Medtronic PASCV Reference Guide

Connected Systems Gateway

Connectivity Guide

Federal Law (USA) restricts the device to sale by or on the order of a physician (or a properly licensed practitioner).

Trademarks in this manual The names of actual companies and products mentioned herein may be the trademarks of their respective owners. The following are trademarks of Medtronic: Medtronic, Medtronic CareLink, SessionSync, and Paceart

Connected Systems Gateway.....................................................................................................2

Connected Systems Gateway Software Prerequisites.....................................................6

Installing the Connected Systems Gateway.........................................................................9

Paceart-CareLink Scheduling Integration............................................................................15

HL7 Integration Overview...........................................................................................................17

Paceart XML Schema....................................................................................................................61

Connectivity Guide | Contents | i

Explanation of symbols..............................................................................................................2

Indications....................................................................................................................................2

Precautions..................................................................................................................................3

Contraindications........................................................................................................................4

Paceart authorized users............................................................................................................4

Technical Support........................................................................................................................5

Installing .Net 3.5 Framework Service Pack 1..........................................................................6

Installing and Configuring MS Message Queuing for Windows XP.......................................6

Installing and Configuring MS Message Queuing for Windows Server 2003.......................7

Installing and Configuring MS Message Queuing for Windows Vista...................................7

Creating a Connected Systems Gateway user for the Paceart database..............................7

Creating a CareLink user to use with the Connected Systems Gateway..............................8

Connected Systems Gateway Configuration Manager..........................................................10

Starting the Connected Systems Gateway.............................................................................14

Scheduling integration requirements......................................................................................15

Troubleshooting scheduling connectivity problems.............................................................16

Medtronic Connected Systems Gateway HL7 Overview.......................................................17

HL7 Inbound Message Flow.....................................................................................................19

HL7 Message Acknowledgement............................................................................................19

Inbound Patient Administration Messages (ADT)..................................................................19

Inbound Message Segments....................................................................................................21

Inbound Scheduling Messages (SIU)......................................................................................23

Inbound Message Segments....................................................................................................25

Outbound Event Observation Reporting (ORU).....................................................................29

OBX:3 Coded Element...............................................................................................................34

Identifiers...................................................................................................................................39

OBX:4 Sub-ID Numbering and Data Relationship..................................................................50

Troubleshooting HL7 connectivity problems.........................................................................60

Programmer Acquisition service cannot start Event Log message..........................60

Parameter valid values..............................................................................................................61

Paceart XML export...................................................................................................................64

Lookup tables..................................................................................................................64

Patient records................................................................................................................69

2 | Connectivity Guide | Connected Systems Gateway

Connected Systems Gateway

In order to simplify the process of connecting and sharing demographic, scheduling, and device data between Medtronic applications andelectronic medical record systems (EMRs), Medtronichas developed the Connected Systems Gateway (CSG). This software application serves as the primary tool to move and share data for device patients.The CSG helps to streamline the implementation and on-going maintenance of data movement between applications.

The Connected Systems Gateway is an optional component of the Paceart System.

The CSG is used to do the following:

• Exchange scheduling data between CareLink and Paceart

• Bring in demographic and scheduling information from electronic medical record systems or practice management systems via HL7

• Export device data to electronic medical record systems via HL7

Explanation of symbols

Consult instructions for use

Conformité Européenne (European Conformity). This symbol means that the device fully complies with European Directive MDD 93/42/EEC.

For US audiences only

Authorized Representative in the European Community

Manufacturer

Lot number

Reorder number

Date of Manufacture

Indications

The Paceart System is intended for use as a 12-lead electrocardiograph, pacemaker artifact analyzer, and transtelephonic ECG receiving station. It also acts as a database for cardiac patients with or without pacemakers or implantable cardioverter defibrillators.

Connectivity Guide | Connected Systems Gateway | 3

Precautions

Storage and installation

• Avoid moisture or contact with water.

• Avoid excessive or extreme air pressure.

• Avoid vibration and mechanical shock while moving.

• Place on a level floor.

• Use AC power that corresponds in frequency, voltage, and allowable current capacity.

• Use the isolation transformer as the source of AC power during in-clinic follow-ups.

• Use a grounded 3-wire AC power plug.

• The outside of the Paceart Module can be cleaned with a clean, dry cloth.

• Use the isolation transformer as the source of AC power and plug it directly into a grounded wall outlet.

• Use a grounded 3-wire AC power cable to connect the PC to the isolation transformer.

• Ensure there is no condensed moisture on the Paceart software CD-ROMs.

• Paceart software CD-ROMs must be stored within the following conditions:

Storage Environment

-20°C to +50°CTemperature

5% to 90%Relative Humidity

System operation

Before system operation:

• Check that the system components are working properly.

• Check that the cords are connected to the system correctly.

• Ensure that the system is not being used with other instruments that may result in misdiagnosis or other problems.

• Check to be sure that there is no damage to the circuitry that connects directly to the patient.

• Ensure there is no condensed moisture on the Paceart software CD-ROMs.

• Paceart software CD-ROMs must be operating in an environment within the following conditions:

Operating Environment

-25°C to +70°CTemperature

10% to 95%Relative Humiditiy

During system operation:

• Maintain constant observation of the patient to ensure that significant events are detected immediately.

• The system can be switched off when necessary to ensure the patient's safety.

After system operation:

• The system and all the accessories should be carefully cleaned after use to prepare them for the next session.

Additional precautions

• Do not modify the original system in any way. This includes adding any software product.

4 | Connectivity Guide | Connected Systems Gateway

• The system and its components should undergo regular maintenance inspections.

• If the system is stored for a long period of time without use, make sure that the system is in perfect condition prior to operation.

• Use only ECG disposable electrodes in proper working condition.

• Use electrode gel or electrolytic pads to ensure that good electrode contact is obtained.

• Ensure that the proper lead colors are connected to the correct electrode sets.

• Do not use the equipment in an explosive atmosphere.

• Do not use liquid on top of the equipment.

• Ensure that all patient records are updated and permanently stored before turning the PC power off.

• Do not use the instrument in an environment with excessive temperature and humidity.

• Double-check the data before typing the data into the system.

• Call customer service or your biomedical department for service and repairs.

• Ensure that the report to be printed reflects the proper leads. The operator selects which leads will be shown in the printed report.

• The operator should not touch the computer and patient simultaneously when the patient is connected to the ECG electrodes.

• ECG electrodes should not contact other conductive parts, including earth.

• The Paceart ECG module is not suitable for direct cardiac applications.

Transmission and transmitter settings

• The transmitter transmission speed must match the transmit speed setting in Paceart.

• The transmitter transmit format must match the transmit format setting in Paceart.

• Discrepancies between the transmission speed or the transmission format will result in incorrect measurements that may lead to incorrect ECG interpretations.

• The Date Given field must have a date that is the same or prior to the date the transmission is recorded.

• A patient may only have one active transmitter.

• The Paceart operator is responsible for setting the speed and format settings.

ECG noise

The following may cause noise affecting artificial pacemaker spikes:

• Pacemaker programmers

• Poor electrode contact

• Electrical interference due to grounding problems

Caution: Make sure that the PC used to record pacemaker clinic ECGs is connected to AC power using an isolation transformer and a grounded three-wire power cable.

Contraindications

No known contraindications.

Paceart authorized users

Medtronic representatives provide the Paceart System orientation and training materials at the time of the installation. All users should be familiar with the Paceart documents, including the online Help, before using

Connectivity Guide | Connected Systems Gateway | 5

the Paceart System. The designated system administrator should also read the Paceart System Administrator's Guide for information on using the Paceart System software user interface for function and control.

An authorized person, preferably a physician, must verify the implantable device and electrode specifications entered into the database or modified in the database. An authorized person, preferably a physician, must verify the test results that are automatically entered into the database by the instrument. The data obtained from this device must be interpreted in conjunction with other clinical data and the results of other independent tests.

Technical Support

For technical support contact your local Medtronic office. In the US and Canada, call 1-800-PACEART.

6 | Connectivity Guide | Connected Systems Gateway Software Prerequisites

Connected Systems Gateway Software Prerequisites

Before you install and configure the Connected Systems Gateway software you must complete the following prerequisites:

• Install .Net 3.5 Framework Service Pack 1.

• Install and Configure MS Message Queue.

• Create a Connected Systems Gateway user on the Paceart Database if you are using SQL Server authentication (not needed if using Windows Authentication).

Paceart-CareLink scheduling integration prerequisites

Before you enable scheduling integration you must complete the following prerequisites:

• Create a CareLink account to use with the Connected Systems Gatewaywith the Transmission Permission selection of View changes transmission status from new to viewed.

• Configure Paceart appointments and patient records for scheduling integration.

HL7 integration prerequisites

Before you enable scheduling integration you must complete the following prerequisite.

• Review Paceart patient data to verify that each patient has the correct patient ID and there are no duplicate patient IDs in the Paceart database. If the HL7 adapter encounters multiple patients in Paceart with the same patient ID as the patient ID in the message, it will log an error message in the Paceart Data Exchange Log Viewer and the Connected Systems Gateway log.

Installing .Net 3.5 Framework Service Pack 1

You must have .Net 3.5 Framework Service Pack 1 installed before you install the Connected Systems Gateway. The .Net Framework Service Pack 1 files are located on the Connected Systems Gateway CD. You do not need to be connected to the internet to install the files.

1. Insert the Connected Systems Gateway CD into your disk drive.

2. Browse to the CD and double-click on dotnetfx35.exe.

Installing and Configuring MS Message Queuing for Windows XP

1. Open the Control Panel.

2. Double-click Add or Remove Programs.

3. Click Add/Remove Windows Components.

4. Select Message Queuing from the Windows Components Wizard dialog.

5. Click Next.

6. Click Details.

7. Select Common from the list of Subcomponents of Message Queuing.

8. Click OK on the Message Queuing dialog.

9. Click Next on the Windows Components Wizard dialog.

Connectivity Guide | Connected Systems Gateway Software Prerequisites | 7

10. When the installation completes click Finish.

Installing and Configuring MS Message Queuing for Windows Server 2003

1. Open the Control Panel.

2. Double-click Add or Remove Programs.

3. Click Add/Remove Windows Components.

4. Select Application Server from the Windows Components Wizard dialog.

5. Click Next.

6. Select Message Queuing.

7. Click Details.

8. Select Common from the list of Subcomponents of Message Queuing.

9. Click OK on the Message Queuing dialog.

10. Click Next on the Windows Components Wizard dialog.

11. When the installation completes click Finish.

Installing and Configuring MS Message Queuing for Windows Vista

1. Click Start > Control Panel.

2. Click Programs.

3. Under the Windows and Features section, click Turn Windows features on or off.

4. Under the Microsoft Message Queue (MSMQ) Server option, check the Microsoft Message Queue (MSMQ) Server Core option. This enables all of the MSMQ Server Core subfeatures.

5. Click OK.

Creating a Connected Systems Gateway user for the Paceart database

If you are using SQL Server authentication, you must create a Connected Systems Gateway user on your Paceart database. The user must have database reader and database writer privileges.

1. Open the Paceart System Database Manager.

2. Click Paceart_Database.

3. Click Users.

4. Click New User.

5. Click Next.

6. In login section select <new> and click Next.

7. In the Authentication window select SQL Server and click Next.

8. In the Login name field enter the user name you will use for the Connected Systems Gateway.

9. In the Password field enter and confirm your password.

10. In the Roles window accept the default and click Next.

11. Click Next through the wizard.

12. Click Finish.

8 | Connectivity Guide | Connected Systems Gateway Software Prerequisites

Creating a CareLink user to use with the Connected Systems Gateway

You must create a dedicated CareLink user for the Connected Systems Gateway to connect to. Do not use a clinical staff login.

You may use the same dedicated CareLink user allocated for downloading CareLink Transmissions into Paceart via Paceart Gateway Services.

1. Login to the Medtronic CareLink website.

2. Open the Create User Profile page.

3. From the Manage My Clinic page select Create a New CareLink User, or from the CareLink Users tab click Add User.

4. Click the Active CareLink User button.

5. Enter a first and last name.

6. Enter a user ID. The user ID must by 7-12 characters long. At least one character must be numeric (0-9).

The user ID is case-sensitive.

7. If you are using the satellite clinic feature, select the clinics for Assigned Clinics. If you have access to more than one clinic, use the Clinic Security section to specify which clinics the external system can access. An integrated system can be granted access to a single clinic, a group of clinics, or all of the clinics within the system.

Ensure that the CareLink account has access to the sub-clinics' patients that are integrated with Paceart.

8. Select the View only (not permitted to enroll clinicians or patients) option from the Administrative Privileges list.

9. Select the View changes transmission status from new to viewed option from the Transmission Privilege list.

10. Click Submit.

Connectivity Guide | Installing the Connected Systems Gateway | 9

Installing the Connected Systems Gateway

Complete the items listed in the prerequisites section before you install and configure the Connected Systems Gateway software.

1. To start the installation, insert the Connected Systems Gateway installation CD into the computer. The setup program will automatically start. If you are installing on a Windows 2003 Server, you must manually start the installation program by clicking the csginstall.msi on the installation CD.

If the setup program does not automatically start, you can manually start the installation program by clicking

csginstall.msi on the installation CD.

2. Click Next.

3. Enter a destination folder. Click Change to change from the default location of C:\Program

Files\Medtronic\Connected Systems Gateway\.

4. Click Next.

5. Click Install.

A progress bar shows the installing progress.

6. After the installation is finished click Next. The Completed Installation window is displayed.

7. Select Launch CSG Configuration Manager, and then click Finish to finish and exit the installation wizard and open the Connected Systems Gateway Configuration Manager.

8. In the CSG Feature Selecter window, select which features you want to configure and click Next.

• If you selected the Paceart/CareLink Scheduling Integration feature, the Connected Systems Gateway

Configuration Manager opens.

• If you selected the Paceart HL7 Integration feature, NeoIntegrate will be installed if it is not already

installed.

Note: NeoIntegrate installation is only launched one time. If you cancel the installation or need to re-execute the installation, you must first delete the following file to allow NeoIntegrate installation to be launched again:C:\Program Files\Medtronic\Connected Systems Gateway\HL7SubSystem\Installed. (The path will be different if the destination folder was modified it in step 3.)

a) In the NeoIntegrate - InstallShield Wizard window click Next. b) Read the license agreement. Click Next to accept it. c) Specify a destination folder. Click Change to change the default location, and then click Next. d) Select a setup type. The default is NeoIntegrate. Click Next. e) If your Paceart Systems uses SessionSync you will have a port conflict. Specify which alternate ports

you would like to use, and then click Next. f) Enter an Administrator password and click Next. g) Click Install to install NeoIntegrate. h) When the installation is complete you have the option to launch the license manager. If you already have

your license string select this option and click Finish.

Note: If you do not have your license string deselect the Launch the License Manager option and call Technical Support for licensing information.

After you click Finish the Log on dialog is displayed. The Connected Systems Gateway Configuration

Manager also opens in front of the Log on dialog. Move the Configuration Manager window out of the

way. i) Enter the username and password you specified in step f, and then click OK.

10 | Connectivity Guide | Installing the Connected Systems Gateway

j) In the LicenseManager window, click License wizard.

The License Wizard will start. k) Click Next. l) Select the I have a license string to run this product on this machine option, and then click Next. m) On the Machine/license description dialog enter a description of how this license will be used, and

then click Next.

For example "St. Elsewhere Hospital Production Server" n) On the Connection and login dialog enter your implementation information and click Next. o) Click Connect to contact NeoTool.com to obtain your license. p) After you have connected to NeoTool.com click Next. q) Click Finish. r) On the LicenseManager window click Exit.

9. In the Connected Systems Gateway Configuration Manager, enter the applicable values for the features you selected.

Connected Systems Gateway Configuration Manager

The Connected Systems Gateway consists of adapters.

Connectivity Guide | Installing the Connected Systems Gateway | 11

Paceart_GCIII_SourceAdapter tab

This adapter is for sending data out of Paceart.

ExplanationField name

PaceartDatabaseServer

PaceartDatabaseName

UseWindowsAuthentication

SQLServerUserName

SQLServerPassword

The name of the machine hosting the SQL Server database that the adapter will be using to interface with Paceart.

The database instance name of the database that the adapter will be using to interface with Paceart.

A Boolean value indicating that Windows Authentication should be used to connect to the SQL Server database. A setting of false will use the SQL User Name and SQL Password configuration values to connect. The default is "False".

The user name used to connect to the SQL Server database. Not used if "Use Windows Authentication" is True.

The password used to connect to the SQL Server database. Not used if "Use Windows Authentication" is True.

CareLink_Scheduling_DestinationAdapter tab

This adapter is used for configuring Paceart-CareLink Scheduling integration.

ExplanationField name

CareLinkSchedulingService

CareLinkSchedulingServiceSite

The name of the CareLink scheduling service that the adapter will be using. The default is "Endpoint_CSA_basicHttpsBinding".

The fully qualified path of the CareLink scheduling service that the adapter will be using. The default is "https://clscheduling.medtroniccarelink.net/SchedulingGateway/SchedulingGateway.svc".

CareLinkUserID

CareLinkUserPassword

SendPatientFirstName

SendPatientMiddleName

SendPatientGender

The name of the dedicated user that will be used to connect to the CareLink Scheduling service.

The password that will be used to authenticate the CareLink User ID with the CareLink Scheduling service.

A Boolean value indicating if the Patient First Name value is sent to CareLink. If "True", it will be used by CareLink for patient matching. The default value is "True".

A Boolean value indicating if the Patient Middle Name value is sent to CareLink. If "True", it will be used by CareLink for patient matching. The default value is "True".

A Boolean value indicating if the Patient Gender value is sent to CareLink. If "True", it will be used by CareLink for patient matching. The default value is "True".

Paceart_GCIII_DestinationAdapter Tab

This adapter is used for Paceart HL7 integration.

ExplanationField name

PaceartDatabaseServer

PaceartDatabaseName

The name of the machine hosting the SQL Server database that the adapter will be using to interface with Paceart.

The database instance name of the database that the adapter will be using to interface with Paceart.

12 | Connectivity Guide | Installing the Connected Systems Gateway

ExplanationField name

UseWindowsAuthentication

SQLServerUserName

SQLServerPassword

PatientMatchingUseLastName

PatientMatchingUseMiddleName

PatientMatchingUseFirstName

PatientMatchingUseDateOfBirth

A Boolean value indicating that Windows Authentication should be used to connect to the SQL Server database. A setting of "False" will use the SQL User Name and the SQL Password configuration values to connect.

Windows Authentication is a login method that uses a Windows domain login to authenticate to the database. Some SQL Servers are configured to only allow connections via Windows logins. If you select Windows login, you must configure the HL7 services to run under the desired domain login.

The default is "False".

The user name used to connect to the SQL Server database. Not used if "Use Windows Authentication" is "True".

The password used to connect to the SQL Server database. Not used if "Use Windows Authentication" is "True".

If true, the patient last name will be used for demographic matching. The default is "True".

If true, the patient middle name will be used for demographic matching. The default is "False"

If true, the patient first name will be used for demographic matching. The default is "False".

If true, the patient date of birth will be used for demographic matching. The default is "True".

If true, the patient gender will be used for demographic matching. The default is "True".PatientMatchingUseGender

HL7_DestinationAdapter Tab

This adapter is used for Paceart HL7 integration.

ExplanationField name

OutboundSendingApplicationNamespaceID

OutboundSendingApplicationUniversalID

OutboundSendingApplicationUniversalIDType

This field uniquely identifies the sending application among all other applications within the network enterprise. The network enterprise consists of all those applications that participate in the exchange of HL7 messages within the enterprise. Entirely site-defined.

This information is included in the MSH segment 3, component 1.

The default is "Paceart".

This information is included the MSH segment 3, component 2.

This information is included the MSH segment 3, component 3.

Connectivity Guide | Installing the Connected Systems Gateway | 13

ExplanationField name

OutboundSendingFacilityNamespaceID

OutboundSendingFacilityUniversalID

OutboundSendingFacilityUniversalIDType

OutboundReceivingApplicationNamespaceID

OutboundReceivingApplicationUniversalID

This field further describes the sending application. Entirely site-defined.

This information is included the MSH segment 4, component 1.

The default value is "Medtronic".

This field further describes the sending application. Entirely site-defined.

This information is included the MSH segment 4, component 2.

This field further describes the sending application. Entirely site-defined.

This information is included the MSH segment 4, component 3.

This field uniquely identifies the receiving application among all other applications within the network enterprise. The network enterprise consists of all those applications that participate in the exchange of HL7 messages within the enterprise. Entirely site-defined.

This information will be in MSH, field 5, component 1.

OutboundReceivingApplicationUniversalIDType

OutboundReceivingFacilityNamespaceID

OutboundReceivingFacilityUniversalID

OutboundReceivingFacilityUniversalIDType

OutboundProcessingID

This information will be in MSH, field 5, component 2.

This information will be in MSH, field 5, component 3.

This field identifies the receiving application among multiple identical instances of the application running on behalf of different organizations. Entirely site-defined.

This information will be in MSH, field 6, component 1.

This field identifies the receiving application among multiple identical instances of the application running on behalf of different organizations. Entirely site-defined.

This information will be in MSH, field 6, component 2.

This field identifies the receiving application among multiple identical instances of the application running on behalf of different organizations. Entirely site-defined.

This information will be in MSH, field 6, component 3.

Defines in the MSH header whether the message is part of a production, training, or debugging system. D=Debugging, P=Production, T=Training.

