Communication Protocol Specifications for Radiometer products ASTM High-level

ASTM high-level protocol (E1394)

Overview

Introduction This manual describes the structure of the ASTM high-level protocol. This manual
also describes how Radiometer analyzers and RADIANCE implement the ASTM
high-level protocol. This manual is not for the ABL5xx/6xx series.

Contents This manual contains the following topics.

Introduction ...................................................................................................................1
Intended use .....................................................................................................................4

Communication layers ....................................................................................................5

Analyzer and high-level protocol overview ...................................................................8

Recommended configuration option ............................................................................10

Message structure..........................................................................................................11

Message types and message flow ..................................................................................14

Audit trail.......................................................................................................................21
Detailed structure of each record type ....................................................... 23

Message header record..................................................................................................24

Patient information record ...........................................................................................26

Test order record (patient, calibration and QC result).............................................28

Test order record – RADIANCE - (patient information response)...........................32

Test order record – Radiometer Analyzers - (patient information response) ..........34

Result record..................................................................................................................35

Comment record – Radiometer Analyzers..................................................................39

Comment record – Radiance ........................................................................................41

Comment record – Audit Trail....................................................................................42

Comment record – (Notification) ................................................................................43

Query record..................................................................................................................44

Manufacturer information record ...............................................................................45

Message terminator record...........................................................................................46

ASTM message structure and examples..................................................... 47

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ASTM High-level Communication Protocol Specifications for Radiometer products

Overview.........................................................................................................................47
Messages sent from the analyzer or RADIANCE...................................... 48

Overview.........................................................................................................................48

Symbols and meanings ..................................................................................................49

Patient result ..................................................................................................................50

Calibration result...........................................................................................................54

Quality control result ....................................................................................................57

Activity log .....................................................................................................................59

Patient information query.............................................................................................60

Patient-by-department query .......................................................................................61

Messages received by the analyzer or RADIANCE .................................. 62

Patient information response........................................................................................63

Patient-by-department response ..................................................................................65

Command message - Radiometer analyzers................................................................66

Complete transmission examples............ ....................................................67

Complete transmission examples using ASTM Low-level protocol ..........................68

Complete Transmission Examples using Serial Raw Protocol ..................................70

Complete transmission examples using Radiometer Network protocol ...................71

ABL80 transmission examples .....................................................................................72

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Communication Protocol Specifications for Radiometer products ASTM High-level

Introduction

Overview

Introduction Radiometer analyzers and RADIANCE have two ASTM high-level protocols, that
are slightly different:
• ASTM is the protocol preferred.
• ASTM6xx is the ASTM E1394 protocol as it was implemented on older
ABL500 series and ABL600 series analyzers.
This high-level standard specifies:
• the structure of messages exchanged between the analyzer and the computer
system, i.e. the individual records and the fields contained in the records.
• the total list of universal test IDs transmitted via ASTM.

NOTE: RADIANCE has dedicated bidirectional interfaces for the following systems:
• CernerASTM
• HBO
• Hboc
• Labfusion
• Misys (Sunquest)

NOTE: The Audit Trail function is available for the ASTM (but not the ASTM6xx)
protocols and is only supported by:
• RADIANCE
• ABL80
• ABL77
The format of Comment records documenting general conditions, errors and flags
differs slightly between Radiometer analyzers.

Contents This chapter contains the following topics.

Intended use ..................................................................................................... 4
Communication layers ..................................................................................... 5
Analyzer and high-level protocol overview ..................................................... 8
Recommended configuration option ................................................................ 10
Message structure............................................................................................. 11
Message types and message flow..................................................................... 14
Audit trail ......................................................................................................... 21

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ASTM High-level Communication Protocol Specifications for Radiometer products

Intended use

Introduction This manual covers the specification of the following high-level communication
protocol.
• ASTM high-level (E1394)
This protocol is used by Radiometer analyzers and RADIANCE to LIS connection

Terminology Terminology Unless otherwise stated, when the following is written it

refers to:
Radiometer All analyzers and devices produced by Radiometer from,
analyzers and including, the ABL700 Series. i.e
• ABL700 Series
• ABL70
• ABL77
• ABL800 FLEX
• ABL800 Basic
• ABL80 FLEX

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Communication Protocol Specifications for Radiometer products ASTM High-level

Communication layers

Introduction Communication between computer systems is generally described in terms of the

7- layer Open Systems Interconnect (OSI) model, see Craig Hunt, TCP/IP Network
Administration, O’Reilly & Associates Inc.1994. The following table correlates
terms used in this manual with the OSI model concepts.

OSI Name Defines

Level
7-6 Application The communicating application, i.e. the ABL700
layer DMS or the RADIANCE application and the high-
Presentation level protocol defining the format of data to be
layer communicated ASTM, ASTM6xx and HL7 are
protocols of this layer.

5 Session layer Connection control layer. For the protocols

described in this manual, a separate layer does not
handle connection control.
4 Transport layer Low-level protocol layer responsible for
transmission control and error detection. Transport
layer protocols described in this manual include
ASTM 1381-95, Serial (RAW), RADIOMETER
Network Protocol and TCP/IP.
3–2 Network layer Protocols for basic traffic control and for the
isolation of the upper layer from the physical
Data Link layer
network. These layers are covered partly by TCP/IP
and partly by network standards.
1 Physical Layer The physical communication medium, e.g.
RS232C, IEEE 802.3 Ethernet or Token Ring.

Physical Layer Radiometer analyzers or RADIANCE can be connected to HIS/LIS through:

• Serial line connection (RS232)
• Network connection (using TCP/IP as the transport protocol).

Continued on next page

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ASTM High-level Communication Protocol Specifications for Radiometer products

Communication Layers, Continued

Low-level Radiometer analyzers and RADIANCE products have implemented the following
protocol low-level protocols.
Low-level protocols Is Used......
Serial (ASTM E1381 – 95), • when data is to be transferred over a
“Specification for Transferring RS232 serial connection.
Information Between Clinical
Laboratory Instruments and Computer • because it is an international
Systems”. standard familiar with every HIS/LIS
vendor, and 3rd party data
management systems.
Radiometer Network Protocol • when data is to be transferred via
TCP/IP over a network connection.
Serial(Raw) Only a beginning • when data is to be transferred over a
transmission character (STX) is sent RS232 serial connection.
out of the port. The result is then sent,
and then an ending character (ETX) is • to emulate one of the ABL500 series
sent. and ABL600 series’ communication
to a Lab system.
• NOTE: this is NOT recommended
since no checksum or other means of
transmission error detection is
supported.
ASTM 1381 – TCP/IP • When ASTM E1381 is to be used
over a network connection

MLLP • as an alternative to Serial Raw when

HIS/LIS uses the HL7 minimum
lower-level protocol standard
See Low-level Protocols manual for
details. This manual is found on CD-
ROM 989-791

Continued on next page

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Communication Protocol Specifications for Radiometer products ASTM High-level

Communication Layers, Continued

High-level The goal of a high-level protocol is to create a common language so analyzers and
Protocol computer systems can communicate with each other. Radiometer has based this
communication on standardized communication protocols.
The protocols are general purpose health care (HL7) or clinical laboratory (ASTM)
protocols. Only those parts of the standards relevant to Radiometer equipment have
been implemented and described in this manual.
Radiometer analyzers and RADIANCE can communicate using three high-level
protocols:
Protocol Is Used.....
ASTM6xx – ASTM E1394 – 91 • to match ABL500 Series and ABL600
“Specification for Transferring Series making it as seamless as
Information Between Clinical possible to use Radiometer analyzers
Laboratory Instruments and and RADIANCE products with existing
Computer Systems”. HIS/LIS interfaces.
NOTE: Unlike the previous
ABL500 and ABL600 Series
products, the ASTM6xx now
includes bidirectional
communication.
ASTM - ASTM E1394 – 91 • because it makes more use of the
available features of the protocol, like
“out of critical range” flags and again,
bidirectional communication.
HL7– Health-Level 7 as a computer to computer standard. It is a
general purpose health care
communication standard.
• General acknowledgements are not
required by the HIS/LIS
POCT1-A DML • when a POCT1-A compliant device is
to connect to RADIANCE.
• when a Radiometer analyzer has to
connect to a non-RADIOMETER data
manager or HIS/LIS that supports the
POCT1-A suite of protocols.
HL7 v2.5 • HL7 v2.5 standard is to be supported
• General acknowledgements are required
by HIS/LIS
HISLIS PLUS • Bidirectional interface with orders and
ADT support on one connection and
results on another is required.

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ASTM High-level Communication Protocol Specifications for Radiometer products

Analyzer and high-level protocol overview

Introduction The following chart gives an overview of which high-level protocols can be
defined in the user interface for analyzers/RADIANCE. For analyzer specific
protocols see details immediately after the chart.
The shaded column shows the protocol for this manual.

ANALYZER CONNECTION PROTOCOL

HIS HL7 HL7 HIS ASTM ASTM POCT Propriety
LIS v2.2 v2.5 LIS 6xx 1-A
PLUS PLUS DML
HL7 ASTM

ABL800 RADIANCE x
FLEX series
LIS x x x x
ABL80 RADIANCE x
FLEX
LIS x x x x x*

ABL800 RADIANCE x
Basic
LIS x x x x
ABL700 RADIANCE x
Series
LIS x x x
ABL77 RADIANCE x
LIS x x
RADIANCE LIS x x x x x x
POCT1-A RADIANCE x
LIS x
*Available at a later release. Please contact your local Radiometer distributor for
further information.

Analyzer The following have their own analyzer specific protocol:

Specific
• ABL5xx/6xx
Protocols
• NPT7
• TCM

Continued on next page

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Communication Protocol Specifications for Radiometer products ASTM High-level

Analyzer and high-level protocol overview, Continued

CD-ROM All protocols including analyzer specific protocols, are to be found on CD ROM
989-791 Communication Protocol Specification for Radiometer products Code
number: 989-791.
NOTE: The following protocols are not yet available. Please check with
Radiometer Medical as to their availability:
LOINC - Mapping of Radiometer Parameters
POCT1-A
HL7 2.5
ASTM HIS/LIS PLUS

Included on the CD ROM are PDF files for print out. Should you be unable to print
out a manual, but still require a hard copy then please contact your local
Radiometer distributor for assistance.

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ASTM High-level Communication Protocol Specifications for Radiometer products

Recommended configuration option

Introduction The ASTM communication protocols are standard protocols used for transferring
data between clinical instruments and computer systems.
The low-level protocol ensures error-free communication, and the high-level
protocol defines the content and format of the information transmitted between the
analyzer and the external system.

Communication The following model illustrates the recommended communication options; product
Model set-up options are in parentheses.

High-level ASTM E1394 - 97 ASTM E1394 - 97 ASTM E1394 - 97

(ASTM) (ASTM) (ASTM)

RADIOMETER ASTM E1381 – 95

ASTM E1381 - 95 Network Protocol over TCP/IP
Low-level (Serial) (TCP/IP) (ASTM(1381)-TCP/IP)

Connection Serial Line Network

Data Transmission examples from the ABL725 are included in Complete Transmission
Transmission Examples using ASTM Low-level Protocol to illustrate how data is sent in ASTM
format.

