General Electric MACIT_HISEMR_INTERFACE_REF_MANUAL_SM_2069773-002_B EMR Interface Reference Manual Software Version 1.0 2069773-002 Revision B

GEHealthcare

OptimaEMSECGManagementSystem
HIS/EMRInterfaceReferenceManual

SoftwareVersion1.0
2069773-002RevisionB

OptiamEMS
English
©2012GeneralElectricCompany.
AllRightsReserved.

PublicationInformation

TheinformationinthismanualappliesonlytoOptimaEMSECGManagementSystemVersion1.0.Itdoesnotapplytoearlierproduct
versions.Duetocontinuingproductinnovation,specicationsinthismanualaresubjecttochangewithoutnotice.

MUSEandMACaretrademarksownedbyGEMedicalSystemsInformationTechnologies,Inc.,aGeneralElectricCompanygoingtomarket
asGEHealthcare.Allothertrademarkscontainedhereinarethepropertyoftheirrespectiveowners.

Thedocumentpartnumberandrevisionappearatthebottomofeachpage.Therevisionidentiesthedocument’supdatelevel.The
revisionhistoryofthisdocumentissummarizedinthefollowingtable.

Revision

A

B

ToaccessotherGEHealthcaremanuals,gototheCommonDocumentationLibrary(CDL),locatedathttp://www.gehealthcare.com/usen/

service/biomed_tech_selfservice/services_user_doc/products/support.htmlandclickCardiology.

ToaccessOriginalEquipmentManufacturer(OEM)manuals,gotothedevicemanufacturer'sWebsite.

Date

1November2012InitialRelease

10December2012Initialreleaseforcustomer

Comments

ServiceManualLanguageInformation

WARNING
(EN)

ПРЕДУПРЕЖДЕНИЕ
(BG)

警告

ZH-CN

警告

(ZH-TW)

ThisservicemanualisavailableinEnglishonly.

•Ifacustomer'sserviceproviderrequiresalanguageotherthanEnglish,itisthecustomer's

responsibilitytoprovidetranslationservices.

•Donotattempttoservicetheequipmentunlessthisservicemanualhasbeenconsulted

andisunderstood.

•Failuretoheedthiswarningmayresultininjurytotheserviceprovider,operator ,orpatient,

fromelectricshock,mechanicalorotherhazards.

Товаупътванезаработаеналичносамонаанглийскиезик.

•Акодоставчикътнауслугатанаклиентаизискадругезик,задължениенаклиентае

даосигурипревод.

•Неизползвайтеоборудването,предидастесеконсултиралииразбралиупътването

заработа.

•Неспазванетонатовапредупреждениеможедадоведедонараняваненадоставчика

науслугата,оператораилипациентврезултатнатоковударилимеханичнаили
другаопасност.

本维修手册仅提供英文版本。

•如果维修服务提供商需要非英文版本，客户需自行提供翻译服务。

•未详细阅读和完全理解本维修手册之前，不得进行维修。

•忽略本警告可能对维修人员，操作员或患者造成触电、机械伤害或其他形式的伤害。

本維修手冊只提供英文版。

•如果客戶的維修人員有英語以外的其他語言版本需求，則由該客戶負責提供翻

譯服務。

•除非您已詳閱本維修手冊並了解其內容，否則切勿嘗試對本設備進行維修。

•不重視本警告可能導致維修人員、操作人員或病患因電擊、機械因素或其他因素

而受到傷害。

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ServiceManualLanguageInformation(cont'd.)

UPOZORENJE
(HR)

VAROVÁNÍ
(CS)

ADVARSEL
(DA)

WAARSCHUWING
(NL)

HOIATUS
(ET)

VAROITUS
(FI)

Oveuputezaservisiranjedostupnesusamonaengleskomjeziku.

•Ukolikokorisničkiserviszahtijevanekidrugijezik,korisnikovajeodgovornostosigurati

odgovarajućiprijevod.

•Nemojtepokušavatiservisiratiopremuukolikonistekonzultiraliirazumjelioveupute.

•Nepoštivanjeovogupozorenjamožerezultiratiozljedamaservisnogosoblja,korisnikaili

pacijentaprouzročenimelektričnimudaromtemehaničkimilinekimdrugimopasnostima.

Tentoprovoznínávodexistujepouzevanglickémjazyce.

•Vpřípadě,žeexterníslužbazákazníkůmpotřebujenávodvjinémjazyce,jezajištění

překladudoodpovídajícíhojazykaúkolemzákazníka.

•Nesnažteseoúdržbutohotozařízení,anižbystesipřečetlitentoprovoznínávoda

pochopilijehoobsah.

•Vpřípaděnedodržovánítétovarovánímůžedojítkporaněnípracovníkaprodejního

servisu,obslužnéhopersonálunebopacientůvlivemelektrickéhoproudu,respektive
vlivemmechanickýchčijinýchrizik.

Denneservicemanualndeskunpåengelsk.

•Hvisenkundesteknikerharbrugforetandetsprogendengelsk,erdetkundensansvar

atsørgeforoversættelse.

•Forsøgikkeatservicereudstyretmedmindredenneservicemanualharværetkonsulteret

ogerforstået.

•Manglendeoverholdelseafdenneadvarselkanmedføreskadepågrundafelektrisk,

mekaniskellerandenfareforteknikeren,operatørenellerpatienten.

DezeservicemanualisalleeninhetEngelsverkrijgbaar.

•Indienhetonderhoudspersoneeleenanderetaalnodigheeft,danisdeklant

verantwoordelijkvoordevertalingervan.

•Probeerdeapparatuurnietteonderhoudenvoordatdezeservicemanualgeraadpleegd

enbegrepenis.

•Indiendezewaarschuwingnietwordtopgevolgd,zouhetonderhoudspersoneel,de

gebruikerofeenpatiëntgewondkunnenrakenalsgevolgvaneenelektrischeschok,
mechanischeofanderegevaren.

Käesolevteenindusjuhendonsaadavalainultinglisekeeles.

•Kuiklienditeeninduseosutajanõuabjuhenditinglisekeelesterinevaskeeles,vastutab

klienttõlketeenuseosutamiseeest.

•Ärgeüritageseadmeidteenindadaenneeelnevaltkäesolevateenindusjuhendiga

tutvumistjasellestarusaamist.