This information will be in MSH, field 11, component 1.

14 | Connectivity Guide | Installing the Connected Systems Gateway

ExplanationField name

The default value is "P".

OutboundProcessingIDMode

OutboundHL7Version

OutboundIncludeEpisodeObservations

OutboundPatientVisitPatientClass

CommunicationQueue

HL7_SourceAdapter Tab

Defines in the MSH header the processing mode. A=Archive, R=Restore from archive, I=Initial load, T=Current processing transmitted at intervals.

This information will be in MSH, field 11, component 2.

Version of HL7 listed in the HL7 message header.

This information will be in MSH, field 12.

Default is "2.3.1".

Boolean value providing an option to include episode data in the HL7 message sent to the receiving system. Inclusion of this data may add to the size of the message.

Default value is "False" (do not send episode data).

The default value is"U" and corresponds to a Patient Class of "Unknown". This information will be in PV1, field 2.

Used by the implementation to communicate with a third-party HL7 engine.

The default is "HL7Destination".

This adapter is used for Paceart HL7 integration.

ExplanationField name

CommunicationQueue

Used by the implementation to communicate with a third-party HL7 engine.

The default is "HL7Source". Do not change this value.

Starting the Connected Systems Gateway

During installation and configuration, you should manually start the Connected Systems Gateway service. After you have verified that your implementation was successful you can choose to automatically restart the service.

1. To start the Connected Systems Gateway go to Start > Administrative Tools > Services.

2. Right-click the Connected Systems Gateway service and select Start.

If you restart your computer you will have to restart this service.

3. After you verify that your implementation was successful you can set this service to automatically connect. Go to Start > Administrative Tools > Services.

4. Right-click the Connected Systems Gateway service and select Automatic.

If you restart your computer this service will automatically restart.

Connectivity Guide | Paceart-CareLink Scheduling Integration | 15

Paceart-CareLink Scheduling Integration

The Paceart-CareLink Scheduling Integration feature provides a way to automatically synchronize scheduling between the CareLink Network and the Paceart System. If you schedule an appointment in CareLink, it will be downloaded to the Paceart System; if you schedule an appointment in Paceart, it will be sent to CareLink.

Paceart regularly requests status information for appointments scheduled in CareLink. Schedules are either updated nightly or when a clinician makes a request from the Paceart System.

If an appointment is created in CareLink, CareLink retains ownership until the appointment is sent to Paceart. Once the Paceart System is updated to reflect the CareLink Network appointment, the appointment is owned by Paceart.

If a remote appointment is created or modified in Paceart, the appointment is automatically created or updated in CareLink. Ownership of the appointment remains with the Paceart System.

Paceart receives appointment status information that reflects the last known status as reported by CareLink. The remote status is displayed in patient appointment information on the Paceart System. Paceart records the completion and failure status details of this information in its log. Paceart scheduling requests that violate CareLink Network scheduling rules are displayed as errors in the Paceart System Remote Status field.

Scheduling integration requirements

You must ensure that Paceart patient records and appointments meet the following criteria before you use Paceart-CareLink scheduling integration.

• The Paceart patient record for patients followed on CareLink must have a birth date and a valid patient ID number. If either the birth date or the patient ID number is not in Paceart, appointments will not be sent to CareLink.

• Appointments created or updated in Paceart must have the patient remote follow-up service set to Medtronic CareLink Network, and the patient must have an active Medtronic ICD or pacemaker that is supported by the Medtronic CareLink Network. To find out if a device is supported, log into CareLink and click Resources > CareLink Supported Implanted Devices.

Paceart/CareLink patient matching for a single patient

The primary match is on the patient ID number and the birth date. If either of these are not present in the Paceart System, appointments will not be sent to CareLink. If the patient ID number is not present in the CareLink system, a demographic match is performed. The configurable matching criteria include first name, middle initial, and gender in addition to the last name and birth date which are always used. If the demographic match succeeds, CareLink will record the patient number so future matches will be simpler and quicker.

This matching is performed on CareLink and is used when adding, updating and removing appointments, and when updating remote appointment status.

Paceart/CareLink patient matching for a batch download

In this scenario, the Paceart System downloads a list of all CareLink patients and appointments and then matches CareLink patients to Paceart patients. The primary matching is on the patient ID number and the birth date. If the patient ID number is not present in the CareLink system a much stricter demographic match is performed. This requires a match on the first name, middle initial, last name, gender, and birth date.

16 | Connectivity Guide | Paceart-CareLink Scheduling Integration

Troubleshooting scheduling connectivity problems

CareLink

• Verify that the CareLink account used to connect to the Connected Systems Gateway has a Transmission Permission selection of View changes transmission status from new to viewed.

• Verify that the CareLink account used to connect to the Connected Systems Gateway does not have an expired password.

• If the CareLink clinic has sub-clinics, verify that the CareLink account used to connect to the Connected Systems Gateway has access to the sub-clinics' patients integrated with Paceart.

• Verify that scheduling integration has not been unlinked. Go to the CareLink Network website and click

Manage My Clinic > Clinic Profile > External Systems Integration.

Paceart

• Verify that the Paceart database has a Connected Systems Gateway user.

• Verify the Paceart database password associated with the Connected Systems Gateway user.

• Verify that the patient's Scheduling tab in Paceart has the patient remote follow-up service set to Medtronic CareLink Network, and that the patient has a Medtronic ICD or pacemaker that is supported by the Medtronic CareLink Network. To view the CareLink Network supported devices list login to the CareLink website and go to Resources > CareLink Supported Implantable Devices.

• Verify that the Paceart patient record has a date of birth and a valid patient ID number.

Connected Systems Gateway

• Verify that the Connected Systems Gateway software and adapters were properly installed and configured.

• Verify that the correct CareLink hosting system was entered in the CareLink_Scheduling_DestinationAdapter tab of the Connected Systems Gateway Configuration Manager. The CareLink hosting system must match what was entered in the Remote Acquisition tab of the Paceart Gateway Services.

• Verify that the SQL Server user name and password were correctly entered in the Paceart_GCIII_SourceAdapter tab of the Connected Systems Gateway Configuration Manager if you are not using Windows authentication.

• Verify that the Paceart database name and server were correctly entered in the Paceart_GCIII_SourceAdapter tab of the Connected Systems Gateway Configuration Manager.

• Verify that the Connected Systems Gateway service was started.

Connectivity Guide | HL7 Integration Overview | 17

HL7 Integration Overview

The Paceart System supports the HL7 protocol which allows Paceart to integrate with your existing HL7-based Electronic Health Record (EHR) and Practice Management Systems. This allows you to import patient demographic and scheduling information into Paceart and to export transtelephonic, in-clinic, and remote event data from Paceart to EHR systems.

The information contained in this section assumes an understanding of the HL7 Message Specification and a working knowledge of Paceart.

Medtronic Connected Systems Gateway HL7 Overview

Paceart Patient Identifiers

The Paceart System supports a single value for a patient ID number. The Medtronic Connected Systems Gateway (CSG) requires that the sending system provide a single, unique patient ID number in every HL7 message. This patient ID number will be stored in the Paceart database as the patient ID number and will be used for patient matching.

Paceart does not support multiple patient identifiers. The patient ID number must be unique. The patient ID number in the Paceart System and the patient ID number in the EMR/PM system must match.

Patient Matching

Patient matching must be selected in the Connected Systems Gateway Configuration Manager. As part of implementing HL7 integration, the Paceart patient data must be reviewed to verify that each patient has the correct patient ID and that there are no duplicate patient IDs in the Paceart database.

Paceart has a process for matching patient data from the received HL7 message to the patients existing in the Paceart database. When an HL7 message is received, the Paceart database is searched to see if there is a Paceart patient ID that matches the patient ID from the HL7 message.

• If no match is found, then the patient does not exist in the Paceart System.

• If a match is found and the Paceart ID is HL7Confirmed, then this is considered a match and the patient exists in the Paceart System.

• If a match is found and the Paceart ID is not HL7Confirmed, then the customer-defined patient matching criteria is used to determine if this is the same person.

If the Paceart patient information matches the HL7 message patient information according to the matching criteria, then the Paceart ID is marked as HL7Confirmed. This is considered a match and the patient exists in the Paceart System.

If the verification criteria does not match between the HL7 message patient and the Paceart patient, Paceart will log an error message in the Paceart Data Exchange Log Viewer and the Connected Systems Gateway log. No data will be added or updated in Paceart.

The following diagram illustrates the process used by the HL7 adapter to determine if there is a patient in Paceart that matches the patient information in the HL7 message.

18 | Connectivity Guide | HL7 Integration Overview

Verification Criteria

Patient matching must be configured in the Connected Systems Gateway Feature Selector by the administrator during implementation. One or more of the following patient demographic fields can be configured to ensure the match:

• Last name

• First name

• Middle initial

• Date of birth

• Gender

If multiple fields are selected, then they all must match (i.e. multiple criteria are treated as a logical AND statement).

Connectivity Guide | HL7 Integration Overview | 19

HL7 Inbound Message Flow

Segments and Fields

Field definitions for message segments have been included in this document for easy reference.

A three character segment identifierSeg

Represents the position of the field within the segmentField

The descriptive name of the fieldName

Indicates whether the field may repeat, with the following designations:Repeating

• N - No repetition

• Y - The field may repeat an indefinite or site-determined number of times

• (Integer) - The field may repeat up to the number of times specified by the integer

This indicates the field designation using one of the following designators:OPT

• R - Required

• O - Optional

• C - Conditional on the trigger event or another field

• X - Not used with this trigger event

• B - Field remains for backward compatibility with previous version of HL7

HL7 Length

This is the maximum length specified in the HL7 specifications. It is the maximum number of characters that one occurrence of the data field may occupy.

HL7 Message Acknowledgement

Acknowledgement Message

The CSG HL7 adapter supports both HL7 original and enhanced acknowledgement mode for inbound messages. Refer to the Configuring reciever ACKnowledgement behavior topic in the NeoIntegrate online Help.

The acknowledgement messages that are sent to the sending systems are determined by the message status and the acknowledgement type that was requested in the MSH segment of the sending system.

Inbound Patient Administration Messages (ADT)

Purpose

The CSG HL7 adapter can receive demographic information from any system or interface engine that is using HL7 messaging. This allows for consistent patient demographic information across systems and reduces duplication of data entry.

20 | Connectivity Guide | HL7 Integration Overview

The patient administration transaction set provides for the transmission of new or updated demographic information about patients. Information that is entered in a patient administration system can be passed to Paceart as an unsolicited HL7 message.

The CSG HL7 adapter supports a wide array of ADT trigger events to allow you to configure the HL7 integration to capture the desired changes to patient demographic information.

Default Configured HL7 Triggers

A04, A08, A28, A29, A47

Supported Transaction Types

DescriptionTransaction Type

Add new patient to Paceart (demographic information)

Update existing Paceart patient demographics

Mark patient for delete

If the patient does not exist in Paceart, then add the patient demographic information as a new record.

If multiple patients match in Paceart, then no Paceart data is updated and an error is logged in the Data Exchange Log Viewer of the Client application and in the Connected Systems Gateway Log.

If the patient exists in Paceart, then update the patient demographic information.

If the patient does not exist in Paceart, then no Paceart data is updated.

If multiple patients match in Paceart, then no Paceart data is updated and an error is logged in the Data Exchange Log Viewer of the client application and in the Connected Systems Gateway Log.

If the patient exists in Paceart, then change the Paceart Status field to inactive ("X").

If the patient does not exist in Paceart, then no Paceart data is updated.

If multiple patients match in Paceart, then no Paceart data is updated and an error is logged in the Data Exchange Log Viewer of the client application and in the Connected Systems Gateway Log.

Change the patient ID of a patient

If the current ID exists in Paceart and the new ID does not exist, then change the patient ID from current ID to new ID.

If the current ID does not exist in Paceart, then no Paceart data is changed.

If the current ID exists in Paceart and the new ID also exists in Paceart, then no Paceart data is updated and an error is logged in the Connected Systems Gateway Log.

If multiple patients match in Paceart, then no Paceart data is updated and an error is logged in the Data Exchange Log Viewer of the client application and in the Connected Systems Gateway Log.

Connectivity Guide | HL7 Integration Overview | 21

Paceart Patient Data

The following Paceart database fields can be updated by the Paceart HL7 processing of ADT messages:

PA LengthPA Req.PA FieldPA Table

20YPatientIDMaster

32YNameMaster

14NFirst_NameMaster

1NMiddle_IniMaster

DT8NBirth_DateMaster

1NSexMaster

50NAddressMaster

50NAddr_Line2Master

20NCityMaster

10NStateMaster

10NZipMaster

50NCountryMaster

20NPhoneNum1Master

20NPhoneNum2Master

The following Paceart labels are used to reference data only when the patient is added by the Paceart HL7 processing:

PA LengthPA Req.PA FieldPA Table

1NStatusMaster

6NAffilMaster

Inbound Message Segments

MSH - Message Header Segment (Required)

The following table shows the standard HL7 format for the message segment.

Field lengthOPTRPTNameFieldSeg

1RNField Separator1MSH

4RNEncoding Characters2MSH

180ONSending Application3MSH

180ONSending Facility4MSH

180ONReceiving Application5MSH

180ONReceiving Facility6MSH

22 | Connectivity Guide | HL7 Integration Overview

Field lengthOPTRPTNameFieldSeg

26ONDate/Time of message7MSH

40ONSecurity8MSH

7RNMessage Type9MSH

20RNMessage Control ID10MSH

3RNProcessing ID11MSH

60RNVersion ID12MSH

15ONSequence Number13MSH

180ONContinuation Pointer14MSH

2ONAccept Acknowledgement Type15MSH

2ONApplication Acknowledgement Type16MSH

2ONCountry Code17MSH

16OYCharacter Set18MSH

60ONPrincipal Language of Message19MSH

20MSH

scheme

ENV - Event Type Segment (Optional)

Event type segments are optional in the Paceart HL7 implementation.

PID - Patient Identification Segment (Required)

The following table shows the standard HL7 format for the patient identification segments (PIDs). The shaded fields show the fields being updated in the Paceart database.

Set ID1PID

Patient ID2PID

Patient Identifier List3PID

Check Digit3.2PID

Check digit scheme employed3.3PID

20ONAlternate Character Set handling

Paceart fieldsField lengthNameFieldSeg

Patient ID20ID3.1PID

Assigning authority3.4PID

Identifier type code3.5PID

Assigning facility3.6PID

Alternate Patient ID - PID4PID

Patient Name5PID

Last Name32Family Name5.1PID

First Name14Given Name5.2PID

Connectivity Guide | HL7 Integration Overview | 23

Paceart fieldsField lengthNameFieldSeg

Middle initial or name5.3PID

Suffix5.4PID

Prefix5.5PID

Degree5.6PID

Name Type Code5.7PID

Mother's Maiden Name6PID

Date of Birth26Date/Time of Birth7PID

Patient Sex1Sex8PID

Patient Alias9PID

Race10PID

Patient Address11PID

Address 150Street Address11.1PID

Address 250Other designation11.2PID

City20City11.3PID

State10State or province11.4PID

Zip Code10Zip or postal code11.5PID

Country50Country11.6PID

Address Type11.7PID

Country Code12PID

Phone Number 120Phone Number Home13PID

Phone Number 220Phone Number Business14PID

MRG - Patient Identification Segment (Required for ADT^A47)

The following table shows the standard HL7 format for the patient identification segments (MRGs). The shaded fields show the fields being updated in the Paceart database.

Paceart fieldsField lengthNameFieldSeg

Patient ID20Prior Patient Identifier List1MRG

Prior Alternate Patient ID2MRG

Prior Patient Account Number3MRG

Inbound Scheduling Messages (SIU)

Purpose

The Connected Systems Gateway HL7 adapter can accept unsolicited schedule notification messages (SIU) from a scheduling filler application. The HL7 standard defines four roles that the system can assume in scheduling

24 | Connectivity Guide | HL7 Integration Overview

integration. Paceart operates as an Auxiliary application or an "interested third-party." This allows for existing scheduling systems to serve as the Filler application and to send schedule notification messages to the Paceart System. The Filler application is said to "own" the schedule for the specified resources or, in other words, is the authoritative source for scheduling information.

Default Configured HL7 Triggers

S12, S13, S14, S15

Supported Transaction Types

The schedule notification messages can be processed to not only create and modify appointments in Paceart, but also can be used to add to or modify patient information. This allows for a patient to be added to Paceart based on their first appointment with a device clinic.

Updating, rescheduling, or canceling an appointment can only be performed as long as the appointment exists in Paceart. A Paceart appointment is said to exist if the appointment ID and associated Patient ID match the filler appointment ID and patient ID in the HL7 message. Appointments created by an HL7 message cannot be modified in the Paceart application, but they can be deleted from within the Paceart application. Paceart also removes appointments once an applicable event has been created for the patient. Appointments created by HL7 messages are processed in Paceart the same as appointments created directly in the Paceart application.

DescriptionTransaction Type

Add new patient to Paceart (demographic information)

Update existing Paceart patient demographics

Create new appointment for a patient that exists in Paceart

Reschedule an existing HL7-created Paceart appointment

If the patient does not exist in Paceart, then add the patient demographic information as a new record.

If multiple patients match in Paceart, then no Paceart data is updated and an error is logged in the Data Exchange Log Viewer of the Client application and in the Connected Systems Gateway Log.

If the patient exists in Paceart, then update the patient demographic information.

If the patient does not exist in Paceart, then no Paceart data is updated.

If multiple patients match in Paceart, then no Paceart data is updated and an error is logged in the Data Exchange Log Viewer of the Client application and in the Connected Systems Gateway Log.

Create a new appointment in Paceart if the appointment ID does not already exist in Paceart. If the appointment does exist then no appointment will be added.

Reschedule the appointment in Paceart if the appointment ID already exists in Paceart. If the appointment does not exist then no appointment will be rescheduled.

Modify an existing HL7-created Paceart appointment

Cancel an existing HL7-created Paceart appointment

Modify the appointment in Paceart if the appointment ID already exists in Paceart. If the appointment does not exist then no appointment will be modified.

Cancel/Remove the appointment in Paceart if the appointment ID already exists in Paceart. If the appointment does not exist then no appointment will be cancelled/removed.

Connectivity Guide | HL7 Integration Overview | 25

Paceart Scheduling Data

The following Paceart database fields are updated by the Paceart HL7 processing of SIU messages.

PA LengthPA Req.PA FieldPA Table

75 charactersYAppointmentIDEventData

DT8YEventDateEventData

255 charactersYEventTypeEventData

255 charactersNCommentEventData

75 charactersNVisit_IDEventData

AppointmentType Mapping

The schedule notification message should contain information on what type of appointment has been booked. The information can be transformed in the message to map to one of the following values. If no event type information is available in the scheduling messages, the appointment will fail to add/update the Paceart database.

The default configuration looks for this value in AIG-3.1.

Paceart Scheduled Event TypeAppointmentType

Arrhythmia TTM1

Arrhythmia Clinic2

Pacemaker TTM3

Pacemaker Clinic4

ICD Clinic6

Programming8

Miscellaneous10

Pacemaker Implant12

Pacemaker Remote13

ICD Implant14

ICD Remote15

Inbound Message Segments

The following is a list of inbound message segments. Some of the segments listed are required and others are optional.

MSH and PID-Patient Identification Segment (Required)

For information on the PID segment, see the "Inbound Patient Administration Messages (ADT)" section of this manual.

SCH-Schedule Activity Information Segment (Required)

The SCH segment contains the general information about the scheduled appointment.

26 | Connectivity Guide | HL7 Integration Overview

The following table lists schedule activity information segments. The shaded fields show the fields being updated in the Paceart database.

Placer Appointment ID1SCH

Occurrence Number3SCH

Placer Group Number4SCH

Schedule ID5SCH

Event Reason6SCH

Appointment Reason7SCH

Appointment Type8SCH

Appointment Duration9SCH

Appointment Duration Units10SCH

Appointment Timing Quantity11SCH

Paceart fieldField lengthNameFieldSeg

Appointment ID75Filler Appointment ID2SCH

Quantity11.1SCH

Interval11.2SCH

Duration11.3SCH

Appointment date/time26start date/time11.4SCH

end date/time11.5SCH

Priority11.6SCH

PV1-Patient Visit Segment (Optional)

The following table lists patient visit segments. The shaded fields show the fields being updated in the Paceart database.

Paceart fieldField lengthNameFieldSeg

Set ID1PV1

Patient Class2PV1

Assigned Patient Location3PV1

Admission Type4PV1

Preadmit Number5PV1

Prior Patient Location6PV1

Attending Doctor7PV1

Referring Doctor8PV1

Consulting Doctor9PV1

Hospital Service10PV1

Temporary Location11PV1

Preadmit Test Indicator12PV1

Readmission Indicator13PV1

Admit Source14PV1

Ambulatory Status15PV1

VIP Indicator16PV1

Admitting Doctor17PV1

Patient Type18PV1

RGS-Resource Group Segment (Optional)

Set ID - RGS1RGS

Segment Action Code2RGS

Connectivity Guide | HL7 Integration Overview | 27

Paceart fieldField lengthNameFieldSeg

Visit ID20Visit Number19PV1

Field lengthNameFieldSeg

Resource Group ID3RGS

AIS- Appointment Information - Service Segment (Optional)

Set ID - AIS1AIS

Segment Action Code2AIS

Universal Service ID3AIS

Start Date/Time4AIS

Start Date/Time Offset5AIS

Start Date/Time Offset6AIS

Duration7AIS

Duration Units8AIS

Allow Substitution Code9AIS

Filler Status Code10AIS

AIG-Appointment Information - General Resource Segment (Optional)

Field lengthNameFieldSeg

The shaded fields show the fields being updated in the Paceart database.

