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ASTM V3 Protocol
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ASTM V3 Protocol
Table of contents
1 Introduction.................................................................................................. 5
1.1 Physical characteristics ............................................................................................5
1.2 Standards ................................................................................................................6
1.3 Terminology .............................................................................................................6
1.3.1 Global definitions .....................................................................................................6
1.3.2 Character definition ..................................................................................................7
2 Exchange protocol ...................................................................................... 8
2.1 Definition of Line Modes on the analyzer .................................................................8
2.2 Definition of Communication phases ........................................................................8
2.3 Host computer to analyzer .......................................................................................8
2.4 Analyzer to Host computer exchanges .....................................................................9
2.4.1 Setting up Phase .....................................................................................................9
2.4.2 Transfer phase (analyzer to host computer) .............................................................9
2.4.3 Termination Phase (Analyzer to Host Computer) ...................................................10
2.4.4 Example of exchanges...........................................................................................10
3 Record Definitions......................................................................................11
3.1 Message Header Record (H) .................................................................................11
3.2 Patient Information Record (P) ...............................................................................12
3.3 Test Order Record (O) ...........................................................................................13
3.4 Result Record (R) ..................................................................................................14
3.5 Manufacturer Information Record (M) .....................................................................16
3.6 Request Information Record (Q) ............................................................................19
3.7 Message Terminator Record (L) ............................................................................20
3.8 Comment and Alarms Record (C) ..........................................................................20
3.9 Units table..............................................................................................................22
4 Typical Contents of Some Messages .......................................................23
4.1 Result Transmission (Analyzer to Host) .................................................................23
4.2 Request for a Working List .....................................................................................23
4.3 Working List Return ...............................................................................................23
5 Flowcharts (ASTM) .....................................................................................24
5.1 Sequencing of Reception/Transmission .................................................................24
5.2 Acquisition of a Record from the Host Computer ...................................................25
5.3 Establishment Phase (Analyzer to Host Computer) ...............................................26
5.4 Transfer Phase (Analyzer to Host Computer) ........................................................27
5.5 Termination Phase (Analyzer to Host Computer) ...................................................28
6 Not contractual examples of traces (ASTM V3) .......................................29
6.1 Transmission of Patient File (Analyzer to Host Computer) .....................................29
6.2 Request for Working List (Analyzer to Host Computer) ..........................................30
6.3 Working List Return (Host Computer to Analyzer) ..................................................30
6.4 Transmission of a Quality Control Result (Analyzer to Host Computer)..................31
6.5 On-Line Test ..........................................................................................................31
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1 Introduction
This manual describes the communication between the analyzer and the host, using RS232-C interface,
it is applicable for STA Compact Max®, STA R Max® and STart Max.
STart Max
1200, 2400, 4800, 9600 (default value), 19200, 54000, 115200 bauds
STA R Max®
7 or 8 (default value)
STart Max
8 (default value) or 9
STA R Max®
1 (default value) or 2
STart Max
0,1 (default value) or 2
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1.2 Standards
The ASTM V3 connection protocol is based on the 2 following standards:
- LIS01-A2 : Specification for Low-Level Protocol to Transfer Messages Between Clinical Laboratory
Instruments and Computer Systems; Approved Standard - Second Edition,
- LIS2-A2 : Specification for Transferring Information Between Clinical Laboratory
Instruments and Information Systems; Approved Standard - Second Edition.
1.3 Terminology
1.3.1 Global definitions
Definition Description
The device that has a message to send and that initiates transmission
Sender
process.
Upload (U) In this document, data transmitted from the analyzer to the host computer
Receiver The device that receives the message transmitted by the sender.
Download (D) In this document, data transmitted from the host computer to the analyzer.
Frame Framing required to data transmission. 2 kinds:
[STX] [Frame number] [DATA] [ETB] [C1] [C2] [CR] [LF].
[STX] [Frame number] [DATA] [ETX] [C1] [C2] [CR] [LF].