•Käesolevahoiatuseeiraminevõibpõhjustadateenuseosutaja,operaatorivõipatsiendi

vigastamistelektrilöögi,mehaanilisevõimuuohutagajärjel.

Tämähuolto-ohjeonsaatavillavainenglanniksi.

•Josasiakkaanhuoltohenkilöstövaatiimuutakuinenglanninkielistämateriaalia,tarvittavan

käännöksenhankkiminenonasiakkaanvastuulla.

•Äläyritäkorjatalaitteistoaennenkuinoletvarmastilukenutjaymmärtänyttämän

huolto-ohjeen.

•Mikälitätävaroitustaeinoudateta,seurauksenavoiollahuoltohenkilöstön,laitteiston

käyttäjäntaipotilaanvahingoittuminensähköiskun,mekaanisenviantaimuun
vaaratilanteenvuoksi.

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ServiceManualLanguageInformation(cont'd.)

ATTENTION
(FR)

WARNUNG
(DE)

ΠΡΟΕΙΔΟΠΟΙΗΣΗ
(GR)

FIGYELMEZTETÉS
(HU)

AÐVÖRUN
(IS)

PERINGATAN
(ID)

Cemanueltechniquen'estdisponiblequ'enanglais.

•Siunservicetechniqueclientsouhaiteobtenircemanueldansuneautrelangueque

l'anglais,ildevraprendreenchargelatraductionetlaresponsabilitéducontenu.

•Nepastenterd'intervenirsurleséquipementstantquelemanueltechniquen'apasété

consultéetcompris.

•Lenon-respectdecetavertissementpeutentraînerchezletechnicien,l'opérateuroule

patientdesblessuresduesàdesdangersélectriques,mécaniquesouautres.

DieseServiceanleitungistnurinenglischerSpracheverfügbar .

•FallsderKundendiensteineandereSprachebenötigt,musserfüreineentsprechende

Übersetzungsorgen.

•KeineWartungdurchführen,ohnedieseServiceanleitunggelesenundverstandenzu

haben.

•BeiZuwiderhandlungkanneszuVerletzungendesKundendiensttechnikers,des

AnwendersoderdesPatientendurchStromschläge,mechanischeodersonstigeGefahren
kommen.

Τοπαρόνεγχειρίδιοσέρβιςδιατίθεταιστααγγλικάμόνο.

•Εάντοάτομοπαροχήςσέρβιςενόςπελάτηαπαιτείτοπαρόνεγχειρίδιοσεγλώσσαεκτός

τωναγγλικών,αποτελείευθύνητουπελάτηναπαρέχειυπηρεσίεςμετάφρασης.

•Μηνεπιχειρήσετετηνεκτέλεσηεργασιώνσέρβιςστονεξοπλισμόεκτόςεάνέχετε

συμβουλευτείκαιέχετεκατανοήσειτοπαρόνεγχειρίδιοσέρβις.

•Εάνδενλάβετευπόψητηνπροειδοποίησηαυτή,ενδέχεταιναπροκληθείτραυματισμός

στοάτομοπαροχήςσέρβις,στοχειριστήήστονασθενήαπόηλεκτροπληξία,μηχανικούς
ήάλλουςκινδύνους.

Ezaszervizkézikönyvkizárólagangolnyelvenérhetőel.

•Haavevőszervizellátójaangoltóleltérőnyelvretartigényt,akkoravevőfelelőssége

afordításelkészíttetése.

•Nepróbáljaelkezdenihasználniaberendezést,amígaszervizkézikönyvbenleírtakat

nemértelmeztékésértettékmeg.

•Ezengyelmeztetésgyelmenkívülhagyásaaszervizellátó,aműködtetővagyapáciens

áramütés,mechanikaivagyegyébveszélyhelyzetmiattisérüléséteredményezheti.

Þessiþjónustuhandbókereingöngufáanlegáensku.

•Efaðþjónustuveitandiviðskiptamannsþarfnastannarstungumálsenensku,erþaðskylda

viðskiptamannsaðskaffatungumálaþjónustu.

•Reyniðekkiaðafgreiðatækiðnemaþessiþjónustuhandbókhefurveriðskoðuðogskilin.

•Brotáaðsinnaþessariaðvörungeturleitttilmeiðslaáþjónustuveitanda,stjórnandaeða

sjúklingifráraosti,vélrænumeðaöðrumáhættum.

ManualservisinihanyatersediadalambahasaInggris.

•JikapenyediajasaservispelangganmemerlukanbahasalainselaindariBahasaInggris,

merupakantanggungjawabdaripenyediajasaservistersebutuntukmenyediakan
terjemahannya.

•Janganmencobamelakukanservisterhadapperlengkapankecualitelahmembacadan

memahamimanualservisini.

•Mengabaikanperingataninibisamengakibatkancederapadapenyediaservis,operator,

ataupasien,karenaterkenakejutlistrik,bahayamekanisataubahayalainnya.

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ServiceManualLanguageInformation(cont'd.)

AVVERTENZA
(IT)

警告

(JA)

경고

(KO)

BRĪDINĀJUMS
(LV)

ĮSPĖJIMAS
(LT)

ADVARSEL
(NO)

IlpresentemanualedimanutenzioneèdisponibilesoltantoinInglese.

•Seunaddettoallamanutenzionerichiedeilmanualeinunalinguadiversa,ilclienteè

tenutoaprovvederedirettamenteallatraduzione.

•Siprocedaallamanutenzionedell'apparecchiaturasolodopoaverconsultatoilpresente

manualeedavernecompresoilcontenuto.

•Ilnonrispettodellapresenteavvertenzapotrebbefarcompiereoperazionidacuiderivino

lesioniall'addetto,allamanutenzione,all'utilizzatoreedalpazienteperfolgorazione
elettrica,perurtimeccaniciodaltririschi.

このサービスマニュアルは英語版しかありません。

•サービスを担当される業者が英語以外の言語を要求される場合、翻訳作業はその業

者の責任で行うものとさせていただきます。

•このサービスマニュアルを熟読し、十分に理解をした上で装置のサービスを

行ってください。

•この警告に従わない場合、サービスを担当される方、操作員あるいは患者が、感電

や機械的又はその他の危険により負傷する可能性があります。

본서비스지침서는영어로만이용하실수있습니다.

•고객의서비스제공자가영어이외의언어를요구할경우,번역서비스를제공하는것

은고객의책임입니다.

•본서비스지침서를참고했고이해하지않는한은해당장비를수리하려고시도하

지마십시오.

