IMMULITE Systems Interface Specifications Manual - 10913821 DXDCM 09008b8380759c4f-1426555302245
IMMULITE Systems Interface Specifications Manual - 10913821 DXDCM 09008b8380759c4f-1426555302245
This document is
D:\616154-UpdateInterfaceGuide\10913821VFT000-B
InterfaceSpec_SRC\0_title_legal.fm
It was last modified January 19, 2015 2:46 pm
Convention Description
Bold Bold type indicates the following:
text on the user interface
For example, if the word save appears as Save, it refers to
the Save button on the user interface.
a key on the keyboard or a system key on the front of the
system
For example, when the word enter appears as Enter, it refers
to the Enter key on the keyboard.
Italics Italics type refers to the title of a document or a section title
in this manual.
For example, IMMULITE 1000 / LIS Configurations refers to
Section 2 of this manual.
Caution statements alert you to conditions that may cause
CAUTION product damage or loss of data. On the system, this symbol
indicates that you should refer to the manuals for more
information.
Note Note statements alert you to important information that
requires your attention.
Term Description
L message Terminator Message
Last message sent in a transaction, contains termination
codes.
Line Noise Unintended voltage.
This may cause LIS 30 second timeout errors on the
IMMULITE systems and occurs for many reasons, some of
which are:
• Insecure connections
• Cable problems
Interference from power sources
Middleware An intermediate device used between instruments and the
connection to the host system that include specialized
interface workstations to provide additional data
management capability.
NAK Negative Acknowledge
Response to sender message was not properly received.
O message Order Message
Defines which test, such as TSH or HCG, should be
performed on the patient sample for a particular accession
number.
P message Patient Message
Contains patient information, patient ID, name.
Password A password defined by the LIS software company.
This field may be left blank if desired.
Panel A predefined set of tests.
Panel names may be sent to the instrument. All tests within a
panel are run if the panel is configured on the instrument.
Results are then sent from the instrument to the LIS as
individual test codes.
Note Panel names should be unique. Do not name a panel
the same as a test code.
Pipe Sign ( | ) A vertical bar that separates fields within a record.
Port A port is an access point allowing connection from an
instrument or computer into the LIS network.
An example of a port can be as simple as the wall plug for
your telephone.
Q message Query Message
A request to the LIS for patient information and test orders.
Contains the primary tube accession number.
Term Description
R message Result Message
Contains test results and additional information, such as test
code and the units in which the results are delivered. This
message is sent to the LIS.
Receiver ID The identity of the system receiving a message.
For example, If the IMMULITE system is receiving a message
the receiver ID may be IMMULITE, if the LIS is receiving a
message the receiver ID may be LIS. The data in this field is
defined by the LIS software company.
Record Also known as a message, contains all information for a
particular item.
All information in a patient message.
Rocket Card A computer board used on IMMULITE 2000 systems to
provide the serial ports used for LIS communications.
Sender ID The identity of the system sending a message.
For example, If the IMMULITE system is sending a message
the sender ID may be IMMULITE, if the LIS is sending a
message the sender ID may be LIS. The data in this field is
defined by the LIS software company.
Sequence Number Each message type has its own sequence number.
This number increments by one after each record is sent. A
record sent of a higher hierarchy (see message hierarchy)
resets this value to zero.
STX Start of Text
Indicates start of text for a specific message.
Test Codes Upload and download codes that can be found in package
inserts.
Note Entering test codes into the LIS for allergy assays can
be time consuming because customers may run hundreds
of allergy tests. Using common naming conventions like
HL7 makes this less tedious because the LIS will already
recognize the standard codes.
Workstation An LIS terminal or PC that allows the operator to work with
the LIS software.
What Is an LIS?
A Laboratory Information System (LIS) is software that receives, processes,
and stores information generated by laboratory procedures. This system
often interfaces with instruments, and other information systems such as
hospital information systems (HIS).
The three primary functions of an LIS system are test ordering, result
management and reporting, and billing. An LIS is comprised of complex
software applications that are customized to each laboratory’s current
policies and standard operating procedures. The laboratory provides the
information used to build the necessary tables and definitions, which are
first validated and then maintained.
An LIS has modular components, so that the laboratory can select the
appropriate modules. There are basic test ordering and billing modules,
and modules designed for specific lab disciplines, such as microbiology,
blood banking, and genetics testing. Some vendors offer all components;
others specialize in specific modules.
Sometimes you may see an LIS listed as a Laboratory Information
Management System (LIMS). A LIMS and an (LIS) perform similar functions.
The term LIMS is used to describe systems targeted toward environmental,
research or commercial analysis; such as pharmaceutical or petrochemical,
and the term LIS is used to describe systems targeted toward the clinical
market (hospitals and other clinical labs).
Laboratory Information Systems have impacted the way lab testing is
performed. Prior to an LIS, laboratory technologists were responsible for
writing down each test result, or keeping track of little slips of paper from
each instrument. Instruments directly interfaced with the LIS offer an
efficient method for accurate reporting of patient result data.
Larger facility may use other configurations. For these facilities, fewer
workstations are used and the technologist would then accept results from
multiple instruments. Often, in larger more complex operations, the LIS
connects multiple sections within the lab. These could also be connected
to the internet and could also connect multiple off-site locations.
Order Entry
The order entered into the system contains the list of tests to be
performed. An almost universal requirement for using an LIS is to have a
unique accession number for each patient sample. A patient may have
multiple accession numbers, so you need a unique identifier for each
patient, as well. The unique identifier is usually called a medical record
number, patient ID (PID), or patient record number.