Frame number allows the receiver to distinguish between new and
Frame number
retransmitted frames.
(Fn)
ASCII digit ranging from 0 to 7. The frame number begins at 1with the
first frame of transfer phase. It is incremented by one for every new
frame transmitted. After 7, the frame number rolls over to 0, and continue
in this fashion.
Message A group of records that begins with a Header record, and ends with
a Terminator record.
Msg : Data1+Data2+Data3
where
Messages to send:
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Definition Description
Record List of used records:
- H: Header data of the message
- P: Patient information data
- O: Order data
- R: Result data
- Q: Query request data
- M: Manufacturer information data
- L: Message terminator data
- C: Comment/alarm data
Checksum Checksum of a frame: binary sum of all characters except [STX], [C1],
[C2], [CR] and [LF]. The 8 less significant bits only are showed in two
hexadecimal characters. (For example, a checksum equal to 122 will be
showed as 7A in hexadecimal, the two ASCII characters 7 [C1] and A [C2]
will be sent one after the other).
Character Definition
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2 Exchange protocol
2.1 Definition of Line Modes on the analyzer
- Idle = no communication in progress
- Tx = transmission by analyzer, upload from the analyzer to the host
- Rx = reception by analyzer, download from the host to the analyzer
Following the upload of the characters [ACK] or [NAK], if after 30 seconds, no character is received, then
analyzer returns to the Idle line mode.
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2.4 Analyzer to Host computer exchanges
2.4.1 Setting up Phase
The analyzer sends an [ENQ] character (enquiry).
Possible responses from the host computer:
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2.4.3 Termination Phase (Analyzer to Host Computer)
The analyzer transmits an [EOT] character and does not wait for any return character.
The analyzer changes to Idle line mode.
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3 Record Definitions
3.1 Message Header Record (H)
Purpose: to identify the sender.
Example of a message header record
H|\^&|||STA R Max^99^3.00|||||||P|LIS2-A2|20150724111220
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3.2 Patient Information Record (P)
Purpose: to give information on the patient
ASTM field
Field
CLSI LIS2- Definition Transmitted data U D Comments
size
A2 Standard
7.1 Record type ID P 1
7.2 Sequence number 1, 2, 3, … 1
7.3 Patient identification Field ignored
Practitioner assigned Patient ID
7.4 Patient identification Field ignored
Laboratory assigned Patient ID
7.5 Patient identification Field ignored
number 3
7.6 Patient information Name 20 POHL^ALLEN^M
^First Name 20
^Initial 1 Optional field: the STA R
Max® analyzer can send 4
characters instead of 1.
Empty field/ not applicable
on STart Max.
7.7 Maiden name 20 Optional field.
Empty field/ not applicable
on STart Max.
Fields 7.9 to 7.35 as defined in the CLSI LIS2-A2 standard are not supported. In
downloading mode (host to analyzer), if these fields exist, they are ignored. In uploading
mode (analyzer to host), the short record format described above is used.
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3.3 Test Order Record (O)
Purpose:
- In downloading mode (Host to analyzer), this record is used by the host computer to give orders to the
analyzer: list of tests to be run.
- In uploading mode (analyzer to Host), this record is used by the analyzer to give the sample
identification.
ASTM field
Field
CLSI LIS2- Definition Transmitted data U D Comments
size
A2 Standard
8.4.1 Record type ID O 1
8.4.2 Sequence number 1, 2, 3, … 1
8.4.3 Sample identification Barcode ID 32
^Rack barcode 6 Rack barcode: to fill if
^ Position (Rack or drawer or 5 the analyzer is equipped
measurement well) 16 with Racks.
^Lot QC 255 See Note 1
^Information on HIL and Position: corresponds to
check Volume the measurement well
for STart Max.
HIL and Volume check
information: empty fields
on STart Max.
