XRPT05 #000085

Alle beskeder

Mikrobiologisvar fra MADS til EPJ SYD, for Grethe Simulsen (091256-xxxx).

Om beskeden

Kvitteret

Standard: MedCom XRPT05 · Mikrobiologisvar
Fra: MADS via Filudveksling (SvarLytter)
Til: EPJ SYD via VANS / Sundhedsdatanettet
Rekvisition: R26-104203 · Urin, dyrkning og resistens
Modtaget: 21-10-2026 20:41:11
Kvitteret: 21-10-2026 20:42:11
Leveringsforsøg: 1

Forløb i DataHub

20:41:11 Modtaget fra MADS via Filudveksling (SvarLytter)
20:41:11 Valideret som MedCom XRPT05 (forenklet demo-validering)
20:41:11 Routet og leveret til EPJ SYD via VANS / Sundhedsdatanettet
20:42:11 Positiv kvittering fra EPJ SYD

Indhold

Som beskeden løber i dag, i MedCom-stil og forenklet til demoen.

<?xml version="1.0" encoding="utf-8"?>
<!-- Forenklet demo i MedCom-stil. Ikke valideret mod MedComs skemaer. Alle data er fiktive. -->
<Emessage>
  <Envelope>
    <Sent>
      <Date>2026-10-21</Date>
      <Time>20:41</Time>
    </Sent>
    <Identifier>000085</Identifier>
    <AcknowledgementCode>plusacknowledgement</AcknowledgementCode>
  </Envelope>
  <MicrobiologyWebReport>
    <Letter>
      <Identifier>000085</Identifier>
      <VersionCode>XR0531M</VersionCode>
      <StatisticalCode>XRPT05</StatisticalCode>
      <Authorisation>
        <Date>2026-10-21</Date>
        <Time>20:41</Time>
      </Authorisation>
    </Letter>
    <Sender>
      <EANIdentifier>demo-mads</EANIdentifier>
      <Identifier>demo</Identifier>
      <IdentifierCode>sor</IdentifierCode>
      <OrganisationName>Odense Universitetshospital</OrganisationName>
      <DepartmentName>Klinisk Mikrobiologisk Afdeling</DepartmentName>
      <SystemName>MADS</SystemName>
    </Sender>
    <Receiver>
      <EANIdentifier>demo-epjsyd</EANIdentifier>
      <Identifier>demo</Identifier>
      <IdentifierCode>sor</IdentifierCode>
      <OrganisationName>Odense Universitetshospital</OrganisationName>
      <DepartmentName>Akutafdelingen, OUH</DepartmentName>
      <SystemName>EPJ SYD</SystemName>
    </Receiver>
    <Patient>
      <CivilRegistrationNumber>091256xxxx</CivilRegistrationNumber>
      <PersonSurnameName>Simulsen</PersonSurnameName>
      <PersonGivenName>Grethe</PersonGivenName>
    </Patient>
    <LaboratoryResults>
      <GeneralResultInformation>
        <ReportStatusCode>endeligt_svar</ReportStatusCode>
        <LaboratoryInternalSampleIdentifier>P26-058302</LaboratoryInternalSampleIdentifier>
        <RequisitionIdentifier>R26-104203</RequisitionIdentifier>
        <SamplingDateTime>2026-10-20T13:03:11+02:00</SamplingDateTime>
        <ResultsDateTime>2026-10-21T20:41:11+02:00</ResultsDateTime>
      </GeneralResultInformation>
      <Analysis>
        <AnalysisCode>MB-URIN</AnalysisCode>
        <AnalysisCodeType>local</AnalysisCodeType>
        <AnalysisCodeResponsible>MADS</AnalysisCodeResponsible>
        <AnalysisShortName>Urin, dyrkning og resistens</AnalysisShortName>
      </Analysis>
      <Result>
        <Summary>Escherichia coli ≥10⁵ CFU/mL</Summary>
        <Finding>
          <Organism>Escherichia coli</Organism>
          <Quantity>≥10⁵ CFU/mL</Quantity>
          <Susceptibility>
            <Antibiotic>Ampicillin</Antibiotic>
            <Interpretation>R</Interpretation>
          </Susceptibility>
          <Susceptibility>
            <Antibiotic>Mecillinam</Antibiotic>
            <Interpretation>S</Interpretation>
          </Susceptibility>
          <Susceptibility>
            <Antibiotic>Sulfamethizol</Antibiotic>
            <Interpretation>R</Interpretation>
          </Susceptibility>
          <Susceptibility>
            <Antibiotic>Trimethoprim</Antibiotic>
            <Interpretation>R</Interpretation>
          </Susceptibility>
          <Susceptibility>
            <Antibiotic>Nitrofurantoin</Antibiotic>
            <Interpretation>S</Interpretation>
          </Susceptibility>
          <Susceptibility>
            <Antibiotic>Ciprofloxacin</Antibiotic>
            <Interpretation>S</Interpretation>
          </Susceptibility>
        </Finding>
      </Result>
    </LaboratoryResults>
  </MicrobiologyWebReport>
</Emessage>

