Chemray 420 Host Interface Manual (HL7)

Chemistry Analyzer
Host Interface Manual

Contents
Preface........................................................................................................................................... i
Who Should Read This Manual........................................................................................... i
What Can You Find in This Manual ..................................................................................... i
Conventions Used in This Manual....................................................................................... i
HL7 Interface..................................................................................................................... 1
1.1 Messages Compatible with HL7 Interface ............................................................... 1
1.2 HL7 Lower Layer Protocol ....................................................................................... 1
1.3 Minimal Lower Layer Protocol MLLP ................................................................. 2
Communication and HL7 Protocol ................................................................................. 3
2.1 Message Grammar .................................................................................................. 3
2.2 Compatible HL7 Messages...................................................................................... 4
Communication Process and Message Example........................................................ 23
ii
1 HL7 Interface
HL7 interface is developed by our company for the Chemistry Analyzer to adapt to
the prevailing Laboratory Information Management System (LIS). It provides a
channel for the chemistry analyzer and other IP-based networks. With TCP/IP, the
LIS host can receive test results from chemistry analyzers, which also send patient
information, sample information and test results to LIS in real-time or batch mode.
Therefore, users can identify samples by both scanning sample bar code and
downloading from LIS host. This chapter describes the two communication modes
(sending and downloading). All data are transmitted in format of HL7 v2.3.1. This
interface enables bidirectional communication between the analyzer and the LIS
host.
1.1 Messages Compatible with HL7 Interface

HL7, a transmission standard for electronic data and providing nurse for inpatients,
was first defined by Americans and now has been applied by many countries. The
HL7 interface is defined based upon HL7 v2.3.1. Refer to HL7 Interface Standards
Version 2.3.1 for details.
Only portion of the messages, segments and other data defined are used for HL7
interface that needs only part of these data.
1.2 HL7 Lower Layer Protocol

TCP/IP is a byte stream protocol, which does not provide message border. HL7 is a
higher layer protocol that is based upon messages but provides no message
termination mechanism. To determine the message border, the minimal lower layer
protocol is used. Refer to HL7 Interface Standards Version 2.3.1 for details.
1
Communication Layer
Messages are transmitted in format of:
<SB> ddddd <EB><CR>
Where,
<SB> = Start Block character (1 byte)

ASCII <VT>, namely <0x0B>, must not be confused with the SOH or STX in ASCII.
ddddd = Data (variable number of bytes)

ddddd is an HL7 message, which only includes ISO 8859-1 characters (hexadecimal
20-FF) and <CR>, exclusive of other control characters and those that cant be
printed out.
<EB> = End Block character (1 byte)

ASCII <FS>, namely <0x1C >, must not be confused with the ETX or EOT in ASCII.
<CR> = Carriage Return (1 byte)

Enter character in ASCII is <0x0D>.
1.3 Minimal Lower Layer Protocol MLLP

This interface is compatible with the Minimal Lower Layer Protocol (MLLP) of HL7.
MLLP, an encapsulation of HL7 messages, is defined in the HL7 standard. HL7

messages are encapsulated with a single character at the beginning and a dual
character at the end. The characters used by the HL7 interface are default in the HL7
standard.
Start character: Hexadecimal <0B>
End character: Hexadecimal <1C><0D>
2
2 Communication and HL7
Protocol
Communication here concerns result sending and sample information downloading.

The former means the analyzer transmits the measurement data to an external
system (such as the LIS). There are two types of transmission: real-time and batch.
Batch-mode transmission is not allowed in two conditions: 1) Real-time mode is
enabled; 2) The system is in testing status. The latter means the analyzer downloads
sample information from LIS in real-time or batch mode. Real-time mode can be
achieved only if a sample bar code reader is equipped. Batch-mode downloading
refers to retrieving samples in certain period of the day.
This chapter introduces the message types (Ver. 2.3.1) used by HL7 interface.
NOTE:
HL7 supports many types of messages, but only 5 of them are
employed on the HL7 interface.
2.1 Message Grammar

This section introduces the general grammar of HL7 interface.
NOTE:
For complete and detailed descriptions of HL7 message grammar, refer
to the HL7 standard written by the HL7 standard committee.
3
Each HL7 message is composed of segments that end with <CR>.
Each segment consists of a name (three characters) and variable fields that are
composed of components and subcomponents. The separators of each element are
defined in the MSH segment in every message.
For instance,
MSH|^~\&|Manufacturer|Model|||20060427194802||ORU^R01|1|P|2.3.1||||0||ASCII|||
Where, the five characters following MSH are defined as delimiters to separate the
fields, components and subcomponents. Although the characters can be any non-text
ones, the HL7 standard recommends you to use the following:
Character Description
| Field separator
^ Component separator
& Subcomponent separator
~ Repetition separator
\ Escape character
The first field of MSH includes all separators and most of other fields are empty.
These fields are optional and not used by HL7 interface.
Field 9 Includes message types (ORU)

Field 10 Includes an unique text string to indicate message ID
Field 11 Includes processing ID (P refers to product)
Field 12 Defines the version of HL7 (2.3.1) for the message
The order of the segments following MSH in every message is specially specified.
NOTE:
A segment is defined as optional or to be repeated by using the
following grammar:
[ ] indicates the segment in it is optional.
{ } indicates the segment in it can be repeated for 0 or 1 time or more.
2.2 Compatible HL7 Messages

All messages used for HL7 interface include ORU, ACK, QRY, QCK and DSR.
Test results are transferred as follows:
4
Sample information is downloaded from LIS as follows:
ORU/ACK: Observe result (unsolicited)/Acknowledgment
ORU^R01 is used to transmit sample result, QC result and calibration results to the
LIS host. (Transmission of calibration results is not allowed on the analyzer)
An ORU^R01 message includes:
- Patient information (patient name, sample ID, etc)
- Doctors order (sample type, sender, tester, clinical diagnosis, etc)
- Test results (test No., concentration, unit, reference, etc)
When the test information reaches the LIS server, you can select desired items as
needed.
On the analyzer, each ORU^R01 message transmits one test, which could be routine
test, ISE Analyte, off-system test or calculation test. A sample with multiple tests will
be transmitted via multiple ORU messages.
The structure of an ORU message is as follows:
ORU Description
MSH Message header