8.4.4 Sample identification on the Sunquest sequence number 4 See Note 2
analyzer
See Note 4
8.4.6 Priority code S or R 1 S for Urgent
R for Routine
Note 1: The HIL and check volume are transmitted by the analyzer in the form H^x^I^x^L^x^V^x with x is a value from 0
to 9 by increment of 1. Under field optional
Note 2: A number between 1 and 9999 is generated by the analyzer and is placed in the field 8.4.4. The analyzer will
assign the same number generated for all results of a given sample. The analyzer will generate a new number for each
result of a new sample according to a setting of the analyzer. The current value of the number is stored in the analyzer
and the incrementation of the number goes on at each sample analyzed and for each QC transmitted to the LIS. The
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analyzers STAGO are configured to transmit or not a sequence number (type Sunquest)
Note 3: On the analyzer, these identifications correspond to rank transmission defined for main and secondary units of each test.
Note 4: The analyzer STA Compact Max® accepts 12 Tx rank per Order record. It is recommended to transmit the tests ranks in
main units. The multi frames are not accepted. The analyzer STA Compact Max® accepts only the ranks Tx from 1 to 255.
The analyzer STA R Max® accepts the multi frames Order and does not have limitation on Tx rank number per Order record.
Field 8.4.7 to 8.4.31 as defined in the CLSI LIS2-A2 standard are not supported. In
downloading mode (Host to analyzer), if these fields exist, they are ignored. In uploading
mode (analyzer to Host), the short record format described above is used.
R|1|^^^1^PT10^2^F^64^1^|100|%||||F||||20150803152706
CLSI LIS2-
Field
A2 Standard Definition Transmitted data U D Comments
size
ASTM field
9.1 Record type ID R 1
9.2 Sequence number 1, 2, 3, … 1
9.3 Universal test ID ^^^
Tx Test Rank 3 See Note 1
^Abbreviation test Name 8 See Note 2
^Calib. Internal number 5 See Note 3
^Result type 1 See Note 4
^Fluid type 2 See Note 5
^Correction factor 7 See Note 6
^Origin of the request 1 See Note 7
9.4 Data or measurement Text 9 When a result is not valid
value = Test result due to an error, the field
contains the text: 'NO
RESULT'
9.5 Units See chapter 3.9 20
9.9 Result status F 1 Only 'Final Result= F' is
supported
9.13 Date and time of end of YYYYMMDDHHMMSS 14
realization of the test by
the analyzer
Note 1: The rank transmission value for each test unit is defined in the methodology.
Note 3: Number generated by the analyzer between 1 and 99999. In the case of final result given by the analyzer with 2 calibrations,
this field will be empty for the final result (See Note 4). But will be filled for results with duplicate determination. The field “Calib. Internal
number” is a Stago reserved field.
Note 4: The flag F (Final Result) is used to notify that a result is obtained by calculation of the 2 measurement values mean in case of
duplicate determination in main unit. In single determination, the final result is the measurement value. The flag F is also used for
results in secondary unit.
Note 5: '48' for a control plasma (QC), '64' for patient plasma and '80' for total blood
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Note 6: Factor 0,001 and 999,999 applied to the final result. Default value is 1. Non-significant decimals are optional.
Note 7: O for Operator, I for Instrument and L for LIS
The table hereafter shows the result type combination:
Record R : Value Comments STA R Max® STart Max STA Compact Max®
under the field
Result Type
'F' Result in main or secondary Yes Yes Yes
units. In single determination,
the result corresponds to the
measurement value. In
duplicate determination, the
result corresponds to the mean
of the 2 measurements.
'F' + ' 1' + '2' Final result in main units with Yes Yes Yes
result for replicate #1 and
replicate #2 in main units.
'F' + ' 1' + '3' STA Compact Max®: Final result Yes No Yes
of the calculated test with result
in main units for the first test and
for the second test in single
determination.
STA R Max®: Final result of
the calculated test with result in
main units for the first test
and/or for the second test in
duplicate determination.
'F' + ' 1' + '2' + ' 3' + Final result of the calculated test No No Yes
'4' with result in main units for the
first test and for the second test in
duplicate determination.