Set ID - AIG1AIG

Segment Action Code2AIG

Resource ID3AIG

Field lengthNameFieldSeg

255Identifier3.1AIG

28 | Connectivity Guide | HL7 Integration Overview

AIL - Appointment Information - General Resource Segment (Optional)

Set ID - AIL1AIL

Segment Action Code2AIL

Location Resource ID3AIL

Location Type-AIL4AIL

Location Group5AIL

Start Date/Time6AIL

Start Date/Time Offset7AIL

Start Date/Time Offset Units8AIL

Duration9AIL

Duration Units10AIL

Allow Substitution Code11AIL

Field lengthNameFieldSeg

Filler Status Code12AIL

AIP - Appointment Information - Personnel Resource Segment (Optional)

Set ID - AIL1AIP

Segment Action Code2AIP

Personnel Resource ID3AIP

Resource Role4AIP

Resource Group5AIP

Start Date/Time6AIP

Start Date/Time Offset7AIP

Start Date/Time Offset Units8AIP

Duration9AIP

Duration Units10AIP

Allow Substitution Code11AIP

Paceart fieldField lengthNameFieldSeg

Appointment reason code/visit type

Filler Status Code12AIP

NTE - Notes and Comments Segment (Optional)

The shaded fields show the fields being updated in the Paceart database.

Set ID - NTE1NTE

Source of Comment2NTE

Paceart fieldField lengthNameFieldSeg

Connectivity Guide | HL7 Integration Overview | 29

Paceart fieldField lengthNameFieldSeg

Appointment comment255Comment3NTE

Comment Type4NTE

Outbound Event Observation Reporting (ORU)

Purpose

The Connected Systems Gateway can send event and device information to other systems. This is done using the HL7 observation reporting message. Paceart can generate an unsolicited transmission of an observation message for any Paceart follow-up event or test. A user can use the export function in Paceart to send the current information to other systems in an HL7 message.

The observation reporting message will contain patient demographic information as well as observations related to device and follow-up event information.

Summary of Supported Actions

All exported events are sent as an unsolicited observation result (ORU^R01).

Outbound Message Format

Observation Results (unsolicited)ORU^R01

Message HeaderMSH

Patient IdentificationPID

Observation Report ID{ OBR

{ OBX }

}

Including a PDF report with an HL7 message

Paceart offers the option of embedding a PDF copy of the Paceart follow-up report in an HL7 message.

The embedded PDF binary object will be sent in a single OBX segment. The segment's data type (OBX-2) will be ED (encapsulated data). The value field (OBX-5) will be a multiple component field with the following layout.

Observation/Result

ValueComponent NameComponent

PaceartSource ApplicationOBX-5.1

ApplicationType of DataOBX-5.2

PostScriptData SubtypeOBX-5.3

Base64EncodingOBX-5.4

DataOBX-5.5

{Base64 encoded data stream of the PDF document}

30 | Connectivity Guide | HL7 Integration Overview

Example Segment:

OBX|5|ED|RPT-0001^Paceart PDF Embedded|1|Paceart^Application^PostScript^Base64^JVBERi0xLjI {a lot more data}

MSH - Message Header Segment

The following is the configuration for the construction of the MSH segment of the ORU^R01 message.

Note: Shaded items represent the HL7 data that is configurable in the Connected Systems Gateway Configuration Manager.

Field Separator1MSH

Encoding Characters2MSH

CSG Configuration Manager settingLengthNameFieldSeg

Tab:HL7_DestinationAdapter180Sending Application3MSH

180Namespace ID3.1

Universal ID3.2

Universal ID Type3.3

Namespace ID4.1

Universal ID Type4.3

Namespace ID5.1

Universal ID5.2

Universal ID Type5.3

Field: OutboundSendingApplicationNamespaceID

Field: OutboundSendingApplicationUniversalID

Field: OutboundSendingApplicationUniversalIDType

Tab: HL7_DestinationAdapter180Sending Facility4MSH

Field: OutboundSendingFacilityNamespaceID

Field: OutboundSendingFacilityUniversalIDUniversal ID4.2

Field: OutboundSendingFacilityUniversalIDTYpe

Tab: HL7_DestinationAdapter180Receiving Application5MSH

Field: OutboundReceivingApplicationNamespaceID

Field: OutboundReceivingApplicationUniversalID

Field: OutboundReceivingApplicationUniversalIDType

Tab: HL7_DestinationAdapter180Receiving Facility6MSH

Namespace ID6.1

Universal ID6.2

Universal ID Type6.3

12Date/Time of Message7MSH

Security8MSH

Field: OutboundReceivingFacilityNamespaceID

Field: OutboundReceivingFacilityUniversalID

Field: OutboundReceivingFacilityUniversalIDType

Date/Time message was created (YYYYMMDDHHSS)

Connectivity Guide | HL7 Integration Overview | 31

CSG Configuration Manager settingLengthNameFieldSeg

Message Type9MSH

Type ID9.1

Trigger Event ID9.2

20Message Control ID10MSH

Tab: HL7_DestinationAdapter3Processing ID11MSH

Field: OutboundProcessingIDProcessing ID11.1

Field: OutboundProcessingIDModeProcessing ID Mode11.2

Field: OutboundHL7Version60Version ID12MSH

PID - Patient Identification Segment

The following is the default configuration for the construction of the PID segment of the ORU^R01 message. The Paceart labels can be mapped to different HL7 fields in the PID segment in the Connected Systems Gateway Configuration Manager.

Note: Shaded items represent HL7 data that is mapped to Paceart and the default message locations they are mapped to.

Paceart fieldsLengthNameFieldSeg

Set ID1

Patient ID2

Patient Identifier List3

PatientID20ID3.1PID

Check Digit3.2

Check digit scheme employed3.3

Assigning authority3.4

Identifier type code3.5

Assigning facility3.6

Alternate Patient ID - PID4

Patient ID5

LastName32Family Name5.1PID

FirstName14Given Name5.2PID

MiddleInitial1Middle initial or name5.3PID

Suffix5.4

Prefix5.5

Degree5.6

Name Type Code5.7

Mother's Maiden Name6

32 | Connectivity Guide | HL7 Integration Overview

Paceart fieldsLengthNameFieldSeg

8Date/Time of Birth7PID

Patient Alias9

Race10

Patient Address11

Country11.6

Address Type11.7

Country Code12

BirthDate (YYYMMDD)

PA.Sex1Sex8PID

Address50Street Address11.1PID

AddressLine250Other designation11.2PID

City20City11.3PID

State10State or province11.4PID

ZipCode10Zip or postal Code11.5PID

PhoneNumber140Phone Number Home13PID

PhoneNumber240Phone Number Business14PID

OBR - Observation Request Segment (Report Header)

The following is the configuration for the construction of the OBR segment.

Note: Shaded items represent HL7 data that is mapped to Paceart and the default message locations they are mapped to.

NotesLengthDTNameFieldSeg

Sequence number starting at 1.4SISet ID - OBR1OBR

EIPlacer Order Number2OBR

38EIFiller Order Number3OBR

200CEUniversal Service ID4OBR

IDPriority5OBR

TSRequested Date/Time6OBR

TSObservation End Date/Time8OBR

CQCollection Volume9OBR

Unique identifier for the event observation set

See list under OBR:4 coded elements

Event date/time14TSObservation Date/Time7OBR

XCNCollector Identifier10OBR

IDSpecimen Action Code11OBR

CEDanger Code12OBR

Connectivity Guide | HL7 Integration Overview | 33

NotesLengthDTNameFieldSeg

STRelevent Clinical Info.13OBR

TSSpecimen Received Date/Time14OBR

CMSpecimen Source15OBR

Referring doctor 180XCNOrder Provider16OBR

XTNOrder Callback Phone Number17OBR

STPlacer Field 118OBR

STPlacer Field 219OBR

STFiller Field 120OBR

STFiller Field 221OBR

22OBR

Date/Time

CMCharge to Practice23OBR

IDDiagnostic Serv Sect ID24OBR

IDResult Status25OBR

CMParent Result26OBR

TQQuantity/Timing27OBR

CMParent29OBR

IDTransportation Mode30OBR

CEReason for Study31OBR

CMPrincipal Result Interpreter32OBR

CMAssistant Result Interpreter33OBR

OBX - Observation/Result Segment

The following is the configuration for the construction of the OBX segment.

Export date/time14TSResults Rpt/Status chng -

Referring doctor 280XCNResults Copies to28OBR

Event Operator50CMTechnician34OBR

Note: Shaded items represent HL7 data that is mapped to Paceart and the default message locations they are mapped to.

NotesLengthDTNameFieldSeg

Sequence number starting at 16SISet ID - OBX1OBX

Value type of OBX.53IDValue Type2OBX

Coded identifier80CEObservation Identifier3OBX

20STObservation Sub-ID4OBX

Sequence number for repeating observations

Value65536*Observation Value5OBX

34 | Connectivity Guide | HL7 Integration Overview

Device Observation

Device and evaluation data is represented in an HL7 ORU^R01 message as defined above. Each message contains one or more OBR segments with related attribute data represented in a series of OBX segments.

Coding

The identifier coding system referenced in OBR:4 and OBX:3 was developed by Medtronic specifically for the Paceart System outbound observation messaging. The name of the coding system component has been omitted from the coded element data because the Medtronic coding system is assumed throughout all ORU^R01 outbound messages.

OBR:4 Coded Elements

The items below identify the referenced Universal Service IDs (OBR:4).

OBR:4.2OBR:4.1

ICD Device ObservationDEV1

NotesLengthDTNameFieldSeg

Units60CEUnits6OBX

Pacemaker Device ObservationDEV2

Lead Device ObservationDEV3

Adapter Device ObservationDEV4

Transmitter Device ObservationDEV5

Arrhythmia (TTM) ObservationEVAL1

Arrhythmia (Clinic) ObservationEVAL2

Pacemaker (TTM) EvaluationEVAL3

Pacemaker (Clinic) EvaluationEVAL4

Pacemaker (Remote) EvaluationEVAL5

ICD (Clinic) EvaluationEVAL6

ICD (Implant) EvaluationEVAL7

ICD (Remote) EvaluationEVAL8

Programming EvaluationEVAL9

Miscellaneous EvaluationEVAL10

Pacemaker (Implant) EvaluationEVAL11

OBX:3 Coded Element

The items below identify the possible referenced Observation identifiers (OBX:3).

DEV-0003

Commentary

Connectivity Guide | HL7 Integration Overview | 35

Applies to:

Adapter

Lead

ICD

Pacemaker

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

STManufacturer

Transmitter

XXXXXICD, IPG, LEAD, or ADAP50CETypeDEV-0001

XXXXX50STManufacturerDEV-0002

XXXXXL

XXXXX50STModelDEV-0004

XXXXX20STSerial NumberDEV-0005

XXXX8DTImplant DateDEV-0006

XXAtrium or Ventricle60STChamber LocationDEV-0007

XXXX50STLocationDEV-0008

XX50STLead - Adaptor TypeDEV-0009

DEV-0014

DEV-0015

DEV-0021

Physician

Enabled

XXBipolar or Unipolar50STPolarityDEV-0010

XX50STAccessDEV-0011

XX20STConnectDEV-0012

XXY=Yes or N=No01361IDPacingDEV-0013

XXXX001060XCNPri. Implanting

XXXX001060XCNSec. Implanting

XXXX8DTAbandon DateDEV-0016

XXXX8DTPartial Explant DateDEV-0017

XXXX8DTExplant DateDEV-0018

STPatientCommentaryDEV-0019

STAlertDEV-0022

XXXXL

XXY=Yes or N=No01361IDBi-VentricularDEV-0020

XXY=Yes or N=No01361IDRemote Follow-up

XXXXXL

XXXX6STWarrantyDEV-0023

X100STBOL CharacteristicsDEV-0024

X100STEOL CharacteristicsDEV-0025

X12STEOL Charge TimeDEV-0026

X12STEOL VoltageDEV-0027

X12STERT Charge TimeDEV-0028

X12STERT VoltageDEV-0029

36 | Connectivity Guide | HL7 Integration Overview

Applies to:

Adapter

Lead

ICD

Pacemaker

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

Transmitter

Xj,v1STEnergy UnitsDEV-0030

X8DTDate GivenDEV-0031

X4.4.4.1.110STAcquisition SpeedDEV-0032

X25STTransmission FormatDEV-0033

X4.4.4.1.212STDefault GainDEV-0034

DEV-0035

Physician

DEV-0036

Physician

L*= Field can contain over 3000 characters.

Acquisition Speed Values

Default Gain Values

XXXX001080XCNAbandoning

XXXX001080XCNPartially Explanting

XXXX001080XCNExplanting PhysicianDEV-0037

Displayed in PaceartSent in HL7

1 X1

2 X2

3 X3

4 X4

Displayed in PaceartSent in HL7

5 mm/mV0.25

10 mm/mV0.5

20 mm/mV1

40 mm/mV2

80 mm/mV4

Example:

OBR|1||{F7FE875F-2BB5-4F1B-AB2B-5AE4E0B56811}|DEV2^Pacemaker Device

Observation |||2005091925625|||||||||6643^Claybourne^Wanda^^^^MD||||||2005 0919125625| OBX|1|CE|DEV-0001^Type|1|IPG^Pacemaker| OBX|2|ST|DEV-0002^Manufacturer|1|Medtronic| OBX|3|ST|DEV-0003^Manufacturer Commentary|1|DDD/RO or SSI/R \F\ Threshold Margin Test with magnet application is 3 (sets of) asynchronous pulses at a rate of 100 ppm (PW reduced by 25% on the

third pulse). \F\ | OBX|4|ST|DEV-0004^Model|1|7941 Thera DR | OBX|5|ST|DEV-0005^Serial Number|1|PAP003047| OBX|6|DT|DEV-0006^Implant Date|1|19971122| OBX|7|ST|DEV-0008^Location|1|Left Chest| OBX|8|XCN|DEV-00014^Pri. Implanting Physician|1|1211^Fischer^Raymond^^^^MD| OBX|9|DT|DEV-0018^Explant Date|1|10030722| OBX|10|ST|DEV-0024^BOL Characteristics|1|85 ppm (DOO/SOO)| OBX|11|ST|DEV-0025^EOL Characteristics|1|65 ppm (VOO)|

Arrhythmia Observation Identifiers

Connectivity Guide | HL7 Integration Overview | 37

Possible values or unitsTableLengthOBX2OBX:3.2OBX:3.1

14TSDate of eventARR-0001

TTM or Clinic10STEvent typeARR-0002

1=Yes or 0=No1IDCardioVoiceARR-0003

50STOperatorARR-0004

STEvent CommentaryARR-0005

L*= Field can contain over 3000 characters.

Device Evaluation Observation Identifiers

78STPatient LocationARR-0006

78STPatient activityARR-0007

200STFindings of testARR-0008

bpm4NMMinimum rateARR-0009

bpm4NMMaximum rateARR-0010

sec4NMPR interval at minimum rateARR-0011

sec4NMPR interval at maximum rateARR-0012

sec4NMQRS interval at minimum rateARR-0013

sec4NMQRS interval at maximum rateARR-0014

sec4NMQT interval at minimum rateARR-0015

sec4NMQT interval at maximum rateARR-0016

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Clinic

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

TTM

EVAL-0001

XXXXXXX14TSDate of

event

XXXXXXXTTM, Clinic, Remote, or Implant10STEvent TypeEVAL-0002

XXXXXXXY=Yes or N=No01361IDCardioVoiceEVAL-0003

38 | Connectivity Guide | HL7 Integration Overview

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Clinic

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

TTM

XXXXXXX50STOperatorEVAL-0004

EVAL-0007

EVAL-0008

EVAL-0009

EVAL-0010

EVAL-0011

EVAL-0012

EVAL-0013

EVAL-0014

EVAL-0015

XXXXXXX255STEvent

Commentary

XXXXms10NMDemand

Interval

XXXXms10NMDemand AV

Delay

XXXXms10NMMagnet

Interval

XXXXms10NMMagnet AV

Delay

XXXXms10NMMagnet

Atrial Pulse

Duration

XXXXms10NMMagnet

Vent. Pulse

Duration

XXXXXXXD=Dependant, ?=Undetermined, and -=N/A01361STAtrial

Capture

XXXXXXXD=Dependant, ?=Undetermined, and -=N/A01361STAtrial

Sensing

EVAL-0016

Capture

EVAL-0017

Sensing

EVAL-0018

Pressure

EVAL-0022

Commentary

STEval.

L*= Field can contain over 3000 characters.

XXXXXXXD=Dependant, ?=Undetermined, and -=N/A01361STVentricular

XXXXXX25STBlood

XXX75STSymptomsEVAL-0019

XXXXXX75STRhythmEVAL-0020

XXXXXXXL

Identifiers

Telemetry Observation Identifiers

Connectivity Guide | HL7 Integration Overview | 39

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

Clinic

TEL-0001

TEL-0002

TEL-0003

TEL-0005

TEL-0006

TEL-0007

TEL-0008

TEL-0009

TEL-0010

XXX10NMPercent Pacing

Atrial

XXX10NMPercent Pacing

Ventricular

XXXv7NMMin. Volt During

Charging

XXXs10NMTest Charge TimeTEL-0004

XXXj,v10NMTest Charge

Energy

XXXv20STLast High Voltage

Energy

XXXs10STLast Hi Volt Chrg

Time

XXXohm15STLead Impedance

Atrial

XXXohm15STLead Impedance

Left Vent

XXXohm15STLead Impedance

Right Vent

TEL-0011

TEL-0014

XXXohm15STLead Impedance

High Volt

XXX10STAutoGainTEL-0012

XXXXXXv7STBattery VoltageTEL-0013

XXXohm7STBattery

Impedance

Example:

OBX|10|NM|TEL-0004^Test Charge Time|1|7.9|s|

OBX|11|NM|TEL-0005^Test Charge Energy|1|35|j| OBX|12|NM|TEL-0006^Last High Voltage Energy|1|35|v| OBX|13|NM|TEL-0007^Last Hi Volt Chrg Time|1|8.45|s| OBX|14|NM|TEL-0008^Lead Impedance Atrial|1|412|ohm| OBX|15|NM|TEL-0010^Lead Impedance Right Vent|1|440|ohm| OBX|16|NM|TEL-0011^Lead Impedance High Volt|1|202|ohm| OBX|17|NM|TEL-0013^Battery Voltage|1|2.99|v|

40 | Connectivity Guide | HL7 Integration Overview

Lead Observation Identifiers

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2ClassOBX:3.1

Clinic

2STChamberLeadLEAD-0001

LeadLEAD-0002

Impedance

LeadLEAD-0003

Impedance

LeadLEAD-0004

Response

Example:

OBX|15|ST|LEAD-0001^Chamber|1|RA| OBX|16|NM|LEAD-0002^Bipolar Impedance|1|450|ohm| OBX|17|ST|LEAD-0001^Chamber|2|RV| OBX|18|NM|LEAD-0002^Bipolar Impedance|2|550|ohm|

Threshold Observation Sensing Identifiers

Ventricle (RV), or Left Ventricle (LV)

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

Clinic

Remote

XXXRight Atrium (RA), Left Atrium (LA), Right

XXXohm15STBipolar

XXXohm15STUnipolar

XXX7STEvoked

XXX7STPolarizationLeadLEAD-0005

ICDPacemaker

Implant

Clinic

Remote

Implant

TSEN-0004

2STChamberTSEN-0001

Ventricle (RV), or Left Ventricle (LV)

Graphing

Example:

OBX|19|ST|TSEN-0001^Chamber|1|RA| OBX|20|NM|TSEN-0002^Amplitude millivolts|1| 5|mv| OBX|21|ST|TSEN-0003^Polarity|1|B| OBX|22|ID|TSEN-0004^Use For Graphing|1|Y|

XXXXXXRight Atrium (RA), Left Atrium (LA), Right

XXXXXXmv10NMAmplitudeTSEN-0002

XXXXXXU=Unipolar or B=Bipolar1STPolarityTSEN-0003

XXXXXXY=Yes or N=No01361IDUse for

XXXXXXM = Manual or A = Automatic1STTypeTSEN-0005

Threshold Observation Capture Identifiers

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

Connectivity Guide | HL7 Integration Overview | 41

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Clinic

2STChamberTCAP-0001

Ventricle (RV), or Left Ventricle (LV)

1STPolarityTCAP-0004

R=Ring>Coil

TCAP-0005

Graphing

Example:

OBX|26|ST|TCAP-0001^Chamber|1|RA| OBX|27|NM|TCAP-0002^Amplitude|1|1|v| OBX|28|ST|TCAP-0003^Duration|1|0.1| OBX|29|ST|TCAP-0004^Polarity|1|B| OBX|30|ID|TCAP-0005^Use For Graphing|1|N|

Detections and Treatments Observation Identifiers

XXXXXXRight Atrium (RA), Left Atrium (LA), Right

XXXXXXv10NMAmplitudeTCAP-0002

XXXXXXms10NMDurationTCAP-0003

XXXXXXU=Unipolar, B=Bipolar, T=Tip>Ring, or

XXXXXXY=Yes or N=No01361IDUse for

XXXXXXM = Manual or A = Automatic16STTypeTCAP-0006

ICD

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXX10STVentricular FibrillationDT-0001