PID Patient identification
OBR Observation report ID
OBX Observation/Result
Calibration result includes the following information:
-Test information (test No. and test name)
-Calibration rule and date/time
-Calibrator information (quantity, sequence number, name, lot No., expiration date,
concentration, etc)
5
-Calibration result (response, number of calibration parameters, parameter value)
All calibration results of a test can be transmitted via one message. The
above-mentioned information can be applied as needed. Refer to following contents
for details.
QC result includes the following information:
-Test information (test No. and test name)
-Control information (name, lot No., expiration date, concentration level, mean value)
-Date/time and QC result (concentration and unit)
The above-mentioned information can be applied as needed. Refer to following

contents for details.
On the analyzer, each ORU^R01 message carries the result of one QC run.
The message structure for calibration and QC results are show below:
ORU Observational Results Description

(Unsolicited)
MSH Message Header

OBR Observation report(calibration and QC)
ACK^R01 message responds to ORU message and is as follows:
ACK Acknowledgment Description
MSH Message Header

MSA Message Acknowledgment
QRY/QCK: Query/Query acknowledgment
QRY^Q02 message is used for sample information query on LIS and has an event
Q02. The structure of QRY message is as follows:
QRY Description
MSH Message Header

QRD Query Definition
QRF Query Filter
QCK^Q02 message responds to QRY^Q02 message and is as follows:
QCK Description
MSH Message Header

ERR Error
QAK Query Acknowledgment
6
DSR/ACK: Display response/ Acknowledgment
DSR^Q03 message sends and displays searched results, i.e. send sample
information from LIS to the analyzer. The structure of DSR message is as follows:
DSR Description
MSH Message Header

ERR Error
QAK Query Acknowledgment
QRD Query Definition
QRF Query Filter
{DSP} Display Data
DSC Continuation Pointer
ACK^Q03 responds to DSR^Q03 message and is as follows:
ACK Description
MSH Message Header

MSA Message Acknowledgement
ERR Error
Message Segment
This section describes the components of each segment: field name, field length and
description.
All fields used in message segment are listed in following tables. The numbers
followed by a # symbol indicate that the fields are required for the message.
NOTE:
Some fields, though without values, are provided in HL7 protocol for
function extension in future.
MSH Message Header

All HL7 messages begin with MSH, which is the first segment of an HL7 message
and always located at the beginning of the message. The MSH segment defines the
intention, source, purpose and grammar of the message.
The MSH segment of HL7 interface message uses the following fields:
No. Field Length Description

1# Field Separator 1 Includes the separator between
segment ID and the first real field, and
defines the field separators (|) of the
remaining part of the message.
7
2# Encoding Characters 4 Includes component, repetition, escape
and subcomponent separators (^~\&).
3 Sending Application 180 Sending application, set to
Manufacturer.
4 Sending Facility 180 Sending facility, set to Model.
5 Receiving Application 180 Void and reserved. Receiving
application.
6 Receiving Facility 180 Void and reserved. Receiving facility.
7 Date/Time Of 26 Time of the current message. Calling
Message the system time.
8 Security 40 Void and reserved. Security.
9# Message Type 7 Type of the message, such as
ORU^R01.
10# Message Control ID 20 Message control ID. Indicates one
message each and increases from 1
with message increasing.
11# Processing ID 3 Processing ID. Always set to P
(product).
12# Version ID 60 Version ID. Version of HL7 protocol:
2.3.1.
13 Sequence Number 15 Void and reserved. Serial number
14 Continuation Pointer 180 Void and reserved. Continuation pointer
15 Accept 2 Void and reserved. Type of accepted
Acknowledgment acknowledgment
Type
16 Application 2 Void and reserved. Type of application
Acknowledgment response, used as result type.
Type
0- Sample result;
1- Calibration result;
2- QC result.
It is void in non-ORU messages.
17 Country Code 2 Void and reserved. Country code
18 Character Set 10 Character set. ASCII is used.
19 Principal Language Of 60 Void and reserved. Principle language
Message of the message
20 Alternate Character 20 Void and reserved. Handling scheme of
Set Handling Scheme alternate character
Comments: MSH segment applies to all messages. Fields 3 and 4 are determined
by LIS manufacturer; fields 5 and 6 are set to Manufacturer and Model; fields 10
and 16 are integers; others are strings.
8
MSA - message acknowledgment segment
The MSA segment of HL7 interface message uses the following fields:

1# Acknowledgment 2 Acknowledgment code. AA stands for
Code accepted, AE for error and AR for
rejected.
2# Message Control ID 20 Message control ID, corresponding to
MSH-10.
3 Text Message 80 Text message, a description of error or
reject event, corresponding to field 6.
It can be written into error logs.
4 Expected Sequence 15 Void and reserved. Expected sequence
Number number.
5 Delayed 1 Void and reserved. Delayed
Acknowledgment acknowledgment type.
Type
6 Error Condition 100 Error condition (status code).
Note: Fields of MSA-6 are introduced as follows.
The status code list is shown as the figure below.
Status Status Text(MSA-3) Description/Comment

Code
(MSA-6)
Succeed: AA
0 Message accepted Succeed
Error code: AE
100 Segment sequence error Segment sequence is incorrect or
required segment is missed.
101 Required field missing Required field in a segment is missed.
102 Data type error Data type of a field is incorrect.
103 Table value not found Table value is not found, therefore not
used temporarily.
Reject AR
code:
200 Unsupported message Message type is not supported.
type
201 Unsupported event code Event code is not supported.
202 Unsupported processing Processing ID is not supported.
id
203 Unsupported version id Version ID is not supported.
9
Status Status Text(MSA-3) Description/Comment
Code
(MSA-6)
204 Unknown key identifier Key identifier is unknown, such as
inexistent patient information.
205 Duplicate key identifier The key identifier already exists.
206 Application record locked The transaction could not be
performed at the application storage
level, such as locked database.
207 Application internal error Unknown application internal error.
Comments: MSA segment applies to ACK^R01, QCK^Q02 and ACK^Q03 messages.