•이경고에유의하지않으면전기쇼크,기계상의혹은다른위험으로부터서비스제

공자,운영자혹은환자에게위해를가할수있습니다.

Šīapkalpotājurokasgrāmatairpieejamatikaiangļuvalodā.

•Jaapkalpošanassniedzējamnepieciešamainformācijacitā,nevisangļu,valodā,klienta

pienākumsirnodrošināttāstulkošanu.

•Neveicietaprīkojumaapkopi,neizlasotunnesaprototapkalpotājurokasgrāmatu.

•Šībrīdinājumaneievērošanavarradītelektriskāsstrāvastrieciena,mehāniskuvaiciturisku

izraisītutraumuapkopessniedzējam,operatoramvaipacientam.

Šiseksploatavimovadovasyraprieinamastikanglųkalba.

•Jeiklientopaslaugųtiekėjasreikalaujavadovokitakalba-neanglų,numatytivertimo

paslaugasyraklientoatsakomybė.

•Nemėginkiteatliktiįrangostechninėspriežiūros,nebentatsižvelgėteįšįeksploatavimo

vadovąirjįsupratote.

•Jeineatkreipsitedėmesioįšįperspėjimą,galimisužalojimaidėlelektrosšoko,mechaninių

arkitųpaslaugųtiekėjui,operatoriuiarpacientui.

Denneservicehåndbokennnesbarepåengelsk.

•Hviskundensserviceleverandørtrengeretannetspråk,erdetkundensansvaråsørge

foroversettelse.

•Ikkeforsøkåreparereutstyretutenatdenneservicehåndbokenerlestogforstått.

•Manglendehensyntildenneadvarselenkanføretilatserviceleverandøren,operatøren

ellerpasientenskadespågrunnavelektriskstøt,mekaniskeellerandrefarer .

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ServiceManualLanguageInformation(cont'd.)

OSTRZEŻENIE
(PL)

Niniejszypodręcznikserwisowydostępnyjestjedyniewjęzykuangielskim.

•Jeślidostawcausługklientawymagajęzykainnegoniżangielski,zapewnienieusługi

tłumaczeniajestobowiązkiemklienta.

•Nienależyserwisowaćwyposażeniabezzapoznaniasięizrozumienianiniejszego

podręcznikaserwisowego.

•Niezastosowaniesiędotegoostrzeżeniamożespowodowaćurazydostawcyusług,

operatoralubpacjentawwynikuporażeniaelektrycznego,zagrożeniamechanicznego
bądźinnego.

AVISO
(PT-BR)

Estemanualdeassistênciatécnicasóseencontradisponíveleminglês.

•SeoserviçodeassistênciatécnicadoclientenãoforGE,eprecisardeoutroidioma,será

daresponsabilidadedoclientefornecerosserviçosdetradução.

•Nãotenterepararoequipamentosemterconsultadoecompreendidoestemanualde

assistênciatécnica.

•Onãocumprimentodesteavisopodeporemperigoasegurançadotécnico,operadorou

pacientedevidoachoqueselétricos,mecânicosououtros.

AVISO
(PT-PT)

Estemanualtécnicosóseencontradisponíveleminglês.

•Seaassistênciatécnicadoclientesolicitarestesmanuaisnoutroidioma,éda

responsabilidadedoclientefornecerosserviçosdetradução.

•Nãotenterepararoequipamentosemterconsultadoecompreendidoestemanual

técnico.

•Onãocumprimentodesteavisopodeprovocarlesõesaotécnico,aoutilizadorouao

pacientedevidoachoqueseléctricos,mecânicosououtros.

AVERTISMENT
(RO)

Acestmanualdeserviceestedisponibilnumaiînlimbaengleză.

•Dacăunfurnizordeserviciipentruclienţinecesităoaltălimbădecâtceaengleză,estede

datoriaclientuluisăfurnizezeotraducere.

•Nuîncercaţisăreparaţiechipamentuldecâtulteriorconsultăriişiînţelegeriiacestui

manualdeservice.

•Ignorareaacestuiavertismentarputeaducelarănireadepanatorului,operatoruluisau

pacientuluiînurmapericolelordeelectrocutare,mecanicesaudealtănatură.

ПРЕДУПРЕЖДЕНИЕ
(RU)

Настоящееруководствопообслуживаниюпредлагаетсятольконаанглийскомязыке.

•Еслисервисномуперсоналуклиентанеобходиморуководствоненаанглийском,ана

каком-тодругомязыке,клиентуследуетобеспечитьпереводсамостоятельно.

•Преждечемприступатькобслуживаниюоборудования,обязательнообратитеськ

настоящемуруководствуивнимательноизучитеизложенныевнемсведения.

•Несоблюдениетребованийданногопредупрежденияможетпривестиктому,что

специалистыпообслуживанию,операторыилипациентыполучатударэлектрическим
током,механическуютравмуилидругоеповреждение.

UPOZORENJE
(SR)

Ovoservisnouputstvojedostupnosamonaengleskomjeziku.

•Akoklijentovserviserzahtevanekidrugijezik,klijentjedužandaobezbediprevodilačke

usluge.

•Nepokušavajtedaopraviteuređajakonistepročitaliirazumeliovoservisnouputstvo.

•Zanemarivanjeovogupozorenjamožedovestidopovređivanjaservisera,rukovaocaili

pacijentausledstrujnogudara,ilimehaničkihidrugihopasnosti.

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VAROVANIE
(SK)

OPOZORILO
(SL)

ADVERTENCIA
(ES)

VARNING
(SV)

UYARI
(TR)

Tentonávodnaobsluhujekdispozíciilenvangličtine.

•Akzákazníkovposkytovateľslužiebvyžadujeinýjazykakoangličtinu,poskytnutie

prekladateľskýchslužiebjezodpovednosťouzákazníka.

•Nepokúšajtesaoobsluhuzariadeniaskôr,akosineprečítatenávodnaobsluhua

neporozumietemu.

•Zanedbanietohtovarovaniamôževyústiťdozraneniaposkytovateľaslužieb,obsluhujúcej

osobyalebopacientaelektrickýmprúdom,mechanickýmaleboinýmnebezpečenstvom.

Taservisnipriročnikjenavoljosamovangleškemjeziku.

•Čeponudnikstoritvestrankepotrebujepriročnikvdrugemjeziku,morastrankazagotoviti

prevod.