XXX10STFast Vent. TachycardiaDT-0002

XXX10STSlow Vent. TachycardiaDT-0003

XXX10STVery Slow Vent. Tachy.DT-0004

XXX10STAtrial FibrillationDT-0005

XXX10STAtrial FlutterDT-0006

XXX10STAtrial TachycardiaDT-0007

XXX10STExt. HiRate Sus. DetectDT-0008

XXX6STNon Sus. Vent. DetectDT-0009

XXX6STNon Sus. Atrial DetectDT-0010

XXX10STAMS EpisodesDT-0011

XXX10STShocks delivered Vent.DT-0012

42 | Connectivity Guide | HL7 Integration Overview

Example:

OBX|36|ST|DT-0018^Percent Pacing Ventricular|1|99|pct| OBX|37|ST|DT-0019^Percent Pacing Atrial|1|99|pct|

ICD

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXX10STShocks delivered AtrialDT-0013

XXX10STShocks aborted Vent.DT-0014

XXX10STShocks aborted AtrialDT-0015

XXX10STATP Episodes VentricularDT-0016

XXX10STATP Episodes AtrialDT-0017

XXXpct10STPercent Pacing VentricularDT-0018

XXXpct10STPercent Pacing AtrialDT-0019

Telemetry Totals Observation Identifiers

ICD

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXX10STShocks DeliveredTOT-0001

XXX10STShocks AbortedTOT-0002

XXX20STTest ChangesTOT-0003

XXX20STTotal ChangesTOT-0004

XXXsec.15STCumulative Charge TimeTOT-0005

XXX26TSCounters Cleared DateTOT-0006

XXX5STCharges (50-200)TOT-0007

XXX5STCharges (250-400)TOT-0008

XXX5STCharges (450-600)TOT-0009

XXX5STCharges (650-750)TOT-0010

Example:

OBX|21|ST|TOT-0001^Shocks Delivered|1| 2| OBX|22|ST|TOT-0004^Total Charges|1|3| OBX|23|TS|TOT-0006^Counters Cleared Date|1|20010404000000|

ICD Episode Observation Identifiers

Connectivity Guide | HL7 Integration Overview | 43

ICD

Implant

Remote

ICD

Clinic

XXX26TSLast InterrogatedEPH-0001

XXX26TSLast Cleared DateEPH-0002

Remote

XXXVT/VF, SVT/NST, or Mode Switch12STEpisode TypeEP-0001

XXX6NMEpisodeIDEP-0002

Implant

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Example:

OBX|39|TS|EPH-0001^Last Interrogated|1|20051111| OBX|40|TS|EPH-0002^Last Cleared Date|1|20041111| OBX|41|ST|EP-0001^Episode Type|1.1|VT/VF| OBX|42|NM|EP-0002^EpisodeID|1.1|7893t-0998| OBX|43|ST|EPD-0001^Field Name|1.1.1|<field name>| OBX|44|ST|EPD-0002^Field Value|1.1.1|<field value>|

Brady Programming Observation Identifiers

ICD

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

Implant

Remote

XXX50STField NameEPD-0001

XXX50STField ValueEPD-0002

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXXXXX5STPacing ModeBRDY-0001

XXXXXXbpm5STLower RateBRDY-0002

XXXXXXbpm5STTracking RateBRDY-0003

XXXXXXbpm5STMax. Sensor RateBRDY-0004

44 | Connectivity Guide | HL7 Integration Overview

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXXXXXbpm10STHysteresis RateBRDY-0005

XXXXXXbpm5STSleep RateBRDY-0006

XXXXXXOn; Off; Auto; N/A20STPMT InterventionBRDY-0007

Example:

OBX|35|ST|BRDY-0001^Pacing Mode|1|DDDR| OBX|36|NM|BRDY-0002^Lower Rate|1|70|bpm| OBX|37|NM|BRDY-0003^Tracking Rate|1|140|bpm| OBX|38|NM|BRDY-0004^Max Sensor Rate|1|120|bpm|

Brady Sensing Observation Identifiers

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

2STChamberBSEN-0001

Ventricle (RV), or Left Ventricle (LV)

Remote

XXXXXXRight Atrium (RA), Left Atrium (LA), Right

XXXXXXOn; Off; N/A; PVARP on PVC; DVI

XXXXXXYes; No; Int10STDependancyBRDY-0009

XXXXXX50STNotesBRDY-0010

Implant

20STPVC InterventionBRDY-0008

on PVC

ICDPacemaker

Clinic

Implant

Remote

Clinic

1STPolarityBSEN-0003

or Tip Ring (R)

Example:

OBX|39|ST|BSEN-0001^Chamber|1|RA| OBX|40|NM|BSEN-0002^Amplitude|1|1.0|mv| OBX|41|NM|BSEN-0004^Refractory Period|1|300|ms|

XXXXXXmv5STAmplitudeBSEN-0002

XXXXXXBipolar (B), Unipolar (U), Dual (D), Tip Coil (C),

XXXXXXms5STRefractory PeriodBSEN-0004

XXXXXXms5STBlanking PeriodBSEN-0005

Brady Pacing Observation Identifiers

Connectivity Guide | HL7 Integration Overview | 45

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

2STChamberBPAC-0001

Ventricle (RV), or Left Ventricle (LV)

1STPolarityBPAC-0004

(C), or Tip Ring (R)

Example:

OBX|45|ST|BPAC-0001^Chamber|1|RA| OBX|46|NM|BPAC-0002^Amplitude|1|3.8|v| OBX|47|NM|BPAC-0003^Pulse Width|1|0.4|ms|

Brady Rate Modulation Observation Identifiers

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

Remote

ICDPacemaker

Implant

Clinic

XXXXXXRight Atrium (RA), Left Atrium (LA), Right

XXXXXXv5STAmplitudeBPAC-0002

XXXXXXms5STPulse WidthBPAC-0003

XXXXXXBipolar (B), Unipolar (U), Dual (D), Tip Coil

Remote

XXXXXX15STThresholdBMOD-0001

Implant

BMOD-0003

BMOD-0004

XXXXXX15STSlopeBMOD-0002

XXXXXX15STAcceleration

Reaction

XXXXXX15STDeceleration

Recovery

XXXXXXbpm5STADL RateBMOD-0005

Example:

OBX|57|ST|BMOD-0001^Threshold|1|Medium| OBX|58|ST|BMOD-0002^Slope|1|7| OBX|59|ST|BMOD-0003^Accleration Reaction|1|30 min| OBX|60|ST|BMOD-0004^Decleration Recovery|1|5 sec|

46 | Connectivity Guide | HL7 Integration Overview

Brady AV Delay Observation Identifiers

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXXXXXms5STSensed AV DelayBAVD-0001

XXXXXXms5STPaced AV DelayBAVD-0002

BAVD-0003

Status

BAVD-0004

Minimum

BAVD-0005

Maximum

BAVD-0006

Minimum

BAVD-0007

Minimum

Brady AMS Observation Identifiers

XXXXXXOn; Off; Slow;Med; Fast; High; Low; N/A8STAdaptive AVDelay

XXXXXXbpm8STAdaptive Rate

XXXXXXms8STAdaptive Sensed

XXXXXXms8STAdaptive Paced

XXXXXXms8STVV DelayBAVD-0008

ICDPacemaker

Implant

Remote

Clinic

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXXXXXbpm5STRateBAMS-0001

Example:

OBX|58|NM|BAMS-0001^Rate|1|170|bpm|

Tachy Observation Identifiers

TACH-0001

Ventricular

XXXXXXms10STDurationBAMS-0002

XXXXXXbpm5STFallback RateBAMS-0003

ICD

Implant

Remote

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXXDisabled; 1-Zone; 2-Zone; 3-Zone; 4-Zone50STDetection Status

XXXDisabled; 1-Zone; 2-Zone; 3-Zone50STDetection Status AtrialTACH-0002

Connectivity Guide | HL7 Integration Overview | 47

ICD

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

Remote

Implant

TACH-0003

Ventricular

STCommentaryTACH-0005

L*= Field can contain over 3000 characters.

Example:

OBX|18|ST|TACH-0001^Detection Status Ventricular|1|1-ZONE| OBX|19|ST|TACH-0003^Therapy Status Ventricular|1|5.9|

Tachy VF Zone Observation Identifiers

TVF-0002

Configuration

XXXEnabled; Disabled; Monitor25STTherapy Status

XXXEnabled; Disabled; Monitor25STTherapy Status AtrialTACH-0004

ICD

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

25STTherapy

6-Shocks; 7-Shocks

Clinic

XXXL

Remote

XXXFixed: VF25STZone TypeTVF-0001

XXXN/A; Disabled; Monitor; 4-Shocks; 5-Shocks;

Implant

Example:

OBX|29|NM|TVF-0002^Detection Interval|1|343|ms|

Tachy VFZ Shock Therapy Observation Identifiers

XXXms10NMDetection IntervalTVF-0003

XXX25STDetection DurationTVF-0004

XXX25STRedetection DurationTVF-0005

XXXY=Yes or N=No01361IDCommittedTVF-0006

ICD

Implant

Remote

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXX3NMTherapy NumberTVFS-0001

XXXY=Yes or N=No01361IDStatusTVFS-0002

XXXv, j10NMShocks EnergyTVFS-0003

48 | Connectivity Guide | HL7 Integration Overview

ICD

Implant

Remote

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXXBiphasic or Monophasic20STWaveformTVFS-0004

XXXms10NMPulse Width PositiveTVFS-0005

TVFS-0006

Negative

Example:

OBX|63|NM|TVFS-0001^Therapy Number|1|1| OBX|64|ID|TVFS-0002^Status|1|N| OBX|65|NM|TVFS-0003^Shock Energy|1|0.4| OBX|66|ST|TVFS-0004^Waveform|1|Biphasic| OBX|67|ST|TVFS-0007^Pathway|1|AX>B|

Tachy Zone Observation Identifiers

XXXms10NMPulse Width

Remote

XXXB>AX; Initial; Reversed; RV(+), Can(-);

XXX10NMCardioversion DelayTVFS-0008

XXX1IDCommittedTVFS-0009

Implant

20STpathwayTVFS-0007

RV(-), Can(+); RV(+), SVC/Can(-);or

RV(-), SVC/Can(+); Ax>B

ICD

Possible values or unitsLengthOBX:2OBX:3.2OBX:3.1

Clinic

8STZoneTypeTZON-0001

EHR_SRDRate_bpmTZON-0007

NM*= Field is labeled NM but will send string data.

XXXFastVT; SlowVT, VSlowVT, AFib, AFlutter,

ATach

XXX25STTherapy ConfigurationTZON-0002

XXXms10NMDetection IntervalTZON-0003

XXX25STDetection DurationTZON-0004

XXX25STRedetection DurationTZON-0005

XXX16STCommentaryTZON-0006

XXXbpm10NM

XXXms10STEHR_SRD DurationTZON-0008

XXXms or pct5STSudden Onset CriteriaTZON-0009

XXXms5STRate Stability CriteriaTZON-0010

XXX25STQRS Morphology CriteriaTZON-0011

Example:

OBX|213|ST|TZON-0001^Therapy Configuration|1|Disabled| OBX|214|NM|TZON-0002^Detection Interval|1|350| OBX|215|NM|TZON-0007^EHR SRD Duration|1|12 min| OBX|216|ST|TZON-0009^Rate Stability Criteria|1|30| OBX|217|ST|TZON-0011^Zone Type|1|FastVT|

Tachy Z ATP Observation Identifiers

Connectivity Guide | HL7 Integration Overview | 49

ICD

Remote

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

Clinic

XXX3NMTherapy NumberTZAT-0001

XXXY=Yes or N=No01361IDStatusTZAT-0002

XXXBurst, Burst+, Aburst+, Ramp, Ramp+10STTherapy TypeTZAT-0003

Implant

TZAT-0006

TZAT-0012

TZAT-0014

XXX10NMStimuli CountTZAT-0004

XXXms, pct10NMCoupling IntervalTZAT-0005

XXXms, pct10NMCoupling Interval

Decrement

XXXms, pct10NMBurst Cycle LengthTZAT-0007

XXXpct10NMS1S2 RampTZAT-0008

XXXpct10NMS2SN RampTZAT-0009

XXXms10NMRamp DecrementTZAT-0010

XXXms10NMInterval DecrementTZAT-0011

XXXms10NMMinimum Burst Cycle

Length

XXX10NMNumber Of SequencesTZAT-0013

XXX10NMMaximum Number Of

Pulses

XXX10STPulse IncrementTZAT-0015

XXXms10NMScan DecrementTZAT-0016

XXXDecrement, Increment, or Dec./Inc.10STSequenceTZAT-0017

Example:

OBX|103|NM|TZAT-0001^Therapy Number|1|2| OBX|104|ID|TZAT-0002^Status|1|N|

XXXY=Yes or N=No01361IDSmart ModeTZAT-0018

XXXv10NMOutput AmplitudeTZAT-0019

XXXms10NMOutput DurationTZAT-0020

50 | Connectivity Guide | HL7 Integration Overview

OBX|105|ST|TZAT-0003^Therapy Type|1|Ramp| OBX|106|NM|TZAT-0004^Stimuli Count|1|8| OBX|107|NM|TZAT-0005^Coupling Interval|1|91| OBX|108|NM|TZAT-0011^Interval Decrement|1|10|ms| OBX|109|NM|TZAT-0012^Minimum Burst Cycle Length|1|200|ms| OBX|110|NM|TZAT-0013^Number Of Sequences|1|3| OBX|111|NM|TZAT-0019^Output Amplitude|1|8|v| OBX|112|NM|TZAT-0020^Output Duration|1|1.6|ms|

Tachy Z Shock Therapy Observation Identifiers

ICD

Implant

Remote

Possible values or unitsTableLengthOBX:2OBX:3.2OBX:3.1

Clinic

TZST-0001

TZST-0003

TZST-0005

TZST-0006

TZST-0008

Number

Energy

Positive

Negative

20STPathwayTZST-0007

RV(-), Can(+); RV(+), SVC/Can(-); RV(-),

SVC/Can(+); RV(+), SVC/Can(-);or RV(-),

SVC/Can(+)

Delay

Example:

OBX|203|NM|TZST-0001^Therapy Number|1|6| OBX|204|ID|TZST-0002^Status|1|N| OBX|205|NM|TZST-0003^Shock Energy|1|0.4| OBX|206|ST|TZST-0004^Waveform|1|Biphasic| OBX|207|ST|TZST-0007^Pathway|1|AX>B*|

XXXNMTherapy

XXXY=Yes or N=No01361IDStatusTZST-0002

XXXv, j10NMShock

XXX20STWaveformTZST-0004

XXXms10STPulse Width

XXXB>AX; Initial; Reversed; RV(+), Can(-);

XXXms10NMCardioversion

OBX:4 Sub-ID Numbering and Data Relationship

The OXB:4 field is used to distinguish between multiple OBX segments with the same observation ID organized under the same OBR segment. For example, a Pacemaker Clinic report might include pacing data for three different zones.

Connectivity Guide | HL7 Integration Overview | 51

The HL7 standard requires three OBX segments, one for each sensing zone. By putting a 1 in the Sub-ID of the first of these OBX segments, a 2 in the second, and a 3 in the third, we can uniquely identify each OBX segment for editing or replacement.

The sub-identifier is also used to group related components in reports, such as the amplitude and polarity data related to each of the sensing zones. Examples of repeating segments and grouping can be seen in the Sensing Data and Pacing Data sections.

The sub-identifier can also add heirarchical relationships to combine uniquely identified duplicate observation IDs as well as to group the data with a parent-child relationship. This is done using dot notation (example 1.1). The Zone and Therapies section illustrates how this type of sub-identifier is used in an ICD report.

Sensing Data

Each line in the circled area of the screen describes a chamber of the heart. The same data can be reported for each of the chambers. The sub-ID is used to group the data and uniquely identify the observations in the OBR segment.

The following example message shows that the data associated with the Right Atrium has a sub-ID of 1. The Right Ventricle has a sub-ID value of 2 and the Left Ventricle has a sub-ID value of 3.

Example

OBX|24|ST|BSEN-0001^Chamber|1|RA| OBX|25|NM|BSEN-0002^Amplitude|1|0.3|mv| OBX|26|ST|BSEN-0003^Polarity|1|B| OBX|27|NM|BSEN-0004^Refractory Period|1|310|ms| OBX|28|NM|BSEN-0005^Blanking Period|1|200|ms|

OBX|29|ST|BSEN-0001^Chamber|2|RV| OBX|30|NM|BSEN-0002^Amplitude|2|0.3|mv| OBX|31|ST|BSEN-0003^Polarity|2|B| OBX|32|NM|BSEN-0005^Blanking Period|2|230|ms|

OBX|33|ST|BSEN-0001^Chamber|3|LV| OBX|34|NM|BSEN-0005^Blanking Period|3|230|ms|

52 | Connectivity Guide | HL7 Integration Overview

Pacing Data

Pacing data is also grouped using a unique sub-ID for each chamber.

Example

OBX|35|ST|BPAC-0001^Chamber|1|RA| OBX|36|NM|BPAC-0002^Amplitude|1|3|v| OBX|37|NM|BPAC-0003^Pulse Width|1|0.4|ms| OBX|38|ST|BPAC-0004^Polarity|1|B|

OBX|39|ST|BPAC-0001^Chamber|2|RV| OBX|40|NM|BPAC-0002^Amplitude|2|3|v| OBX|41|NM|BPAC-0003^Pulse Width|2|0.4|ms| OBX|42|ST|BPAC-0004^Polarity|2|B|

OBX|43|ST|BPAC-0001^Chamber|3|LV| OBX|44|NM|BPAC-0002^Amplitude|3|0.5|v| OBX|45|NM|BPAC-0003^Pulse Width|3|1|ms|

Zones and Therapies

The sub-ID is also used when reporting zone and therapy data. There can be observations reported for multiple zones. Each zone can also have observations reported for multiple therapies specific to that zone.

This hierarchical relationship is reported using a #.# format in the sub-ID field. The first number indicates the zone and the second number (after the ".") indicates the therapy in that zone.

Connectivity Guide | HL7 Integration Overview | 53

Example

Data reported for the Fast VT zone, has a sub-ID of "1".

OBX|95|ST|TZON-0001^Zone Type|1|FastVT| OBX|96|ST|TZON-0002^Therapy Configuration|1|ATP + 1 Shock| OBX|97|NM|TZON-0003^Detection Interval|1|350|ms| OBX|98|NM|TZON-0008^EHR SRD Duration|1|12 min|ms| OBX|99|ST|TZON-0010^Rate Stability Criteria|1|30|ms|

The first Therapy within the Fast VT Zone has a sub-ID of "1.1" Zone 1 (Fast VT, first configured therapy).

OBX|100|NM|TZAT-0001^ATP Therapy Number|1.1|1| OBX|101|ID|TZAT-0002^Status|1.1|Y| OBX|102|ST|TZAT-0003^Therapy Type|1.1|Ramp| OBX|103|NM|TZAT-0004^Stimuli Count|1.1|8| OBX|104|NM|TZAT-0005^Coupling Interval|1.1|91|pct| OBX|105|NM|TZAT-0011^Interval Decrement|1.1|10|ms| OBX|106|NM|TZAT-0012^Minimum Burst Cycle Length|1.1|200|ms| OBX|107|NM|TZAT-0013^Number Of Sequences|1.1|3| OBX|108|ID|TZAT-0018^Smart Mode|1.1|N| OBX|109|NM|TZAT-0019^Output Amplitude|1.1|8|v| OBX|110|NM|TZAT-0020^Output Duration|1.1|1.6|ms|

Each therapy is reported in order for the fast VT zone.

The last therapy reported is a Shock therapy and has a sub-ID of 1.6, because it is the sixth reported therapy within the first zone.

54 | Connectivity Guide | HL7 Integration Overview

Example

OBX|159|NM|TZST-0001^Shock Therapy Number|1.6|6| OBX|160|ID|TZST-0002^Status|1.6|Y| OBX|161|NM|TZST-0003^Shock Energy|1.6|0.4|j| OBX|162|ST|TZST-0004^Waveform|1.6|Biphasic| OBX|163|ST|TZST-0007^Pathway|1.6|AX>B*|

The next Zone reported is Slow VT, and data has a sub-ID of "2".

Format for Zone/Therapy Sub-ID Numbering

Sub-IDObservation

1TVF (VF Zone)

1.1TVFS (Shock Therapy)

1.2TVFS (Shock Therapy)

1.3TVFS (Shock Therapy)

1.NTVFS (Shock Therapy)

1TZON (Zone)

1.1TZST (Shock Therapy)

1.2TZST (Shock Therapy)

1.3TZAT (ATP Therapy)

1.4TZAT (ATP Therapy)

2TZON (Zone)

...

Connectivity Guide | HL7 Integration Overview | 55

Sub-IDObservation

2.1TZAT (ATP Therapy)

2.2TZST (Shock Therapy)

2.3TZAT (ATP Therapy)

2.4TZST (Shock Therapy)

2.NTZAT (ATP Therapy)

2.N+1TZST (Shock Therapy)

XTZON (Zone)

X.1TZAT (ATP Therapy)

X.2TZAT (ATP Therapy)

X.3TZST (Shock Therapy)

...

Format for Episode Data Sub-ID Numbering

...