Fields 4 and 6 are integers, while others are strings.
PID Patient Identification

The PID segment constitutes patient information and uses the following fields:

1 Set ID PID 10 Identifies different patient information
segments
2 Patient ID 20 Patient admission No.
3# Patient Identifier List 20 Medical record number
4 Alternate Patient ID 20 Bed No.
PID
5# Patient Name 48 Name of patient
6 Mothers Maiden 48 Patient zone
Name
7 Date/Time of Birth 26 Birth date of patient. (Format:
YYYYMMDDHHMMSS). It could be
void.
8 Sex 1 Patient gender.
M for male
F for female
O for others
9 Patient Alias 48 Blood type (O, A, B and AB)
10 Race 80 Void and reserved. Race of patient.
11 Patient Address 106 Void and reserved. Address of patient.
12 County Code 4 Void and reserved. County code of
patient.
13 Phone Number - 40 Void and reserved. Phone number
Home (home) of patient.
14 Phone Number - 40 Void and reserved. Phone number
Business (business) of patient.
10
15 Primary Language 60 Void and reserved. Primary language
of patient.
16 Marital Status 80 Void and reserved. Marital status of
patient.
17 Religion 80 Void and reserved. Religion of patient.
18 Patient Account 20 Void and reserved.
Number
19 SSN Number -Patient 16 Void and reserved.
20 Driver's License 25 Void and reserved.
Number Patient
21 Mother's Identifier 20 Void and reserved. Mothers identifier.
22 Ethnic Group 80 Void and reserved.
23 Birth Place 60 Void and reserved. Birth place of
patient.
24 Multiple Birth 1 Void and reserved. Multiple birth
Indicator indicator, Y(yes) or N(no).
25 Birth Order 2 Void and reserved. Birth order, an
integer greater than 0.
26 Citizenship 80 Void and reserved.
27 Veterans Military 60 Void and reserved. Veteran military
Status status of patient.
28 Nationality 80 Void and reserved.
29 Patient Death Date 26 Void and reserved. Patient death date
and Time and time.
30 Patient Death 1 Void and reserved. Patient death
Indicator indicator, Y (yes) or N (no).
Comments: PID segment only applies to ORU^R01 message. Fields 1 and 25 are
integers; fields 24 and 30 are Booleans; others are strings.
OBR Observation Request

The OBR segment transmits the doctors orders associated with the patient report. If
MSH-16 is 0, HL7 interface uses the following fields:

1 Set ID OBR 10 Identifies different OBR segments.
2 Placer Order Number 22 Order number of placer, used as
sample bar code.
3 Filler Order Number 22 Order number of filler, used as sample
ID.
4# Universal Service ID 200 Universal service ID, set to
Manufacturer ^ Model.
5 Priority 2 STAT or not. Y for yes and N for no.
11
6 Requested Date/time 26 Void and reserved. Requesting
date/time.
7 Observation 26 Observation date/time, used as
Date/Time testing date/time.
8 Observation End 26 Void and reserved. Observation end
Date/Time date/time.
9 Collection Volume 20 Void and reserved. Collection volume.
10 Collector Identifier 60 Void and reserved. Collector identifier.
11 Specimen Action 1 Void and reserved. Specimen action
Code code.
12 Danger Code 60 Void and reserved. Danger code.
13 Relevant Clinical Info. 300 Clinical diagnosis.
14 Specimen Received 26 Void and reserved. Specimen
Date/Time receiving date/time.
15 Specimen Source 300 Sample source, used as sample type,
such as blood, urine, etc
16 Ordering Provider 120 Order provider, used as sender.
17 Order Callback 40 Void and reserved. Sending
Phone Number department
18 Placer Field 1 60 Characteristic of sample (icterus,
hemolysis and lipemia)
19 Placer Field 2 60 Void and reserved.
20 Filler Field 1 60 Attending doctor
21 Filler Field 2 60 Treatment department
22 Result Rpt/Status 26 Void and reserved. Result
Change Date/Time report/status change-date/time.
23 Charge to Practice 40 Void and reserved. Charge to
practice.
24 Diagnostic Serv Sect 10 Void and reserved. Diagnosis ID.
ID
25 Result Status 1 Void and reserved. Status of result.
26 Parent Result 200 Void and reserved. Parent result.
27 Quantity/Timing 200 Void and reserved. Quantity/time.
28 Result Copies To 150 Void and reserved. Result copies to.
29 Parent 150 Void and reserved. Parent order.
30 Transportation Mode 20 Void and reserved. Transportation
mode.
31 Reason for Study 300 Void and reserved. Reason for study.
32 Principal Result 200 Void and reserved. Principal result
Interpreter interpreter.
12
33 Assistant Result 200 Void and reserved. Assistant result
34 Technician 200 Void and reserved. Technician.
35 Transcriptionist 200 Void and reserved. Transcriptionist.
36 Scheduled Date/Time 26 Void and reserved. Scheduled
date/time.
37 Number of Sample 4 Void and reserved. Number of sample
Containers containers.
38 Transport Logistics of 60 Void and reserved. Transport logistics
Collected Sample of collected sample.
39 Collectors Comment 200 Void and reserved. Collectors
comment.
40 Transport 60 Void and reserved. Transport
Arrangement arrangement responsibility.
Responsibility
41 Transport Arranged 30 Void and reserved. Transport
arranged.
42 Escort Required 1 Void and reserved. Escort required.
43 Planned Patient 200 Void and reserved. Planned patient
Transport Comment transport comment.
44 Ordering Facility 60 Void and reserved. Name of placer.
Name
45 Ordering Facility 106 Void and reserved. Address of placer.
Address
46 Ordering Facility 48 Void and reserved. Phone number of
Phone Number placer.
47 Ordering Provider 106 Void and reserved. Address of
Address provider.
Comments: OBR segment only applies to ORU^R01 message. Fields 1, 3 and 37

are integers; field 9 is a floating number; others are strings.
To transmit calibration result (MSH-16 is 1), HL7 interface uses the following fields:
(Calibration result transmission is not allowed on the analyzer)

