General Electric HL7 INTERFACE TEST PLAN_INTEGRATION MANUAL V5E_SM_2020285-028_A 250 Ultrasound Operator's Manual

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GE Medical Systems Information Technologies

HL7 Interface

Test Plan and Integration

Instructions

Software Version 005E

127(This manual reflects MUSE CV system software version 005E.

Trademarks

Trademarked names appear throughout this document. Rather than list the names and entities that own the trademarks or insert a trademark symbol with each mention of the tra demarked name, the publis her states that it is using the names o nly fo r editori al purpos es an d to t he benefi t of the trademark owner with no intention of improperly using that trademark.

900 SC, ACCUSKETCH, AccuVision, APEX, AQUA-KNOT, ARCHIVIST, Autoseq, BABY MAC, C Qwik Connect, CardioServ, CardioSmart, CardioSys, CardioWindow, CASE, CD TELEMETRY, CENTRA, CHART GUARD, CINE 35, CORO, COROLAN, COROMETRICS, Corometrics Sensor Tip, CRG PLUS, DASH, Digi store, Digital DATAQ, E for M, EAGLE, Event-Link, FMS 101B, FMS 111, HELLIGE, IMAGE STORE, INTELLIMOTION, IQA, LASER SXP, MAC, MAC-LAB, MACTRODE, MANAGED USE, MARQUETTE, MARQUETTE MAC, MARQUETTE MEDICAL SYSTEMS, MARQUETTE UNITY NETWORK, MARS, MAX, MEDITEL, MEI, ME I in t he circle logo, MEMOPORT, MEMOPORT C, MINISTORE, MINNOWS, Monarch 8000, MULTI-LINK , MULTISCRIPTOR, MUSE, MUSE CV, Neo-Trak, NEUROSCRIPT, OnlineABG, OXYMONITOR, Pres-R-Cuff, PRESSURE-SCRIBE, QMI, QS, Quantitative Medicine, Quantitative Sentinel, RAC RAMS, RSVP, SAM, SEER, SILVERTRACE, SOLAR, SOLARVIEW, Spectra 400, Spectra-Overview, Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE, TRIM KNOB, Trimline, UNION STATION, UNITY logo, UNITY NETWORK, Vari-X, Vari-X Cardiomatic, VariCath, VARIDEX, VAS, and Vision Care Filter are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office.

12SL, 15SL, Access, AccuSpeak, ADVANTAGE, BAM, BODYTRODE, Cardiomatic, CardioSpeak , C D TE LEMETRY Event-Link Cirrus, Event-Link Cumulus, Event-Link Nimbus, HI-RES, ICMMS, IMAGE VAULT, IMPACT.wf, INTER-LEAD, IQA, LIFEWATCH, Managed Use, MARQUETTE PRISM, MARQUETTE CardioWindow, NST PRO, NAUTILUS, O Prism, QUIK CONNECT V, QUICK CONNECT, QT Guard, SMART-PAC, SMARTLOOK, Spiral Lok, Sweetheart, UNITY, Universal, Waterfall, and Walkmom are trademarks of GE Medical Systems Information Technolo g ies

-LAN, CENTRALSCOPE, Corolation, EDIC, EK-Pro,

RESPONDER, MENTOR, MicroSmart, MMS, MRT, MUSE

SENSOR, Octanet, OMRS, PHi-Res, Premium,

T-2 HL7 Interface Professional Toolkit Revision A

2020285-028 1 April 2004

Contents

1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Manual Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

Manual Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

Chapter Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6

Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

Service Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8

Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8

Equipment Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 -9

Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10

Common MUSE CV System Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Logging Into the MUSE CV System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11

Logging Out of the MUSE CV System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Exit to Windows from the MUSE CV System . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Enter the MUSE CV System from Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13

2 Configure the HL7 Test Environment . . . . . . . . . . . . . . . 2-1

Pre-Configuration Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 -3

Site Setup Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6

Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Configure Interface Workstation in a Stand-Alone Test Mode . . . . . . . . . . . . . . 2-10

Network Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10

Configure the HL7 Interface on the Interface Workstation . . . . . . . . . . . . . . . . . 2-13

Configure MUSE CV System on the Interface Workstation . . . . . . . . . . . . . . . . . 2-14

Configure Sites for Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14

Configure Locations for Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Configure Devices for Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-27

Configure Users for Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-30

Configure Report Distribution for Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-32

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Configuring Additional Sites for Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-36

3 Testing the HL7 Interface . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Test Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

TCP/IP Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Test Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Test Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Testing ADT Transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Test Transactions that Add Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Test Transactions that Change Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

Test Transactions that Merge Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

Test Transactions that Delete Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13

Testing Order Transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14

Testing Results Transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

Test Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20

Acquisition of Patient Test Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

Test Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23

Testing Result Transactions on Systems With No Inbound Message Interface 3-24

Testing Result Transactions on Systems Supporting ADT Only . . . . . . . . . . . . 3-33

Testing Result Transactions on Systems Supporting ADT with Accounts . . . . . 3-42

Testing Result Transactions on Systems Supporting ADT with Orders . . . . . . . 3-52

Testing Result Transactions on

Systems Supporting ADT with Accounts and Orders . . . . . . . . . . . . . . . . . . . . 3-62

Testing Financial Transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-72

Recovery Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-76

Sample Test Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-77

ADT Test Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-77

Orders Test Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-83

Results Test Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-86

4 Configure Interface for Production . . . . . . . . . . . . . . . . . 4-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Summary of Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3

Configure MUSE CV System for Outbound-to-HIS Messages . . . . . . . . . . . . . . . . 4-4

Define the HIS as a Device in System Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4

Configure Report Distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8

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Configure Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11

Configure Interface PC as a MUSE CV System Workstation . . . . . . . . . . . . . . . . 4-13

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

Determine Identity of MUSE CV System File Server . . . . . . . . . . . . . . . . . . . . . .4-13

Edit the Windows WIN.INI File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

Verify Administrators Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-15

Configure Workstation Network Identity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

Prepare Auto Update File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-20

Verify Network Communications with HIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21

Execute Interface Integration Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22

Pre-integration Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-22

Execute the Interface Integration Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-22

Install MUSE CV System Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33

Verify Interface is Operating Correctly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-38

Configure MUSE CV System for Inbound-from-HIS Messages . . . . . . . . . . . . . . 4-39

Mapping of MUSE CV System Locations to Interface Manager (Optional) . . . . .4-39

Appendix A – Troubleshooting . . . . . . . . . . . . . . . . . . . . .A-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Troubleshooting Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-4

HIS Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Communication Transaction Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-6

Connection Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

Inbound Interface Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

Outbound Interface Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9

MUSE Error Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-10

Interface Manager Search Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-11

Troubleshooting Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-12

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-12

Inbound Message Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-12

Outbound Message Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-14

Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-16

Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-19

Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-21

InstallShield Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-21

Btrieve Database Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-21

DOS Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-23

TCP/IP (Socket) Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-24

Appendix B – Test Data Samples . . . . . . . . . . . . . . . . . . .B-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

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Resting ECG Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-4

Signal-Averaged ECG Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-11

Stress Report from Case 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-14

Holter Report from Holter SXP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-17

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1 Introduction

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For your notes

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Introduction: Manual Information

Manual Informatio n

Revision History

Each page of the document has the document part number and revision letter at the bottom of the page. The revision letter identifies the document’s update level.

The revision history of this document is summarized in the tabl e below

Table 1. Revision History PN 2020285-028

Revision Date Comments

A 1 April 2004 Initial release of document, corresponds with MUSE software version 005E.

Manual Purpose

These instructions will help you connect, confi gure, and test your HL7 interface.

Where necessary the manual identifies additional sources of relevant information and/or techn ical assistan ce.

Chapter Contents

This manual is organized into the following chapters:

1 Introduction

Contains general information and guidelines for using this manual, and provides common procedures referenced t hroughout the manual.

2 Configure the HL7 Test Environment

Provides instructions for configuring a test environment in which to test the HL7 interface before integrating it into the producti on MUSE CV system network.