'F' + ' 1' + '2' + ' 3' Final result of the calculated test No No Yes
with result in main units for the
first test in duplicate
determination and for the second
test in single determination.
'F' + ' 1' + ' 3' + '4' Final result of the calculated test No No Yes
with result in main units for the
first test in single determination
and for the second test in
duplicate determination.
One record is used for each result. If for a requested test, result can be expressed in 3
different units, then there will be 3 records.
Field 9.14 as defined in the CLSI LIS2-A2 standard is not supported. In downloading
mode (Host to analyzer), if this field exists, it is ignored. In uploading mode (analyzer to
Host), the short record format described above is used.
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3.5 Manufacturer Information Record (M)
Purpose: To transmit tracking information linked to the given result.
R2 M2 C2: This continuation is intended to communicate the result of the second replicate when the determination is in duplicate.
The record R2 contains the result in main unit of the second replicate.
The record M2 contains the result in raw unit as the technical data of the second replicate.
The record C2 contains the error code and alarm codes of the second replicate.
CLSI LIS2-
A2 Standard Definition Transmitted data Field size U D Comments
ASTM field
14.1 Record type ID M 1
14.2 Sequence number 1, 2, 3, … 1
14.3 Query code RER 3
14.4 Version D.0 3
14.5 Type of methodology 0 to 4 1 Type of methodology: 0 = Main,
1 = Dependent, 2 = Derived,
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CLSI LIS2-
A2 Standard Definition Transmitted data Field size U D Comments
ASTM field
3 = Calculated,
4 or 0 = Supporting
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CLSI LIS2-
A2 Standard Definition Transmitted data Field size U D Comments
ASTM field
^ See Note 1 for the lot
Lot number 8
14.15 Diluent Product ID 8 See Note 1 for the lot
^ Empty field for STart Max
Product name 16
^
Lot number 8
14.16 Cuvette Lot number 255 See Note 1 for the lot
Empty field for STart Max
14.17 Cleaner Product ID 8 See Note 1 for the lot
^ Empty field for STart Max
Product name 16
^
Lot number 255
14.18 Desorb Product ID 8 The repetition character '\' enables
^ to separate Desorbs by reagents
Product name 16 (Ra to Rd).
^
Lot number 8 Example : the Desorb is used for
Ra and Rd
12227^STA
Desorb^99999\^^\^^\12227^STA
Desorb^99999
Note 2: The record M associated with the final result of the calculated test in a reduced record M that only contains the following
data:
For all the received recordings others that of the type M with a request code
different of RER, LIS has to ignore the contents and validate by a message [ACK].
Example:
R|1|^^^1^PT10^1^F^64^1^|100|%||||F||||20150724112339
M|1|RER|D.0|0|1||12.5^Sec.||||||12300^STA-NEO CI^111834||000000|CLEANER^STA-
CLEANER^999999|
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3.6 Request Information Record (Q)
Implementation example:
Q|1|^20150804
Paragraph number
Field
of CLSI LIS2-A2 Transmitted data Transmitted data U D Comments
size
Standard
11.1 Record type ID Q 1
11.2 Sequence number 1, 2, 3, … 1
11.3 Starting Range ID Number ^Barcode ID 255
Field 11.4 to 11.13 as defined in the CLSI LIS2-A2 standard are not supported.
In downloading mode (Host to analyzer), if these fields exist, they are ignored. In
uploading mode (analyzer to Host), the short record format described above is used.
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3.7 Message Terminator Record (L)
Paragraph
number of Transmitted
Definition Field size U D Comments
CLSI LIS2- data
A2 Standard
12.1 Record type ID L 1
12.2 Sequence number 1 1
12.3 Termination code N 1 N for normal termination
Paragraph
number of
Definition Transmitted data Field size U D Comments
CLSI LIS2-
A2 Standard
10.1 Record type ID C 1
10.2 Sequence number 1, 2, 3, … 1
10.3 Comment Source Ignored NA
10.4 Comments text Text 255 This record when it follows the
record P indicates a patient
Note.
