<H3>Special Instructions</H3><p> <p>This test applies to DOCs that are able to receive messages from more than one DOF. In this test, multiple DOFs send a series of messages for each patient to a DOC.</p> <p>This is a scheduled test that follows one-to-one testing for the DOFs and DOCs. It requires coordination among the partnering systems. This test verifies the ability to receive multiple messages from multiple sending systems containing data for multiple physiological parameters, each system sending data for two or more patients (if supported). DOFs must coordinate their efforts and send a sufficient number of messages so that the DOC receives at least two messages from each sending system in a time interval that includes the other sending systems. This test applies to gateways that transmit multiple messages for the same patient or patients AND to a gateway that transmits only one set of parameters for one or more patients (e.g., vital signs monitor).</p> <p>There are three variations of this test; be sure you select the right one(s):</p> <ul> <li>DEC_ SPD_One_to_Many _FC</li> <ul> <li>Two or more DOFs and one DOC, testing the DOC&rsquo;s ability to support multiple DOFs</li> <ul> <li>DOF is part of the same system as the associated DOR, testing the DOF function and not the DOR; the DOC uses the query function to request filtered data </li> </ul> </ul> <li>DEC_ SPD_One_to_Many _RFC</li> <ul> <li>Multiple standalone DOFs each with a different collaborating DOR, testing the DOC&rsquo;s ability to support multiple DOFs</li> </ul> <li>DEC_ SPD_One_to_Many _RFC_FC</li> <ul> <li>One or more standalone DOFs alongside one or more DOR/DOF systems, testing the DOC&rsquo;s ability to support multiple DOFs. The primary purpose for this test is to permit testing the DOC when only two DOFs are available &ndash; one standalone and one DOR/DOF combination. However, this test can be used with more DOF systems when the two types are present. </li> </ul> </ul> <p>NOTE: While standalone DOFs will conduct similar tests within DEC_Many_to_One_Communication, where the DOF receives messages from multiple devices, a DOF in the same system as a DOR is presumed to have this integration handled in the DOR portion of the system. If that is not the case, then the DOF should test as a standalone DOF. A DOF standalone system supporting multiple DORs must conduct also conduct the DEC_Many_to_One_Communication_RF test if that function is supported. </p> <p>NOTE: Test names are the same for DORs, DOFs and DOCs. They play partner roles and DOCs are responsible for coordinating with their DOR/DOF partners <em>during the Connectathon </em>to assure that the required number of sending systems that are needed are able to send the messages they will receive.</p> </p><H3>Description</H3><p>Conduct DEC_One_to_One_Communication test before proceeding.</p><p>DOFs that are part of DOR/DOF systems will send, and the DOC will receive physiologic parameters for two patients from each DOF. If your system does not support multiple patients you need to make this known to your test partners and the project manager.</p><p>DOFs will send at least three messages for each of two patients in response to a subscription. The messages will include physiologic data with reasonable values for at least three supported parameters. Parameters <strong><em>need not</em></strong> include relatively infrequently measured parameters (e.g., NIBP).If the DOR supports both validated and unvalidated data, this test is performed with unvalidated data. </p><ol> <li>The DOC terminates any subscriptions that may be active.</li> <li>The DOC subscribes to patient data from two or more DOFs that are available. The DOC subscribes to at least four physiologic parameters that are available and supported and supported from each. The patients available are unique to the DOR associated with this DOF (see table below).</li> <li>Two or more DOFs, with whatever support they need from the associated DORs, coordinate to send messages such that at least three messages are near-simultaneously sent from each DOF to the same DOC(s).</li> <ul> <li>The two DOFs may be sending different parameters; the parameters must be supported by the DOFs and the DOC participating.</li> <li>The systems agree on the interval between messages so that the DOC(s) are tested with the messages over the same time period. The interval between messages must not be less than 30 seconds.</li> </ul> <li>The DOCs terminate the subscriptions. </li> </ol><p>PATIENT IDENTIFICATION:</p><p>For systems NOT using PAM or PDQ to obtain patient demographics, the patients for this test in January 2008 are given below. Additional patients can be created using the same pattern.