Communication The set up of the analyzers’ communication configurations is described in detail in

Configuration the relevant Radiometer analyzer Operator’s Manual.
The setup of RADIANCE communication configuration is described in detail in the
RADIANCE Installation and Setup Manual.

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Communication Protocol Specifications for Radiometer products ASTM High-level

Message structure

Introduction The following table briefly describes concepts used when describing the ASTM
1394 high-level protocol. For further details, refer to the original ASTM standard
specification.

Concept Definition
Message A complete, self-contained entity of data. An example of a
message is a complete patient test result including patient
identification, order information, parameter values and error
messages.
Record A message is composed of records each containing related
elements of data (attributes). Examples of records are the patient
information record keeping all the patient data that is common to
all tests and the order record keeping data that is common for the
individual test.
Field Each record has a number of fields each holding one or more data
elements (attributes). For instance, the patient information record
has a field containing the patient’s name and a field holding the
patient’s birth data. Fields are delimited by "|"
Component A field may be divided into several component fields. The name
field field of the patient information record has the components last
name, first name and middle initials. Components are delimited by
'^'

Record Types Messages consist of various record types that are listed in the table below.

Record Type Name

H Header record
P Patient information record
O Test order record
R Result record
C Comment record
M Manufacturer information record
Q Query record
L Message terminator record

Continued on next page

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ASTM High-level Communication Protocol Specifications for Radiometer products

Message structure, Continued

Example of the The example below shows the message structure for reporting a measurement.
Message
Structure Record Type Name
H Header record
P Patient information record
O Test order record
C Comment record for entire test
R Result record 1
C Comment record for result 1
R Result record 2
R Result record 3
R Result record 4
R Result record 5
C Comment record for result record
5
L Message terminator record

(The comment records C are only transmitted if a system message applies to the
previous record).
The first comment record C following the test order record O applies to the entire
result, whereas comment records C following the result records R apply to
individual parameters.

Continued on next page

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Communication Protocol Specifications for Radiometer products ASTM High-level

Message structure, Continued

Delimiters Delimiters are used to separate the record into fields and components. Delimiters
may vary from implementation to implementation, and are defined as part of the
header record.
The following delimiters are used in Radiometer analyzers and RADIANCE:

Delimiter Name Dec. Code Hex. Code

"|" Field delimiter 124 7C
"\" Repeat field delimiter 92 5C
"^" Component field delimiter 94 5E
"&" Escape delimiter 38 26
<CR> Record 13 D

NOTE: The Record delimiter is always <CR> Carriage Return

Dec code: 13
The Record delimiter <CR> is applied to the end of all record types.

Dates and Times Dates are always represented as: YYYYMMDD

Times are always represented as: HHMMSS
Dates and times together are represented as: YYYYMMDDHHMMSS

Decimal Values Decimal values are transmitted with a period as the decimal separator, e.g. 7.243

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ASTM High-level Communication Protocol Specifications for Radiometer products

Message types and message flow

Introduction High-level communication between Radiometer analyzers and the HIS/LIS or

RADIANCE and the HIS/LIS system is specified in this manual as a series of
messages, whether they are ASTM, ASTM6xx, or HL7.
The exchanged messages can be divided into 3 groups:
1. Messages sent by Radiometer analyzers or RADIANCE to HIS/LIS.
2. Messages received by Radiometer analyzers or RADIANCE from HIS/LIS.
3. Query-Response messages where Radiometer analyzers or RADIANCE sends a
query message and expects a response message from the HIS/LIS.
These messages are exchanged between the Radiometer analyzers and the HIS/LIS
or between the RADIANCE and the HIS/LIS depending upon the installation setup:

Radiometer
Analyzer HIS/LIS

Radiometer
RADIANCE HIS/LIS
Analyzer

When RADIANCE is used to interface with the HIS/LIS the process of sending
messages to the HIS/LIS is a 2-step sequence where the analyzer first sends a
message to RADIANCE, which then sends a message to HIS/LIS. Likewise, the
process of receiving messages from the HIS/LIS is a 2-step sequence where
RADIANCE receives the message and then forwards it to the analyzer.

NOTE: The messages exchanged between Radiometer analyzers and RADIANCE is

proprietary and is not discussed in this manual.

The following sections categorize the messages according to the above 3 groups,
and illustrate the message flow between Radiometer analyzers or RADIANCE and
the HIS/LIS system depending upon the installation setup.

Messages Sent The Messages sent by Radiometer analyzers and RADIANCE to the HIS/LIS system
are:
• Patient Result
• Calibration Result
• Quality Control Result
• Activity Log Message

Continued on next page

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 Communication Protocol Specifications for Radiometer products ASTM High-level

Message types and message flow, Continued

Messages The Messages received by Radiometer analyzers and RADIANCE from the HIS/LIS
Received system are:
• Command Message
• Unsolicited Patient Information Message
• Unsolicited Patient by Department Message
NOTE: For a description of the unsolicited messages, refer to the message specifications
for the Patient Information Response and the Patient by Department Response.

Query-Response The Query-Response Messages where Radiometer analyzers or RADIANCE sends

Messages a query message and expects a response message from the HIS/LIS include:
• Patient Information Query/Patient Information Response
• Patient by Department Query/Patient by Department Response
NOTE: In this manual the Query message specifications are included in the section for
"Messages Sent from the Analyzer or RADIANCE" whereas the Response message
specifications are included in the sections for "Messages Received by the Analyzer
or RADIANCE".

Message Flows The following diagram illustrates the flow of messages sent from Radiometer
for Sent analyzers when connected to the HIS/LIS system directly.
Messages
Radiometer HIS/LIS
Analyzer

Patient Result

Radiometer
HIS/LIS
Analyzer

Calibration Result

Radiometer HIS/LIS
Analyzer

Quality Control Result

Radiometer HIS/LIS
Analyzer

Activity Log

Continued on next page

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ASTM High-level Communication Protocol Specifications for Radiometer products

Message types and message flow, Continued

Message Flows The following illustrates the flow of messages when a Radiometer analyzer is
for Sent connected to RADIANCE and the latter is configured to send all result types to the
Messages, HIS/LIS system.
continued
Radiometer HIS/LIS
RADIANCE
Analyzer

Patient Result
(proprietary)
Patient Result

Radiometer HIS/LIS
RADIANCE
Analyzer

Calibration Result
(proprietary)
Calibration Result

Radiometer
RADIANCE HIS/LIS
Analyzer

Quality Control Result

(proprietary)
Quality Control Result

Radiometer HIS/LIS
RADIANCE
Analyzer

Activity Log
(proprietary)
Activity Log

Continued on next page

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Communication Protocol Specifications for Radiometer products ASTM High-level

Message types and message flow, Continued

Message Flows The following diagram illustrates the flow of messages received by Radiometer
for Received analyzers when connected to the HIS/LIS system directly.
Messages
Radiometer HIS/LIS
Analyzer

Command Message

Radiometer
HIS/LIS
Analyzer

Unsolicited Patient Information Message

Radiometer HIS/LIS
Analyzer

Unsolicited Patient by Department Message

When Radiometer analyzers or RADIANCE receives a Patient Information

Response or a Patient by Department Response and there is no outstanding query
then it is considered unsolicited.
In these cases the information is stored in the patient profile database and is not
attached to any patient test result.

When RADIANCE receives a Patient by Department Response or Patient

Information Response and there is no outstanding query from the analyzer then it
is considered unsolicited.
This message is used to update the RADIANCE database with the latest patient
information for a given patient department. It is not forwarded to the analyzer.
The following diagram illustrates the Unsolicited Patient by Department Message
and Unsolicited Patient Information Message when RADIANCE is connected to
the HIS/LIS system.

Radiometer HIS/LIS
RADIANCE
Analyzer

Unsolicited Patient
by Department Message

Unsolicited Patient
Information Message

Continued on next page

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ASTM High-level Communication Protocol Specifications for Radiometer products

Message types and message flow, Continued

Message Flows For Query-Response messages, the Query is initiated by Radiometer analyzers and
for Query- the Response is sent by the HIS/LIS system.
Response
If the analyzer is connected to RADIANCE, then RADIANCE relays the queries from
Messages
the analyzer to the HIS/LIS system, and, likewise, relays responses from the
HIS/LIS system to the analyzer.
The following diagram illustrates the flow of messages for the Patient Information
Query when the analyzer is connected to the HIS/LIS system directly.

NOTE: If in Radiometer analyzers the Patient Identification Form is closed before the
response to a patient information request has been received, the response is
treated as an unsolicited patient information message. Hence, a response received
after the Patient Identification form has been closed is stored as a patient profile in
the analyzer's database, but the information received is not attached to any patient
test result.

Radiometer HIS/LIS
Analyzer

Patient Patient Information Query

Identification
form is visible
Patient Information Response

The following diagram illustrates the flow of messages for the Patient Information
Query when the analyzer is connected to RADIANCE.

Radiometer HIS/LIS
RADIANCE
Analyzer

Patient Information Query

(proprietary)
Patient Patient Information Query
Identification
form is visible Patient Information Response
Patient Information Response
(proprietary)

When the Patient Lookup function is activated on Radiometer analyzers , a series

of queries is made. First the Patient by Department Query is made to obtain a list
of patients. When the user chooses a patient the analyzer then sends a Patient
Information Query to obtain more detailed demographics information on the
chosen patient.

Continued on next page

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Communication Protocol Specifications for Radiometer products ASTM High-level

Message types and message flow, Continued

NOTE: If Radiometer analyzers do not receive a response to a Patient by Department

Query within 20 seconds of sending the query, the query times out. A response
received after the timeout is treated as an unsolicited Patient by Department
message and is stored in the patient by department list in the analyzer's database.
The information received is not attached to any patient test result.

Flow of The following diagram illustrates the flow of messages when the analyzer is
Analyzer connected directly to the HIS/LIS system.
Messages to the
HIS/LIS Radiometer HIS/LIS
Analyzer

Patient by Department Query

< 20 secs
Patient by Department Response

Patient Information Query

Patient
Identification
form is visible
Patient Information Response

The following diagram illustrates the flow of messages for Patient by Department
Query when the analyzer is connected to RADIANCE, and RADIANCE is configured
for these queries.

Radiometer HIS/LIS
RADIANCE
Analyzer

Patient by Department
Query (proprietary)
Patient by Department Query
< 20 secs
Patient by Department Patient by Department Response
Response (proprietary)

Patient Information Query

(proprietary)
Patient Information Query
Patient
Identification
form is visible Patient Information Response
Patient Information
Response (proprietary)

19
ASTM High-level Communication Protocol Specifications for Radiometer products

Message types and message flow, Continued

NOTE: • The timeout value on the analyzer of 20 seconds may be changed to meet site-
specific requirements. Please consult your RADIOMETER Service Representative
if necessary.
• Patient by Department Query is not supported in ASTM6xx.

