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VITEK 2 Systems

Communications Specification
Document No: V2S-COMSPEC-013 Revision: D

This document contains material that is confidential and proprietary and is the property of bioMrieux, Inc. It may not be duplicated or disclosed in whole or in part without written consent of the owner. bioMrieux Inc. 595 Anglum Road Hazelwood, MO 63042-2395, USA

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-D

Document Approval
Role Author Name Function Steve Jones Lead IT Engineer Luc Bonino IT Project Lead Perry Stamm System Integrator Signature Date

Responsible

Accountable

Document Revision History


Revision A B Date 08 Jan 2010 11 May 2010 Description of Change Initial revision. Updated the notes to further clarify fields that are host codes. Updated BCI Serial Data Dictionary and FMLA Download Message Examples (Patient Comment) Added the Relative Record Number to the FMLA Specimen.examNumber and WorkListItem.disposaableIdentifier Data Dictionary. Updated the FMLA message examples to show the examNumber field. Reverted the changes made in REV C back to REV B Person Changed Steve Jones Jason Hatton Steve Jones

02 Mar 2011

Steve Jones

20 Apr 2011

Neeta Roy

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-D

Table of Contents
1.0 REFERENCE DOCUMENTS........................................................................................5 2.0 DEFINITIONS..........................................................................................................5 3.0 BCI SERIAL DATA DICTIONARY FOR VITEK 2 SYSTEMS..............................................6 4.0 BCI SERIAL DOWNLOAD MESSAGE MATRIX.............................................................10 5.0 BCI SERIAL DOWNLOAD MESSAGES EXAMPLES: LIS VITEK..................................10 5.1 5.2 5.3 5.4 5.5 5.6 5.7 6.1 6.2 6.3 6.4 6.5 6.6 BCI BCI BCI BCI BCI BCI BCI BCI BCI BCI BCI BCI BCI SERIAL SERIAL SERIAL SERIAL SERIAL SERIAL SERIAL SERIAL SERIAL SERIAL SERIAL SERIAL SERIAL DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD
CONTAINING CONTAINING CONTAINING CONTAINING CONTAINING CONTAINING CONTAINING

PATIENT, SPECIMEN, ORGANISM AND OFFLINETEST DATA........11 PATIENT, SPECIMEN AND ORGANISM DATA........................11 PATIENT, SPECIMEN AND OFFLINETEST DATA.....................11 PATIENT AND SPECIMEN DATA.....................................11 ORGANISM AND OFFLINETEST DATA...............................11 ORGANISM DATA...................................................11 OFFLINETEST DATA................................................11

6.0 BCI SERIAL UPLOAD MESSAGES EXAMPLES: VITEK LIS ......................................12 MESSAGE CONTAINING ID RESULT DATA..........................................12 MESSAGE CONTAINING DEMOLESS, ID RESULT DATA..............................12 MESSAGE CONTAINING SUPERFLEX AST RESULT DATA .........................12 MESSAGE CONTAINING AST RESULT DATA WITH BETA-LACTAMASE.............13 CONTAINING OBSERVA ORGANISM TAXON DATA...................................13 CONTAINING OBSERVA ANTIOBIOTIC FAMILY DATA.................................13

7.0 BCI SERIAL FIELDS ADDED OR MODIFIED IN VITEK 5.01..........................................14 8.0 BCI NET DATA DICTIONARY FOR VITEK 2 SYSTEMS.................................................15 9.0 BCI NET DOWNLOAD MESSAGE MATRIX.................................................................19 10.0 BCI NET DOWNLOAD EXAMPLES (LISMESSAGE): LIS VITEK...............................19 10.1 10.2 10.3 10.4 10.5 10.6 10.7 11.1 11.2 11.3 11.4 BCI BCI BCI BCI BCI BCI BCI BCI BCI BCI BCI NET NET NET NET NET NET NET NET NET NET NET DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD UPLOAD UPLOAD UPLOAD UPLOAD CONTAINING CONTAINING CONTAINING CONTAINING CONTAINING CONTAINING CONTAINING PATIENT, SPECIMEN, ORGANISM AND OFFLINETEST DATA.......20 PATIENT, SPECIMEN AND ORGANISM DATA........................21 PATIENT, SPECIMEN AND OFFLINETEST DATA.....................22 PATIENT AND SPECIMEN DATA.....................................23 ORGANISM AND OFFLINETEST DATA...............................24 OFFLINETEST DATA.................................................25 ORGANISM DATA....................................................25

11.0 BCI NET UPLOAD EXAMPLES (AIMESSAGE): VITEK LIS......................................26 CONTAINING CONTAINING CONTAINING CONTAINING SUPERFLEX AST RESULT DATA.......................................26 AST RESULT DATA WITH BETA-LACTAMASE.........................35 ID RESULT DATA.......................................................40 DEMOLESS, ID RESULT DATA.........................................42

12.0 FMLA-IT DATA DICTIONARY FOR VITEK 2 SYSTEMS...............................................43 13.0 FMLA-IT DOWNLOAD MESSAGE MATRIX...............................................................49 14.0 FMLA-IT DOWNLOAD EXAMPLES (REQUEST): FMLA-IT VITEK.............................49 14.1 FMLA-IT DOWNLOAD CONTAINING PATIENT, SPECIMEN, ORGANISM AND OFFLINETEST DATA......50 14.2 FMLA-IT DOWNLOAD CONTAINING PATIENT, SPECIMEN AND ORGANISM DATA......................51 14.3 FMLA-IT DOWNLOAD CONTAINING PATIENT, SPECIMEN AND OFFLINETEST DATA...................52 66433709.doc Page 3 of 77

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-D CONTAINING CONTAINING CONTAINING CONTAINING PATIENT AND SPECIMEN DATA...................................53 ORGANISM AND OFFLINETEST DATA..............................54 OFFLINETEST DATA...............................................54 ORGANISM DATA..................................................55

14.4 14.5 14.6 14.7 15.1 15.2 15.3 15.4

FMLA-IT FMLA-IT FMLA-IT FMLA-IT FMLA-IT FMLA-IT FMLA-IT FMLA-IT

DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD UPLOAD UPLOAD UPLOAD UPLOAD

15.0 FMLA-IT UPLOAD EXAMPLES (RESULT): VITEK FMLA-IT....................................55 CONTAINING CONTAINING CONTAINING CONTAINING SUPERFLEX AST RESULT DATA ....................................56 AST RESULT DATA WITH BETA-LACTAMASE ......................65 ID RESULT DATA ....................................................72 DEMOLESS, ID RESULT DATA........................................74

16.0 FMLA-IT STATUS EXAMPLES (INFODATA): VITEK FMLA-IT.................................75 16.1 FMLA-IT UPLOAD CONTAINING VITEK ISOLATE STATUS DATA......................................75 16.2 FMLA-IT UPLOAD CONTAINING VITEK CORE SERVER STATUS DATA...............................75 16.3 FMLA-IT UPLOAD CONTAINING VITEK ALARM STATUS DATA.......................................76 17.0 FMLA-IT MODULEID EXAMPLE (MODULEIDENTIFICATION): VITEK FMLA-IT.........76 17.1 FMLA-IT UPLOAD CONTAINING VITEK MODULE IDENTIFICATION DATA.............................76 18.0 VITEK SOFTWARE ENUMERATION VALUES............................................................77 18.1 18.2 18.3 18.4 18.5 IDCONFIDENCEMESSAGESENUM...........................................................................77 RENAESCONFIDENCE......................................................................................77 INSTRUMENTTYPEENUM....................................................................................77 ISOLATESTATEENUM.......................................................................................77 SERVERSTATUSENUM......................................................................................77

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-D

1.0

Reference Documents
# 1 2 Title (ID #) Renaissance External Specification for System Functions (REN-ESPEC-Sys_functions-012) Bidirectional Computer Interface Specification for VITEK Systems (510703-7EN1 / 21171) Version M 01/2006

2.0

Definitions
Name LisMessage AiMessage Request Result Definition Type of BCI Net XML Message used by the LIS to send data to VITEK Type of BCI Net XML Message used to send VITEK results to the LIS Type of FMLA-IT XML Message used by FMLA-IT to send data to VITEK Type of FMLA-IT XML Message used to send VITEK results to the FMLA-IT

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-D

3.0

BCI Serial Data Dictionary For VITEK 2 Systems


Data fields sent by LIS and not defined in the table below will not be processed by V2S.
Note: V2S will not be adversely impacted by the receipt of fields not defined in the table below.

For ALL fields the "|" character is not allowed, if "|" is sent the system will drop the message and Alarm * = required by V2S GUI 1 = Truncation only applies to download fields

BCI Serial Field Code

BCI Serial Field Description

BCI Serial Message Direction

Example Data

V2S GUI Field V2S GUI Screen

Required?

VITEK Max Length

Truncated? 1

Notes

HEADER and INSTRUMENT mt zz ii is Message Type Message Terminator Instrument Name Instrument Serial Number Download Upload Download Upload Upload Upload mpr, rsl, org, abx Separator Flag No Data V2 12345678912 Not Applicable Not Applicable Not Applicable Not Applicable Y N N N 3 0 2 12 Not Applicable Not Applicable Not Applicable Not Applicable VITEK hard-coded to V2 VITEK Instrument Serial Number is a 12 digit HEX number However, the BCI Spec defines the serial number max length to be 80 characters. Mpr (Patient), mrl (Results), org (Observa Organism), abx (Observa Antibiotic)

PATIENT INFORMATION pi pn pc pt pv pp p5 pl p2 Patient ID Patient Name Patient Comment Code Patient Comment Text Patient Alternate ID Patient Physician Code Patient Physician Name Patient Location Code Patient Location Name Download Upload Download Upload Download Upload Upload Download Upload Download Upload Upload Download Upload Upload G406270/A Robinson, Adele 40 Yea (Patient) Comment 40 Year Old Adult Male G406270-123 Dr. Robert A. Sm (Patient) Physician Dr. Robert A. Smith 9EAST or ER or ICU (Patient) Location 9EAST or ER or ICU N 32 Not Applicable N 30 6 Not Applicable RIGHT Alternate Patient ID N N 800 16 15 Not Applicable RIGHT RIGHT Patient ID* (Patient) Name* Y (see notes) N (see notes) 16 40 6 RIGHT RIGHT RIGHT See Download Notes: 2, 3 See Upload Notes: 2 See Download Notes: 2, 3, 4 See Upload Notes: 2 Upload: Data is dynamically generated by truncating the first 6 characters of the comment text See Download Notes: 2 See Upload Notes: 2 See Upload Notes: 2 See Download Notes: 2, 4 See Upload Notes: 2 Upload: Data is dynamically generated by truncating the first 15 characters of the Physician name See Download Notes: 2 See Upload Notes: 2 See Upload Notes: 2 Upload: Data is dynamically generated by truncating the first 6 characters of the Location name See Download Notes: 2 See Upload Notes: 2 See Upload Notes: 2

TEST ORDER INFORMATION Download Upload Upload Y* (see notes) N Attribute of the accession number (accession number = LabId + IsolateNumber). Used to identify an isolate Upload: Always sent with isolate result data Download: Required if sending Organism and/or Offline Test Information This attribute can be used to resolve isolates with the same accession number.

t1

Isolate Number

1-99

Isolate Number

LEFT

rr

Isolate System Code

1234

Not Applicable

Not Applicable

SPECIMEN INFORMATION ci s0 Lab ID (Specimen Number) Specimen System Code Download Upload Upload 1 1 Lab ID* Not Applicable Y N 20 8 LEFT Not Applicable SpecimenID is truncated at 20 Characters, then leading zeros are removed See Download Notes: 2, 6 See Upload Notes: 3 This attribute can be used to resolve isolates with the same accession number.