2 Placer Order Number 22 Order number of placer, used as test
No.
3 Filler Order Number 22 Order number of filler, used as test
name.
4 Universal Service ID 200 Universal service ID, set to
13
6 Requested Date/time 26 Void and reserved. Requesting
date/time.
7 Observation Date/Time 26 Observation date/time, used as
calibration date/time.
Date/Time date/time.
9 Collection Volume 20 Calibration rule. It includes
1-One-point linear; 1-Two-point linear;
3-Multi-point linear; 4-Logit-Log5P;
5-Exponential 5P; 6-Polynomial 5P;
7-Parabola; 8-Spline.
10 Collector Identifier 60 K factor
11 Specimen Action Code 1 Number of calibrators
12 Danger Code 60 Calibrator No.
13 Relevant Clinical Info. 300 Calibrator name
14 Specimen Received 26 Lot No.
Date/Time
15 Specimen Source 300 Expiration date
16 Ordering Provider 120 Standard concentration
17 Order Callback Phone 40 Concentration level. High-H,
Number Medium-M, Low-L
18 Placer Field 1 60 Response
19 Placer Field 2 60 Number of calibration parameters
20 Filler Field 1 60 Calibration value
21 Filler Field 2 60 Void and reserved.
practice.
24 Diagnostic Serv Sect ID 10 Void and reserved. Diagnosis ID.
mode.
14
date/time.
comment.
40 Transport Arrangement 60 Void and reserved. Transport
Responsibility arrangement responsibility.
arranged.
44 Ordering Facility Name 60 Void and reserved. Name of placer.
Address
46 Ordering Facility Phone 48 Void and reserved. Phone number of
Number placer.
Address provider.
Comments: This segment only applies to ORU^R01 message. Fields 1, 9, 11, 19

and 37 are integers; field 10 is a floating number; others are strings. Fields 12-18 vary
with the number of calibrators in the format of V1^V2^ Vi. Field 20 varies with the
number of calibration parameters and is also separated by ^.
Different calibration rules have various parameters:
Linear (one-point, two-point and multi-point): K and R0;
Logit-Log4P: K, R0, a and b;
Logit-Log5P: K, R0, a, b and c;
Polynomial 5P: K, R0, a, b, c and d;
Parabola: R0, a and b;
Spline: 4*(n-1) parameters, which are R0i, ai, bi, ci. n is number of calibrators.
15
To transmit QC result (MSH-16 is 2), HL7 interface uses the following fields:

2 Placer Order Number 22 Order number of placer, used as test
No..
3 Filler Order Number 22 Order number of filler, used as test
name.
4# Universal Service ID 200 Universal service ID, set to
6 Requested Date/time 26 Requesting date/time, used as QC
date/time
7 Observation Date/Time 26 Void and reserved. Observation
date/time
Date/Time date/time
9 Collection Volume 20 Void and reserved
10 Collector Identifier 60 Void and reserved
11 Specimen Action Code 1 Void and reserved
12 Danger Code 60 Void and reserved
13 Relevant Clinical Info. 300 Control name
14 Specimen Received 26 Lot No.
Date/Time
15 Specimen Source 300 Expiration date
16 Ordering Provider 120 Void and reserved
17 Order Callback Phone 40 Concentration level. High-H,
Number Medium-M, Low-L
18 Placer Field 1 60 Mean value (mean concentration)
19 Placer Field 2 60 Standard deviation
20 Filler Field 1 60 Test result (concentration)
21 Filler Field 2 60 Unit
practice.
24 Diagnostic Serv Sect ID 10 Void and reserved. Diagnosis ID.
16
mode.
date/time.
comment.
40 Transport Arrangement 60 Void and reserved. Transport
Responsibility arrangement responsibility.
arranged.
44 Ordering Facility Name 60 Void and reserved. Name of placer.
Address
46 Ordering Facility Phone 48 Void and reserved. Phone number of
Number placer.
Address provider.
Comments: This segment only applies to ORU^R01 message. Fields 1, 11 and 37

are integers; others are strings. Each QC run is transmitted in one message.
OBX Observation
The OBX segment transmits the observations. If sample results are to be transmitted
(MSH-16 is 0)Each patient may have multiple test results, then more than one OBX
segment will be used to transmit the results. On the analyzer, all test results of a
patient are transmitted separately. The HL7 interface does not check the repeatability
of the test results, which should be performed by the user system.
17
The OBX segment of HL7 interface uses the following fields:

1 Set ID OBX 10 Identifies different OBX segments.
2 Value Type 3 Value type, identifies the test result.
NM (numeric), numeric value, for
quantitative tests
ST (string), for qualitative tests
3# Observation Identifier 590 Observation identifier, used as test ID.
4 Observation Sub-ID 20 Observation Sub-ID, used as test name.
5 Observation Value 65536 Observation value, used as test result
(concentration, negative(-), positive(+),
weak positive(+-), etc).
6 Units 90 Unit of test result.
7 References Range 90 Reference range for test result. It is
qualitative reference for qualitative tests.
8 Abnormal Flags 5 Abnormal flag to indicate whether the test
result is normal or not.
User can define the flags via the data
dictionary on the operation software of
analyzer.
9 Probability 5 Void and reserved. Probability.
10 Nature of Abnormal 2 Void and reserved. Reason of abnormal
Test test.
11# Observe Result 1 Status of observation result, set to F-final
Status results.
12 Date Last Observe 26 Void and reserved. Date of last normal
Normal Values observation value.
13 User Defined Access 20 User-defined access check, used as original
Checks result.
14 Date/Time of the 28 Observation date/time, used as testing
Observation date/time.
15 Producer's ID 60 Void and reserved. Used as test
department.
16 Responsible 80 Responsible observer, used as tester.
Observer
17 Observation Method 60 Void and reserved. Observation method.
Comments: OBX segment only applies to ORU^R01 message. Fields 1, 3 and 9 are
integers; fields 5 and 13 are floating numbers; others are strings.
18
QRD - query definition segment
The QRD segment of HL7 interface uses the following fields:

1# Query Date/Time 26 Query date/time, i.e. system
date/time.
2# Query Format Code 1 Query format code, set to R
(record-oriented format).
3# Query Priority 1 Query priority, set to D (deferred).
4# Query ID 10 Query ID, indicates different queries
and increases from 1.
5 Deferred Response 1 Void and reserved. Deferred
Type response type.
6 Deferred Response 26 Void and reserved. Deferred
Date/Time response date/time.
7# Quantity Limited 10 Quantity limited request, set to RD
Request (records).
8# Who Subject Filter 60 Subject filter, used as sample bar
code.
9# What Subject Filter 60 Subject filter. OTH for query and
CAN for canceling
10# What Department 60 Void and reserved. Department data
Data Code code.
11 What Data Code 20 Void and reserved. Data code value
Value Qual. qualifier.
12 Query Results Level 1 Void and reserved. Query results
level. T for Full results
Comments: QRD segment may appear in QRY^Q02 and DSR^Q03 messages. Field
8 is bar code for real-time downloading and null for group downloading; field 4 is an
integer, while others are strings.
QRF - query filter segment

The QRF segment is used together with the QRD segment and uses the following
fields:

1# Where Subject Filter 20 Subject address filter, set to Model.
2 When Data Start 26 Data start date/time, used as start
Date/Time receipt date/time.
3 When Data End 26 Data end date/time, used as end
Date/Time receipt date/time.
4 What User Qualifier 60 Void and reserved. User qualifier.
19
5 Other QRY Subject Filter 60 Void and reserved. Other QRY
subject filter.
6 Which Date/Time 12 Void and reserved. Object type.
Qualifier RCT(Specimen receipt date/time,
receipt of specimen in filling ancillary
(Lab))
7 Which Date/Time Status 12 Void and reserved. Object status.
Qualifier COR(Corrected only (no final with
corrections))
8 Date/Time Selection 12 Void and reserved. Date/time
Qualifier selection qualifier. ALL(All values
within the range)
9 When Quantity/Timing 60 Void and reserved. Time interval.
Qualifier
Comments: QRF segment only applies to QRY^Q02 message. Fields 3 and 4 are 0
oclock and query time of the day, and used as search conditions. All fields are
strings.
ERR - error segment

The ERR segment adds error description to acknowledgment message and uses the
following fields:

1 Error Code and Location 80 Error code and location.
Comments: ERR segment may appear in QCK^Q02, DSR^Q03 or ACK^Q03

message. The only field of this segment is an integer.
QAK - query acknowledgment segment

The QAK segment includes query response information and uses the following fields:

1 Query Tag 32 Query tag, set to SR (sample request
information).
2 Query Response 2 Query response status:
Status
OK: Data found, no errors
NF: No data found, no errors
AE: Application error
AR: Application reject
Comments: QAK segment applies to QCK^Q02 and DSR^Q03 messages. All fields
of this segment are strings.
20
DSP - display data segment
The DSP segment displays searched sample information and patient information and
uses the following fields:

1 Set ID - DSP 4 Identifies different DSP segments.
2 Display Level 4 Display level.
3# Data Line 300 Data line, i.e. searched contents.
4 Logical Break Point 2 Logical break point.
5 Result ID 20 Result ID.
Comments: DSP segment only applies to DSR^Q03 message. Field 1 is an integer,

while others are strings.
The third field Data Line displays the sample information downloaded from the LIS
server. The sequence of the sample information is shown as follows. The bar code
and test No. are required, while other items are optional.
Sequence Data Data Type and Value

1 Admission Number String
2 Bed Number String
3 Patient Name String
4 Date of Birth String. The format is
YYYYMMDDHHmmSS, such as
20061122130540.
5 Sex String. Male/M, Female/F,
Other/O
6 Patient Alias String. It includes O, A, B and AB.
7 Race String, blank
8 Patient Address String
9 County Code String
10 Home Phone Number String
11 Business Phone Number String, blank
12 Primary Language String, blank
13 Marital Status String, blank
14 Religion String, blank
15 Patient Account Number String. It includes Outpatient,
inpatient, other.
16 Social Security Number String, It includes Own and
Insurance.
17 Driver License Number String
18 Ethnic Group String
19 Birth Place String
20 Nationality String
21 Bar Code String
22 Sample ID Int
21
Sequence Data Data Type and Value
23 Sample Time String. See item 4
24 STAT String. It includes Y (yes), N(No)
and void. N is default.
25 Collection Volume Float, blank
26 Sample Type String. It includes serum, plasma
and urine.
27 Fetch Doctor String
28 Fetch Department String
29 Test Number^Test String^string^string^string
Name^Unit^Normal Range
The analyzer recognizes a test with its Test Number. For the same test, if the test
number in the analyzer and that in the LIS server are not the same, you can open the
ItemID.ini file in the folder where the executive file of operating software locates and
configure the test number. Only if test correspondence is set, the test results can be
transmitted and sample information be downloaded.
DSC - Continuation pointer segment

The DSC segment indicates whether the data message is the last one.