3 Testing the HL7 Interface

Provides instructions and sample data for testing the HL7 interface.

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Introduction: Manual Information

4 Configure the HL7 Production Environment

Provides instructions for integrating the HL7 interface into the production MUSE CV system network.

Appendix A—Troubleshooting

Contains troubleshooting information and instructions for accessing the various event log files needed to evaluate oper ation of the system.

Appendix B—Test Data Samples

Contains samples of each type of test result.

Related Manuals

See these documents for additional information



Functional Description of HIS Interface



HIS XFER Communications Mapped Configuration



HIS XFER Communications FTP Configuration



HIS Interface and MUSE CV Information System Product Information



GE Medical Systems Information Technologies HL7 Interface PreInstallation Guide



GE Medical Systems Information Technologies HL7 Interface Reference Manual

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Conventions

Safety Messages

Definitions

Introduction: Manual Information

These are the conventions used in this manual.

DANGER safety messages indicate an imminently hazardo us situation which, if not avoided, WILL result in death or serious injury.

WARNING safety messages indicate a potentially hazardous situation which, if not avoided, COULD result in death or serious injury.

CAUTION safety messages indicate a potentially hazardous situation which, if not avoided may result in minor or moderate injury.

NOTE messages provide additional user information.



Items shown in Bold text are keys on the keyboard, text to be entered, or hardware items such as buttons or switches on the equipment.



Items shown in Italicized text are software terms which identify menu items, buttons, or options in various windows.



To perform an operation which appear s with a plus (+) sign between the names of two keys, you press and hold the first key while pressing the second key once. This is called a keystroke combination.

For example, “Press Ctrl+Esc” means to press and hold down the Ctrl key while pressing the Esc key.



When instructions are given for typing a precise text string with one or more spaces, the point where the spacebar must be pressed is indicated as: <Space>. The purpose of the < > brackets is to ensure you press the spacebar when required.



Enter means to press the “Enter” or “Return” key on the keyboard. Do not type “enter”.

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Introduction: Safety Information

Safety Information

Responsibility of the Manuf acturer

GE Medical Systems Information Technologies is responsible for the effects of safety, reliability, and performance only if:



Assembly operations, extensions, readju stments, modifications, or repairs are carried out by persons authorized by Information Technologies.



The electrical installation of the relevant room complies with the requirements of the appropriate regulations.



The equipment is used in accordance with the instructions for use.

General

This device is intended for use under the direct supervision of a licensed health care practitioner.

To ensure patient safety, use only parts and access ories manufactured or recommended by GE Medical Systems Information Technologies.

Contact GE Medical Systems Information Technologies for information before connecting any devices to this equipment that are not recommended in this manual.

If the installation of this equipment, in the USA , will use 240 V rather than 120 V, the source must be a center-tapped, 240 V, single-phase circuit.

Parts and accessories used must meet t he requireme nts of t he appli cable IEC 601 series safety standards, and/or the system configuration must meet the requirements of the IEC 601-1-1 medical electrical systems standard.

The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include:



use of the accessory in the PATIENT VICINITY; and



evidence that the safety certification of the ACCESSORY has been performed in accordance to the appropriate IEC 601-1 and/or IEC 601-1-1 harmonized national standard.

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Warnings and Cautions

Introduction: Safety Information

DANGER

Do NOT use in the presence of flammable anesthetics.

M15287-1B

WARNING

This is Class I equipment. The mains plug must be connected to an appropriate power supply.

M15287-5C

CAUTION

To reduce the risk of electric shock, do NOT remove cover (or back). Refer servicing to qualified personnel.

M15287-16A

CAUTION

Federal law restricts this device to sale by or on the order of a physician.

M15287-17A

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Service Information

Service Requirements

Equipment Provided by GE

Refer equipment servicing to GE Medical Systems Information Technologies’ authorized service personnel only. Any unauthorized

attempt to repair equipment under warranty voi ds that warranty. It is the user’s responsibility to report the need for serv ice to Information

Technologies or to one of their authorized agents. Failure on the part of the responsible individual, hospital, or institution

using this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.

Regular maintenance, irrespective of usage, is essential to ensure that the HL7 interface will always be functional when required.

Introduction: Service Information

Equipment Provided by the Customer

The customer is responsible for servicing their own hardware with the software-only option of the HL7 Interface Professional Toolkit.

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Equipment Identification

Every Information Technologies device has a unique serial number for identification. The serial number appears on the product label on the base of each unit

Introduction: Service Information

CDEFGHI

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Table 2. Equipment Identifications

Item Name Description

A name of device HL7 Interface Workstation B manufacturer GE Medical Systems, Inc. C serial number Unique identifier D device characteristics One or two letters that further describe the unit, for example: P = prototype not

E division F = Cardiology G = Monitoring J = GW Labs F product sequence

number G product code Two-character product descriptor TD = HIS H year manufactured 6 = 1996, 7= 1997, 8= 1998, (and so on)

I month manufactured A = January, B = February, C = March, D = April, E = May, F = June, G = July,

Requirements

conforming to marketing specification; R = refurbished equipment; S = special product documented under Specials part numbers; U = upgraded unit

Manufacturing number (of total units manufactured)

H = August, J = September, K = October, L = November, M = December

In order to implement your HL7 interface, you’ll need the following items:



An interface workstation with the HL7 and MUSE CV system software already installed.



A diskette (p/n 421128-001) supplied with your interface workstation that contains sample patient test data (ECG, stress, holter, etc.), or a similar collection of patient tests that can be used to verify the processing of Results transactions.

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Summary

Introduction: Service Information

In order to successfully connect and test your HL7 interface, you’ll need to perform the following steps.



Connect the HL7 interface workstation to the hospital’s network.



Configure the MUSE CV system software on the interface workstation to run as a stand-alone test environment.



Test the HL7 interface while it is running in the te st environment.



Add the interface workstation to the hospital’s MUSE CV system network.



Configure the interface workstation as a MUSE CV system workstation.



Integrate the HL7 interface into the production MUSE CV system.



Verify the HL7 interface is running properly in the pro duction MUSE CV system en v ir o n men t .

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Introduction: Common MUSE CV System Operations

Common MUSE CV System Operations

There are certain operations that you may need to perform repeatedly throughout these instructions. These oper ations are explained in detail below and should be referenced as needed throughout your interface implementation.

Logging Into the MUSE CV System

1. When you turn on or reboot the interface workstation, or the MUSE CV information system, the monitor displays a series of power up self-test messages as the major assemblies and system configuration are being tested.

After the power up self-test is completed, the MUSE CV system Authorization window appears.

Authorization

User ID:

Password:

Site Number:

OK Cancel

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2. Log on to the MUSE CV system from the Authorization window as follows:

User ID:1 Password:MACLINK Site Number:1

127(As you type the password, it does not appear in the box.

Instead, an asterisk (*) appears as you type each character in the password.



Click the OK button.



The Authorization window closes and the MUSE CV system application starts with the Edit List as the opening screen.

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Logging Out of the MUSE CV System

Whenever you are done us in g t he MU SE CV sy st em, you sho uld Exit the system. Note that this will NOT completely shut the computer down, it will simply log you out of the MUSE CV system environment.

Log out of the MUSE CV system as follows:

1. Select System from the menu bar. The System menu will be displayed.

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127(This menu may differ depending on what area of the MUSE

CV system you are using when you select the System menu.

2. Select Exit. When the Authorization window appears, you are logged out and the next user can log into the system.

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Exit to Windows from the MUSE CV System

You can exit the MUSE CV system application and move directly to the Windows environment as follows:

1. From the MUSE CV System Report Editor, choose the System menu and select Exit.

2. From MUSE CV System Setup, choose the System menu and select Exit.

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3. The MUSE CV system is closed a nd you are put directly into the Windows environment.

Enter the MUSE CV System from Windows

To enter the MUSE CV system fro m the Windows environment, double click on the Start MUSE CV icon found on your desktop.

