Kevin, simply interfacing the devices into a Data Innovations or Dawning
system would "do the trick", of course there may be so interface writing but
that is not too terribly complex.

At our site in the VHA we use Dawning, if collects the results from the
modalities and then sends HL7 to VistA.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Carlson,
Larry G
Sent: Tuesday, August 16, 2005 8:12 PM
To: '[email protected]'
Subject: RE: [Hardhats-members] Lab interfacing...

In the past direct connect interfaces would be written to accept the data
stream from each device, push it into the ^LA global.  The listening
interface would then parse it into the ^LAH global in an acceptable pattern.
Each interface depended on a listener connected to a device in the device
file.  Each instrument would read the barcode label on the specimen
container and send (by serial originally) the test results with the barcode
- which was unique to this patient's test request.
With the ^LA global set appropriately, the lab techs would enter the lab
options to verify auto-instrument data and would verify each result.
The Load/Worklist and AutoInstrument files were set accordingly for each
instrument.

I have written (stolen too) about 20 such interfaces in the past for the
Seattle VA.

We now use Data Innovations for all but 4 of our interfaces.  Paying for DI
results in a stable environment that doesn't depend on having programming
expertise on board.  Also, writing local direct connect interfaces -
although fun - is a never ending job as the labs continue to purchase new
instrumentation.  Nonetheless, it may be that interfaces written for similar
equipment for VA labs may run with little modification in instances where
avoiding annual license fees are an issue.

-poo

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kevin
Toppenberg
Sent: Tuesday, August 16, 2005 10:21 AM
To: Hardhats Sourceforge
Subject: [Hardhats-members] Lab interfacing...

We talked about this about 2 weeks ago.  I'd like to come back to it again.

I want to interface the lab in my office into VistA.  The suggestion
that I was given was to get the equipment to send HL-7 messages to
VistA.

So I went to our lab and pulled the technical manual for each of the
pieces of equipment.  I can't tell that a single one will generate
HL-7 messages.

Here is what we have:
1. Beckman Coulter Synchron CX5 delta
http://www.beckman.com/products/instrument/genchem/cx5delta.asp
This is our chemistries machine

2. Beckman Coulter Access Immunoassay system
http://www.beckman.com/products/instrument/immunoassay/access.asp
This runs our PSA's and TSH's

3. Cell-Dyn 1700
http://www.abbottdiagnostics.com/Instruments/default.cfm?syscat_id=4&sys_id=
16&path=1
This does our CBC's

4. Helena Labs Cascade M4
http://www.helena.com/catalog/CascadeM.htm
This does our Protimes/INR's

5. Hologic QDR dexascanner
http://www.hologic.com/wh/discov.htm
This does our osteoporosis evaluations 
(This one DOES have a DICOM interface)

6. Other lab tests that we do that would likely have to have valued
entered directly into VistA would be: UA, monoscreen, strep screen,
pregnancy tests, ESR, manual differentials for CBC's

Our Beckman Coulter machines are designed to connect to a  limited
"data-link" computer system that maintains a database of patient names
and test results.  The manual for the "datalink" doesn't mention
anything about how to communicate to other computers.

Our other equipments have RS232 ports.

Would I have to manually create "drivers" for these devices?

Any help would be appreciated.
Thanks

Kevin


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September 19-22, 2005 * San Francisco, CA * Development Lifecycle Practices
Agile & Plan-Driven Development * Managing Projects & Teams * Testing & QA
Security * Process Improvement & Measurement * http://www.sqe.com/bsce5sf
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