Professional Documents
Culture Documents
LB000867revA D-100 LIS Technical Bulletin
LB000867revA D-100 LIS Technical Bulletin
LIS Requirements
Table of Contents
1 Introduction..................................................................................................................................... 3
1.1 Purpose...............................................................................................................................................3
1.2 Scope..................................................................................................................................................3
1.3 References and Related Documents..................................................................................................3
1.4 Definitions and Abbreviations..............................................................................................................3
2 LIS Functions.................................................................................................................................. 4
2.1 Settings/LIS Screen.............................................................................................................................4
2.1.1 LIS Options............................................................................................................................4
2.1.2 LIS Settings Tab.....................................................................................................................4
2.1.3 Test LIS Tab............................................................................................................................5
2.1.4 Order Rejection Tab...............................................................................................................6
2.2 Receiving Orders.................................................................................................................................7
2.2.1 Broadcast Download..............................................................................................................7
2.2.2 Merging Orders and Updating Demographics.......................................................................7
2.2.3 Rejected Orders.....................................................................................................................7
3 Physical Layer................................................................................................................................. 8
3.1 Mechanical Interface...........................................................................................................................8
4 LIS1-A Layer.................................................................................................................................... 8
4.1 Configuration Settings.........................................................................................................................8
4.2 Control Characters..............................................................................................................................9
4.3 Communications Protocol Summary...................................................................................................9
4.3.1 Establishment Phase.............................................................................................................9
4.3.2 Transfer Phase.....................................................................................................................10
5 LIS2-A Layer.................................................................................................................................. 10
5.1 Record Types.....................................................................................................................................11
9 Troubleshooting............................................................................................................................ 24
9.1 Port Verification.................................................................................................................................24
9.2 Sending a Test Message...................................................................................................................26
1 Introduction
1.1 Purpose
This document defines the requirements for the communications interface between the Bio-Rad
D-100 instrument and all Laboratory Information Systems (LIS).
1.2 Scope
This document is provided to the LIS vendor to aid in the design, maintenance and troubleshooting
of a compatible interface between the Computer System and the Instrument. It is intended that all
application-specific requirements of the interface be covered by this document. Selected generic
requirements, that may be found within the LIS1-A and LIS2-A documents, are also covered.
The implementation follows LIS1-A and LIS2-A specifications.
2 LIS Functions
2.1 Settings/LIS Screen
2.1.1 LIS Options
• LIS Connection –
Can be turned ON or OFF.
• Release Settings – Activates
Manual or Automatic release for
Patient or Control sample results.
If the Automatic Release to LIS
box is not checked, the operator
must manually export results.
• Result Types – Allows the
operator to enable the type
of result data included in the
transmission.
• Advanced Settings – Clicking
Edit will open the LIS Advanced
Settings tabs. The Advanced
Settings are listed in this section
and are changed by selecting the
Edit button. See sections 2.1.2,
2.1.3, and 2.1.4.
2.1.2 LIS Settings Tab
• Accept Demographics in
Orders – Must be selected to
accept Patient Demographics
with Orders.
• Record Framing – Select single
record per frame or multiple
records per frame. Frame size
is selectable: 240 or 63993
characters.
• Port Settings – Standard
RS‑232 communication port
settings. Bio-Rad supports the
9600 Baud Rate.
• Result Record Format
Options – Transmission will
be formatted to conform to the
selected Bio-Rad software.
• LIS Identifier – The default setting is 4 for the HbA1c assay. The setting can be changed
to match the customers LIS system.
3 Physical Layer
This lowest communications layer defines the physical means by which the Instrument is connected with
the Computer System.
Pin
Name Description
Number
1 DCD Data Carrier Detect. Not used.
2 RD Receive Data. An input.
3 TD Transmit Data. An output.
4 DTR Data Terminal Ready.
5 SGND Ground
6 DSR Data Set Ready. An input. Not used.
7 RTS Request to Send.
8 CTS Clear to Send.
9 RI Ring Indicator. An input. Not used.
4 LIS1-A Layer
This data communications layer fits just above the Physical Layer and defines the format and content of
the message packets sent between the Computer System and Instrument.
Port COM1
Baud Rate 9600
Data Bits 8
Stop Bits 1
Parity None
5 LIS2-A Layer
This data communications layer fits just above the LIS1-A Layer. The LIS2-A layer defines the format and
content of the messages that may be sent back and forth from the Instrument and the LIS.