In addition, the LIS prints bar-coded labels, displaying the unique accession
number, for the draw tubes. In some cases, more advanced LIS products
provide a separate and unique identifier for each patient sample. This
provides the ability to track, at the sample level, the chain of custody from
the point it is taken from the patient to the point that it is discarded. The
sample-accession-patient hierarchy is linked in a tree-like numeric
structure.
The following steps illustrate how the LIS handles work orders:
1. The LIS creates work orders for patients or they may be transferred
from the HIS.
2. The LIS performs the following actions:
• Assigns accession numbers to patient samples
• Produces barcode labels
• Produces collection lists to facilitate sample collection
3. Work orders are downloaded to instruments.
Sample Receiving
You can configure most LIS systems to download patient sample data to an
instrument either after the order is placed, or when a patient sample is
verified as received in the lab. When the bar-coded sample tube is read by
the instrument, the unique ID is read off the sample tube label and the
instrument matches it with the order.
1. If the instruments are configured for Uni-Directional communication,
the operator must input the order on the instrument.
Results are then sent to the LIS.
2. If configured for Bi-Directional batch communication, the operator
must request that the LIS send test orders to the instrument.
This is usually scheduled as a batch download.
3. If configured for Bi-Directional Query, the operator places the bar-
coded sample tubes onto the instrument.
When the instrument scans the sample tube barcodes, it sends a
message to the LIS asking for test orders for that accession number.
This is also called Host Query.
4. Patient samples are processed and results are uploaded from the
instruments to the LIS.
Results Entry/Verification
When results of lab tests are available, they are entered into the LIS
manually or automatically uploaded from an instrument if it is interfaced.
Results must be reviewed prior to their release. Typically, this review is
performed by a laboratory professional who verifies each result.
More recently, software has been developed that can verify results in the
same manner as a lab technologist would. This is done by constructing a
series of rules that are used to verify each test result. This software-based
approach is called autoverification and recent applications can use very
complex rule sets that incorporate patient information (age, sex,
diagnosis), as well as lab results. Once these results are double-checked or
verified, they are then released to the medical record.
Released results are often compiled and printed on patient-specific lab
reports and LIS patient records are updated with the result information.
Cable Specifications
The LIS vendor or the laboratory is responsible for the cable. The cable is
commonly an RS232 null modem cable with a DB9 (9-Pin) female
connector at the IMMULITE port or a network cable that is connected to the
the IMMULITE system with an RJ45-DB9 converter. More recently, standard
RJ45 network cables or USB-based cable connections are becoming more
widely used.
1 Pin 5
2 Pin 3
3 Pin 2
References
www.medtechnet.com/public_pdf/mtc16pdf.pdf
en.wikipedia.org/wiki/Laboratory_information_system
The new method of instrument identification uses the actual data stream
itself to identify the instrument. Every time an IMMULITE system
communicates with the LIS, it sends a bulk of information other than just
the accession number and the result.
One of the data fields sent is the Instrument ID. This field has not been
used often in the past because both instrument and LIS vendors relied on
port numbers to identify the instrument.
Communication Protocol
To properly troubleshoot communication problems, it is important to know
what basic communication protocol is being used.
Protocol Description
Uni-Directional In this mode, the worklist is generated on the instrument, the
samples are run, and the results are uploaded to the LIS when
completed.
Patient data is only sent in one direction from the instrument to
the LIS. Refer to Chapter 4 for more information on the
operation of this software with uni-directional configurations.
Bi-Directional This mode provides bi-directional data transfer between the LIS
and the instrument.
A worklist is generated on the LIS and then batch downloaded
to the instrument. Samples are run and results are uploaded
from the instrument to the LIS when completed. Refer to
Chapter 5 for more information on the operation of this
software with bi-directional configurations.
Bi-Directional This mode also provides bi-directional data transfer between the
Query LIS and the instrument. Bar-coded samples are placed on the
instrument and interrogated. The instrument then sends a
query to the LIS to find out which tests are to be run. The
required test orders are then sent from the LIS to the
instrument. Samples are run and results are uploaded from the
instrument to the LIS when completed.
ASTM Handshaking
The IMMULITE systems are set-up to communicate with LIS systems via a
standard ASTM Handshaking protocol. Even with uni-directional
communication where data only travels from the instrument to the LIS,
ASTM handshaking is required. This protocol requires all data transactions
to include a query (to send) and an acknowledgement (to receive).