X.4TZST (Shock Therapy)

X.NTZAT (ATP Therapy)

X.N+1TZST (Shock Therapy)

Sub-IDObservation

1EPH

1EP

1.1EPD

1.2EPD

1.NEPD

2EP

2.1EPD

2.2EPD

...

2.NEPD

XEP

X.1EPD

X.2EPD

...

56 | Connectivity Guide | HL7 Integration Overview

Example 1: Brady Data

This example illustrates multiple sensing observations to the parent Brady data.

OBX|70|NM|BRDY-0002^Lower Rate|1|70|bpm| OBX|71|NM|BRDY-0003^Tracking Rate|1|110|bpm| OBX|72|NM|BRDY-0004^Max Sensor Rate|1|456|bpm| OBX|73|NM|BRDY-0005^Hysteresis Rate|1|765|bpm| OBX|74|ST|BRDY-0007^PMT Intervention|1|Off| OBX|75|ST|BRDY-0008^PVC Intervention|1|On| OBX|76|ST|BRDY-0009^Dependency|1|Yes| OBX|77|ST|BRDY-0010^Notes|1|Sample Notes|

OBX|78|ST|BSEN-0001^Chamber|1|RA| OBX|79|NM|BSEN-0002^Amplitude|1|67|mv| OBX|80|ST|BSEN-0003^Polarity|1|U| OBX|81|NM|BSEN-0004^Refractory Period|1|55|ms| OBX|82|NM|BSEN-0005^Blanking Period|1|667|ms|

OBX|83|ST|BSEN-0001^Chamber|2|RV| OBX|84|NM|BSEN-0002^Amplitude|2|2.8|mv| OBX|85|ST|BSEN-0003^Polarity|2|B| OBX|86|NM|BSEN-0004^Refractory Period|2|330|ms| OBX|87|NM|BSEN-0005^Blanking Period|2|75|ms|

Sub-IDObservation

X.NEPD

OBX|88|ST|BSEN-0001^Chamber|3|LV| OBX|89|NM|BSEN-0002^Amplitude|3|54|mv| OBX|90|ST|BSEN-0003^Polarity|3|B| OBX|91|NM|BSEN-0004^Refractory Period|3|128|ms| OBX|92|NM|BSEN-0005^Blanking Period|3|23|ms|

Example 2: Tachy Data

This example illystrates the VF Zone and zone relationship to the parent Tachy data:

OBX|57|ST|TACH-0001^Detection Status Ventricular|1|Disabled| OBX|58|ST|TACH-0002^Detection Status Atrial|1|1 - Zone| OBX|59|ST|TACH-0003^Therapy Status Ventricular|1|Enabled| OBX|60|ST|TACH-0004^Therapy Status Atrial|1|Enabled| OBX|61|ST|TACH-0005^Commentary|1|config comments|

OBX|62|ST|TVF-0001^Zone Type|1|VF| OBX|63|ST|TVF-0002^Therapy Configuration|1|6 Shocks| OBX|64|NM|TVF-0003^Detection Interval|1|300|ms| OBX|65|ST|TVF-0004^Detection Duration|1|12/16| OBX|66|ST|TVF-0005^Redetection Duration|1|6/8| OBX|67|ID|TVF-0006^Committed|1|N|

OBX|68|NM|TVFS-0001^Shock Therapy Number|1.1|1| OBX|69|ID|TVFS-0002^Status|1.1|N| OBX|70|NM|TVFS-0003^Shock Energy|1.1|0.4|j| OBX|71|ST|TVFS-0004^Waveform|1.1|Biphasic| OBX|72|ST|TVFS-0007^Pathway|1.1|AX>B*|

OBX|73|NM|TVFS-0001^Shock Therapy Number|1.2|2| OBX|74|ID|TVFS-0002^Status|1.2|N| OBX|75|NM|TVFS-0003^Shock Energy|1.2|0.4|j| OBX|76|ST|TVFS-0004^Waveform|1.2|Biphasic|

Connectivity Guide | HL7 Integration Overview | 57

OBX|77|ST|TVFS-0007^Pathway|1.2|AX>B*|

OBX|78|NM|TVFS-0001^Shock Therapy Number|1.3|3| OBX|79|ID|TVFS-0002^Status|1.3|N| OBX|80|NM|TVFS-0003^Shock Energy|1.3|10|j| OBX|81|ST|TVFS-0004^Waveform|1.3|Biphasic| OBX|82|ST|TVFS-0007^Pathway|1.3|AX>B*|

OBX|83|NM|TVFS-0001^Shock Therapy Number|1.4|4| OBX|84|ID|TVFS-0002^Status|1.4|N| OBX|85|NM|TVFS-0003^Shock Energy|1.4|10|j| OBX|86|ST|TVFS-0004^Waveform|1.4|Biphasic| OBX|87|ST|TVFS-0007^Pathway|1.4|AX>B*|

OBX|88|NM|TVFS-0001^Shock Therapy Number|1.5|5| OBX|89|ID|TVFS-0002^Status|1.5|N| OBX|90|NM|TVFS-0003^Shock Energy|1.5|10|j| OBX|91|ST|TVFS-0004^Waveform|1.5|Biphasic| OBX|92|ST|TVFS-0007^Pathway|1.5|AX>B*|

OBX|93|NM|TVFS-0001^Shock Therapy Number|1.6|6| OBX|94|ID|TVFS-0002^Status|1.6|N| OBX|95|NM|TVFS-0003^Shock Energy|1.6|10|j| OBX|96|ST|TVFS-0004^Waveform|1.6|Biphasic| OBX|97|ST|TVFS-0007^Pathway|1.6|AX>B*|

OBX|98|ST|TZON-0001^Zone Type|1|FastVT| OBX|99|ST|TZON-0002^Therapy Configuration|1|2 Shocks| OBX|100|NM|TZON-0003^Detection Interval|1|350|ms| OBX|101|NM|TZON-0008^EHR SRD Duration|1|12 min|ms| OBX|102|ST|TZON-0010^Rate Stability Criteria|1|30|ms|

OBX|103|NM|TZAT-0001^ATP Therapy Number|1.1|1| OBX|104|ID|TZAT-0002^Status|1.1|N| OBX|105|ST|TZAT-0003^Therapy Type|1.1|Ramp| OBX|106|NM|TZAT-0004^Stimuli Count|1.1|8| OBX|107|NM|TZAT-0005^Coupling Interval|1.1|91|pct| OBX|108|NM|TZAT-0011^Interval Decrement|1.1|10|ms| OBX|109|NM|TZAT-0012^Minimum Burst Cycle Length|1.1|200|ms| OBX|110|NM|TZAT-0013^Number Of Sequences|1.1|3| OBX|111|ID|TZAT-0018^Smart Mode|1.1|N| OBX|112|NM|TZAT-0019^Output Amplitude|1.1|8|v| OBX|113|NM|TZAT-0020^Output Duration|1.1|1.6|ms|

OBX|114|NM|TZAT-0001^ATP Therapy Number|1.2|2| OBX|115|ID|TZAT-0002^Status|1.2|N| OBX|116|ST|TZAT-0003^Therapy Type|1.2|Ramp| OBX|117|NM|TZAT-0004^Stimuli Count|1.2|8| OBX|118|NM|TZAT-0005^Coupling Interval|1.2|91|pct| OBX|119|NM|TZAT-0011^Interval Decrement|1.2|10|ms| OBX|120|NM|TZAT-0012^Minimum Burst Cycle Length|1.2|200|ms| OBX|121|NM|TZAT-0013^Number Of Sequences|1.2|3| OBX|122|ID|TZAT-0018^Smart Mode|1.2|N| OBX|123|NM|TZAT-0019^Output Amplitude|1.2|8|v| OBX|124|NM|TZAT-0020^Output Duration|1.2|1.6|ms|

OBX|125|NM|TZAT-0001^ATP Therapy Number|1.3|3| OBX|126|ID|TZAT-0002^Status|1.3|N| OBX|127|ST|TZAT-0003^Therapy Type|1.3|Ramp+| OBX|128|NM|TZAT-0004^Stimuli Count|1.3|3| OBX|129|NM|TZAT-0005^Coupling Interval|1.3|75|pct| OBX|130|NM|TZAT-0008^S1S2 Ramp|1.3|69|pct|

58 | Connectivity Guide | HL7 Integration Overview

OBX|131|NM|TZAT-0009^S2SN Ramp|1.3|66|pct| OBX|132|NM|TZAT-0012^Minimum Burst Cycle Length|1.3|200|ms| OBX|133|NM|TZAT-0013^Number Of Sequences|1.3|5| OBX|134|ST|TZAT-0015^Pulse Increment|1.3|1| O BX|135|ID|TZAT-0018^Smart Mode|1.3|N| OBX|136|NM|TZAT-0019^Output Amplitude|1.3|8|v| OBX|137|NM|TZAT-0020^Output Duration|1.3|1.6|ms|

OBX|138|NM|TZAT-0001^ATP Therapy Number|1.4|4| OBX|139|ID|TZAT-0002^Status|1.4|N| OBX|140|ST|TZAT-0003^Therapy Type|1.4|Ramp+| OBX|141|NM|TZAT-0004^Stimuli Count|1.4|3| OBX|142|NM|TZAT-0005^Coupling Interval|1.4|75|pct| OBX|143|NM|TZAT-0008^S1S2 Ramp|1.4|69|pct| OBX|144|NM|TZAT-0009^S2SN Ramp|1.4|66|pct| OBX|145|NM|TZAT-0012^Minimum Burst Cycle Length|1.4|200|ms| OBX|146|NM|TZAT-0013^Number Of Sequences|1.4|5| OBX|147|ST|TZAT-0015^Pulse Increment|1.4|1| OBX|148|ID|TZAT-0018^Smart Mode|1.4|N| OBX|149|NM|TZAT-0019^Output Amplitude|1.4|8|v| OBX|150|NM|TZAT-0020^Output Duration|1.4|1.6|ms|

OBX|151|NM|TZAT-0001^ATP Therapy Number|1.5|5| OBX|152|ID|TZAT-0002^Status|1.5|N| OBX|153|ST|TZAT-0003^Therapy Type|1.5|Burst| OBX|154|NM|TZAT-0004^Stimuli Count|1.5|15| OBX|155|NM|TZAT-0005^Coupling Interval|1.5|88|pct| OBX|156|NM|TZAT-0011^Interval Decrement|1.5|10|ms| OBX|157|NM|TZAT-0012^Minimum Burst Cycle Length|1.5|200|ms| OBX|158|NM|TZAT-0013^Number Of Sequences|1.5|1| OBX|159|ID|TZAT-0018^Smart Mode|1.5|N| OBX|160|NM|TZAT-0019^Output Amplitude|1.5|8|v| OBX|161|NM|TZAT-0020^Output Duration|1.5|1.6|ms|

OBX|162|NM|TZST-0001^Shock Therapy Number|1.6|6| OBX|163|ID|TZST-0002^Status|1.6|N| OBX|164|NM|TZST-0003^Shock Energy|1.6|0.4|j| OBX|165|ST|TZST-0004^Waveform|1.6|Biphasic| OBX|166|ST|TZST-0007^Pathway|1.6|AX>B*|

OBX|167|ST|TZON-0001^Zone Type|2|SlowVT| OBX|168|ST|TZON-0002^Therapy Configuration|2|ATP Only| OBX|169|NM|TZON-0003^Detection Interval|2|450|ms| OBX|170|ST|TZON-0004^Detection Duration|2|12| OBX|171|ST|TZON-0005^Redetection Duration|2|4| OBX|172|NM|TZON-0008^EHR SRD Duration|2|12 min|ms| OBX|173|ST|TZON-0010^Rate Stability Criteria|2|30|ms|

OBX|174|NM|TZAT-0001^ATP Therapy Number|2.1|1| OBX|175|ID|TZAT-0002^Status|2.1|N| OBX|176|ST|TZAT-0003^Therapy Type|2.1|Ramp| OBX|177|NM|TZAT-0004^Stimuli Count|2.1|3| OBX|178|NM|TZAT-0005^Coupling Interval|2.1|91|pct| OBX|179|NM|TZAT-0011^Interval Decrement|2.1|10|ms|

OBX|180|NM|TZAT-0012^Minimum Burst Cycle Length|2.1|200|ms| OBX|181|NM|TZAT-0013^Number Of Sequences|2.1|3| OBX|182|ID|TZAT-0018^Smart Mode|2.1|N| OBX|183|NM|TZAT-0019^Output Amplitude|2.1|8|v| OBX|184|NM|TZAT-0020^Output Duration|2.1|1.6|ms|

OBX|185|NM|TZAT-0001^ATP Therapy Number|2.2|2|

Connectivity Guide | HL7 Integration Overview | 59

OBX|186|ID|TZAT-0002^Status|2.2|N| OBX|187|ST|TZAT-0003^Therapy Type|2.2|Ramp+| OBX|188|NM|TZAT-0004^Stimuli Count|2.2|15| OBX|189|NM|TZAT-0005^Coupling Interval|2.2|75|pct| OBX|190|NM|TZAT-0008^S1S2 Ramp|2.2|69|pct| OBX|191|NM|TZAT-0009^S2SN Ramp|2.2|66|pct| OBX|192|NM|TZAT-0012^Minimum Burst Cycle Length|2.2|200|ms| OBX|193|NM|TZAT-0013^Number Of Sequences|2.2|5| OBX|194|ST|TZAT-0015^Pulse Increment|2.2|1| OBX|195|ID|TZAT-0018^Smart Mode|2.2|N| OBX|196|NM|TZAT-0019^Output Amplitude|2.2|8|v| OBX|197|NM|TZAT-0020^Output Duration|2.2|1.6|ms|

OBX|198|NM|TZAT-0001^ATP Therapy Number|2.3|3| OBX|199|ID|TZAT-0002^Status|2.3|N| OBX|200|ST|TZAT-0003^Therapy Type|2.3|Ramp+| OBX|201|NM|TZAT-0004^Stimuli Count|2.3|3| OBX|202|NM|TZAT-0005^Coupling Interval|2.3|75|pct| OBX|203|NM|TZAT-0008^S1S2 Ramp|2.3|69|pct| OBX|204|NM|TZAT-0009^S2SN Ramp|2.3|66|pct| OBX|205|NM|TZAT-0012^Minimum Burst Cycle Length|2.3|200|ms| OBX|206|NM|TZAT-0013^Number Of Sequences|2.3|5| OBX|207|ST|TZAT-0015^Pulse Increment|2.3|1| OBX|208|ID|TZAT-0018^Smart Mode|2.3|N| OBX|209|NM|TZAT-0019^Output Amplitude|2.3|8|v| OBX|210|NM|TZAT-0020^Output Duration|2.3|1.6|ms|

OBX|211|NM|TZAT-0001^ATP Therapy Number|2.4|4| OBX|212|ID|TZAT-0002^Status|2.4|N| OBX|213|ST|TZAT-0003^Therapy Type|2.4|Ramp+| OBX|214|NM|TZAT-0004^Stimuli Count|2.4|3| OBX|215|NM|TZAT-0005^Coupling Interval|2.4|75|pct| OBX|216|NM|TZAT-0008^S1S2 Ramp|2.4|69|pct| OBX|217|NM|TZAT-0009^S2SN Ramp|2.4|66|pct| OBX|218|NM|TZAT-0012^Minimum Burst Cycle Length|2.4|200|ms| OBX|219|NM|TZAT-0013^Number Of Sequences|2.4|5| OBX|220|ST|TZAT-0015^Pulse Increment|2.4|1| OBX|221|ID|TZAT-0018^Smart Mode|2.4|N| OBX|222|NM|TZAT-0019^Output Amplitude|2.4|8|v| OBX|223|NM|TZAT-0020^Output Duration|2.4|1.6|ms|

OBX|224|NM|TZAT-0001^ATP Therapy Number|2.5|5| OBX|225|ID|TZAT-0002^Status|2.5|N| OBX|226|ST|TZAT-0003^Therapy Type|2.5|Ramp| OBX|227|NM|TZAT-0004^Stimuli Count|2.5|8| OBX|228|NM|TZAT-0005^Coupling Interval|2.5|91|pct| OBX|229|NM|TZAT-0011^Interval Decrement|2.5|10|ms| OBX|230|NM|TZAT-0012^Minimum Burst Cycle Length|2.5|200|ms| OBX|231|NM|TZAT-0013^Number Of Sequences|2.5|3| OBX|232|ID|TZAT-0018^Smart Mode|2.5|N| OBX|233|NM|TZAT-0019^Output Amplitude|2.5|8|v| OBX|234|NM|TZAT-0020^Output Duration|2.5|1.6|ms|

OBX|235|NM|TZST-0001^Shock Therapy Number|2.6|6| OBX|236|ID|TZST-0002^Status|2.6|N| OBX|237|NM|TZST-0003^Shock Energy|2.6|0.4|j| OBX|238|ST|TZST-0004^Waveform|2.6|Biphasic| OBX|239|ST|TZST-0007^Pathway|2.6|AX>B*|

OBX|240|ST|TZON-0001^Zone Type|3|VSlowVT| OBX|241|ST|TZON-0002^Therapy Configuration|3|Monitor| OBX|242|ST|TZON-0001^Zone Type|4|AFib|

60 | Connectivity Guide | HL7 Integration Overview

OBX|243|ST|TZON-0002^Therapy Configuration|4|4 - Shocks| OBX|244|NM|TZON-0003^Detection Interval|4|5|ms| OBX|245|ST|TZON-0001^Zone Type|5|AFlutter| OBX|246|ST|TZON-0002^Therapy Configuration|5|1 Shock| OBX|247|ST|TZON-0010^Rate Stability Criteria|5|30|ms|

OBX|248|ST|TZON-0001^Zone Type|6|ATach| OBX|249|ST|TZON-0002^Therapy Configuration|6|3 Shocks|

Troubleshooting HL7 connectivity problems

Programmer Acquisition service cannot start Event Log message

If in the Event Log for the Programmer Acquisition service you receive an error message that says "Programmer Acquisition service cannot start", you need to change the NeoIntegrate port value.

1. Click Start > Programs > NeoTool > NeoIntegrate > NeoIntegrate Configuration.

2. Click Service > NeoIntegreate Monitor Service Configuration. The NeoIntegrate Monitor Service Configuration window is displayed.

3. Change the port value.

4. Click OK.

Connectivity Guide | Paceart XML Schema | 61

Paceart XML Schema

The Paceart System will export files that conform to a Paceart proprietary schema definition. If you will be integrating the Paceart System to another system, it is essential that you write your integration into the Paceart XML schema.

Parameter valid values

UnitsParameter

msBurstCycleLengthUnits

msCouplingIntervalUnits

msCouplingIntervalDecrementUnits

JShockEnergyUnits

msSuddenOnsetCriteriaUnits

JTestChargeEnergyUnits

ValuesExport Parameter

VT/VFEpisodeType

SVT/NST

Mode Switch/AT/AF

FastVTZoneType

SlowVT

VSlowVT

AFib

AFlutter

ATach

DecrementATPSequence

Increment

Dec./Inc.

62 | Connectivity Guide | Paceart XML Schema

ValuesExport Parameter

BurstATPTherapyType

Burst+

ABurst+

Ramp

Ramp+

AX>BShockPathway

B>AX

Initial

Reversed

RV(+), Can(-)

RV(-), Can(+)

RV(+), SVC/Can(-)

RV(-), SVC/Can(+)

UnipolarPolarity

Bipolar

AfterCrossChamberSenseBlankingPeriodType

AfterSameChamberSense

AfterCrossChamberPace

AfterSameChamberPace

AfterSameChamberSenseOrPace

AfterCrossChamberSenseOrPace

BSensePolarity

BPacePolarity

RAChamber

Connectivity Guide | Paceart XML Schema | 63

ValuesExport Parameter

YAssessment

PacemakerLeadConnect

ICD

AtriumLeadChamber

Ventricle

Medtronic CareLink NetworkRemoteFollowUpServiceName

LATITUDE Patient Management System

St. Jude Medical Monitoring System

BIOTRONIK Home Monitoring System

monitoring service

MSex

SingleLeadTransmissionFormat

CardGuard

Instromedix

Zymed

Paceart3Lead

Paceart6Lead

Paceart7Lead

PaceartEASI12Lead

PaceartHeartAccess3500

TZMedical

DelMarReynolds

Braemar

ProcessingAppointment Remote Status

Scheduled

Error

Complete

Missed

64 | Connectivity Guide | Paceart XML Schema

Paceart XML export

FileInformation

This block is rooted at /Paceart/FileInformation/ in the XML output.

ValuesExport Parameter

Ignored

TypeParameter XPathParameter

string[10]@SchemaVersionN/A

string[100]@InstitutionNameReport Header Line 1

dateTime@GenerationDateN/A

string[50]@UserNameN/A

string[50]@WorkstationIDN/A

Lookup tables

BillingCodes

This block is rooted at /Paceart/LookupTables/BillingCodes/BillingCodeDetail/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string[40]@DescriptionBilling Description

string[8]@CodeBilling Code

int@SMSCodeBilling SMS Code

CPTCodes

This block is rooted at /Paceart/LookupTables/CPTCodes/CPTCodeDetail/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string[40]@DescriptionCurrent Procedural Terminology

Description

string[8]@CodeCurrent Procedural Terminology

Code

Pacemakers

This block is rooted at /Paceart/LookupTables/Devices/Pacemakers/PacemakerDetail/ in the XML file.

