680 CFI CCO 1/min
681 TI CCO ℃

750 SvO2 SvO2 %

751 ScvO2 SvO2 %
752 SaO2 SvO2 %
753 VO2 SvO2 ml/min
754 O2EI SvO2 %
755 DO2 SvO2 ml/min
756 SQI SvO2
757 DO2I SvO2 /
758 VO2I SvO2 /

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759 Hb SvO2 /

800 SpO2b SPO2B

801 ∆SpO2 SPO2B

820 tcpCO2 TCGas

821 tcpO2 TCGas
822 SpO2 TCGas
823 PR TCGas
824 Power TCGas
825 Tsensor TCGas

826 SR1 EEG1

827 SEF1 EEG1
828 MF1 EEG1
829 PPF1 EEG1
830 TP1 EEG1
831 EMG1 EEG1
832 Delta1 EEG1
833 Theta1 EEG1

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834 Alpha1 EEG1

835 Beta1 EEG1

836 SR2 EEG2

837 SEF2 EEG2
838 MF2 EEG2
839 PPF2 EEG2
840 TP2 EEG2
841 EMG2 EEG2
842 Delta2 EEG2
843 Theta2 EEG2
844 Alpha2 EEG2
845 Beta2 EEG2

846 SR3 EEG3

847 SEF3 EEG3
848 MF3 EEG3
849 PPF3 EEG3
850 TP3 EEG3
851 EMG3 EEG3
852 Delta3 EEG3

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853 Theta3 EEG3

854 Alpha3 EEG3
855 Beta3 EEG3

856 SR4 EEG4

857 SEF4 EEG4
858 MF4 EEG4
859 PPF4 EEG4
860 TP4 EEG4
861 EMG4 EEG4
862 Delta4 EEG4
863 Theta4 EEG4
864 Alpha4 EEG4
865 Beta4 EEG4

879 TOF-Ratio NMT %

880 TOF-Count NMT
881 ST_Ratio NMT %
882 ST_Count NMT
883 DBS_Ratio NMT %
884 DBS_Count NMT

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885 PTC NMT

886 T1 NMT

1024 DI_START Device Integration

10240 DI_END Device Integration

Note
 As for parameters of Anesthesia and Ventilator, HL7 codes of different parameters
are calculated in a certain algorithm to divide into two separate parts, that is,
Anesthesia [1024, 2048), and Ventilator [2048, 3072);
 These HL7 codes are translated from MD protocol. Considering different units and
parameter sources, the same parameter can have two or more HL7 parameter IDs.

The algorithm is specified as follows:

Assume that: “iReserved” to be a controller variable of encoding， which is always 0; “iModuleID” to be the Device ID of Device Integration (currently only 0
for Anesthesia, and 1 for Ventilator); “iSourceID” to be the parameter IDs from MD protocol (as demonstrated in following table); then the encoding process of
HL7 parameter code “iDestID” can be like this:
At first,
iDestID = iReserved << 14,
then,
iDestID = iDestID | ( (iModuleID+1) << 10 ),
and then,
iDestID = iDestID | iSourceID

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The original parameter IDs of MD protocol is as follows.

Source ID Text Module Name Description Default Unit

0 O2% Anesthesia %
1 PEEP Anesthesia cmH2O
2 PEEP Anesthesia cmH2O
3 Ppeak Anesthesia cmH2O
4 Pplat Anesthesia cmH2O
5 Pmean Anesthesia cmH2O
6 Paw Anesthesia cmH2O
7 VT Anesthesia ml
8 VTe Anesthesia ml
9 VTi Anesthesia ml
10 VTi Anesthesia ml
11 MV Anesthesia L/min
12 MVspn Anesthesia L/min
13 MVe Anesthesia L/min
14 MVi Anesthesia L/min
15 MVLEAK Anesthesia L/min
16 f Anesthesia bpm
17 f Anesthesia bpm

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18 fmand Anesthesia bpm

19 ftot Anesthesia bpm
20 fspn Anesthesia bpm
21 fSIMV Anesthesia bpm
22 FreqMIN Anesthesia bpm
23 I:E Anesthesia
24 I:E Anesthesia
25 TIP:TI Anesthesia %
26 Tslope Anesthesia s
27 Tinsp Anesthesia s
28 Texp Anesthesia s
29 Trig Window Anesthesia %
30 Plimit Anesthesia cmH2O
31 Pinsp Anesthesia cmH2O
32 Psupp Anesthesia cmH2O
33 Pmax Anesthesia cmH2O
34 P-Trigger Anesthesia cmH2O
35 F-Trigger Anesthesia L/min
36 Insp Flow Anesthesia L/min
37 Exp Flow Anesthesia L/min
38 Exp% Anesthesia %

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39 Compl Anesthesia ml/cmH2O

40 RAW Anesthesia cmH2O/L/s
41 Pmin Anesthesia cmH2O
42 Paux Min Anesthesia cmH2O
43 Paux Peak Anesthesia cmH2O
44 Paux Mean Anesthesia cmH2O
45 FRC Anesthesia ml
46 PEEPi Anesthesia cmH2O
47 PEEPe Anesthesia cmH2O
48 PEEPtot Anesthesia cmH2O
49 PEEPi time Anesthesia min
50 P0.1 Anesthesia cmH2O
51 P0.1 time Anesthesia min
52 RRCO2 Anesthesia bpm
53 EtCO2 Anesthesia %
54 EtCO2 Anesthesia mmHg
55 FiCO2 Anesthesia %
56 FiCO2 Anesthesia mmHg
57 FiO2 Anesthesia %
58 FiO2 Anesthesia mmHg
59 EtO2 Anesthesia %