This layer operates as a bidirectional interface, meaning that either the Instrument or the Computer
System may initiate the sequence of messages which load demographics or transmit test results to be
sent from the Instrument to the Computer System or vise versa. The system that initiates a message
sequence is known as the Sender, the other system the Receiver. There is no hardware configuration
required to designate a Sender or Receiver.
Record
Record Type Description
ID
Message Header H Includes delimiter identifiers of both the sender and receiver.
Contains the record type and sequence number fields as well
Patient Records P
as optional patient demographic information.
Includes the Accession number for the patient sample as well
Test Order O
as the specific test to be run.
Comment C Optional; follows Test Order.
Result R Results of a single test
Manufacturer Information M Not used
Scientific S Not used
Terminator L Last record of a message
The characters in the table below should not be used in field data as they are reserved delimiter
characters used by the LIS2-A protocol.
D-100 Acceptable Delimiters
Header Record
ASTM LIS Fields Field Contents
#1 Record Type H - Header
Defines delimiters sent to or received from the LIS, used to parse the
#2 Included Delimiters message. Fields are separated by the | delimiter.
The D-100 uses delimiters |\^&
D-100, CDM 4.0X, System Name
CDM 4.1, CDM 5.X “Instrument 1^”
D-10 System Name^Instrument
#5 Sender Name or ID
Number^Software Version
“Instrument1^01^1.00”
CDM 3.X Not Used
D-100 transmits this as option P (Production) – Active message to be
completed according to standard processing.
#12 Processing ID
Inserted in field for all formats except D-10.
Not used in D-10 Format.
#14 Date and Time of Format: YYYYMMDDhhmmss
message Inserted in field for all formats.
Patient Record
ASTM LIS Fields Field Contents
#1 Record Type P - Patient
1 for first sample transmitted,
#2 Sequence Number
2 for second sample transmitted, etc.
Returned by the instrument only if received from the LIS with Patient
#3 Practice Assigned Demographics.
Patient ID Field is blank for Control Results and D-10 Format.
Maximum number of characters accepted by the D-100 is 32.
Returned by the instrument only if received from the LIS with Patient
Demographics.
Field is blank for Control Results and D-10 Format.
#6 Patient Name Format: Last Name^First name^Middle^Suffix^Title
Maximum number of characters accepted by the D-100:
• Last Name – 25
• First Name – 15
Returned by the instrument only if received from the LIS with Patient
Demographics.
#8 Birth Date
Field is blank for Control Results and D-10 Format.
All Formats: YYYYMMDD
Returned by the instrument only if received from the LIS with Patient
Demographics.
M - male
#9 Sex
F - female
U (or blank) - unknown
Field is blank for Control Results and D-10 Format.
Returned by the instrument only if received from the LIS with Patient
#14 Attending
Demographics.
Physician ID
Field is blank for Control Results and D-10 Format.
Order Record
ASTM LIS Fields Field Contents
#1 Order O - Order
#2 Sequence Number 1 for first Order requested, 2 for second, etc.
Order Record
ASTM LIS Fields Field Contents
Accession Number (Sample ID) is included on the sample barcode label.
Orders sent from LIS:
Accession Number is sent to the D-100 in Field #3.
O|1|BR2229||^^^4|R||||||||||||||||||||O
Maximum number of characters accepted by the D-100 is 22.
Order Record transmitted with results from the D-100:
Rack ID component is blank for samples run in the STAT area.
D-100 Accession Number^Rack ID^Tube Position
CDM 4.1, 5.X Accession Number^Tube Position^Replicate
Number^Rack ID (Replicate Number is always 01)
CDM 4.0, 3.X Accession Number^Tube Position^Replicate Number
(Replicate Number is always 01)
#3 Specimen ID D-10 Accession Number
Order Record
ASTM LIS Fields Field Contents
LIS Test Identifier. Received with Order from LIS for A1c test and
transmitted with results from the instrument.
Defined in 4th component within the field.
For D-100 the test ID is defined in the LIS Advanced Settings screen,
#5 Universal Test ID
section 2.1.2 (Default is |^^^4|)
For all formats except D-100 the HbA1c assay is universally defined as
4.
Example: |^^^4|
Supported with D-100 format only.
Received with Order from LIS and transmitted with results from the
instrument.
#6 Priority
S = Stat
R = Routine
Blank for controls
Not supported in order from LIS.