Connectivity Guide | Paceart XML Schema | 65

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@ManufacturerDevice Manufacturer

string[50]@ModelDevice Model

string[100]@BOLDevice BOL

string[100]@EOLDevice EOL

boolean@BiVentricularDevice Bi-ventricular

boolean@RemoteFollowUpEnabledDevice Remote Follow-up Enabled

string[255]@AlertDevice Model Alert Comments

short@WarrantyDevice Warranty

string@CommentaryDevice Comments

ICDs

This block is rooted at /Paceart/LookupTables/Devices/ICD/ICDDetail/ in the XML file

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@ManufacturerDevice Manufacturer

string[50]@ModelDevice Model

float@EOLChargeTimeDevice EOL Charge Time

float@EOLVoltageDevice EOL Voltage

float@ERTChargeTimeDevice ERT Charge Time

float@ERTVoltageDevice ERT Voltage

string[1]@EnergyUnitsDevice Energy Units

boolean@BiventricularDevice Bi-Ventricular

boolean@RemoteFollowUpEnabledDevice Remote Follow-up Enabled

string[255]@AlertDevice Model Alert Comments

short@WarrantyDevice Warranty

string@CommentaryDevice Comments

Leads

This block is rooted at /Paceart/LookupTables/Devices/Leads/LeadDetail/ in the XML file

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@ManufacturerDevice Manufacturer

string[50]@ModelDevice Model

string[50]@TypeDevice Type

66 | Connectivity Guide | Paceart XML Schema

Adapters

This block is rooted at /Paceart/LookupTables/Devices/Adapters/AdapterDetail/ in the XML file

TypeParameter XPathParameter

string[50]@PolarityDevice Polarity

string[255]@AlertDevice Model Alert Comments

short@WarrantyDevice Warranty

string@CommentaryDevice Comments

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@ManufacturerDevice Manufacturer

string[50]@ModelDevice Model

string[50]@TypeDevice Type

string[50]@PolarityDevice Polarity

string[255]@AlertDevice Model Alert Comments

short@WarrantyDevice Warranty

string@CommentaryDevice Comments

Transmitters

This block is rooted at /Paceart/LookupTables/Devices/Transmitters/TransmitterDetail/ in the XML file

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@ManufacturerDevice Manufacturer

string[50]@ModelDevice Model

boolean@InvertPolarityDevice Invert Polarity

float@DefaultGainDevice Default Gain

byte@AcquisitionSpeedDevice Transmit Speed

N/A@TransmissionFormatDevice Transmit Format

string@CommentaryDevice Comments

Diagnosis

This block is rooted at /Paceart/LookupTables/Diagnosis/DiagnosisDetail/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@DescriptionDiagnosis Description

string[6]@CodeDiagnosis Code

Connectivity Guide | Paceart XML Schema | 67

Doctors

This block is rooted at /Paceart/LookupTables/Doctors/DoctorDetail/ in the XML file.

TypeParameter XPathParameter

string[50]PagerServiceReference/@GUIDProvider Pager Service

string[50]@GUIDN/A

string[32]@nameLastProvider Last Name

string[14]@nameFirstProvider First Name

string[1]@nameMiddleProvider Middle Initial

string[20]@nameDegreeProvider Credentials

string[5]@nameHonorificProvider Prefix

string[50]@addrLine1Provider Address Line 1

string[50]@addrLine2Provider Address Line 2

string[20]@addrCityProvider Address City

string[10]@addrStateProvider Address State

string[10]@addrZipcodeProvider Address Postal Code

string[50]@addrCountryProvider Address Country

string[20]@addrPhoneNumberProvider Phone Number

string[20]@addrFaxnumberProvider Fax Number

string[100]@addrEmailProvider Email Address

string[6]@DoctorCodeProvider Code

string[12]@ProviderIDProvider Identifier

string[11]@SocialSecurityNumberProvider SSN

string[14]@LicenseNumberProvider License Number

string[3]@BillingCodeProvider Bill Code

string[20]@CardioVoiceIDProvider CardioVoice Identifier

string[20]@webPasswordProvider Web Password

dateTime@webLastLoginDateLast Web Login Date

string[20]@PagerPINProvider Pager PIN

string@CommentaryProvider Comments

InsuranceCompanies

This block is rooted at /Paceart/LookupTables/InsuranceCompanies/InsuranceCompanyDetail/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@CompanyNameInsurance Company Name

string[8]@CodeInsurance Company Code

68 | Connectivity Guide | Paceart XML Schema

Code

Country

Medications

This block is rooted at /Paceart/LookupTables/Medications/MedicationDetail/ in the XML file.

TypeParameter XPathParameter

string[50]@addrLine1Insurance Company Address Line

string[50]@addrLine2Insurance Company Address Line

string[20]@addrCityInsurance Company Address City

string[10]@addrStateInsurance Company Address State

string[10]@addrZipcodeInsuranceCompany Address Postal

string[50]@addrCountryInsurance Company Address

string[20]@addrPhoneNumberInsurance Company Phone Number

string[20]@addrFaxNumberInsurance Company Fax Number

TypeParameter XPathParameter

string[50]@GUIDN/A

string[40]@NameMedication Name

string[100]@CommentaryMedication Comments

string[50]@SideEffect1Medication Side Effect[1]

string[50]@SideEffect2Medication Side Effect[2]

string[50]@SideEffect3Medication Side Effect[3]

string[50]@SideEffect4Medication Side Effect[4]

string[50]@SideEffect5Medication Side Effect[5]

string[50]@SideEffect6Medication Side Effect[6]

PagerServices

This block is rooted at /Paceart/LookupTables/PagerServices/PagerServiceDetail/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@ServiceNamePager Service Name

string[20]@PhoneNumberPager Service Phone

short@MessageLengthPager Maximum Message Length

byte@MessageFormatPager Message Format

string[255]@CommentaryPager Comments

Connectivity Guide | Paceart XML Schema | 69

Patient records

PatientRecord detail

This block is rooted at /Paceart/PatientRecords/PatientRecord/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

Demographics

This block is rooted at /Paceart/PatientRecords/PatientRecord/Demographics/ in the XML file.

TypeParameter XPathParameter

string[50]ReferringDoctors/ReferringDoctor1/DoctorReference/@GUIDPatient Provider[1]

string[50]ReferringDoctors/ReferringDoctor2/DoctorReference/@GUIDPatient Provider[2]

string[50]ReferringDoctors/ReferringDoctor3/DoctorReference/@GUIDPatient Provider[3]

string[50]Diagnoses/Diagnosis1/DiagnosisReference/@GUIDPatient Diagnosis[1]

Holder Name[1]

Holder Employer[1]

Holder Social Security Number[1]

Holder Certificate Number[1]

Number[1]

Holder Name[2]

Holder Employer[2]

Holder Social Security Number[2]

string[50]Diagnoses/Diagnosis2/DiagnosisReference/@GUIDPatient Diagnosis[2]

string[50]Diagnoses/Diagnosis3/DiagnosisReference/@GUIDPatient Diagnosis[3]

string[25]InsuranceInformation/PrivateInsurance1/@NamePatient Insurance Policy

string[25]InsuranceInformation/PrivateInsurance1/@EmployerPatient Insurance Policy

string[11]InsuranceInformation/PrivateInsurance1/@SocialSecurityNumberPatient Insurance Policy

string[20]InsuranceInformation/PrivateInsurance1/@CertificateNumberPatient Insurance Policy

string[20]InsuranceInformation/PrivateInsurance1/@PolicyNumberPatient Insurance Policy

string[50]InsuranceInformation/PrivateInsurance1/InsuranceCompanyReference/@GUIDPatient Insurance Company[1]

string[25]InsuranceInformation/PrivateInsurance2/@NamePatient Insurance Policy

string[25]InsuranceInformation/PrivateInsurance2/@EmployerPatient Insurance Policy

string[11]InsuranceInformation/PrivateInsurance2/@SocialSecurityNumberPatient Insurance Policy

Holder Certificate Number[2]

Number[2]

string[20]InsuranceInformation/PrivateInsurance2/@CertificateNumberPatient Insurance Policy

string[20]InsuranceInformation/PrivateInsurance2/@PolicyNumberPatient Insurance Policy

string[50]InsuranceInformation/PrivateInsurance2/@GUIDPatient Insurance Company[2]

70 | Connectivity Guide | Paceart XML Schema

Date

TypeParameter XPathParameter

string[12]InsuranceInformation/@MedicareNumberPatient Medicare Number

dateInsuranceInformation/@MedicareEnrollmentDatePatient Medicare Enrollment

string[14]InsuranceInformation/@MedicaidNumberPatient Medicaid Number

dateInsuranceInformation/@MedicaidEnrollmentDatePatient Medicaid Enrollment

string[5]InsuranceInformation/@BillingTypePatient Insurance Billing Type

string[32]@nameLastPatient Last Name

string[14]@nameFirstPatient First Name

string[1]@nameMiddlePatient Middle Initial

string[20]@nameDegreePatient Credential[pdc1]

string[5]@nameHonorificPatient Prefix

string[20]@PatientIDPatient Identifier

Service

string[50]@addrLine1Patient Address Line1

string[50]@addrLine2Patient Address Line2

string[20]@addrCityPatient Address City

string[10]@addrStatePatient Address State

string[10]@addrZipcodePatient Address Postal Code

string[50]@addrCountryPatient Address Country

string[20]@addrPhoneNumberPatient Phone Number 1

string[20]@addrFaxNumberPatient Phone Number 2

string[100]@addrEmailPatient Email Address

date@BirthDatePatient Birth Date

N/A@SexPatient Gender

string[6]@AffiliationPatient Affiliation Code

string[1]@StatusPatient Status

string[20]@CardioVoiceIDProvider CardioVoice Identifier

string@CommentaryPatient Comments

N/A@RemoteFollowUPServiceNamePatient Remote Follow-up

Prescriptions

This block is rooted at /Paceart/PatientRecords/PatientRecord/Prescriptions/.

TypeParameter XPathParameter

string[255]@AllergiesPatient Allergies

string[50]PharmacyDetail/@NamePatient Pharmacy Name

Number

Provider[0+]

Dispensed[0+]

For Use[0+]

Connectivity Guide | Paceart XML Schema | 71

TypeParameter XPathParameter

string[13]PharmacyDetail/@PhoneNumberPatient Pharmacy Phone

string[13]PharmacyDetail/@FaxNumberPatient Pharmacy Fax Number

string[50]Prescription[0+]/Medication/MedicationReference/@GUIDPatient Medication[0+]

string[50]Prescription[0+]/PrescribingDoctor/DoctorReference/@GUIDPatient Medication

string[50]Prescription[0+]/@GUIDN/A

datePrescription[0+]/@DateDispensedPatient Medication Date

shortPrescription[0+]/@NumberDispensedPatient Medication Teblets

shortPrescription[0+]/@NumberOfRefillsPatient Medication Refills[0+]

string[200]Prescription[0+]/@DirectionPatient Medication Directions

As Written[0+]

Discontinued Date[0+]

Discontinued Reason[0+][1]

Discontinued Reason[0+][2]

Scheduling

This block is rooted at /Paceart/PatientRecords/PatientRecord/Scheduling/.

TypeParameter XPathParameter

shortTTMPreferences/@FrequencyAppointment TTM/Remote

Scheduling Preference Interval

byteTTMPreferences/@DayAppointment TTM/Remote

Scheduling Preference Day

booleanPrescription[0+]/@DAWPatient Medication Dispense

booleanPrescription[0+]/@StatusPatient Medication Status[0+]

booleanPrescription[0+]/@PrintPatient Medication Print[0+]

datePrescription[0+]/@DiscontinuedDatePatient Medication

string[50]Prescription[0+]/@DiscontinuedReason1Patient Medication

string[50]Prescription[0+]/@DiscontinuedReason2Patient Medication

string[50]Prescription[0+]/@DiscontinuedReason3Patient Medication

Scheduling Preference Week

Scheduling Preference Time

Preference Interval

byteTTMPreferences/@WeekAppointment TTM/Remote

timeTTMPreferences/@TimeAppointment TTM/Remote

shortClinicPreferences/@FrequencyAppointment Clinic Scheduling

72 | Connectivity Guide | Paceart XML Schema

Preference Day

Preference Week

Preference Time

Appointments

This block is rooted at

/Paceart/PatientRecords/PatientRecord/Scheduling/Appointments/<Appointment Type>/

in the XML file.

TypeParameter XPathParameter

byteClinicPreferences/@DayAppointment Clinic Scheduling

byteClinicPreferences/@WeekAppointment Clinic Scheduling

timeClinicPreferences/@TimeAppointment Clinic Scheduling

string[50]FollowUpDoctor/DoctorReference/@GUIDPatient Scheduling Provider

TypeParameter XPathParameter

string[50]@GUIDN/A

dateTime@DateAppointment Date and Time

boolean@CardioVoiceAppointment Created by

CardioVoice

string[50]@OperatorAppointment System Operator

string[75]@VisitIDAppointment Visit ID

string[255]@CommentaryAppointment Comments

N/A@RemoteFollowUpServiceNameAppointment Remote Follow-up

Service

N/A@AppointmentRemoteStatusAppointment Remote Status

string[200]@AppointmentRemoteStatusTextAppointment Remote Status Text

Note: Appointment Remote parameters apply to remote appointment types only.

Pacemaker

This block is rooted at /Paceart/PatientRecords/PatientRecord/Devices/Pacemaker/ in the XML file.

TypeParameter XPathParameter

string[50]PacemakerLookup/PacemakerReference/@GUIDPatient Device

string[50]ImplantInformation/Doctor1/DoctorReference/@GUIDPatient Device First Implanting

Provider

Implanting Provider

Diagnosis

string[50]ImplantInformation/Doctor2/DoctorReference/@GUIDPatient Device Second

string[50]ImplantInformation/Diagnosis/DiagnosisReference/@GUIDPatient Device Implant

DateImplantInformation/@DatePatient Device Implant Date

Location

Provider

Date

Connectivity Guide | Paceart XML Schema | 73

TypeParameter XPathParameter

string[50]ImplantInformation/@LocationPatient Device Implant

string[50]DeviceHistory/Abandon/Doctor/DoctorReference/@GUIDPatient Device Abandoned

DateDeviceHistory/Abandon/@DatePatient Device Abandoned

Patient Device Partially Explanted Provider

Explanted Date

Provider

ICD

This block is rooted at /Paceart/PatientRecords/PatientRecord/Devices/ICD/ in the XML file.

Patient Device First Implanting Provider

Patient Device Second Implanting Provider

@GUID

string[50]DeviceHistory/PartialExplant/Doctor/DoctorReference/

DateDeviceHistory/PartialExplant/@DatePatient Device Partially

string[50]DeviceHistory/Explant/Doctor/DoctorReference/@GUIDPatient Device Explanted

DateDeviceHistory/Explant/@DatePatient Device Explanted Date

string[50]@GUIDN/A

string[20]@SerialNumberPatient Device Serial Number

String@CommentaryPatient Device Comments

TypeParameter XPathParameter

string[50]ICDLookup/ ICDReference/ @GUIDPatient Device

string[50]ImplantInformation/ Doctor1/ DoctorReference/

string[50]ImplantInformation/ Doctor2/ DoctorReference/

Patient Device Implant Diagnosis

Patient Device Abandoned Provider

Patient Device Partially Explanted Provider

Date

Patient Device Explanted Provider

string[50]ImplantInformation/ Diagnosis/ DiagnosisReference/

@GUID

dateImplantInformation/ @DatePatient Device Implant Date

string[50]ImplantInformation/ @LocationPatient Device Implant Location

string[50]DeviceHistory/ Abandon/ Doctor/ DoctorReference/

@GUID

dateDeviceHistory/ Abandon/ @DatePatient Device Abandoned Date

string[50]DeviceHistory/ PartialExplant/ Doctor/

DoctorReference/ @GUID

dateDeviceHistory/ PartialExplant/ @DatePatient Device Partially Explanted

string[50]DeviceHistory/ Explant/ Doctor/ DoctorReference/

@GUID

dateDeviceHistory/ Explant/ @DatePatient Device Explanted Date

string[50]@GUIDN/A

74 | Connectivity Guide | Paceart XML Schema

Lead

This block is rooted at /Paceart/PatientRecords/PatientRecord/Devices/Lead/ in the XML file.

TypeParameter XPathParameter

string[20]@SerialNumberPatient Device Serial Number

string@CommentaryPatient Device Comments

N/A[Custom Fields]N/A

TypeParameter XPathParameter

string[50]LeadLookup/ LeadReference/ @GUIDPatient Device

Patient Device First Implanting Provider

Patient Device Second Implanting Provider

Patient Device Implant Diagnosis

Device Type

Patient Device Abandoned Provider

Patient Device Partially Explanted Provider

string[50]ImplantInformation/ Doctor1/ DoctorReference/

@GUID

string[50]ImplantInformation/ Doctor2/ DoctorReference/

@GUID

string[50]ImplantInformation/ Diagnosis/ DiagnosisReference/

@GUID

dateImplantInformation/ @DatePatient Device Implant Date

string[50]ImplantInformation/ @LocationPatient Device Implant Location

N/AImplantInformation/ @ChamberPatient Device Implant Chamber

string[50]ImplantInformation/ @AccessPatient Device Implant Access

N/AImplantInformation/ @ConnectPatient Device Implant Connected

booleanImplantInformation/ @PacingPatient Device Pacing

string[50]DeviceHistory/ Abandon/ Doctor/ DoctorReference/

@GUID

dateDeviceHistory/ Abandon/ @DatePatient Device Abandoned Date

string[50]DeviceHistory/ PartialExplant/ Doctor/

DoctorReference/ @GUID

DateDeviceHistory/ PartialExplant/ @DatePatient Device Partially Explanted

Date

Patient Device Explanted Provider

@GUID

Adapter

This block is rooted at /Paceart/PatientRecords/PatientRecord/Devices/Adapter/ in the XML file.

string[50]DeviceHistory/ Explant/ Doctor/ DoctorReference/

DateDeviceHistory/ Explant/ @DatePatient Device Explanted Date

string[50]@GUIDN/A

string[20]@SerialNumberPatient Device Serial Number

String@CommentaryPatient Device Comments

Connectivity Guide | Paceart XML Schema | 75

TypeParameter XPathParameter

string[50]AdapterLookup/ AdapterReference/ @GUIDPatient Device

Patient Device First Implanting Provider

Patient Device Second Implanting Provider

Patient Device Implant Diagnosis

Device Type

Patient Device Abandoned Provider

Patient Device Partially Explanted Provider

string[50]ImplantInformation/ Doctor1/ DoctorReference/

@GUID

string[50]ImplantInformation/ Doctor2/ DoctorReference/

@GUID

string[50]ImplantInformation/ Diagnosis/ DiagnosisReference/

@GUID

dateImplantInformation/ @DatePatient Device Implant Date

string[50]ImplantInformation/ @LocationPatient Device Implant Location

N/AImplantInformation/ @ChamberPatient Device Implant Chamber

string[50]ImplantInformation/ @AccessPatient Device Implant Access

N/AImplantInformation/ @ConnectPatient Device Implant Connected

booleanImplantInformation/ @PacingPatient Device Implant Pacing

string[50]DeviceHistory/ Abandon/ Doctor/ DoctorReference/

@GUID

dateDeviceHistory/ Abandon/ @DatePatient Device Abandoned Date

string[50]DeviceHistory/ PartialExplant/ Doctor/

DoctorReference/ @GUID

dateDeviceHistory/ PartialExplant/ @DatePatient Device Partially Explanted

Date

Patient Device Explanted Provider

@GUID

Transmitter

This block is rooted at /Paceart/PatientRecords/PatientRecord/Devices/Transmitter/ in the XML file.

Date

string[50]DeviceHistory/ Explant/ Doctor/ DoctorReference/

dateDeviceHistory/ Explant/ @DatePatient Device Explanted Date

string[50]@GUIDN/A

string[20]@SerialNumberPatient Device Serial Number

String@CommentaryPatient Device Comments

TypeParameter XPathParameter

string[50]TransmitterLookup/ TransmitterReference/ @GUIDPatient Device

string[50]@GUIDN/A

string[20]@SerialNumberPatient Device Serial Number

date@DateGivenPatient Device Transmitter Given

Due Date

date@DateDuePatient Device Transmitter Return

76 | Connectivity Guide | Paceart XML Schema

Returned Date

Tests

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/ in the XML file.

Service

TypeParameter XPathParameter

date@DateReturnedPatient Device Transmitter

TypeParameter XPathParameter

string[50]@GUIDN/A

dateTime@DateEncounter Date and Time

boolean@CardioVoiceEncounter Created By CardioVoice

string[50]@OperatorEncounter System Operator

string[75]@VisitIDEncounter Visit ID

string[255]@CommentaryEncounter Comments

N/A@RemoteFollowUpServiceNameEncounter Remote Follow-up

string[50]@RemoteFollowUpGUIDN/A

N/A@TransmissionTypeN/A

Note: Encounter Remote Follow-up Service and the last two N/A parameters apply to remote encounter types only.

Evaluation arrhythmia encounter types

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation in the XML file.

