SEIS_FormatASTM

AL22 AL22 ASTM format

02

1 PURPOSE
This document describes ASTM format for patient results sending from an AL22 towards a LIS and receipt
of orders from a LIS through RS or NET.

2 APPROBATION AND HISTORY

Revision Date Author Raison et nature de la modification Approbation

01 10/01/11 V.Heaney Document creation
02 10/02/11 V.Heaney ‘Update following V2.0.0 corrections.

3 DIFFUSION

4 DEFINITIONS AND ABBREVATIONS

ƒ N/A : Not applicable
ƒ Sender : Appliance in charge of sending data towards another appliance
ƒ Receiver: Appliance in charge of accepting and receiving incoming data from a sender
ƒ LIS: Laboratory Instrument system, the host.
ƒ Order: A request for analysis incoming from a LIS and concerning one patient.

5 REFERENCES

6 SYSTEM OVERVIEW
The Mythic22 AL is the auto-loader version of the Mythic 22, haematology 5DIF analyzer.

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1 PURPOSE............................................................................................................................................................................1
2 APPROBATION AND HISTORY ..................................................................................................................................1
3 DIFFUSION......................................................................................................................................................................1
4 DEFINITIONS AND ABBREVATIONS .....................................................................................................................1
5 REFERENCES ....................................................................................................................................................................1
6 SYSTEM OVERVIEW......................................................................................................................................................1
7 GENERAL SPÉCIFICATIONS...................................................................................................................................... 3
7.1 FORMAT OVERVIEW.......................................................................................................................................... 3
7.2 ASTM FORMAT .................................................................................................................................................... 3
7.2.1.1 Description............................................................................................................................................... 3
7.2.1.2 Unidirectional communication diagram for AL22 ............................................................................ 3
7.2.1.3 Bidirectional communication diagram for AL22............................................................................... 5
7.2.2 ASTM Fields Implementation ....................................................................................................................... 7
7.2.2.1 Header H Record .................................................................................................................................... 7
7.2.2.2 Patient P Record ..................................................................................................................................... 7
7.2.2.3 Order O Record ...................................................................................................................................... 8
7.2.2.4 Result R Record....................................................................................................................................... 9
7.2.2.5 Manufacturer Information M Record................................................................................................ 9
7.2.2.6 Terminator T Record ............................................................................................................................10

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7 GENERAL SPÉCIFICATIONS

7.1 Format overview

ASTM format is used for standardized communication with a LIS. This note describes the way ASTM fields
are filled and numbered in order to allow third party developers to design their own software solution.
ASTM used version is referenced as standard E1394. The low-layer protocol referenced as standard E1381
will not be discussed in this document.

7.2 ASTM Format

7.2.1.1 Description

This is an ASCII protocol based on handshakes. Two modes are internally managed. The unidirectional mode
and the bidirectional mode (which contains several sub-modes)
- UNIDIRECTIONAL Mode allows the AL22 to send patient results towards a LIS. (either results
read from the archive then sent towards the LIS or directly sent afterwards an analysis)
- BIDIRECTIONAL Mode is intended to receive a worklist from a LIS, apply the required tests and
send results back to the LIS. In the case of the AL22, worklist orders received from a LIS will be
processed to enqueue the current worklist of the day. Results are sent back after analysis
completion.

7.2.1.2 Unidirectional communication diagram for AL22

Patient result sending for DIF where SID is TEST SID 1 and realized on February, the 11th.
Below, the 22 parameters transmission.

H|\^&|||ORPHEE AL22|||||LIS_ID||P|E 1394-97|20110211033633

P|1|TEST PID 1|TEST SID 1|34|TEST ID||19900101|M|||||HOUSE|comment|||||||||||NY|||||||||
O|1|TEST SID 1|34|^^^DIF|R||20000||||||||STANDARD|||||00000|^||||F|||||
R|1|^^^WBC|0 |10e2/uL|4 to 12 |LL||F||||20110211033633|
R|2|^^^RBC|0 |10e4/uL|4 to 6 |LL||F||||20110211033633|
R|3|^^^HGB|.....|g/dL|11.0 to 17.0|||F||||20110211033633|
R|4|^^^HCT|0.0 |%|35.0 to 55.0|LL||F||||20110211033633|
R|5|^^^PLT|0.0 |10e4/uL|150.0 to 400.0|LL||F||||20110211033633|

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R|6|^^^LYM|0 |10e3/uL|1 to 5 |LL||F||||20110211033633|