This record when it follows the
record R indicates the couple
error code and alarms codes
separated by a ^. Several
couples are separated by a \
For example A^C\^J means
Result Validated (A) with out
of range QC or not done (C)
and Rerun test Result (J)
10.5 Comment type I or G 1 I for Alarm
G pour Generic/free text
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Definition of error codes:
Characters ASCII Code Error codes definition
1 31h To be validated
2 32h Tech error
3 33h >Mmax
4 34h <Mmin
6 36h QNS (insufficient quantity of plasma)
8 38h Linearity
A 41h Validated
For "2", "3", "4", "6" or "8" error codes, the value "NO RESULT" is transmitted to the LIS in the
Result record.
For "1" or "A" error codes, a result is transmitted.
STA
ASCII STA R
Characters Alarm code definition Compact STart Max
Code Max®
Max®
@ 40h No alarm code Yes Yes Yes
A 41h Result Confirmed with T > Tmax Yes Yes No
Quality Control Out of range or
C 43h Yes Yes Yes
not done
44h Quality Control Forced
D Yes Yes Yes
confirmation
45h Level detection number 3 not
E Yes Yes No
managed
Level detection number 2 not
F 46h Yes Yes No
managed
Level detection number 1 not
G 47h Yes Yes No
managed
Result Value in primary units
H 48h Yes Yes Yes
skewed
I 49h Result Dilution change Yes Yes No
J 4Ah Result Rerun test Yes Yes No
Reagent drawer Temperature out
K 4Bh Yes Yes No
of limit
Syringe Arm #3 Maintenance
Yes No No
date overdue
L 4Ch
Syringe Maintenance date
No Yes No
overdue
Syringe Arm #2 Maintenance
M 4Dh Yes No No
date overdue
Syringe Arm #1 Maintenance
N 4Eh Yes No No
date overdue
O 4Fh Double measurement tolerance Yes Yes Yes
Refer to the Reference manual for more details of the meaning of the errors and the alarms.
On Start Max, the alarms order in the Result record is not always respected.
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3.9 Units table
Characters to transmit Units definition
% Percentage
mg/dl Milligram per deciliter
Sec. Second
Tém. Reference time in second
g/l Gram per liter
ng/ml Nanogram per milliliter
U/ml Unit per milliliter
UI/ml International unit per milliliter
INR International normalized ratio
Ratio Report measured time / reference time
µg/ml Microgram per milliliter
DDO Optical density Variation (Delta Optical Density)
DO/mn Optical density Variation per minute (Optical
Density per minute)
mDo/sec Milli Do (Optical Density) per second
Programmable Arbitrary unit (Up to three arbitrary units can be
( 1 to 5 characters) defined)
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5 Flowcharts (ASTM)
These flowcharts are available for all analyzers.