</p><table border="1" cellspacing="0" cellpadding="0"> <tr> <td width="133" valign="top"> <p> <strong>System</strong> </p> </td> <td width="91" valign="top"> <p> <strong>MRN</strong> </p> </td> <td width="67" valign="top"> <p> <strong>First Name</strong> </p> </td> <td width="61" valign="top"> <p> <strong>Last Name</strong> </p> </td> <td width="127" valign="top"> <p> <strong>Location</strong> </p> </td> <td width="79" valign="top"> <p> <strong>Mother&rsquo;s Maiden Name</strong> </p> </td> <td width="73" valign="top"> <p> <strong>DOB</strong> </p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; B Braun</p> </td> <td width="91" valign="top"> <p>BB2008003</p> </td> <td width="67" valign="top"> <p>Eddie</p> </td> <td width="61" valign="top"> <p>Frank</p> </td> <td width="127" valign="top"> <p>3 East ICU - 31-1</p> </td> <td width="79" valign="top"> <p>Grant</p> </td> <td width="73" valign="top"> <p>1/1/61</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; B Braun</p> </td> <td width="91" valign="top"> <p>BB2008004</p> </td> <td width="67" valign="top"> <p>George</p> </td> <td width="61" valign="top"> <p>Harris</p> </td> <td width="127" valign="top"> <p>4 West ICU 31-1</p> </td> <td width="79" valign="top"> <p>Ingram</p> </td> <td width="73" valign="top"> <p>1/1/61</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; Draeger (reporter)</p> </td> <td width="91" valign="top"> <p>DR2008003</p> </td> <td width="67" valign="top"> <p>Edie</p> </td> <td width="61" valign="top"> <p>Frank</p> </td> <td width="127" valign="top"> <p>3 East ICU &ndash; 32-1</p> </td> <td width="79" valign="top"> <p>Grant</p> </td> <td width="73" valign="top"> <p>1/1/62</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; Draeger (reporter)</p> </td> <td width="91" valign="top"> <p>DR2008004</p> </td> <td width="67" valign="top"> <p>Glenda</p> </td> <td width="61" valign="top"> <p>Harris</p> </td> <td width="127" valign="top"> <p>4 West ICU 32-1</p> </td> <td width="79" valign="top"> <p>Ingram</p> </td> <td width="73" valign="top"> <p>1/1/62</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; GE (reporter)</p> </td> <td width="91" valign="top"> <p>GE2008003</p> </td> <td width="67" valign="top"> <p>Ernie</p> </td> <td width="61" valign="top"> <p>Frank</p> </td> <td width="127" valign="top"> <p>3 East ICU &ndash; 33-1</p> </td> <td width="79" valign="top"> <p>Grant</p> </td> <td width="73" valign="top"> <p>1/1/63</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; GE (reporter)</p> </td> <td width="91" valign="top"> <p>GE2008004</p> </td> <td width="67" valign="top"> <p>Glen</p> </td> <td width="61" valign="top"> <p>Harris</p> </td> <td width="127" valign="top"> <p>4 West ICU 33-1</p> </td> <td width="79" valign="top"> <p>Ingram</p> </td> <td width="73" valign="top"> <p>1/1/63</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; Philips (reporter)</p> </td> <td width="91" valign="top"> <p>PH2008002</p> </td> <td width="67" valign="top"> <p>Ethel</p> </td> <td width="61" valign="top"> <p>Frank</p> </td> <td width="127" valign="top"> <p>3 East ICU &ndash; 34-1</p> </td> <td width="79" valign="top"> <p>Grant</p> </td> <td width="73" valign="top"> <p>1/1/64</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; Philips (reporter)</p> </td> <td width="91" valign="top"> <p>PH2008004</p> </td> <td width="67" valign="top"> <p>Gert</p> </td> <td width="61" valign="top"> <p>Harris</p> </td> <td width="127" valign="top"> <p>4 West ICU 34-1</p> </td> <td width="79" valign="top"> <p>Ingram</p> </td> <td width="73" valign="top"> <p>1/1/64</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; Spacelabs </p> </td> <td width="91" valign="top"> <p>SP2008003</p> </td> <td width="67" valign="top"> <p>Edward</p> </td> <td width="61" valign="top"> <p>Frank</p> </td> <td width="127" valign="top"> <p>3 East ICU &ndash; 35-1</p> </td> <td width="79" valign="top"> <p>Grant</p> </td> <td width="73" valign="top"> <p>1/1/65</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; Spacelabs </p> </td> <td width="91" valign="top"> <p>SP2008004</p> </td> <td width="67" valign="top"> <p>Gary</p> </td> <td width="61" valign="top"> <p>Harris</p> </td> <td width="127" valign="top"> <p>4 West ICU 35-1</p> </td> <td width="79" valign="top"> <p>Ingram</p> </td> <td width="73" valign="top"> <p>1/1/65</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; Welch Allyn</p> </td> <td width="91" valign="top"> <p>WA2008002</p> </td> <td width="67" valign="top"> <p>E.</p> </td> <td width="61" valign="top"> <p>Frank</p> </td> <td width="127" valign="top"> <p>3 East ICU &ndash; 36-1</p> </td> <td width="79" valign="top"> <p>Grant</p> </td> <td width="73" valign="top"> <p>1/1/66</p> </td> </tr> <tr> <td width="133" valign="top"> <p>&nbsp; Welch Allyn</p> </td> <td width="91" valign="top"> <p>WA2008004</p> </td> <td width="67" valign="top"> <p>E.</p> </td> <td width="61" valign="top"> <p>Harris</p> </td> <td width="127" valign="top"> <p>4 West ICU 36-1</p> </td> <td width="79" valign="top"> <p>Ingram</p> </td> <td width="73" valign="top"> <p>1/1/66</p> </td> </tr> </table><H3>Evaluation</H3><p>Project manager or monitor will observe the displays provided by the sending systems and partner receiver. The physiologic parameters and their measurement values, including the time the message is sent by the DOR or DOF, and time of receipt by the DOC will be compared. The type of display/documentation by the DOC is not constrained, it need only be clinically useful.</p><p>Success: If the patients, the minimum number and values of the parameters, and the time of measurement sent by the DOFs match those received by the DOC that will indicate the test has been successful. The two DOFs may be sending different parameters; the parameters must be supported by the DOFs and the DOC participating.</p> 