IMMULITE/LIS Messaging
Basic Message Hierarchy (Lower number has higher
priority)
Priority Message
1 Header
2 Patient
3 Order
4 Result
<ENQ>
Header
Patient 1
Order 1
Patient 2
Order 1
Order 2
Order 3
Patient 3
Order 1
Terminator
<EOT>
<ENQ>
Header
Patient 1
Order 1
Result 1
Patient 2
Order 1
Result 1
Order 2
Result 1
Order 3
Result 1
Patient 3
Order 1
Result 1
Terminator
<EOT>
<ENQ>
Header
Query
Terminator
<EOT>
<ENQ>
Header
Patient 1
Order 1
Order 2
Order 3
Terminator
<EOT>
Header Message
[Record Type (H)] [Delimiter Def.] [Message Control ID]
[Password] [Sending systems company name] [Sending Systems
address] [Reserved] [Senders Phone#] [Communication
parameters] [Receiver ID] [Comments/special instructions]
[Processing ID] [Version#] [Message Date + Time]
1H|\^&||PASSWORD|DPC||Flanders^New^Jersey^07836||973-927-
2828|N81|Your System||P|1|19940407120613<CR><ETX>[51
Checksum] <CR><LF>
Patient Message
[Record Type (P)][Sequence #][Practice Assigned Patient
ID][Laboratory Assigned Patient ID][Patient ID][Patient
Name][Mother's Maiden Name][BirthDate][Patient
Sex][Patient Race][Patient Address][Reserved][Patient
Phone #][Attending Physician ID][Special Field
1][Special Field 2][Patient Height][Patient
Weight][Patients Known or Suspected Diagnosis] [Patient
active medications][Patients Diet][Practice Field
#1][Practice Field #2][Admission and Discharge
Dates][Admission Status][Location][Nature of
Alternative Diagnostic Code and
Classification][Alternative Diagnostic Code and
Classification][Patient Religion][Marital
Status][Isolation Status][Language][Hospital
Service][Hospital Institution][Dosage Category]
2P|1|101|||Riker^Al||19611102|F|||||Bashere<CR><ETX>[2ACheck
Sum] <CR><LF>
Order Message
[Record Type (O)][Sequence#][Specimen ID
(Accession#)][Instrument Specimen ID][Universal Test
ID][Priority][Order Date/Time][Collection Date/
Time][Collection End Time][Collection
Volume][Collector ID][Action Code][Danger
Code][Relevant Clinical Info][Date/Time Specimen
Received][Specimen Descriptor,Specimen Type,Specimen
Source][Ordering Physician][Physician's Telephone
Number][User Field No.1][User Field No.2][Lab Field
No.1][Lab Field No.2][Date/Time results reported or
last modified][Instrument Charge to Computer
System][Instrument Section ID][Report Types][Reserved
Field][Location or ward of Specimen
Collection][Nosocomial Infection Flag][Specimen
Service][Specimen Institution]
3O|1|1550623||^^^LH|R|19931011091233|19931011091233
<CR><ETX>[6C Checksum] <CR><LF>
Result Message
[Record Type (R)][Sequence #][Universal Test ID][Data
(result)][Units][ReferenceRanges] [Result abnormal
flags][Nature of Abnormality Testing][Result
Status][Date of change in instruments normal values or
units][Operator ID][Date\Time Test Started][Date\Time
Test Completed][Instrument ID]
4R|1|^^^LH|8.2|mIU/
mL|.7\.7^400\400|N|N|F||test|19931011091233|1993101109
1233|DPC<CR><ETX>[8FCheckSum] <CR><LF>
Example 2
1H|\^&||DPC|IMMU01R|111 Canfield
Road^Randolph^NJ^07869||(201)927-
2828|N81|IMMU01S||P|1|20001107160944
E2
2P|1||||||||||||
0F
3O|1|09861081||^^^fPS|R|||||||||||||||||||E0872
8F
4R|1|^^^fPS|0.26|ng/
mL|0.05\0.05^25.0\25.0|N|N|F|||20001107051521|20001
107062514|E0872
4D
5P|2||||||||||||
13
6O|1|09861081||^^^PSA|R|||||||||||||||||||E0872
6D
7R|1|^^^PSA|0.28|ng/
mL|0.04\0.04^150\150|N|N|F|||20001104035557|2000110
4043253|E0872
D1
0P|3||||||||||||
0F
1O|1|09861081||^^^TSH|R|||||||||||||||||||E0872
73
2R|1|^^^TSH|0.602|uIU/
mL|0.400\0.002^4.00\75.0|N|N|F|||20001103035444|200
01103050438|E0872
FD
3L|1
3C
Example 3
1H|\^&||DPC|IMMU01R|111 Canfield
Road^Randolph^NJ^07869||(201)927-
2828|N81|IMMU01S||P|1|20001107162353
DE
2P|1||||||||||||
0F
3O|1|68552470||^^^DHS|R|||||||||||||||||||E0872
69
4R|1|^^^DHS|178|ug/
dL|30.0\30.0^1000\1000|N|N|F|||20001107115846|20001
107123532|E0872
F8
5L|1
3E
Example 4 (Allergy)
1H|\^&||DPC|IMMU01R|111 Canfield
Road^Randolph^NJ^07869||(201)927-
2828|N81|IMMU01S||P|1|20001107162353
A2
2P|1||||||||||||
0F
3O|1|Z00058364||^^^SPE E1|R|||||||||||||||||||F1420
4E
4R|1|^^^SPE E1|3.23|KU/
L|0.0\0.10^0.0\100|H|N|F|||20010619084600|200106190
95655|
F1420
85
5R|2|^^^SPE
E1|II|SCLASS||H|N|F|||20010619084600|20010619095655
|
F1420
F9
Example 4
[New Receive Session]
3/21/05 2:29:21 PM 52161.91
[R] <ENQ>
3/21/05 2:29:21 PM 52161.91
[S] <ACK>
3/21/05 2:29:22 PM 52162.04
[R] _1H|\^&||MARY|MISYS|||||PATH||P|1
_B5
3/21/05 2:29:22 PM 52162.04
[S] <ACK>
3/21/05 2:29:22 PM 52162.22
[R] _2P|1|E05002027|E05002027||Doe^Jane
_25
3/21/05 2:29:22 PM 52162.22
[S] <ACK>
3/21/05 2:29:22 PM 52162.34
[R] _3O|1|E05002027||^^^sPS|R
_86
3/21/05 2:29:22 PM 52162.39
[S] <ACK>
3/21/05 2:29:22 PM 52162.48
[R] _4L|1|F
_FF
3/21/05 2:29:22 PM 52162.48
[S] <ACK>
3/21/05 2:29:22 PM 52162.54
[R] <EOT>
[New Send Session]
3/21/05 2:29:22 PM 52162.55
[S] <ENQ>
3/21/05 2:29:22 PM 52162.63
[R] <ACK>
3/21/05 2:29:22 PM 52162.63
Field Details
Activate LIS Y or N, select Y(es) to activate
Activate Host Query Y or N, select Y(es) to activate
Activate Uni-Directional Y or N, select Y(es) to send results only
Password LIS Vendor to provide
Sender ID LIS Vendor to provide
Receiver ID LIS Vendor to provide
Baud Rate LIS Vendor to provide, usually 9600
• Results can be sent to the LIS only once (no re-send option is
available).
