THE BASICS OF L.I.S. COMMUNICATIONS

For the Advia 120

Written by: Jim Maccalous

Presented by: Ray Gagne and Jim Maccalous

L.I.S (Laboratory Information System)Most Common: Mysis (Sunquest) Meditech Cerner Soft Lab Soft Home grown (Built by the Lab)

About the 120 Interface:Two types of communication protocol:Host Spec 79: Is the Advias bi-directional communication protocol used to communicate with a host computer. 99% of Advias that are interfaced use this type of protocol. Information is both sent to and received from the host computer. (Note: There is both a serial and a network version of host spec 79) H*Emulation: Mimics the unidirectional interface used in the Technicon H systems. Information/results are only sent to the host. No communication from the host is received by the Advia. (This will not be discussed in this presentation.)

About the 120 Interface:Can be run in 3 modes: Download: Workorders are received into the data managers pending file when the host computer has control of the communication line. It does not require prompting from the 120. When a SID # is entered, either by manual entry or from reading the barcode label, the Advia searches the data managers pending file for a matching workorder. Query: After a SID # is entered, either by manual entry or from reading the barcode label, the 120 searches the pending file within the data manager. If it can not find a workorder, it will ask (Query) the host computer for a workorder. Full Query: The Advia does not search within its own database and will always query the host directly for the workorder.

Customer Parameters

Customize System Setup Tools Modify Customer Parameters Option 32 (Allows you to choose mode of operation)

MESSAGE TYPE Initialization Token Transfer

CODE I

ORIGIN Host Host or Advia

PURPOSE Starts Communication by informing Advia that the host is ready to receive information. Allows the receiving device (either host or Advia) to take control and transmit data. If the receiving device does not have anything to send, it sends back a Token transfer ("S" message) to give the other device control. This continues until either the Host or Advia has something to send. When they have something to send, they will keep control until they are finished, and then send a "S" message to relinquish control to the other device.

S

Workorder

Y

Host

This is sent by host and contains information such as patient demographics and tests to be run on a particular sample ID number (SID #). Informs the host that the workorder is either valid or contained an error. Contains the results for a sample identified by the SID#. Informs the Advia if result message sent was accepted. Requests a workorder from the Host based on the SID#. (Used in query mode only.) Informs the Advia that there is no workorder for the SID# that was Queried. (Used in query mode only.)

Workorder Validation Result Result Validation Query No Order

E

Advia

R Z Q N

Advia Host Advia Host

Where do you start?Check the Data Managers sample control panel to see if the LIS light is red or green. A green light will tell you that the host has established a connection with the Advia.

What if the LIS light is red? The LIS must start communication with theAdvia by sending an initialization message (I). Double click on the letters LIS to open the window which will allow you to see if messages are being sent or received

What if the LIS light is red? Once the LIS sends an initialization message,the LIS light and box should turn green. You should see the received characters and messages increase, indicating that information is being exchanged.

What if the LIS light is red?A red LIS light may also indicate that there is a problem with the physical connection between the Host and the Advia.Check that Host connection on Com port 1 is connected properly. Check that the Port Configuration is set up properly Check that cabling is set up properly.

What if the LIS light is green?Sometimes the LIS light is green and the customer states that the Advia still will not transmit the results.Check Tools View, Routine Parameters. Check Data manager, Control Panel Capture Spy File and analyze

What if the LIS light is green? Sometimes the LIS light is green and the customer states that the Advia still will not transmit the results. Switch to the Data Manager, Sample Control Panel. Scan and Run a specimen in a manual mode. Where do the results go? (incomplete, unmatched, c complete, or complete)

What if the LIS light is green?If the customer is running in Query mode, the pending file should increase by one after the SID # is scanned or entered. You should then be able to find the workorder in the pending file. If the customer is running in Download mode, they should be able to find the workorder in the Pending file.

What if the LIS light is green?

What if the LIS light is green?If after specimen is run, Incomplete increases by one.

Check Data Manager, Review and Edit, Parameters

What if the LIS light is green?Data Manager, Review Edit, Parameter

What if the LIS light is green?If after specimen is run, Incomplete and Unmatched increase by one.

Workorder is not being received by the Data Manager.

What if the LIS light is green?If after specimen is run, Complete increases by one.

Check Tools View, Routine Parameters

What if the LIS light is green?

Under Host Transmission, check which results they want sent to the host.

What if the LIS light is green?If after specimen is run, C. Complete increases by one.

Successful transfer has not occurred. Turn on spy file and analyze for problems.

What if the LIS light is green?Turning on the Spy File (Delete old file first if not needed)

Customize Tools View Spy View File, Delete Choose file you want to delete and click OK

What if the LIS light is green?Turning on the Spy File

Customize Tools Modify Customer Parameters Option 36 (Trace spy Activation on LIS communication) Remember to turn back off after you have captured data.

What if the LIS light is green?Viewing the Spy File

Customize Tools view or modify Spy view Open, Host.spy, O.K

The Spy FileB04SHOSX Communication HOST: (08/19/04 06:29:00)(COM1 9600 N 8 1) Indicated date and time spy file was turned on. Indicates that message is coming in to Advia and Date and Time IN (08/19/04 06:30:58) -> 0I ^ 0 1S e 1S e 1 2S f 2 3S g 3 4S ` ESMT/Token Transfer. Gives control To the Advia

E FQ 00000000042488 2 FF GY 00000000042488 GV104490685 TESTA TESTABCDE 10/06/1963 F 08/09/04 1510 ER

001002003004005006007008010011015016014017018022020023021024 F GG HE H IS 3S g 3 4R 00000000042488 22 08/09/04 16:11:45 10 318 11 8.5 20 62.6 21 25.8

MT/ token transfer. Advia now has control of the line

MT from Advia in response to token transfer

111.25 2 4.94 3 15.0 4 42.7 5 86.5 6 30.4 7 35.1 8 12.7 5.1 23 4.6 24 0.7 14 7.04 15 2.91 16 0.57 17 0.52 18 0.08

T 44 5Z X 5 6S b