<h3>Special Notes</h3> <p>DEC_Physiological_Monitor is defined in the context of DOR/DOC pairs where the DOR is a Physiological Monitor. If your DOR is not a Physiological Monitor, do not perform this test.</p>  <p>This test does not apply to a monitor DOR that sends messages for patient or patients only once or intermittently (e.g., a vital signs monitor).</p>  <h3>Description</h3> <p>DORs will send messages with reasonable physiologic values for supported parameters. Each message shall contain the required number of parameters that the receiving DOC can process and display or document, and may send any number of additional parameters. DORs are responsible for coordinating with their DOC partners <em>in advance of the Connectathon</em> to assure that the DOCs are able to receive at least the minimum three parameters required for a given test. Parameter values should be realistic for a patient in a cardiac ICU bed or on an OR table. </p>  <p>At least four parameters will be be sent for each patient; at least three of which can be processed by the receiving DOC. Minimum parameters are selected from this list:  <ul>   <li>Heart or Pulse Rate</li>   <li>Electrocardiogram (various leads and lead identification); multiple leads together are counted as one in meeting the minimum of four parameters)</li>   <li>Temperature, and if supported, site</li>   <li>Non-invasive systolic and diastolic blood pressure, left arm</li>   <li>Invasive pressures (arterial, use right arm); arterial pressures together are counted once in meeting the minimum of four parameters)</li>   <li>SpO2</li>   <liLRespiration rate, and if supported respiration method, patient position</li>   <li>Weight, and if supported, method</li>   <li>Arrhythmia parameters</li>   <li>Intracranial pressure</li>   <li>Inspired and/or End-tidal CO2 pressure</li>   <li>Cardiac output</li>  </ul> </p>  <p>The number of messages sent in each step in the test is given above, in section 1.1, Test Items For DORs With Partner DOCs</p>   <h3>Evaluation</h3> <p>Project manager or monitor will observe the displays provided by the DOR and partner DOC. The physiologic parameters and their measurement values, including the time of parameter measurement will be compared. The type of display/documentation by the DOC is not constrained, it need only be clinically useful.</p>  <p>If the minimum number of parameters, measurements and time of measurement sent by the DOR matches those received by the DOC that will indicate the step in the test has been successful. NOTE: At least one message sent by the DOR for both patients will not have been received by the DOC (Communication Link Interrupted And Resumed) and the time recorded by the DOR for the interruption will be compared to the missing data point(s). Note also that the data must match the patient.</p>  