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60 EtO2 Anesthesia mmHg

61 △O2 Anesthesia %
62 △O2 Anesthesia mmHg
63 Tapnea Anesthesia s
64 FiN2O Anesthesia %
65 EtN2O Anesthesia %
66 FiDes Anesthesia %
67 EtDes Anesthesia %
68 FiSev Anesthesia %
69 EtSev Anesthesia %
70 FiEnf Anesthesia %
71 EtEnf Anesthesia %
72 FiIso Anesthesia %
73 EtIso Anesthesia %
74 FiHal Anesthesia %
75 EtHal Anesthesia %
76 FiAA Anesthesia %
77 EtAA Anesthesia %
78 FiAA 2nd Anesthesia %
79 EtAA 2nd Anesthesia %
80 Insp. MAC Anesthesia

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81 Exp. MAC Anesthesia

82 MAC Anesthesia
83 ATMP Anesthesia mmHg
84 HALLev Anesthesia ml
85 ENFLev Anesthesia ml
86 ISOLev Anesthesia ml
87 DESLev Anesthesia ml
88 SEVLev Anesthesia ml
89 VO2 Anesthesia ml/min
90 VO2/m2 Anesthesia ml/min/m2
91 VO2/kg Anesthesia ml/min/kg
92 VCO2 Anesthesia ml/min
93 EE Anesthesia kcal/day
94 RQ Anesthesia
95 PO2 Anesthesia kPa
96 PN2O Anesthesia kPa
97 Pair Anesthesia kPa
98 O2 cyl. Anesthesia kPa
99 O2 cyl.2nd Anesthesia kPa
100 N2O cyl. Anesthesia kPa
101 Air cyl. Anesthesia kPa

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102 FG Anesthesia ml/min

103 N2O Flow Anesthesia L/min
104 Air Flow Anesthesia L/min
105 O2 Flow Anesthesia L/min
106 Des flow Anesthesia ml/h
107 Enf flow Anesthesia ml/h
108 Iso flow Anesthesia ml/h
109 Hal flow Anesthesia ml/h
110 Sev flow Anesthesia ml/h
111 IBW Anesthesia kg
112 BSA Anesthesia m2
113 BIS Anesthesia
114 SQI Anesthesia
115 SR Anesthesia
116 EMG Anesthesia dB
117 SEF Anesthesia Hz
118 TP Anesthesia dB
119 BC Anesthesia /min
120 SpO2 Anesthesia %
121 PR Anesthesia bpm
122 MV Anesthesia L/min

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123 Rise Time% Anesthesia %

124 Tinsp Anesthesia %
125 Tpause Anesthesia %
126 Tpause Anesthesia s
127 PC above PEEP Anesthesia cmH2O
128 PS above PEEP Anesthesia cmH2O
129 Ti/Ttot Anesthesia
130 F-Trigger Anesthesia
131 O2% Anesthesia %

0 O2% Ventilator %
1 PEEP Ventilator cmH2O
2 PEEP Ventilator cmH2O
3 Ppeak Ventilator cmH2O
4 Pplat Ventilator cmH2O
5 Pmean Ventilator cmH2O
6 Paw Ventilator cmH2O
7 VT Ventilator ml
8 VTe Ventilator ml
9 VTi Ventilator ml

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10 VT/kg Ventilator ml/kg

11 VTe spn Ventilator ml
12 VTapnea Ventilator ml
13 MV Ventilator L/min
14 MVspn Ventilator L/min
15 MVe Ventilator L/min
16 MVi Ventilator L/min
17 ftot Ventilator bpm
18 fmand Ventilator bpm
19 fspn Ventilator bpm
20 fapnea Ventilator bpm
21 fCMV Ventilator bpm
22 fSIMV Ventilator bpm
23 f Ventilator bpm
24 I:E Ventilator
25 I:E Ventilator
26 fsigh Ventilator bpm
27 VTsigh Ventilator ml
28 △int.PEEP Ventilator cmH2O
29 MVLEAK Ventilator L/min
30 Leak Comp Ventilator %

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31 FiO2 Ventilator %
32 FiO2 Ventilator mmHg
33 EtO2 Ventilator %
34 EtO2 Ventilator mmHg
35 △O2 Ventilator %
36 △O2 Ventilator mmHg
37 Rstat Ventilator cmH2O/L/s
38 Rdyn Ventilator cmH2O/L/s
39 Cstat Ventilator ml/cmH2O
40 Cdyn Ventilator ml/cmH2O
41 RSBI Ventilator 1/(min∙L)
42 WOB Ventilator J/L
43 WOBimp Ventilator J/min
44 O2 Flow Ventilator L/min
45 Air Flow Ventilator L/min
46 Insp Flow Ventilator L/min
47 Exp Flow Ventilator L/min
48 Base Flow Ventilator L/min
49 Tsupp Ventilator s
50 F-Trigger Ventilator L/min
51 Trigger Ventilator %

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52 P-Trigger Ventilator cmH2O

