<H3>Special Instructions</H3><p> <p>This is the fundamental test for DEC systems, verifying the ability to send or receive multiple messages containing data for multiple physiological parameters for two or more patients. This test will apply with suitable assumptions if only a single patient is supported by a system. This test applies to sending and receiving systems that transmit multiple messages for the same patient or patients and may include messages for a vital signs monitor (VSM) or other device that sends messages for patients aperiodically &ndash; but only if the system supports continuous measurements as well. For a DOR system that transmits only one set of parameters for one or more patients (e.g., vital signs monitor) use test DEC_Vital_Signs_Monitor_RC or  DEC_Vital_Signs_Monitor_RFC instead.</p> <p>There are two variations of this test; be sure you select the right one(s):</p> <ul>     <li>DEC_One_to_One_Communication_RC </li>     <ul>      <li>DOR and a DOC </li>      <li>DOR with DOF in the same system, testing the DOR function and not the DOF; the DOC does not      use the query function to filter data </li>     </ul>     <li>DEC_One_to_One_Communication_RF</li>     <ul>      <li>Standalone DOF, testing the input side as if it were a DOC, will need a DOR as partner</li>     </ul> </ul> <p>NOTE: If the system is a DOF independent of a DOR, then the DOF must test as a DOC with a DOR (using DEC_One_to_One_Communication_RF). I.e., the DOF must receive messages from a DOR. Tests of its ability to respond to subscriptions from a DOC are provided elsewhere.  </p> <p>NOTE: Test names for this test are the same for DORs and DOFs. They play partner roles and DORs are responsible for coordinating with their partners <b>in advance of the Connectathon</b> to assure that the required number of receiving systems needed are able to receive the messages they will send.</p> <p>The DOR and DOF conduct the tests for all system types they support from this list: </p> <ul>     <li>Physiologic Monitor (bedside and/or perioperative monitors), </li>     <li>Vital Signs Monitor, </li>     <li>Infusion Pump, </li>     <li>Ventilator,</li>     <li>Other as developed with the Project Manager</li> </ul> <p>If, for example, a system supports bedside monitors and infusion pumps, messages will contain    parameters for parameter types within the bedside monitor (heart rate, blood pressure, etc.) and    for the pump.</p> <p>DORs will send, and DOFs will receive physiologic and/or pump parameters for two patients. If your system does not support multiple patients you need to make this known to your test partners and the project manager.</p> <p>RELATED TESTS:</p> <p>Developers may combine this test with:</p> <ul>     <li>DEC_Interrupted_Communication</li>     <li>PAM_ID_Mgmt</li>     <li>PDQ_Exact_Name and PDQ_Multiple_Query</li>     <li>DEC_Validated_Parameters (would follow this test)</li> </ul> <p> Please consult documentation for those tests, which are briefly summarized here:    DEC_Interrupted_Communication: Each system (except VSMs) must conduct one test of    DEC_Interrupted_Communication to show the ability to resume communications following an    interruption of the data link. Either or both systems may conduct that test after successful    communication of the minimum number of messages at this time, but they may not do so    simultaneously. </p> <p>PAM, PDQ: If the DOR supports either or both of the PAM and PDQ options in the Patient Identity    Binding (PIB) option, the DOR may elect to test either or both of these tests at this time by    using the PIB option to obtain the patient&rsquo;s demographics in conducting the    DEC_One_to_One_Communication. To obtain credit for either of both of these tests, conduct the    test consistent with that test.</p> <p>DEC_Validated_Parameters: If partners are available it may be an efficient use of time to    conduct this test after successfully conducting the DEC_One_to_One_Communication test. Refer to    that test for details. </p> </p><H3>Description</H3><p>A DOR sends a series of messages (as described in the tests listed below) to a DOF. Messages include multiple physiological parameters. Parameters should include sampled continuous parameters (e.g., heart rate) and relatively infrequently measured parameters (e.g., NIBP) if both are supported.</p><ol>     <li>DORs send at least three messages for each of two patients. Within the group of partners,     systems should test all system types they support (i.e., bedside, perioperative, vital signs     monitors; infusion pumps; ventilators). Each message will contain reasonable physiologic values     for at least six parameters for each system type (e.g., six or more for each patient&rsquo;s monitor     and six or more for each patient&rsquo;s pumps if both system types are supported). If the DOR     supports both validated and unvalidated data, this test is performed with unvalidated data. Each     message may include any number of additional parameters. If a system supports infrequent data     (e.g., NIBP), at least one instance of this data shall be sent in addition to the data types     sent in the other messages. Parameter values should be realistic for a patient in a cardiac ICU     bed or on an OR table.</li>     <li>Messages will alternate between the two patients. I.e., a message for patient #1 is followed     by a message for patient #2 before another message is sent for patient #1. Messages should not     be closer in time than 30 seconds apart.</li> </ol><p>If the system supports VSMs and other device types, then include one message (or message    sequence) from the VSM with one set data for multiple patients in this test. </p><p>Messages will alternate between patients (i.e., parameters for patient #1 are followed by    parameters for patient #2 before the next set of parameters are sent for patient #1). </p><p>Parameters should be sent from actual devices (preferred), simulators or, if necessary from    parameter tables provided by the Project Manager (least desirable).