• Results are successfully sent to the LIS if no errors occur and the
results are removed from the LIS Data Management screen.
4. Test IMMULITE Host Query (if applicable):
a. Enter sample cup number.
b. Use hand-held scanner to scan in accession number.
If you have entered the patient name, it should populate the
screen.
c. Load patient sample in specified cup number and run.
d. Results display in the LIS Data Management screen.
If any LIS errors display, contact Technical Service.
5. Manage Results:
a. Results must be tagged and sent to the LIS (no auto-send option is
present on the IMMULITE system).
b. Results are cleared from the LIS screen after sending to the LIS and
cannot be re-sent.
c. Results are sent using floating decimals as follows:
Required Flags
Required flags include > and <. H, L, and N flags are supported but not
required. You must use the pipe ( | ) character if H, L, and N flags are not
included. Refer to (10.1.7) Result Abnormal Flags, page 2-32.
Greater than (>) and less than (<) calibration range results are sent as
follows:
0R|1|^^^TSH|75.0|uIU/
mL|.4\.002^4\75|>|N|F||test|19940407085044|19940407
085148|Siemens
• 75.0 is the Assay Max
• > is the Result Flag
Qualitative Tests
Qualitative tests result as Reactive, Non-Reactive or Indeterminate, and are
sent to the LIS as follows:
Upload/Download Codes
Siemens Test Codes are used for upload and download codes and can be
found in Assay package inserts. This is a 2–3-digit test code found on the
package insert.
1R|1|^^^FER|173.|ng/
mL|.5\.5^1500\1500|N|N|F||test|19950119084641|19950
119092858|SenderID
42
2P|3|326829;AH|||Last 3^First 3|||F|||||
F9
3O|1|130000722||^^^FER|||19950118102000
A2
4R|1|^^^FER|490.|ng/
mL|.5\.5^1500\1500|N|N|F||test|19950119084741|19950
119092928|SenderID
46
5P|4|124462;TGH|||Last 4^First 4|||F|||||
4E
6O|1|130000724||^^^E2|||19950118122000
43
7R|1|^^^E2|25.3|pg/
mL|12\12^2000\2000|N|N|F||test|19950119084815|19950
119100049|SenderID
CC
0O|2|130000724||^^^FSH|||19950118122000
A8
1R|1|^^^FSH|60.6|mIU/
mL|.1\.1^170\170|N|N|F||test|19950119084815|1995011
9093030|SenderID
0B
2O|3|130000724||^^^LH|||19950118122000
5E
3R|1|^^^LH|24.4|mIU/
mL|.7\.7^400\400|N|N|F||test|19950119084815|1995011
9093101|SenderID
C1
4P|5|556395;AH|||Last 5^First 5|||M|||||
0B
5O|1|130000741||^^^FER|||19950118115500
AE
6R|1|^^^FER|238.|ng/
mL|.5\.5^1500\1500|N|N|F||test|19950119084949|19950
119093132|SenderID
46
7P|6|556357;MB|||Last 6^First 6|||M|||||
15
0O|1|130000790||^^^IGE|||19950118120000
9C
1R|1|^^^IGE|517.|IU/
mL|.01\.01^600\600|N|N|F||test|19950119085018|19950
119093202|SenderID
EC
2P|7|141053;TGH|||Last 7^First 7|||F|||||
4F
3O|1|130000805||^^^FER|||19950118120000
A4
4R|1|^^^FER|21.0|ng/
mL|.5\.5^1500\1500|N|N|F||test|19950119085049|19950
119093233|SenderID
34
5P|8|320439;TGH|||Last 8^First 8|||F|||||
5C
6O|1|130000890||^^^FER|||19950118130000
AC
7R|1|^^^FER|12.9|ng/
mL|.5\.5^1500\1500|N|N|F||test|19950119085254|19950
119093609|SenderID
45
0P|9||||Last 9^First 9||||||||
C1
1O|1|130000911||^^^E2
01
2R|1|^^^E2|71.3|pg/
mL|12\12^2000\2000|N|N|F||test|19950119085423|19950
119100800|SenderID
BF
3P|10|358069;TGH|||Last 10^First 10|||F|||||
DF
4O|1|130000929||^^^FER|||19950118123000
AF
5R|1|^^^FER|219.|ng/
mL|.5\.5^1500\1500|N|N|F||test|19950119085628|19950
119093843|SenderID
48
6L|1
3A
(7.1.10) Receiver ID
REQUIRED (Configurable in LIS Param screen; Maximum of 15 characters)
(8.1.5) Patient ID
NOT SUPPORTED
(8.1.8) Birthdate
SUPPORTED (YYYYMMDD; Maximum of 8 characters)
(8.1.26) Location
NOT SUPPORTED
(8.1.32) Language
NOT SUPPORTED
(9.4.2) Sequence #
REQUIRED
(9.4.3) Specimen ID
REQUIRED (accession # on primary tube; Maximum of 20 characters)
(9.4.11) Collector ID
NOT SUPPORTED
(10.1.2) Sequence #
REQUIRED
(10.1.5) Units
REQUIRED Current Siemens Units of Measure: ng/mL, ng/dL, µg/dL, µIu/mL,
