<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> 