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-D

BCI Serial Field Code


c0 si

BCI Serial Field Description


Culture System Code Specimen Indicator

BCI Serial Message Direction


Upload DownLoad Upload Download Upload Download Upload Upload Upload Download Upload Upload Download Upload Upload Download Upload Upload

Example Data
1 Separator Flag No Data MM/dd/yyyy 01/02/2010 HH:mm 01:23 MM/dd/yyyy 01/02/2010 HH:mm 01:23 Blood or Urine or Wound

V2S GUI Field V2S GUI Screen


Not Applicable Not Applicable

Required?
N N

VITEK Max Length


8 0

Truncated? 1
Not Applicable Not Applicable

Notes
VITEK does not support Culture System Code Upload: The Specimen System Code is copied into the Culture System Code and sent to the LIS No data associated with this attribute. This is used to separate multiple specimen within a BCI Serial message. This feature is not frequently used Optional, if sending, must meet formatting requirements See Download Notes: 2, 7 See Upload Notes: 3 Optional, if sending, must meet formatting requirements See Download Notes: 2, 7 See Upload Notes: 3 VITEK does not support Specimen Receipt Date. Upload: The specimen collection date is copied into the Specimen Receipt Date and sent to the LIS VITEK does not support Specimen Receipt Time. Upload: The specimen collection time is copied into the Specimen Receipt Time and sent to the LIS Upload: Data is dynamically generated by truncating the first 15 characters of the Specimen Type Text See Download Notes: 2, 8 See Upload Notes: 3 See Upload Notes: 3 Upload: Data is dynamically generated by truncating the first 15 characters of the Specimen Source Text See Download Notes: 2 See Upload Notes: 3 See Upload Notes: 3 Upload: Data is dynamically generated by truncating the first 6 characters of the comment text See Download Notes: 2 See Upload Notes: 3 See Upload Notes: 3

s1

Specimen Collection Date

(Specimen) Collection Date*

10

RIGHT

s2 s3 s4

Specimen Collection Time Specimen Receipt Date Specimen Receipt Time

(Specimen) Collection Time* (Specimen) Receipt Date* (Specimen) Receipt Time*

N N N

5 10 5

RIGHT Not Applicable Not Applicable

ct

Culture Type Code

N (Specimen) Type*

RIGHT

cn

Culture Type Name

Blood or Urine or Wound Clean Catch or Peripheral or Arm or Leg Clean Catch or Peripheral or Arm or Leg LOQ (Specimen) Comment LOQ

26

Not Applicable

ss

Specimen Source Code

N (Specimen) Source N

15

RIGHT

s5 sc sn

Specimen Source Name Specimen Comment Code Specimen Comment Text

26 6

Not Applicable RIGHT Not Applicable

N 800

TEST RESULT INFORMATION it Test Group Code Upload "SU" for Susceptability (AST) Test "ID" for Identification Test AST-N017, GN, GP Not Applicable N 15 Not Applicable VITEK Code for Susceptability (AST) Tests or Identification Tests Upload: VITEK hard-coded to always send AST or ID This is the name of the VITEK Card for the displayed results. For ID cards it be GN (Gram Negative) or GP (Gram Positive) For AST cards it will be the card name (AST-N017, AST-GN04, etc). For a SuperFlex card the Superflex card name is used ie: AST-NSE3 Isolate Status Code - F or P Isolate Status - Final or Preliminary Isolate Creation Date Isolate Creation time Isolate Final Call date Isolate Final Call time Used to separate VITEK Tests / Cards VITEK Card Name VITEK Card Bar Code

rt

Test Type Code

Upload

Card Detail Report

Not Applicable

t4 t5 r1 r2 r3 r4 ts tu tp

Test Status Code Test Status Text Isolate Initial Reading Date Isolate Initial Reading Time Isolate Final Call Date Isolate Final Call Time Test Separator Card Type Code Card Barcode

Upload Upload Upload Upload Upload Upload Upload Upload Upload

F (Final), P (Preliminary) Final, Preliminary MM/dd/yyyy 01/02/2010 HH :mm 01 :23 MM/dd/yyyy 01/02/2010 HH :mm 01 :23 Separator Flag No Data AST-N017, GN, GP 0893995001300263

Lab Report Isolate View Card Detail Report Card Detail Report Card Detail Report Card Detail Report Not Applicable Card Detail Report Card Detail Report

N N N N N N N N N

2 14 10 5 10 5 0 8 18

Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-D

BCI Serial Field Code


tg te th tk td tm tq tr

BCI Serial Field Description


Card Lot Number Card Expiration Date Card Initial Reading Date Card Initial Reading Time Card Final Call Date Card Final Call Time Card Setup Tech Code Card Setup Tech Name

BCI Serial Message Direction


Upload Upload Upload Upload Upload Upload Upload Upload

Example Data
089399500 MM/dd/yyyy 01/02/2010 MM/dd/yyyy 01/02/2010 HH :mm 01 :23 MM/dd/yyyy 01/02/2010 HH :mm 01 :23 LabTech Laboratory Technician

V2S GUI Field V2S GUI Screen


Card Detail Report Card Detail Report Card Detail Report Card Detail Report Card Detail Report Card Detail Report Not Applicable Additional Isolate Info

Required?
N N N N N N N N

VITEK Max Length


9 8 10 5 10 5 20 30

Truncated? 1
Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable VITEK Card Lot Number VITEK Card Expiration Date VITEK Card first reading date VITEK Card first reading time VITEK Card final reading date VITEK Card final reading time

Notes

Data is dynamically generated by truncating the first 20 characters of the operator lastName Name of the laboratory personnel that prepared the VITEK Card

VITEK TEST RESULT INFORMATION oc o3 o9 o1 o2 ar ad a1 a2 a3 at a4 an ac af ID Confidence Name Final Bionumber Percent Probability Final Organism Code Final Organism Name CAR Suppression Indicator (Suppressed Drug/Test) Deduced Antibiotic Flag Antibiotic Code Antibiotic Name Result MIC Suppressed MIC Flag Final Interpretation Non-expertised Interpretation AES Confidence Name Antibiotic Family Name Upload Upload Upload Upload Upload Upload Upload Upload Upload Upload Upload Upload Upload Upload Upload Excellent Identification, Low discrimination 0003053003500000 99.0 ECO, MAU, PPA Escherichia coli Staphylococcus aureus Pseudomonas aeruginosa Indicator Flag No Data Indicator Flag No Data AMX, AM, CTX Amoxicillin Ampicillin, Cefotaxime "", 0.25, 1, 128 Indicator Flag No Data S, R, I S, R, I Consistent, Inconsistent TETRACYCLINES BETA-LACTAMS TRIMETHOPRIM/SULFONAMIDES WILD SHV1 HYPERPRODUCTION ACQUIRED PENICILLINASE Isolate View Isolate View Lab Report Not Applicable Isolate View Isolate View Isolate View Not Applicable Isolate View Isolate View Isolate View Isolate View Isolate View Not Applicable AES Detail Report N N N N N N N N N N N N N N N 40 16 8 15 60 0 0 15 60 8 0 2 16 12 40 Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable ID Confidence Value (Language Translated) Unique number assigned by Knowledge Base for an organism Percent Probability that the organism was correctly identified BCI host code for the organism Organism Name Flag indicating when a Drug (or Test) is suppressed from Reporting. Flag indicating when a Drug result is a deduced value (not physically present of the VITEK ID card) BCI host code for the antibiotic Antibiotic Name (Language Translated) MIC Sign and Value (Formatted MIC) Flag indicating when a Drug's MIC value is suppressed (Blanked out) Final Antbiotic Interpretation from AES (S - Susceptible, R - Resistance, I - Indeterminate) Preliminary Antibiotc Interpretation from AST Engine (S - Susceptible, R - Resistance, I Indeterminate) AES Confidence Value code, AES Category Call code Drug Family Name (language translated)

ap

Phenotype Name

Upload

AES Detail Report

800

Not Applicable

Resistance mechanism phenotype name (language translated)

OFFLINE TEST INFORMATION

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-D

BCI Serial Field Code


o1

BCI Serial Field Description


Final Organism Code

BCI Serial Message Direction


Download

Example Data
esccol, staaur, pseaer Escherichia coli Staphylococcus aureus Pseudomonas aeruginosa Separator Flag No Data Bla Beta-Lactamase Pos, Neg

V2S GUI Field V2S GUI Screen


BCI Config

Required?
Y (see notes) N

VITEK Max Length


15

Truncated? 1
RIGHT

Notes
BCI host code for the organism. Unrecognized organism codes will be marked invalid by VITEK

o2

Final Organism Name

Download

BCI Config

60

RIGHT

Organism Name.

ba b1 b2 b3

Offline Test Separator Offline Test Code Offline Test Name Offline Test Result Code

Download Download Download Download

Not Applicable BCI Config BCI Config BCI Config

N Y (see notes) N Y (see notes)

0 15 60 15

Not Applicable RIGHT RIGHT RIGHT

Separator field used when multiple OfflineTests are present BCI host code for the OfflineTest. Beta-Lactamase (Bla) is the only OfflineTest supported in VITEK 5.01. Unrecognized OfflineTest codes will be marked invalid by VITEK OfflineTest Name. (VITEK 5.01 only supports Beta-Lactamase) BCI host code for the OfflineTest Result. Unrecognized OfflineTest Result codes will be marked invalid by VITEK

SYNC With OBSERVA o1 Final Organism Code Upload esccol, staaur, pseaer Escherichia coli Staphylococcus aureus Pseudomonas aeruginosa TETRACYCLINES BETA-LACTAMS TRIMETHOPRIM/SULFONAMIDES AMX, AM, CTX BCI Config Y 15 RIGHT BCI host code for the organism. Unrecognized organism codes will be marked invalid by VITEK

o2

Final Organism Name

Upload

BCI Config

60

RIGHT

Organism Name.

af a1 a2

Antibiotic Family Name Antibiotic Code Antibiotic Name

Upload Upload Upload

AES Detail Report Not Applicable

Y Y Y

40 15 60

Not Applicable Not Applicable Not Applicable

Drug Family Name (language translated) BCI host code for the antibiotic Antibiotic Name (Language Translated)

Amoxicillin Ampicillin, Isolate View Cefotaxime For ALL fields the "|" character is not allowed, if "|" is sent the system will drop the message and Alarm * = required by V2S GUI 1 = Truncation only applies to download fields

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

4.0

BCI Serial Download Message Matrix


Ex am pl e Ti tle t

X X X X X X X

5.0

Download Notes: 1. 2. 3. 4. 5. Patient Ids. 6. 7. The SpecimenIdentifier (LabID) a required field for all download message types. If the download record is missng the Specimen collectionDateTime, but contains the Specimen Identifier; the VITEK application will create a Specimen Collection Date and Specimen Collection Time using the date and time of the download event. If the download record is missng the Specimen Type, but contains the Specimen Identifier; the VITEK application will create a Specimen Type field containing <>. The minimum required VITEK data needed to support each type of download message has been identified by bolding and italicizing the data fields within each example download message. Patient and Specimen messages are validated and processed even if VITEK is operating in Demoless mode (Patient Demographics disabled). The PatientIdentifier becomes a required field if additional Patient fields exist in the download message or if a valid Specimen exists in the download message. If the download record is missng the Patient first name and last name, but contains the Patient Identifier; the VITEK application will create Patient Name field containing <>. The Alternate Patient Id is NOT required, but must be unqiue against all other Alternate

66433709.doc

Sp ec Pa ime tie n O nt rg a O nis ffl m in e Te s

X X X X

X X

X X

NOT VALID DOWNLOAD X BCI Serial Download Containing Patient, Specim en, Organism And OfflineTest Data BCI Serial Download Containing Patient, Specim And Organism Data en X BCI Serial Download Containing Patient, Specim And OfflineTest Data en BCI Serial Download Containing Patient And Specim Data en X BCI Serial Download Containing Organism And OfflineTest Data BCI Serial Download Containing Organism Data

BCI Serial Download Messages Examples: LIS VITEK

8.