D-100 Format Only result transmission to LIS:
#12 Action Code Patients = Blank
Controls = Q
O|1|QC1-1-201408a^U10^1|A1CQC1|^^^4||||||
|Q|||||||||||||1
Included in the result transmission to LIS.
#25 Instrument Instrument ID of the instrument which performed the test.
Section ID D-10 Format, Field is blank
All other formats ID=1
Received in order from LIS:
O = Order record; user asking that analysis be performed.
Can also be blank
#26 Report Type Result transmission to LIS:
D-10 Format = F (Final Results)
All other formats field is blank.
Comment Record
ASTM LIS Fields Field Contents
#1 Comment C - Comment
1 for first comment record for this order, 2 for second record, etc.
#2 Sequence Number
There is normally only one comment record per order.
#3 Comment Source I = Clinical instrument system
#4 Comment Text Comment text (specimen comment, not the Note to user)
#5 Comment Type I = Instrument flag(s)
Example:
C|1|I|D-100 Format|I
If enabled, Comment records immediately follow the Order record for the specimen. Comments
are entered in the D-100 application Results screen and are included in the transmission from the
D-100 to the LIS only.
Result Record
ASTM LIS Fields Field Contents
#1 Result R - Result
#2 Sequence Number 1 for first result record for this order, 2 for second record, etc.
Bio-Rad uses component 4 and 5 of the Universal Test ID field.
|^^^Peak Name^Data Type|
D-100 Format
Component 4 is used in three different ways:
^^^A1a, A1b, A1c,
Name of Identified Peak
etc^
For Calculated Peaks (HbA1c), the User IFCC = ^^^A1cIFCC^
Selected reporting unit. NGSP = ^^^A1c^
In the last message Total Area is reported.
^^^Total^
The text “Total” is used in this message only.
Result Record
ASTM LIS Fields Field Contents
The value in field 4 is the numeric result in user selected units with
appropriate decimal precision.
If a calibrated peak is not found, R records for TIME and AREA are sent
with a measurement Value of “0.0”. The Universal Test ID component 5
is “VALUE” rather than “AREA”.
#4 Data or Measurement
Value R|3|^^^A1c^VALUE|0.0||||||||||1
R|4|^^^A1c^TIME|0.0||||||||||1
If a peak was found, but no result was reported, the data measurement
value for the TIME message will be the retention time of the peak. The
AREA message will be zero.
D-100 format only:
Used only for calibrated peaks. This field is blank for non-calibrated
peaks.
Field includes the instrument reporting units set in the Applications
#5 Units
Software.
Terminator Record
ASTM LIS Fields Field Contents
#1 Terminator L - Terminator
#2 Sequence Number Always 1.
#3 Termination Code N for normal termination.
Example:
L|1|N
Patient Record
ASTM LIS Fields Field Contents
#3 Patient ID Practice Assigned Patient ID
#6 Patient Name Last Name^First Name^Middle^Suffix^Title
#8 Birth Date Date of birth Format: YYYYMMDD
M = male
#9 Sex F = female
U = unknown
#14 Attending
Physician ID
Physician ID
The Patient record is followed by the test order. Only field #3, Specimen ID, in the record is
mandatory. All other fields can be blank. The fields associated with the Test Order are as follows.
Refer to Test Order Record Section 6.3 for a complete field listing and details pertaining to each
field.
Order Record
ASTM LIS Fields Field Contents
#3 Specimen ID Accession Number
#5 Universal Test ID Test Assay Requested
#6 Priority S = Stat
#26 Report Type O = Order record
9 Troubleshooting
9.1 Port Verification
1. To test the communication port, the Transmit and Receive lines must be connected together.
Create a loopback connector per the following diagram. This is simply a test connector
which shorts pins 2 and 3 (receive and transmit) together. This allows the port to essentially
communicate with itself.
2. Plug the loopback connector into one of the two communication ports on the rear of the D-100.
Looking at the rear of the instrument COM 1 is on the right; COM 2 is on the left.
3. In the Settings/LIS screen, select “LIS Connection” On. Touch the Edit button to open the LIS
Advanced Settings screen.
4. The selected COM port must be the port that has the loopback connector installed.
5. To change the port:
a. Return to the Settings/LIS screen and select
“LIS Connection” Off.
b. Return to the LIS Advanced Settings screen
and change the Port selection.
c. Return to the Settings/LIS screen and select
“LIS connection” On.
6. Select the Test LIS tab. With “Communications Logging” On, touch the Test LIS button. The
instrument will send the <ENQ> command to signal the LIS that it has a message to send.