R|7|^^^MON|0 |10e3/uL|0 to 1 |L||F||||20110211033633|
R|8|^^^NEU|0 |10e3/uL|2 to 8 |LL||F||||20110211033633|
R|9|^^^LYM%|0.0 |%|25.0 to 50.0|LL||F||||20110211033633|
R|10|^^^MON%|0.0 |%|2.0 to 10.0|LL||F||||20110211033633|
R|11|^^^NEU%|0.0 |%|50.0 to 80.0|LL||F||||20110211033633|
R|12|^^^MCV|.....|fL|80.0 to 100.0|||F||||20110211033633|
R|13|^^^MCH|.....|pg|26.0 to 34.0 |||F||||20110211033633|
R|14|^^^MCHC|.....|g/dL|31.0 to 35.5 |||F||||20110211033633|
R|15|^^^RDW|.....|%|10.0 to 16.0 |||F||||20110211033633|
R|16|^^^MPV|.....|fL|7.0 to 11.0 |||F||||20110211033633|
R|17|^^^PCT|.....|%|0.200 to 0.500|||F||||20110211033633|
R|18|^^^PDW|.....|%|10.0 to 18.0 |||F||||20110211033633|
R|19|^^^EOS|0 |10e3/uL|0 to 0 |N||F||||20110211033633|
R|20|^^^BAS|0 |10e3/uL|0 to 0 |N||F||||20110211033633|
R|21|^^^EOS%|0.0 |%|0.0 to 5.0 |N||F||||20110211033633|
R|22|^^^BAS%|0.0 |%|0.0 to 2.0 |N||F||||20110211033633|
M|1|Alert=00011010000000|Flag=000000000000000
L|1|N

Patient result sending for CBC where SID is TEST SID 10 and realized on February, the 10th.
Below, the 18 parameters transmission.

H|\^&|||ORPHEE AL22|||||LIS_ID||P|E 1394-97|20110210071116

P|1|TEST PID 10|TEST SID 10|33|TEST ID||19420422|M|||||HOUSE|comment|||||||||||CALIFORNIE|||||||||
O|1|TEST SID 10|33|^^^CBC|R||00000||||||||STANDARD|||||00000|^||||F|||||
R|1|^^^WBC|0 |10e2/uL|4 to 12 |LL||F||||20110210071116|
R|2|^^^RBC|0 |10e4/uL|4 to 6 |LL||F||||20110210071116|
R|3|^^^HGB|.....|g/dL|11.0 to 17.0|||F||||20110210071116|
R|4|^^^HCT|0.0 |%|35.0 to 55.0|LL||F||||20110210071116|
R|5|^^^PLT|0.0 |10e4/uL|150.0 to 400.0|LL||F||||20110210071116|
R|6|^^^MCV|.....|fL|80.0 to 100.0|||F||||20110210071116|
R|7|^^^MCH|.....|pg|26.0 to 34.0 |||F||||20110210071116|
R|8|^^^MCHC|.....|g/dL|31.0 to 35.5 |||F||||20110210071116|
R|9|^^^RDW|.....|%|10.0 to 16.0 |||F||||20110210071116|
R|10|^^^MPV|.....|fL|7.0 to 11.0 |||F||||20110210071116|
R|11|^^^PCT|.....|%|0.200 to 0.500|||F||||20110210071116|
R|12|^^^PDW|.....|%|10.0 to 18.0 |||F||||20110210071116|
M|1|Alert=00001001000000|Flag=000000000000000
L|1|N

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7.2.1.3 Bidirectional communication diagram for AL22

Data patient receipt which are translated into patient orders to populate the current worklist.
For instance, the second order named TEST SID 2, born on March the 12th in 1985, requires a CBC analysis
by Dr House in Oregon.

H|\^&|||ORPHEE AL22|||||LIS_ID||P|E 1394-97|20110007182836

P|1|TEST PID 1|TEST SID 1||TEST ID||19900101|M|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 1||^^^DIF|R||20000||||||||STANDARD|||||03012|^|||||||||

P|1|TEST PID 2|TEST SID 2||TEST ID||19850312|F|||||HOUSE|comment|||||||||||OREGON|||||||||

O|1|TEST SID 2||^^^CBC|R||00000||||||||STANDARD|||||03121|^|||||||||

P|1|TEST PID 3|TEST SID 3||TEST ID||20020613|M|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 3||^^^DIF|R||10000||||||||STANDARD|||||03133|^|||||||||

P|1|TEST PID 4|TEST SID 4||TEST ID||19870805|U|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 4||^^^CBC|R||00000||||||||STANDARD|||||03142|^|||||||||

P|1|TEST PID 5|TEST SID 5||TEST ID||19751007|M|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 5||^^^CBC|R||20000||||||||STANDARD|||||03153|^|||||||||

P|1|TEST PID 6|TEST SID 6||TEST ID||19721110|F|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 6||^^^DIF|R||20000||||||||STANDARD|||||03163|^|||||||||

P|1|TEST PID 7|TEST SID 7||TEST ID||19621206|M|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 7||^^^CBC|R||10000||||||||STANDARD|||||03171|^|||||||||

P|1|TEST PID 8|TEST SID 8||TEST ID||19481005|U|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 8||^^^CBC|R||00000||||||||STANDARD|||||03185|^|||||||||

P|1|TEST PID 9|TEST SID 9||TEST ID||19440504|M|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 9||^^^DIF|R||20000||||||||STANDARD|||||03194|^|||||||||

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P|1|TEST PID 10|TEST SID 10||TEST ID||19420422|M|||||HOUSE|comment||||||||||| OREGON |||||||||

O|1|TEST SID 10||^^^CBC|R||00000||||||||STANDARD|||||03025|^|||||||||

L|1|N

During a receipt, errors may occur :

ERR_ASTM_CRC : CRC error. The received astm frame is contains error(s), CRC is wrong
ERR_ASTM_PARAM : Number of received parameters for a frame type does not match the standard
requirements.
ERR_ASTM_WRONG_FRM : The received ASTM frame was not expected by the AL22.
ERR_ASTM_WRONG_VERSION : ASTM version used by the LIS is not recognized by the AL22. It must be
E1394-97.
ERR_ASTM_USE_DETECTED : Errors occur during ASTM data processing. These errors do not depend of
an ASTM encapsulation. This might be a received order already available in the current worklist, for
instance.