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bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

5.1

BCI Serial Download containing Patient, Specimen, Organism and OfflineTest Data

mtmpr|piG406270/A|pvG406270-123|pnRobinson, Adele|pl9EAST|ppDr. Robert|pcAge=7| w1G406270-123|si|ssLeft Arm|s102/03/2009|s210:55|scS-GN|ci1|ctWound|t11|o1escool| o2Escherichia coli|ba|b1Bla|b2Beta-Lactamase|b3Pos|zz

5.2

BCI Serial Download containing Patient, Specimen and Organism Data

mtmpr|piG406270/A|pvG406270-123|pnRobinson, Adele|pl9EAST|ppDr. Robert|pcAge=7| w1G406270-123|si|ssLeft Arm|s102/03/2009|s210:55|scS-GN|ci1|ctWound|t11|o1escool| o2Escherichia coli|zz

5.3

BCI Serial Download containing Patient, Specimen and OfflineTest Data

mtmpr|piG406270/A|pvG406270-123|pnRobinson, Adele|pl9EAST|ppDr. Robert|pcAge=7| w1G406270-123|si|ssLeft Arm|s102/03/2009|s210:55|scS-GN|ci1|ctWound|t11|ba|b1Bla| b2Beta-Lactamase|b3Pos|zz

5.4

BCI Serial Download containing Patient and Specimen Data

mtmpr|piG406270/A|pvG406270-123|pnRobinson, Adele|pl9EAST|ppDr. Robert|pcAge=7| w1G406270-123|si|ssLeft Arm|s102/03/2009|s210:55|scS-GN|ci1|ctWound|zz

5.5

BCI Serial Download containing Organism and OfflineTest Data

mtmpr|ci1|t11|o1escool|o2Escherichia coli|ba|b1Bla|b2Beta-Lactamase|b3Pos|zz

5.6

BCI Serial Download containing Organism Data

mtmpr|ci1|t11|o1escool|o2Escherichia coli|zz

5.7

BCI Serial Download containing OfflineTest Data

mtmpr|ci1|t11|ba|b1Bla|b2Beta-Lactamase|b3Pos|zz

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

6.0

BCI Serial Upload Messages Examples: VITEK LIS

BCI Serial Upload Notes: 1. If VITEK is operating in Demoless mode (Patient Demograpics disabled), Patient information WILL be present in any Upload Result message. A fake patient with is created by VITEK with a patient identifier of Todays date (yyyyMMdd). If VITEK is operating in Demoless mode (Patient Demograpics disabled), Specimen information WILL be present in any Upload Result message. A fake specimen collection date and specimen receipt date are created by VITEK using Todays date (MM/dd/yyy) 6.1 BCI Serial Upload Message Containing ID Result Data

2.

mtrsl|iiV2|is123456789000|itID|piG406270/A|pvG406270-123|pnRobinson, Adele| pl9EAST|p29EAST|ppDr Rob|p5Dr Robert|w1G406270-123|si|s029|ssLeft A|s5Left Arm| s102/03/2009|s210:55|s302/03/2009|s410:55|ci3|c029|ctWound|cnWound|ta|rtGN|rr11977| t4F|t5Final|r111/23/2009|r213:06|r311/23/2009|r417:51|ts|tuGN|tp2412729001063531| tg241272900|te06/04/2014|th11/23/2009|tk13:06|td11/23/2009|tm17:51|tqLabTech| trLabTech|t11|o1pseaer|o2Pseudomonas aeruginosa|o30003053003500000|o999|ocExcellent identification|zz| 6.2 BCI Serial Upload Message Containing demoless, ID Result Data

] mtrsl|iiV2|is123456789000|itID|pi20100104|si|s034|s101/04/2010|s301/04/2010|ci7| c034|ta|rtGN|rr11977|t4F|t5Final|r111/23/2009|r213:06|r311/23/2009|r417:51|ts|tuGN| tp2412729001063531|tg241272900|te06/04/2014|th11/23/2009|tk13:06|td11/23/2009| tm17:51|tqLabTech|trLabTech|t11|o1pseaer|o2Pseudomonas aeruginosa| o30003053003500000|o999|ocExcellent identification|zz| 6.3 BCI Serial Upload Message Containing SuperFlex AST Result Data

Lmtrsl|iiV2|is123456789000|itSU|piG406270/AB|pvG406270-1234|pnRobinson, Adele| pl9EAST|p29EAST|ppDr. Ro|p5Dr. Robert|pcAge=7|ptAge=7|w1G406270-1234|si|s028|ssLeft A|s5Left Arm|s112/04/2009|s212:45|s312/04/2009|s412:45|scS-GN|snS-GN|ci2|c028| ctWound|cnWound|ta|rtAST-NSE3|rr6269|t4F|t5Final|r111/23/2009|r213:06|r311/23/2009| r421:51|ts|tuAST-N017|tp1393811101009074|tg139381110|te05/21/2017|th11/23/2009| tk13:06|td11/23/2009|tm21:51|tqLabTech|trLabTech|ts|tuAST-EXN2|tp0893995001300263| tg089399500|te11/21/2017|th11/23/2009|tk13:07|td11/23/2009|tm19:37|tqLabSuper| trLabSuper|t11|o1esccol|o2Escherichia coli|acConsistent|afQUINOLONES|apRESISTANT QU IN-1|afBETA-LACTAMS|apACQUIRED PENICILLINASE|afFURANES|apWILD|afAMINOGLYCOSIDES| apRESISTANT GEN TOB (ANT(2"))|afTRIMETHOPRIM/SULFONAMIDES|apWILD|afTETRACYCLINES| apWILD|ra|ar|a1am|a2Ampicillin|a3>=32|a4R|anR|ra|a1amc|a2Amoxicillin/Clavulanic Aci d|a38|a4S|anS|ra|a1tic|a2Ticarcillin|a3>=128|a4R|anR|ra|a1tzp| a2Piperacillin/Tazobactam|a3<=4|a4S|anS|ra|a1cf|a2Cefalotin|a316|a4I|anI|ra|a1fox| a2Cefoxitin|a3<=4|a4S|anS|ra|a1tax|a2Cefotaxime|a3<=1|a4S|anS|ra|a1taz| a2Ceftazidime|a3<=1|a4S|anS|ra|a1imi|a2Imipenem|a3<=1|a4S|anS|ra|a1an|a2Amikacin| a3<=2|a4S|anS|ra|a1gm|a2Gentamicin|a3>=16|a4R|anR|ra|a1net|a2Netilmicin|a3<=1|a4S| anS|ra|a1tob|a2Tobramycin|a3>=16|a4R|anR|ra|a1na|a2Nalidixic Acid|a3>=32|a4R|anR|ra| a1cip|a2Ciprofloxacin|a3<=0.25|a4S|anS|ra|a1nor|a2Norfloxacin|a3<=0.5|a4S|anS|ra| a1ofx|a2Ofloxacin|a3<=0.25|a4S|anS|ra|a1ftn|a2Nitrofurantoin|a3<=16|a4S|anS|ra| a1sxt|a2Trimethoprim/Sulfamethoxazole|a3<=20|a4S|anS|ra|ad|ar|a1amx|a2Amoxicillin| a3|a4R|an|ra|ad|a1ccl|a2Cefaclor|a3|a4I|an|ra|ad|a1cfr|a2Cefadroxil|a3|a4I|an|ra|ad| a1cn|a2Cefalexin|a3|a4I|an|ra|a1pip|a2Piperacillin|a3>=128|a4R|anR|ra|a1rox| 66433709.doc Page 12 of 77

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

a2Cefuroxime|a38|a4S|anS|ra|a1roxa|a2Cefuroxime Axetil|a38|a4I|anI|ra|a1cte| a2Cefotetan|a3<=4|a4S|anS|ra|a1cfm|a2Cefixime|a30.5|a4S|anS|ra|a1cpd|a2Cefpodoxime| a30.5|a4S|anS|ra|a1ctr|a2Ceftriaxone|a3<=1|a4S|anS|ra|a1fep|a2Cefepime|a3<=1|a4S| anS|ra|a1azm|a2Aztreonam|a3<=1|a4S|anS|ra|a1mem|a2Meropenem|a3<=0.25|a4S|anS|ra| a1tet|a2Tetracycline|a3<=1|a4S|anS|ra|a1tmp|a2Trimethoprim|a3<=0.5|a4S|anS|zz| 6.4 BCI Serial Upload Message Containing AST Result Data With Beta-Lactamase

mtrsl|iiV2|is123456789000|itSU|piG406270/AB|pvG406270-1234|pnRobinson, Adele| pl9EAST|p29EAST|ppDr. Ro|p5Dr. Robert|pcAge=7|ptAge=7|w1G406270-1234|si|s028|ssLeft A|s5Left Arm|s112/04/2009|s212:45|s312/04/2009|s412:45|scS-GN|snS-GN|ci2|c028| ctWound|cnWound|ta|rtAST-GP55|rr11393|t4F|t5Final|r112/10/2009|r217:22|r312/10/2009| r423:52|ts|tuAST-GP55|tp1201850201206984|tg120185020|te01/07/2012|th12/10/2009| tk17:22|td12/10/2009|tm23:52|tqLabTech|trLabTech|t11|o1staneg|o2Coagulase negative Staphylococcus|acConsistent|afGLYCOPEPTIDES|apRESISTANT (TEC)|apWILD|afRIFAMYCINES| apWILD|afQUINOLONES|apWILD|afTETRACYCLINES|apWILD|afBETA-LACTAMS|apMODIFICATION OF PBP (mecA)|apACQUIRED PENICILLINASE|afFURANES|apWILD|afAMINOGLYCOSIDES|apRESISTANT KAN TOB (ANT(4')(4"))|apWILD|apRESISTANT KAN (APH(3')-III)|afPHENICOLS|apWILD| afMACROLIDES/LINCOSAMIDES/STREPTOGRAMINS|apWILD|ra|ar|a1Bla|a2Beta-Lactamase|a3Pos| a4+|an+|ra|a1peng|a2Benzylpenicillin|a3>=0.5|a4R|anR|ra|at|a1ams| a2Ampicillin/Sulbactam|a3<=2|a4R|anS|ra|a1ox|a2Oxacillin|a30.5|a4R|anR|ra|at|a1cz| a2Cefazolin|a3<=4|a4R|anS|ra|a1gm|a2Gentamicin|a3<=0.5|a4S|anS|ra|a1cip| a2Ciprofloxacin|a3<=0.5|a4S|anS|ra|a1lev|a2Levofloxacin|a30.25|a4S|anS|ra|a1nor| a2Norfloxacin|a31|a4S|anS|ra|a1ofx|a2Ofloxacin|a3<=0.5|a4S|anS|ra|a1e| a2Erythromycin|a3<=0.25|a4S|anS|ra|a1cc|a2Clindamycin|a3<=0.25|a4S|anS|ra|a1va| a2Vancomycin|a3<=1|a4S|anS|ra|a1tet|a2Tetracycline|a3<=1|a4S|anS|ra|a1ftn| a2Nitrofurantoin|a332|a4S|anS|ra|a1c|a2Chloramphenicol|a38|a4S|anS|ra|a1rif| a2Rifampicin|a3<=0.5|a4S|anS|zz| 6.5 BCI Serial Upload Containing Observa Organism Taxon Data

mtorg|o1XXX|o2Microorganism|o1XDX|o2Bacteria|o1UZXX|o2Yeast|o1XDXA|o2Aerobic bacter ia|o1XDXN|o2Anaerobic bacteria|o1CYF|o2Gram + cocci aerobic or facultatively aerobi c|o1PYX|o2Gram negative bacilli aerobic|o1IXB|o2Gram negative cocci aerobic|o1XGY| o2Gram positive bacilli aerobic|o1CXX|o2Gram positive cocci|zz 6.6 BCI Serial Upload Containing Observa Antiobiotic Family Data

mtabx|afMACROLIDES/LINCOSAMIDES/STREPTOGRAMINS|a1ICR|a2Inducible Clindamycin Resist ance|a1PT|a2Pristinamycin|a1QDA|a2Quinupristin/Dalfopristin|a1CM|a2Clindamycin|a1L| a2Lincomycin|a1AZM|a2Azithromycin|a1CLR|a2Clarithromycin|a1DIR|a2Dirithromycin|a1E| a2Erythromycin|a1RXT|a2Roxithromycine|a1TEL|a2Telithromycin|afQUINOLONES|a1CIP| a2Ciprofloxacin|a1ENR|a2Enrofloxacin|a1ENX|a2Enoxacin|zz

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bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

7.0

BCI Serial Fields Added Or Modified In VITEK 5.01


BCI Field Description t1 o1 o2 ba b1 b2 b3 oc ac t4 t5 at r1 r2 r3 r4 rt ts tu tp tg te th tk td tm tq tr BCI Field Code Isolate Number Final Organism Code Final Organism Name Offline Test Separator Offline Test Code Offline Test Name Offline Test Result Code ID Confidence Name AES Confidence Name Test Status Code Test Status Name Suppressed MIC Flag Isolate Initial Reading Date Isolate Initial Reading Time Isolate Final Call Date Isolate Final Call Time Test Type Code Card Data Separator Card Type Code Card Barcode Card Lot Number Card Expiration Date Card Initial Reading Date Card Initial Reading Time Card Final Call Date Card Final Call Time Card Setup Tech Code Card Setup Tech Name BCI Direction DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD DOWNLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD UPLOAD

66433709.doc

Page 14 of 77

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

8.0

BCI Net Data Dictionary For VITEK 2 Systems


Data fields sent by the LIS and not defined in the table below will not be processed by V2S.
Note: V2S will not be adversely impacted by the receipt of fields not defined in the table below.