53 Psupp Ventilator cmH2O
54 Plimit Ventilator cmH2O
55 Tplat Ventilator s
56 Tinsp Ventilator s
57 Texp Ventilator s
58 Pinsp Ventilator cmH2O
59 Papnea Ventilator cmH2O
60 Pause Ventilator s
61 Tpause Ventilator %
62 Trise Ventilator s
63 Rise Time% Ventilator %
64 Phigh Ventilator cmH2O
65 Plow Ventilator cmH2O
66 Thigh Ventilator s
67 Tlow Ventilator s
68 Exp% Ventilator %
69 Pmax Ventilator cmH2O
70 PC above PEEP Ventilator cmH2O
71 PS above PEEP Ventilator cmH2O
72 PEEP/CPAP Ventilator cmH2O

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73 Paux Peak Ventilator cmH2O

74 Paux Mean Ventilator cmH2O
75 Paux Min Ventilator cmH2O
76 Base Press Ventilator cmH2O
77 Ri Ventilator cmH2O/L/s
78 Re Ventilator cmH2O/L/s
79 RCexp Ventilator s
80 RCinsp Ventilator s
81 PTP Ventilator cmH2O.s
82 Pmin Ventilator cmH2O
83 Vtrap Ventilator ml
84 PO2 Ventilator kPa
85 Pair Ventilator kPa
86 O2 cyl. Ventilator kPa
87 O2 cyl.2nd Ventilator kPa
88 Air cyl. Ventilator kPa
89 FRC Ventilator ml
90 T Ventilator °C
91 NIF Ventilator cmH2O
92 P0.1 Ventilator cmH2O
93 PEEPi Ventilator cmH2O

B-32
 Introduction to HL7 Syntax

94 PEEPe Ventilator cmH2O

95 PEEPtot Ventilator cmH2O
96 EtCO2 Ventilator %
97 EtCO2 Ventilator mmHg
98 FiCO2 Ventilator %
99 FiCO2 Ventilator mmHg
100 RRCO2 Ventilator bpm
101 Flow Ventilator L/min
102 Peak Flow Ventilator L/min
103 Ext. Flow Ventilator L/min
104 Tapnea Ventilator s
105 IBW Ventilator kg
106 Ti max Ventilator s
107 Tip Ventilator s
108 TRC Ventilator
109 ASB ramp Ventilator s
110 Ramp Ventilator ms
111 PASB Ventilator cmH2O
112 FlowAssist Ventilator mbar.s/L
113 Vol. Assist Ventilator mbar.s/L
114 Tdisconnect Ventilator s

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 Introduction to HL7 Syntax

115 FlowAcc Ventilator mbar/s

116 %MinVol Ventilator %
117 Vds Ventilator ml
118 EE Ventilator kcal/day
119 RQ Ventilator
120 VO2 Ventilator ml/min
121 VCO2 Ventilator ml/min
122 VO2/m2 Ventilator ml/min/m2
123 VCO2/m2 Ventilator ml/min/m2
124 VO2/kg Ventilator mL/min/kg
125 VCO2/kg Ventilator mL/min/kg
126 ATC Ventilator %
127 Tube ID Ventilator mm
128 PR Ventilator bpm
129 SpO2 Ventilator %
130 O2% Ventilator %
131 MV Ventilator L/min
132 Tpause Ventilator s
133 Tpeep Ventilator s
134 VTCO2 Ventilator ml
135 F-Trigger Ventilator

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 Introduction to HL7 Syntax

136 Ti/Ttot Ventilator

B-35
 Introduction to HL7 Syntax

B.2 Parameter Attribute Part

ID Sub ID Text Description Value Range

2002 Parameter ID Alarm upper limit Alarm upper limit.

Uses Sub ID to specify parameter ID.
Example:
/
OBX||NM|2002^Alarm Limit High|103|100||||||F
In which, 103(Sub ID) is the ID of parameter ST1. Refer to Appendix B.1.
Indication: The ST1 alarm upper limit is 100.
2003 Parameter ID Alarm lower limit Alarm low limit.
Uses Sub ID to specify parameter ID.
Example:
/
OBX||NM|2003^Alarm Limit Low|103|40||||||F
In which, 103(Sub ID) is the ID of parameter ST1. Refer to Appendix B.1.
Indication: The ST1 alarm lower limit is 40.
2009 Parameter ID Alarm Level Alarm level.
Uses Sub ID to specify parameter ID. 0:Unknown
Example: 1:High
OBX||CE|2009^Alarm Level|101|3^Low||||||F 2:Middle
In which, 101 (Sub ID) is the ID of parameter HR. Refer to Appendix B.1. 3:Low
Indication: The alarm level of HR is "Low”.

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 Introduction to HL7 Syntax

2023 / Module Load Module Load Event

Module ID
Example:
Refer to
OBX||CE|2023^ModuleLoad||2102^RESP||||||F
Appendix B.3
Indication: RESP module is loaded.
2024 / Module UnLoad Module UnLoad Event
Module ID
Example:
Refer to
OBX||CE|2024^ModuleUnLoad||2102^RESP||||||F
Appendix B.3
Indication: RESP module is unloaded.
2025 Module ID Module Load & Unload Parameter list in case of module loaded & unloaded.
Parameter List Example: When the ECG module is loaded, the loaded parameters are:
OBX||CE|2025^|2101|101^HR||||||F
Parameter ID
OBX||CE|2025^|2101|102^PVCs||||||F
Refer to
OBX||CE|2025^|2101|105^ST-I||||||F
Appendix B.1
OBX||CE|2025^|2101|106^ST-II||||||F
OBX||CE|2025^|2101|107^ST-III||||||F
……

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 Introduction to HL7 Syntax

B.3 Module ID Part

Note
 The module names below are for reference only. The actual ones are subject to
what the server side sends.

