1.

Underlying Protocol MLLP

This module obeys the rules of underlying protocol‐MLLP and it is used for
transferring messages.

MLLP default setting:

Messages Block starting symbol =0X0B
Messages Block ending symbol =0X1C
Message section separator =0X0D

Message encapsulation in HL7 protocol:

Starting with single byte 0B, ending with double byte 1C 0D.

2. External protocol
HL7
Message type used in this module:
ORU – Unsolicited Observation Message (Event R01) : When the external system is
sending messages, it will download the test results from the operating software
and transfer the test results with initiative.

ORU^R01^ORU_R01 Unsolicited Observation Status Chapter

Message

MSH Message Header 2

[{ SFT }] Software Segment 2
{ --- PATIENT_RESULT begin
[ --- PATIENT begin
PID Patient Identification 3
[PD1] Additional Demographics 3
[{NTE}] Notes and Comments 2
[{NK1}] Next of Kin/Associated 3
Parties
[ --- VISIT begin
PV1 Patient Visit 3
[PV2] Patient Visit - Additional 3
Info
] --- VISIT end
] --- PATIENT end
{ --- ORDER_OBSERVATION begin
[ORC] Order common 4
OBR Observations Request 7
{[NTE]} Notes and comments 2
[{ --- TIMING_QTY begin
TQ1 Timing/Quantity 4
 ORU^R01^ORU_R01 Unsolicited Observation Status Chapter
Message

[{TQ2}] Timing/Quantity Order 4

Sequence
}] --- TIMING_QTY end
[CTD] Contact Data 11
[{ --- OBSERVATION begin
OBX Observation related to OBR 7
{[NTE]} Notes and comments 2
}] --- OBSERVATION end
[{FT1}] Financial Transaction 6
{[CTI]} Clinical Trial 7
Identification
[{ --- SPECIMEN begin
SPM Specimen
[{OBX}] Observation related to
Specimen
}] --- SPECIMEN end
} --- ORDER_OBSERVATION end
} --- PATIENT_RESULT end
[DSC] Continuation Pointer 2

ACK^R01^ACK Acknowledgment Status Chapter

MSH Message header 2

[{ SFT }] Software segment 2
MSA Message acknowledgment 2
[{ ERR }] Error 2

ORM - general order message (event O01): When the external system is sending
messages, it is used for sending sample request instruction to analyzer.

ORM^O01^ORM_O01 General Order Message Status Chapter

MSH Message Header 2

[{ NTE }] Notes and Comments (for Header) 2
[ --- PATIENT begin
PID Patient Identification 3
[ PD1 ] Additional Demographics 3
[{ NTE }] Notes and Comments (for Patient ID) 2
[ --- PATIENT_VISIT begin
PV1 Patient Visit 3
[ PV2 ] Patient Visit- Additional Info 3
] --- PATIENT_VISIT end
ORM^O01^ORM_O01 General Order Message Status Chapter

[{ --- INSURANCE begin

IN1 Insurance 6
[ IN2 ] Insurance Additional Info 6
[ IN3 ] Insurance Add'l Info – Cert. 6
}] --- INSURANCE end
[ GT1 ] Guarantor 6
[{ AL1 }] Allergy Information 3
] --- PATIENT end
{ --- ORDER begin
ORC Common Order 4
[ --- ORDER_DETAIL begin
<OBR| Order Detail Segment OBR, etc. 4
RQD|
RQ1|
RXO|
ODS|
ODT>
[{ NTE }] Notes and Comments (for Detail) 2
[ CTD ] Contact Data 11
[{ DG1 }] Diagnosis 6
[{ --- OBSERVATION begin
OBX Observation/Result 7
[{ NTE }] Notes and Comments (for Results) 2
}] --- OBSERVATION end
] --- ORDER_DETAIL end
[{ FT1 }] Financial Transaction 6
[{ CTI }] Clinical Trial Identification 7
[ BLG ] Billing Segment 4
} --- ORDER end
Message content Database field HL7 Protocol Send Receive Remark

System Information

Field separator 　 MSH‐1 Y Y Fixed at "|"

Coding character 　 MSH‐2 Y Y Fixed at "^~\&"

Manufacturer 　 MSH‐3 Y N For example: LandWind

Model 　 MSH‐4 Y N For example: LWC 200

Message date/time 　 MSH‐7 Y Y (PC current) Sending time

and date
Message type 　 MSH‐9 Y Y For example: ORU^R01

Serial No. 　 MSH‐10 Y Y For example:

LWC20099999
Process ID No. 　 MSH‐11 Y Y Fixed at "P"(stands for
Product)
HL7 Version ID No. 　 MSH‐12 Y Y Fixed at "2.5"