mIU/mL, pg/mL, nmol/L, pmol/L, mIU/L, µg/L, IU/mL, IU/L
(10.1.14) Instrument ID
SUPPORTED
(Configurable From Siemens 'KIT' Program)
(13.1.2) Sequence #
REQUIRED
0R|1|^^^T3|35|ng/
dL|82\35^179\600|<|N|F||test|19940407084325|1994040
7084630|Siemens
F9
1O|4|123ABC||^^^TU
D3
2R|1|^^^TU|10|Percnt|23\10^35\70|<|N|F||test|199404
07084325|19940407084645|Siemens
60
3P|2||||^||||||||
6F
4O|1|789XYZ||^^^TSH
70
5R|1|^^^TSH|4.2|uIU/
mL|.4\.002^4\75|H|N|F||test|19940407084907|19940407
084923|Siemens
A9
6P|3||||Jones^||||||||
72
7O|1|HIJ456||^^^TSH
3A
0R|1|^^^TSH|6.19|uIU/
mL|.4\.002^4\75|H|N|F||test|19940407085044|19940407
085148|Siemens
D7
1P|4||||Riker^William||19601111|M|||||Doctor
87
2O|1|LMN141||^^^TSH
38
3R|1|^^^TSH|5.5|uIU/
mL|.4\.002^4\75|H|N|F||test|19940407085234|19940407
085352|Siemens
A2
4L|1
3D
(7.1.10) Receiver ID
REQUIRED (Configurable in the LIS PARAMETERS window; Maximum of 15
characters)
(8.1.5) Patient ID
NOT SUPPORTED
(8.1.8) Birthdate
SUPPORTED (YYYYMMDD; maximum of 8 characters)
(8.1.26) Location
NOT SUPPORTED
(8.1.32) Language
NOT SUPPORTED
(9.4.2)Sequence #
REQUIRED
(9.4.3) Specimen ID
REQUIRED (ACCESSION # ON PRIMARY TUBE; maximum of 20 characters)
(9.4.6) Priority
NOT SUPPORTED (maximum of 1 character)
(9.4.11) Collector ID
NOT SUPPORTED
(10.1.2) Sequence #
REQUIRED
(10.1.5) Units
REQUIRED
Current Siemens Units of Measure: ng/mL, ng/dL, µg/dL, µIu/mL, mIU/mL,
pg/mL, nmol/L, pmol/L, mIU/L, µg/L, IU/mL, IU/L
(10.1.14) Instrument ID
SUPPORTED (Configurable From Siemens 'KIT' Program)
(13.1.2) Sequence #
REQUIRED
Message Definition
Invalid ID This is the #1 question asked by LIS customers. The
Sender ID and \ or Receiver ID is incorrect in the header
message. These items need to be switched by the LIS
when sending messages to the IMMULITE system.
Example:
Sender ID is set to Siemens
Receiver ID is set to HOSPITAL
• IMMULITE Sending
Sender ID Field = Siemens
Receiver ID Field = HOSPITAL
• LIS Sending
Sender ID Field = HOSPITAL
Receiver ID Field = Siemens
Invalid Password The password is incorrect in the header message. Correct
by entering the proper password in the LIS PARAMETER
section from the START menu. Siemens does not know
this password, this is set by the software company.
SUNQUEST does not use a password. This field should be
left blank for SUNQUEST systems.
Bad or Missing The frame number in the message is not proper. Usually
Frame Number indicates a programming bug in the LIS software, but
may be a bad message (for example, line noise). See
ASTM 1394 Logical layer section 6.3.2 for further detail.
Message Definition
Invalid Sequence The sequence number in the message is not proper.
Number Usually indicates a programming bug in the LIS software,
but may be a bad message (for example, line noise). See
ASTM 1394 section 6.6.7 for further detail.
Message Too Short Data within the message was dropped or not sent.
Usually indicates a programming bug in the LIS software,
but may be a bad message (for example, line noise).
LIS Timeout The LIS is not responding to the IMMULITE system.
Causes can be a cabling problem, communication
problem (hardware related), or programming bug in the
LIS software.
<CR> or <LF> Usually indicates a programming bug in the LIS software,
Missing in LIS but may be a bad message (E.G. line noise).
Transmission
Error in last request This is a response FROM the LIS stating the LIS
encountered an error to the system’s request for
information.
No info on this # A response from the LIS to a Query message. The LIS has
no information for the sample (accession#).
Setting Up
To set up a connection between the IMMULITE 1000 system and an LIS,
follow the steps below:
1. Connect the Cable.
Refer to Cable Specifications, page 13. Use COM Port 4 on the back of
the user-side computer.