ID Text Description

2101 ECG ECG Module ID

2102 RESP RESP Module ID
2103 SPO2 SPO2 Module ID
2104 TEMP TEMP Module ID
2105 NIBP NIBP Module ID
2106 AG AG Module ID
2107 Vent Ventilator Module ID(anaesthesia monitoring module)
2108 CO CO Module ID
2109 CO2 CO2 Module ID
2110 IBP12 IBP12 Module ID
2111 IBP34 IBP34 Module ID

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 Introduction to HL7 Syntax

2112 BIS BIS Module ID

2113 RM RM Module ID
2114 ICG ICG Module ID
2115 PR PR Module ID
2116 ART IBP ART Module ID
2117 PA IBP PA Module ID
2118 CVP IBP CVP Module ID
2119 RAP IBP RAP Module ID
2120 LAP IBP LAP Module ID
2121 ICP IBP ICP Module ID
2122 IBP P1 IBP P1 Module ID
2123 IBP P2 IBP P2 Module ID
2124 IBP P3 IBP P3 Module ID
2125 IBP P4 IBP P4 Module ID
2126 IBP P5 IBP P5 Module ID
2127 IBP P6 IBP P6 Module ID
2128 IBP P7 IBP P7 Module ID
2129 IBP P8 IBP P8 Module ID
2130 Ao IBP Ao Module ID
2131 UAP IBP UAP Module ID
2132 BAP IBP BAP Module ID

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 Introduction to HL7 Syntax

2133 FAP IBP FAP Module ID

2134 UVP IBP UVP Module ID
2135 IBP AUX1 IBP AUX1 Module ID
2136 IBP AUX2 IBP AUX2 Module ID
2137 IBP AUX3 IBP AUX3 Module ID
2138 IBP AUX4 IBP AUX4 Module ID
2139 IBP AUX5 IBP AUX5 Module ID
2140 IBP AUX6 IBP AUX6 Module ID
2141 IBP AUX7 IBP AUX7 Module ID
2142 IBP AUX8 IBP AUX8 Module ID
2143 LVP IBP LVP Module ID
2144 CCO CCO Module ID
2145 SvO2 SvO2 Module ID
2146 pART PICCO ART Module ID
2147 pCVP PICCO CVP Module ID
2148 Anesthesia Anesthesia Module ID
2149 Ventilator Ventilator Module ID
2150 SPO2B Single SPO2 Module ID
2151 TCGas TCGas Module ID
2153 EEG1 EEG Channel 1 Module ID
2154 EEG2 EEG Channel 2 Module ID

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 Introduction to HL7 Syntax

2155 EEG3 EEG Channel 3 Module ID

2156 EEG4 EEG Channel 4 Module ID
2157 NMT NMT Module ID

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 Introduction to HL7 Syntax

B.4 Patient and Monitor Information Part

Note
 The Text to which ID corresponds is below is for reference only. The actual ones
are subject to what the server side sends.

Data
ID Text Sub ID Description Value Range
Type
2301 Patient Medical ID / Patient medical number. < 64 bytes ST

OBX||ST|2301^||Mindray23445||||||F
Indication: Patient medical number is “Mindray23445”.
2302 Blood / Blood type. 0:Unknown CE
OBX||CE|2302^Blood type||1^A||||||F 1:A
Indication: Blood type is “A”. 2:B
3:AB
4:O
5:NA
2303 Pace Switch / Pace switch. 0:Off CE
OBX||CE|2303^Pace||1^On||||||F 1:On
2:Unkown

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 Introduction to HL7 Syntax

2304 MonitorName / Monitor name. < 32 bytes ST

OBX||ST|2304^MonitorName||ICUMon1||||||F
2305 Standby / Stand by state. 0:No CE
OBX||CE|2405^Standby||1^Standby||||||F 1:Standby

2211 IP Seq / Telemetry transmitter serial number 0~255 NM

OBX||NM|2211^||0^||||||F
4523 / / Name of the CMS or PDS Gateway < 64 bytes ST
OBX||ST|4523^||cms_name||||||F

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 Introduction to HL7 Syntax

B.5 Control and Setting Part

Note
 The Text to which ID corresponds is below is for reference only. The actual ones
are subject to what the server side sends.

Sub Data
ID Text Description Value Range
ID Type
0：unknown
1：High Level
The highest alarm level of the patient monitor currently.
2306 HighestAlmLevel / 2：Middle Level CE
OBX||CE|2306^HighestAlmLevel||2^MiddleLevel||||||F
3：Low Level
4：None
0：None
1：physiological
alarms（Phys）
The type of highest alarm level of the patient monitor currently.
2307 HighestAlmType / 2：Technical alarms CE
OBX||CE|2307^HighestAlmType||1^Phys||||||F
（Tech）
Notes: If there are
physiological