For ALL fields the "|" character is not allowed, if "|" is sent the system will drop the message and Alarm * = required by V2S GUI 1 = Truncation only applies to download fields

BCI Net XML Message Field


HEADER INFORMATION header/senderName header/processingIdentifier header/version header/dateTime header/instrumentName header/serialNumber PATIENT INFORMATION lisMessage/request aiMessage/requestHeader patientInformation/patientIdentifier patientInformation/lastName patientInformation /comment/code patientInformation /comment/text patientInformation /comment/source patientInformation /comment/type patientInformation/patientVisitNumber patientInformation/physicianIdentifier patientInformation/physicianName patientInformation/location patientInformation/locationText TEST ORDER INFORMATION lisMessage/request/testOrder aiMessage/requestHeader/testOrder isolateNumber

BCI Net Message Type

Example Data

V2S GUI Screen Required V2S GUI Field

VITEK Max Length

Truncated 1

Notes

lisMessage aiMessage lisMessage aiMessage lisMessage aiMessage lisMessage aiMessage aiMessage aiMessage

VITEK2 P, T, D, Q 1394-97 (ASTM Version) yyyyMMddHHmmss V2 0000AAAA9999FFFF

BCI Config AnalysisSystemName Not Applicable Not Applicable Not Applicable General Config General Config

N N Y Y Y N

16 2 20 14 2 12

RIGHT RIGHT RIGHT RIGHT

Upload: VITEK sends Analysis System Name Download: Not used by VITEK Upload: VITEK hard-coded to send P (Production) Download: Not used by VITEK Upload: VITEK hard-coded to send 1394-97 (ASTM Version) Download: Not used by VITEK Upload: VITEK hard-coded to send current day timestamp Download: Not used by VITEK

Not Applicable VITEK hard-coded to send V2 Not Applicable VITEK Instrument Serial Number is a 12 digit HEX number However, the BCI Spec defines the serial number max length to be 80 characters.

lisMessage aiMessage lisMessage aiMessage lisMessage aiMessage aiMessage aiMessage aiMessage lisMessage aiMessage lisMessage aiMessage aiMessage lisMessage aiMessage aiMessage

G406270/A Robinson, Adele 40 Yea 40 Year Old Adult Male P - Practice

Patient/Specimen Patient ID* Patient Name* Patient/Specimen Comment

Y (see notes) N

16 40 6

RIGHT RIGHT RIGHT

N 800 N 1 1 16 15 N 30 6 N 32

See Download Notes: 2, 3 See Upload Notes: 2 See Download Notes: 2, 3, 4 See Upload Notes: 2 Upload: Data is dynamically generated by truncating the first 6 characters of the comment text See Download Notes: 2 See Upload Notes: 2

Not Applicable See Upload Notes: 2 Upload: If Patient Comment exists, VITEK hard-coded to always send "P" See Upload Notes: 2 Upload: If Patient comment exists, VITEK hard-coded to always send "G" Not Applicable See Upload Notes: 2 See Download Notes: 2, 4 RIGHT See Upload Notes: 2 Not Applicable RIGHT Upload: Data is dynamically generated by truncating the first 15 characters of the Physician name See Download Notes: 2 See Upload Notes: 2

Not Applicable G - General / Free Text G406270-123 Dr. Robert A. Sm Dr. Robert A. Smith 9EAST or ER or ICU 9EAST or ER or ICU Patient/Specimen Alternate Patient ID Patient/Specimen Physician N N

Not Applicable See Upload Notes: 2 RIGHT Upload: Data is dynamically generated by truncating the first 6 characters of the Location name See Download Notes: 2 See Upload Notes: 2

Patient/Specimen Location

Not Applicable See Upload Notes: 2

lisMessage aiMessage

Isolate View Isolate Number

Y* (see notes)

LEFT

Attribute of the accession number (accession number = LabId + IsolateNumber). Used to identify an isolate Upload: Always sent with isolate result data Download: Required if sending Organism and/or Offline Test Information

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Page 15 of 77

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

BCI Net XML Message Field


isolateRelativeIdentifier SPECIMEN INFORMATION specimen/specimenIdentifier specimen/specimenRelativeIdentifier

BCI Net Message Type


aiMessage

Example Data
1234

V2S GUI Screen Required V2S GUI Field


Not Applicable N

VITEK Max Length


8

Truncated 1

Notes

Not Applicable This attribute can be used to resolve isolates with the same accession number.

lisMessage aiMessage aiMessage lisMessage aiMessage

1 1 yyyyMMddHHmmss 20090203105500

Isolate View Patient/Specimen Lab ID* Not Applicable Patient/Specimen Collection Date* Patiet/Specimen Collection Time*

Y N

20 8

LEFT

SpecimenID is truncated at 20 Characters, then leading zeros are removed See Download Notes: 2, 6 See Upload Notes: 3

Not Applicable This attribute can be used to resolve isolates with the same accessionnNumber. Optional, if sending, must meet formatting requirements See Download Notes: 2, 7 See Upload Notes: 3 Upload: Data is dynamically generated by truncating the first 15 characters of the Specimen Type Text See Download Notes: 2, 8 See Upload Notes: 3

specimen/collectedDateTime

14

RIGHT

specimen//specimenType

lisMessage aiMessage aiMessage lisMessage aiMessage aiMessage lisMessage aiMessage aiMessage aiMessage aiMessage

Blood or Urine or Wound

Patient/Specimen Type*

RIGHT

specimen/specimenTypeText specimen/specimenSource specimen/specimenSourceText specimen/comment/code specimen/comment/text specimen/comment/source specimen/comment/type TEST RESULT INFORMATION test/universalIdentifier/testIdentifier

Blood or Urine or Wound Clean Catch or Peripheral or Arm or Leg Clean Catch or Peripheral or Arm or Leg LOQ LOQ P - Practice Not Applicable G - General / Free Text

N N N

26 15 26 6

Not Applicable See Upload Notes: 3 RIGHT Upload: Data is dynamically generated by truncating the first 15 characters of the Specimen Source Text See Download Notes: 2 See Upload Notes: 3

Patient/Specimen Source

Not Applicable See Upload Notes: 3 RIGHT Upload: Data is dynamically generated by truncating the first 6 characters of the comment text See Download Notes: 2 See Upload Notes: 3

(Patient/Specimen Comment

N 800 N N 1 1

Not Applicable See Upload Notes: 3 Upload: If Specimen Comment exists, VITEK hard-coded to always send "P" See Upload Notes: 3 Upload: If Specimen Comment exists, VITEK hard-coded to always send "G" Not Applicable See Upload Notes: 3 Not Applicable

aiMessage

"SU" for Susceptability (AST) Test "ID" for Identification Test AST-N017, GN, GP

Not Applicable

15

Not Applicable

VITEK Code for Susceptability (AST) Tests or Identification Tests Upload: VITEK hard-coded to always send AST or ID

test/universalIdentifier/testName

aiMessage

Card Detail Report

This is the name of the VITEK Card for the displayed results. For ID cards it be GN (Gram Negative) or GP (Gram Positive) Not Applicable For AST cards it will be the card name (AST-N017, AST-GN04, etc). For a SuperFlex card the Superflex card name is used ie: AST-NSE3 Not Applicable Isolate Status Code - F or P Not Applicable Isolate Status Text - Final or Preliminary (Language Translated) Not Applicable Isolate Creation timestamp Not Applicable Isolate Final Call timestamp Not Applicable Hard-Coded values of VITEK-AST-CARD and VITEK-ID-CARD are used Not Applicable VITEK Card Name Not Applicable VITEK Card Bar Code Not Applicable VITEK Card Lot Number

test/result/resultStatus test/result/resultStatusText test/result/startDateTime test/result/resultDateTime test/result/bmxResultData/disposable/disposableType test/result/bmxResultData/disposable/reference test/result/bmxResultData/disposable/disposableIdentifier test/result/bmxResultData/disposable/lotNumber

aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage

F (Final), P (Preliminary) Final, Preliminary yyyyMMddHHmmss 20091123193701 yyyyMMddHHmmss 20091123193701 VITEK-AST-CARD VITEK-ID-CARD AST-N017, GN, GP 0893995001300263 089399500

Isolate View Isolate View Card Detail Report Card Detail Report Not Applicable Card Detail Report Card Detail Report Card Detail Report

N N N N N N N N

1 16 14 14 20 8 18 9

66433709.doc

Page 16 of 77

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

BCI Net XML Message Field


test/result/bmxResultData/disposable/expirationDate test/result/bmxResultData/disposable/disposableStartDateTime test/result/bmxResultData/disposable/disposableFinalDateTime test/result/bmxResultData/disposable/isposableSetupTechnologistName test/result/bmxResultData /disposable/disposableSetupTechnologistText VITEK TEST RESULT INFORMATION /test/result/value identification/identificationConfidence Identification/bioNumber identification/probability identification/significantTaxon/code identification/significantTaxon/name ast/antibiotic/suppressedDrug ast/antibiotic/deducedDrug ast/antibiotic/code ast/antibiotic/name ast/antibiotic/highMic/micSign ast/antibiotic/highMic/micValue ast/antibiotic/highMic/suppressedMic ast//antibiotic/category ast//antibiotic/nonExpertCategory expertFinding/expertConfidence expertFinding/resistanceMechanism/drugFamily

BCI Net Message Type


aiMessage aiMessage aiMessage aiMessage aiMessage

Example Data
yyyyMMdd 20171121 yyyyMMddHHmmss 20091123193701 yyyyMMddHHmmss 20091123193701 LabTech Laboratory Technician

V2S GUI Screen Required V2S GUI Field


Card Detail Report Card Detail Report Card Detail Report Not Applicable Additional Isolate Info N N N N N

VITEK Max Length


8 14 14 20 30

Truncated 1
Not Applicable VITEK Card Expiration Date Not Applicable VITEK Card first reading timestamp Not Applicable VITEK Card final reading timestamp

Notes

Not Applicable Data is dynamically generated by truncating the first 20 characters of the operator lastName Not Applicable Name of the laboratory personnel that prepared the VITEK Card

aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage aiMessage

Excellent Identification, Low discrimination 0003053003500000 99.0 esccol, staaur, pseaer Escherichia coli Staphylococcus aureus Pseudomonas aeruginosa true, false true, false amx, am, tax Amoxicillin Ampicillin, Cefotaxime >, <, <=, "", 0.25, 1, 128 true, false S, R, I S, R, I Consistent, Inconsistent TETRACYCLINES BETA-LACTAMS TRIMETHOPRIM/SULFONAMIDES WILD SHV1 HYPERPRODUCTION ACQUIRED PENICILLINASE

Isolate View Isolate View Lab Report BCI Config Isolate View Isolate View Isolate View BCI Config Isolate View Isolate View Isolate View Isolate View Isolate View Isolate View Not Applicable AES Detail Report

N N N N N N N N N N N N N N N N

40 16 8 15 60 5 5 15 60 8 8 5 2 16 12 40

Not Applicable ID Confidence Value (Language Translated) Not Applicable Unique number assigned by Knowledge Base for an organism Not Applicable Percent Probability that the organism was correctly identified Not Applicable BCI host code for the organism Not Applicable Organism Name Not Applicable Flag indicating when a Drug (or Test) is suppressed from Reporting. Not Applicable Flag indicating when a Drug result is a deduced value (not physically present of the VITEK ID card) Not Applicable BCI host code for the antibiotic Not Applicable Antibiotic Name (Language Translated) Not Applicable MIC Range Symbol (Greater Than, Less Than, etc) Not Applicable MIC Value Not Applicable Flag indicating when a Drug's MIC value is suppressed (Blanked out) Not Applicable Final Antbiotic Interpretation from AES (S - Susceptible, R - Resistance, I - Indeterminate) Not Applicable Preliminary Antibiotc Interpretation from AST Engine (S - Susceptible, R - Resistance, I - Indeterminate) Not Applicable AES Confidence Value code, AES Category Call code Not Applicable Drug Family Name (language translated)

expertFinding/resistanceMechanism/phenotype OFFLINE TEST INFORMATION test/universalIdentifier/testIdentifier

aiMessage

AES Detail Report

800

Not Applicable Resistance mechanism phenotype name (language translated)

lisMessage

Bla

BCI Config

Y (see notes)

15

RIGHT

BCI host code for the OfflineTest. Beta-Lactamase (Bla) is the only OfflineTest supported in VITEK 5.01. Unrecognized OfflineTest codes will be marked invalid by VITEK