Character set 　 MSH‐16 Y Y Fixed at "UNICODE" (Use

UNICODE character to
send messages)
　
Patient information

Patient No. 　 (PID‐2) Y Y 　

Patient name Name (PID‐5) Y Y 　
Patient gender Gender (PID‐8) Y Y 　
Date of Birth 　 (PID‐7) Y Y 　
Blood type 　 None Y Y 　
Country 　 (PID‐28) Y Y 　
Nation 　 (PID‐22) Y Y 　
Native place 　 (PID‐23) Y Y 　
Tel 　 (PID‐13) Y Y 　
Address 　 (PID‐11) Y Y 　
Post code 　 (PID‐11) Y Y 　
Patient type (PV1‐18) 　 (PV1‐2) Y Y 　
Charge type 　 　 Y Y 　
Health care account 　 (PID‐18) Y Y 　
Register No. Register_number PV1‐19 Y Y 　

Room No. 　 (PV1‐3) Y Y 　

Admis No. (PV1‐5) Admis_number PID‐3 Y Y 　
Bed No. Bed number (PV1‐3) Y Y 　
Treatment dept 　 PV1‐7 Y Y 　
Physician 　 (PV1‐7) Y Y 　
Remark remark None Y N 　
　
Sample information

Sample No. Sample number OBR‐3 Y Y 　

Sample Barcode 　 OBR‐2 Y Y 　
Sample disk No. Sample_disk_numbe OBR‐37 Y N 　
r
Sample tube position Sample_position OBR‐15 Y N Specimen Source Name
No or Code<Identifier (ST)>
Sample type Sample_type OBR‐15 Y Y Specimen Source Name
or Code <Text (ST)>
STAT or not STAT_or_not OBR‐5 Y Y Blank: non‐emergency
STAT: emergency
Sample character 　 　 Y Y 　
Sender sender OBR‐16 Y Y Family Name<Surname
(ST)>
Sent from Sent_from OBR‐16 Y Y Department (CWE) <Text
(ST)>
Sent time Sent_time OBR‐14 Y Y 　
Blood bag No. 　 　 Y Y 　
Clinical diagnosis Clinical_diagnosis OBR‐13 Y N 　

Auditor Auditor OBR‐32 Y N Name (CNN)<Family

Name (ST)>
Audit result 　 　 Y N 　
Dilution or retest mark Dilution_Type 　 Y N 　
Retest times N Test_times 　 Y N 　
Retest No. 　 　 Y N 　
　
Test information 　 　 　 　 A sample consists of
several tests.
Item No. Item_ID OBX‐3 Y N <Identifier (ST)>
Item Name Abbr OBX‐3 Y N <Text (ST)>
Test result value type 　 (OBX‐2) Y N “NM” Value type
(qualitative or
quantitative)
Test result value Test_result (OBX‐5) Y N 　
(Concentration or
Positive/negative and
so on)

Result unit Item_result_unit (OBX‐6) Y N 　

Reference range Normal_range (OBX‐7) Y N 　
Abnormal symbol Abnormal_result_ma (OBX‐8) Y N 　
rk
Test original result 　 　 Y N 　
Tester tester OBX‐16 Y N Family Name (FN)
<Surname (ST)>
Test dept 　 OBX‐16 Y N Department (CWE) <Text
(ST)>
Test date Test_date OBX‐19 Y N 　
Retest mark 　 　 Y N 　
Retest times 　 　 Y N 　
Retest No. 　 　 Y N 　
For example: 血清(Serum) 样本(Sample))
MSH|^~\&|LandWind|LWC 200|||20100830141220||ORU^R01|LWC200999999|P|2.5||||||UNICODE
PID|0
OBR|||1||||||||||||21&血清||||||||||||||||||||||1
OBX|0|NM|4^样本_2||4.82000|^mol|‐40000‐40000|1|||||||||||20100803092557
PID|1
OBR|||2||||||||||||22&血清||||||||||||||||||||||1
OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507
PID|2
OBR|||3||||||||||||23&血清||||||||||||||||||||||1
OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507
PID|3
OBR|||4||||||||||||24&血清||||||||||||||||||||||1
OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507
PID|4
OBR|||5||||||||||||25&血清||||||||||||||||||||||1
OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507
PID|5
OBR|||6||||||||||||26&血清||||||||||||||||||||||1
OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100803103507
PID|6
OBR|||7||||||||||||27&血清||||||||||||||||||||||1
OBX|0|NM|4^样本_2||0.00000|^mol|‐40000‐40000|1|||||||||||20100813151404
PID|7
OBR|||8||||||||||||28&血清||||||||||||||||||||||1
OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100819094029
PID|8
OBR|||9||||||||||||29&血清||||||||||||||||||||||1
OBX|0|NM|3^样本_1||0.00000|^umol||0|||||||||||20100819091940
PID|9
OBR|||10||||||||||||30&血清||||||||||||||||||||||1
OBX|0|NM|3^样本_1||0|^umol||1|||||||||||20100819114619
OBX|1|NM|4^样本_2||0|^mol||1|||||||||||20100819114619