•Neposkušajteservisiratiopreme,četegapriročnikanistevcelotiprebraliinrazumeli.

•Četegaopozorilaneupoštevate,selahkozaradielektričnegaudara,mehanskihalidrugih

nevarnostipoškodujeponudnikstoritev,operateralibolnik.

Estemanualdeserviciosóloexisteeninglés.

•Sielencargadodemantenimientodeunclientenecesitaunidiomaquenoseaelinglés,el

clientedeberáencargarsedelatraduccióndelmanual.

•Nosedeberádarserviciotécnicoalequipo,sinhaberconsultadoycomprendidoeste

manualdeservicio.

•Lanoobservanciadelpresenteavisopuededarlugaraqueelproveedordeservicios,el

operadoroelpacientesufranlesionesprovocadasporcausaseléctricas,mecánicaso
deotranaturaleza.

Denhärservicehandbokennnsbaratillgängligpåengelska.

•Omenkundsserviceteknikerharbehovavettannatspråkänengelskaansvararkunden

föratttillhandahållaöversättningstjänster.

•Försökinteutföraservicepåutrustningenomduinteharlästochförstårdenhär

servicehandboken.

•Omduintetarhänsyntilldenhärvarningenkandetresulteraiskadorpåserviceteknikern,

operatörenellerpatiententillföljdavelektriskastötar,mekaniskafarorellerandrafaror.

Buserviskılavuzununsadeceİngilizcesimevcuttur .

•Eğermüşteriteknisyenibukılavuzuİngilizcedışındabirbaşkalisandantalepederse,bunu

tercümeettirmekmüşteriyedüşer.

•Serviskılavuzunuokuyupanlamadanekipmanlaramüdahaleetmeyiniz.

•Buuyarıyauyulmaması,elektrik,mekanikveyadiğertehlikelerdendolayıteknisyen,

operatörveyahastanınyaralanmasınayolaçabilir.

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ЗАСТЕРЕЖЕННЯ
(UK)

CẢNHBÁO
(VI)

Данекерівництвозсервісногообслуговуванняпостачаєтьсявиключноанглійськоюмовою.

•Якщосервіснийінженерпотребуєкерівництвоіншоюмовою,користувачзобов'язаний

забезпечитипослугиперекладача.

•Ненамагайтесяздійснюватитехнічнеобслуговуванняданогообладнання,якщо

винечитали,абонезрозумілиінформацію,наданувкерівництвізсервісного
обслуговування.

•Недотриманняцьогозастереженняможепризвестидотравмуваннясервісного

інженера,користувачаданогообладнанняабопацієнтавнаслідокелектричногошоку,
механічногоушкодженняабозіншихпричинневірногообслуговуванняобладнання.

TàiLiệuHướngDẫnSửaChữachỉcóbảntiếngAnh.

•Nếucácđơnvịcungcấpdịchvụchokháchhàngyêucầumộtngônngữnàokháctiếng

Anh,thìkháchhàngsẽcótráchnhiệmcungcấpcácdịchvụdịchthuật.

•KhôngđượcsửachữathiếtbịtrừkhiđãthamkhảovàhiểuTàiliệuHướngdẫnSửachữa.

•Khôngtuânthủnhữngcảnhbáonàycóthểdẫnđếncáctổnthươngchongườithực

hiệnsửachữa,ngườivậnhànhhaybệnhnhân,dosốcđiện,cácrủirovềcơkhíhay
cácrủirokhác.

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10December2012

Contents

1Introduction

2HL7Inbound

ManualInformation..................................................................................11

IntendedAudience...................................................................................11

ManualPurpose......................................................................................11

DocumentConventions.............................................................................11

AdditionalAssistance................................................................................12

MappingHL7MessagestotheOptimalEMSHL7Interface......................14

SiteHL7conguration...............................................................................14

ADTMessageHandlerConguration.............................................................17

ORMMessageHandlerConguration............................................................18

OMGMessageHandlerConguration............................................................19

EnablingthesystemHL7Inbound............................................................20

3Non-HL7Inbound

4HIS/EMROutbound

ConguringtheSystemHL7ServiceEntry................................................21

IsPatientExisted........................................................................................23

AdmitPatient.............................................................................................24

UpdatePatient...........................................................................................25

MergePatient.............................................................................................25

CreateOrder..............................................................................................26

ActivatingtheSystemHIS/EMROutbound...............................................27

CustomizingHIS/EMROutboundFileNameRules....................................30

CreatingAC#ClassLibraryProject...............................................................30

AddingMacItHooks.dllReference.................................................................33

AddingANewClassNamedCustomizeOutBoundFiler........................................34

ImplementingIHisOutboundFileNameStrategyInterfacein

CustomizeOutBoundFilerClass....................................................................36

BuildingC#dllLibraryProject......................................................................37

ReleasingAssemblydllFiletotheSystemServer..............................................38

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10

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1

Introduction

Thischapterprovidesgeneralinformationrequiredfortheproperuseofthesystem
andthismanual.Familiarizeyourselfwiththisinformationbeforeusingthesystem.

ManualInformation

Thissectionprovidesinformationforthecorrectuseofthismanual.
Keepthismanualwiththeequipmentatalltimesandperiodicallyreviewit.You

shouldrequesttrainingassistancefromGEHealthcare,ifneeded.

IntendedAudience

ThismanualisintendedforusebyanyoneresponsibleforintegratingtheOptimaEMS
system(alsoreferredtoas"thesystem"throughoutthismanual)andtheHIS/EMR
system.

ManualPurpose

DocumentConventions

TypographicalConventions

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ThismanualdetailsthedescriptionofthedataowbetweenthesystemandHIS/EMR.
Itdescribeshowtointegratewiththesesystems.

Thismanualusesthefollowingconventions.

ConventionDescription
BoldTextIndicateskeysonthekeyboard,texttoenter,orhardwareitemssuchas

buttonsorswitchesontheequipment.

Italicized-Bold

Text

CTRL+ESC

Indicatessoftwaretermsthatidentifymenuitems,buttonsoroptionsin
variouswindows.

Indicatesakeyboardoperation.Aplus(+)signbetweenthenamesoftwo
keysindicatesthatwhileholdingtherstkey,youshouldpressandrelease
thesecondkey.Forexample,PressCTRL+ESCmeanstopressandholdthe
CTRLkeyandthenpressandreleasetheESCkey.