1 Continuation pointer 180 Continuation pointer
Comments: DSC segment only applies to DSR^Q03 message. The only field of this
segment is void when DSR^Q03 message responds to group query and not void in
other conditions. This field is an integer.
22
3 Communication Process
and Message Example
A message of HL7 protocol is the format of:
<SB> ddddd <EB><CR>
Where, <SB> means the start of the message and is <VT> in ASCII, that is 0x0B.
<EB> means the end of the message and is <FS> in ASCII, that is 0x1C.
<CR> acts as acknowledgement of message end and is used to separate different

messages, that is, 0x0D.
ddddd means what to be transferred and includes multiple segments, each of which
ends with <CR>, that is, 0x0D.
The following lines list multiple message examples of the HL7 protocol.
1. The chemistry analyzer sends test results to the LIS host by samples, that is,
all tests of a sample are transferred via one message. The LIS host responses
accordingly when receiving the message.
An ORU message may include the following segments: MSH, PID, OBR and OBX
(multiple OBX segments may be contained if a sample has more than one test).MSH,
standing for message header, is included in each message and in the format of: (The
words in brackets are for explanation and not the segments)
23
MSH|^~\&|Corp.(Manufacturer)|product(Device model)|||20070423140610(System
date/time, yyyymmddhhMMss)||ORU^R01(Message type)|1(Control ID, used to
identify the message and increases from 1)|P(Fixed value, means the
product)|2.3.1(Version of HL7 protocol)||||0(0 for sample test result, 1 for calibration
result, 2 for QC result, void for others)||ASCII(Character set)|||
There is a patient, who has the following information:
Field Value
Name of patient Tommy
Sex of patient Female
Blood type A
Birth date July 19, 1983
Patient No. 854
Bed No. 12
Sample bar code 0000000002
Sample type Serum
Request time 10:34:22
Sample ID 2
STAT Yes
Test No. 2, 3 and calculation test1 [2]+[3]
Test name test2, test3, calctest1
Test results 5, 10 and 15
Result units g/ml, g/ml, g/ml
24
The analyzer sends the test results to LIS via ORU^R01 message as follows:
<SB> MSH|^~\&|Manufacturer|Model|||20070719145353||ORU^R01|1|P|2.3.1||||0||ASCII||| <CR> Character

Encoding
System Message
Corp. name Device Model HL7 Version Sample Test Result
date/time Type
Message ID, which increases from 1, is Product
unique to each message and returned
unchanged in the response message.
PID|1|854||12|Tommy||19830719145307|F|A|||||||||||||||||||||| <CR>
Patient Bed Patient Blood
No. No. Name Birthday Gender type
OBR|1|0000000002|2|Manufacturer^Model|Y||||||||||serum||||||||||||||||||||||||||||||||| <CR>
Sample ID is for internal
Sample
use and must not be Emergency Sample Type
Barcode
analyzed by the server
OBX|1|NM|2|test2|5.000000|g/ml|-||||F||||||| <CR>
Quantita Result Unit
Test Result
tive test
Test No., a string, Test name functions
has been converted as a note and must not
for use on the server. be analyzed.
<EB> <CR>
<SB> MSH|^~\&|Manufacturer|Model|||20070719145353||ORU^R01|2|P|2.3.1||||0||ASCII||| <CR>

PID|2|854||12|Tommy||19830719145307|F|A|||||||||||||||||||||| <CR>
OBX|1|NM|3|test3|10.000000|g/ml|-||||F||||||| <CR>
<EB> <CR>

PID|3|854||12|Tommy||19830719145307|F|A|||||||||||||||||||||| <CR>
OBX|1|NM|102|calctest1|15.000000|g/ml|-||||F||||||| <CR>
<EB> <CR>
When receiving the message, the LIS host first judges the legality and type of the
message and then replies accordingly. The following is a standard reply by LIS.
<SB> MSH|^~\&|||Manufacturer|Model|20070719145307||ACK^R01|1|P|2.3.1||||0||ASCII||| <CR>

Message Type Response of
ORU
MSA|AA|1|Message accepted|||0| <CR>

Text information,
Message Is Error
which functions as
received code
notes.
<EB> <CR>

<EB> <CR>

<EB> <CR>
25
If error is included in the ORU message, it can be returned in the MSA segment, and
the analyzer will handle it properly and trigger alarms. When a reject error of 206
occurs on the LIS host, the ACK message for reply is as follows:

Message Type Response of
ORU
MSA|AR|1|Application record locked|||206| <CR>

Text information,
Message Is Error
which functions as
rejected code
notes.
<EB> <CR>
2. The chemistry analyzer sends QC test results to the LIS host. Each QC test
result is sent via one message.
For example: A QC test is requested as follows.
Field Value
Test No. 1
Test name test1
Control name QUAL1, QUAL2
Lot No. of control 1111, 2222
Expiration date of control July 20, 2008, July 20, 2008
Concentration level of control High H , Middle M
Mean value (mean concentration) 5, 8
Standard deviation of control 2, 1
Test result (concentration) 0.11029, 0.13202
Result units g/ml, g/ml
26
The analyzer sends the test results to LIS via ORU^R01 message as follows:

Quality Control
OBR|1|1|test1|Manufacturer^Model||20070720120143|||||||QUAL1|1111
Test ID Test name Date/time Control name Lot No.
|20080720000000||H|5.000000|2.000000|0.11029|g/ml||||||||||||||||||||||||||| <CR>
Mean QC result
Expiration date SD Result Unit
concentration (concentration)
Concentration level
<EB> <CR>

OBR|1|1|test1|Manufacturer^Model||20070720120143|||||||QUAL2|2222
|20080720000000||M|8.000000|1.000000|0.13202|g/ml||||||||||||||||||||||||||| <CR>
<EB> <CR>
The LIS host replies as follows:

<EB> <CR>

<EB> <CR>
3. The chemistry analyzer sends query request to the LIS host, and also
downloads sample information, patient demographics and test information of
specified bar code from LIS.
For example: To download a sample of 34567743(bar code) from LIS, the analyzer
sends a QRY^Q02 message as follows:
<SB> MSH|^~\&|Manufacturer|Model|||20070723170707||QRY^Q02|1|P|2.3.1||||||ASCII||| <CR>