Since the transmit line is directly connected to the receive line, the <ENQ> is echoed back. This
verifies that the port is operational.
7. If the port is not operational or the Transmit and Receive lines are not connected, the command
is not echoed back. The instrument sends the <ENQ> and gets no response; after a time‑out
period, it sends the <EOT> command and the cycle repeats.
10.2.1 Default Option (D-100) - Released With Comment “D-100 Format” Manually Added
During Result Review
H|\^&|||Instrument 1^|||||||P||20140829094158
P|1|PATIENT4000|||JOHN^SMITH^^^||20140101|M|||||DR504
O|1|BR2229^U01^1||^^^4|R|||||||||||||||||||1
C|1|I|D-100 Format|I
R|1|^^^A1a^AREA|0.99|||||F||^Admin||20140829082420|1
R|2|^^^A1a^TIME|5.60|||||F||^Admin||20140829082420|1
R|3|^^^A1b^AREA|1.07|||||F||^Admin||20140829082420|1
R|4|^^^A1b^TIME|6.98|||||F||^Admin||20140829082420|1
R|5|^^^F^AREA|1.39|||||F||^Admin||20140829082420|1
R|6|^^^F^TIME|8.26|||||F||^Admin||20140829082420|1
R|7|^^^LA1c^AREA|1.37|||||F||^Admin||20140829082420|1
R|8|^^^LA1c^TIME|11.55|||||F||^Admin||20140829082420|1
R|9|^^^A1c^AREA|5.3|% NGSP||||F||^Admin||20140829082420|1
R|10|^^^A1cIFCC^AREA|35|mmol/mol IFCC||||F||^Admin||20140829082420|1
R|11|^^^A1c^TIME|13.83|||||F||^Admin||20140829082420|1
R|12|^^^P3^AREA|4.50|||||F||^Admin||20140829082420|1
R|13|^^^P3^TIME|18.95|||||F||^Admin||20140829082420|1
R|14|^^^Unknown^AREA|1.34|||||F||^Admin||20140829082420|1
R|15|^^^Unknown^TIME|20.26|||||F||^Admin||20140829082420|1
R|16|^^^A0^AREA|84.97|||||F||^Admin||20140829082420|1
R|17|^^^A0^TIME|24.31|||||F||^Admin||20140829082420|1
R|18|^^^TOTAL^AREA|70375|||||F||^Admin||20140829082420|1
L|1|N
10.2.7 Default (D-100) Option - Additional Example Released With Comment From Onboard
Advisor
H|\^&|||Instrument 1^|||||||P||20140829054823
P|1|PATIENT4000|||JOHN^SMITH^^^||20140101|M|||||DR504
O|1|BR4000^U02^1||^^^4|R|||||||||||||||||||1
C|1|I|Possible sample degradation or variant. Possible variant
interference|I
R|1|^^^A1a^AREA|3.83|||||F||^BRRND||20140829053745|1
R|2|^^^A1a^TIME|5.54|||||F||^BRRND||20140829053745|1
R|3|^^^A1b^AREA|12.43|||||F||^BRRND||20140829053745|1
R|4|^^^A1b^TIME|6.95|||||F||^BRRND||20140829053745|1
R|5|^^^Unknown^AREA|0.86|||||F||^BRRND||20140829053745|1
R|6|^^^Unknown^TIME|10.22|||||F||^BRRND||20140829053745|1
R|7|^^^LA1c^AREA|2.45|||||F||^BRRND||20140829053745|1
R|8|^^^LA1c^TIME|11.96|||||F||^BRRND||20140829053745|1
R|9|^^^A1c^AREA|4.0|% NGSP||||F||^BRRND||20140829053745|1
R|10|^^^A1cIFCC^AREA|21|mmol/mol IFCC||||F||^BRRND||20140829053745|1
R|11|^^^A1c^TIME|14.02|||||F||^BRRND||20140829053745|1
R|12|^^^P3^AREA|10.37|||||F||^BRRND||20140829053745|1
R|13|^^^P3^TIME|18.67|||||F||^BRRND||20140829053745|1
R|14|^^^A0^AREA|66.81|||||F||^BRRND||20140829053745|1
R|15|^^^A0^TIME|24.19|||||F||^BRRND||20140829053745|1
R|16|^^^TOTAL^AREA|53990|||||F||^BRRND||20140829053745|1
L|1|N