OptimaEMSECGManagementSystem

11

Introduction

ConventionDescription

<space>

Enter

>

Indicatesthatyoumustpressthespacebar .Wheninstructionsaregiven
fortypingaprecisetextstringwithoneormorespaces,thepointwhere
youmustpressthespacebarisindicatedas<space>.Thisensuresthat
thecorrectnumberofspacesisinsertedinthecorrectpositionswithin
theliteraltextstring.Thepurposeofthe<>bracketsistodistinguishthe
commandfromtheliteraltextwithinthestring.

IndicatesthatyoumustpresstheEnterorReturnkeyonthekeyboard.Do
nottypeEnter.

Thegreaterthansymbol,orrightanglebracket,isaconcisemethodto
indicateasequenceofmenuselections.

Forexample,thestatement“Fromthemainmenu,selectSystem>Setup>
OptionstoopentheOptionActivationwindow”replacesthefollowing:

1.Fromthemainmenu,selectSystemtoopentheSystemmenu.

2.FromtheSystemmenu,selectSetuptoopentheSetupmenu.

3.FromtheSetupmenu,selectOptionstoopentheOptionActivation
window.

Illustrations

Notes

AdditionalAssistance

Allillustrationsinthemanualareprovidedasexamplesonly.Dependingonsystem
conguration,screensinthemanualmaydifferfromthescreensonyoursystem.

Allpatientnamesanddataarectitious.Anysimilaritytoactualpersonsis
coincidental.

Notesprovideapplicationtipsoradditionalinformationthat,whileuseful,arenot
essentialtothecorrectoperationofthesystem.Theyarecalledoutfromthebody
textthroughaagwordandindentation,asfollows:

NOTE:

ThetiporadditionalinformationisindentedbelowtheNOTEagword.

GEHealthcaremaintainsatrainedstaffofapplicationandtechnicalexpertstoanswer
questionsandrespondtoissuesandproblemsthatmayariseduringtheinstallation,
maintenance,anduseofthissystem.

ContactyourlocalGEHealthcarerepresentativetorequestadditionalassistance.

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2

HL7Inbound

ThesystemsupportsHL7interfacestoacceptADT,OMG,andOrdermessagesfrom
theHospitalInformationSystemandElectronicMedicalRecord(HIS/EMR).Youmust
enabletheappropriateHISoptions(ADT,Orders)inthesystem.

Thefollowingdiagramdepictsatypicalproductiondeploymentenvironmentfor
HIS/EMRandthesystem.

ThesystemreceivestheinboundADT,OMG,andOrder(ORM)HL7messagesfrom
externalsystems(HIS/EMR)androutesthemtotheHL7serviceentryofaspecialsite.

ThedatatransferfromHIS/RMRtothesystemisdoneusingTCP/IPsocket-based
communicationprotocol.Apre-denedHL7messageformatisusedtoroutedata.

ThefollowingHL7eventtypesaresupportedbythesystemHL7InterfaceforHL7
messages

SupportedHL7
event

ADT

ADT

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Sub-eventSupportedHL7

version

A012.3,2.3.1

2.42.5

2.5.1

A082.3,2.3.1

2.42.5

2.5.1

OptimaEMSECGManagementSystem

Supported
(OptimaEMS)
workow
function

Admitpatient

Updatepatient
information

Denition

Patientis
admitted.

Patientdatahas
changed.

13

HL7Inbound

ADT

ADT

ORMO012.3,2.3.1

OMGO192.3,2.3.1

A392.3,2.3.1

A402.3,2.3.1

MergepatientPatientis

2.42.5

2.5.1
MergepatientPatientis

2.42.5

2.5.1
CreateorderAnorderis

2.42.5

2.5.1
CreateorderAnorderis

2.42.5

2.5.1

AllotherHL7messagesandversionsareunsupportedandwillbediscardedbythe
HL7interface.WhenanunsupportedHL7messageorversionissenttothesystem
HL7interface,anunsupportedmessageislogged.

MappingHL7MessagestotheOptimalEMSHL7 Interface

merged.

merged.

created.

created.

EachcentricityhospitalinOptimalEMSwillconguretheHL7interfacetomeetthe
needsoftheHIS/EMRsystems.

ThesystemprovidesacongurationletomeettheHL7interfacerouteandparse
HL7messages.Thecongurationlenameishl7_mapping_cong.xmllocatedatthe
defaultfolderatC:\ProgramFiles\GEHealthCare\OptimaEMSService.

SiteHL7conguration

Eachcentricityhospitalhasacongurationlewithveattributestocongureas
indicatedinthefollowingtable.

Attributename

Name

1

ID

ECGKeywordTheordertypedescriptionintheHL7

StressKeywordSimilartotheECGKeyword,thesystemwill

Description

Thenameofthecentricityhospital.
ThesiteIDofthecentricityhospitalinthe

system..

message.IfHL7order(ORM)messages
containthisword,Thesystemwillmarkthis
orderasanECGorder.

markthisorderasastressorder.

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HL7Inbound

HolterKeywordSimilartotheECGKeyword,thesystemwill

markthisorderasaHolterorder.

1

ObtainthecongurationleIDvaluefromthesystemasfollows:

1.OpentheSiteInformationwindowbyclickingSystemConguration>Site
Conguration.

2.TheSiteIDislistedintheSiteIDeldofBasicInformation.

MessageHandlerComponentInterfaces

ThesystemHL7Interfaceconsistsofthreemessagehandlercomponentinterfaces:

•ADT

•ORM

•OMG

EachHL7messagehandlerhasanassociatedcongurationinthecongurationle.It
getsconguredaccordingtovariousHIS.

EachHL7messagehandlercongurationiscomposedofoneortwogroup
sub-sections,andeachgrouphasmultiplemappingparts.Amappingpartshas
threeattributes.

KeyAttribute

Thekeyisuniversallypre-denedandcannotbechanged.Thekeysaremapped
areasindicatedinthefollowingtable.

keydenition

Key

100
101
102
103

Mapped

PIDofpatient
FamilyNameofpatient
GivenNameofpatient
Genderofpatient

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HL7Inbound

keydenition(cont'd.)

104
107
108
200
201
202
203
204
205
300
301
302
303

BirthDateofpatient
Heightofpatient
Weightofpatient
AdmitDate/Timeofpatient
PIDofpatientvisit
Roomofpatientvisit
Bedofpatientvisit
Diagnosisofpatientvisit
VisitIDofpatientvisit
OrderDateofpatientorder
PIDofpatientorder
Typeofpatientorder
TestReasonofpatientorder

PathAttribute

ThePathattributedetermineshowtogetthedataitemfromHL7messages.Ithas
differentvaluesforvariousHL7messages.