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 Introduction to HL7 Syntax

alarms and
technical alarms
currently with the
same alarm level,
this filed is value of
“Phys”.
0：None
1：NurseCall
2：User Event
If the bedside device is telemetry, this segment
2209 Tell_Call / 3：Event and Nurse CE
describes whether there is a Event or Nurse Call.
Call
4：Stop Nurse Call
5：Stop User Event
Whether alarms of the equipment are in one of these 0：AlmNormal
statuses: alarm off, alarm pause, audio alarm off, 1：AlmSilence
2032 AlarmSetting / alarm silence, or none of above statuses (i.e. in 2：AlmSoundOFF CE
normal alarming status) 3、AlmPause
OBX||CE|2032^AlarmSetting||0^AlmNormal||||||F 4、AlmOFF
0：Unknown
ECG lead type 1：3 Lead
2404 Lead_Type / CE
OBX||CE|2404^Leed_Type||3^Lead_12||||||F 2：5 Lead
3：12 Lead
0：Unknown
The Source of PR parameter.
3902 PR Source / 1：SPO2 CE
OBX||CE|3902^PR_Source||2^IBP||||||F
2：IBP

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 Introduction to HL7 Syntax

0：Unknown
1：HR (Manual )
HR_PR Alarm Alarm source of the HR and PR parameter.
2415 / 2：PR (Manual ) CE
Source OBX||CE|2415^HR_PR_Alm_Src||3^HR(Auto)||||||F
3：HR (Auto)
4：PR (Auto)
The bedside monitor is disconnected or power off.
2394 Connect_State / 1：Disconnected CE
OBX||CE|2394^ Connect_State||1^Disconnected||||||F

Used for bed list information to specify the number of beds.

4520 / / 0 to 255 NM
OBX||NM|4520^||2||||||F

Used for bed list information to specify the start/end control flag of a bed
list. “1” indicates start.
4521 / / CE
OBX||CE|4521^||1^||||||F and “2” for end.

0: Unknown
1: CO2
The Source of RR parameter.
2213 RR Source / 2: CO2 (GAS) CE
OBX||CE|2213^RR_Source||2^CO2||||||F
3: RM
4:ECG

B-46
 Introduction to HL7 Syntax

B.6 Physiological Alarm ID Part

Note

 The Text to which ID corresponds is below is for reference only. The actual ones are subject to what the server side sends.

ID Text
10000 Unknown Phys. Alarm
10001 HR Too High
10002 HR Too Low
10003 ST1 Too High
10004 ST1 Too Low
10005 ST2 Too High
10006 ST2 Too Low
10007 ST-I Too High
10008 ST-I Too Low
10009 ST-II Too High
10010 ST-II Too Low
10011 ST-III Too High
10012 ST-III Too Low
10013 ST-aVR Too High
10014 ST-aVR Too Low
10015 ST-aVL Too High

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 Introduction to HL7 Syntax

10016 ST-aVL Too Low

10017 ST-aVF Too High
10018 ST-aVF Too Low
10019 ST-V1 Too High
10020 ST-V1 Too Low
10021 ST-V2 Too High
10022 ST-V2 Too Low
10023 ST-V3 Too High
10024 ST-V3 Too Low
10025 ST-V4 Too High
10026 ST-V4 Too Low
10027 ST-V5 Too High
10028 ST-V5 Too Low
10029 ST-V6 Too High
10030 ST-V6 Too Low
10031 PVCs Too High
10032 PVCs Too Low
10033 SpO2 Too High
10034 SpO2 Too Low
10035 PR Too High
10036 PR Too Low
10037 NIBP-Sys Too High
10038 NIBP-Sys Too Low
10039 NIBP-Mean Too High
10040 NIBP-Mean Too Low

B-48
 Introduction to HL7 Syntax

10041 NIBP-Dia Too High

10042 NIBP-Dia Too Low
10043 RR Too High
10044 RR Too Low
10045 IBP1-Sys Too High
10046 IBP1-Sys Too Low
10047 IBP1-Mean Too High
10048 IBP1-Mean Too Low
10049 IBP1-Dia Too High
10050 IBP1-Dia Too Low
10051 IBP2-Sys Too High
10052 IBP2-Sys Too Low
10053 IBP2-Mean Too High
10054 IBP2-Mean Too Low
10055 IBP2-Dia Too High
10056 IBP2-Dia Too Low
10057 IBP3-Sys Too High
10058 IBP3-Sys Too Low
10059 IBP3-Mean Too High
10060 IBP3-Mean Too Low
10061 IBP3-Dia Too High
10062 IBP3-Dia Too Low
10063 IBP4-Sys Too High
10064 IBP4-Sys Too Low
10065 IBP4-Mean Too High

B-49
 Introduction to HL7 Syntax

10066 IBP4-Mean Too Low

10067 IBP4-Dia Too High
10068 IBP4-Dia Too Low
10069 FiCO2 Too High
10070 FiCO2 Too Low
10071 EtCO2 Too High
10072 EtCO2 Too Low
10073 awRR Too High
10074 awRR Too Low
10075 T1 Too High
10076 T1 Too Low
10077 T2 Too High
10078 T2 Too Low
10079 Td Too High
10080 Td Too Low
10081 TB Too High
10082 TB Too Low
10083 EtCO2 Too High
10084 EtCO2 Too Low
10085 FiCO2 Too High
10086 FiCO2 Too Low
10087 EtO2 Too High
10088 EtO2 Too Low
10089 FiO2 Too High
10090 FiO2 Too Low

B-50
 Introduction to HL7 Syntax

10091 EtN2O Too High

10092 EtN2O Too Low
10093 FiN2O Too High
10094 FiN2O Too Low
10095 EtAA Too High
10096 EtAA Too Low
10097 FiAA Too High
10098 FiAA Too Low
10099 EtHAL Too High
10100 EtHAL Too Low
10101 FiHAL Too High
10102 FiHAL Too Low
10103 EtENF Too High
10104 EtENF Too Low
10105 FiENF Too High
10106 FiENF Too Low
10107 EtISO Too High
10108 EtISO Too Low
10109 FiISO Too High
10110 FiISO Too Low
10111 EtSEV Too High
10112 EtSEV Too Low
10113 FiSEV Too High
10114 FiSEV Too Low
10115 EtDES Too High