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5.2 Acquisition of a Record from the Host Computer
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5.3 Establishment Phase (Analyzer to Host Computer)
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5.4 Transfer Phase (Analyzer to Host Computer)
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5.5 Termination Phase (Analyzer to Host Computer)
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<ENQ>
<ACK>
<STX>1H|\^&|||STA R Max^99^3.00|||||||P|LIS2-A2|20141124145701<CR ><ETX>0F<CR ><LF >
<ACK>
<STX>2P|1||||Nom^Prenom^||20131225<CR ><ETX>C5<CR ><LF >
<ACK>
<STX>3C|1||Resultat a valider|G<CR ><ETX>1C<CR ><LF >
<ACK>
<STX>4O|1|123456-2^344848^2^^|||S<CR ><ETX>00<CR ><LF >
<ACK>
<STX>5R|1|^^^6^AT3^25^F^64^1.005^|54|%||||F||||20141124145338<CR ><ETX>8A<CR ><LF >
<ACK>
<STX>6M|1|RER|D.0|0|6||1.266^DO/mn|||12327^ATIIITHROMBIN^|||12328^ATIII
SUBSTRAT^|11361^OWRENKOLLER^||
CLEANER^STA-CLEANER^|12227^STA-DESORB U^\\\12227^STA-DESORB U^<CR
><ETX>73<CR ><LF >
<ACK>
<STX>7C|1||1^C\^O\^N|I<CR ><ETX>D7<CR ><LF >
<ACK>
<STX>0R|2|^^^6^AT3^25^1^64^1.005^|71|%||||F||||20141124145158<CR ><ETX>70<CR ><LF >
<ACK>
<STX>1M|2|RER|D.0|0|6||1.000^DO/mn|||12327^ATIII THROMBIN^112672|||12328^ATIII
SUBSTRAT^112672|11361^OWREN-KOLLER^215487|S30411|CLEANER^STACLEANER^
999999|12227^STA-DESORB U^999999\\\12227^STA-DESORB U^999999<CR ><ETX>50<CR
><LF >
<ACK>
<STX>2C|2||1^C\^O\^N|I<CR ><ETX>D3<CR ><LF >
<ACK>
<STX>3R|3|^^^6^AT3^25^2^64^1.005^|37|%||||F||||20141124145338<CR ><ETX>77<CR ><LF >
<ACK>
<STX>4M|3|RER|D.0|0|6||1.532^DO/mn|||12327^ATIII THROMBIN^112672|||12328^ATIII
SUBSTRAT^112672|11361^OWREN-KOLLER^215487|S30411|CLEANER^STACLEANER^
999999|12227^STA-DESORB U^999999\\\12227^STA-DESORB U^999999<CR ><ETX>5E<CR
><LF >
<ACK>
<STX>5C|3||1^C\^O\^N|I<CR ><ETX>D7<CR ><LF >
<ACK>
<STX>6R|4|^^^16^AT3^25^F^64^1.005^|1.266|DO/mn||||F||||20141124145338<CR><ETX>CB<CR
><LF >
<ACK>
<STX>7M|4|RER|D.0|0|16||1.266^DO/mn|||12327^ATIII THROMBIN^|||12328^ATIII
SUBSTRAT^|11361^OWREN-KOLLER^||CLEANER^STA-CLEANER^|12227^STA-DESORB
U^\\\12227^STADESORB
U^<CR ><ETX>A8<CR ><LF >
<ACK>
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<STX>0C|4||1^C\^O\^N|I<CR ><ETX>D3<CR ><LF >
<ACK>
<STX>1L|1|N<CR ><ETX>04<CR ><LF >
<ACK>
This message "Working List Return" can also be used to add tests, to rerun tests.
To add tests, Test Order record has to include the local codes of tests to be added.
To rerun tests, it has to include the local codes of the tests to be rerun.
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6.4 Transmission of a Quality Control Result (Analyzer to Host
Computer)
<ENQ>
<ACK>
<STX>1H|\^&|||STA R Max^99^3.00|||||||Q|LIS2-A2|20141124104746<CR ><ETX>14<CR ><LF >
<ACK>
<STX>2P|1||||||<CR ><ETX>27<CR ><LF >
<ACK>
<STX>3O|1|12354^^^111516^|8||R<CR ><ETX>5F<CR ><LF >
<ACK>
<STX>4R|1|^^^6^AT3^25^F^64^1.000^O|98|%||||F||||20141121151453<CR ><ETX>D3<CR ><LF >
<ACK>
<STX>5M|1|RER|D.0|0|6||0.580^DO/mn|87.00-117.00|%|12327^ATIII
THROMBIN^112672|||12328^ATIII
SUBSTRAT^112672|11361^OWREN-KOLLER^999|S30411|CLEANER^STA-
CLEANER^999999|12227^STADESORB
U^999999\\\12227^STA-DESORB U^999999<CR ><ETX>45<CR ><LF >
<ACK>
<STX>6C|1||A^@|I<CR ><ETX>D2<CR ><LF >
<ACK>
<STX>7L|1|N<CR ><ETX>0A<CR ><LF >
<ACK>
<EOT>
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