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2 Configure the HL7 Test

Environment

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Configure the HL7 Test Environment: Pre-Configuration Survey

Pre-Configuration Survey

To most accurately test the HL7 interface in a test environment, the MUSE CV system sof tw are on the in te rf ace wo r ks ta tio n mus t be configured to match the configuration of your production MUSE CV system. This will help to identify and resolve any problems with the interface during testing, and should ensure a smooth transition to the production network.

Before you can configure the MUSE CV system software on the interface workstation, you must su rvey the production MUSE CV system for certain information that must be duplicated on the interface workstation. This section outlines the st eps to gather this information.

The information that must be gathered from the MUSE CV system includes locations, site setup information, and users.

Locations

Determine the locations from the production MUSE CV system to be configured on the interface workstation

The MUSE CV system software is capable of storing up to 600 definable “locations” on the MUSE CV system file server. You must survey these locations to determine which of these locations will be utilized in your test data, and then duplicate these locations on the interface workstation.

The easiest way to ident i fy th e Locations on the MUSE CV system file server is to print a list of these locations. The following are instructions to print this list. You may need the assistance of the MUSE CV system administrator.

1. Log into the production MUSE CV system’s file server.

2. From the System menu, select System Setup.

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3. From the Select List menu, select Locations to display the Location window similar to the one below.

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4. With the Locations window open, select Print from the Options menu.

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5. In the Send Report To ... windo w, se lect t he des ired pri nter fro m th e Devices Defined in System Setup pull-down list and click OK.

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6. In the Print Options window, yo u can either select Print All to print a list of all locations on your MUSE CV system’s file server, or selectively print only the locations utilized in your test data. Click OK when you have made your selection.

When printed, this list will be used to determine which locations are needed for testing. The interface workstation must be configured for all locations utilized by your test data. You will need to enter the Location Name and the Location Name Abbreviation when configuring locations on the interface wo rks tation.

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Site Setup Information

While logged into the production MUSE CV system, the configured sites must be surveyed. Access the Site Information window as follows:

1. From the System menu, select System Setup.

2. From the Select List menu, select Sites.

3. The Site Information window is shown below.

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4. Click the Select button to display a list of all sites configured on the production MUSE CV system.

127(In most circumstances there will be only one site configured

on a MUSE CV system.

The interface workstation must be configured for all sites that will be supporting the HL7 interface. Highlight a site on the selection list and click OK to display the Site Information for that site.

5. For each site required for testing, record ALL of the information from this window so that an identical site configuration can be entered on the interface workstation.

It is NOT necessary to configure the Defib Setup information on the interface workstation.

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Users

Configure the HL7 Test Environment: Pre-Configuration Survey

For testing purposes, if a Results/Financial interface option has been purchased, it will be necessary to set up at least one User as an Overreading Physician for the purpose of confirming reports.

1. From the Select List menu, select Users.

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2. In the User window, click the Select button to display the Select User dialog box.

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3. Enter the User Name or User ID Number for a physician with overreading privileges in the Cardio log y department. Click OK to display the setup information for that User.

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4. Record the Last Name, First Name, Job Title and Medicare Provider ID for any users desired for testing purposes. Only one valid User is

required for confirming reports. If the Medicare Provider ID is not displayed in the User window on

the production MUSE CV system, this information can be obtained from the HIS. The Medicare Provider ID is the same as the Physician ID or the Universal Provider ID on the HIS.

This concludes the Pre-Configuration Survey on the production MUSE CV system. To exit the System Setup mode, select Exit from the System menu.

The next step is to configure the interface workstation with the information gathered here.

Before configuration of the interface workstation can begin, you should record the TCP/IP configuration information for the following:



The IP address and li stening port of t he Hospital Informa tion System server to be utilized for testing results



The network location for the HL7 interface workstation



For interfaces receiving inbound messages to the MUSE CV system, the desired listening port value necessary for the HL7 interface to receive messages

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Configure Interface Workstation in a Stand-Alone Test Mode

We’ll begin the implementation of your HL7 interface by connecting the interface workstation to your hospital network in a stand-alone test mode. We will not be connecting the interface workstation to the MUSE CV system at this time. This will allow you to configure and test the HL7 interface in a safe environment without impacting the actual MUSE CV system. Once the interface is working successfully, we’ll then connect it to the production MUSE CV system.

Network Connections

In order for the interface workstation to operate as a stand-alone server on your hospital’s network, we’ll need to configure the node name and TCP/IP address of the interface workst ation.

Summary of Steps

Configure TCP/IP Address

The following steps provide a summary of the tasks involved in moving the interface workstation onto the hospital network. Detailed instructions follow this summary.



Configure the TCP/IP address.



Edit the Windows WIN.INI file.



Connect the interface workstation to the hospital network.



Verify the interface workstation is successfully communicating on the hospital network.

Note that depending on how the MUSE CV system and/or hospital networks are configured, one or two network cards may be required in the interface workstation.

If the MUSE CV system is runni ng on a hos pital en terprise n et work, the interface workstation will contain one network card for communicating with both the HIS and the MUSE CV system’s file server through the hospital network.

If the MUSE CV system runs on its own network, two network cards are required in the interfa ce workstation; one to communicate with the MUSE CV syste m, and one to communicate with the HIS. If this is the case, we will only configure one of these network cards at this time. For testing purposes, we only need to communicate with the HIS. We will configure the second network card to communicate with the MUSE CV system after the testing has been completed and we are ready to “go live” on the production MUSE CV system.

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Configure the TCP/IP address as follows:

1. Access the networking properties for the LAN connection.

2. Select Protocols.

3. Highlight TCP/IP Protocol and select Properties.

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4. You have two choices in this window:

 

5. Make the appropriate selection. If you choose Specify an IP Address, enter the IP Address, Subnet Mask and Default Gateway.

6. Click OK to save your changes and close the Network window.

Physical Connection

The interface workstation is now ready to be physically connected to your hospital network. Make the necessary connections now.

127(We do not want to communicate with the MUSE CV system’s file

After the interface workstation has been connected, shutdown and restart the interface workstation.

Verify Network Communications

Obtain an IP address from a DHCP server Specify an IP address

server at this time. If your system contains two network cards, DO NOT connect the sy st em to t he MUS E CV sy stem pr oduc tio n network at this time.

After configuring the system, you must verify that the interface workstation and the HIS system are communicating on the network.

1. Access the Windows desktop.

2. Open a Command Prompt window.

3. At the prompt, typ e:

ping xxx.xxx.xxx.xxx <Enter>

where xxx.xxx.xxx.xxx is the TCP/IP address of the HIS system server.

4. The system will display a message to inform you if the HIS server has responded.

If you receive a message indicating that the ping attempt has timed out, refer to the Troubleshooting information at the back of this manual.

5. Close the Command Prompt window.

6. Repeat this same procedure from the HIS system to verify that it can communicate with th e in ter f ace wo r ks ta tio n.

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Configure the HL7 Interface on the Interface Workstation

Install using the installation instructions (pn 2006660-055). Use the Professional Toolkit manual to configure your HL7 interface

components.

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Configure MUSE CV System on the Interface Workstation

After the pre-configuration survey is completed and the interface workstation is connected on the network, log into the interface workstation and configure the MUSE CV system software using the information gathered in the pre-configuration survey.

These configuration procedures will include the following:



Site Setup



Locations



Devices



Users



Report Distribution.

Configure Sites for Testing

Before testing can begin, site configuration must be complet ed on the interface workstation. To accurately test the interface, a site configuration must be set up on the interface workstation to match each site on the production MUSE CV system required for testing. Site configuration is accomplished using the information gathered in the PreConfiguration Survey earlier in this manual.

1. Restart the interface workstation. After the power up self-test is completed, the MUSE CV system Authorization window appears.