B-51
 Introduction to HL7 Syntax

10116 EtDES Too Low

10117 FiDES Too High
10118 FiDES Too Low
10119 AgAwRR Too High
10120 AgAwRR Too Low
10121 GAS Apnea
10122 ECG LOST
10123 No Pulse
10124 Apnea
10125 RESP Artifact
10126 CO2 Apnea
10127 Asystole
10128 Vfib/Vtac
10129 R ON T
10130 VT > 2
10131 Couplet
10132 PVC
10133 Bigeminy
10134 Trigeminy
10135 Tachy
10136 Brady
10137 PNC
10138 PNP
10139 Missed Beats
10140 SpO2 Desat

B-52
 Introduction to HL7 Syntax

10141 FiO2 Too High

10142 FiO2 Too Low
10143 VTe Too High
10144 VTe Too Low
10145 MV Too High
10146 MV Too Low
10154 RMRR Too High
10155 RMRR Too Low
10156 PEEP Too High
10157 PEEP Too Low
10158 PIP Too High
10159 PIP Too Low
10160 MVe Too High
10161 MVe Too Low
10162 RM Apnea
10163 BIS Too High
10164 BIS Too Low
10165 C.I. Too High
10166 C.I. Too Low
10167 TFC Too High
10168 TFC Too Low
10169 PR Too High
10170 PR Too Low
10171 ART-Sys Too High
10172 ART-Sys Too Low

B-53
 Introduction to HL7 Syntax

10173 ART-Mean Too High

10174 ART-Mean Too Low
10175 ART-Dia Too High
10176 ART-Dia Too Low
10177 PA-Sys Too High
10178 PA-Sys Too Low
10179 PA-Mean Too High
10180 PA-Mean Too Low
10181 PA-Dia Too High
10182 PA-Dia Too Low
10183 Ao-Sys Too High
10184 Ao-Sys Too Low
10185 Ao-Mean Too High
10186 Ao-Mean Too Low
10187 Ao-Dia Too High
10188 Ao-Dia Too Low
10189 UAP-Sys Too High
10190 UAP-Sys Too Low
10191 UAP-Mean Too High
10192 UAP-Mean Too Low
10193 UAP-Dia Too High
10194 UAP-Dia Too Low
10195 BAP-Sys Too High
10196 BAP-Sys Too Low
10197 BAP-Mean Too High

B-54
 Introduction to HL7 Syntax

10198 BAP-Mean Too Low

10199 BAP-Dia Too High
10200 BAP-Dia Too Low
10201 FAP-Sys Too High
10202 FAP-Sys Too Low
10203 FAP-Mean Too High
10204 FAP-Mean Too Low
10205 FAP-Dia Too High
10206 FAP-Dia Too Low
10207 P1-Sys Too High
10208 P1-Sys Too Low
10209 P1-Mean Too High
10210 P1-Mean Too Low
10211 P1-Dia Too High
10212 P1-Dia Too Low
10213 P2-Sys Too High
10214 P2-Sys Too Low
10215 P2-Mean Too High
10216 P2-Mean Too Low
10217 P2-Dia Too High
10218 P2-Dia Too Low
10219 P3-Sys Too High
10220 P3-Sys Too Low
10221 P3-Mean Too High
10222 P3-Mean Too Low

B-55
 Introduction to HL7 Syntax

10223 P3-Dia Too High

10224 P3-Dia Too Low
10225 P4-Sys Too High
10226 P4-Sys Too Low
10227 P4-Mean Too High
10228 P4-Mean Too Low
10229 P4-Dia Too High
10230 P4-Dia Too Low
10231 P5-Sys Too High
10232 P5-Sys Too Low
10233 P5-Mean Too High
10234 P5-Mean Too Low
10235 P5-Dia Too High
10236 P5-Dia Too Low
10237 P6-Sys Too High
10238 P6-Sys Too Low
10239 P6-Mean Too High
10240 P6-Mean Too Low
10241 P6-Dia Too High
10242 P6-Dia Too Low
10243 P7-Sys Too High
10244 P7-Sys Too Low
10245 P7-Mean Too High
10246 P7-Mean Too Low
10247 P7-Dia Too High

B-56
 Introduction to HL7 Syntax

10248 P7-Dia Too Low

10249 P8-Sys Too High
10250 P8-Sys Too Low
10251 P8-Mean Too High
10252 P8-Mean Too Low
10253 P8-Dia Too High
10254 P8-Dia Too Low
10255 Cust IBP 1-Sys Too High
10256 Cust IBP 1-Sys Too Low
10257 Cust IBP 1-Mean Too High
10258 Cust IBP 1-Mean Too Low
10259 Cust IBP 1-Dia Too High
10260 Cust IBP 1-Dia Too Low
10261 Cust IBP 2-Sys Too High
10262 Cust IBP 2-Sys Too Low
10263 Cust IBP 2-Mean Too High
10264 Cust IBP 2-Mean Too Low
10265 Cust IBP 2-Dia Too High
10266 Cust IBP 2-Dia Too Low
10267 Cust IBP 3-Sys Too High
10268 Cust IBP 3-Sys Too Low
10269 Cust IBP 3-Mean Too High
10270 Cust IBP 3-Mean Too Low
10271 Cust IBP 3-Dia Too High
10272 Cust IBP 3-Dia Too Low