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Communication Protocol Specifications for Radiometer products ASTM High-level

Audit trail

Introduction An audit trail displays a history of edits that have been made to a patient file.
RADIANCE generates an audit trail list if a result is edited in RADIANCE or at an
analyzer. The audit trail list is visible on the screen where patient results are
displayed. The audit trail list is also visible on printed reports from RADIANCE.
In addition the audit trail can be sent along with the patient result to the HIS/LIS
systems if the option is enabled. In this case, the operator of the HIS/LIS system
can view a complete history of changes that have been performed on the patient
result. This function is also useful for tracing and documenting changes, which are
required by many regulatory boards when audits are performed at a hospital.

NOTE Radiometer analyzers, with the exception of ABL77 and ABL80, do not support
Audit trail on HIS/LIS transmissions.
For RADIANCE, the audit trail on HIS/LIS transmissions is available only for
ASTM and HL7 protocols and not for ASTM6xx.

ABL77 and Use “Edit log” instead of Audit Trail.

ABL80
Audit Trail The following example illustrates the Audit Trail included in an ASTM message
Example sent to the HIS/LIS system from RADIANCE.
In this example the operator, John Smith (initials JBS), drew a sample from a
patient, Peter Hansen, and performed a measurement on an ABL700 Series
analyser. He later went in to make the following changes, after which the result
was retransmitted to RADIANCE, which in turn retransmitted the result to the
HIS/LIS system:
1. Disable pCO2 via the dynamic parameter button in the patient ID screen.
2. FIO2: changed from 21.0 to 80.0
3. Patient temperature (degrees Celsius): change from 37.0 to 39.4

NOTE The result has an error message (Calibration drift out of range) on parameter pO2.

Continued on next page

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ASTM High-level Communication Protocol Specifications for Radiometer products

Audit trail, Continued

RADIANCE H|\^&|||ABL735^Central Lab.||||||||1|20011003231512

Audit Trail P|1||112233||Hansen^Peter||19661306|M|||||||^^^|1.82^m|69.0^kg||||||||
Example
O|1||Sample #^3|^^^syringe |||20011002113012||||||||Arterial^Brachial, left|Dr. McCoy|||||||||F|
C|2|L|CHANGE^23:14 2001-10-03 (JBS) pCO2: 111mmHg -> <Not included>|G
R|1|^^^FIO2^I|80.0|%||C|||
C|1|L|CHANGE^23:14 2001-10-03 (JBS) FIO2: 21.0% -> 80.0%|G
R|2|^^^T^I|39.4|Cel||C|||
C|1|L|CHANGE^23:14 2001-10-03 (JBS) T: 37.0 -> 39.4|G
R|3|^^^Cl-^M|99|mmol/L||N||R||John Smith|20011002114000
R|4|^^^pH^M|7.402|||N||R|||
R|5|^^^pO2^M|?111|mmHg||N||R|||
C|1|I|377^Calibration drift out of range|I
R|6|^^^Na+^M|134|mmol/L||N||R|||
R|7|^^^Glu^M|5.0|mmol/L||N||R|||
R|8|^^^Lac^M|1.2|mmol/L||N||R|||
R|9|^^^Ca++^M|0.54|mmol/L||N||R|||
R|10|^^^K+^M|3.7|mmol/L||N||R|||
R|11|^^^tHb^M|10.9|g/dL||N||R|||
R|12|^^^sO2^M|97.5|%||N||R|||
...
L|1|N

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Communication Protocol Specifications for Radiometer products ASTM High-level

Detailed structure of each record type

Introduction The information contained in the individual records and fields is dependent on the
analyzer configuration, i.e. which
• fields are enabled in the patient identification screen
• parameters are selected if the dynamic parameters function of the analyzer is
activated
• input parameters are activated
In this section the content of each record type is examined in detail.

Contents This section contains the following topics.

Message header record..................................................................................... 24
Patient information record................................................................................ 26
Test order record (patient, calibration and QC result) .................................... 28
Test order record – RADIANCE - (patient information response) .................. 32
Test order record – Radiometer analyzers– (patient information response) .... 34
Result record .................................................................................................... 35
Comment record – Radiometer analyzers ........................................................ 39
Comment record - RADIANCE....................................................................... 41
Comment record – Audit Trail ........................................................................ 42
Comment record – (Notification).................................................................... 43
Query record .................................................................................................... 44
Manufacturer information record ..................................................................... 45
Message terminator record............................................................................... 46

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ASTM High-level Communication Protocol Specifications for Radiometer products

Message header record

Introduction The message header contains general information and identifies the sender. The
header record is always the first record in a transmission.

ABL77 Fields are * if they differ from other Radiometer analyzers. An explanation follows
the chart below.

Message Header The following is an example of a message header.

Example H|\^&|||ABL725^ICU^||||||Operators comment||1|19981021135650

Field Name - E1394 - 91 Example Comments

1 Record Type ID H
2 Delimiter Definition |\^&
3 Message Control ID Not used
4 Access Password Not used
5 Sender Name ABL725^ICU Analyzer type and user
definable analyzer name.
6 Sender Street Not used
Address
7 Reserved Not used
8 Sender Telephone Not used
Number
9 Characteristics of Not used
Sender
10 Receiver ID Not used
11* Comments or Special Operator’s The field contains
Instructions Comment comments entered in the
“Comments” field on the
ID screen.
12 Processing ID Not used
13 Version Number 1 Contains the ASTM
version number “1”,
which corresponds to
E1394-91
14 Date and Time of Contains the date and
Message time for the transmitted
message.

Continued on next page

24
Communication Protocol Specifications for Radiometer products ASTM High-level

Message header record, Continued

ABL77 * fields The following is different for the ABL77.

Field Name Example Comments
11 The ABL77 does not send this field

25
ASTM High-level Communication Protocol Specifications for Radiometer products

Patient information record

Introduction The patient information record contains general information about the patient.

NOTE: The patient information record can also be received after a “query for patient
information” has been issued. However, when it is used in this way field 15 in the
following example CANNOT be received by the systems.

ABL77 The ABL77 sends this record for Patient results ONLY. Fields are * if they differ
from other Radiometer analyzers. An explanation follows the chart below.

Patient The following is an example of a patient information record.

Information P|1||117118112||Doe^John||19601218|M||||||37^years|38^weeks^1050^grams|188^cm|82^kg||||||||ICU2
Record Example
Field Name - E1394 - 91 Example Comments
1 Record Type ID P
2 Sequence Number 1 Always 1 in transmissions.
Is incremented when used in
Patient Department Response
from LIS
3 Practice Assigned Not used
Patient ID
4 Laboratory Assigned 117118112 Patient ID.
Patient ID
5 Patient ID No. 3 Not used
6 Patient Name Doe^John Last Name^First Name
7 Mother’s Maiden Not used
Name
8 Date of Birth 19601218 Date of birth. Date of birth is
transmitted in the format:
YYYYMMDD
9 Patient Sex M The following codes are used:
M - Male
F - Female
U - Unknown
10 Patient Race Not used
11 Patient Address Not used
12 Reserved Not used
13 Patient Telephone Not used
Number
14 Attending Physician Not used
ID

26
Communication Protocol Specifications for Radiometer products ASTM High-level

Patient information record, Continued

Patient Field Name - E1394 - 91 Example Comments

Information 15* Special Field 1 37^years Patient age ^ unit
Record
Example, Note: when the patient
continued information record is received
after a “query for patient
information” has been issued,
field 15 CANNOT be received by
the systems..
16* Special Field 2 38^weeks^10 Gestational age ^ gestation age
50^grams unit ^ gestational birth weight ^
gestation weight unit.
17* Patient Height 188^cm Patient height ^ unit.
18* Patient Weight 82^kg Patient weight ^ unit.
19 Diagnosis Not used
20 Medication Not used
21 Diet Not used
22 Practice Field No. 1 Not used
23 Practice Field No. 2 Not used
24 Admission Date Not used
25 Admission Status Not used
26* Location ICU2 Patient department.

ABL77 * fields The following is different for the ABL77.

Field Name Example Comment
15 Special The ABL77 does not send this field
field 1
16 The ABL77 does not send this field
17 The ABL77 does not send this field
18 The ABL77 does not send this field
26 The ABL77 uses this field to represent Patient
“Location”. It can be used for patient room or
patient department (or whatever the user
chooses to have it represent), so it is not
necessarily only the Patient’s department.

27
ASTM High-level Communication Protocol Specifications for Radiometer products

Test order record (patient, calibration and QC result)

Introduction The test order record contains information about the particular test on a single
specimen.

ABL80** Fields are ** if they differ from Radiometer analyzers. An explanation follows the
chart below.

ABL77* The ABL77 sends this record for Patient results ONLY.
Fields are * if they differ from Radiometer analyzers. An explanation follows the
chart below.

Test Order The following is an example of a test order record.

Record Example O|1|ABC1234|Sample#^63|^^^syringe|||1998102305715||||||||Blood^Arterial|Dr. McCoy|||||||||F||||||

Field Name - E1394 - 91 Example Comments

1 Record Type ID O
2 Sequence Number 1 Always 1 in
transmissions from
Radiometer analyzers.
(only one O record is
transmitted).
3 Specimen ID - ABC1234 Accession number
Accession Number entered during analysis.
4** Instrument Specimen Sample #^63 The analyzer
ID - sample number automatically generates
the number.
The text in front of the
sequence number
identifies the result type.
Each result type has its
own series of sequence
numbers.

Sample #^63 Sample - patient sample.

Cal #^12 Cal - calibration.

QC #^54 QC - quality control.

Error Activity log message.
5* Universal Test ID ^^^syringe Measuring mode
5 **

Continued on next page

28
Communication Protocol Specifications for Radiometer products ASTM High-level

Test order record (patient, calibration and QC result),

Continued

Test Order
Record Example Field Name - E1394 - 91 Example Comments
(continued) 6 Priority Code Not used
7* Ordered Date/Time Not used
7** Ordered Date/Time
8 Sample Draw Time 19981023105715 Sample draw time
entered during analysis.
9 Collection End Time Not used
10 Collection Volume Not used
11* Collector ID Not used
12 Action Code Not used
13 Danger Code Not used
14 Relevant Clinical Not used
Information
15 Date/Time Specimen Not used
Received
16* Specimen Descriptor Blood^femoral Sample type^Sample
16** right site
Both fields are entered
during measurement.
Calibration type.
QC Solution ID^QC lot
– quality control.
2-Point Calibration
S7730^4
17 Ordering Physician Dr. McCoy Physician name or code
entered during the
analysis.
18 Physician’s Telephone Not used
Number
19 User field No. 1 Not used
20 User Field No. 2 Not used
21 Laboratory Field No. 1 Not used
22 Laboratory Field No. 2 Not used

Continued on next page

29
ASTM High-level Communication Protocol Specifications for Radiometer products

Test order record (patient, calibration and QC result),

Continued

Test Order
Record Example Field Name - E1394 - 91 Example Comments
(continued) 23* Date/Time Result Not used
reported or Last
Modified
24 Instrument Charge to Not used
Computer System
25 Instrument Section ID Not used
26* Report Types F F – Final Results (used
C for initial transmission)
C – correction of
previously transmitted
results (used for
corrected results when
Audit Trail is enabled)

ABL80** fields Field Name Example Comment

Differences 4 Instrument The ABL80 does not send “Error” for
Specimen the Activity log. The activity log (edit
ID log) is sent separately.
5 Universal Not used by the ABL80
Test ID
7 Ordered 20060101120000 Not used by the ABL800 and but can
Date/Time be configured via configuration file as
<%TimestampOrdered%> to be sent
by the ABL80. In the ABL80 it is
represented as “Order Date”.
16 Specimen C8003^12062 For QC results: ABL80 sends
Descriptor “S7460^22 rather than QC Level
4^S7460” where “S7460^22” is
Solution ID^lot. Another example
would be C8003^12062.