66433709.doc

Page 17 of 77

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

BCI Net XML Message Field

BCI Net Message Type


lisMessage

Example Data

V2S GUI Screen Required V2S GUI Field


BCI Config N Y (see notes) N Y (see notes)

VITEK Max Length


60

Truncated 1

Notes

test/universalIdentifier/testName

Beta-Lactamase

RIGHT

OfflineTest Name. (VITEK 5.01 only supports Beta-Lactamase)

test/result/value/identification/significantTaxon/code test/result/value/identification/significantTaxon/name test/result/value/offlineTest/resultCode

lisMessage lisMessage lisMessage

esccol, staaur, pseaer Escherichia coli Staphylococcus aureus Pseudomonas aeruginosa Pos, Neg

BCI Config BCI Config BCI Config

15 60 15

RIGHT RIGHT RIGHT

Unrecognized organism codes will be marked invalid by VITEK Organism Name. BCI host code for the OfflineTest Result. Unrecognized OfflineTest Result codes will be marked invalid by VITEK

For ALL fields the "|" character is not allowed, if "|" is sent the system will drop the message and Alarm * = required by V2S GUI 1 = Truncation only applies to download fields

66433709.doc

Page 18 of 77

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

9.0

BCI Net Download Message Matrix


Ex am pl e Ti tle

X X X X X X X X

10.0

BCI Net Download (LisMessage) Notes: 1. To improve readability of the XML message, the data values for an XML element have been highlighted in yellow and the minimum required VITEK data needed to support each type of download message has been identified by bolding and italicizing the data fields within each example download message. Patient and Specimen messages are validated and processed even if VITEK is operating in Demoless mode (Patient Demographics disabled). The PatientIdentifier becomes a required field if additional Patient fields exist in the download message or if a valid Specimen exists in the download message. If the download record is missng the Patient first name and last name, but contains the Patient Identifier; the VITEK application will create Patient Name field containing <>. The Alternate Patient Id is NOT required, but must be unqiue against all other Alternate Patient Ids. The SpecimenIdentifier (LabID) a required field for all download message types. If the download record is missng the Specimen collectionDateTime, but contains the Specimen Identifier; the VITEK application will create a Specimen Collection Date and Specimen Collection Time using the date and time of the download event. If the download record is missng the Specimen Type, but contains the Specimen Identifier; the VITEK application will create a Specimen Type field containing <>.

66433709.doc

Sp ec Pa ime tie n O nt rg a O nis ff lin m e Te st

X X X X

X X

X X

NOT VALID DOWNLOAD X LIS Message Containing Patient, Specim OrganismAnd OfflineTest Data en, LIS Message Containing Patient, Specim and OrganismData en X LIS Message Containing Patient, Specim And OfflineTest Data en LIS Message Containing Patient And Specim Data en X LIS Message Containing OrganismAnd OfflineTest Data LIS Message Containing OrganismData X LIS Message Containing OfflineTest Data

BCI Net Download Examples (LisMessage): LIS VITEK

2. 3. 4. 5. 6. 7.

8.

Page 19 of 77

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

10.1

BCI Net Download Containing Patient, Specimen, Organism And OfflineTest Data

<?xml version="1.0" encoding="UTF-8"?> <lisMessage> <header> <version>1394-97</version> <dateTime>20091001075955</dateTime> </header> <request> <patientInformation> <patientIdentifier>G406270/A</patientIdentifier> <lastName>Robinson, Adele</lastName> <patientVisitNumber>G406270-123</patientVisitNumber> <physicianIdentifier>Dr. Robert</physicianIdentifier> <location>9EAST</location> <comment> <code>Age=7</code> </comment> </patientInformation> <testOrder> <specimen> <specimenIdentifier>1</specimenIdentifier> <collectedDateTime>20090203105500</collectedDateTime> <specimenType>Wound</specimenType> <specimenSource>Left Arm</specimenSource> <comment> <code>S-GN</code> </comment> </specimen> <isolateNumber>2</isolateNumber> <test> <universalIdentifier> <testIdentifier>Identification</testIdentifier> <testName>Gram Stain</testName> </universalIdentifier> <result> <value> <identification> <significantTaxon> <code>staaur</code> <name>Staphylococcus aureus</name> </significantTaxon> </identification> </value> </result> </test> <test> <universalIdentifier> <testIdentifier>Bla</testIdentifier> <testName>Beta-Lactamase</testName> </universalIdentifier> <result> <value> <offlineTest> <resultCode>Pos</resultCode> </offlineTest> </value> </result> </test> </testOrder> </request> </lisMessage>

66433709.doc

Page 20 of 77

bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

10.2

BCI Net Download Containing Patient, Specimen And Organism Data

<?xml version="1.0" encoding="UTF-8"?> <lisMessage> <header> <version>1394-97</version> <dateTime>20091001075955</dateTime> </header> <request> <patientInformation> <patientIdentifier>G406270/A</patientIdentifier> <lastName>Robinson, Adele</lastName> <patientVisitNumber>G406270-123</patientVisitNumber> <physicianIdentifier>Dr. Robert</physicianIdentifier> <location>9EAST</location> <comment> <code>Age=7</code> </comment> </patientInformation> <testOrder> <specimen> <specimenIdentifier>1</specimenIdentifier> <collectedDateTime>20090203105500</collectedDateTime> <specimenType>Wound</specimenType> <specimenSource>Left Arm</specimenSource> <comment> <code>S-GN</code> </comment> </specimen> <isolateNumber>2</isolateNumber> <test> <universalIdentifier> <testIdentifier>Identification</testIdentifier> <testName>Gram Stain</testName> </universalIdentifier> <result> <value> <identification> <significantTaxon> <code>staaur</code> <name>Staphylococcus aureus</name> </significantTaxon> </identification> </value> </result> </test> </testOrder> </request> </lisMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

10.3

BCI Net Download Containing Patient, Specimen And OfflineTest Data

<?xml version="1.0" encoding="UTF-8"?> <lisMessage> <header> <version>1394-97</version> <dateTime>20091001075955</dateTime> </header> <request> <patientInformation> <patientIdentifier>G406270/A</patientIdentifier> <lastName>Robinson, Adele</lastName> <patientVisitNumber>G406270-123</patientVisitNumber> <physicianIdentifier>Dr. Robert</physicianIdentifier> <location>9EAST</location> <comment> <code>Age=7</code> </comment> </patientInformation> <testOrder> <specimen> <specimenIdentifier>1</specimenIdentifier> <collectedDateTime>20090203105500</collectedDateTime> <specimenType>Wound</specimenType> <specimenSource>Left Arm</specimenSource> <comment> <code>S-GN</code> </comment> </specimen> <isolateNumber>2</isolateNumber> <test> <universalIdentifier> <testIdentifier>Bla</testIdentifier> <testName>Beta-Lactamase</testName> </universalIdentifier> <result> <value> <offlineTest> <resultCode>Pos</resultCode> </offlineTest> </value> </result> </test> </testOrder> </request> </lisMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

10.4

BCI Net Download Containing Patient And Specimen Data

<?xml version="1.0" encoding="UTF-8"?> <lisMessage> <header> <version>1394-97</version> <dateTime>20091001075955</dateTime> </header> <request> <patientInformation> <patientIdentifier>G406270/A</patientIdentifier> <lastName>Robinson, Adele</lastName> <patientVisitNumber>G406270-123</patientVisitNumber> <physicianIdentifier>Dr. Robert</physicianIdentifier> <location>9EAST</location> <comment> <code>Age=7</code> </comment> </patientInformation> <testOrder> <specimen> <specimenIdentifier>2</specimenIdentifier> <collectedDateTime>20090203105500</collectedDateTime> <specimenType>Wound</specimenType> <specimenSource>Left Arm</specimenSource> <comment> <code>S-GN</code> </comment> </specimen> </request> </lisMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

10.5

BCI Net Download Containing Organism And OfflineTest Data

<?xml version="1.0" encoding="UTF-8"?> <lisMessage> <header> <version>1394-97</version> <dateTime>20091001075955</dateTime> </header> <request> <testOrder> <specimen> <specimenIdentifier>1</specimenIdentifier> </specimen> <isolateNumber>2</isolateNumber> <test> <universalIdentifier> <testIdentifier>Identification</testIdentifier> <testName>Gram Stain</testName> </universalIdentifier> <result> <value> <identification> <significantTaxon> <code>staaur</code> <name>Staphylococcus aureus</name> </significantTaxon> </identification> </value> </result> </test> <test> <universalIdentifier> <testIdentifier>Bla</testIdentifier> <testName>Beta-Lactamase</testName> </universalIdentifier> <result> <value> <offlineTest> <resultCode>Pos</resultCode> </offlineTest> </value> </result> </test> </testOrder> </request> </lisMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

10.6

BCI Net Download Containing OfflineTest Data

<?xml version="1.0" encoding="UTF-8"?> <lisMessage> <header> <version>1394-97</version> <dateTime>20091001075955</dateTime> </header> <request> <testOrder> <specimen> <specimenIdentifier>1</specimenIdentifier> </specimen> <isolateNumber>2</isolateNumber> <test> <universalIdentifier> <testIdentifier>Bla</testIdentifier> <testName>Beta-Lactamase</testName> </universalIdentifier> <result> <value> <offlineTest> <resultCode>Pos</resultCode> </offlineTest> </value> </result> </test> </testOrder> </request> </lisMessage>

10.7

BCI Net Download Containing Organism Data

<?xml version="1.0" encoding="UTF-8"?> <lisMessage> <header> <version>1394-97</version> <dateTime>20091001075955</dateTime> </header> <request> <testOrder> <specimen> <specimenIdentifier>1</specimenIdentifier> </specimen> <isolateNumber>2</isolateNumber> <test> <universalIdentifier> <testIdentifier>Identification</testIdentifier> <testName>Gram Stain</testName> </universalIdentifier> <result> <value> <identification> <significantTaxon> <code>staaur</code> <name>Staphylococcus aureus</name> </significantTaxon> </identification> </value> </result> </test> </testOrder> </request> </lisMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

11.0

BCI Net Upload Examples (AiMessage): VITEK LIS

BCI Net Upload (AIMessage) Notes: 1. 2. 3. To improve readability of the XML message, the data values for an XML elment have been highlighted in yellow. If VITEK is operating in Demoless mode (Patient Demograpics disabled), Patient information will NOT be present in the upload message. If VITEK is operating in Demoless mode (Patient Demograpics disabled), Specimen information (except for SpecimenId, and IsolateNumber), will NOT be present in any Upload Result message BCI Net Upload Containing SuperFlex AST Result Data

11.1

<?xml version="1.0" encoding="UTF-8"?> <aiMessage> <header> <senderName>VITEK2</senderName> <processingIdentifier>P</processingIdentifier> <version>1394-97</version> <dateTime>20091215143555</dateTime> <instrumentName>V2</instrumentName> <serialNumber>123456789000</serialNumber> </header> <requestResult> <patientInformation> <patientIdentifier>G406270/A</patientIdentifier> <lastName>Robinson, Adele</lastName> <patientVisitNumber>G406270-123</patientVisitNumber> <physicianIdentifier>Dr. Ro</physicianIdentifier> <physicianName>Dr. Robert</physicianName> <location>9EAST</location> <locationText>9EAST</locationText> <comment> <code>Age=7</code> <text>Age=7</text> <source>P</source> <type>G</type> </comment> </patientInformation> <testOrder> <specimen> <specimenIdentifier>2</specimenIdentifier> <specimenRelativeIdentifier>28</specimenRelativeIdentifier> <collectedDateTime>20091204124552</collectedDateTime> <specimenType>Wound</specimenType> <specimenTypeText>Wound</specimenTypeText> <specimenSource>Left A</specimenSource> <specimenSourceText>Left Arm</specimenSourceText> <comment> <code>S-GN</code> <text>S-GN</text> <source>P</source> <type>G</type> </comment> </specimen> <isolateNumber>1</isolateNumber> <isolateRelativeIdentifier>6269</isolateRelativeIdentifier> <test> <universalIdentifier> <testIdentifier>SU</testIdentifier> <testName>AST-NSE3</testName> </universalIdentifier> <result> <value> 66433709.doc Page 26 of 77