Authorization

User ID:

Password:

Site Number:

OK Cancel

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2. Log on to the MUSE CV system from the Authorization window as follows:

User ID: 1 Password: MACLINK Site Number: 1

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3. From the System menu, select System Setup.

4. From the Select List menu, select Sites.

5. The Site Information window for Site Number 1 is displayed. Using the information gathered during the Pre-Configuration

Survey, enter the Site Name, Site Name Abbreviation, and Characters in ID for the site to be configured for testing. Click OK to save this Site Information.

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If the ADT, Orders and/or Financial options have been purchased, these options must be configured for each site. Click the HIS Interface Setup button. The Interface Options window is displaye d as sh ow n below . No te that display of some items on this screen is dependent on options purchased. All items shown below may not appear on your screen.

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Completion of this screen is a three-step process:

1. Under the MUSE system supports: heading, ensure that a check box is selected for each interface option purchased for the particular site being configured.

2. Located below the interface option selections are the following four check boxes:

127(To configure these items, refer to the completed “GE Medical

Systems Information Technologies HL7 Interface Pre-Installation Guide.” See “ADT” in the Information Systems Department portio n of the survey.

3. When the check box selections are complete, the following options must be configured as explained on the pages that follow:



HIS Data Management



Patient Classifications



Order Download Setup

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HIS Data Management Setup

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127(This option is not used when the interface is configured to

process only result or financial transactions.

When the HIS Database Management option is installed, a HIS database management task is run daily on the MUSE CV system. This program checks the status of each ADT record in the database against the current patient status. The MUSE CV system site must be configured to indicate how long patient ADT or Order records will be maintained in the MUSE CV system following pa ti ent di scha rge . The si te mus t also be configured to schedule execution of this HIS database management task.

This information was gathered in the “G E Medical Systems Information Technologies HL7 Interface Pre-Installation Guide.” See “Retaining Records” in the Cardiology Department portion of the guide.

Click OK to save your changes and return to the HIS Interface Options setup screen.

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Patient Classifications Setup

If the Patient Classification field is to be used for ADT transactions, or ADT with Orders, the Patient Classifications setup window is used to configure the Inbound Message Text, Displayed Abbreviation and Number of Days to retain [records] after Discharge for each classification.

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This information was gathered in the “G E Medical Systems Information Technologies HL7 Inter face Pre-Installation Guide.” See “ADT” in the

Information Systems Department portion of the guide. Click OK to save your changes and return to the HIS Interface Options

setup screen.

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Order Download Setup

If you have purchased the Order Download option, the Order Download window is used to set the range (in hours) for display of open orders in the List of Open Orders on the MUSE CV system.

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This information was gathered in the “G E Medical Systems Information Technologies HL7 Interface Pre-Installation Guide.” See “Displaying and

Using Information” in the Cardiology Department portion of the guide. Click OK to save your changes and return to the Interface Options setup

screen. Click OK to exit the Interface Options setup screen and return to the Site

Information window.

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Configure Locations for Testing

During the Pre-Configuration Survey (earlier in this manual) you determined which locations must be configured for testing. Those locations will now be configured on the interface workstation.

1. From the main menu bar, select System Setup. If the Locations window does not appear in System Setup, select Locations from the Select List menu.

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2. From the printed list of locations, configure the matching locations by entering the same Location Name and Location Name Abbreviation in the Locations window on the interface workstation. Remember, you only need to set up the locations you’ll be testing. Click OK after each entry.

,03257$17DO NOT enter or change any information in the

Serial Comparison Setup or Data Reduction Setup areas of the Locations window. These fields are not applicable for testing.

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Mapping of MUSE CV System Locations

In the Interface Manager application, the system default is to display HIS locations in lists such as List of Orders and List of Accounts. This is often preferred since there ar e fre que ntly ma ny mo re HIS l o cati ons than MUSE CV system locations. However, the interface can be configured to display MUSE CV system locations in these lists instead, if desired.

127(This option is not used when the interface is configured to

process only result or financial transactions. This option is REQUIRED for ADT to Monitoring and Orders

Interfac e application.

This information was gathered and recorded in the “GE Medical Systems Information Technologies HL7 Interface Pre-Installation Guide.” See “Displaying and Using Information” in the Cardiology Department portion of the guide.

To configure MUSE CV system l ocations, proceed as follows:

1. From the System menu, select System Setup.

2. From the Select List menu, select HIS Locations.

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3. When HIS Locations is selected, the HIS Interface Locations screen is displayed as shown below:

4. To map a HIS location to a MUSE CV system location, enter the HIS Location Abbreviated name and the full HIS Location Name in the appropriate boxes at t he top of the window.

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Choose the desired MUSE CV system location from the MUSE Location Abbreviated pull-down list. The MUSE Location Name will

be filled in automatically as shown in the example below.

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5. Click OK to save your selection.

6. Click Next or Previous to map another location.

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7. Click Select to see a list of loc ations already mapped as shown be low.

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Mapping Monitor Locations

After you have set up the HIS locations, you will need to complete the MUSE Monitor Location Setup for the ADT to monitor interface.

To configure MUSE CV system l ocations, proceed as follows:

1. From the System menu, select System Setup.

2. From the Select List menu, select Monitor Locations.

When Monitor Locations is selected, the Monitor Locations screen is displayed.

127(

The first time you select Monitor Location, the screen will appear blank as shown below. Once information has been populated, the Monitor Locations will display data during future use.

The ADT Monitor Communications option can only retrieve data from the MUSE Site 1 ADT database.

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3. Select the HIS Location Abbreviated pull down menu, which will appear blank as follows.

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4. Use the up arrow button on the list to select an existing HIS location for mapping to the monitor location.

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The Monitor Location Abbreviated is the exact value that is configured on the monitor for care unit name.

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127(

A separate entry is required for each care unit name existing on the monitoring network. When a monitoring request for patient data is made, the monitor location abbreviation is translated to the corresponding HIS location using this table. The lookup key consists of the translated HIS location along with the room and bed, which is used to search f or the patient data in the MUSE ADT database.

This populates the HIS Location field.

5. Enter the corresponding Monitor Location and Abbreviation in the table.

6. Select OK to save your changes.

127(

It is not possible to have more than one monitor location abbreviation map to a single HIS location abbreviation.

Continue Configuring All Monitor Locations

7. Select Next for a new mapping.

8. Use the HIS Location Abbreviated field to select the HIS location and enter the corresponding Monitor Location and Abbreviation.

9. Select OK to save each addition.

10. When monitor location mapping is complete, exit Setup.

11. The Before Proceeding... window is displayed. Select Yes to Save Current Changes?.

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Configure Devices for Testing

The MUSE CV system allows for configuration of additional “devices”. Normally a d evice on the MUSE CV system is either a printer or fax machine. However, for MUSE CV system test results to be formatted in the HL7 format and sent to the HIS, we treat the HIS as a “device.”

Configure the HIS as device type HL7 in MUSE CV system setup:

1. On the interface workstation, log into the MUSE CV system and select System Setup from the System menu.

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2. From the Select List menu, select Devices.

3. The Device setup window is displayed:

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4. Before a device can be configured, a device number must be selected. In the Device setup window, click the Select button to display the Device selection list.

127(It is a common practice to configure device number 100 for

interface devices. Select device 100 (if unassigned), or choose any available device number.

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5. Select a Device number to be configured and click OK to retu rn to th e Device setup window.

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6. After the device number has been selected, enter the following parameters in the Device setup window



Device Name: HIS Results



Device Abbreviation:HIS



Type:HL7



Station:1



Port:COM7



All other values: Use the default values

7. Click on Advanced. In the Additional Device Settings window, enter the following parameters.

TCP/IP Device



Transport Layer: Sockets



Function:Output



All other values: Use the default values

File Copy



Transport Layer: Filecopy



Function:Output



All other values: Use the default values*

Drive Mapping



Transport Layer: Net File Transfer



Function:Output



Xfer Option: Mapped Drive



All other values: Use the default values*

FTP Device



Transport Layer: Net File Transfer



Function:Output



Xfer Option: FTP Client



All other values: Use the default values*

8. When finished, click OK to close the Additional Device Settings window. Click OK to save the settings in the Device setup window.