30
Communication Protocol Specifications for Radiometer products ASTM High-level

Test order record (patient, calibration and QC result),

Continued

ABL77 * fields The following is different for the ABL77.

Field Name Example Comment
5 Universal Test ID The ABL77 does not send this field
7 Requested/Ordered The ABL77 uses this field to represent
Date and Time “Order Date” expressed in
YYYYMMDD for Patient Results
only.
11 Collector ID ABL77 uses this field to represent
“Drawn by” for Patient results only.
16 Specimen For QC results: ABL77 sends QC
Descriptor Level^QC Lot number rather than QC
Solutions ID^QC Lot number.
For Calibration Records: The ABL77
sends “2 Point Calibration” rather than
“2-Point Calibration”.
For Patient results: There is a listing of
all the possible sample types and draw
sites transmitted by ABL77
23 Date/time results Last The ABL77 sends the date and time the
Modified results were last modified in
YYYYMMDDHHMMSS for Patient
results ONLY.
26 Report Types The ABL77 uses the term “Edit Log”
instead of the term “Audit Trail”.

31
ASTM High-level Communication Protocol Specifications for Radiometer products

Test order record – RADIANCE - (patient information

response)

Introduction Zero or more test order records may be included in a patient information response
when a patient is queried via patient id or via accession number. When queried by
accession number the response contains 1 O record that includes the accession
number queried on.
When queried by patient ID the O records identify a list of test orders outstanding
for the patient with 1 accession number per O record.

Test Order The following is an example of a test order record.

Record Example O|1|ABC1234||^^^O1234^BGOXIELECT||||||||||||Dr. McCoy|||||||||||||||

Field Name - E1394 - 91 Example Comments

1 Record Type ID O
2 Sequence Number 1 Always 1 in
transmissions from
Radiometer analyzers
(only one O record is
transmitted).
3 Specimen ID - ABC1234 Accession number
Accession Number queried on/returned by
HIS/LIS system.
4 Instrument Specimen Not used
ID - sample number
5 Universal Test ID ^^^O1234^BGOXI ^^^Order item
ELECT code^Order item
6 Priority Code Not used
7 Ordered Date/Time Not used
8 Sample Draw Time Not used
9 Collection End Time Not used
10 Collection Volume Not used
11 Collector ID Not used

Continued on next page

32
Communication Protocol Specifications for Radiometer products ASTM High-level

Test order record – RADIANCE - (patient information

response), Continued

Test Order
Field Name - E1394 - 91 Example Comments
Record Example
(continued) 12 Action Code Not used
13 Danger Code Not used
14 Relevant Clinical Not used
Information
15 Date/Time Specimen Not used
Received
16 Specimen Descriptor Not used
17 Ordering Physician Dr. McCoy Physician name
responsible for ordering
test.

33
ASTM High-level Communication Protocol Specifications for Radiometer products

Test order record – Radiometer Analyzers - (patient

information response)

Introduction Zero or 1 test order records may be included in a patient information response
when a patient is queried via patient ID or via accession number. When queried by
accession number the response contains 1 O record that includes the accession
number queried on.
When queried by patient ID the optional O record identifies an outstanding order
for the patient in question.

ABL77 The ABL77 looks only at the first three fields even though a HIS/LIS system may
send more.

Test Order The following is an example of a test order record.

Record Example O|1|ABC1234|||||||||||||||||||||||||||||

Field Name - E1394 - 91 Example Comments

1 Record Type ID O
2 Sequence Number 1 Always 1 in
transmissions from
Radiometer analyzers
(only one O record is
transmitted).
3 Specimen ID - ABC1234 Accession number
Accession Number queried on/returned by
HIS/LIS system.

34
Communication Protocol Specifications for Radiometer products ASTM High-level

Result record

Introduction The result record contains information about a single parameter in a particular test.
The parameter can be an input (a keyed-in value), default, measured, calculated, or
estimated parameter.

ABL77 The Results Record will not be sent for a parameter if an abbreviation is used to
express the result for that parameter on the analyser. (i.e if a parameter is reported
as having no end points).
Fields are * if they differ from the Radiometer analyzers. An explanation follows
the chart below.

Result Record The following is an example of a result record.

Example R|1|^^^pO2^M|62.7|mmHg||N||F||Bill|19980909151803|||

Field Name - E1394 - 91 Example Comments

1 Record Type ID R
2 Sequence Number 1 This is the first R record.
3* Universal Test ID ^^^pO2^M This field consists of four
components; the first three are
not used:
Not used
^ Not used
^ Not used
^pO2 Parameter name
^M Parameter type
Parameter names are listed in
Appendix 1.
Possible parameter types are:
“C”
Calculated parameter
“D”
Default parameter
“E”
Estimated parameter
“I”
Input parameter
“M”
Measured parameter
“ ”
Parameter type not specified

Continued on next page

35
ASTM High-level Communication Protocol Specifications for Radiometer products

Result record, Continued

Result Record
Example Field Name - E1394 - 91 Example Comments
(continued) 4* Measurement Value 62.7 The value can be prefixed with a
“?” indicating that an error
exists on the parameter.
e.g. ?62.7
5 Units mmHg Parameter names and the
possible units are available in
Appendices.
6* Reference Ranges Not used
7* Result Abnormal Flag N Possible result flags are:
“N”
Normal value
“L”
Below low normal range
“H”
Above high normal range
“LL”
Below low critical range
“HH”
Above high critical range
“<”
Below analyzer measuring range
“>”
Above analyzer measuring range
8 Nature of Abnormality Not used
Testing
9* Result Status F “F” indicating final result.
C “C” indicating corrected
R parameter result if Audit Trail is
enabled.
“R” indicating a retransmitted
parameter which has not been
corrected. Only sent if Audit
Trail is enabled.
10 Date of Change in Not used
Instrument Normative
Values or Units
11* Operator Identification Bill The operator ID. Only sent with
the first “R” record.

Continued on next page

36
Communication Protocol Specifications for Radiometer products ASTM High-level

Result record, Continued

Result Record Field Name - E1394 - 91 Example Comments

Example
12* Date/Time Test 19980909151803 Time stamp generated
(continued)
Started when analysis is
completed. Only send
with the first “R”
record.
13* See ABL77 fields
below.

The following is different for the ABL77.

ABL77 * Field Name Example Comment
fields
3 Universal For Patient and QC Results the ABL sends
Test ID ^^^Parameter ^ParameterType. The ABL77
uses the same Parameter types as
Radiometer analyzers with the exception
that there are no unspecified (“”) or
estimated (“E”) parameters on the ABL77.
For Calibration Results the ABL77 sends:
^^^Parameter^Sens where Sens equates to
sensitivity.
4 Data or “***” to represent that the value was outside
Measurement of the display range (for Patient and QC
Value Results only).
“###” to represent that the value was outside
of the display range (for Patient, QC and
Calibration Results).
There can also be a “?” in front of a numeric
value to indicate possible air in sample or
calibration fluid. In the case of patient
results a “?” can also mean that the
parameter failed QC.
6 Reference For Patient results, the ABL77 sends
ranges reference and critical ranges in this field in
the following form:
(Low-High)^Ref\(Low-High)^Crit
Ranges are sent only for measured values.
Ranges are not sent for derived values.
For QC and Calibration results, the ABL77
sends acceptance ranges in the following
form:
(Low – High)

37
ASTM High-level Communication Protocol Specifications for Radiometer products

Result record, Continued

ABL77 * fields, Field Name Example Comment

continued
7 Results The flags that the ABL77 uses represent
Abnormal the same issues with values as
Flags Radiometer analyzers. For the ABL77,
this field can also be empty (in the case
of temperature corrected values).
However, the verbiage used are
different.
ABL77 Radiometer analyzer
verbiage verbiage
• Below low • Below low normal
reference range
range
• Above high • Above high normal
reference range
range
• Below low • Below analyzer
reportable measuring range
range
• Above high • above analyzer
reportable measuring range
range
9 Result Status The ABL77 call the Audit trail the ”Edit
Log”
11 Operator The ABL77 sends the “User name” instead
Identification of Operator ID
12 Date/time test The ABL77 does not send this field.
started
13 Date/time test The ABL77 sends this field.
completed

38
Communication Protocol Specifications for Radiometer products ASTM High-level

Comment record – Radiometer Analyzers

Introduction Comment records contain information concerning the general conditions of the
analyzer or errors/flags on individual parameters.

NOTE: A comment always applies to the preceding record of the message. In a result
message, a comment record sent before the first R record is a general message
whereas a comment sent after an R record is related to the preceding R record.

ABL77* The only comment record the ABL77 sends is the Audit Trail style comment
record. Fields are * if they differ from Radiometer analyzers. An explanation
follows the chart below.

Comment The following is an example of a comment record.

Record Example
C|1|I|94|I

Field Name - E1394 - 91 Example Comments

1 Record Type ID C
2 Sequence Number 1 This is the first C record.
3 Comment Source I Always I, denoting Clinical
Instrument System.
4* Comment Text 94 One or more error codes
separated by component
delimiters (e.g. 94^123).
A list of error codes is available
in Appendices.
5 Comment Type I Always I, indicating that this is
an Instrument Flag.

Continued on next page

39
ASTM High-level Communication Protocol Specifications for Radiometer products

Comment record – Radiometer Analyzers, Continued

ABL77 * fields The following is different for the ABL77.

Field Name Example Comment
4 Comment The ABL77 sends the change time in the
text following form:
YYY-MM-DD HH:MM:SS
Tha ABL77 refers to “operator” as “edit by”.
The field names as they appear in the actual
transmissions are as follows:
AccessionNumber;
PatientId;
LastName;
FirstName;
Patient department;
Sex;
birthDate

40
Communication Protocol Specifications for Radiometer products ASTM High-level

Comment record – RADIANCE

Introduction Comment records contain information concerning the general conditions of the
analyzer or errors/flags on individual parameters or information on corrections
made to results, if Audit Trail is enabled.
This section describes the format of Comment records used to document general
conditions or errors/flags which are sent by RADIANCE.
RADIANCE differs from Radiometer analyzers format in that a Comment record
is written for each error, rather than giving a list of errors in one Comment record.

NOTE: A comment always applies to the preceding record of the message. In a result
message, a comment record sent before the first R record is a general message
whereas a comment sent after an R record is related to the preceding R record.