B-57
 Introduction to HL7 Syntax

10273 Cust IBP 4-Sys Too High

10274 Cust IBP 4-Sys Too Low
10275 Cust IBP 4-Mean Too High
10276 Cust IBP 4-Mean Too Low
10277 Cust IBP 4-Dia Too High
10278 Cust IBP 4-Dia Too Low
10279 Cust IBP 5-Sys Too High
10280 Cust IBP 5-Sys Too Low
10281 Cust IBP 5-Mean Too High
10282 Cust IBP 5-Mean Too Low
10283 Cust IBP 5-Dia Too High
10284 Cust IBP 5-Dia Too Low
10285 Cust IBP 6-Sys Too High
10286 Cust IBP 6-Sys Too Low
10287 Cust IBP 6-Mean Too High
10288 Cust IBP 6-Mean Too Low
10289 Cust IBP 6-Dia Too High
10290 Cust IBP 6-Dia Too Low
10291 Cust IBP 7-Sys Too High
10292 Cust IBP 7-Sys Too Low
10293 Cust IBP 7-Mean Too High
10294 Cust IBP 7-Mean Too Low
10295 Cust IBP 7-Dia Too High
10296 Cust IBP 7-Dia Too Low
10297 Cust IBP 8-Sys Too High

B-58
 Introduction to HL7 Syntax

10298 Cust IBP 8-Sys Too Low

10299 Cust IBP 8-Mean Too High
10300 Cust IBP 8-Mean Too Low
10301 Cust IBP 8-Dia Too High
10302 Cust IBP 8-Dia Too Low
10303 CVP-Mean Too High
10304 CVP-Mean Too Low
10305 RAP-Mean Too High
10306 RAP-Mean Too Low
10307 LAP-Mean Too High
10308 LAP-Mean Too Low
10309 ICP-Mean Too High
10310 ICP-Mean Too Low
10311 UVP-Mean Too High
10312 UVP-Mean Too Low
10314 ST-V Too High
10315 ST-V Too Low
10316 FiO2 Shortage
10317 VTAC
10318 VRT
10319 Multif. PVC
10320 Irr.Rhythm
10321 VFib
10322 Anesthetic Mixture's MAC>3
10333 LV-Mean Too High

B-59
 Introduction to HL7 Syntax

10334 LV-Mean Too Low

10345 LV-Sys Too High
10346 LV-Sys Too Low
10357 LV-Dia Too High
10358 LV-Dia Too Low
10359 High Phys.Alarm
10360 Low Phys.Alarm
10361 High Phys.Alarm
10362 Low Phys.Alarm
10363 High Phys.Alarm
10364 Low Phys.Alarm
10365 Anesthetic Mixture
10366 BIS L Too High
10367 BIS L Too Low
10368 BIS R Too High
10369 BIS R Too Low
10370 Vent. Brady
10371 Extreme Tachy
10372 Extreme Brady
10373 Nonsus. Vtac
10374 Pause
10375 AFib
10385 CCO Too High
10386 CCO Too Low
10387 CCI Too High

B-60
 Introduction to HL7 Syntax

10388 CCI Too Low

10389 C.O. Too High
10390 C.O. Too Low
10391 C.I. Too High
10392 C.I. Too Low
10393 RVEF Too High
10394 RVEF Too Low
10395 TB Too High
10396 TB Too Low
10397 SVR Too High
10398 SVR Too Low
10399 SVRI Too High
10400 SVRI Too Low
10401 SV Too High
10402 SV Too Low
10403 SVI Too High
10404 SVI Too Low
10405 EDV Too High
10406 EDV Too Low
10407 EDVI Too High
10408 EDVI Too Low
10409 ESV Too High
10410 ESV Too Low
10411 ESVI Too High
10412 ESVI Too Low

B-61
 Introduction to HL7 Syntax

10413 CVP Too High

10414 CVP Too Low
10415 MAP Too High
10416 MAP Too Low
10417 HR Too High
10418 HR Too Low
10419 SVV Too High
10420 SVV Too Low
10468 SvO2 Too High
10469 SvO2 Too Low
10470 ScvO2 Too High
10471 ScvO2 Too Low
10472 SaO2 Too High
10473 SaO2 Too Low
10474 VO2 Too High
10475 VO2 Too Low
10476 O2EI Too High
10477 O2EI Too Low
10478 DO2 Too High
10479 DO2 Too Low
10480 SQI Too High
10481 SQI Too Low
10531 pART-Sys Too High
10532 pART-Sys Too Low
10533 pART-Mean Too High

B-62
 Introduction to HL7 Syntax

10534 pART-Mean Too Low

10535 pART-Dia Too High
10536 pART-Dia Too Low
10537 pCVP-Sys Too High
10538 pCVP-Sys Too Low
10539 pCVP Too High
10540 pCVP Too Low
10541 pCVP-Dia Too High
10542 pCVP-Dia Too Low
10543 Alarm Pause
10544 Extra Circulation
10545 SPO2b Too High
10546 SPO2b Too Low
10547 Delta SPO2 Too High
10548 SPO2b Below Desat Limit
10549 TCGAS TCPCO2 OVER LINE
10550 TCGAS TCPO2 OVER LINE
10551 TCGAS SPO2 OVER LINE
10552 TCGAS PR OVER LINE
10592 Unknown Phys. Alarm
10593 Unknown Phys. Alarm
10594 Unknown Phys. Alarm
10595 Unknown Phys. Alarm
10596 Unknown Phys. Alarm
10597 Unknown Phys. Alarm

B-63
 Introduction to HL7 Syntax

10598 Unknown Phys. Alarm

10599 Unknown Phys. Alarm
10609 PR Too High
10610 PR Too Low
10611 Temp Too High
10612 Temp Too Low
10613 RR Too High
10614 RR Too Low
10624 NMT Block Recovery

B.7 Technical Alarm ID Part

Note

 The Text to which ID corresponds is below is for reference only. The actual ones
are subject to what the server side sends.