2. Configure LIS Parameters:
Note All configurations require log off to activate changes.
a. Select Tools > Configurations > LIS Parameters.
For IMMULITE 2000 and IMMULITE 2000 XPi systems,
select Menu > Configuration > LIS.
The LIS Parameters screen password is CONNECT.
b. Select the appropriate LIS Host Query Mode:
• Password, Receiver ID, and Sender ID should be provided by LIS
Vendor.
• COM Parameters must be N81 in LIS Configurations and if sent
in Header Record from LIS.
• The LIS serial port is labeled “4” on the back of the instrument.
3. To enable a log of the communication between the IMMULITE 1000
system and the LIS for troubleshooting, select Diagnostics.
The LIS log should be disabled during normal operation.
Interface Specifications page 3 - 1
Configuring the IMMULITE 1000
Manage Results
Results (including semi-quantitative ratio results) are sent using floating
decimals as follows:
Required Flags
Required flags include H, L, N, < and >.
Greater than (>) and Less than (<) calibration range results are sent as
follows:
0R|1|^^^TSH|75.0|uIU/
mL|.4\.002^4\75|>|N|F||test|19940407085044|19940407
085148|Siemens
• 75.0 is the Assay Max
• > is the Result Flag
Upload/Download Codes
IMMULITE Test Codes are used for upload and download codes and can be
found in IMMULITE Assay package inserts.
(7.1.10) Receiver ID
REQUIRED (Configurable in LIS Parameters screen; Maximum of 15
characters)
(8.1.5) Patient ID
NOT SUPPORTED
Position Description
First 2 characters ~C (use uppercase letter)
Next 6 characters Control Name (if fewer than 6 characters, right-
padded with spaces; should not be empty)
Next 3 characters Control Lot (use 3 numeric digits; should not be
empty)
Next 6 characters Expiration Date (use YYYYMM format; should not be
empty)
Last 1 character Control Level (should not be empty)
Position Description
First 2 characters ~A (use uppercase letter)
Next 6 characters Test Code (should not be empty)
Next 3 characters Kit Lot (use 3 numeric digits; should not be empty)
Next 3 characters Adjustor Lot (use 3 numeric digits; should not be
empty)
Last 2 character Level (use 2 numeric digits; should not be empty)
Position Description
First 2 characters ~V (use uppercase letter)
Next 6 characters Test Code (should not be empty)
Next 3 characters Verifier Lot (should not be empty)
Next 1 characters Level (numeric values should not be empty)
Next 4 characters Range low (numeric value; should not be empty)
Last 4 character Range high (numeric value; should not be empty)
(8.1.8) Birthdate
SUPPORTED (YYYYMMDD Maximum of 8 characters)
(8.1.26) Location
NOT SUPPORTED
(8.1.32) Language
NOT SUPPORTED
(9.4.2)Sequence #
REQUIRED
(9.4.3) Specimen ID
REQUIRED (maximum of 30 characters)
Position Description
First 2 characters ~C (use uppercase letter)
Next 6 characters Control Name (if fewer than 6 characters, right-
padded with spaces; should not be empty)
Next 3 characters Control Lot (use 3 numeric digits; should not be
empty)
Next 6 characters Expiration Date (use YYYYMM format; should not be
empty)
Last 1 character Control Level (should not be empty)
Position Description
First 2 characters ~A (use uppercase letter)
Next 6 characters Test Code (should not be empty)
Next 3 characters Kit Lot (use 3 numeric digits; should not be empty)
Next 3 characters Adjustor Lot (use 3 numeric digits; should not be
empty)
Last 2 character Level (use 2 numeric digits; should not be empty)
Position Description
First 2 characters ~V (use uppercase letter)
Next 6 characters Test Code (should not be empty)
Next 3 characters Verifier Lot (should not be empty)
Next 1 characters Level (numeric values should not be empty)
Next 4 characters Range low (numeric value; should not be empty)
Last 4 character Range high (numeric value; should not be empty)
(9.4.6) Priority
SUPPORTED (Maximum of 1 character)
S Stat
A As soon as possible
R Routine
C Callback
P Preoperative
(9.4.11) Collector ID
NOT SUPPORTED
(10.1.2) Sequence #
REQUIRED
(10.1.5) Units
REQUIRED
(10.1.14) Instrument ID
SUPPORTED (Configurable From Siemens 'KIT' Program)
(13.1.2) Sequence #
REQUIRED
(7.1.10) Receiver ID
REQUIRED (Configurable in the LIS Parameters window; Maximum of 15
characters)
(8.1.5) Patient ID
NOT SUPPORTED
(8.1.8) Birthdate
SUPPORTED (YYYYMMDD; maximum of 8 characters)
(8.1.26) Location
NOT SUPPORTED
(8.1.32) Language
NOT SUPPORTED
(9.4.2) Sequence #
REQUIRED
(9.4.3) Specimen ID
REQUIRED (ACCESSION # ON PRIMARY TUBE; maximum of 20 characters)
(9.4.6) Priority
NOT SUPPORTED (maximum of 1 character)
(9.4.11) Collector ID
NOT SUPPORTED
(10.1.2) Sequence #
REQUIRED
(10.1.5) Units
REQUIRED
Current Siemens Units of Measure: ng/mL, ng/dL, µg/dL, µIu/mL, mIU/mL,
pg/mL, nmol/L, pmol/L, mIU/L, µg/L, IU/mL, IU/L
(10.1.14) Instrument ID
SUPPORTED (Configurable From Siemens 'KIT' Program)
(13.1.2) Sequence #
REQUIRED
Results Handling
Results are sent using floating decimals as follows
Required Flags
Required flags include H, L, N, < and >.