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<identification> <significantTaxon> <code>esccol</code> <name>Escherichia coli</name> </significantTaxon> </identification> <ast> <antibiotic> <code>am</code> <name>Ampicillin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&gt;=</micSign> <micValue>32</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>R</nonExpertCategory> </antibiotic> <antibiotic> <code>amc</code> <name>Amoxicillin/Clavulanic Acid</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>8</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>tic</code> <name>Ticarcillin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&gt;=</micSign> <micValue>128</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>R</nonExpertCategory> </antibiotic> <antibiotic> <code>tzp</code> <name>Piperacillin/Tazobactam</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>4</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>cf</code> <name>Cefalotin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>16</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>I</category> <nonExpertCategory>I</nonExpertCategory> </antibiotic> 66433709.doc

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<antibiotic> <code>fox</code> <name>Cefoxitin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>4</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>tax</code> <name>Cefotaxime</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>taz</code> <name>Ceftazidime</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>imi</code> <name>Imipenem</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>an</code> <name>Amikacin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>2</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>gm</code> <name>Gentamicin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&gt;=</micSign> 66433709.doc

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<micValue>16</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>R</nonExpertCategory> </antibiotic> <antibiotic> <code>net</code> <name>Netilmicin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>tob</code> <name>Tobramycin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&gt;=</micSign> <micValue>16</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>R</nonExpertCategory> </antibiotic> <antibiotic> <code>na</code> <name>Nalidixic Acid</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&gt;=</micSign> <micValue>32</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>R</nonExpertCategory> </antibiotic> <antibiotic> <code>cip</code> <name>Ciprofloxacin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.25</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>nor</code> <name>Norfloxacin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> 66433709.doc

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<code>ofx</code> <name>Ofloxacin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.25</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>ftn</code> <name>Nitrofurantoin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>16</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>sxt</code> <name>Trimethoprim/Sulfamethoxazole</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>20</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>amx</code> <name>Amoxicillin</name> <suppressedDrug>true</suppressedDrug> <deducedDrug>true</deducedDrug> <highMic> <micSign></micSign> <micValue></micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> </antibiotic> <antibiotic> <code>ccl</code> <name>Cefaclor</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>true</deducedDrug> <highMic> <micSign></micSign> <micValue></micValue> <suppressedMic>false</suppressedMic> </highMic> <category>I</category> </antibiotic> <antibiotic> <code>cfr</code> <name>Cefadroxil</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>true</deducedDrug> <highMic> <micSign></micSign> <micValue></micValue> <suppressedMic>false</suppressedMic> </highMic> 66433709.doc

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<category>I</category> </antibiotic> <antibiotic> <code>cn</code> <name>Cefalexin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>true</deducedDrug> <highMic> <micSign></micSign> <micValue></micValue> <suppressedMic>false</suppressedMic> </highMic> <category>I</category> </antibiotic> <antibiotic> <code>pip</code> <name>Piperacillin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&gt;=</micSign> <micValue>128</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>R</nonExpertCategory> </antibiotic> <antibiotic> <code>rox</code> <name>Cefuroxime</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>8</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>roxa</code> <name>Cefuroxime Axetil</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>8</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>I</category> <nonExpertCategory>I</nonExpertCategory> </antibiotic> <antibiotic> <code>cte</code> <name>Cefotetan</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>4</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>cfm</code> <name>Cefixime</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> 66433709.doc

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<micSign></micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>cpd</code> <name>Cefpodoxime</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>ctr</code> <name>Ceftriaxone</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>fep</code> <name>Cefepime</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>azm</code> <name>Aztreonam</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>mem</code> <name>Meropenem</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.25</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> 66433709.doc

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

<antibiotic> <code>tet</code> <name>Tetracycline</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>tmp</code> <name>Trimethoprim</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> </ast> <expertFinding> <expertConfidence>Consistent</expertConfidence> <resistanceMechanism> <drugFamily>QUINOLONES</drugFamily> <phenotype>RESISTANT QUIN-1</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>BETA-LACTAMS</drugFamily> <phenotype>ACQUIRED PENICILLINASE</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>FURANES</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>AMINOGLYCOSIDES</drugFamily> <phenotype>RESISTANT GEN TOB (ANT(2"))</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>TRIMETHOPRIM/SULFONAMIDES</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>TETRACYCLINES</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> </expertFinding> </value> <resultStatus>F</resultStatus> <resultStatusText>Final</resultStatusText> <startDateTime>20091123130653</startDateTime> <resultDateTime>20091123215153</resultDateTime> <bmxResultData> <disposable> <disposableType>VITEK2-AST-CARD</disposableType> <reference>AST-N017</reference> <disposableIdentifier>1393811101009074</disposableIdentifier> <lotNumber>139381110</lotNumber> <expirationDate>20170521</expirationDate> <disposableStartDateTime>20091123130653</disposableStartDateTime> <disposableFinalDateTime>20091123215153</disposableFinalDateTime> <disposableSetupTechnologist>LabTech</disposableSetupTechnologist> <disposableSetupTechnologistText>LabTech</disposableSetupTechnologistText> </disposable> <disposable> 66433709.doc Page 33 of 77

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

<disposableType>VITEK2-AST-CARD</disposableType> <reference>AST-EXN2</reference> <disposableIdentifier>0893995001300263</disposableIdentifier> <lotNumber>089399500</lotNumber> <expirationDate>20171121</expirationDate> <disposableStartDateTime>20091123130701</disposableStartDateTime> <disposableFinalDateTime>20091123193701</disposableFinalDateTime> <disposableSetupTechnologist>LabSuper</disposableSetupTechnologist> <disposableSetupTechnologistText>r</disposableSetupTechnologistText> </disposable> </bmxResultData> </result> </test> </testOrder> </requestResult> </aiMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

11.2

BCI Net Upload Containing AST Result Data With Beta-Lactamase

<?xml version="1.0" encoding="UTF-8"?> <aiMessage> <header> <senderName>VITEK2</senderName> <processingIdentifier>P</processingIdentifier> <version>1394-97</version> <dateTime>20091215154717</dateTime> <instrumentName>V2</instrumentName> <serialNumber>123456789000</serialNumber> </header> <requestResult> <patientInformation> <patientIdentifier>G406270/A</patientIdentifier> <lastName>Robinson, Adele</lastName> <patientVisitNumber>G406270-123</patientVisitNumber> <physicianIdentifier>Dr. Ro</physicianIdentifier> <physicianName>Dr. Robert</physicianName> <location>9EAST</location> <locationText>9EAST</locationText> <comment> <code>Age=7</code> <text>Age=7</text> <source>P</source> <type>G</type> </comment> </patientInformation> <testOrder> <specimen> <specimenIdentifier>2</specimenIdentifier> <specimenRelativeIdentifier>28</specimenRelativeIdentifier> <collectedDateTime>20091204124514</collectedDateTime> <specimenType>Wound</specimenType> <specimenTypeText>Wound</specimenTypeText> <specimenSource>Left A</specimenSource> <specimenSourceText>Left Arm</specimenSourceText> <comment> <code>S-GN</code> <text>S-GN</text> <source>P</source> <type>G</type> </comment> </specimen> <isolateNumber>1</isolateNumber> <isolateRelativeIdentifier>11393</isolateRelativeIdentifier> <test> <universalIdentifier> <testIdentifier>SU</testIdentifier> <testName>AST-GP55</testName> </universalIdentifier> <result> <value> <identification> <significantTaxon> <code>staneg</code> <name>Coagulase negative Staphylococcus</name> </significantTaxon> </identification> <ast> <antibiotic> <code>Bla</code> <name>Beta-Lactamase</name> <suppressedDrug>true</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>Pos</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>+</category> 66433709.doc Page 35 of 77

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<nonExpertCategory>+</nonExpertCategory> </antibiotic> <antibiotic> <code>peng</code> <name>Benzylpenicillin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&gt;=</micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>R</nonExpertCategory> </antibiotic> <antibiotic> <code>ams</code> <name>Ampicillin/Sulbactam</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue></micValue> <suppressedMic>true</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>ox</code> <name>Oxacillin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>R</nonExpertCategory> </antibiotic> <antibiotic> <code>cz</code> <name>Cefazolin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue></micValue> <suppressedMic>true</suppressedMic> </highMic> <category>R</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>gm</code> <name>Gentamicin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>cip</code> <name>Ciprofloxacin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> 66433709.doc

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<highMic> <micSign>&lt;=</micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>lev</code> <name>Levofloxacin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>0.25</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>nor</code> <name>Norfloxacin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>ofx</code> <name>Ofloxacin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>e</code> <name>Erythromycin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.25</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>cc</code> <name>Clindamycin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.25</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> 66433709.doc

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</antibiotic> <antibiotic> <code>va</code> <name>Vancomycin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>tet</code> <name>Tetracycline</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>1</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>ftn</code> <name>Nitrofurantoin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>32</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>c</code> <name>Chloramphenicol</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign></micSign> <micValue>8</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> <antibiotic> <code>rif</code> <name>Rifampicin</name> <suppressedDrug>false</suppressedDrug> <deducedDrug>false</deducedDrug> <highMic> <micSign>&lt;=</micSign> <micValue>0.5</micValue> <suppressedMic>false</suppressedMic> </highMic> <category>S</category> <nonExpertCategory>S</nonExpertCategory> </antibiotic> </ast> <expertFinding> <expertConfidence>Consistent</expertConfidence> <resistanceMechanism> <drugFamily>GLYCOPEPTIDES</drugFamily> <phenotype>RESISTANT (TEC)</phenotype> 66433709.doc

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

<phenotype>WILD</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>RIFAMYCINES</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>QUINOLONES</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>TETRACYCLINES</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>BETA-LACTAMS</drugFamily> <phenotype>MODIFICATION OF PBP (mecA)</phenotype> <phenotype>ACQUIRED PENICILLINASE</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>FURANES</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>AMINOGLYCOSIDES</drugFamily> <phenotype>RESISTANT KAN TOB (ANT(4')(4"))</phenotype> <phenotype>WILD</phenotype> <phenotype>RESISTANT KAN (APH(3')-III)</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>PHENICOLS</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> <resistanceMechanism> <drugFamily>MACROLIDES/LINCOSAMIDES/STREPTOGRAMINS</drugFamily> <phenotype>WILD</phenotype> </resistanceMechanism> </expertFinding> </value> <resultStatus>F</resultStatus> <resultStatusText>Final</resultStatusText> <startDateTime>20091210172230</startDateTime> <resultDateTime>20091210235230</resultDateTime> <bmxResultData> <disposable> <disposableType>VITEK2-AST-CARD</disposableType> <reference>AST-GP55</reference> <disposableIdentifier>1201850201206984</disposableIdentifier> <lotNumber>120185020</lotNumber> <expirationDate>20120107</expirationDate> <disposableStartDateTime>20091210172230</disposableStartDateTime> <disposableFinalDateTime>20091210235230</disposableFinalDateTime> <disposableSetupTechnologist>LabTech</disposableSetupTechnologist> <disposableSetupTechnologistText>LabTech</disposableSetupTechnologistText> </disposable> </bmxResultData> </result> </test> </testOrder> </requestResult> </aiMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

11.3

BCI Net Upload Containing ID Result Data

<?xml version="1.0" encoding="UTF-8"?> <aiMessage> <header> <senderName>VITEK2</senderName> <processingIdentifier>P</processingIdentifier> <version>1394-97</version> <dateTime>20091215140614</dateTime> <instrumentName>V2</instrumentName> <serialNumber>123456789000</serialNumber> </header> <requestResult> <patientInformation> <patientIdentifier>G406270/A</patientIdentifier> <lastName>Robinson, Adele</lastName> <patientVisitNumber>G406270-123</patientVisitNumber> <physicianIdentifier>Dr. Ro</physicianIdentifier> <physicianName>Dr. Robert</physicianName> <location>9EAST</location> <locationText>9EAST</locationText> <comment> <code>Age=7</code> <text>Age=7</text> <source>P</source> <type>G</type> </comment> </patientInformation> <testOrder> <specimen> <specimenIdentifier>1</specimenIdentifier> <specimenRelativeIdentifier>0</specimenRelativeIdentifier> <collectedDateTime>20091201012312</collectedDateTime> <specimenType>Wound</specimenType> <specimenTypeText>Wound</specimenTypeText> <specimenSource>Left A</specimenSource> <specimenSourceText>Left Arm</specimenSourceText> <comment> <code>S-GN</code> <text>S-GN</text> <source>P</source> <type>G</type> </comment> </specimen> <isolateNumber>2</isolateNumber> <isolateRelativeIdentifier>11977</isolateRelativeIdentifier> <test> <universalIdentifier> <testIdentifier>ID</testIdentifier> <testName>GN</testName> </universalIdentifier> <result> <value> <identification> <identificationConfidence>Excellent identification</identificationConfidence> <bioNumber>0003053003500000</bioNumber> <probability>99.0</probability> <significantTaxon> <code>pseaer</code> <name>Pseudomonas aeruginosa</name> </significantTaxon> </identification> </value> <resultStatus>F</resultStatus> <resultStatusText>Final</resultStatusText> <startDateTime>20091123130650</startDateTime> <resultDateTime>20091123175150</resultDateTime> <bmxResultData> <disposable> <disposableType>VITEK2-ID-CARD</disposableType> <reference>GN</reference> 66433709.doc Page 40 of 77