Comment The following is an example of a list of comment records succeeding an erroneous

Record Example pO2 result
R|1|^^^pO2^M|62.7|mmHg||N||F||Bill|19980909151803|||
C|1|I|377^Calibration drift out of range|I
C|2|I|480^pO2 drifting|I

Field Name - E1394 - 91 Example Comments

1 Record Type ID C
2 Sequence Number 1 This is the first C
record.
3 Comment Source I Always I, denoting
Clinical Instrument
System.
4 Comment Text 377^Calibration <error code>^<error
drift out of range text>
A list of error codes is
available in Appendix 3
found on CD-ROM.
5 Comment Type I Always I, indicating that
this is an Instrument
Flag.

41
ASTM High-level Communication Protocol Specifications for Radiometer products

Comment record – Audit Trail

Introduction Comment records contain information concerning the general conditions of the
analyzer or errors/flags on individual parameters or information on corrections
made to results, if Audit Trail is enabled.
This section describes the format of Comment records used to document changes
to results that are retransmitted by RADIANCE, when Audit trail is enabled.

NOTE: Comment records dealing with changes to a result can document changes to
patient demographic data (in the P or O record) or changes to parameters in the
result. Changes to patient demographics or deletion of parameters from a result
are documented via Comment records immediately succeeding the O record and
preceding the first R record. Changes to existing parameter results or additions of
new parameters are documented via Comment records that immediately succeed
the R record in question.

Comment The following is an example of a comment record documenting a change to the

Record Example patient temperature.
C|1|L|CHANGE^23:14 2001-10-03 (JBS) T: 37.0 -> 39.4|G

Field Name - E1394 - 91 Example Comments

1 Record Type ID C
2 Sequence Number 1 This is the first C
record.
3 Comment Source L Always L, denoting
computer system.
4 Comment Text CHANGE^23:14 CHANGE^<time of
2001-10-03 (JBS) change> (<operator>)
T: 37.0 -> 39.4 <parameter>: <old
value> -> <new value>
For parameters that are
inserted <old
value>="<not
included>"
For parameters that are
deleted from the
retransmitted result
<new value>="<not
included>"
5 Comment Type G Always G, indicating
that this is a generic/free
text comment.

42
Communication Protocol Specifications for Radiometer products ASTM High-level

Comment record – (Notification)

Introduction Comment records can also contain notification information that is entered in
RADIANCE Data Management application.
These fields include who is notified, who has made the notification and the
notification time.
NOTE: These records can only be sent by RADIANCE, and only if the notification fields in
RADIANCE Data Management have been edited
These are included immediately before the first R record.

Comment The following is an example of a comment record with a notification.

Record Example
C|1|L|Notified^2002/07/23 12:34:00^Nurse Smith^Dr. McCoy|G

Field Name - E1394 - 91 Example Comments

1 Record Type ID C
2 Sequence Number 1 This is the first C
record.
3 Comment Source L Always L, denoting
computer system
(RADIANCE).
4 Comment Text Notified^2002/07/ Notified^<Sample
23 Notified Time>
12:34:00^Nurse ^<Sample Notified
Smith^Dr. McCoy whom>^<Sample
Notified By>

5 Comment Type G Always G, indicating

that this is a generic/free
text comment.

43
ASTM High-level Communication Protocol Specifications for Radiometer products

Query record

Introduction A query message, which contains a query record, can be sent by the analyzer or by
RADIANCE if these systems are configured for one or both of the following:

• Patient Information Query

• Patient by Department Query
For the Patient Information Query, patient information can be requested using
either the patient ID or the accession number. On the analyzer, it is configurable
whether the patient ID or accession number is used as the query criteria. This is
not an issue for RADIANCE as it passes the query sent by the analyzer to the
connected HIS/LIS system without modifying it.
For Patient by Department Query, a list of patients is requested using the patient
department as the query criteria.

ABL77 The ABL77 sends only the first 11 fields (i.e.1-11) for a Patient by Department
Query. ABL77 sends only first 3 fields (1-3) for a Patient information Query

Query Record The following gives 3 differing examples of a query record:

Example
a) Q|1|11475^
b) Q|1|^11475
c) Q|1||||||||||LOCATION^ICU-1

Field Name - E1394 - 91 Example Comments

1 Record Type ID Q
2 Sequence Number 1 Always 1 in transmissions
from Radiometer analyzers
(only one Q record is
transmitted).
3 Query Text 11475^ Patient ID^Accession Number.
(see example In example a) patient ID
a above) number 11475 is sent.
If the number entered was an
accession number ^11475
would be sent (see example b)
above)
11 Query text for Patient LOCATION LOCATION ^Patient Dept.
by Department query ^ICU -1 In this example Patient Dept.
(see example is ICU -1.
c above)
13 Request Information Optional. See Appendices on
Status Code CD-ROM.

44
Communication Protocol Specifications for Radiometer products ASTM High-level

Manufacturer information record

Introduction A manufacturer information record cannot be sent from Radiometer analyzers but
one can be received in order to lock or unlock the analyzer. More commands can
be sent from the RADIANCE Analyzer Control to the analyzer using a proprietary
protocol.

NOTE: RADIANCE and the ABL77and ABL80 do not support this record.

Manufacturer The following is an example of a manufacturer information record.

Information M|1|LOCK|
Record Example
Field Name - E1394 - 91 Example Comments
1 Record Type ID M
2 Sequence Number 1 1
3 Command LOCK LOCK - Places the
analyzer in the LOCK
mode.
NOTE: UNLOCK
Releases analyzer from
the LOCK mode.

45
ASTM High-level Communication Protocol Specifications for Radiometer products

Message terminator record

Introduction The message terminator record is always the last record in a message.

Message The following is an example of a message terminator record.

Terminator
L|1|N
Record Example
Field Name - E1394 - 91 Example Comments
1 Record Type ID L
2 Sequence Number 1 1
3 Termination Code N “N” - Normal
termination.
NOTE: For Radiometer
analyzers see
appendices on CD-
ROM.

46
Communication Protocol Specifications for Radiometer products ASTM High-level

ASTM message structure and examples

Overview

Introduction This section describes how data is sent and received by analyzers in the ASTM
format, and gives examples.

Contents This section contains the following topics.

Messages sent from the analyzer or RADIANCE ....................................... 48
Messages received by the analyzer or RADIANCE .................................... 62

47
ASTM High-level Communication Protocol Specifications for Radiometer products

Messages sent from the analyzer or RADIANCE

Overview

Introduction This section gives examples of messages that are sent by Radiometer analyzers or
RADIANCE to the HIS/LIS.
Contents This section contains the following topics.
Symbols and meanings..................................................................................... 49
Patient result..................................................................................................... 50
Calibration result.............................................................................................. 54
Quality control result........................................................................................ 57
Activity log ...................................................................................................... 59
Patient information query................................................................................. 60
Patient-by-department query............................................................................ 61

48
 Communication Protocol Specifications for Radiometer products ASTM High-level

Symbols and meanings

Introduction The following gives the symbols and their meanings in this topic:
Symbol Meaning
[{}] Zero or more occurrences
[ ] Optional
{} One or more occurrences

Example An example of the message structure using the above notation:

Showing Levels

1 H
2 P
3 O
4 [C]
4 [{R
5 [C]
4 }]
1 L

49
ASTM High-level Communication Protocol Specifications for Radiometer products

Patient result

Message The message structure of a patient result is shown below. The C record is only sent
Structure if a comment is present and the number of R records depends on either the
analyzer or RADIANCE configuration. Errors found during measurement are not
transmitted using this protocol.
Record Type Name
H Header record
P Patient Information record.
O Test order record.
[{C}] 0 or more Comment records associated with
entire patient result.
NOTE: Radiometer analyzers can only have 0 or 1
comment records.
[{R 0 or more Result records each containing a
parameter value in the patient result
[{C}] Optional Comment records associated with
previous result record (parameter value).
NOTE: Radiometer analyzers can only have 0 or 1
comment records.
}]
L Message Terminator record

Transmission Two examples are given below to illustrate a patient result transmission:
Example

Continued on next page

50
Communication Protocol Specifications for Radiometer products ASTM High-level

Patient Result, Continued

Radiometer The Patient Result has no general errors but does have an error on the pO2.
Analyzers H|\^&|||ABL735^Central Lab.||||||||1|19990923114712
Transmission
P|1||112233||Hansen^Peter|||M||||||25^years||1.82^m|75.0^kg||||||||
O|1||Sample #^3|^^^syringe |||19990922122500||||||||Arterial^Brachial, left|
R|1|^^^Cl-^M|99|mmol/L||N||F||123|19990923105100
R|2|^^^pH^M|7.402|||N||F|||
R|3|^^^pO2^M|?111|mmHg||N||F|||
C|1|I|210|I
R|4|^^^pCO2^M|40.7|mmHg||N||F|||
R|5|^^^Na+^M|134|mmol/L||N||F|||
R|6|^^^Glu^M|5.0|mmol/L||N||F|||
R|7|^^^Lac^M|1.2|mmol/L||N||F|||
R|8|^^^Ca++^M|0.54|mmol/L||N||F|||
R|9|^^^K+^M|3.7|mmol/L||N||F|||
R|10|^^^tHb^M|12.8|g/dL||N||F|||
R|11|^^^sO2^M|97.5|%||N||F|||
R|12|^^^O2Hb^M|91.8|%||N||F|||
R|13|^^^COHb^M|3.9|%||N||F|||
R|14|^^^MetHb^M|1.9|%||N||F|||
R|15|^^^tBil^M|297|micromol/L||N||F|||
R|16|^^^HbF^M|84|%||N||F|||
R|17|^^^T^I|37.0|Cel||||F|||
R|18|^^^pH(T)^M|7.402|||N||F|||
R|19|^^^pCO2(T)^M|40.7|mmHg||N||F|||
R|20|^^^SBE^C|0.6|mmol/L||||F|||
R|21|^^^SBC^C|24.9|mmol/L||||F|||
R|22|^^^pO2(T)^M|?111|mmHg||N||F|||
R|23|^^^p50(act)^E|?19.82|mmHg||||F|||
R|24|^^^tO2^C|?16.6|Vol%||||F|||
L|1|N

Continued on next page

51
ASTM High-level Communication Protocol Specifications for Radiometer products

Patient Result, Continued

RADIANCE In the following example a retransmission is illustrated where temperature has
Transmission been changed from 37 to 39.4 and FIO2 has been changed from 21% to 80%. At
(Audit Tail the same time there is a calibration error on pH.
enabled)

NOTE: The following differs from Radiometer analyzers transmissions:

1. Audit Trail C records.
2. A transmission status in the O record of "C" for Correction.
3. Transmission status in the R records of "C" for Correction or "R" for
Retransmission.
4. Only 1 error per comment record. The error text is included as the 2nd
component in field 3.