Greater than (>) and Less than (<) calibration range results are sent as
follows:
0R|1|^^^TSH|>75.0|uIU/
mL|.4\.002^4\75|>|N|F||test|19940407085044|19940407
085148|Siemens
• > or < flag included with the assay Min/Max
• > is the Result Flag
11. To automatically send all results for control samples, select Auto Send
Control Results.
12. Select LIS Requery, as appropriate:
• No Requery – if an accession number is found in the Instrument
database (pending or completed tests), the accession number will
not be requeried to an LIS.
• Requery New Orders – Accession numbers are always requeried
and duplicate test orders are not run if that test is currently in
progress.
• Requery All – Accession numbers are always requeried and
duplicate test orders are run.
13. Select LIS Query for Controls.
• Exclude Controls – Control samples are not queried to an LIS.
• Include Controls – All control samples are queried to an LIS.
14. Report Qualitative Assay Results sent to the LIS:
• Qualitative Only
Results display on the LIS screen as follows:
• Ratio Only
Results sent as a ratio (Patient cps/cutoff cps).
15. Report Qualitative Assay Results display on LIS screen:
• Qualitative only
Results display on LIS screen as follows:
Reactive
Non-React
Indeterminate
16. Configure the IMMULITE 2000 systems to use the Q action code to
indicate to the LIS that an order record contains a QC result: In the
Controls panel, select Send Action Code.
17. Configure the IMMULITE 2000 systems to send a 3 character or 5
character Bio-Rad lot to your LIS. The default is 3 characters. To
configure the IMMULITE 2000 systems to send a 5-character lot to your
LIS, perform the following steps:
a. Select MENU.
b. Select Configure.
c. Select LIS.
d. In the Controls panel, select Send 5 digit lot number.
Test Codes
IMMULITE 2000/XPi Test Codes are upload and download Test codes, and
can be found in IMMULITE 2000/XPi Assay Test Kit package inserts.
• If ^^^HCG^40 is downloaded, the Instrument dilutes HCG assay x40.
• The instrument sends the result with test code ^^^HCG (dilution not
included).
• Operators can create test panels on the instrument.
• Panel names can be sent to the Instrument.
All tests within a panel will be run.
• Individual test codes are sent with results.
The Panel name is not returned.
• Panel names should be unique.
Do not name a panel the same as an assay code.
(7.1.10) Receiver ID
REQUIRED (Configurable by Siemens; maximum of 10 characters)
(8.1.5) Patient ID
NOT SUPPORTED
Position Description
First 2 characters ~C (use uppercase letter)
Next 6 characters Control Name (if fewer than 6 characters, right-
padded with spaces; should not be empty)
Next 3 characters Control Lot (use 3 numeric digits; should not be
empty)
Next 6 characters Expiration Date (use YYYYMM format; should not be
empty)
Last 1 character Control Level (should not be empty)
Position Description
First 2 characters ~C (use uppercase letter)
Next 4 characters Bio-Rad Control Name (should not be empty)
Next 5 characters Control Lot (use 5 numeric digits; should not be
empty)
Next 6 characters Expiration Date (use YYYYMM format; should not be
empty)
Last 1 character Control Level (should not be empty)
Note Bio-Rad controls are configurable to send with a 3 character lot (the
same format as non Bio-Rad Controls) or 5 character lot. See step 17 on
page 4.
Position Description
First 2 characters ~A (use uppercase letter)
Next 6 characters Test Code (should not be empty)
Next 3 characters Kit Lot (use 3 numeric digits; should not be empty)
Next 3 characters Adjustor Lot (use 3 numeric digits; should not be
empty)
Last 2 character Level (use 2 numeric digits; should not be empty)
Position Description
First 2 characters ~V (use uppercase letter)
Next 6 characters Test Code (should not be empty)
Next 3 characters Verifier Lot (should not be empty)
Next 1 characters Level (numeric values should not be empty)
Next 4 characters Range low (numeric value; should not be empty)
Last 4 character Range high (numeric value; should not be empty)
(8.1.8) Birthdate
SUPPORTED (YYYYMMDD; maximum of 8 characters)
(8.1.26) Location
NOT SUPPORTED
(8.1.32) Language
NOT SUPPORTED
(9.4.2) Sequence #
REQUIRED
(9.4.3) Specimen ID
REQUIRED (maximum of 20 characters)
Position Description
First 2 characters ~C (use uppercase letter)
Next 6 characters Control Name (if fewer than 6 characters, right-
padded with spaces; should not be empty)
Next 3 characters Control Lot (use 3 numeric digits; should not be
empty)
Next 6 characters Expiration Date (use YYYYMM format; should not be
empty)
Last 1 character Control Level (should not be empty)
Position Description
First 2 characters ~C (use uppercase letter)
Next 4 characters Bio-Rad Control Name (should not be empty)
Next 5 characters Control Lot (use 5 numeric digits; should not be
empty)
Next 6 characters Expiration Date (use YYYYMM format; should not be
empty)
Last 1 character Control Level (should not be empty)
Note Bio-Rad controls are configurable to send with a 3 character lot (the
same format as non Bio-Rad Controls) or 5 character lot. See step 17 on
page 4.