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

<disposableIdentifier>2412729001063531</disposableIdentifier> <lotNumber>241272900</lotNumber> <expirationDate>20140604</expirationDate> <disposableStartDateTime>20091123130650</disposableStartDateTime> <disposableFinalDateTime>20091123175150</disposableFinalDateTime> <disposableSetupTechnologist>LabSuper</disposableSetupTechnologist> <disposableSetupTechnologistText>LabSuper</disposableSetupTechnologistText> </disposable> </bmxResultData> </result> </test> </testOrder> </requestResult> </aiMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

11.4

BCI Net Upload Containing Demoless, ID Result Data

<?xml version="1.0" encoding="UTF-8"?> <aiMessage> <header> <senderName>VITEK2</senderName> <processingIdentifier>P</processingIdentifier> <version>1394-97</version> <dateTime>20091215154751</dateTime> <instrumentName>V2</instrumentName> <serialNumber>123456789000</serialNumber> </header> <requestResult> <testOrder> <specimen> <specimenIdentifier>1</specimenIdentifier> <specimenRelativeIdentifier>0</specimenRelativeIdentifier> </specimen> <isolateNumber>2</isolateNumber> <isolateRelativeIdentifier>11977</isolateRelativeIdentifier> <test> <universalIdentifier> <testIdentifier>ID</testIdentifier> <testName>GN</testName> </universalIdentifier> <result> <value> <identification> <identificationConfidence>Excellent identification</identificationConfidence> <bioNumber>0003053003500000</bioNumber> <probability>99.0</probability> <significantTaxon> <code>pseaer</code> <name>Pseudomonas aeruginosa</name> </significantTaxon> </identification> </value> <resultStatus>F</resultStatus> <resultStatusText>Final</resultStatusText> <startDateTime>20091123130650</startDateTime> <resultDateTime>20091123175150</resultDateTime> <bmxResultData> <disposable> <disposableType>VITEK2-ID-CARD</disposableType> <reference>GN</reference> <disposableIdentifier>2412729001063531</disposableIdentifier> <lotNumber>241272900</lotNumber> <expirationDate>20140604</expirationDate> <disposableStartDateTime>20091123130650</disposableStartDateTime> <disposableFinalDateTime>20091123175150</disposableFinalDateTime> <disposableSetupTechnologist>LabSuper</disposableSetupTechnologist> <disposableSetupTechnologistText>LabSuper</disposableSetupTechnologistText> </disposable> </bmxResultData> </result> </test> </testOrder> </requestResult> </aiMessage>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

12.0

FMLA-IT Data Dictionary For VITEK 2 Systems


Data fields sent by FMLA-IT and not defined in the table below will not be processed by V2S.
Note: V2S will not be adversely impacted by the receipt of fields not defined in the table below.

For ALL fields the "|" character is not allowed, if "|" is sent the system will drop the message and Alarm * = required by V2S GUI 1 = Truncation only applies to download fields

FMLA XML Message Field


PATIENT INFORMATION patient/person/identifier patient/person/lastName patient/person/firstName

FMLA Message Type

Example Data

V2S GUI Field V2S GUI Screen

VITEK Required? Max Truncated? 1 Length


Required if sending Patient Information See Download Notes: 3 and 4 See Upload Notes: 2

Notes

Request Result Request Result Request Request Result Result Result Result Request Result Request Result

G406270/A Robinson

Patient ID*

Y (see notes) N (see notes)

16

RIGHT

(Patient) Name* Adele

40

RIGHT

Optional field for Upload and Download. If both first and last name are sent, V2S will concatenate them as such: "Lastname, Firstname" See Download Notes: 3 and 4 See Upload Notes: 2 Optional (Not typically used for download) Upload: Data is dynamically generated by truncating the first 6 characters of the comment text See Download Notes: 3 See Upload Notes: 2 Optional (Not typically used) See Upload Notes: 2 If Patient comment exists, VITEK hard-coded to always send "P" See Upload Notes: 2 If Patient comment exists, VITEK hard-coded to always send "G" See Upload Notes: 2 Optional, but if sent must be unique against all other Alternate Patient ID See Download Notes: 3 See Upload Notes: 2 Optional Download: For FMLA only the first Physician in the list of physicians will be processed. Upload: Data is dynamically generated by truncating the first 15 characters of the Physician name See Download Notes: 3 See Upload Notes: 2 Optional See Upload Notes: 2 Optional Upload: Data is dynamically generated by truncating the first 6 characters of the Location name See Download Notes: 3 See Upload Notes: 2 Optional See Upload Notes: 2

patient/comment/code

40 Yea (Patient) Comment 40 Year Old Adult Male P - Practice Not Applicable G - General / Free Text G406270-123 Alternate Patient ID N N N N

RIGHT

patient/comment/text patient/comment/source patient/comment/type patient/visit/patientVisitNumber

800 1 1 16

Not Applicable Not Applicable Not Applicable RIGHT

patient/visit/attendingPhysicians/person/identifier

Dr. Robert A. Sm (Patient) Physician Dr. Robert A. Smith N

15

RIGHT

patient/visit/attendingPhysicians/person/lastName

Result Request Result Result

30

Not Applicable

patient/visit/location/code

9EAST or ER or ICU (Patient) Location 9EAST or ER or ICU N

RIGHT

patient/visit/location/text SPECIMEN INFORMATION

32

Not Applicable

specimen/specimenID

Request Result Request Result Request Result

Lab ID*

20

specimen/isolateNumber specimen/collectionDateTime

1 20090203105500

Y (see notes) (Specimen) Collection Date* N Isolate Number

2 14

Every packet must include SpecimenID SpecimenID is truncated at 20 Characters, then leading zeros are removed See Download Notes: 5 and 6 See Upload Notes: 3 Required if sending Organism and/or Offline Test Information 1-99 See Upload Notes: 3 yyyyMMddHHmmss Optional, if sending, must meet formatting requirements See Download Notes: 5 and 6 LEFT

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B FMLA Message Type VITEK Required? Max Truncated? 1 Length
See Upload Notes: 3 Optional, (describes the sample) Download: For FMLA only the first Specimen Descriptor in the list of Specimen Descriptors will be processed. Upload: Data is dynamically generated by truncating the first 15 characters of the Specimen Type Text See Download Notes: 5 and 6 See Upload Notes: 3 Optional, (describes the sample) See Upload Notes: 3 Optional (Not typically used) Download: For FMLA only the first Specimen Descriptor in the list of Specimen Descriptors will be processed. Upload: Data is dynamically generated by truncating the first 15 characters of the Specimen Source Text See Download Notes: 5 and 6 See Upload Notes: 3 Optional (Not typically used) See Upload Notes: 3 Optional (Not typically used) Upload: Data is dynamically generated by truncating the first 6 characters of the comment text See Download Notes: 5 and 6 See Upload Notes: 3 Optional (Not typically used) See Upload Notes: 3 If Specimen comment exists, VITEK is hard-coded to always send "P" See Upload Notes: 3 If Specimen comment exists, VITEK is hard-coded to always send "G" See Upload Notes: 3

FMLA XML Message Field

Example Data

V2S GUI Field V2S GUI Screen


(Specimen) Collection Time*

Notes

specimen/specimenDescriptors/specimenDescriptor/specimenType/code

Request Result

Blood or Urine or Wound (Specimen) Type*

RIGHT

specimen/specimenDescriptors/specimenDescriptor/specimenType/name

Result

Blood or Urine or Wound

26

Not Applicable

specimen/specimenDescriptors/specimenDescriptor/specimenSource/code

Request Result

Clean Catch or Peripheral or Arm or Leg

N (Specimen) Source

15

RIGHT

specimen/specimenDescriptors/specimenDescriptor/specimenSource/name

Result Request Result Result Result Result

Clean Catch or Peripheral or Arm or Leg LOQ (Specimen) Comment LOQ P - Practice Not Applicable G - General / Free Text

26

Not Applicable

specimen/comment/code

6 N 800 N N 1 1

RIGHT

specimen/comment/text specimen/comment/source specimen/comment/type TEST ORDER INFORMATION modifiedTestOrder/universalTestID/organismTestGroup

Not Applicable Not Applicable Not Applicable

Result

"SU" for Susceptability (AST) Test "ID" for Identification Test AST-N017, GN, GP yyyyMMddHHmmss 20091123193701 123456789000 "N" or "A"

Not Applicable

15

Not Applicable

VITEK Code for Susceptability (AST) Tests or Identification Tests (Hard-Coded value) This is the name of the VITEK Card for the displayed results. For ID cards it be GN (Gram Negative) or GP (Gram Positive) For AST cards it will be the card name (AST-N017, AST-GN04, etc). For a SuperFlex card the Superflex card name is used ie: AST-NSE3 Timestamp when the Isolate Results were final VITEK Instrument Serial Number Action Codes other than "A" or "N" will be ignored by V2S. If any other value is sent V2S will not process the packet (Including NULL or not icluding this element)

modifiedTestOrder/universalTestID/type/code

Result

Card Detail Report

Not Applicable

modifiedTestOrder/resultReportedDateTime modifiedTestOrder/instrumentID testOrder/actionCode TEST RESULT INFORMATION testResult/commonPart/ resultStatus startDateTime completedDateTime

Result Result Request

Lab Report General Config Not Applicable

N N Y

14 80 1

Not Applicable Not Applicable Not Applicable

Result Result Result

F (Final), P (Preliminary) yyyyMMddHHmmss 20091123193701 yyyyMMddHHmmss 20091123193701

Isolate View Card Detail Report Card Detail Report

N N N

2 14 14

Not Applicable Not Applicable Not Applicable

Isolate Status - Final or Preliminary Isolate Creation timestamp Isolate Final Call timestamp

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bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B FMLA Message Type VITEK Required? Max Truncated? 1 Length

FMLA XML Message Field


testResult/commonPart/tracebilityResult/ disposables/disposableUsage/startDateTime disposables/disposableUsage/completedDateTime disposables/disposableUsage/operators/operator/person/identifier disposables/disposableUsage/operators/operator/person/lastName disposables/disposableUsage/operators/operator/activity disposables/disposableUsage/disposable/disposableIdentifier disposables/disposableUsage/disposable/reference disposables/disposableUsage/disposable/disposableType disposables/disposableUsage/disposable/lotNumber disposables/disposableUsage/disposable/expirationDate VITEK TEST RESULT INFORMATION v2cTestResult/identifications/confidence/code v2cTestResult/identifications/confidence/name v2cTestResult/identifications/items/organism/code v2cTestResult/identifications/items/organism/name v2cTestResult/identifications/items/bioNumber v2cTestResult/identifications/items/percentProbability v2cTestResult/ast/antibioticList/antibiotic/suppressedDrug v2cTestResult/ast/antibioticList/antibiotic/deducedDrug v2cTestResult/ast/antibioticList/antibiotic/suppressedMic v2cTestResult/ast/antibioticList/antibiotic/drug/code v2cTestResult/ast/antibioticList/antibiotic/drug/name v2cTestResult/ast/antibioticList/antibiotic/mic/highSign v2cTestResult/ast/antibioticList/antibiotic/mic/hiValue

Example Data

V2S GUI Field V2S GUI Screen

Notes

Result Result Result Result Result Result Result Result Result Result

yyyyMMddHHmmss 20091123193701 yyyyMMddHHmmss 20091123193701 LabTech Laboratory Technician Card Setup 0893995001300263 AST-N017, GN, GP VITEK-AST-CARD VITEK-ID-CARD 089399500 yyyyMMdd 20171121

Card Detail Report Card Detail Report Not Applicable Additional Isolate Info Not Applicable Card Detail Report Card Detail Report Not Applicable Card Detail Report Card Detail Report