Continued on next page

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Communication Protocol Specifications for Radiometer products ASTM High-level

Patient Result, Continued

RADIANCE H|\^&|||ABL735^Central Lab.||||||||1|20020719164827

Transmission P|1||0004||Sørensen^Susanne||19460123|F||||||^|^^^|1.37^m|55.00^kg||||||||
(Audit Trial O|1||Sample #^267|^^^|||||||||||Not specified^||||||||||C
enabled), R|1|^^^pH^M|?7.412|||N||R|||20020719151122
continued
C|1|I|377^Calibration Drift 2 out of range|I
R|2|^^^pH(T)^C|?7.377|||N||C|||
C|1|L|CHANGE^2002-07-19 16:44:02 () pH(T): 7.412 -> 7.377|G
R|3|^^^p50(act),T^E|?4.12|kPa||N||C|||
C|1|L|CHANGE^2002-07-19 16:44:02 () p50(act),T: 3.47 -> 4.12|G
R|4|^^^p50(act)^E|?3.47|kPa||N||R|||
R|5|^^^pCO2^M|5.53|kPa||N||R|||
R|6|^^^pCO2(T)^C|6.21|kPa||N||C|||
C|1|L|CHANGE^2002-07-19 16:44:02 () pCO2(T): 5.53 -> 6.21|G
R|7|^^^pO2^M|11.5|kPa||N||R|||
R|8|^^^pO2(T)^C|?13.3|kPa||N||C|||
C|1|L|CHANGE^2002-07-19 16:44:02 () pO2(T): 11.5 -> 13.3|G
R|9|^^^SBE^C|?1.7|mmol/L||N||R|||
R|10|^^^ABE^C|?1.6|mmol/L||N||R|||
R|11|^^^Ca++^M|1.21|mmol/L||N||R|||
R|12|^^^Ca(7.4)^C|?1.22|mmol/L||N||R|||
R|13|^^^Cl-^M|110|mmol/L||N||R|||
R|14|^^^Glu^M|8.0|mmol/L||N||R|||
R|15|^^^cH+^C|?38.7|nmol/L||N||R|||
R|16|^^^HCO3-^C|?25.9|mmol/L||N||R|||
R|17|^^^SBC^C|?25.8|mmol/L||N||R|||
R|18|^^^K+^M|3.6|mmol/L||N||R|||
R|19|^^^cH+(T)^C|?42.0|nmol/L||N||C|||
C|1|L|CHANGE^2002-07-19 16:44:02 () cH+(T): 38.7 -> 42.0|G
R|20|^^^Lac^M|0.6|mmol/L||N||R|||
R|21|^^^Na+^M|142|mmol/L||N||R|||
R|22|^^^tCO2(B)^C|?50.2|Vol%||N||R|||
R|23|^^^tHb^M|9.4|mmol/L||N||R|||
R|24|^^^sO2^M|?0.973|||N||R|||
C|1|I|377^Calibration Drift 2 out of range|I
R|25|^^^COHb^M|0.013|||N||R|||
R|26|^^^RHb^M|0.027|||N||R|||
R|27|^^^MetHb^M|0.005|||N||R|||
R|28|^^^T^I|39.4|Cel||N||C|||
C|1|L|CHANGE^2002-07-19 16:44:02 () T: 37.0 -> 39.4|G
R|29|^^^FIO2^I|0.800|||N||C|||
C|2|L|CHANGE^2002-07-19 16:43:36 () FIO2: 0.210 -> 0.800|G
L|1|N

53
ASTM High-level Communication Protocol Specifications for Radiometer products

Calibration result

Message The message structure of a calibration result is shown below. The C record is only
Structure sent if a comment is present, and the number of R records depends either on the
analyzer or RADIANCE configuration.

Record Type Name

H Header record
P Patient Information record. Contains fixed
string P|1
O Test order record. Identifies calibration result.
[{C}] 0 or more Comment records associated with
entire calibration result
NOTE: Radiometer analyzers can only have 0 or
1 comment records.
[{R 0 or more Result records each containing a
parameter value in the calibration result
[{C}] Optional Comment records associated with
previous result record (parameter value)
NOTE: Radiometer analyzers can only have 0 or 1
comment records.
}]
L Message Terminator record

Transmission A transmission example for a calibration result is given below.

Example These results have no general errors but do have errors for the following
parameters:
• Glucose drift
• Ca++Drift 1
• K+Drift 1
• pO2 Drift 1
• pCO2 Drift 1

Continued on next page

54
Communication Protocol Specifications for Radiometer products ASTM High-level

Calibration result, Continued

Transmission
Example H|\^&|||ABL735^||||||||1|19990923102738
continued P|1
O|1||Cal #^133||||||||||||1 Point Calibration
R|1|^^^tHb^Zero^M|486.34|pA||||F|||19990923083000
R|2|^^^tHb^ZeroDrift^M|1.91|pA||||F|||
R|3|^^^tHb^ZeroStatus^M|0|||||F|||
R|4|^^^Glu^1^M|9.9|mmol/L||||F|||
R|5|^^^Glu^Sens^M|231.0|pA/mM||||F|||
R|6|^^^Glu^Drift^M|?0.9|mmol/L||||F|||
C|1|I|376|I
R|7|^^^Lac^1^M|4.0|mmol/L||||F|||
R|8|^^^Lac^Sens^M|452.6|pA/mM||||F|||
R|9|^^^Lac^Drift^M|0.1|mmol/L||||F|||
R|10|^^^Cl-^1^M|104|mmol/L||||F|||
R|11|^^^Cl-^Status^M|105|mmol/L||||F|||
R|12|^^^Cl-^Drift1^M|-1|mmol/L||||F|||
R|13|^^^pH^1^M|7.398|||||F|||
R|14|^^^pH^Status^M|7.261|||||F|||
R|15|^^^pH^Drift1^M|-0.005|||||F|||
R|16|^^^Ca++^1^M|1.25|mmol/L||||F|||
R|17|^^^Ca++^Status^M|2.66|mmol/L||||F|||
R|18|^^^Ca++^Drift1^M|?0.17|mmol/L||||F|||
C|1|I|376|I
R|19|^^^K+^1^M|4.0|mmol/L||||F|||
R|20|^^^K+^Status^M|3.2|mmol/L||||F|||
R|21|^^^K+^Drift1^M|?0.2|mmol/L||||F|||
C|1|I|376|I
R|22|^^^Na+^1^M|145|mmol/L||||F|||
R|23|^^^Na+^Status^M|122|mmol/L||||F|||
R|24|^^^Na+^Drift1^M|1|mmol/L||||F|||
R|25|^^^pO2^1^M|140.1|mmHg||||F|||
R|26|^^^pO2^Sens^M|11.7|pA/mmHg||||F|||

Continued on next page

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ASTM High-level Communication Protocol Specifications for Radiometer products

Calibration result, Continued

Transmission R|27|^^^pO2^Drift1^M|?6.3|mmHg||||F|||
Example C|1|I|376|I
continued R|28|^^^pCO2^1^M|39.7|mmHg||||F|||
R|29|^^^pCO2^Status^M|44.6|mmHg||||F|||
R|30|^^^pCO2^Drift1^M|?2.8|mmHg||||F|||
C|1|I|376|I
R|31|^^^B^M|756|mmHg||||F|||
L|1|N

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Communication Protocol Specifications for Radiometer products ASTM High-level

Quality control result

Message The message structure of a quality control result is shown below. The C record is
Structure only sent if a comment is present, and the number of R records depends on either
the analyzer or RADIANCE configuration.

Record Type Name

H Header record
P Patient Information record. Contains fixed string P|1
O Test order record. Identifies Quality Control result.
[{C}] 0 or more Comment records associated with entire QC
result
NOTE: Radiometer analyzers can only have 0 or 1 comment
records.
[{R 0 or more Result records each containing a parameter
value in the QC result
[{C}] Optional Comment records associated with previous result
record (parameter value)
NOTE: Radiometer analyzers can only have 0 or 1 comment
records.
}]
L Message Terminator record

Continued on next page

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ASTM High-level Communication Protocol Specifications for Radiometer products

Quality control result, Continued

Transmission A transmission example for a quality control result is given below.

Example There are no general errors but there is an error on the following parameter:
Ca++

H|\^&|||ABL735^ICU-1||||||||1|20010516124441
P|1|||||||||||||||||||||||||
O|1||QC #^3||||||||||||S7745^21
R|1|^^^T^I|27.2|Cel||||F|||20010502185500
R|2|^^^pCO2^M|39.4|mmHg||||F|||
R|3|^^^Cl-^M|96|mmol/L||||F|||
R|4|^^^pH^M|7.406|||||F|||
R|5|^^^pO2^M|99.4|mmHg||||F|||
R|6|^^^Glu^M|5.2|mmol/L||||F|||
R|7|^^^Ca++^M|0.72|mmol/L||||F|||
C|1|I|589|I
R|8|^^^K+^M|3.7|mmol/L||||F|||
R|9|^^^tHb^M|13.1|g/dL||||F|||
R|10|^^^sO2^M|96.7|%||||F|||
R|11|^^^O2Hb^M|92.3|%||||F|||
R|12|^^^COHb^M|2.5|%||||F|||
R|13|^^^MetHb^M|2.0|%||||F|||
R|14|^^^tBil^M|300|micromol/L||||F|||
R|15|^^^HbF^M|71|%||||F|||
R|16|^^^B^M|757|mmHg||||F|||
R|17|^^^pH(T)^C|7.404|||||F|||
R|18|^^^pCO2(T)^C|39.8|mmHg||||F|||
R|19|^^^pO2(T)^C|101|mmHg||||F|||
L|1|N

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Communication Protocol Specifications for Radiometer products ASTM High-level

Activity log

Message The message structure of an activity log is shown below.

Structure
Record Type Name
H Header record
P Patient Information record. Contains fixed string P|1
O Test order record. Contains fixed string O|1||Error
R Result record containing system message code, optional
text and timestamp
[C] Optional Comment record used to include Extra Info
field of activity log. Radiometer analyzers - See
appendices.
L Message Terminator record

Transmission A transmission example for an activity log is given below.

Example
H|\^&|||ABL735^Central Lab.||||||||1|19990923124707
P|1
O|1||Error
R|1||663||||||||19990917144501
L|1|N

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ASTM High-level Communication Protocol Specifications for Radiometer products

Patient information query

Message This message is sent to the HIS/LIS to request patient demographics for a patient
Structure identified via the patient ID or Accession Number.

NOTE: The Radiometer analyzers may also send a query message to cancel an
outstanding query. This is handled by a field in the Q record. See appendices on
CD-ROM.

Record Name
Type
H Header record
Q Query record. Contains patient ID or Accession Number
of patient to query on.
L Message Terminator record

Transmission Transmission examples for patient information are given below.

Examples
In the following example:
an accession number of 789 is used for the query:

H|\^&|||ABL735^Harbour Hospital ABL#3||||||||1|20010507144634

Q|1|^789
L|1|N

In the following example:

a patient ID of 12345 is used for the query.

H|\^&|||ABL735^Central Lab.||||||||1|19990923125103
Q|1|12345^
L|1|N

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Communication Protocol Specifications for Radiometer products ASTM High-level

Patient-by-department query

Message This message is sent to the HIS/LIS to request a list of patients checked into a
Structure specified patient department.

Record Name
Type
H Header record
Q Query record. Identifies Patient department to query on.
Field 11 identifies the patient department as the second
component (e.g. LOCATION^ICU-3)
L Message Terminator record

Transmission A transmission example for a patient by department query is given below.

Example
Patient department is ICU-3.