Position Description
First 2 characters ~A (use uppercase letter)
Next 6 characters Test Code (should not be empty)
Next 3 characters Kit Lot (use 3 numeric digits; should not be empty)
Next 3 characters Adjustor Lot (use 3 numeric digits; should not be
empty)
Last 2 character Level (use 2 numeric digits; should not be empty)
Position Description
First 2 characters ~V (use uppercase letter)
Next 6 characters Test Code (should not be empty)
Next 3 characters Verifier Lot (should not be empty)
Next 1 characters Level (numeric values should not be empty)
Next 4 characters Range low (numeric value; should not be empty)
Last 4 character Range high (numeric value; should not be empty)
(9.4.6) Priority
SUPPORTED (All maximum of 1 character)
S Stat
A As soon as possible
R Routine
C Callback
P Preoperative
(9.4.11) Collector ID
NOT SUPPORTED
(10.1.2) Sequence #
REQUIRED
(10.1.5) Units
REQUIRED
Current Siemens Units of Measure: ng/mL, ng/dL, µg/dL, µIu/mL, mIU/mL,
pg/mL, nmol/L, pmol/L, mIU/L, µg/L, IU/mL, IU/L, KU/L, SClass
(10.1.14) Instrument ID
SUPPORTED (Configurable from Siemens)
(13.1.2) Sequence #
REQUIRED
(7.1.10) Receiver ID
REQUIRED (Configurable by Siemens)
Maximum of 10 characters
(8.1.5) Patient ID
NOT SUPPORTED (maximum of 20 characters)
(8.1.8) Birthdate
SUPPORTED (YYYYMMDD; maximum of 8 characters)
(8.1.26) Location
NOT SUPPORTED
(8.1.32) Language
NOT SUPPORTED
(9.4.2) Sequence #
REQUIRED
(9.4.3) Specimen ID
REQUIRED (ACCESSION # ON PRIMARY TUBE; maximum of 30 characters)
(9.4.6) Priority
SUPPORTED (All maximum of 1 character)
S Stat
A As soon as possible
R Routine
C Callback
P Preoperative
(9.4.11) Collector ID
NOT SUPPORTED
(10.1.2) Sequence #
REQUIRED
(10.1.5) Units
REQUIRED
Current Siemens Units of Measure: ng/mL, ng/dL, µg/dL, µIu/mL, mIU/mL,
pg/mL, nmol/L, pmol/L, mIU/L, µg/L, IU/mL, IU/L, KU/L, SClass
(10.1.14) Instrument ID
SUPPORTED (Configurable by Siemens Software)
(13.1.2) Sequence #
REQUIRED
References
1. Centers for Disease Control. 1988. Update: Universal precautions for
prevention of transmission of human immunodeficiency virus,
hepatitis B virus and other bloodborne pathogens in healthcare
settings. MMWR, 37:377–382, 387, 388.
2. Clinical and Laboratory Standards Institute (formerly NCCLS).
Protection of Laboratory Workers from Occupationally Acquired
Infections; Approved Guideline - Third Edition. CLSI Document M29-A3.
[ISBN 1-56238-567-4]. Clinical and Laboratory Standards Institute, 940
West Valley Road, Suite 1400, Wayne, Pennsylvania 19087-1898 USA,
2005.
3. Federal Occupational Safety and Health Administration. Bloodborne
Pathogens Standard. 29 CFR 1910. 1030.
LASER WARNING
Never look directly at the laser beam or at its reflection from a shiny
surface. Looking directly at the laser beam or its reflection could cause
damage to the eyes. Only trained field service personnel should perform
procedures related to laser assemblies. For more information about laser
safety, see Protecting Yourself from Barcode Scanner Lasers, page A-2.
Characteristic Specification
Maximum Power Output 1.0 mW
Wavelength 670 nm
The locations of the reagent and sample barcode scanners and their
associated laser safety labels are shown below. The laser apertures for the
sample and ancillary reagent barcode scanners are directed into the system
away from the operator.
During normal operation, reflections from the sample barcode scanner
laser beam may be visible to persons in the immediate area, but no laser
safety hazard is associated with this exposure. The laser aperture for the
primary reagent barcode scanner is directed toward the barcode labels at
the end of the reagent packs inside the primary reagent compartment.
During normal operation, the barcode scanner does not scan the reagent
packs until the primary reagent compartment door is closed. When the
primary reagent compartment door is closed, no operator exposure to the
laser exists.
LASER WARNING
Never look directly at the beam of a hand-held barcode scanner or point
the scanner at another person. Also, do not look at the reflection of the
beam from a shiny surface. Only trained field service personnel should
perform procedures related to laser assemblies. For more information
about laser safety, see Protecting Yourself from Barcode Scanner Lasers,
page A-2.
This table contains a summary of the specifications for the laser optical
assembly in the handheld barcode scanner:
Characteristic Specification
Maximum Power Output 1.0 mW
Wavelength 650 nm
Pulse Duration 7.4 ms
Units of Beam Divergence 2mr
The laser aperture and laser safety label for the hand-held barcode scanner
are on the other side of the barcode scanner window.
Contacts
This section provides the following information:
• the address of the Siemens authorized representative, which is the
Siemens contact within the European community
• the Siemens addresses for obtaining service and technical information
and for ordering supplies
Addresses
For technical assistance, contact your local technical support provider. For
customer service or additional information, contact your local technical
support distributor.
www.siemens.com/diagnostics