Drew3 Drew3 ASTM format DrewFormatASTM

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The
1
Document below describes the ASTM as implemented in the Drew3, To keep things simple
PURPOSE ............................................................................................................................................................................ 1
within
2 Drew productAND
APPROBATION range it is based
HISTORY on the protocol used for Drew Excell 22 and 2280.
.................................................................................................................................. 1
3 DIFFUSION ...................................................................................................................................................................... 1
4 DEFINITIONS AND ABBREVATIONS ..................................................................................................................... 1
5 REFERENCES .................................................................................................................................................................... 1
6 SYSTEM OVERVIEW ...................................................................................................................................................... 1
7 GENERAL SPÉCIFICATIONS ......................................................................................................................................2
7.1 FORMAT OVERVIEW .......................................................................................................................................... 2
7.2 ASTM FORMAT .................................................................................................................................................... 2
7.2.1 Description ........................................................................................................................................................ 2
7.2.1.1 Results Transmission mode .................................................................................................................. 2
7.2.1.2 Responding to a Message (ACK or NAK) ........................................................................................... 3
7.2.2 Unidirectional Communication schema ......................................................................................................... 4
7.2.3 Transmission Characteristics ........................................................................................................................ 5
7.2.4 D3 ASTM fields implementations ................................................................................................................ 5
7.2.4.1 Header H Record .................................................................................................................................... 5
7.2.4.2 Patient P Record ..................................................................................................................................... 6
7.2.4.3 Order O Record ...................................................................................................................................... 7
7.2.4.4 Result R Record........................................................................................................................................8
7.2.4.5 Manufacturer Information M Record .................................................................................................9
7.2.4.6 Terminator T Record ............................................................................................................................ 10
7.2.5 Example of ASTM sending for a patient ...................................................................................................11

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7 GENERAL SPÉCIFICATIONS

7.1 Format overview

ASTM format concerning Drew3 is based upon specifications provided by Drew . Number of parameters does not affe
by the ASTM protocol – E1394 over E1381 – does not depend of the field implementations so this part will
not be discussed.

This document is intended to suggest an ASTM field implementation and alarms for the DREW – Drew3 to send
patient results and Quality Control results.

7.2 ASTM Format

7.2.1 Description
Unidirectional Text-based protocol with handshake. No reception is expected from the sender DREW – Drew3.

Two ways to transmit results:

 Results are read from archive and then sent (by patient, patients group, dates).
 Results are sent once a cycle is done (optional)

7.2.1.1 Results Transmission mode

7.2.1.1.1 Initiation Phase
Identical to Drew EXCELL22/2280

7.2.1.1.2 Results Transmission Phase

Identical to Drew EXCELL22/2280

7.2.1.1.3 Data Link Release Phase

Identical to Drew EXCELL22/2280

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7.2.1.2 Responding to a Message (ACK or NAK)

Identical to Drew EXCELL22/2280.
In order to be more accurate about the timeout process, we shall mention that the DREW – D3 does not
enter the termination phase (unlike what is recommended in E1381 ASTM low-layer official document by
sending an EOT character) and retransmits the last frame, just before the timeout occurred (unlike what is
recommended in the E1381 ASTM low-layer official document by retransmitting the complete message). If
the maximum number of seven attempts is reached, the screen will display a RS232: Time Out Error.
In the case of NAK responding, if the maximum number of seven record retransmissions is reached, the
screen will display a RS232: Synchro Error.

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7.2.2 Unidirectional Communication schema

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7.2.3 Transmission Characteristics

Handshaking and Transmission rate can be set up from Auxiliary/Advanced/Communication/Serial
Parameters panel up to 115200 bps.

7.2.4 Drew3 ASTM fields implementations

This part is based upon Excell22 field implementation with slight modifications due to DREW – Drew3 system.

7.2.4.1 Header H Record

H1: Record type ID, here H.

H2: Delimiter definition.

- The second char is the field delimiter, here : |
- The third char is the repetition delimiter, here: \
- The fourth char is the component delimiter, here: ^
- The fifth char is the escape delimiter, here: &

H5: Sender name or ID.

This field defines the instrument name
 This field will contain first line of printer header.

H10: Receiver ID.

This field defines the name of the receiver.
 This field remains at LIS_ID (host name)

H11: Comment
This field contains any comments relating to the record to be transmitted.

H12: Processing ID.

This field indicates how this message is to be processed, here : P
 P : Production (patient test data)
 Q: Quality Control

H13: ASTM Version Number.

 This field remains at E1394-97

H14: Date and Time of Message.