ID Text
5 ECG Lead Off
6 ECG V Lead Off
7 ECG LL Lead Off

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 Introduction to HL7 Syntax

8 ECG LA Lead Off

9 ECG RA Lead Off
10 ECG V Lead Off
11 ECG LL Lead Off
12 ECG LA Lead Off
13 ECG RA Lead Off
14 ECG C Lead Off
15 ECG F Lead Off
16 ECG L Lead Off
17 ECG R Lead Off
18 ST Learning
19 Arrh. Learning
20 ECG Learning
21 ECG Initialization Error
22 ECG Initialization Error (1)
23 ECG Initialization Error (2)
24 ECG Initialization Error (3)
25 ECG Initialization Error (4)
26 ECG Initialization Error (5)
27 ECG Initialization Error (6)
28 ECG Initialization Error (7)
29 ECG Initialization Error (8)
30 ECG CH1 Selftest Error
31 ECG CH2 Selftest Error
32 ECG Communication Stopped

B-65
 Introduction to HL7 Syntax

33 ECG Communication Error

34 HR Alarm Limit Error
35 PVCs Alarm Limit Error
36 ST Alarm Limit Error
37 ECG Noisy Signal
38 HR Out of Range
39 PVCs Out of Range
40 ST Out of Range
41 ST1 Out of Range
42 ST2 Out of Range
43 ST3 Out of Range
44 ST4 Out of Range
45 ST5 Out of Range
46 ST6 Out of Range
47 ST7 Out of Range
48 RR Alarm Limit Error
49 RR Out of Range
50 RESP Disturbed
51 ECG1 Signal Saturated
52 ECG2 Signal Saturated
53 Defib. Sync. On
54 ECG3 Signal Saturated
55 ECG1 Overloaded
56 ECG2 Overloaded
205 SpO2 Sensor Off

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206 SpO2 Searching for Pulse

207 SpO2 Initialization Error
208 SpO2 Initialization Error (1)
209 SpO2 Initialization Error (2)
210 SpO2 Initialization Error (3)
211 SpO2 Initialization Error (4)
212 SpO2 Initialization Error (5)
213 SpO2 Initialization Error (6)
214 SpO2 Initialization Error (7)
215 SpO2 Initialization Error (8)
216 SpO2 Communication Stopped
217 SpO2 Communication Error
218 SpO2 Alarm Limit Error
219 SpO2 Out of Range
220 PR Alarm Limit Error
221 PR Out of Range
222 SpO2 Weak Pulse
223 SpO2 Weak Signal
224 SpO2 Check Sensor
225 SpO2 Sensor in Motion
226 SpO2 Interference
227 SpO2 Low Perfusion
228 SpO2 Too Much Light
229 SpO2 Unrecognized Sensor
230 SpO2 Board Fault

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231 SpO2 Sensor Fault

232 SpO2 No Sensor
233 SpO2 Low Signal
234 SpO2 Incompatible Sensor
235 SpO2 Out of Track
236 SpO2 Pulse Error
237 SpO2 Marginal Perfusion
405 NIBP-Sys Alarm Limit Error
406 NIBP-Mean Alarm Limit Error
407 NIBP-Dia Alarm Limit Error
408 NIBP-Sys Out of Range
409 NIBP-Mean Out of Range
410 NIBP-Dia Out of Range
455 NIBP Initialization Error
456 NIBP Selftest Error
457 NIBP Communication Error
458 NIBP Loose Cuff
459 NIBP Air Leaf
460 NIBP Air Pressure Error
461 NIBP Weak Signal
462 NIBP Out of Range
463 NIBP Excessive Motion
464 NIBP Over Pressure
465 NIBP Signal Saturated
466 NIBP Pneumatic Leak

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467 NIBP System Failure

468 NIBP Timed Out
469 NIBP Wrong Cuff Type
470 NIBP Measurement Failed
471 NIBP Reset Error
605 T1 Sensor Off
606 T2 Sensor Off
607 TEMP Board Failure
608 TEMP Initialization Error
609 TEMP Initialization Error (1)
610 TEMP Initialization Error (2)
611 TEMP Initialization Error (3)
612 TEMP Initialization Error (4)
613 TEMP Initialization Error (5)
614 TEMP Initialization Error (6)
615 TEMP Initialization Error (7)
616 TEMP Initialization Error (8)
617 T1 Alarm Limit Error
618 T2 Alarm Limit Error
619 TD Alarm Limit Error
620 T1 Out of Range
621 T2 Out of Range
622 TD Out of Range
623 TEMP Communication Error
624 TEMP Communication Stopped

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625 TEMP Selftest Error

626 TEMP Calibration Error
627 TCM Low Battery
628 TCM Battery Depleted
629 TCM Temperature Too High
630 TCM Alert

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