9. Repeat steps 4 – 8 for a billing device, if applicable.

* These values do not apply to testing the interface workstation.

** These values do not apply to te sting the interface workstation.

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Configure Users for Testing

For testin g results, it will be necessa ry to set up at least one user as an Overreading Physician for the purpose of confirming reports.

1. From the System menu, select System Setup.

2. From the Select List menu, select Users.

3. The window for User: 1 appears:

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4. Click on the Next button to display the screen for User: 2.

5. Enter the Last Name, First Name, and Medicare Provider ID for the overreading physician to be used for testing.

This information was gathered during the “Pre-Configuration Survey” earlier in this manual.

6. Click the Advanced button. The Editor Options screen will be displayed:

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7. In the Options list, select Next Report (F7) Chooses ... In the Choices list, select Always return to Edit List.

Click OK when finis h ed .

8. When returned to the User setup window, click OK, then select Save Changes from the Options menu on the menu bar:

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9. Click OK to save your changes. Click Next to configure another user, if desired. Repeat steps 6 through 8 for all users configured for testing.

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Configure Report Distribution for Testing

The Report Distribution feature allows you to set up automatic printing of reports when they are acquired by the system and when they are confirmed. This system can be used to route the results and financial transactions through the HL7 interface to the HIS, provided that the HL7 interface is defined as a device in the MUSE CV system, and this device is added to the routing configuration for each report type.

Each location separates report distribution activities into four cases:



Normal Unconfirmed



Abnormal Unconfirmed



Normal Confirmed



Abnormal Confirmed

Normal Unconfirmed and Abnormal Unconfirmed reports

Under normal circumstances, unconfirmed reports can be sent to the HIS automatically with Report Distribution entries. However, for testing purposes, these preliminary result messages will be manually generated through the manual “print” function. Automatic distribution of preliminary result messages will not be configured at this time.

Normal Confirmed and Abnormal Confirmed reports

Confirmed reports can be sent to the HIS automatically with Report Distribution entries. The following procedures provide instructions for configuring confirmed reports.

Also, for testing purposes we will only configure Report Distribution for printing from the system’s Default location. Additional locations will be configured when the interfa ce is integrated into the production MUSE CV system after the testing is completed.

Each case contains its own set of actions which determines where reports are sent.

1. From the System menu, select System Setup.

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2. From the Select List menu, select Report Distribution.

3. In the window titled Select Report Distribution to Configure, select Resting ECG and click OK.

14B

15B

4. The window titled: Report Distribution for Location: Default Case: Normal Unconfirmed will be displayed.

Click the Next Case button twice to bypass the windows for the unconfirmed cases and display the window for Case: Normal Confirmed.

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5. Click the Add button to add a new stateme nt to th e Actions port ion of the window.

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6. In the Define an Action... portion of the window, modify the new statement by selecting the following variables from the pull-down lists:



1 copy



Current Record



HL7



HIS Result 1



ASAP

When complete, the new statement should read:

“When you process a report for this case, send 1 copy of the Current Record to HL7 in HIS Result 1, ASAP.”

7. Click OK when co mp l et e.

8. Click the Next Case button. The title at the top of the window should change to Case: Abnormal Confirmed.

9. Repeat steps 5 through 8 for the Abnormal Confirmed case type.

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If the system is configured for batch formatting, which is usually used f or financial transactions of normal/abnormal confirmed reports, click the Previous Case button to display the Normal Confirmed window.

10. Click the Add button to add a new statem ent to the Actions portion of the window.

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11. In the Define an Action... portion of the wi ndow, modify the new statement by selecting the following variables from the pull-down lists:



1 copy



Current Record



HISBIL



HIS Billing 1



Batch

When complete, the new statement should read:

“When you process a report for this case, send 1 copy of the Current Record to HISBIL in HIS Billing 1, to the Batch file.”

12. Click OK when comp l et e.

13. Click the Next Case button. The title at the top of the window should change to Case: Abnormal Confirmed. Repeat step 11.

14. Repeat steps 11 and 12 for all other test types that will be supported by the HL7 financial interface.

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Configuring Additional Sites for Testing

If it has been determined that more than one site must be configured for testing purposes, configure any additional sites as follows:

1. From the System menu, select System Setup.

2. From the Select List menu, select Sites.

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3. The Site Information window for Site Number 1 is displayed.

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4. Click on the Next button. The Site Number changes to Site Number 2, and the Site Name and Site Name Abbreviation fields are emptied.

4-C

5. Enter the new Site Name and Site Name Abbreviation, and click OK.

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6. From the System menu, select Exit.

7. When the Authorization screen appears, log in with the new Site Number, then proceed to step 8.

Authorization

User ID:

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Password:

Site Number:

OK Cancel

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8. It will now be necessary to configure locations, users and report distribution for the new site.

127(It is not necess ary to re-configure d evices for additional sites.

Each device configuration is applicable to all sites.

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3 Testing the HL7

Interface

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For your notes

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Introduction

Test Goals

Testing the HL7 Interface: Introduction

Now that we have configured the MUSE CV system application on the interface workstation as a duplicate of your production MUSE CV system, we can use the interface workstation as a “stand-alone” test environment. This will allow you to test all aspects of the HL7 software in a simulated production environment without affecting or compromising the existing MUSE CV system.

After verifying the HL7 interface is operating correctly in this test environment, we’ll then connect it to the MUSE CV system production network.

To completely exercise your system in the test environment you should test all of the interface options and features purchased for your institution, such as ADT, Orders, Results, and Financial.

In addition, you should test your system under two different conditions: single transaction (functional) tests, and a multiple transaction (load) tests.

Single Transaction Tests

Load Tests

Under the single transaction condition, you will initiate individual transactions and follow them through the test environment to ensure that all functions of the sys te m are work ing prope r ly. Thes e test s shou ld include all transaction types and all available sites and options. All outcomes should arrive in the expected content, format and time frame.

After the functional test is completed, you’ll then perform a load test in which a large volume of transactions will be sent at one time to verify that the HL7 interface is functioning properly in a simulated production environment. The outc omes should be the same as the functional tests, and there should be no significant delays in the processing or transmission of the data.

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TCP/IP Monitor

Testing the HL7 Interface: Introduction

TCP/IP Monitor is an application included in the HL7 Interface program group. This application allows you to view the TCP/IP message activity between the MUSE CV system and your HIS in “real time.” You can monitor one TCP/IP conn ectio n a t a ti me. Eit her an ou tboun d d evi ce or a specific inbound parser can be selected. If you wish to monitor multiple devices, this application may be run multiple times.

1. From the Windows Start menu. Select Programs==>HL7 Interface ==>TCP/IP Monitor. The application requests the device as shown below.

2. Once a device or parser has been identified, the TCP/IP Communications Monitor window is displayed. The current connect status for your selection is displayed in the title bar. The window will present all messages and acknowledgments in “real time.”

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3. To change to a different device or parser, select the Monitored Device menu. Then choose Select MUSE Device.

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Troubleshooting

Test Procedures

Test Sequence

127(For troubleshooting purpo ses, it is reco mmende d that a shortcu t

to this application be added to the desktop.

If errors or problems are encountered during testing, refer to Appendix A-Troubleshooting.

The following is a suggested test plan. It is important to test all aspects of your HL7 interface software. Be sure to create examples of each transaction and event type, and provide data that will test all of the options and features you have purchased.

These tests should be performed for each site configured on the interface workstation.

The recommended sequence for the test procedures is:



Test all ADT transactions that will be supported for each site.



Test all Order transactions that will be supported for each site.



Test all Results transactions that will be supported fo r each site.



Test the ability of the system to successfully recover from any shutdown that may occur during transaction processing.