</p><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 align="center">        <strong>System</strong>       </p>      </td>     <td width="91" valign="top">       <p align="center">        <strong>MRD</strong>       </p>      </td>     <td width="61" valign="top">       <p align="center">        <strong>First Name</strong>       </p>      </td>     <td width="67" valign="top">       <p align="center">        <strong>Last Name</strong>       </p>      </td>     <td width="127" valign="top">       <p align="center">        <strong>Location</strong>       </p>      </td>     <td width="79" valign="top">       <p align="center">        <strong>Mother&rsquo;s Maiden Name</strong>       </p>      </td>     <td width="73" valign="top">       <p align="center">        <strong>DOB</strong>       </p>      </td>     </tr>     <tr>      <td width="133" valign="top">       <p>&nbsp; B Braun</p>      </td>     <td width="91" valign="top">       <p>BB2008001</p>      </td>     <td width="61" valign="top">       <p>Albert</p>      </td>     <td width="67" valign="top">       <p>Brooks</p>      </td>     <td width="127" valign="top">       <p>3 West ICU - 31-1</p>      </td>     <td width="79" valign="top">       <p>Coburn</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>BB2008002</p>      </td>     <td width="61" valign="top">       <p>Charles</p>      </td>     <td width="67" valign="top">       <p>Darwin</p>      </td>     <td width="127" valign="top">       <p>4 West ICU 32-1</p>      </td>     <td width="79" valign="top">       <p>Emerine</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>DR2008001</p>      </td>     <td width="61" valign="top">       <p>Amy</p>      </td>     <td width="67" valign="top">       <p>Brooks</p>      </td>     <td width="127" valign="top">       <p>3 West ICU &ndash; 32-1</p>      </td>     <td width="79" valign="top">       <p>Coburn</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>DR2008002</p>      </td>     <td width="61" valign="top">       <p>Carrie</p>      </td>     <td width="67" valign="top">       <p>Darwin</p>      </td>     <td width="127" valign="top">       <p>4 West ICU 32-1</p>      </td>     <td width="79" valign="top">       <p>Emerine</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>GE2008001</p>      </td>     <td width="61" valign="top">       <p>Allen</p>      </td>     <td width="67" valign="top">       <p>Brooks</p>      </td>     <td width="127" valign="top">       <p>3 West ICU &ndash; 33-1</p>      </td>     <td width="79" valign="top">       <p>Coburn</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>GE2008002</p>      </td>     <td width="61" valign="top">       <p>Corey</p>      </td>     <td width="67" valign="top">       <p>Darwin</p>      </td>     <td width="127" valign="top">       <p>4 West ICU 32-1</p>      </td>     <td width="79" valign="top">       <p>Emerine</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>PH2008001</p>      </td>     <td width="61" valign="top">       <p>Adrian</p>      </td>     <td width="67" valign="top">       <p>Brooks</p>      </td>     <td width="127" valign="top">       <p>3 West ICU &ndash; 34-1</p>      </td>     <td width="79" valign="top">       <p>Coburn</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>PH2008002</p>      </td>     <td width="61" valign="top">       <p>Connie</p>      </td>     <td width="67" valign="top">       <p>Darwin</p>      </td>     <td width="127" valign="top">       <p>4 West ICU 32-1</p>      </td>     <td width="79" valign="top">       <p>Emerine</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>SP2008001</p>      </td>     <td width="61" valign="top">       <p>Arthur</p>      </td>     <td width="67" valign="top">       <p>Brooks</p>      </td>     <td width="127" valign="top">       <p>3 West ICU &ndash; 35-1</p>      </td>     <td width="79" valign="top">       <p>Coburn</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>SP2008002</p>      </td>     <td width="61" valign="top">       <p>Clark</p>      </td>     <td width="67" valign="top">       <p>Darwin</p>      </td>     <td width="127" valign="top">       <p>4 West ICU 32-1</p>      </td>     <td width="79" valign="top">       <p>Emerine</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>WA2008001</p>      </td>     <td width="61" valign="top">       <p>Andrea</p>      </td>     <td width="67" valign="top">       <p>Brooks</p>      </td>     <td width="127" valign="top">       <p>3 West ICU &ndash; 36-1</p>      </td>     <td width="79" valign="top">       <p>Coburn</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>WA2008002</p>      </td>     <td width="61" valign="top">       <p>Camille</p>      </td>     <td width="67" valign="top">       <p>Darwin</p>      </td>     <td width="127" valign="top">       <p>4 West ICU 32-1</p>      </td>     <td width="79" valign="top">       <p>Emerine</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 system and partner. The physiologic parameters and their measurement values, including the time of parameter measurement will be compared. The type of display/documentation by the receiving system is not constrained. The DOF need only be able to show success in receiving the data; the display need <b>not</b> be clinically useful.</p><p>Success: If the patients, the minimum number of parameters, the measurements and the time of measurement sent by the DOR matches those received by the DOF that will indicate the test has been successful. </p><p>NOTE: If DEC_Interrupted_Communication, PAM, PDQ, and/or DEC_Validated_Parameters tests  are conducted with, or following this test, they will evaluated as described for those tests and the evaluation will be recorded for those tests.</p><p>NOTE: If the DEC_Interrupted_Communication test is conducted at this time, at least one message sent by the DOR for both patients will not have been received and the time manually recorded by the DOR for the interruption will be compared to the missing data point(s). That test should be accomplished for both partners. Note also that the data must be attributed to the correct patient. The evaluation will be recorded for that test. In addition: DORs that store and later send the missing data will pass if they show this is the case.</p><p>NOTE: If the DOR is capable of sending both validated and unvalidated messages that test may be conducted and evaluated at this time. For that test the DOR must partner with a DOC that can distinguish the two types of messages. That evaluation will be recorded for that test. That test need be accomplished only once.</p> 