TypeParameter XPathParameter

string[50]Evaluation/ @GUIDN/A

string[78]Evaluation/ @LocationPatient Device Implant Location

string[78]Evaluation/ @ActivityEncounter Evaluated Activity

string[78]Evaluation/ @SymptomsEncounter Evaluated Symptoms

string[255]Evaluation/ @FindingsEncounter Evaluated Findings

floatEvaluation/ @measureRRIntervalMinEncounter Evaluated RR Interval

Minimum

floatEvaluation/ @measureRRIntervalMaxEncounter Evaluated RR Interval

Maximum

Minimum

Maximum

Minimum

floatEvaluation/ @measurePRIntervalMinEncounter Evaluated PR Interval

floatEvaluation/ @measurePRIntervalMaxEncounter Evaluated PR Interval

floatEvaluation/ @measureQRSIntervalMinEncounter Evaluated QRS Interval

Connectivity Guide | Paceart XML Schema | 77

TypeParameter XPathParameter

floatEvaluation/ @measureQRSIntervalMaxEncounter Evaluated QRS Interval

Maximum

floatEvaluation/ @measureQTIntervalMinEncounter Evaluated QT Interval

Minimum

floatEvaluation/ @measureQTIntervalMaxEncounter Evaluated QT Interval

Maximum

stringEvaluation/ @CommentaryEncounter Evaluated Miscellaneous

Comments

Evaluation non-arrhythmia encounter types

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation in the XML file.

TypeParameter XPathParameter

floatEvaluation/ @DemandIntervalEncounter Evaluated Demand

Interval

AV Delay Interval

Interval

AV Delay Interval

Duration

Ventricular Duration

Capture

Sensing

Ventricular Capture

Ventricular Sensing

floatEvaluation/ @DemandAVDelayExternal Measured Demand Mode

floatEvaluation/ @MagnetIntervalEncounter Evaluated Magnet

floatEvaluation/ @MagnetAVDelayExternal Measured Magnet Mode

floatEvaluation/ @MagnetADurationEncounter Evaluated Magnet Atrial

floatEvaluation/ @MagnetVDurationEncounter Evaluated Magnet

stringEvaluation/ @AtrialCaptureExternal Evaluated Right Atrial

stringEvaluation/ @AtrialSensingExternal Evaluated Right Atrial

stringEvaluation/ @VentricularCaptureExternal Evaluated Right

stringEvaluation/ @VentricularSensingExternal Evaluated Right

string[7]Evaluation/ @BloodPressureExternal Measured Blood Pressure

Comments

Note: Not all values are populated for all encounter types.

string[75]Evaluation/ @RhythmBradycardia Evaluated Rhythm

string[75]Evaluation/ @SymptomsEncounter Evaluated Symptoms

string[50]Evaluation/ @DescriptionEncounter Description

stringEvaluation/ @CommentaryEncounter Evaluated Miscellaneous

78 | Connectivity Guide | Paceart XML Schema

BradyProgramming

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/BradyProgramming in the XML file.

TypeParameter XPathParameter

Device Programmed Left Ventricular Sensing Amplitude

Device Programmed Right Atrial Sensing Amplitude

Device Programmed Right Ventricular Sensing Amplitude

Device Programmed Left Ventricular Sensing Polarity

Device Programmed Right Atrial Sensing Polarity

Device Programmed Right Ventricular Sensing Polarity

Bradycardia Programmed Left Ventricular Refractory Period

Bradycardia Programmed Right Atrial Refractory Period

Bradycardia Programmed Right Ventricular Refractory Period

Bradycardia Programmed Left Ventricular Blanking Period

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="LV"]/ @Amplitude_millivolts

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="RA"]/ @Amplitude_millivolts

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="RV"]/ @Amplitude_millivolts

N/AEvaluation/ BradyProgramming/

Sensing[@Chamber="LV"]/ @Polarity

N/AEvaluation/ BradyProgramming/

Sensing[@Chamber="RA"]/ @Polarity

N/AEvaluation/ BradyProgramming/

Sensing[@Chamber="RV"]/ @Polarity

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="LV"]/ @RefractoryPeriod_ms

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="RA"]/ @RefractoryPeriod_ms

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="RV"]/ @RefractoryPeriod_ms

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="LV"]/ @BlankingPeriod_ms

Bradycardia Programmed Right Atrial Blanking Period

Bradycardia Programmed Right Ventricular Blanking Period

N/A

Bradycardia Programmed Left Ventricular Pacing Amplitude

Bradycardia Programmed Right Atrial Pacing Amplitude

Bradycardia Programmed Right Ventricular Pacing Amplitude

Bradycardia Programmed Left Ventricular Pacing Pulse Width

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="RA"]/ @BlankingPeriod_ms

string[5]Evaluation/ BradyProgramming/

Sensing[@Chamber="RV"]/ @BlankingPeriod_ms

N/AEvaluation/ BradyProgramming/

Sensing[@Chamber="LV"]/ @BlankingPeriodType

N/AEvaluation/ BradyProgramming/

Sensing[@Chamber="RA"]/ @BlankingPeriodType

N/AEvaluation/ BradyProgramming/

Sensing[@Chamber="RV"]/ @BlankingPeriodType

string[5]Evaluation/ BradyProgramming/

Pacing[@Chamber="LV"]/ @Amplitude_volts

string[5]Evaluation/ BradyProgramming/

Pacing[@Chamber="RA"]/ @Amplitude_volts

string[5]Evaluation/ BradyProgramming/

Pacing[@Chamber="RV"]/ @Amplitude_volts

string[5]Evaluation/ BradyProgramming/

Pacing[@Chamber="LV"]/ @PulseWidth_ms

Connectivity Guide | Paceart XML Schema | 79

TypeParameter XPathParameter

Bradycardia Programmed Right Atrial Pacing Pulse Width

Bradycardia Programmed Right Ventricular Pacing Pulse Width

Device Programmed Left Ventricular Pacing Polarity

Device Programmed Right Atrial Pacing Polarity

Device Programmed Right Ventricular Pacing Polarity

Bradycardia Programmed Sensor Threshold

Bradycardia Programmed Sensor Slope

Bradycardia Programmed Sensor Acceleration Reaction

Bradycardia Programmed Sensor Deceleration Recovery

Bradycardia Programmed Activities Of Daily Living Rate

string[5]Evaluation/ BradyProgramming/

Pacing[@Chamber="RA"]/ @PulseWidth_ms

string[5]Evaluation/ BradyProgramming/

Pacing[@Chamber="RV"]/ @PulseWidth_ms

N/AEvaluation/ BradyProgramming/

Pacing[@Chamber="LV"]/ @Polarity

N/AEvaluation/ BradyProgramming/

Pacing[@Chamber="RA"]/ @Polarity

N/AEvaluation/ BradyProgramming/

Pacing[@Chamber="RV"]/ @Polarity

string[15]Evaluation/ BradyProgramming/ RateModulation/

@Threshold

string[15]Evaluation/ BradyProgramming/ RateModulation/

@Slope

string[15]Evaluation/ BradyProgramming/ RateModulation/

@Acceleration_Reaction

string[15]Evaluation/ BradyProgramming/ RateModulation/

@Deceleration_Recovery

string[5]Evaluation/ BradyProgramming/ RateModulation/

@ADLRate_bpm

Sensed

Paced

Bradycardia Programmed AV Delay Rate Adaptive Status

Bradycardia Programmed AV Delay Lower Rate

Bradycardia Programmed AV Delay Upper Rate

Bradycardia Programmed AV Delay Rate Adaptive Sensed Minimum Interval

Bradycardia Programmed AV Delay Rate Adapative Paced Minimum Interval

Heart Failure Programmed VV Delay Paced

Automatic Mode Switch Detection Criteria Rate

string[5]Evaluation/BradyProgramming/ AVDelay/ @Sensed_msBradycardia Programmed AVDelay

string[5]Evaluation/ BradyProgramming/ AVDelay/ @Paced_msBradycardia Programmed AV Delay

string[8]Evaluation/ BradyProgramming/ AVDelay/

@AdaptiveAVDelayStatus

string[8]Evaluation/ BradyProgramming/ AVDelay/

@AdaptiveRateMinimum_bpm

string[8]Evaluation/ BradyProgramming/ AVDelay/

@AdaptiveRateMaximum_bpm

string[8]Evaluation/ BradyProgramming/ AVDelay/

@AdaptiveSensedMinimum_ms

string[8]Evaluation/ BradyProgramming/ AVDelay/

@AdaptivePacedMinimum_ms

string[8]Evaluation/ BradyProgramming/ AVDelay/

@VVDelay_ms

string[5]Evaluation/ BradyProgramming/ AMS/ @Rate_bpmBradycardia Programmed

80 | Connectivity Guide | Paceart XML Schema

Automatic Mode Switch Detection Criteria Duration

TypeParameter XPathParameter

string[10]Evaluation/ BradyProgramming/ AMS/ @Duration_msBradycardia Programmed

Bradycardia Programmed Automatic Mode Switch Therapy Fallback Rate

Mode

Rate

Maximum Tracking Rate

Maximum Sensor Rate

Hysteresis Rate

Rate

Pacemaker Mediated Tachycardia Termination Algorithm

string[5]Evaluation/ BradyProgramming/ AMS/

@FallbackRate_bpm

string[50]Evaluation/ BradyProgramming/ @GUIDN/A

string[5]Evaluation/ BradyProgramming/ @PacingModeBradycardia Programmed Pacing

string[5]Evaluation/ BradyProgramming/ @LowerRate_bpmBradycardia Programmed Lower

string[5]Evaluation/ BradyProgramming/ @TrackingRate_bpmBradycardia Programmed

string[5]Evaluation/BradyProgramming/ @MaxSensorRate_bpmBradycardia Programmed

string[10]Evaluation/BradyProgramming/ @HysteresisRate_bpmBradycardia Programmed

string[5]Evaluation/ BradyProgramming/ @SleepRate_bpmBradycardia Programmed Sleep

string[20]Evaluation/ BradyProgramming/ @PMTInterventionBradycardia Programmed

string[20]Evaluation/ BradyProgramming/ @PVCInterventionBradycardia Programmed Post-Ventricular Contraction Response

string[10]Evaluation/ BradyProgramming/ @DependencyBradycardia Evaluated Pacemaker Dependency

string[50]Evaluation/ BradyProgramming/ @NotesBradycardia Programmed Configuration Comments

PacemakerTelemetry

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/PacemakerTelemetry in the XML file.

TypeParameter XPathParameter

Device Measured Left Ventricular Lead Impedance Bipolar

Device Measured Right Atrial Lead Impedance Bipolar

Device Measured Right Ventricular Lead Impedance Bipolar

Device Measured Left Ventricular Lead Impedance Unipolar

Lead[@Chamber="LV"]/ @BipolarImpedance_ohms

Lead[@Chamber="RA"]/ @BipolarImpedance_ohms

Lead[@Chamber="RV"]/ @BipolarImpedance_ohms

Lead[@Chamber="LV"]/ @UnipolarImpedance_ohms

string[15]Evaluation/ PacemakerTelemetry/

Connectivity Guide | Paceart XML Schema | 81

TypeParameter XPathParameter

Device Measured Right Atrial Lead Impedance Unipolar

Device Measured Right Ventricular Lead Impedance Unipolar

Device Measured Left Ventricular Lead Evoked Response

Device Measured Right Atrial Lead Evoked Response

Device Measured Right Ventricular Lead Evoked Response

Device Measured Left Ventricular Lead Polarization

Device Measured Right Atrial Lead Polarization

Device Measured Right Ventricular Lead Polarization

Percent Pacing

Bradycardia Measured Right Ventricular Percent Pacing

string[15]Evaluation/ PacemakerTelemetry/

Lead[@Chamber="RA"]/ @UnipolarImpedance_ohms

string[15]Evaluation/ PacemakerTelemetry/

Lead[@Chamber="RV"]/ @UnipolarImpedance_ohms

string[7]Evaluation/ PacemakerTelemetry/

Lead[@Chamber="LV"]/ @EvokedResponse

string[7]Evaluation/ PacemakerTelemetry/

Lead[@Chamber="RA"]/ @EvokedResponse

string[7]Evaluation/ PacemakerTelemetry/

Lead[@Chamber="RV"]/ @EvokedResponse

string[7]Evaluation/ PacemakerTelemetry/

Lead[@Chamber="LV"]/ @Polarization

string[7]Evaluation/ PacemakerTelemetry/

Lead[@Chamber="RA"]/ @Polarization

string[7]Evaluation/ PacemakerTelemetry/

Lead[@Chamber="RV"]/ @Polarization

string[10]Evaluation/ PacemakerTelemetry/ @PercentPacingAtrialBradycardia Measured Right Atrial

string[10]Evaluation/ PacemakerTelemetry/

@PercentPacingVentricular

string[7]Evaluation/PacemakerTelemetry/ @BatteryVoltage_voltsDevice Measured Battery Voltage

Device Measured Battery Impedance

Thresholds

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/Thresholds in the XML file.

Bradycardia Test Programmed Left Ventricular Sensing Threshold Amplitude Bipolar [0+]

Bradycardia Test Programmed Left Ventricular Sensing Threshold Amplitude Unipolar [0+]

Bradycardia Test Programmed Right Atrial Sensing Threshold Amplitude Bipolar [0+]

Bradycardia Test Programmed Right Atrial Sensing Threshold Amplitude Unipolar [0+]

@BatteryImpedance_ohms

Sensing[@Chamber="LV"][@Polarity="Bipolar"]/ @Amplitude_millivolts [0+]

Sensing[@Chamber="LV"][@Polarity="Unipolar"]/ @Amplitude_millivolts [0+]

Sensing[@Chamber="RA"][@Polarity="Bipolar"]/ @Amplitude_millivolts [0+]

Sensing[@Chamber="RA"][@Polarity="Unipolar"]/ @Amplitude_millivolts [0+]

string[7]Evaluation/ PacemakerTelemetry/

TypeParameter XPathParameter

string[5]Evaluation/ Thresholds/

Bradycardia Test Programmed Right Ventricular Sensing Threshold Amplitude Bipolar [0+]

string[5]Evaluation/ Thresholds/ Sensing[@Chamber="RV"][@Polarity="Bipolar"]/ @Amplitude_millivolts [0+]

82 | Connectivity Guide | Paceart XML Schema

TypeParameter XPathParameter

Bradycardia Test Programmed Right Ventricular Sensing Threshold Amplitude Unipolar [0+]

Bradycardia Test Programmed Left Ventricular Sensing Threshold Measurement Type Bipolar[0+]

Bradycardia Test Programmed Left Ventricular Sensing Threshold Measurement Type Unipolar[0+]

Bradycardia Test Programmed Right Atrial Sensing Threshold Measurement Type Bipolar[0+]

Bradycardia Test Programmed Right Atrial Sensing Threshold Measurement Type Unipolar[0+]

Bradycardia Test Programmed Right Ventricular Sensing Threshold Measurement Type Bipolar[0+]

Bradycardia Test Programmed Right Ventricular Sensing Threshold Measurement Type Unipolar[0+]

string[5]Evaluation/ Thresholds/ Sensing[@Chamber="RV"][@Polarity="Unipolar"]/ @Amplitude_millivolts [0+]

N/AEvaluation/Thresholds/ Sensing[@Chamber="LV"][@Polarity="Bipolar"]/@Type [0+]

N/AEvaluation/Thresholds/ Sensing[@Chamber="LV"][@Polarity="Unipolar"]/@Type [0+]

N/AEvaluation/Thresholds/ Sensing[@Chamber="RA"][@Polarity="Bipolar"]/@Type [0+]

N/AEvaluation/Thresholds/ Sensing[@Chamber="RA"][@Polarity="Unipolar"]/@Type [0+]

N/AEvaluation/Thresholds/ Sensing[@Chamber="RV"][@Polarity="Bipolar"]/@Type [0+]

N/AEvaluation/Thresholds/ Sensing[@Chamber="RV"][@Polarity="Unipolar"]/@Type [0+]

External Evaluated Left Ventricular Sensing Threshold Graph Bipolar [0+]

External Evaluated Left Ventricular Sensing Threshold Graph Unipolar [0+]

External Evaluated Right Atrial Sensing Threshold Graph Bipolar [0+]

External Evaluated Right Atrial Sensing Threshold Graph Unipolar [0+]

External Evaluated Right Ventricular Sensing Threshold Graph Bipolar [0+]

External Evaluated Right Ventricular Sensing Threshold Graph Unipolar [0+]

Bradycardia Test Programmed Left Ventricular Capture Threshold Amplitude[0+]

booleanEvaluation/ Thresholds/ Sensing[@Chamber="LV"][@Polarity="Bipolar"]/ @UseForGraphing [0+]

booleanEvaluation/ Thresholds/ Sensing[@Chamber="LV"][@Polarity="Unipolar"]/ @UseForGraphing [0+]

booleanEvaluation/ Thresholds/ Sensing[@Chamber="RA"][@Polarity="Bipolar"]/ @UseForGraphing [0+]

booleanEvaluation/ Thresholds/ Sensing[@Chamber="RA"][@Polarity="Unipolar"]/ @UseForGraphing [0+]

booleanEvaluation/ Thresholds/ Sensing[@Chamber="RV"][@Polarity="Bipolar"]/ @UseForGraphing [0+]

booleanEvaluation/ Thresholds/ Sensing[@Chamber="RV"][@Polarity="Unipolar"]/ @UseForGraphing [0+]

string[50]Evaluation/ Thresholds/ Capture/ @GUIDN/A

string[5]Evaluation/ Thresholds/ Capture[@Chamber="LV"]/ @Amplitude_volts[0+]

Connectivity Guide | Paceart XML Schema | 83

TypeParameter XPathParameter

Bradycardia Test Programmed Right Atrial Capture Threshold Amplitude[0+]

Bradycardia Test Programmed Right Ventricular Capture Threshold Amplitude[0+]

Bradycardia Test Programmed Left Ventricular Capture Threshold Duration[0+]

Bradycardia Test Programmed Right Atrial Capture Threshold Duration[0+]

Bradycardia Test Programmed Right Ventricular Capture Threshold Duration[0+]

Bradycardia Test Programmed Left Ventricular Capture Threshold Measurement Type [0+]

Bradycardia Test Programmed Right Atrial Capture Threshold Measurement Type [0+]

string[5]Evaluation/ Thresholds/ Capture[@Chamber="RA"]/ @Amplitude_volts[0+]

string[5]Evaluation/ Thresholds/ Capture[@Chamber="RV"]/ @Amplitude_volts[0+]

floatEvaluation/ Thresholds/ Capture[@Chamber="LV"]/ @Duration_ms[0+]

floatEvaluation/ Thresholds/ Capture[@Chamber="RA"]/ @Duration_ms[0+]

floatEvaluation/ Thresholds/ Capture[@Chamber="RV"]/ @Duration_ms[0+]

N/AEvaluation/Thresholds/Capture[@Chamber="LV"]/ @Type[0+]

N/AEvaluation/Thresholds/Capture[@Chamber="RA"]/ @Type[0+]

Bradycardia Test Programmed Right Ventricular Capture Threshold Measurement Type [0+]

Bradycardia Test Programmed Left Ventricular Capture Threshold Polarity[0+]

Bradycardia Test Programmed Right Ventricular Capture Threshold Polarity[0+]

Bradycardia Test Programmed Right Atrial Capture Threshold Polarity[0+]

External Evaluated Left Ventricular Capture Threshold Graph[0+]

External Evaluated Right Ventricular Capture Threshold Graph[0+]

External Evaluated Left Ventricular Capture Threshold Graph[0+]

TachyProgramming

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/ in the XML file.