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Testing the HL7 Interface: Testing ADT Transactions

Testing ADT Transactions

The GE Medical Systems Information Technologies HL7 interface accepts unsolicited messages for ADT transactions from the HIS. These messages must include data for only one patient. When processing ADT transactions, the HL7 interface will respond with an application level acknowledgment. This acknowledgment indicates that the message was received and processed. Once the transaction messages are processed on the MUSE CV system, the entries are stored in th e MUSE CV system databases and MUSE CV system users can access the data.

127(The Information Technologies HL7 interface does not support

batch processing of ADT transaction messages.

To simplify testing and verification of the ADT transaction processing, we will separate the tests into four groups:



Transactions that add patient data



Transactions that change patient data



Transactions that merge patient data



Transactions that delete patient data

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Test Transactions that Add Patient Data

The transactions that add patient data are described in the following table. Refer to the “Functional Description of HIS Interface” (P/N 408542-007) for further explanations of these transactions and their

affects on the various p atient databases.

Table 3. ADT Transactions that Add Patient Data

Types Transaction Results

A01 Admit a Patient A new record is added to the MUSE CV system database A04 Register a Patient A new record is added to the MUSE CV system database A05 Pre-admit a Patient A new record is added to the MUSE CV system database A13 Cancel Discharge A deleted record is reinstated in the MUSE CV system database

These transactions primarily affect patient identification data, and can be verified on the List of Patients and the Patient Information screens.

1. Using the test data, begin by sending a single Admit transaction from the HIS to the interface workstation.

2. To verify succes sful process ing of this transa ction , log i nto the MUSE CV system on the interface workstation.

3. From the System menu, select Interface Manager.

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4. The List of Patients should be displayed as shown below.

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

If the List of Patients screen is currently displayed, proceed to step 6 .



If the List of open orders screen is displayed, perform step 5 to display the List of Patients screen.

5. To display the List of Patients, select Show Patients from the Options menu.

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6. Verify that the patient from your test transaction appears in the List of Patients.

7. To view detailed patient information, choose Show Open Accounts from the Select List menu.

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8. The List of Open Accounts is displayed, showing the account number and classification for this patient..

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127(If Accounts are not su pported on your syst em, the Patie nt ID

number will be used for the account number

9. From the List of Open Accounts screen highlight the desired entry and then click on the View button. The Patient Information and Account Information windows will be displayed as shown below:

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10. Verify that all information from your test transaction is properly displayed in the applicable windows.

11. After verifying that all data for the Admit transaction has been processed correctly, send another transaction that adds patient data and check the List of Patients and the other applicable information screens for successful processing.

12. Continue testing until all the transactions that add patient data supported on this particular site have been tested and verified.

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Test Transactions that Change Patient Data

The transactions that change patient data are described in the following table.

Table 4. ADT Transactions that Change Patient Data

Type Transaction Results

A02 Transfer a Patient The patient record is changed to reflect the new location information. A06 Transfer Outpatient to Inpatient The patient record is changed to reflect the new patient classification. A07 Transfer Inpatient to Outpatient The patient record is changed to reflect the new patient classification. A08 Update Patient Information The patient record is changed to reflect the new information. A12 Cancel Transfer A patient transfer is canceled. The patient record is changed to show the

location prior to the transfer.

A17 Swap Patients Used when two patients will exchange beds. Both patient records are

changed to reflect the location changes.

Test these transactions as follows:

1. If a patient does not exist in the database, begin by admitting a patient.

2. Send a Patient Transfer transaction from the HIS to the interface workstation.

3. Verify that the patient appears on the List of Patients screen.

4. Select Show Open Accounts from the Select List menu. The List of Open Accounts is displayed.

127(If Accounts are not su pported on your syst em, the Patie nt ID

number will be used for the account number.

5. From the List of Open Accounts screen highlight the desired entry and then click on the View button. The Patient Information and Account Information windows will be displayed.

6. Verify that all information from your test transaction is properly changed in these windows.

7. After verifyi ng that all data for the Transfer Patient transaction has been processed correctly, send another of the Transfer or Swap transactions and check the appropriate screens for successful processing.

8. Continue testing until all the “change” transactions supported on this particular site have been tested and verified.

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Test Transactions that Merge Patient Data

The transactions that merge patient data are described in the following table.

Table 5. ADT Transactions that Merge Patient Data

Type Transaction Results

A18 Merge Patient Information Moves all information in the system to a different Patient ID A34 Merge Patient Information

(Patient ID only)

A35 * Merge Patient Information

(Account number only)

A36 * Merge Patient Information

(Patient ID & Account number)

* Only on systems that support account information

Test these transactions as follows:

1. Be sure there are at least two patients in your patient database.

2. Begin by sending a Patient Merge transaction from the HIS to the interface workstation.

3. Verify successful processing of the transaction as outlined in the previous tests.

4. Continue testing until all the transactions that merge patient data supported on this particular site have been tested and verified.

Moves all information in the system to a different Patient ID (same as A18)

Changes all prior patient Account data to new patient Account number

Changes all information for prior Patient ID and Account number to new Patient ID and Account number

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Test Transactions that Delete Patient Data

The transactions that delete patient data are described in the following table.

Table 6. ADT Transactions that Delete Patient Data

Type Transaction Results

A03 Discharge a Patient Patient record (account) status changes from Open to Closed. A11 Cancel Admit Patient record (account) status changes from Open to Closed. A23 Delete a Patient Record Deletes specific patient information.

Test these transactions as follows:

1. If a patient does not exist in the database, begin by admitting a patient.

2. Send a patient discharge transaction from the HIS to the interface workstation for one of the patients that was previously admitted.

3. Verify successful processing of the transaction as outlined in the previous tests.

4. Continue testing until all the transactions that delete patient data have been tested and verified. It may be necessary to re-admit deleted patient records.

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Testing the HL7 Interface: Testing Order Transactions

Testing Order Transac tions

The Information Technologies HL7 interface accepts unsolicited messages for Order transactions from the HIS. These messages must include data for only one patient. When processing Order transactions, the HL7 interface will respond with an application level acknowledgment. This acknowledgment indicates that the message was received and processed. Once the transaction messages are processed on the MUSE CV system, the entries are stored in th e MUSE CV system databases and MUSE CV system users can access the data.

127(The Information Technologies HL7 interface does not support

batch processing of Order transaction messages.

The following order transactions are supported by the HL7 interface:

Table 7. Order Transactions

Type Transaction Results

NW New Order Adds an new order to the database.

CA Cancel Order Request An existing order is cancelled. DC Discontinue Order Request An existing order is discontinued. XO Change Order Request An existing order is changed.

127(Be sure to test order transactions for every test type supported

by your system. These are i denti fi ed in the “G E Me dical Systems Information Technologies HL7 Interface Pre-Installation Guide.”

Test the Order transactions as follows:

1. Using the test data, send a single new order transaction from the HIS to the interface workstation.

2. Verify successful processing of this tra nsaction at the HIS and the MUSE CV system.

3. Log into MUSE CV system on the interface workstation.

4. From the System menu, select Interface Manager. The first window to appear is the List of open orders for the site you entered at the Authorization window.

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The List of open orders is a list of all orders which have been requested but have not yet been processed by the MUSE CV system. A sample List of open orders is shown below.

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At this time, we will be mainly concerned with the View button, and the various screens that it provides access to.

The View button on the List of open orders allows you to look at all the order information and all the patient information for a particular requisition number. Because there may be a large amount of data associated with a given order, the information is presented in five windows:



Order Information



Supplemental Order Information



Patient Information



Account Information



Supplemental Account Information

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When you first choose View, the order information, account information and patient informati on windows are presented. The supplemental information windows may be ope ned by selecting from th e Window menu or by using the buttons along the top of the screen.