ExplanationAttribute

TheExplanationattributecontainsadescriptionofthemappedpartsandcanbe
empty.

ASampleoftheCongurationFile

Asampleofthecongurationleisindicatedasfollows:
TheADT_A01messagewillbeusedasanexample.ADT_A01hasacorresponding

interface,andhastwoparameters,PatientandVisit,eachisaGroupitem.Each
groupindicateswhatdataisneeded(thekeyattribute)andwheretogetit(thepath
attribute).

Forthedatetimetypemappingelement,aformatattributeisneededbecause
differentsystemsmayemploydifferentdatetimeformats.

Theexplanationattributeexistsonlyfortheuser’sconvenience.

<?xmlversion="1.0”encoding=”utf-8”?>
<HL7Mappingsite=”gumei”id=”1075”ecgkeyword=”ecg”stresskeyword="stress”

holterkeyword=”holter”>

<Messagetype=”ADT_A01”version=”2.3”>

<Groupname=”Patient”>

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<mappingkey=”100”path=”/.PID(0)-2”explanation=”patientid”/>
<mappingkey=”101”path=”/.PID(0)-5–1”explanation=”familyname”/>
<mappingkey=”102”path=”/.PID(0)-5–2”explanation=”givenname”/>
<mappingkey=”103”path=”/.PID(0)-8”explanation=”gender”/>
<mappingkey=”104”path=”/.PID(0)-7”explanation=”birthday”format=”YYYY-MM-DD”

/>
</Group>
<Groupname=”Visit”>

<mappingkey=”100”path=”/.PID(0)-2”explanation=”patientid”/>

<mappingkey=”101”path=”/.PID(0)-5–1”explanation=”familyname”/>

<mappingkey=”102”path=”/.PID(0)-5–2”explanation=”givenname”/>

<mappingkey=”103”path=”/.PID(0)-8”explanation=”gender”/>

<mappingkey=”104”path=”/.PID(0)-7”explanation=”birthday”format=”YYYY-MM-DD”

/>
</Group>

HL7Inbound

ADTMessageHandlerConguration

A01/A08

</Message>

</HL7Mapping>

A01/A08hastwogroupsthatneedtobecongured:patientandvisit.
Seethefollowingexample:

<Messagetype="ADT_A01"version="2.3">

<HL7Mappingsite=”gumei”id=”1075”ecgkeyword=”ecg”stresskeyword="stress”
holterkeyword=”holter”>

<Groupname="Patient">

<mappingkey=”100”path=”/.PID(0)-2”explanation=”patientid”/>
<mappingkey=”101”path=”/.PID(0)-5–1”explanation=”familyname”/>
<mappingkey=”102”path=”/.PID(0)-5–2”explanation=”givenname”/>
<mappingkey=”103”path=”/.PID(0)-8”explanation=”gender”/>
<mappingkey=”104”path=”/.PID(0)-7”explanation=”birthday”format=”YYYY-MM-DD”

/>
</Group>
<Groupname=”Visit”>

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HL7Inbound

<mappingkey=”100”path=”/.PID(0)-2”explanation=”patientid”/>

<mappingkey=”101”path=”/.PID(0)-5–1”explanation=”familyname”/>

<mappingkey=”102”path=”/.PID(0)-5–2”explanation=”givenname”/>

<mappingkey=”103”path=”/.PID(0)-8”explanation=”gender”/>

<mappingkey=”104”path=”/.PID(0)-7”explanation=”birthday”format=”YYYY-MM-DD”

/>
</Group>

</Message>

A39/A40

A39/A40hastwogroupsthatneedtobecongured,newpatientandoldpatient.
Seethefollowingexample:

<Messagetype="ADT_A39"version="2.3">

<Groups>

<Groupname="OldPatientID">

ORMMessageHandlerConguration

<Mappings>

<Mappingkey="100"path="/.MRG(0)-4"rep="false"explanation="OldpatientID"/>

</Mappings>
</Group>
<Groupname="NewPatientID">

<Mappings>

<Mappingkey="100"path="/.PID(0)-2"rep="false"explanation="NewpatientID"/>

</Mappings>
</Group>

</Groups>

</Message>

TheORMmessagehandlerhastwogroupsthatneedtobecongured:orderandvisit.
Seethefollowingexample:

<Messagetype="ORM_O01"version="2.3">

<Groups>

<Groupname="Order">

<Mappings>

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<Mappingkey="300"path="/.ORC(0)-9"rep="false"explanation="orderdate"/>
<Mappingkey="301"path="/.PID(0)-3"rep="false"explanation="patientid"/>
<Mappingkey="302"path="/.OBR(0)-4-2"rep="false"explanation="devicetype"/>
<Mappingkey="303"path="/.OBR(0)-31-2"rep="false"explanation="testreason"/>

</Mappings>
</Group>
<Groupname="Visit">

<Mappings>

<Mappingkey="200"path="/.MSH(0)-7"rep="false"explanation="visitdatetime"/>
<Mappingkey="201"path="/.PID(0)-3-1"rep="false"explanation="patientid"/>
<Mappingkey="202"path="/.PV1(0)-11-2"rep="false"explanation="room"/>
<Mappingkey="203"path="/.PV1(0)-11-3"rep="false"explanation="bed"/>
<Mappingkey="204"path="/.DG1(0)-4"rep="false"explanation="diagnosis"/>
<Mappingkey="205"path="/.PV1(0)-19-1"rep="false"explanation="visitid"/>

</Mappings>

HL7Inbound

OMGMessageHandlerConguration

</Group>

</Groups>

</Message>

OMGmessagehandlerhasonegrouptocongure,order.
Seethefollowingexample:

<Messagetype="OMG_O19"version="2.3">

<Groups>

<Groupname="Order">

<Mappings>

<Mappingkey="300"path="/.ORC(0)-9"rep="false"explanation="orderdate"/>
<Mappingkey="301"path="/.PID(0)-3"rep="false"explanation="patientid"/>
<Mappingkey="302"path="/.OBR(0)-4-2"rep="false"explanation="devicetype"/>
<Mappingkey="303"path="/.OBR(0)-31-2"rep="false"explanation="testreason"/>

</Mappings>
</Group>

</Groups>

</Message>

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HL7Inbound

EnablingthesystemHL7Inbound

OpentheSiteCongurationwindowbyclickingSystemConguration>Site
Conguration.