@Type[0+]

@Polarity[0+]

@UseForGraphing[0+]

N/AEvaluation/Thresholds/Capture[@Chamber="RV"]/

N/AEvaluation/ Thresholds/ Capture[@Chamber="LV"]/

N/AEvaluation/ Thresholds/ Capture[@Chamber="RV"]/

N/AEvaluation/ Thresholds/ Capture[@Chamber="RA"]/

booleanEvaluation/ Thresholds/ Capture[@Chamber="LV"]/

booleanEvaluation/ Thresholds/ Capture[@Chamber="RV"]/

booleanEvaluation/ Thresholds/ Capture[@Chamber="RA"]/

84 | Connectivity Guide | Paceart XML Schema

Ventricular Detection Configuration Summary

Detection Configuration Summary

Ventricular Therapy Configuration Summary

Therapy Configuration Summary

Comments

Ventricular Fibrillation Zone - zone detection

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/VFZone/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string[50]@DetectionStatusVentricularTachycardia Programmed Zone

string[50]@DetectionStatusAtrialTachycardia Programmed Zone Atrial

string[25]@TherapyStatusVentricularTachycardia Programmed Zone

string[25]@TherapyStatusAtrialTachycardia Programmed Zone Atrial

string@CommentaryTachycardia Programmed Configuration

Ventricular Fibrillation Configuration Comments

Ventricular Fibrillation Detection Committed

Ventricular Fibrillation Detection Criteria Duration

Ventricular Fibrillation Detection Criteria Rate

Ventricular Fibrillation Redetection Criteria Duration

Ventricular Fibrillation Therapy Configuration Summary

TypeParameter XPathParameter

string[50]@GUIDN/A

string@CommentaryTachycardia Programmed Zone

boolean@CommittedTachycardia Programmed Zone

string[25]@DetectionDurationTachycardia Programmed Zone

string[10]@DetectionInterval_msTachycardia Programmed Zone

string[25]@RedetectionDurationTachycardia Programmed Zone

string[25]@TherapyConfigurationTachycardia Programmed Zone

Ventricular Fibrillation Zone - shock therapies

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/VFZone/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

Ventricular Fibrillation Therapy Order Number [1-15]

Connectivity Guide | Paceart XML Schema | 85

TypeParameter XPathParameter

byteShockTherapy/ @TherapyNumberTachycardia Programmed Zone

Tachycardia Programmed Zone Ventricular Fibrillation Therapy Shock Cardioversion Delay [1-15]

Ventricular Fibrillation Therapy Shock Pathway [1-15]

Tachycardia Programmed Zone Ventricular Fibrillation Therapy Shock Pulse Width Negative [1-15]

Tachycardia Programmed Zone Ventricular Fibrillation Therapy Shock Pulse Width Positive [1-15]

N/A

Tachycardia Programmed Zone Ventricular Fibrillation Therapy Shock Energy [1-15] ShockTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Ventricular Fibrillation Therapy Shock Energy Volts [1-15] ShockTherapy[@TherapyNumber="[1-15]"]/

@CardioversionDelay_ms

@PulseWidthNegative_ms

@PulseWidthPositive_ms

@ShockActivationType

@ShockEnergy

@ShockEnergyUnits

@ShockEnergy

@ShockEnergyUnits

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

booleanShockTherapy[@TherapyNumber="[1-15]"]/ @CommittedN/A

N/AShockTherapy[@TherapyNumber="[1-15]"]/ @PathwayTachycardia Programmed Zone

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

booleanShockTherapy[@TherapyNumber="[1-15]"]/ @StatusTachycardia Programmed Zone Ventricular Fibrillation Therapy Status [1-15]

string[20]ShockTherapy[@TherapyNumber="[1-15]"]/ @WaveformTachycardia Programmed Zone Ventricular Fibrillation Therapy Shock Waveform [1-15]

Atrial Fibrillation Zone - zone detection

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="AFib"]/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string@CommentaryTachycardia Programmed Zone Atrial

Fibrillation Configuration Comments

string[25]@DetectionDurationTachycardia Programmed Zone Atrial

Fibrillation Detection Criteria Duration

string[10]@DetectionInterval_msTachycardia Programmed Zone Atrial

Fibrillation Detection Criteria Rate

86 | Connectivity Guide | Paceart XML Schema

Fibrillation Sustained High Rate Detection Criteria Duration

Fibrillation Sustained High Rate Detection Criteria Rate

Fibrillation Morphology Detection Criteria

Fibrillation Cardiac Cycle Stability Detection Criteria

Fibrillation Redetection Criteria Duration

TypeParameter XPathParameter

string[10]@EHR_SRDDuration_msTachycardia Programmed Zone Atrial

string[10]@EHR_SRDRate_bpmTachycardia Programmed Zone Atrial

string[25]@QRSMorphologyCriteriaTachycardia Programmed Zone Atrial

string[5]@RateStabilityCriteriaTachycardia Programmed Zone Atrial

string[25]@RedetectionDurationTachycardiaProgrammed Zone Atrial

Tachycardia Programmed Zone Atrial Fibrillation Sudden Onset Detection Criteria Interval

Tachycardia Programmed Zone Atrial Fibrillation Sudden Onset Detection Criteria Interval Percentage

Fibrillation Therapy Configuration Summary

Atrial Fibrillation Zone - ATP therapies

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="AFib"]/ in the XML file.

Atrial Fibrillation Therapy Order Number [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Initial Burst Cycle Length [1-15]

@SuddenOnsetCriteriaUnits

@BurstCycleLength ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLengthUnits

string[5]@SuddenOnsetCriteria

string[25]@TherapyConfigurationTachycardia Programmed Zone Atrial

N/A@ZoneTypeTachycardia Programmed Zone Type

TypeParameter XPathParameter

string[50]@GUIDN/A

byteATPTherapy/ @TherapyNumberTachycardia Programmed Zone

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Initial Burst Cycle Length Percentage [1-15]

N/A

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLength ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLengthUnits

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @Committed

Connectivity Guide | Paceart XML Schema | 87

TypeParameter XPathParameter

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Coupling Interval [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Coupling Interval Percentage [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Coupling Interval Decrement [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Coupling Interval Decrement Percentage [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Burst Interval Decrement [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Maximum Stimulus Count [1-15]

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingInterval ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalUnits

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalDecrement ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalDecrementUnits

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @IntervalDecrement_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @MaximumNumberOfPulses

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Minimum Burst Cycle Length [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Burst Count [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Stimulus Amplitude [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Stimulus Duration [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Stimulus Count Increment [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @MinimumBurstCycleLength_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @NumberOfSequences

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @OutputAmplitude_volts

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @OutputDuration_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @PulseIncrement

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @RampDecrement_ms

88 | Connectivity Guide | Paceart XML Schema

Anti-Tachycardia Pacing Ramp Decrement [1-15]

TypeParameter XPathParameter

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing S1S2 Ramp [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing S2SN Ramp [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Scan Decrement [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Scan Sequence [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Smart Mode [1-15]

Atrial Fibrillation Therapy Status [1-15]

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @S1S2Ramp_percent

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @S2SNRamp_percent

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @ScanDecrement_ms

N/AATPTherapy[@TherapyNumber="[1-15]"]/ @Sequence

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @SmartMode

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @StatusTachycardia Programmed Zone

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Maximum Stimulus Count [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Anti-Tachycardia Pacing Type [1-15]

Atrial Fibrillation Zone - shock therapies

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="AFib"]/ in the XML file.

Atrial Fibrillation Therapy Order Number [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Shock Cardioversion Delay [1-15]

@StimuliCount

@TherapyType

@CardioversionDelay_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/

N/AATPTherapy[@TherapyNumber="[1-15]"]/

TypeParameter XPathParameter

string[50]@GUIDN/A

byteShockTherapy/ @TherapyNumberTachycardia Programmed Zone

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

Connectivity Guide | Paceart XML Schema | 89

TypeParameter XPathParameter

N/A

@Committed

Tachycardia Programmed Zone Atrial Fibrillation Therapy Shock Pathway [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Shock Pulse Width Negative [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Shock Pulse Width Positive [1-15]

N/A

Tachycardia Programmed Zone Atrial Fibrillation Therapy Shock Energy [1-15] ShockTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Atrial Fibrillation Therapy Shock Energy Volts [1-15] ShockTherapy[@TherapyNumber="[1-15]"]/

@Pathway

@PulseWidthNegative_ms

@PulseWidthPositive_ms

@ShockActivationType

@ShockEnergy

@ShockEnergyUnits

@ShockEnergy

@ShockEnergyUnits

booleanShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Atrial Fibrillation Therapy Status [1-15]

Tachycardia Programmed Zone Atrial Fibrillation Therapy Shock Waveform [1-15]

Atrial Flutter Zone - zone detection

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="AFlutter"]/ in the XML file.

Flutter Configuration Comments

Flutter Detection Criteria Duration

Flutter Detection Criteria Rate

Flutter Sustained High Rate Detection Criteria Duration

@Status

@Waveform

booleanShockTherapy[@TherapyNumber="[1-15]"]/

string[20]ShockTherapy[@TherapyNumber="[1-15]"]/

TypeParameter XPathParameter

string[50]@GUIDN/A

string@CommentaryTachycardia Programmed Zone Atrial

string[25]@DetectionDurationTachycardia Programmed Zone Atrial

string[10]@DetectionInterval_msTachycardia Programmed Zone Atrial

string[10]@EHR_SRDDuration_msTachycardia Programmed Zone Atrial

90 | Connectivity Guide | Paceart XML Schema

Flutter Sustained High Rate Detection Criteria Rate

Flutter Morphology Detection Criteria

Flutter Cardiac Cycle Stability Detection Criteria

Flutter Redetection Criteria Duration

TypeParameter XPathParameter

string[10]@EHR_SRDRate_bpmTachycardia Programmed Zone Atrial

string[25]@QRSMorphologyCriteriaTachycardia Programmed Zone Atrial

string[5]@RateStabilityCriteriaTachycardia Programmed Zone Atrial

string[25]@RedetectionDurationTachycardia Programmed Zone Atrial

Tachycardia Programmed Zone Atrial Flutter Sudden Onset Detection Criteria Interval

Tachycardia Programmed Zone Atrial Flutter Sudden Onset Detection Criteria Interval Percentage

Flutter Therapy Configuration Summary

Atrial Flutter Zone - ATP therapies

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="AFlutter"]/ in the XML file.

Atrial Flutter Therapy Order Number [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Initial Burst Cycle Length [1-15]

@BurstCycleLength ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLengthUnits

@SuddenOnsetCriteriaUnits

string[5]@SuddenOnsetCriteria

string[25]@TherapyConfigurationTachycardia Programmed Zone Atrial

N/A@ZoneTypeTachycardia Programmed Zone Type

TypeParameter XPathParameter

string[50]@GUIDN/A

byteATPTherapy/ @TherapyNumberTachycardia Programmed Zone

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Initial Burst Cycle Length Percentage [1-15]

N/A

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Coupling Interval [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLength ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLengthUnits

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @Committed

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingInterval ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalUnits

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingInterval

Connectivity Guide | Paceart XML Schema | 91

TypeParameter XPathParameter

Anti-Tachycardia Pacing Coupling Interval Percentage [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Coupling Interval Decrement [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Coupling Interval Decrement Percentage [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Burst Interval Decrement [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Maximum Stimulus Count [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Minimum Burst Cycle Length [1-15]

ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalUnits

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalDecrement ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalDecrementUnits

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @IntervalDecrement_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @MaximumNumberOfPulses

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @MinimumBurstCycleLength_ms

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Burst Count [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Stimulus Amplitude [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Stimulus Duration [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Stimulus Count Increment [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Ramp Decrement [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing S1S2 Ramp [1-15]

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @NumberOfSequences

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @OutputAmplitude_volts

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @OutputDuration_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @PulseIncrement

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @RampDecrement_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @S1S2Ramp_percent

92 | Connectivity Guide | Paceart XML Schema

TypeParameter XPathParameter

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing S2SN Ramp [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Scan Decrement [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Scan Sequence [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Smart Mode [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Status [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Maximum Stimulus Count [1-15]

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @S2SNRamp_percent

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @ScanDecrement_ms

N /AATPTherapy[@TherapyNumber="[1-15]"]/ @Sequence

booleanATPTherapy[@TherapyN umber="[1-15]"]/ @SmartMode

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @Status

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @StimuliCount

Tachycardia Programmed Zone Atrial Flutter Therapy Anti-Tachycardia Pacing Type [1-15]

Atrial Flutter Zone - shock therapies

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="AFlutter"]/ in the XML file.

Atrial Flutter Therapy Order Number [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Shock Cardioversion Delay [1-15]

N/A

Tachycardia Programmed Zone Atrial Flutter Therapy Shock Pathway [1-15]

@TherapyType

@CardioversionDelay_ms

@Committed

@Pathway

N/AATPTherapy[@TherapyNumber="[1-15]"]/

TypeParameter XPathParameter

string[50]@GUIDN/A

byteShockTherapy/ @TherapyNumberTachycardia Programmed Zone

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

booleanShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

Connectivity Guide | Paceart XML Schema | 93

TypeParameter XPathParameter

Tachycardia Programmed Zone Atrial Flutter Therapy Shock Pulse Width Negative [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Shock Pulse Width Positive [1-15]

N/A

Tachycardia Programmed Zone Atrial Flutter Therapy Shock Energy [1-15] ShockTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Atrial Flutter Therapy Shock Energy Volts [1-15] ShockTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Atrial Flutter Therapy Status [1-15]

Tachycardia Programmed Zone Atrial Flutter Therapy Shock Waveform [1-15]

@PulseWidthNegative_ms

@PulseWidthPositive_ms

@ShockActivationType

@ShockEnergy

@ShockEnergyUnits

@ShockEnergy

@ShockEnergyUnits

@Status

@Waveform

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

booleanShockTherapy[@TherapyNumber="[1-15]"]/

string[20]ShockTherapy[@TherapyNumber="[1-15]"]/

Atrial Tachycardia Zone - zone detection

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="ATach"]/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string@CommentaryTachycardia Programmed Zone Atrial Tachycardia Configuration Comments

string[25]@DetectionDurationTachycardia Programmed Zone Atrial Tachycardia Detection Criteria Duration

string[10]@DetectionInterval_msTachycardia Programmed Zone Atrial Tachycardia Detection Criteria Rate

string[10]@EHR_SRDDuration_msTachycardia Programmed Zone Atrial Tachycardia Sustained High Rate Detection Criteria Duration

string[10]@EHR_SRDRate_bpmTachycardia Programmed Zone Atrial Tachycardia Sustained High Rate Detection Criteria Rate

Atrial Tachycardia Morphology Detection Criteria

string[25]@QRSMorphologyCriteriaTachycardia Programmed Zone

94 | Connectivity Guide | Paceart XML Schema

Atrial Tachycardia Cardiac Cycle Stability Detection Criteria

Atrial Tachycardia Redetection Criteria Duration

TypeParameter XPathParameter

string[5]@RateStabilityCriteriaTachycardia Programmed Zone

string[25]@RedetectionDurationTachycardia Programmed Zone

Tachycardia Programmed Zone Atrial Tachycardia Sudden Onset Detection Criteria Interval

Tachycardia Programmed Zone Atrial Tachycardia Sudden Onset Detection Criteria Interval Percentage

Atrial Tachycardia Therapy Configuration Summary

Type

Atrial Tachycardia Zone - ATP therapies

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="ATach"]/ in the XML file.

Atrial Tachycardia Therapy Order Number [1-15]

@SuddenOnsetCriteriaUnits

string[5]@SuddenOnsetCriteria

string[25]@TherapyConfigurationTachycardia Programmed Zone

N/A@ZoneTypeTachycardia Programmed Zone

TypeParameter XPathParameter

string[50]@GUIDN/A

byteATPTherapy/ @TherapyNumberTachycardia Programmed Zone

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Initial Burst Cycle Length [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Initial Burst Cycle Length Percentage [1-15]

N/A

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Coupling Interval [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLength ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLengthUnits

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @Committed

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingInterval ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalUnits

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingInterval

Connectivity Guide | Paceart XML Schema | 95

TypeParameter XPathParameter

Anti-Tachycardia Pacing Coupling Interval Percentage [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Coupling Interval Decrement [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Coupling Interval Decrement Percentage [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Burst Interval Decrement [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Maximum Stimulus Count [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Minimum Burst Cycle Length [1-15]

ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalUnits

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalDecrement ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingIntervalDecrementUnits

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @IntervalDecrement_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @MaximumNumberOfPulses

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @MinimumBurstCycleLength_ms

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Burst Count [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Stimulus Amplitude [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Stimulus Duration [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Stimulus Count Increment [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Ramp Decrement [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing S1S2 Ramp [1-15]

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @NumberOfSequences

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @OutputAmplitude_volts

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @OutputDuration_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @PulseIncrement

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @RampDecrement_ms

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @S1S2Ramp_percent

96 | Connectivity Guide | Paceart XML Schema

TypeParameter XPathParameter

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing S2SN Ramp [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Scan Decrement [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Scan Sequence [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Smart Mode [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Status [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Maximum Stimulus Count [1-15]

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @S2SNRamp_percent

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @ScanDecrement_ms

N/AATPTherapy[@TherapyNumber="[1-15]"]/ @Sequence

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @SmartMode

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @Status

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @StimuliCount

Tachycardia Programmed Zone Atrial Tachycardia Therapy Anti-Tachycardia Pacing Type [1-15]

Atrial Tachycardia Zone - shock therapies

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="ATach"]/ in the XML file.

Atrial Tachycardia Therapy Order Number [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Shock Cardioversion Delay [1-15]

N/A

Tachycardia Programmed Zone Atrial Tachycardia Therapy Shock Pathway [1-15]

@TherapyType

@CardioversionDelay_ms

@Committed

@Pathway

N/AATPTherapy[@TherapyNumber="[1-15]"]/

TypeParameter XPathParameter

string[50]@GUIDN/A

byteShockTherapy/ @TherapyNumberTachycardia Programmed Zone

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

booleanShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

Connectivity Guide | Paceart XML Schema | 97

TypeParameter XPathParameter

Tachycardia Programmed Zone Atrial Tachycardia Therapy Shock Pulse Width Negative [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Shock Pulse Width Positive [1-15]

N/A

Tachycardia Programmed Zone Atrial Tachycardia Therapy Shock Energy [1-15] ShockTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Atrial Tachycardia Therapy Shock Energy Volts [1-15] ShockTherapy[@TherapyNumber="[1-15]"]/

Tachycardia Programmed Zone Atrial Tachycardia Therapy Status [1-15]

Tachycardia Programmed Zone Atrial Tachycardia Therapy Shock Waveform [1-15]

@PulseWidthNegative_ms

@PulseWidthPositive_ms

@ShockActivationType

@ShockEnergy

@ShockEnergyUnits

@ShockEnergy

@ShockEnergyUnits

@Status

@Waveform

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

string[10]ShockTherapy[@TherapyNumber="[1-15]"]/

N/AShockTherapy[@TherapyNumber="[1-15]"]/

booleanShockTherapy[@TherapyNumber="[1-15]"]/

string[20]ShockTherapy[@TherapyNumber="[1-15]"]/

Fast Ventricular Tachycardia Zone - zone detection

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="FastVT"]/ in the XML file.

TypeParameter XPathParameter

string[50]@GUIDN/A

string@CommentaryTachycardia Programmed Zone

Fast Ventricular Tachycardia Configuration Comments

string[25]@DetectionDurationTachycardia Programmed Zone

Fast Ventricular Tachycardia Detection Criteria Duration

string[10]@DetectionInterval_msTachycardia Programmed Zone

Fast Ventricular Tachycardia Detection Criteria Rate

string[10]@EHR_SRDDuration_msTachycardia Programmed Zone

Fast Ventricular Tachycardia Sustained High Rate Detection Criteria Duration

string[10]@EHR_SRDRate_bpmTachycardia Programmed Zone

Fast Ventricular Tachycardia Sustained High Rate Detection Criteria Rate

98 | Connectivity Guide | Paceart XML Schema

Fast Ventricular Tachycardia Morphology Detection Criteria

Fast Ventricular Tachycardia Cardiac Cycle Stability Detection Criteria

Fast Ventricular Tachycardia Redetection Criteria Duration

TypeParameter XPathParameter

string[25]@QRSMorphologyCriteriaTachycardia Programmed Zone

string[5]@RateStabilityCriteriaTachycardia Programmed Zone

string[25]@RedetectionDurationTachycardia Programmed Zone

Tachycardia Programmed Zone Fast Ventricular Tachycardia Sudden Onset Detection Criteria Interval

Tachycardia Programmed Zone Fast Ventricular Tachycardia Sudden Onset Detection Criteria Interval Percentage

Fast Ventricular Tachycardia Therapy Configuration Summary

Type

Fast Ventricular Tachycardia Zone - ATP therapies

This block is rooted at /Paceart/PatientRecords/PatientRecord/Tests/<Encounter Type>/Evaluation/TachyProgramming/Zone[@ZoneType="FastVT"]/ in the XML file.

Fast Ventricular Tachycardia Therapy Order Number [1-15]

@SuddenOnsetCriteriaUnits

string[5]@SuddenOnsetCriteria

string[25]@TherapyConfigurationTachycardia Programmed Zone

N/A@ZoneTypeTachycardia Programmed Zone

TypeParameter XPathParameter

string[50]@GUIDN/A

byteATPTherapy/ @TherapyNumberTachycardia Programmed Zone

Tachycardia Programmed Zone Fast Ventricular Tachycardia Therapy Anti-Tachycardia Pacing Initial Burst Cycle Length [1-15]

Tachycardia Programmed Zone Fast Ventricular Tachycardia Therapy Anti-Tachycardia Pacing Initial Burst Cycle Length Percentage [1-15]

N/A

Tachycardia Programmed Zone Fast Ventricular Tachycardia

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLength ATPTherapy[@TherapyNumber="[1-15]"]/ @BurstCycleLengthUnits

booleanATPTherapy[@TherapyNumber="[1-15]"]/ @Committed

string[10]ATPTherapy[@TherapyNumber="[1-15]"]/ @CouplingInterval

Medtronic PASCV Reference Guide

Specifications and Main Features

Frequently Asked Questions

User Manual

Contents

Connected Systems Gateway

Explanation of symbols

Indications

Precautions

Contraindications

Paceart authorized users

Technical Support

Connected Systems Gateway Software Prerequisites

Installing .Net 3.5 Framework Service Pack 1

Installing and Configuring MS Message Queuing for Windows XP

Installing and Configuring MS Message Queuing for Windows Server 2003

Installing and Configuring MS Message Queuing for Windows Vista

Creating a Connected Systems Gateway user for the Paceart database

Creating a CareLink user to use with the Connected Systems Gateway

Installing the Connected Systems Gateway

Connected Systems Gateway Configuration Manager

Starting the Connected Systems Gateway

Paceart-CareLink Scheduling Integration

Scheduling integration requirements

Troubleshooting scheduling connectivity problems

HL7 Integration Overview

Medtronic Connected Systems Gateway HL7 Overview

HL7 Inbound Message Flow

HL7 Message Acknowledgement

Inbound Patient Administration Messages (ADT)

Inbound Message Segments

Inbound Scheduling Messages (SIU)

Inbound Message Segments

Outbound Event Observation Reporting (ORU)

OBX:3 Coded Element

Identifiers

OBX:4 Sub-ID Numbering and Data Relationship

Troubleshooting HL7 connectivity problems

Programmer Acquisition service cannot start Event Log message

Paceart XML Schema

Parameter valid values

Paceart XML export

Lookup tables

Patient records