ABC

DE F

Table 8. View Button Bar

Item Description

A Select to return to the list of orders. B Select to view Order Information window* C Select to view Supplemental order information window* D Select to view Patient Information window* E Select to view Account Information window* F Select to view S upplemental account information window* G Select for on-line Help.

* All five windows may be opened and closed independently, and may

be positioned anywhere on the screen by clicking and dragging on the title bar of the window.

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Examples of these windows are shown on the following pages.

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Order Information Window

A typical Order Information window is shown in the figure below.

Supplemental Order Information Window

A typical Supplemental Order Information window is shown in the figure below.

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Patient Information Window

A typical Patient Inform ation window is shown in the figure below.

Account Information Window

A typical Account Information window is shown in the figure below.

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086

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Supplemental Account Information Window

A typical Supplemental Account Information window is shown in the figure below.

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5. Verify that all information from your test transaction is properly displayed in these windows.

6. After verifying that all data for the New Order transaction has been processed correctly, send a Change Order transaction for the same requisition and check the various screens to verify that the appropriate data has changed.

7. Follow the same procedures to test the Discontinue Order Request and the Cancel Order Request. Verify that the order has been discontinued or canceled.

8. Continue testing until Order transactions for all test types supported on this particular site have been tested and verified.

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Testing Results Transactions

The purpose of this section is to test the ability of the Information Technologies HL7 interface to successfully process and send preliminary,

final and corrected result messages from the MUSE CV system to the HIS.

Test Data

The system must be tested using input data of known content that will allow for proper evaluation of the expected outcomes. We have supplied the following data for use in this testing:



A diskette (p/n 421128-001) containing a collection of patient test data has been supplied with the interface workstation. This data includes a variety of tests such as ECG, Stress, Holter and Hi-Res. Each patient test on the diskette is identified with a patient name and a sequential patient ID number (1, 2, 3, etc.).



The Sample ADT Test Plan provided in this document provides a sample list of patient dem o graphics. The patient nam e s in this list are the same names used for th e tests supplied on the diskette. You can enter this information into yo ur test environment , or you can use your own existing patient demographics (real or fictitious).

If you use your own existing patient demographics, the Patient Names and Patient ID Numbers on the Information Technologiessupplied patient tests mu st be modified to match your demographic choices.

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Acquisition of Patient Test Data

Before the testing can begin, the patient test data must be acquired into the interface workstation.

The following procedures outline how to acquire data from diskettes using the Data Acquisition window.

1. Choose Acquisition from the System menu.

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127(You don’t need to log into the MUSE CV system application

to access the System menu. The System menu is accessible from the MUSE CV system Authorization wind o w .

2. When you select the Acquisition command in any of the MUSE CV system applications, the Data Acquisition window opens, allowing you to acquire files from a 3-1/2” diskette.

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To prevent deletion of the records from the diskette as they are acquired by the system, be sure you lock the diskette.

This is recommended for the test data diskette, since you may need to acquire this data several times during these test procedures.

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To lock the diskett e, slid e the wri te-pr otect tab so that the s mall h ole through the diskette is exposed as shown below:

Unlocked

Locked

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If the diskette is not locked before acquisition, all records on the diskette will be deleted from the diskette as they are acquired by the MUSE CV system.

3. Insert the diskette and select Diskette in the Data Acquisition window. The Records Transferred message starts counting to indicate how many records are being transferred to the MUSE CV system.

4. Select OK to close the window. Once a cquire d, th e files will appear in the MUSE CV system Edit List.

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Test Procedures

Testing the HL7 Interface: Testing Results Transactions

The test procedures for result transactions are divided into five separate sets of instructions:



Systems with no inbound-to-MUSE CV system interface (such as ADT or orders)



Systems with an inbound-to-MUSE CV system interface supporting ADT transactions only



Systems supporting ADT and order transactions only



Systems supporting ADT transactions with account information only



Systems supporting ADT transactions with account information and orders

Proceed to the instructions applicable to your system.

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Testing Result Transactions on Systems With No Inbound Message Interface

These procedures are for testing result messages on systems that have no inbound-to-MUSE CV system interface. On these systems the HIS does not send ADT or Order messages to the MUSE CV system.

We will begin testing Result Messages by sending preliminary (unconfirmed) result messages to the HIS. This will be followed by sending final (confirmed) result messages to the HIS. If you will not be sending preliminary result messages, proceed to the section for sending final (confirmed) result messages.

Sending Preliminary Result Messages

Preliminary (unconfirmed) result messages are normally generated automatically when the patient tests are acquired into the MUSE CV system. For the purposes of testing, this automatic process will be simulated by manually “printing” the unconfirmed report to the HL7 device. To manually print a report to the HL7 device, proceed as follows:

Display the Edit List

After the appropriat e patient tests have been acquired, the tests will appear in the Edit List. This will be the starting point for all message generation procedures. Display the Edit List as follows:

1. Log into the MUSE CV system on the interface workstation. See

“Logging Into the MUSE CV System” on page 1-11.

2. The Edit List should be displayed when MUSE CV system starts. If the Edit List is not displayed, select Edit/Retrieve from the System menu.

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A typical Edit List screen is shown below.

23B

Since there is no ADT interface, it is not required that the Patient Names and Patient ID Numbers for the sample tests in the Edit List

match the patient demographics on the HIS for successful result testing. However, for consistency, it may be desire d th a t th e nam e s on these tests match your test data.



If the Patient Names and Patient ID Numbers in the Edit List already match the test demographi cs on the HIS, or if th ere is no requirement for these names to match, proceed to step 8 .



If the Patient Names and PatientID Numbers in the Edit List DO NOT match the test demographics on the HI S, and you would like to change Patient Names and Patient ID Numbers in the Edit List proceed as follows:

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Update Patient Demographics (optional)

3. Highlight a test in the Edit List and click on the Edit button at the lower left corner of the Edit List window.

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4. The ECG Report window is displayed, along with the Select Overreader window.

The name displayed in the window is the currently selected overreader. This name must match the name of the physician that was set up on the interfa ce workstation as a user with overreading privileges.

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Enter the Number or Name of an appropriate overreader. You can also Search for an available Overreader on the system. Click OK when finished. The Select Overreader window closes.

5. When you are returned to the ECG Report window, click on the Patient ID box. A dialog box will be displayed. Enter the appropriate patient ID number in the box and click OK.

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6. When returned to the ECG Report window, click on the box displaying the Patient Name. A dialog box will be displayed. Enter the appropriate pa tient name in the Entered Name box.

7. When the Patient Name and Patient ID Number have been updated in the ECG Report window, select Update in Edit List from the Options menu in the menu bar:

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Generate the Preliminary Report

8. When the Edit List is displayed, highlight the appropriate test and click on the Print button at the lower left corner of the Edit Li st window.

23B

9. When the Send Report To... window is displayed, select the HL7 device from the pull-do wn list of Devices Defined in System Setup and click OK. The report will be sent through the HL7 interface to the HIS.

94B

10. Verify that all data has arrived at the HIS in the expected format.

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Sending Final Result Messages

When sending final (conf irmed) results to the HIS, there a re two possi ble scenarios:



A preliminary (unconfirmed) result message has already been generated for this test



No preliminary (unconfirmed) result message was generated for this test

If a preliminary (unconfirmed) result message has already been generated for this test, proceed as fo llows:



Select the test in the Edit List and click on the Confirm button at the bottom of the Edit List screen. Then “Print” the test to the HL7 device defined in System Setup.



Verify that all data has arrived at the HIS in the expected format.

If no preliminary (unconfirmed) result message was generated for this test, and no change of Patient Name or Patient ID Number is required, proceed as follows:

1. Perform steps 1 through 7 in the procedures for sending preliminary (unconfirmed) result messages.

2. When the Patient Names and Patient ID Number have been updated in the ECG Report window, select Confirm and Print from the Options menu in the menu bar:

3. Verify that all data has arrived at the HIS in the expected format.

Sending Corrected Result Messages

This procedur e tests the ability of the system to successfully process and send the corrected version of a previously-confirmed report.