HL7Settingsareenabledbyselectingthefollowingcheckboxes:

•AllowHL7ADT

•AllowHL7Order

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ConguringtheSystemHL7ServiceEntry

1.OpentheHL7ServiceEntrywindowbyclickingSystemConguration>HL7
ServiceEntry.

HL7Inbound

•EachsiteshoulduseanHL7serviceentrysothatitismapped.

•Makesuretheporthasnotbeenoccupiedbyotherprogramandsoftware.

Theportisdifferentbetweeneachsite.

2.IntheHL7ServiceEntrywindow,clickStarttostarttheserviceentry.

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HL7Inbound

NOTE:

MakesurethestatusoftheserviceentryisRunning.

•YoucanchangethecongurationoftheserviceentrybyclickingModify

(Port,removeserviceentry,andsoon).

•Ifanychangehasbeenmadetotheserviceentryconguration,youneedto

restarttheserviceentrybyclickingRestart.

Aftertheabovecongurationshavebeenset,thesystemwillacceptHL7ADTand
OrdermessagesfromtheHIS.Youneedtorestartthesystemservicetoapplythese
changes.

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Non-HL7Inbound

3

Thesystemsupportsnon-HL7interfacestoimportpatientandorderdatafrom
theHIS.Itprovidesawebservicetoimportpatientsandordersforthird-party
applications.Thedefaultserviceaddressishttp://OptimaEMSServerIP
address:8999/MacItWebServiceInBound.

Thefollowingwebservicefunctionsareprovidedbythesystemnon-HL7Interface.

FunctionNameFunctionPrototype

IsPatientExistedIsPatientExisted(stringpatientID,stringhisID)
AdmitPatientAdmitPatient(Patientpatient,PatientVisit

visit,stringHisID)

UpdatePatientUpdatePatient(Patientpatient,PatientVisit

visit,stringHisID)

MergePatient

CreateOrderCreateOrder(Orderorder,stringHisID)

Seethefollowingdataowdiagram.

IsPatientExisted

Thisfunctionisusedtocheckwhetherapatientalreadyexistsinthesystem.
IsPatientExistedhastwoparameters.

•PatientID:thepatientidentifyIDinHISsystem

•HisID:identieswhichsitethepatientbelongsto

MergePatient(stringoldPatientIDList,string
newPatientID,stringHisID)

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Non-HL7Inbound

TheHISIDshouldbesameasinthesystemandcannotbeempty.Obtainthevalue
byperformingthefollowingprocedure:

1.LogintotheOptimalEMSsystem.

2.OpentheSiteCongurationwindowbyclickingSystemConguration>Site
Conguration.

3.AttheSiteCongurationwindow,settheHISIDvalueshownintheleftwindow
tothesamevalueastheHISName.

AdmitPatient

Thisfunctionisusedtocreateanewpatientinthesystem.Ithasthreeparameters.
AdmitPatienthasfollowsub-dataitems.

Name

SocialInsuranceNum

SocialInsuranceType

PatientID

FamilyName

GivenName

Enableemptyvalue

No

No

No
No
No

Description

Patientsocialsecurity
number.

Ifthepatientdoesnothavea
socialsecuritynumber,keep
thiseldblank.

Patientsocialsecuritytype.
DifferentareasofChinamay

havedifferenttypesofsocial
security.Ifasocialsecurity
typeisnotpresent,keepthis
eldblank.

PatientIDintheHISsystem.
FamilynameofthePatient
GivennameofthePatient

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Non-HL7Inbound

BirthDate

Gender

Age

AgeUnit

HeightInCm

WeightInKg

Yes
No

Yes
No

Yes
Yes

DateofbirthofthePatient
Genderofpatient.Thevalue

canbeoneoffollowing:
Male,Female,Unknown.

AgeofthePatient
Patientageeld.Thevalue

canbeoneoffollowing:Year,
Month,Week,Day,Hour,
Unknown.

HeightofthePatient
WeightofthePatient

PatientVisit:patientvisitinformationfromtheHIShasthefollowingsub-dataitems:

Name

HisVisitID

PatientID
RoomYes

Bed

Diagnosis

AdmitDatetime

Enableemptyvalue

No

No

Yes
Yes

No

Description

PatientvisitIDintheHIS.It
isusedtoidentifymultiple
patientvisits.

PatientIDintheHISsystem.
RoomnumberofthePatient
BednumberofthePatient
Diagnosisresultofthe

Patient
Patientvisittime.

UpdatePatient

MergePatient

HisID:sameastheHisIDparameterof“IsPatientExisted”onpage23.

Thisfunctionisusedtoupdatepatientinformationandcreateanewpatientvisit
informationinthesystem.

UpdatePatienthasthreeparameters.

•Patient:hasthesamepatientparametersastheAdmitPatientfunction.

•PatientVisit:hasthesamepatientvisitparametersastheAdmitPatientfunction

•HisID:sameasthepatientvisitparametersof“IsPatientExisted”onpage23.

Thisfunctionisusedtomergemultiplepatientsintoonepatientinthesystem.

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25

Non-HL7Inbound

CreateOrder

MergePatienthasthreeparameters.

•oldPatientIDList:thepatientIDintheHISsystemwhichwillbemergedinthe

system.

•newPatientID:thepatientIDintheHISsystemwhichwillreplaceotherpatients

inthesystem.

•HisID:sameastheHisIDparametersof“IsPatientExisted”onpage23.

Thisfunctionisusedtocreatepatientorderinformationinthesystem.

CreateOrderhastwoparameters.
Order:patientorderinformationfromtheHISwiththefollowingsub-dataitems:

Name

PatientID

HisOrderID

HisVisitID

OrderDate

TestReasonYes

DeviceType

Enableemptyvalue

No
No

No

No

No

Note

PatientIDintheHISsystem.
PatientorderIDintheHIS

system.
PatientvisitIDintheHIS

system.
PatientorderdateintheHIS

system.
Reasonforthepatienttest
Typeofpatientorder.The

valuecanbeoneoffollowing:

ECG,Stress,Holter,and
Unknown.

HisID:sameastheHisIDparametersof“IsPatientExisted”onpage23.