H|\^&|||ABL725^ICU ABL#3||||||||1|20000101141500
Q|1|||||||||LOCATION^ICU-3
L|1|N

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ASTM High-level Communication Protocol Specifications for Radiometer products

Messages received by the analyzer or

RADIANCE

Introduction This section gives examples of messages that are received by Radiometer
analyzers or RADIANCE from the HIS/LIS.

Contents This section contains the following topics.

Patient information response............................................................................ 63
Patient-by-department response ....................................................................... 65
Command message (Radiometer analyzers) .................................................... 66

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Communication Protocol Specifications for Radiometer products ASTM High-level

Patient information response

Message The message structure of a patient information response is slightly different for
Structure RADIANCE and Radiometer analyzers. The message structure for each is shown
below.
This message is sent by the HIS/LIS in response to a Patient Information Query or
can be sent as unsolicited patient information. See Message Types and Message
Flow. On Radiometer analyzers, unsolicited patient information is stored in the
analyzer database, whereas the unsolicited message can be stored in the RADIANCE
database when it is received by RADIANCE.

NOTE The inclusion of the O record is mandatory in a response from HIS/LIS to an

accession-based query number.
RADIANCE Record Type Name
Message
H Header record
Structure
P Patient Information record. Contains patient demographics.
[{O}] RADIANCE. Order records, identify Accession numbers
associated with the patient result.
L Message terminator record

Radiometer These can at most receive 1 O record. See message structure below.
analyzers
Record Type Name
NOTE:
H Header record
Radiometer P Patient Information record. Contains patient demographics.
analyzers
Message [O] Radiometer analyzers. Order record, identifying an
Structure Accession number associated with the patient result.
L Message terminator record

Transmission Transmission examples for a patient information response are given below. Patient
Examples details are:
Patient ID:1234
Last Name:Doe
First Name:John
Sex: Male
Height:159
Weight:67kg
Birth date: 1956-06-07

Continued on next page

63
ASTM High-level Communication Protocol Specifications for Radiometer products

Patient information response, Continued

Response from In the following a response from the HIS/LIS to a Query based on Accession
HIS/LIS to an Number can be seen. Accession number is: 789
Accession-based
Query
H|\^&|||Harbour Hospital LIS^||||||||1|20010507144648
P|1||1234||Doe^John||19560607|M||||||||159^cm|67^kg||||||||
O|1|789
L|1|N

Response from In the following a response from the HIS/LIS to a Query based on Patient ID can
HIS/LIS to a be seen. Patient ID is: 1234
PatientID- based
Query
H|\^&|||Harbour Hospital LIS^||||||||1|20010507144634
P|1||1234||Doe^John||19560607|M||||||||159^cm|67^kg||||||||
L|1|N

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Communication Protocol Specifications for Radiometer products ASTM High-level

Patient-by-department response

Introduction This message is sent by the HIS/LIS in response to a Patient By Department

Query.

Record Name
Type
H Header record
[{P}] 0 or more Patient Information records.
L Message Terminator record

Transmission A transmission example for a Patient By Department list sent by the HIS/LIS in
Example response to a Patient By Department Query is given below.
Patient department ICU-1. The department has 5 patients.
H|\^&|||mainframe||||||Patient List||1|20000101141700
P|1||12324||Palmer^Laura||19641217|F|||||||||||||||||ICU-1
P|2||17667||Lynch^David||19460120|M|||||||||||||||||ICU-1
P|3||34567||Smith^John||19520120|M|||||||||||||||||ICU-1
P|4||88388||Jones^Angela||19530120|F|||||||||||||||||ICU-1
P|5||56111||Abraham^Charles||19170605|M|||||||||||||||||ICU-1
L|1|N

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ASTM High-level Communication Protocol Specifications for Radiometer products

Command message - Radiometer analyzers

Message This message may be sent by the HIS/LIS to place Radiometer analyzers in a
Structure Locked or Unlocked state.
The message is not supported by RADIANCE.
The structure of a command message is shown below.

Record Name
Type
H Header record
M Manufacturer Information record
L Message Terminator record

Transmission A transmission example for a command message is given below.

Example H|\^&||||||||||||19990922085400
M|1|LOCK
L|1|N

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Communication Protocol Specifications for Radiometer products ASTM High-level

Complete transmission examples

Overview

Introduction The following contains complete transmission examples.

Contents This chapter contains the following topics.

Complete transmission examples using ASTM Low-level protocol................ 68
Complete Transmission Examples using Serial Raw Protocol ........................ 70
Complete transmission examples using Radiometer Network protocol .......... 71

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ASTM High-level Communication Protocol Specifications for Radiometer products

Complete transmission examples using ASTM Low-level

protocol

Introduction The following depicts a complete example using ASTM low-level Protocol.

NOTE: In the following example ABL and RADIANCE transmissions are unbolded.
Transmission from the HIS/LIS system are bolded.

Transmission <ENQ>
Example <ACK>
<STX>1H|\^&|||ABL735^Central Lab.||||||||1|19990923131544<CR><ETX>C8<CR><LF>
<ACK>
<STX>2P|1||12345||Doe^John|||U||||||^||^|^||||||||<CR><ETX>66<CR><LF>
<ACK>
<STX>3O|1||Sample #^4||||||||||||Arterial^|<CR><ETX>60<CR><LF>
<ACK>
<STX>4R|1|^^^pH^M|7.584|||N||F|||19990923112600<CR><ETX>1A<CR><LF>
<ACK>
<STX>5R|2|^^^pO2^M|63.9|mmHg||N||F|||<CR><ETX>D4<CR><LF>
<ACK>
<STX>6R|3|^^^pCO2^M|22.1|mmHg||N||F|||<CR><ETX>0C<CR><LF>
<ACK>
<STX>7R|4|^^^Cl-^M|75|mmol/L||N||F|||<CR><ETX>06<CR><LF>
<ACK>
<STX>0R|5|^^^Lac^M|8.7|mmol/L||N||F|||<CR><ETX>65<CR><LF>
<ACK>
<STX>1R|6|^^^Ca++^M|0.32|mmol/L||N||F|||<CR><ETX>77<CR><LF>
<ACK>
<STX>2R|7|^^^K+^M|5.3|mmol/L||N||F|||<CR><ETX>C8<CR><LF>
<ACK>
<STX>3R|8|^^^Na+^M|120|mmol/L||N||F|||<CR><ETX>2B<CR><LF>
<ACK>
<STX>4R|9|^^^Glu^M|11.9|mmol/L||N||F|||<CR><ETX>B1<CR><LF>
<ACK>
<STX>5R|10|^^^tHb^M|18.9|g/dL||N||F|||<CR><ETX>ED<CR><LF>
<ACK>
<STX>6R|11|^^^sO2^M|70.4|%||N||F|||<CR><ETX>9D<CR><LF>
<ACK>
<STX>7R|12|^^^O2Hb^M|48.5|%||N||F|||<CR><ETX>DC<CR><LF>

68
Communication Protocol Specifications for Radiometer products ASTM High-level

Complete transmission examples using ASTM Low-level

protocol, Continued

Transmission <ACK>
Example <STX>0R|13|^^^COHb^M|21.0|%||N||F|||<CR><ETX>D9<CR><LF>
(continued)
<ACK>
<STX>1R|14|^^^MetHb^M|10.1|%||N||F|||<CR><ETX>6E<CR><LF>
<ACK>
<STX>2R|15|^^^tBil^M|438|micromol/L||N||F|||<CR><ETX>C2<CR><LF>
<ACK>
<STX>3R|16|^^^HbF^M|62|%||N||F|||<CR><ETX>3A<CR><LF>
<ACK>
<STX>4R|17|^^^T^I|37.0|Cel||||F|||<CR><ETX>9D<CR><LF>
<ACK>
<STX>5R|18|^^^pH(T)^M|7.584|||N||F|||<CR><ETX>24<CR><LF>
<ACK>
<STX>6R|19|^^^pCO2(T)^M|22.1|mmHg||N||F|||<CR><ETX>E8<CR><LF>
<ACK>
<STX>7R|20|^^^SBE^C|-0.8|mmol/L||||F|||<CR><ETX>31<CR><LF>
<ACK>
<STX>0R|21|^^^SBC^C|25.3|mmol/L||||F|||<CR><ETX>2E<CR><LF>
<ACK>
<STX>1R|22|^^^pO2(T)^M|63.9|mmHg||N||F|||<CR><ETX>A7<CR><LF>
<ACK>
<STX>2R|23|^^^p50(act)^C|45.07|mmHg||||F|||<CR><ETX>47<CR><LF>
<ACK>
<STX>3R|24|^^^tO2^C|12.9|Vol%||||F|||<CR><ETX>79<CR><LF>
<ACK>
<STX>4L|1|N<CR><ETX>07<CR><LF>
<ACK>
<EOT>

69
ASTM High-level Communication Protocol Specifications for Radiometer products

Complete Transmission Examples using Serial Raw

Protocol

Transmission The following is an example of a Serial Raw transmission example:

Example
<STX>
H|\^&|||ABL735^Central Lab.||||||||1|19990923133423<CR>
P|1||12345||Doe^John|||U||||||^||^|^||||||||<CR>
O|1||Sample #^4||||||||||||Arterial^|<CR>
R|1|^^^pH^M|7.584|||N||F|||19990923112600<CR>
R|2|^^^pO2^M|63.9|mmHg||N||F|||<CR>
R|3|^^^pCO2^M|22.1|mmHg||N||F|||<CR>
R|4|^^^Cl-^M|75|mmol/L||N||F|||<CR>
R|5|^^^Lac^M|8.7|mmol/L||N||F|||<CR>
R|6|^^^Ca++^M|0.32|mmol/L||N||F|||<CR>
R|7|^^^K+^M|5.3|mmol/L||N||F|||<CR>
R|8|^^^Na+^M|120|mmol/L||N||F|||<CR>
R|9|^^^Glu^M|11.9|mmol/L||N||F|||<CR>
R|10|^^^tHb^M|18.9|g/dL||N||F|||<CR>
R|11|^^^sO2^M|70.4|%||N||F|||<CR>
R|12|^^^O2Hb^M|48.5|%||N||F|||<CR>
R|13|^^^COHb^M|21.0|%||N||F|||<CR>
R|14|^^^MetHb^M|10.1|%||N||F|||<CR>
R|15|^^^tBil^M|438|micromol/L||N||F|||<CR>
R|16|^^^HbF^M|62|%||N||F|||<CR>
R|17|^^^T^I|37.0|Cel||||F|||<CR>
R|18|^^^pH(T)^M|7.584|||N||F|||<CR>
R|19|^^^pCO2(T)^M|22.1|mmHg||N||F|||<CR>
R|20|^^^SBE^C|0.8|mmol/L||||F|||<CR>
R|21|^^^SBC^C|25.3|mmol/L||||F|||<CR>
R|22|^^^pO2(T)^M|63.9|mmHg||N||F|||<CR>
R|23|^^^p50(act)^C|45.07|mmHg||||F|||<CR>
R|24|^^^tO2^C|12.9|Vol%||||F|||<CR>
L|1|N<CR>
<ETX>

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Communication Protocol Specifications for Radiometer products ASTM High-level

Complete transmission examples using Radiometer

Network protocol

Transmission The following is an example of a transmission example using the RADIOMETER

Example network protocol.

