Re: [Gnumed-devel] HL7 OBX result messages that involve multiple lines esp Microbiology

[Karsten Hilbert]

> >> OBR|1||02-123456-URC-0^bcb|URC^URINE CULTURE^L||200011081429|
> >> 200011081429|||||||200011081429||TTTT2^TEST^BLAIR^^^^^L||||||
> >> 200011300944|MICRO|LAB_ORG
> >> |F||^^^200011081429|||||||204
> >> OBX|1|FT|19803-6^SITE^L||Urine|||N|||F|||200011081430|EDM|204
> >> OBX|2|FT|6463-4^Culture^L|1|Light growth of: Klebsiella sp.|||N||| 
> >> F|||
> >> 200011081434
> >> OBX|3|FT|28-1^Ampicillin^L|1|R|||N|||F|||200011081434
> >> OBX|4|FT|149-5^Cephalexin^L|1|R|||N|||F|||200011081434
> >> OBX|5|FT|267-5^Gentamicin^L|1|S|||N|||F|||200011081434
> >> OBX|6|FT|7057-3^TMP/SMX^L|1|S|||N|||F|||200011081434
> >> OBX|7|FT|363-2^Nitrofurantoin^L|1|S|||N|||F|||200011081434
> >> OBX|8|FT|6463-4^Culture^L|2|Light growth of: Staphylococcus aureus|||
> >> N|||F|||200011081434
> >> OBX|9|FT|6932-8^Penicillin^L|2|R|||N|||F|||200011081434
> >> OBX|10|FT|197-4^Cloxacillin^L|2|R|||N|||F|||200011081434
> >> OBX|11|FT|233-7^Erythromycin^L|2|S|||N|||F|||200011081434
> >> OBX|12|FT|7057-3^TMP/SMX^L|2|S|||N|||F|||200011081434
> >> OBX|13|FT|193-3^Clindamycin^L|2|R|||N|||F|||200011081434
> >> OBX|14|FT|524-9^Vancomycin^L|2|R|||N|||F|||200011081434
> >> OBX|15|FT|Ms.OX2^Cloxacillin^L|2|R|||N|||F|||200011081434
> >> OBX|16|FT|28-1^Ampicillin^L|2|S|||N|||F|||200011081434
> >> OBX|17|FT|149-5^Cephalexin^L|2|S|||N|||F|||200011081434
> >> OBX|18|FT|20-8^Amoxicillin/clavulanate^L|2|S|||N|||F|||200011081434

> Seeing below, it appears that LOINC 19803-6 is used above as "Site"  
> and they have re-interpreted 6463-4 to imply "Culture".
Doesn't look unreasonable to me given the LOINC extract below ?

> The problem  
> is that there is one OBX per antibiotic making none of their LOINCs  
> unique to the test_type,
Apparently LOINC defines a code per antibiotic (or per sensitivity test
for a given antibiotic). This also seems consistent given Cephalexin
has the same code under both bacteria.

> also "Urine culture" has no LOINC so we are  
> back to the problem of the test_code or test_panel
It'd be test_panel IMO.

> "LOINC_NUM"   "COMPONENT"     "PROPERTY"      "TIME_ASPCT"    "SYSTEM"        
> "SCALE_TYP"     "ME 
> THOD_TYP"     "RELAT_NMS"
> "19803-6"     "Specimen site" "Type"  "Stdy"  "*"     "Nar"                   
> "ENDO.GI"       
> "6460-0"      "Bacteria  
> identified"   "Prid"  "Pt"    "Sputum"        "Nom"   "Culture"               
> "MICRO"
> "6461-8"      "Bacteria identified"   "Prid"  "Pt"    "Stool" "Nom"   
> "Anaerobic  
> culture"              "MICRO"
> "6462-6"      "Bacteria  
> identified"   "Prid"  "Pt"    "Wound" "Nom"   "Culture"               "MICRO"
> "6463-4"      "Bacteria  
> identified"   "Prid"  "Pt"    "XXX"   "Nom"   "Culture"               "MICRO"
> 
> 
> 
> 
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