Calibration test information

Test type “C” SPM‐11 Y N [SPM] ‐ It always be "C"
and stands for calibration
test.
Item No. Item_ID OBX‐3 Y N [SPM]
Item name Abbr OBX‐3 Y N [SPM]
Calibration time Test_date OBX‐19 Y N [SPM]
Calibration method Calibration_method OBX‐17 Y N [SPM]<Text (ST)>
Calibration parameter R0/K/a~5/b~5/c~5/d OBX‐5 Y N [SPM] Value type‐‐ST
Calibrator No. Calibrator_ID INV‐1 Y N [OBR]
Calibrator name Name INV‐1 Y N [OBR]
Calibrator batch No. 　 INV‐17 Y N [OBR]
Calibrator validity date 　 INV‐12 Y N [OBR]

Calibrator standard calibration_concentr OBX‐5 Y N [OBR]

concentration ation
Calibrator 　 OBX‐5 Y N [OBR]
concentration level
Response Item_result OBX‐5 Y N [OBR]
[OBR]OBX‐5: Response~Calibrator standard concentration~Calibrator Concentration level
Parameter value: [ SPM]OBX‐5:R0~K~a~b~c~d~ a1~b1~c1~a2~b2~c2~a3~b3~c3~a4~b4~c4~a5~b5~c5
For example: 样本(Sample) 因数(Factor) 线性(Linearity) 定标液(Calibrator)
MSH|^~\&|LandWind|LWC 200|||20100830141220||OUL^R23|LWC200999999|P|2.5||||||UNICODE
SPM|0||||||||||C
OBX|0|NM|4^样本_2||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 因数||
20100729161315
SPM|1||||||||||C
OBX|1|NM|3^样本_1||0~3.97200~0~6.16050~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 线性||
20100729173308
INV|1^定标液_1
OBX|0|NM|1^定标液_1||6.161~0.000~
INV|2^定标液_2
OBX|1|NM|2^定标液_2||10.133~1.000~
SPM|2||||||||||C
OBX|2|NM|3^样本_1||0~2.35750~0~5.66100~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 线性||
20100730113436
INV|1^定标液_1
OBX|0|NM|1^定标液_1||5.661~0.000~
INV|2^定标液_2
OBX|1|NM|2^定标液_2||8.019~1.000~
SPM|3||||||||||C
OBX|3|NM|4^样本_2||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 因数||
20100730113436
SPM|4||||||||||C
OBX|4|NM|3^样本_1||0~‐3.97350~0~3.97350~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 线性||
20100730132146
INV|1^定标液_1
OBX|0|NM|1^定标液_1||3.974~0.000~
SPM|5||||||||||C
OBX|5|NM|4^样本_2||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 因数||
20100730132146
SPM|6||||||||||C
OBX|6|NM|4^样本_2||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 因数||
20100730135241
SPM|7||||||||||C
OBX|7|NM|3^样本_1||0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0~0||||||||||||^ 线性||
20100830112941
INV|6^定标液_6
OBX|0|NM|6^定标液_6||~0~
INV|6^定标液_6
OBX|1|NM|6^定标液_6||~0~
QC test information
Sample No. ID SPM‐2 Y N [SPM]
Test type “E” SPM‐11 Y N [SPM]‐It always be "E"
and stands for QC test.
Control No. Control_ID INV‐1 Y N [SPM]
Control Name Name INV‐1 Y N [SPM]
Control batch No. 　 INV‐17 Y N [SPM]
Control validity date 　 INV‐12 Y N [SPM] SPM‐19/INV‐12
Item No. Item_ID OBX‐3 Y N [OBR]
QC time Test_date OBX‐19 Y N [OBR]
QC type 　 OBX‐17 Y N [OBR]<Identifier (ST)>
QC rule 　 OBX‐17 Y N [OBR]<Text (ST)>
Control concentration 　 OBX‐5 Y N [SPM]
level
Control mean 　 OBX‐5 Y N [SPM]
value(Mean
concentration)
Control standard Standard_differnece OBX‐5 Y N [SPM]
deviation
QC test Item_result OBX‐5 Y N [SPM]
result(Concentration)
In control or not 　 OBX‐5 Y N [OBR] Value type ‐IS
OBX‐5: QC test result (Concentration) ~Control mean value(Mean concentration)~Control concentration level~In
control or not
Send to Lis:
MSH|^~\&|LandWind||||20120706141400||OUL^R22|LWC999999|P|2.5||||||UNICODE
SPM|0||||||||||E||||||||20120708000000
OBX|0|NM|LDH||2.00~~~0||||||||||||||20120524112323
OBX|1|NM|LDH||136.16~~~0||||||||||||||20120629145100
OBX|2|NM|AMY||0~~~1||||||||||||||20110709145307
OBX|3|NM|AMY||5~~~1||||||||||||||20120621172442
OBX|4|NM|AMY||2~~~1||||||||||||||20120625173610
INV|^zhikong|||||||||||20120708000000

Receive from Lis :

MSH|^~\&|||LandWind||20120706141400||ACK^R22|LWC999999|P|2.5||||||UNICODE|
MSA|AA|LWC999999|Message Accepted|||0|

Note:
Sample_Type (样本类型):
 For LWC400 and new UI: SERUM( 血 清 ), PLASMA( 血 浆 ), URINE( 尿 液 ), CSF( 脑 脊 液 ) are
displayed in English.
 For old UI: Sample types are displayed in the language of system.