<SOH>
H|\^&|||ABL735^Intensive Care Unit ||||||||1|19991013131021<CR>
P|1||29546587||^|||U||||||^|^^^|^|^||||||||<CR>
O|1||Sample #^8037||||||||||||Arterial^|<CR>
R|1|^^^pCO2^M|32.4|mmHg||L||F||User|19990419151100<CR>
C|1|I|84|I<CR>
R|2|^^^pH^M|7.326|||L||F|||<CR>
C|1|I|84|I<CR>
R|3|^^^pO2^M|99.9|mmHg||N||F|||<CR>
R|4|^^^Lac^M|8.9|mmol/L||N||F|||<CR>
R|5|^^^tHb^M|13.6|g/dL||N||F|||<CR>
R|6|^^^RHb^M|2.2|%||N||F|||<CR>
R|7|^^^O2Hb^M|96.7|%||N||F|||<CR>
R|8|^^^COHb^M|0.6|%||N||F|||<CR>
R|9|^^^MetHb^M|0.4|%||N||F|||<CR>
R|10|^^^T^I|37.0|Cel||||F|||<CR>
R|11|^^^FIO2^I|21.0|%||||F|||<CR>
R|12|^^^pH(T)^M|7.326|||N||F|||<CR>
R|13|^^^pCO2(T)^M|32.4|mmHg||N||F|||<CR>
R|14|^^^SBE^C|-8.4|mmol/L||||F|||<CR>
R|15|^^^SBC^C|18.0|mmol/L||||F|||<CR>
R|16|^^^Hct^C|41.8|%||||F|||<CR>
R|17|^^^pO2(T)^M|99.9|mmHg||N||F|||<CR>
R|18|^^^p50(act)^E|28.20|mmHg||||F|||<CR>
R|19|^^^AaDpO2^E|7.6|mmHg||||F|||<CR>
R|20|^^^AaDpO2,T^E|7.6|mmHg||||F|||<CR>
R|21|^^^tO2^C|18.6|Vol%||||F|||<CR>
R|22|^^^RI^E|8|%||||F|||<CR>
L|1|N<CR>
<EOT>

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ASTM High-level Communication Protocol Specifications for Radiometer products

ABL80 transmission examples

Introduction The following transmission examples are for the ABL80. They are given here
because they differ slightly from other Radiometer analyzers.
• Patient result
• Manual QC result
• Two point calibration
• System cycle

Patient result <SOH>H|\^&|||ABL80^eds||||||||1|20060901135323

P|1||1470082||Doe^John||19521013|M||||||^|^^^|72^in|172^lbs||||||||ICU
O|1|124451|Sample #^2|^^^|||20060901135200||||||||Arterial^Brachial, right|Dr. Spock|||||||||C
C|27|L|CHANGE^20060901135253 (ANONYMOUS) Drawn By: <Not included> -> Nurse
Cratchit|G
C|28|L|CHANGE^20060901135253 (ANONYMOUS) Baro: <Not included> -> 555|G
R|1|^^^pH^M|7|||N||R||ANONYMOUS|20060817155958
R|2|^^^pCO2^M|14|mmHg||LL||R|||
R|3|^^^pO2^M|193|mmHg||>||R|||
R|4|^^^Hct^M|-14|%||<||R|||
R|5|^^^Na+^M|119|mmol/L||LL||R|||
R|6|^^^K+^M|6.7|mmol/L||N||R|||
R|7|^^^Ca++^M|1.49|mmol/L||N||R|||
R|8|^^^Cl-^M|71|mmol/L||LL||R|||
R|9|^^^Glu^M|0.2|mmol/L||LL||R|||
R|10|^^^tHb^C|.....|g/dL||||R|||
R|11|^^^HCO3-^C|3.3|mmol/L||N||R|||
R|12|^^^SBC^C|6.9|mmol/L||N||R|||
R|13|^^^ABE^C|-34.5|mmol/L||N||R|||
R|14|^^^SBE^C|-26|mmol/L||N||R|||
R|15|^^^tCO2(B)^C|3.1|mmol/L||N||R|||
R|16|^^^tCO2(P)^C|3.7|mmol/L||N||R|||
R|17|^^^Ca(7.4)^C|.....|mmol/L||||R|||
R|18|^^^Anion gap (K+)^C|51.4|mmol/L||N||R|||
R|19|^^^sO2^C|99|%||N||R|||
R|20|^^^tO2^C|14.4|Vol%||N||R|||
R|21|^^^pO2(A)^C|89|mmol/L||N||R|||
R|22|^^^AaDpO2^C|.....|mmol/L||||R|||
R|23|^^^a/ApO2^C|.....|mmol/L||||R|||
R|24|^^^RI^C|.....|mmol/L||||R|||
R|25|^^^pH(T)^M|7|||N||R|||
R|26|^^^pCO2(T)^M|14|mmHg||N||R|||

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Communication Protocol Specifications for Radiometer products ASTM High-level

ABL80 transmission examples, Continued

R|27|^^^pO2(T)^M|194|mmHg||H||R|||
R|28|^^^pO2(A),T^C|89|mmol/L||H||R|||
R|29|^^^AaDpO2,T^C|.....|mmol/L||||R|||
R|30|^^^a/ApO2,T^C|.....|mmol/L||||R|||
R|31|^^^RI,T^C|.....|mmol/L||||R|||
R|32|^^^Height^I|72|in||||C|||
R|33|^^^Weight^I|172|lbs||||C|||
R|34|^^^T^I|98.8|F||||C|||
R|35|^^^FIO2^I|21|%||||C|||
C|1|L|CHANGE^20060901135253 (ANONYMOUS) FO2_I: <Not included> -> 21|G
R|36|^^^Liter_Flow^I|0.4|L||||C|||
C|1|L|CHANGE^20060901135253 (ANONYMOUS) Liter_Flow: <Not included> -> 0.4|G
R|37|^^^B^I|555|mmHg||||C|||
R|38|^^^sO2^I|45|%||||C|||
R|39|^^^tHb^I|22|g/dL||||C|||
L|1|N
<EOT>

Two point <SOH>H|\^&|||ABL80^East Lab05||||||||1|20060901152317

Calibration P|1
O|1||Cal #^115||||||||||||2 Point Calibration
R|1|^^^pH^Sens^M|47.0|||||F||RD|20060901151051
R|2|^^^pCO2^Sens^M|64.4|||||F|||
R|3|^^^pO2^Sens^M|0.061|||||F|||
R|4|^^^Hct^Sens^M|83.3|||||F|||
R|5|^^^Na+^Sens^M|61.5|||||F|||
R|6|^^^K+^Sens^M|52.4|||||F|||
R|7|^^^Ca++^Sens^M|24.7|||||F|||
R|8|^^^Cl-^Sens^M|37.4|||||F|||
R|9|^^^Glu^Sens^M|.....|||||F|||
L|1|N
<EOT>

Manual QC <SOH>H|\^&|||ABL80^eds||||||||1|20060901154314
P|1|||||||||||||||||||||||||
O|1||QC #^17||||||||||||S7170^0
R|1|^^^Hct^M|0|%||||F||ANONYMOUS|20060818102305
L|1|N
<EOT>

73
ASTM High-level Communication Protocol Specifications for Radiometer products

ABL80 transmission examples, Continued

System Cycle A system cycle consists of 1 calibration result followed by 4 QC results.

<SOH>H|\^&|||ABL80^eds||||||||1|20060901154507
P|1
O|1||Cal #^7||||||||||||2 Point Calibration
R|1|^^^pH^Sens^M|50.6|||||F||SYSTEM|20060817180127
R|2|^^^pCO2^Sens^M|62.7|||||F|||
R|3|^^^pO2^Sens^M|0.029|||||F|||
R|4|^^^Hct^Sens^M|98.9|||||F|||
R|5|^^^Na+^Sens^M|61.5|||||F|||
R|6|^^^K+^Sens^M|57.0|||||F|||
R|7|^^^Ca++^Sens^M|26.2|||||F|||
R|8|^^^Cl-^Sens^M|47.2|||||F|||
R|9|^^^Glu^Sens^M|0.600|||||F|||
L|1|N<EOT>

<SOH>H|\^&|||ABL80^eds||||||||1|20060901154508
P|1|||||||||||||||||||||||||
O|1||QC #^5||||||||||||C8001^13487
R|1|^^^pH^M|7.36|||||F||SYSTEM|20060817180127
R|2|^^^pCO2^M|34|mmHg||||F|||
R|3|^^^Na+^M|154|mmol/L||||F|||
R|4|^^^K+^M|4.2|mmol/L||||F|||
R|5|^^^Ca++^M|1.14|mmol/L||||F|||
R|6|^^^Cl-^M|104|mmol/L||||F|||
R|7|^^^Glu^M|0.8|mmol/L||||F|||
L|1|N
<EOT>

Continued on next page

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Communication Protocol Specifications for Radiometer products ASTM High-level

ABL80 transmission examples, Continued

<SOH>H|\^&|||ABL80^eds||||||||1|20060901154508
P|1|||||||||||||||||||||||||
O|1||QC #^6||||||||||||C8002^13177
R|1|^^^pH^M|7.03|||||F||SYSTEM|20060817180127
R|2|^^^pCO2^M|76|mmHg||||F|||
R|3|^^^pO2^M|154|mmHg||||F|||
R|4|^^^Hct^M|3|%||||F|||R|5|^^^Na+^M|103|mmol/L||||F|||
R|6|^^^K+^M|8.7|mmol/L||||F|||
R|7|^^^Ca++^M|2.32|mmol/L||||F|||
R|8|^^^Cl-^M|59|mmol/L||||F|||
R|9|^^^Glu^M|16.5|mmol/L||||F|||
L|1|N<EOT>

<SOH>H|\^&|||ABL80^eds||||||||1|20060901154508
P|1|||||||||||||||||||||||||
O|1||QC #^7||||||||||||C8003^13356
R|1|^^^pH^M|7.71|||||F||SYSTEM|20060817180127
R|2|^^^pCO2^M|12|mmHg||||F|||
R|3|^^^pO2^M|63|mmHg||||F|||
R|4|^^^Na+^M|168|mmol/L||||F|||
R|5|^^^K+^M|2.2|mmol/L||||F|||
R|6|^^^Ca++^M|0.48|mmol/L||||F|||
R|7|^^^Cl-^M|124|mmol/L||||F|||
R|8|^^^Glu^M|4.4|mmol/L||||F|||
L|1|N<EOT>

<SOH>H|\^&|||ABL80^eds||||||||1|20060901154509
P|1|||||||||||||||||||||||||
O|1||QC #^8||||||||||||C8004^13125
R|1|^^^pH^M|6.63|||||F||SYSTEM|20060817180127
R|2|^^^pCO2^M|43|mmHg||||F|||
R|3|^^^pO2^M|219|mmHg||||F|||
R|4|^^^Hct^M|70|%||||F|||
L|1|N<EOT>

75
ASTM High-level Communication Protocol Specifications

Publication: September 2006

Edition: B