Samme indhold som DataHub kan aflevere det, når FHIR afløser MedCom XML. Illustrativt og inspireret af DK Core og HL7 Europe Laboratory Report.

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-10-21T20:41:11+02:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Patient",
        "identifier": [
          {
            "system": "urn:oid:1.2.208.176.1.2",
            "value": "091256xxxx"
          }
        ],
        "name": [
          {
            "family": "Simulsen",
            "given": [
              "Grethe"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1956-12-09"
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0001-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Specimen",
        "type": {
          "text": "Urin, midtstråle"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "collection": {
          "collectedDateTime": "2026-10-20T13:03:11+02:00"
        },
        "accessionIdentifier": {
          "value": "P26-058302"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0009-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "DiagnosticReport",
        "identifier": [
          {
            "value": "P26-058302-000085"
          }
        ],
        "basedOn": [
          {
            "identifier": {
              "value": "R26-104203"
            }
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "MB",
                "display": "Microbiology"
              }
            ]
          }
        ],
        "code": {
          "text": "Urin, dyrkning og resistens"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "issued": "2026-10-21T20:41:11+02:00",
        "performer": [
          {
            "display": "Klinisk Mikrobiologisk Afdeling, OUH"
          }
        ],
        "specimen": [
          {
            "reference": "urn:uuid:00000055-0001-4d48-8000-0da7a4000001"
          }
        ],
        "result": [
          {
            "reference": "urn:uuid:00000055-0002-4d48-8000-0da7a4000001"
          }
        ],
        "conclusion": "Escherichia coli ≥10⁵ CFU/mL"
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0003-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Observation",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "text": "Resistensbestemmelse: Ampicillin"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "R",
                "display": "Resistant"
              }
            ],
            "text": "Resistent"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0004-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Observation",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "text": "Resistensbestemmelse: Mecillinam"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "S",
                "display": "Susceptible"
              }
            ],
            "text": "Følsom"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0005-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Observation",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "text": "Resistensbestemmelse: Sulfamethizol"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "R",
                "display": "Resistant"
              }
            ],
            "text": "Resistent"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0006-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Observation",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "text": "Resistensbestemmelse: Trimethoprim"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "R",
                "display": "Resistant"
              }
            ],
            "text": "Resistent"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0007-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Observation",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "text": "Resistensbestemmelse: Nitrofurantoin"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "S",
                "display": "Susceptible"
              }
            ],
            "text": "Følsom"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0008-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Observation",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "text": "Resistensbestemmelse: Ciprofloxacin"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "S",
                "display": "Susceptible"
              }
            ],
            "text": "Følsom"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:00000055-0002-4d48-8000-0da7a4000001",
      "resource": {
        "resourceType": "Observation",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "text": "Escherichia coli"
        },
        "subject": {
          "reference": "urn:uuid:00000055-0000-4d48-8000-0da7a4000001"
        },
        "valueString": "≥10⁵ CFU/mL",
        "specimen": {
          "reference": "urn:uuid:00000055-0001-4d48-8000-0da7a4000001"
        },
        "hasMember": [
          {
            "reference": "urn:uuid:00000055-0003-4d48-8000-0da7a4000001"
          },
          {
            "reference": "urn:uuid:00000055-0004-4d48-8000-0da7a4000001"
          },
          {
            "reference": "urn:uuid:00000055-0005-4d48-8000-0da7a4000001"
          },
          {
            "reference": "urn:uuid:00000055-0006-4d48-8000-0da7a4000001"
          },
          {
            "reference": "urn:uuid:00000055-0007-4d48-8000-0da7a4000001"
          },
          {
            "reference": "urn:uuid:00000055-0008-4d48-8000-0da7a4000001"
          }
        ]
      }
    }
  ]
}