1. Log into the MUSE CV system on the interface workstation. See

“Logging Into the MUSE CV System” on page 1-11 in Chapter 1.

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2. The Edit List should be displ ayed when the MUSE C V sys tem st arts . If the Edit List is not displayed, select Edit/Retrieve from the System menu.

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The Edit List screen is shown below.

3. Select Retrieval from the Select Report menu on the menu bar.

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4. The Retrieval window is displayed:

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5. You can retrieve a test by Patient ID, Patient Name or Test Date (in day, month, year format). Enter the appropriate information and click OK. The Test Directory window is displayed:

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6. In the box t itled St ored Information fo r <Patient Name> is a list of all tests for that patient. Highlight the appropriate test and click on the Edit button. The ECG Report window will be displayed:

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7. Edit the test information as necessary. When finished editing, select Confirm and Print from the Options menu on the menu bar.

8. Verify that all data from the corrected report appears at the HIS in the expected format.

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Testing Result Transactions on Systems Supporting ADT Only

These procedures are for testing result messages on systems that have an inbound-to-MUSE CV system interface supporting ADT transactions only. The HIS does not support Account information or send Orders to the MUSE CV system.

Sending Preliminary Result Messages

Display the Edit List

1. Log into the MUSE CV system on the interface workstation. See

“Logging Into the MUSE CV System” on page 1-11 in Chapter 1.

2. The Edit List should be displ ayed when the MUSE C V sys tem st arts . If the Edit List is not displayed, select Edit/Retrieve from the System menu.

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A typical Edit List screen is shown below.

3. Before sending the result transaction to the HIS, the Patient Names and Patient ID Numbers on the sample tests in the Edit List must match the test demographics on the HIS.

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

If the Patient Names and Patient ID Numbers on the sample tests already match the test demographi cs on the HIS, pro ceed t o step 10 .



If the Patient Names and Patient ID Numbers on the sample tests DO NOT match the test demographics on the HIS, proceed as follows:

4. Highlight a test in the Edit List and click on the Edit button at the lower left corner of the Edit List window.

5. The ECG Report window is displayed, along with the Select Overreader window.

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The name displayed in the window is the currently selected overreader. This name must match the name of the physician that

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was set up on the interfa ce workstation as a user with overreading privileges.

Enter the Number or Name of an appropriate overreader. You can also Search for an available Overreader on the system. Click OK when finished. The Select Overreader window closes.

6. When you are returned to the ECG Report window, click on the Patient ID box. A dialog box will be displayed. Enter the appropriate patient ID number in the box and click OK.

An error message may be displayed indicating th at a n ame mism atch exists due to the ID number change.

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Click OK and proceed to the next step.

7. When returned to the ECG Report window, note the PID/Name Mismatch indication.

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8. Click on the box disp laying the patient name. A dialog box will be displayed as shown:

9. Click on the Admitting Name button. You will be returned to the ECG Report window. Note that the PID/Name Mismatch indication has cleared.

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10. When the Patient Names and Patient ID Number have been updated in the ECG Report window, select Update in Edit List from the Options menu:

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11. Send the report to the HIS as follows: When the Edit List is displayed, highlight the appropriate test and

click on the Print button at the lower left corner of the Edit Li st window.

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12. When the Send Report To... window is displayed, select the HL7 device from the pull-do wn list of Devices Defined in System Setup and click OK. The report will be sent through the HL7 interface to the HIS.

13. Verify that all data has arrived at the HIS in the expected format.

Sending Final Result Messages

When sending final (conf irmed) results to the HIS, there a re two possi ble scenarios:



A preliminary (unconfirmed) result message has already been generated for this test



No preliminary (unconfirmed) result message was generated for this test

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If a preliminary (unconfirmed) result message has already been generated for this test, proceed as fo llows:



Select the test in the Edit List and click on the Confirm button at the bottom of the Edit List screen. Then “Print” the test to the HL7 device defined in System Setup.



Verify that all data has arrived at the HIS in the expected format.

If no preliminary (unconfirmed) result message was generated for this test, proceed as follows:

1. Perform steps 1 through 9 in the procedures for sending preliminary (unconfirmed) result messages.

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2. After the appropriate account number or order number has been matched to the patient test in the ECG Rep ort window, select Confirm and Print from the Options menu in the menu bar:

3. Verify that all data has arrived at the HIS in the expected format.

Sending Corrected Result Messages

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This procedur e tests the ability of the system to successfully process and send the corrected version of a previously-confirmed report.

1. Log into the MUSE CV system on the interface workstation. See

“Logging Into the MUSE CV System” on page 1-11 in Chapter 1.

2. The Edit List should be displayed when MUSE CV system starts. If the Edit List is not displayed, select Edit/Retrieve from the System menu.

The Edit List screen is shown below.

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3. Select Retrieval from the Select Report menu on the menu bar.

4. The Retrieval window is displayed:

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5. You can retrieve a test by Patient ID, Patient Name or Test Date (in day, month, year format). Enter the appropriate information and click OK. The Test Directory window is displayed:

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7. Edit the test information as necessary. When finished editing, select Confirm and Print from the Options menu on the menu bar.

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8. Verify that all data from the corrected report appears at the HIS in the expected format.

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Testing Result Transactions on Systems Supporting ADT with Accounts

These procedures are for testing result messages on systems that have an inbound-to-MUSE CV system interface supporting ADT with Accounts only (no Order support).

Sending Preliminary Result Messages

Display the Edit List

1. Log into the MUSE CV system on the interface workstation. See

“Logging Into the MUSE CV System” on page 1-11 in Chapter 1.

2. The Edit List should be displayed when MUSE CV system starts. If the Edit List is not displayed, select Edit/Retrieve from the System menu.

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General Electric HL7 INTERFACE TEST PLAN_INTEGRATION MANUAL V5E_SM_2020285-028_A 250 Ultrasound Operator's Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Trademarks

1 Introduction

Manual Informatio n

Revision History

Manual Purpose

Chapter Contents

1 Introduction

2 Configure the HL7 Test Environment

3 Testing the HL7 Interface

4 Configure the HL7 Production Environment

Appendix A—Troubleshooting

Appendix B—Test Data Samples

Related Manuals

Conventions

Safety Messages

Definitions

Safety Information

Responsibility of the Manuf acturer

General

Warnings and Cautions

Service Information

Service Requirements

Equipment Provided by GE

Equipment Provided by the Customer

Equipment Identification

Requirements

Summary

Common MUSE CV System Operations

Exit to Windows from the MUSE CV System

Enter the MUSE CV System from Windows

Pre-Configuration Survey

Locations

Site Setup Information

Users

Configure Interface Workstation in a Stand-Alone Test Mode

Network Connections

Summary of Steps

Configure TCP/IP Address

Physical Connection

Verify Network Communications

Configure the HL7 Interface on the Interface Workstation

Configure MUSE CV System on the Interface Workstation

Configure Sites for Testing

HIS Data Management Setup

Patient Classifications Setup

Order Download Setup

Configure Locations for Testing

Mapping of MUSE CV System Locations

Mapping Monitor Locations

Configure Devices for Testing

Configure Users for Testing

Configure Report Distribution for Testing

Normal Unconfirmed and Abnormal Unconfirmed reports

Normal Confirmed and Abnormal Confirmed reports

Configuring Additional Sites for Testing

Introduction

Test Goals

Single Transaction Tests

Load Tests

TCP/IP Monitor

Troubleshooting

Test Procedures

Test Sequence

Testing ADT Transactions

Test Transactions that Add Patient Data

Test Transactions that Change Patient Data

Test Transactions that Merge Patient Data

Test Transactions that Delete Patient Data

Testing Order Transac tions

Order Information Window

Supplemental Order Information Window

Patient Information Window

Account Information Window

Supplemental Account Information Window

Testing Results Transactions

Test Data