Message type
QRD|20070723170707|R|D|1|||RD|34567743|OTH|||T| <CR>
Query Results Level
Quantity
Qry. Format Sample
Qry. Time Qry. Priority Limited What Subject Filter
Code Barcode
Request
QRF|Model|20070723170749|20070723170749|||RCT|COR|ALL|| <CR>
Which Date/ Which Date/Time Date/Time
Time Qualifier Status Qualifier Selection Qualifier
<EB> <CR>
27
When receiving the message, the LIS returns the QCK^Q02 message and replies as
follows if the sample of the bar code exists:
<SB> MSH|^~\&|||Manufacturer|Model|20070723170707||QCK^Q02|1|P|2.3.1||||||ASCII||| <CR>

Response
MSA|AA|1|Message accepted|||0| <CR> Message Type
ERR|0| <CR>
Error Code and
Location
QAK|SR|OK| <CR>
Query Query Response
Tag Status
<EB> <CR>
If the sample of the bar code does not exist, the LIS replies as follows:
<SB> MSH|^~\&|||Manufacturer|Model|20070723170707||QCK^Q02|1|P|2.3.1||||||ASCII||| <CR>

ERR|0| <CR>
QAK|SR|NF| <CR>
No data found
<EB> <CR>
When the sample of the specified bar code exists on LIS, the LIS returns the
QCK^Q02 message and sends the data message DSR^Q03, which contains the
patient demographics, sample and test information.
Field Value
Name of patient Tom
Sex of patient Male
Birth date August 24, 1962
Patient ID 123
Bed No. 456
Sample bar code 34567743
Sample ID 3
Sample sending date&time 16:00 July 23, 2007
Sample type Urine
Sending doctor Mary
Sending department ABC
Test No. 1, 3
28
The DSR^Q03 message is as follows:
<SB> MSH|^~\&|||Manufacturer|Model|20070723170707||DSR^Q03|1|P|2.3.1||||||ASCII||| <CR>

MSA|AA|1|Message accepted|||0| <CR> Message Type(data)
ERR|0| <CR>
QAK|SR|OK| <CR>
QRD|20070723170707|R|D|1|||RD|34567743|OTH|||T| <CR>
DSP|1||123||| <CR>
Hospital No.
Serial No.
DSP|2||256||| <CR>
Bed No.
DSP|3||Tom||| <CR>
Patient Name
DSP|4||19620824000000||| <CR>
Birthday
DSP|5||M||| <CR>
Gender
DSP|6||||| <CR>
DSP|7||||| <CR>
DSP|8||||| <CR>
DSP|9||||| <CR>
DSP|10||||| <CR>
DSP|11||||| <CR>
DSP|12||||| <CR>
DSP|13||||| <CR>
DSP|14||||| <CR>
DSP|15||||| <CR>
DSP|16||||| <CR>
DSP|17||||| <CR>
DSP|18||||| <CR>
DSP|19||||| <CR>
DSP|20||||| <CR>
DSP|21||34567743||| <CR>
DSP|22||3||| <CR>
Sample ID
DSP|23||20070723160000||| <CR>
Sending
DSP|24||N||| <CR> Time
Emergency
DSP|25||||| <CR>
DSP|26||urine||| <CR>
Sample Type
DSP|27||Mary||| <CR>
Sender
DSP|28||ABC||| <CR>
Sending
DSP|29||1^^^||| <CR> Dept.
DSP|30||3^^^||| <CR>
DSC||<CR>
<EB> <CR>
29
No DSR message will be sent if a QCK^Q02 message has been sent indicating no
corresponding sample on LIS.
When receiving the DSR message, the analyzer replies as follows:
<SB> MSH|^~\&|Manufacturer|Model|||20070723170707||ACK^Q03|1|P|2.3.1||||||ASCII||| <CR>

ERR|0| <CR>
<EB> <CR>
4. The chemistry analyzer sends group query request to LIS for downloading
all or latest samples of the current day.
The two query modes are distinguished by the time period. See the table below.
Query Mode Start Time End Time
All samples of current day 0 oclock of current day System time when
the query is sent
Latest samples of current End time of the latest System time when
day query the query is sent
For example: A group query is sent to LIS at 17:00 on July 23, 2007 to download all
samples of the current day. The query message is as follows:

QRD|20070320170000|R|D|1|||RD||OTH|||T| <CR>
Time interval Time interval
<EB> <CR> (start) (end)
Similarly to single sample query, the LIS host replies accordingly if corresponding
samples exist. If yes, the LIS host sends all qualified samples to the analyzer after
returning the query reply. Each sample is transferred via a DSR message, and the
DSC segment of the last DSR message is void, indicating the end of the group
transfer. For example: 3 qualified samples are found on LIS and are as follows:
Field Values of Sample Values of Sample Values of Sample
Name of patient Jacky Jessica Anata
Sex of patient Male Female Female
Birth date February 16, 1972 May 12, 1983 December 12,
1979
Sample bar 1587120 1587121 1587125

code
Sample ID 2 3 9
Sample type Serum Plasma Urine
30
STAT No Yes Yes
No. of included 1, 4 2, 3, 6 8
tests
The DSR messages are as follows:

ERR|0| <CR>
QAK|SR|OK| <CR>
QRD|20070723170000|R|D|1|||RD||OTH|||T| <CR>
DSP|1||||| <CR>
DSP|2||||| <CR>
DSP|3||Jacky||| <CR>
DSP|4||19720216000000||| <CR>
DSP|5||M||| <CR>
DSP|6|||||<CR>
DSP|7||||| <CR>
DSP|8||||| <CR>
DSP|9||||| <CR>
DSP|10||||| <CR>
DSP|11||||| <CR>
DSP|12||||| <CR>
DSP|13||||| <CR>
DSP|14||||| <CR>
DSP|15||||| <CR>
DSP|16||||| <CR>
DSP|17||||| <CR>
DSP|18||||| <CR>
DSP|19||||| <CR>
DSP|20||||| <CR>
DSP|21||1587120||| <CR>
DSP|22||2||| <CR>
DSP|23||||| <CR>
DSP|24||N||| <CR>
DSP|25||||| <CR>
DSP|26||serum||| <CR>
DSP|27||||| <CR>
DSP|28||||| <CR>
DSP|29||1^^^||| <CR>
DSP|30||4^^^||| <CR>
DSC|1| <CR>
First DSR message of three
<EB> <CR>
31
ERR|0| <CR>
QAK|SR|OK| <CR>
QRD|20070723170000|R|D|2|||RD||OTH|||T| <CR>
DSP|1||||| <CR>
DSP|2||||| <CR>
DSP|3||Jessica||| <CR>
DSP|4||19830512000000||| <CR>
DSP|5||F||| <CR>
DSP|6|||||<CR>
DSP|7||||| <CR>
DSP|8||||| <CR>
DSP|9||||| <CR>
DSP|10||||| <CR>
DSP|11||||| <CR>
DSP|12||||| <CR>
DSP|13||||| <CR>
DSP|14||||| <CR>
DSP|15||||| <CR>
DSP|16||||| <CR>
DSP|17||||| <CR>
DSP|18||||| <CR>
DSP|19||||| <CR>
DSP|20||||| <CR>
DSP|21||1587121||| <CR>
DSP|22||3||| <CR>
DSP|23||||| <CR>
DSP|24||Y||| <CR>
DSP|25||||| <CR>
DSP|26||plasma||| <CR>
DSP|27||||| <CR>
DSP|28||||| <CR>
DSP|29||2^^^||| <CR>
DSP|30||3^^^||| <CR>
DSP|31||6^^^||| <CR>
DSC|2| <CR>
Second DSR message of three
<EB> <CR>
32
ERR|0| <CR>
QAK|SR|OK| <CR>
QRD|20070723170000|R|D|3|||RD||OTH|||T| <CR>
DSP|1||||| <CR>
DSP|2||||| <CR>
DSP|3||Anata||| <CR>
DSP|4||19791212000000||| <CR>
DSP|5||F||| <CR>
DSP|6|||||<CR>
DSP|7||||| <CR>
DSP|8||||| <CR>
DSP|9||||| <CR>
DSP|10||||| <CR>
DSP|11||||| <CR>
DSP|12||||| <CR>
DSP|13||||| <CR>
DSP|14||||| <CR>
DSP|15||||| <CR>
DSP|16||||| <CR>
DSP|17||||| <CR>
DSP|18||||| <CR>
DSP|19||||| <CR>
DSP|20||||| <CR>
DSP|21||1587125||| <CR>
DSP|22||9||| <CR>
DSP|23||||| <CR>
DSP|24||Y||| <CR>
DSP|25||||| <CR>
DSP|26||urine||| <CR>
DSP|27||||| <CR>
DSP|28||||| <CR>
DSP|29||8^^^||| <CR>
DSC|| <CR>
Third DSR message of the
three. Void means the end of
multiple-sample transferring
<EB> <CR>
The analyzer sends back an ACK message to LIS every time when receiving a DSR
message. The ACK messages for the above-mentioned DSR messages are:

ERR|0| <CR>
<EB> <CR>

ERR|0| <CR>
<EB> <CR>
33
ERR|0| <CR>
<EB> <CR>
5. During group query, the chemistry analyzer sends a message to LIS to

cancel the query/downloading.
The QRY message is used as follows:

QRD|20070723170000|R|D|1|||RD||CAN|||T| <CR>
Cancel
<EB> <CR>
When receiving the QRY message of cancel, the LIS host stops its operation after
sending the current sample.
34

Chemray 420 Host Interface Manual (HL7)

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Chemistry Analyzer

Host Interface Manual

Who Should Read This Manual........................................................................................... i

What Can You Find in This Manual ..................................................................................... i

Conventions Used in This Manual....................................................................................... i

1.1 Messages Compatible with HL7 Interface ............................................................... 1

1.2 HL7 Lower Layer Protocol ....................................................................................... 1

1.3 Minimal Lower Layer Protocol MLLP ................................................................. 2

Communication and HL7 Protocol ................................................................................. 3

2.1 Message Grammar .................................................................................................. 3

2.2 Compatible HL7 Messages...................................................................................... 4

Communication Process and Message Example........................................................ 23

1.1 Messages Compatible with HL7 Interface

1.2 HL7 Lower Layer Protocol

Messages are transmitted in format of:

<SB> ddddd <EB><CR>

<SB> = Start Block character (1 byte)

ddddd = Data (variable number of bytes)

<EB> = End Block character (1 byte)

<CR> = Carriage Return (1 byte)

1.3 Minimal Lower Layer Protocol MLLP

MLLP, an encapsulation of HL7 messages, is defined in the HL7 standard. HL7

Start character: Hexadecimal <0B>

End character: Hexadecimal <1C><0D>

Communication here concerns result sending and sample information downloading.

2.1 Message Grammar

Field 9 Includes message types (ORU)

2.2 Compatible HL7 Messages

Test results are transferred as follows:

ORU/ACK: Observe result (unsolicited)/Acknowledgment

An ORU^R01 message includes:

- Patient information (patient name, sample ID, etc)

- Doctors order (sample type, sender, tester, clinical diagnosis, etc)

- Test results (test No., concentration, unit, reference, etc)

The structure of an ORU message is as follows:

MSH Message header

Calibration result includes the following information:

-Test information (test No. and test name)

-Calibration rule and date/time

QC result includes the following information:

-Test information (test No. and test name)

-Date/time and QC result (concentration and unit)

The above-mentioned information can be applied as needed. Refer to following

ORU Observational Results Description

MSH Message Header

ACK^R01 message responds to ORU message and is as follows:

ACK Acknowledgment Description

MSH Message Header

QRY/QCK: Query/Query acknowledgment

MSH Message Header

QCK^Q02 message responds to QRY^Q02 message and is as follows:

MSH Message Header

MSH Message Header

ACK^Q03 responds to DSR^Q03 message and is as follows:

MSH Message Header

MSH Message Header

No. Field Length Description

No. Field Length Description

Note: Fields of MSA-6 are introduced as follows.

The status code list is shown as the figure below.

- Doctors order (sample type, sender, tester, clinical diagnosis, etc)