This field contains message date and time YYYYMMDDHHMMSS.
 Example : 20010417114930 for 2001, 14 April at 11h49m30s.

Example:
H|\^&||| PRINTER HEADER LN 1|||||LIS_ID||P|E 1394-97|20010417114930

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7.2.4.2 Patient P Record

A tube is identified with three information keys such as the PID, the SID and the Sequence Number.
The ID remains transmitted (P6 field) for further information.

P1: Record type ID, here P.

P2: Sequence Number.

DREW – Drew3 supports only one patient during each transmission.
 This fields remains at 1.

P3: Practiced Assigned Patient ID.

 The patient ID (PID) is assigned by the DREW – Drew3.

P4: Laboratory Assigned Patient ID.

 The Sample ID (SID) is assigned by the DREW-Drew3

P5: Patient ID n°3.

 This field will receive the Seq # which is assigned by the DREW-Drew3.

P6: Patient Name.

The DREW – Drew3 only contains patient name under an ID.
 In this case, ID is transmitted.

P8: Birthday Date.

 Information not available in DREW – Drew3 system. This field remains blank.

P9: Patient Sex.

 Information not available in DREW – Drew3 system. This field remains blank.

P14: Physician ID.

 Information not available in DREW – Drew3 system. This field remains blank.

Example:
P|1|12345|10|00012|John||||||||

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7.2.4.3 Order O Record

O1: Record Type ID, here O.

O2: Sequence Number.

The DREW – Drew3 supports only one order for a patient for each message transmission.
 This fields remains at 1.

O3: Specimen ID.

In this case, the specimen ID is a unique identifier assigned by the DREW – Drew3.
 This field contains Sample ID value assigned by the DREW – D3 system.

O4: Instrument Specimen ID.

 This field will receive the Sequence Number "Seq. No" (unique number)

O5: Universal Test ID.

 This field remains at ^^^LMG (lympho-mid-granulo)

O6: Priority.
 This field remains at R for routine test.

O16: Specimen Type:

This field will receive the blood type (example: standard)

O26: Report Type.

 F for final results.

Example:

O|1|2000121402|00012|^^^LMG|R||||||||||STANDARD||||||||||F

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7.2.4.4 Result R Record

R1: Record Type ID, here R.

R2: Record Sequence Number.

The number used defines the sequence of the associated result record for a test.

R3: Universal Test ID.

 We prefix the test ID with 3 component delimiters, example: ^^^WBC for WB.
Label used with Drew3 :
Label Measurand
WBC White blood cells
RBC Red blood cells
HGB Hemoglobin
HCT Hematocrit
MCV Mean corpuscular Volume
MCH Mean corpuscular Hemoglobin
MCHC Mean corpuscular Hemoglobin Concentration
RDW Red distribution Woidth
PLT Platelet
MPV Mean Platelet Volume
LYM Lymphocytes
MON Monocytes
GRA Granulocytes
LYM% Lymphocytes percent.
MON% Monocytes percent.
GRA% Granulocytes percent.
PCT PlateletCrit
PDW Platelet Distribution Width

R4: Measurement Value.

This field contains the data in ASCII text notation.
 Example : 10.9.

R5: Unit.
The abbreviation of units for the numeric result, example: K/uL.

R6: Reference Range.

The sample value is reported in lower limit to upper limit format.
 Example : 3.0 to 12.0.

R9: Results Status.

 Code F for final results.

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R13: Date/Time test completed.

With format YYYYMMDDHHMMSS.
 Example : 20001214164433

Example:
R|1|^^^WBC|10.9|K/uL|3.0 to 12.0|||F||||20001214164433

7.2.4.5 Manufacturer Information M Record

This record is provided to send DREW – Drew3 system defined flags and alerts to the LIS.

M1: Record Type ID, here: M.

M2: Sequence Number.

 This fields remains at 1.

M3: Instrument Alert.

Excell22 alerts schema has been updated to match DREW – Drew3 specifications. New alerts meanings
are in bold characters

Byte Position Format(A: ASCII) Description

1-6 A6 Alert=
7 A1 1=WBC Clog
8 A1 1=RBC Clog
9 A1 1= S-UP Cycle Not Done
10 A1 1= S-UP cycle Fail
11 A1 1= QC Not Done
12 A1 1= QC Fail
13 A1 1=Vacuum Failure
14 A1 1=Hgb Sensor
15 A1 1=Uncontrolled changed in Temperature Alert
16-21 A5 Reserved remains at 0.

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M4: Flags.
We do not return the same flags as Excell22 model but the available alarms transmitted for a
results are based upon L1 L2 L3 L4 L5 R1 R2 P1 P2 P3.