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7.2.2 ASTM Fields Implementation

7.2.2.1 Header H Record

Field No. Label Static Content Description

H1 Type ID H Header Type

H2 Delimiter Definit. \^&| fields delimiter
H5 Sender Name/ID ORPHEE AL22 Name of the sender equipment (automaton)
H10 Received ID LIS_ID Name of the LIS
H11 Comment - -
H12 Processing ID P Process type (patient data)
H13 Version No. E1394-97 -
H14 Date and Time msg - Format: YYYYMMDDHHMMSS

Example:
H|\^&|||ORPHEE AL22|||||LIS_ID||P|E 1394-97|20110211033633

7.2.2.2 Patient P Record

Field No. Label Static Content Description

P1 type ID P -
P2 Sequence No. - Record number of the patient, ex : 1, 2..etc
P3 Practiced As. Pat. No. - Practiced Assigned Patient Number : AL22 PID
P4 Lab. As. Pat. ID - Laboratory Assigned Patient ID : AL22 SID
P5 Patient ID No3 - AL22 Sequence Number
P6 Patient Name - AL22 ID
P8 Birthdate - Format : YYYYMMDD
P9 Patient Sex - M(ale) F(emale) or U(ndefined)
P14 Attending Phys. ID - ID of the physician.
P15 Special Field No.1 - Comment related to the patient
P26 Location - Location of the examination

Example:
P|1|TEST PID 1|TEST SID 1||TEST ID||19900101|M|||||HOUSE|comment||||||||||| OREGON |||||||||

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7.2.2.3 Order O Record

On ajoute les informations de rack tels que le numéro et type de rack et la position dans le rack.

Field
No. Label Static Description
Content
O1 Record Type ID O -
O2 ASTM Seq. Number 1 -
O3 Specimen ID AL22 SID
O4 Instrument Spec. ID sequence number assigned by AL22
O5 Universal Test ID ^^^xxx where xxx = CBC or DIF
O6 Priority R -
O8 Spec. Collec Date/Time Draw Date.: DHHMM (D:0,1,2Îunknown/today/yesterday)

O16 Specimen Type STANDARD -

O21 Lab. Field. N°1 Rack pos, format : TTNNP (type, number, position)
O22 Lab. Field. N°2 . M (match) ou/et R (rerun) separated by cmpnt delimiters
O26 Report Type F ou X F if successful, X if errors occur.

Example:

O|1|TEST SID 1|34|^^^DIF|R||20000||||||||STANDARD|||||00000|^||||F|||||

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7.2.2.4 Result R Record

N°
champ Libellé Contenu statique Description

R1 Record Type ID R -
R2 Record Seq. Number - 1…n
R3 Universal Test ID ^^^xxx Where xxx may be WBC, RBC, HGB..and so on..
R4 Measurement Value - Measured value ex:10.9
R5 Unité - Unit, ex : K/uL
R6 Reference Range - Range of values : ex : 3.0 to 12.0
R7 Result Flags L, H, LL, HH, A, N Alarms, A Î Dil, NÎNormal
R9 Result Status F ou X F if successful, X if errors occur
R13 Date/Time test completed - Format: YYYYMMDDHHMMSS

Example:

R|1|^^^WBC|0 |10e2/uL|4 to 12 |LL||F||||20110211033633|

7.2.2.5 Manufacturer Information M Record

This record is used in order to transmit alerts and flags towards the LIS.

Field Label Static Description

No. Content
M1 Record Type ID M
M2 Sequence Number 1
M3 Instrument Alert - Bytes: 1-6 Alert=
7 1 = W_CL
8 1 = R_CL
9 1 = O_CL
10 1 = O_DF
11 1 = SU_ND
12 1 = SU_F
13 1 = QC_ND
14 1 = QC_F
15-20 Non-utilisés

M4 Flag de test - Bytes: 1-5 Flag=

6 1 = L1
7 1 = L5
8 1 = N1
9 1 = N2

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10 1 = RL
11 1 = HL
12 1 = NL
13 1 = NH
14 1 = IC
15 1 = R1
16 1 = R2
17 1 = P1
18 1 = P2
19 1 = P3
20 non-utilisé.

Example:
M|1|Alert=00000101000000|Flag=000000000000000

7.2.2.6 Terminator T Record

L1: Record Type ID, ici L.

L2: Sequence Number.

• This field remains at 1.

L3: Termination Code:

• This field remains at N.

Example:
L|1|N

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