Vitros x600 LIS Training X600

System

Software

LIS

Presented by
Dennis Eberhardt
Rose French
Misti Goodman
Michael McCullar
Paul Mulberry
 Vitros x600 LIS Training
• Basic Lab Information Systems
Phase 1 • X600 Hardware Basics

• X600 Software
Phase 2 • Controlling the Connections

• Testing Basics
Phase 3 • Troubleshooting Basics
 Vitros x600 LIS Training

Laboratory
Information System
Basics X600
System

Software

LIS
LIS System Internals

Requests
Orders
DB

LIS System

Orders Database
• Where the original order is held
• Cleared for tests that are resulted and should hold remaining tests
to be run
LIS System Internals

Requests
Orders Orders
Parsing DB

LIS System

Orders Parsing
• Reformats the LIS test name to an analyzer analyte code for orders
(GLU to “300”)
• Reformats the specimen type to an analyzer fluid code (Serum to
“5”)
LIS System Internals

Requests
Orders Orders Orders
Queue Parsing DB
Orders

LIS System

Orders Queue
• Either sends the orders to all the analyzers (Broadcast Download)
or sends to one analyzer (Host Query)
• May be called a Download List, Batch, etc. by the LIS
LIS System Internals

Requests
Orders Orders Orders
Queue Parsing DB
Orders

Results Results
Parsing

LIS System

Results Parsing
• Converts the analyte code (300) back to GLU, and the fluid code (5)
back to Serum
• Interprets the analyzer’s test flags and codes (ex: flag 4 to above
analyzer range, ME to mechanical error, Q equals negative etc.)
LIS System Internals

Requests
Orders Orders Orders
Queue Parsing DB
Orders

To HIS
Results Results Verification
Parsing / Validation

LIS System

Verification / Validation:
• Could be manual, automated, or both
• Sends results to the hospital / doctor
• Deletes completed tests from the Orders Database
 Hardware and Connections
x600 Back Panel
Connections

RS232 Serial Con.

CAT5 LAN Port 2
CAT5 LAN Port 0
DO NOT USE!
 The Loopback Tool

• Simulates the RS232 Plug

•Allows for software to Send and Receive
Vitros x600 LIS Training

x600 Software and

Controlling the
Connections
X600
System

Software

LIS
 Blue Padlock

Access Code
68370668
No LIS Protocol Selected
ASTM Setup
ASTM-IP
HL7 Setup
Result Formatting
What NOT to DO.
Enabling x600 Software to
Communicate ASTM
ASTM Setup
Configure Report Control
Making the Connection
X600 Software Tools
LIS System Log
 LIS IP Ping
ASTM-IP and HL7 Only
Ping LIS Results
ASTM Serial Port Test
Download Messages
Vitros x600 LIS Training

Testing and
Troubleshooting
Basics X600
System

Software

LIS
 Codes you will see in LIS log:
<ENQ> Establishment Phase – “Hello”
<ACK> Session underway – “I’m listening”
<STX> Start of transmission
<ETB> End of text block
<ETX> End of text
<EOT> Termination Phase
<LF> Line feed
<CR> Carriage return
Remember This???
 What Is That?
Result Formatting Screen: allows special characters to be
sent across like </>, qualitative results, and upload
extended results (lot #s, cal data, qc, diluents,
reprocessing)
Barcode Config Screen: check box if site is using check digit.
A check digit is a number that is embedded in a barcode but
it is not a number that you yourself can see. If you check
these boxes then the analyzer will be looking for check
digits in those specific barcodes.
Loopback Tool: used to ensure that the analyzer will talk and
listen properly through the serial port. When testing the
connection dsr and cts must be preceded by a positive
sign.
 Dilutions
• Manual dilutions sent only once and should be 1.000. The
1.0 after the + and test code is for the onboard analyzer
dilution. Technically the LIS can order an onboard dilution if
wanted.

Example:
1.000+300+1.0\303+1.0|S|
Manual dilution
Test codes
Analyzer dilution
Sample priority
 ASTM Order Record

• Fields are separated by |

• 3rd field: specimen ID
• 5th field: test codes
• 6th field: priority type
• 16th field: body fluid

<STX>4O|1|S1000001^1^1||^^^1.0000+001+1.0\950+1.0\9
51+1.0\952+1.0|R||20080910142300||||N||||5||||||||||F<CR>
<ETX>4A<CR><LF>
 ASTM Result Record
• 3rd field: test codes
• 4th field: result
• 5th field: units of measurement
• 7th field: result abnormal flag (low or high and HIT)
• 14th field: J-number

<STX>4R|1|^^^1.0000+309+1.0|136|mmol/L||^2^\^0^\^0^\^0
^||V|||20090213093303|20090213093634|34001747<CR>
<ETX>DA<CR><LF>
 Example 1:
<ENQ>
<ACK>
<STX>2P|1|U000856|||MOUSE^MICKEY^G||19780407|F||843<SP>TALL<SP
>OAKS<SP>DR^DUCK,<SP>MD<SP>45831|||DUCK^DONALD^<195><14
5>|1|||||||||||U7<CR><ETX>72<CR><LF>
<STX>3C|1|||Patient<SP>is<SP>complaining<SP>of<SP>shortness<SP>of<S
P>breath<SP>and<SP>chest<SP>pain.|G<CR><ETX>C7<CR><LF>
<STX>4O|1|S4331009704||^^^1.0+300+1.0\300+2.0\001+1.0|R||20081
016144440||||N||||5||||||||||O<CR><ETX>8B<CR><LF>

1. What is the Patient ID? 2. What is the Patient’s name?

3. Are there comments? 4. What test are being ordered?
5. What is the status? 6. What fluid type?
7. Are there dilutions?
 Example 1 Answer:

<ENQ>
<ACK>
<STX>2P|1|U000856|||MOUSE^MICKY^G||19780407|F||843<SP>TALL<SP>
OAKS<SP>DR^DUCK,<SP>MD<SP>45831|||DUCK^DONALD^<195><145
>|1|||||||||||U7<CR><ETX>72<CR><LF>
<STX>3C|1|||Patient<SP>is<SP>complaining<SP>of<SP>shortness<SP>of<S
P>breath<SP>and<SP>chest<SP>pain.|G<CR><ETX>C7<CR><LF>
<STX>4O|1|S4331009704||^^^1.0+300+1.0\300+2.0\001+1.0|R||20081
016144440||||N||||5||||||||||O<CR><ETX>8B<CR><LF>
 Example 2:

Is this a test request or results upload?

<STX>4R|1|^^^1.0000+309+1.0|136|mmol/L||
^2^\^0^\^0^\^0^||V|||20090213093303|200
90213093634|34001747<CR><ETX>DA<CR>
<LF>
Results Upload
 References

• 5600/3600 Version 2.0 Software

• 5600/3600 V-Docs
• Vitros 5600/3600 Laboratory Information
System (LIS) Guide – J32799EN
• Paul Mulberry – SME
• Ortho Clinical Hotline
Questions and Answers