Byte Position Format(A: ASCII) Description

1-5 A5 Flag=
6 A1 1=L1 Flag
7 A1 1=L2 Flag
8 A1 1=L3 Flag
9 A1 1=L4 Flag
10 A1 1=L5 Flag
11 A1 1=R1 Flag
12 A1 1=R2 Flag
13 A1 1=P1 Flag
14 A1 1=P2 Flag
15 A1 1=P3 Flag
16-18 A5 Reserved reste à 0

Example:
M|1|Alert=000000000000000|Flag=0000000000000

7.2.4.6 Terminator T Record

L1: Record Type ID, here L.

L2: Sequence Number.

 This field remains at 1.
Example:
L|1

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7.2.5 Sample of ASTM data stream for a patient

Here a sample of a current ASTM data stream for a patient:

Thu Jul 08 10:54:51 2010 :: <ENQ>

Thu Jul 08 10:54:51 2010 :: <ACK>
Thu Jul 08 10:54:51 2010 :: <STX>1H|\^&|||PRINTER HEADER LN 1|||||LIS_ID||P|E 1394-97|20100704115855<ETX>60<CR><LF>
Thu Jul 08 10:54:51 2010 :: <ACK>
Thu Jul 08 10:54:51 2010 :: <STX>2P|1||00002|52|^|||||||||||||||||||||||||||||<ETX>E5<CR><LF>
Thu Jul 08 10:54:51 2010 :: <ACK>
Thu Jul 08 10:54:51 2010 :: <STX>3O|1|52|52|^^^LMG|R||||||||||STANDARD||||||||||F|||||<ETX>EF<CR><LF>
Thu Jul 08 10:54:51 2010 :: <ACK>
Thu Jul 08 10:54:51 2010 :: <STX>4R|1|^^^WBC|0.0 |K/ul|2.0 to 15.0 |||F||||20100704115855|<ETX>09<CR><LF>
Thu Jul 08 10:54:51 2010 :: <ACK>
Thu Jul 08 10:54:51 2010 :: <STX>5R|2|^^^RBC|0.00 |M/ul|2.50 to 7.00 |||F||||20100704115855|<ETX>2E<CR><LF>
Thu Jul 08 10:54:51 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>6R|3|^^^HGB|2.3 |g/dl|8.5 to 19.0|||F||||20100704115855|<ETX>C1<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>7R|4|^^^HCT|.....|%|25.0 to 60.0|||F||||20100704115855|<ETX>C9<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>0R|5|^^^MCV|.....|fL|70.0 to 120.0|||F||||20100704115855|<ETX>A4<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>1R|6|^^^MCH|.....|pg|25.0 to 35.0 |||F||||20100704115855|<ETX>B2<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>2R|7|^^^MCHC|.....|g/dl|28.0 to 37.0 |||F||||20100704115855|<ETX>8B<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>3R|8|^^^RDW|.....|%|7.0 to 25.0 |||F||||20100704115855|<ETX>08<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>4R|9|^^^PLT|0 |K/ul|70 to 500 |||F||||20100704115855|<ETX>EF<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>5R|10|^^^MPV|.....|fL|6.0 to 12.5 |||F||||20100704115855|<ETX>C6<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>6R|11|^^^PCT|.....|%|0.10 to 0.60 |||F||||20100704115855|<ETX>41<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>7R|12|^^^PDW|.....|%|8.0 to 25.0 |||F||||20100704115855|<ETX>36<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>0R|13|^^^LYM%|.....|%|15.0 to 55.0|||F||||20100704115855|<ETX>2D<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>1R|14|^^^MON%|.....|%|1.0 to 12.0|||F||||20100704115855|<ETX>0B<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>2R|15|^^^GRA%|.....|%|45.0 to 85.0|||F||||20100704115855|<ETX>1F<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>3R|16|^^^LYM|.....|K/ul|0.7 to 5.5 |||F||||20100704115855|<ETX>65<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>4R|17|^^^MON|.....|K/ul|0.0 to 1.1 |||F||||20100704115855|<ETX>50<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>5R|18|^^^GRA|.....|K/ul|1.5 to 9.0 |||F||||20100704115855|<ETX>4F<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>6M|1|Alert=000000001000000|Flag=000000000000<ETX>28<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <STX>7L|1|<ETX>AF<CR><LF>
Thu Jul 08 10:54:52 2010 :: <ACK>
Thu Jul 08 10:54:52 2010 :: <EOT>

Note : date and hour prefix is only used for logging and does not make part of ASTM Standards

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