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HIS/EMROutbound

Thesystemsupportsexportingofbillinganddiagnosisresultreportinformationtoa
sharedfolder.AHISorEMRsystemshouldaccessthissharedfoldertogetoutbound
data(billing,diagnosisresultreport).Therearenoreal-timeHL7outboundmessages
whichcommunicatebetweenthesystemandHIS/EMR.TheappropriateHISoption
(HISoutput)shouldbeenabledinthesystem,toautomaticallyexportbillingandtest
reportsofaconrmedtest.HIS/EMRcouldaccessthesharedfolderonthesystem
serveroverthenetwork.

ActivatingtheSystemHIS/EMROutbound

EnablingtheSystemHISOutbound

1.OpentheSiteCongurationwindowbyclickingSystemConguration>Site
Conguration.

4

2.SelecttheAllowHL7Outboundcheckbox.
TheHISoutboundisnowenabled.

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27

HIS/EMROutbound

ConguringtheSystemHISOutboundCongurations

1.AttheHISNameeld,typetheHISname,whichisthesamenameasthe
foldernamewherealltestreportareexportedtoforthatparticularsite.This
eldshouldnotbeleftempty.

2.SelecttheDefaultReportTemplatebychoosingfromthelistinthedrop-down
menu.

Inthefollowinggure,theTestreporttemplatewasselected.

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ConguringtheSystemHISOutboundSharedFolder

Thissharedfolderisonthesystemserver.Thedefaultpathis:C:\ProgramFiles\GE
HealthCare\OptimaEMSService\ECGData\MACIToutbound\+HisName.

1.Setthepermissionsofthefollowingfoldersothatitcanbeaccessedbythe
HIS/EMRsystem:

C:\ProgramFiles\GEHealthCare\OptimaEMSService\ECGData\MACIT
outbound\+HisName.

Thesystemwillnowautomaticallyexportbillingandtestreportstoasharedfolder
whenauserconrmsatest.

HIS/EMROutbound

NOTE:

Thesystemwillexportbillingofanorderasalewiththe.txtextension.The
contentisaHL7DFT_P03message.

Thesystemwillexportdiagnosisresultreportofanorderasalewitha.pdf
extension.

TheexportlenameruleispatientOrderDatetime_PID_Report.pdfand

patientOrderDatetime_PID_Billing.txt

ThesystemsupportscustomizedHIS/EMRoutboundlenameruleswhenneeded.

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29

HIS/EMROutbound

CustomizingHIS/EMROutboundFileNameRules

CreatingAC#ClassLibraryProject

1.Fromyourdesktop,clickStart>Programs>MicrosoftVisualStudio2010>
MicrosoftVisualStudio2010.

NOTE:

TheMicrosoftVisualStudio2010isasoftwaredevelopmenttoolwhich
needstobeinstalledonyourlocalmachine.

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TheMicrosoftVisualStudiowindowopens.

HIS/EMROutbound

2.ClickFile>New>Project....

TheNewProjectwindowopens.

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31

HIS/EMROutbound

3.ClicktheClassLibraryintheNewProjectwindow.

4.EntertheinformationdisplayedatthebottomoftheNewProjectwindow.

•Name:theprojectname

Forexample,CustomizeOutBoundFile.

•Location:theprojectlocation

Itisalocalstoragelefolderpathwhichsavethisprojectcontent.
Forexample,D:\CustomizeOutBoundFilefolder.

5.ClickOK.
Anewprojectiscreatedsuccessfullyandwillbeopenedautomatically

(CustomizeOutBoundFilewindowasexample).

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AddingMacItHooks.dllReference

AreferenceneedstobeaddedtotheMacItHooks.dllleinanewproject.

1.Right-clicktheReferenceintheSolutionExplorerpanelofthe
CustomizeOutBoundFilewindow.

HIS/EMROutbound

TheAddReferencewindowopens.

2.ClickBrowsetochoosetheMacItHooks.dllfromthelocalle.

NOTE:

TheMacItHooks.dllislocatedatthesystemserverinstallationfolderby
default:C:\ProgramFiles\GEHealthCare\OptimaEMSService.

3.ClickOK.
ThereferenceisaddedtotheMacItHooks.dlllesuccessfully.

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HIS/EMROutbound

AddingANewClassNamedCustomizeOutBoundFiler

1.Right-clicktheCustomizeOutBoundFileintheSolutionExplorerpanelofthe

2.SelectAdd>Class....

CustomizeOutBoundFilewindow.

TheAddNewItemwindowopens.

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HIS/EMROutbound

3.SelectClassintheAddNewItemwindow,andentertheNamedisplayedatthe
bottomoftheAddNewItemwindow.

4.ClickAdd.
theSourceCodeEditwindowwillopenautomatically.

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HIS/EMROutbound

ImplementingIHisOutboundFileNameStrategyInterfacein
CustomizeOutBoundFilerClass

IntheSourceCodeEditwindow,youcanwriteyoursourcecodetoimplementthe
customizefunction.

1.MarkclassCustomizeOutBoundFilerasthepublicprex.

2.InherittheIhisOutboundFileNameStrategyinterface.

3.ImplementtheGetHisOutboundFileNamefunctioncodecustomized.

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BuildingC#dllLibraryProject

1.SelectReleaseintheBuildOptioneld.

HIS/EMROutbound

2.BuildtheprojectbyclickingBuild>BuildSolution.
ThiswillgeneratetheBuildLogintheOutputwindow.

3.GettheProjectBuildResultle.
TheProjectBuildResultleislocatedinbin\Releasefolderundertheproject

locationyoucreatedinStep4of“CreatingAC#ClassLibraryProject”onpage

30.AndthelenameisCustomizeOutBoundFile.dll.

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ReleasingAssemblydllFiletotheSystemServer

CopytheProjectBuildResultleyougotinStep3of“BuildingC#dllLibraryProject”

onpage37tothePluginfolderunderthesystemserverinstallationfolder.

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GEMedicalSystems
InformationTechnologies,Inc.
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Tel:[phone]

[phone](USOnly)

Fax:[phone]

AsiaHeadquarters

GEMedicalSystems
InformationTechnologies,Inc.
Asia;GE(China)Co.,Ltd.
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Tel:[phone]
Fax:[phone]

GEMedicalSystemsInformationTechnologies,Inc.,aGeneralElectricCompany,goingtomarketas
GEHealthcare.

www.gehealthcare.com