N N N N N N N N N N

14 14 20 30 10 18 8 20 9 8

Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

VITEK Card first reading timestamp VITEK Card final reading timestamp Data is dynamically generated by truncating the first 20 characters of the operator lastName Name of the laboratory personnel that prepared the VITEK Card Hard-Coded value of "Card Setup" is used for this Free Text Field. VITEK Card Bar Code VITEK Card Name Hard-Coded values of VITEK-AST-CARD and VITEK-ID-CARD are used VITEK Card Lot Number VITEK Card Expiration Date

Result Result Result Result Result Result Result Result Result Result Result Result Result

ID_EXCELLENT, ID_LOW_DISCRIM Excellent Identification, Low discrimination ECO, MAU, PPA Escherichia coli Staphylococcus aureus Pseudomonas aeruginosa 0003053003500000 99.0 true, false true, false true, false AMX, AM, CTX Amoxicillin Ampicillin, Cefotaxime >, <, <= "", 0.25, 1, 128

Not Applicable Isolate View Not Applicable Isolate View Isolate View Lab Report Isolate View Isolate View Isolate View Not Applicable Isolate View Isolate View Isolate View

N N N N N N N N N N N N N

27 40 15 60 16 8 5 5 5 15 60 8 8

Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

ID Confidence Value Code - VITEK Software Class Name IdConfidenceMessagesEnum ID Confidence Value (Language Translated) BioMerieux Internal code (BMX code) for the organism Organism Name Unique number assigned by Knowledge Base for an organism Percent Probability that the organism was correctly identified Flag indicating when a Drug (or Test) is suppressed from Reporting. FMLA: Sent only if the value is TRUE Flag indicating when a Drug result is a deduced value (not physically present of the VITEK ID card) FMLA: Sent only if the value is TRUE Flag indicating when a Drug's MIC value is suppressed (Blanked out) FMLA: Sent only if the value is TRUE BioMerieux Internal code (BMX code) for the antibiotic Antibiotic Name (Language Translated) Download: The Offline Test Beta-Lactamase is contained in the offlineTest element MIC Range Symbol (Greater Than, Less Than, etc) MIC Value

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B FMLA Message Type


Result Result Result Result Result

FMLA XML Message Field


v2cTestResult/ast/antibioticList/antibiotic/expertCategory v2cTestResult/ast/antibioticList/antibiotic/basicCategory v2cTestResult/expertFindingings/expertFinding/confidence/code v2cTestResult/expertFindingings/expertFinding/confidence/name v2cTestResult/expertFindingings/expertFinding/resistanceMechanismList/drugFamily/code

Example Data
S, R, I S, R, I Consistent, Inconsistent Consistent, Inconsistent 88, 44, 92 TETRACYCLINES BETA-LACTAMS TRIMETHOPRIM/SULFONAMIDES 61, 6, 176 WILD SHV1 HYPERPRODUCTION ACQUIRED PENICILLINASE

V2S GUI Field V2S GUI Screen


Isolate View Isolate View Not Applicable Isolate View Not Applicable

VITEK Required? Max Truncated? 1 Length


N N N N N 2 16 12 40 5 Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

Notes
Final Antbiotic Interpretation from AES (S - Susceptible, R - Resistance, I - Indeterminate) Preliminary Antibiotc Interpretation from AST Engine (S - Susceptible, R - Resistance, I Indeterminate) AES Confidence Value code, AES Category Call code VITEK Software Class Name RenAesConfidence AES Confidence Value, AES Category Call (language translated) Knowledge Base data Id for the drug family NOTE: VITEK is not the owner of this data and cannot ensure these keys will remain constant with each Knowledge Base update. Drug Family Name (language translated) Knowledge Base data Id for the resistance mechanism phenotype NOTE: VITEK is not the owner of this data and cannot ensure these keys will remain constant with each Knowledge Base update. Resistance mechanism phenotype name (language translated)

v2cTestResult/expertFindingings/expertFinding/resistanceMechanismList/drugFamily/name

Result

AES Detail Report

40

Not Applicable

v2cTestResult/expertFindingings/expertFinding/resistanceMechanismList/phenotype/code

Result

Not Applicable

Not Applicable

v2cTestResult/expertFindingings/expertFinding/resistanceMechanismList/phenotype/name OFFLINE TEST INFORMATION offlineTests/offlineTest/identifications/items/organism/code offlineTests/offlineTest/identifications/items/organism/name offlineTests/offlineTest/univTest/type/code offlineTests/offlineTest/univTest/type/name offlineTests/offlineTest/basic/result VITEK MODULE IDENTIFIER INFORMATION module/identifier module/name module/station/identifier module/type module/location module/moduleVersion module/submodules/module/identifier module/submodules/module/type module/submodules/module/serialNumber

Result

AES Detail Report

800

Not Applicable

Request Request Request Request Request

ECO Escherichia coli BLA Beta-Lactamase Pos

Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

Y (see notes) N Y (see notes) N Y (see notes)

15 60 15 60 15

RIGHT RIGHT RIGHT RIGHT RIGHT

Required if sending Organism Information. VITEK will only process valid BMX codes. Unrecogizized organism codes will be marked invalid by VITEK Optional, only for display purposes Required if sending Offline Test Information. VITEK will only accepts "BLA" as valid OfflineTest codes. Unrecogizized OfflineTest codes will be marked invalid by VITEK Upload: All Offline Tests (ie: Beta Lactamase) are listed as antibiotics Optional, only for display purposes Required if sending Offline Test Information. VITEK will only accepts "Pos" and "Neg" as valid OfflineTest result values. Unrecogizized OfflineTest result values will be marked invalid by VITEK.

ModuleID ModuleID ModuleID ModuleID ModuleID ModuleID ModuleID ModuleID ModuleID

VITEKPC Facility Name 3a6c9ea3-c2d3-4bf4-9965f3e9f63ff43f V2S First Floor Lab 05.01 1234 COMPACT, VITEK2XL 123456789000

Not Applicable General Config Not Applicable Not Applicable General Config Version Not Applicable Not Applicable General Config

Y N Y N N N Y N N

15 40 36 3 25 6 19 11 12

Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

Computer Network Name VITEK General Configuration Facility Name. This is the VITEK name displayed in the FMLA GUI FMLA Connector ID Hard-Coded VITEK Module Idenifier - V2S VITEK General Configuration Location Name. Used to identify where physical location of VITEK PC VITEK Software Version Numeric identifier for the VITEK Instrument. (Posgres Database ID) Type of VITEK Instrument - VITEK Software Class Name InstrumentTypeEnum VITEK Instrument Serial Number

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B FMLA Message Type


ModuleID

FMLA XML Message Field


module/submodules/module/moduleVersion ISOLATE STATUS INFORMATION worklist/worklistItem/specimenId worklist/worklistItem/isolateNumber worklist/worklistItem/isolateStatus VITEK CORE STATUS INFORMATION status/status/property/key status/status/property/value status/module/identifier status/module/name status/module/station/identifier status/module/type status/module/location status/module/moduleVersion status/module/submodules/module/identifier status/module/submodules/module/type status/module/submodules/module/serialNumber status/module/submodules/module/moduleVersion VITEK ALARM INFORMATION alarms/alarm/type/code alarms/alarm/type/name alarms/alarm/type/level alarms/alarm/module/identifier alarms/alarm/module/name alarms/alarm/module/station/identifier alarms/alarm/module/type

Example Data
BCB:45.43

V2S GUI Field V2S GUI Screen


Not Applicable

VITEK Required? Max Truncated? 1 Length


N 11 Not Applicable VITEK Instrument Firmware Version

Notes

InfoData InfoData InfoData

1 1-99 Approved, Reviewed

Specimen ID / LabID Isolate Number Isolate View

N N N

20 2 21

Not Applicable Left Not Applicable

Part of the Isolate identifier: Accession Number= LabId + IsolateNumber Part of the Isolate identifier: Accession Number= LabId + IsolateNumber Isolate State code - VITEK Software Class Name IsolateStateEnum

InfoData InfoData InfoData InfoData InfoData InfoData InfoData InfoData InfoData InfoData InfoData InfoData

status READY_FOR_CONNECTIONS NOT_READY VITEKPC Facility Name 3a6c9ea3-c2d3-4bf4-9965f3e9f63ff43f V2S First Floor Lab 05.01 1234 COMPACT, VITEK2XL 123456789000 BCB:45.43

Not Applicable Not Applicable Not Applicable General Config Not Applicable Not Applicable General Config Version Not Applicable Not Applicable General Config Not Applicable

N N Y N Y N N N Y N N N

6 24 15 40 36 3 25 6 19 11 12 11

Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

key-value pair. Hard-coded key = "status" VITEK Core Server Connection status indicating if VITEK is accepting remote connections. VITEK Software Class Name: ServerStatusEnum Computer Network Name VITEK General Configuration Facility Name. This is the VITEK name displayed in the FMLA GUI FMLA Connector ID Hard-Coded VITEK Module Idenifier - V2S VITEK General Configuration Location Name. Used to identify where physical location of VITEK PC VITEK Software Version Numeric identifier for the VITEK Instrument. (Posgres Database ID) Type of VITEK Instrument - VITEK Software Class Name InstrumentTypeEnum VITEK Instrument Serial Number VITEK Instrument Firmware Version

InfoData InfoData InfoData InfoData InfoData InfoData InfoData

V2S VITEK 2 Alarm ERROR, OK VITEKPC Facility Name 3a6c9ea3-c2d3-4bf4-9965f3e9f63ff43f V2S

Not Applicable Not Applicable Not Applicable Not Applicable General Config Not Applicable Not Applicable

N N N Y N Y N

3 13 5 15 40 36 3

Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

FMLA Alarm Type Identiifer Code: Hard-Coded value = "V2S" FMLA Alarm Type Identiifer Name: Hard-Coded value = "VITEK 2 Alarm" VITEK Error alarm exists. level = "ERROR" VITEK alarm is acknowledge. level = "OK" Computer Network Name VITEK General Configuration Facility Name. This is the VITEK name displayed in the FMLA GUI FMLA Connector ID Hard-Coded VITEK Module Idenifier - V2S

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B FMLA Message Type


InfoData InfoData InfoData InfoData InfoData InfoData

FMLA XML Message Field


alarms/alarm/module/location alarms/alarm/module/moduleVersion alarms/alarm/module/submodules/module/identifier alarms/alarm/module/submodules/module/type alarms/alarm/module/submodules/module/serialNumber alarms/alarm/module/submodules/module/moduleVersion

Example Data
First Floor Lab 05.01 1234 COMPACT, VITEK2XL 123456789000 BCB:45.43

V2S GUI Field V2S GUI Screen


General Config Version Not Applicable Not Applicable General Config Not Applicable

VITEK Required? Max Truncated? 1 Length


N N Y N N N 25 6 19 11 12 11 Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable

Notes
VITEK General Configuration Location Name. Used to identify where physical location of VITEK PC VITEK Software Version Numeric identifier for the VITEK Instrument. (Posgres Database ID) Type of VITEK Instrument - VITEK Software Class Name InstrumentTypeEnum VITEK Instrument Serial Number VITEK Instrument Firmware Version

For ALL fields the "|" character is not allowed, if "|" is sent the system will drop the message and Alarm * = required by V2S GUI 1 = Truncation only applies to download fields

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

13.0

FMLA-IT Download Message Matrix


Ex am pl e Ti tle t

X X X X X X X

14.0

FMLA-IT Download (Request) Notes: 1. 2. To improve readability of the XML message, the data values for an XML elment have been highlighted in yellow. The minimum required VITEK data needed to support each type of download message has been identified by bolding and italicizing the FMLA XML fields within each example download message. If VITEK is operating in Demoless mode (Patient Demograpics disabled), download message processing is NOT impacted. All Patient and Specimen records will be processed and validated. If the download record is missng the Patient first name and last name, but contains the Patient Identifier; the VITEK application will create Patient Name field containing <>. If the download record is missng the Specimen collectionDateTime, but contains the Specimen Identifier; the VITEK application will create a Specimen Collection Date and Specimen Collection Time using the date and time of the download event. If the download record is missng the Specimen sourceType, but contains the Specimen Identifier; the VITEK application will create a Specimen Source Type field containing <>.

66433709.doc

Sp ec Pa ime tie n O nt rg a O nis ffl m in e Te s

X X X X

X X

X X

NOT VALID DOWNLOAD X FMLA-IT Download Containing Patient, Specim en, Organism And OfflineTest Data FMLA-IT Download Containing Patient, Specim And Organism Data en X FMLA-IT Download Containing Patient, Specim And OfflineTest Data en FMLA-IT Download Containing Patient And Specim Data en X FMLA-IT Download Containing Organism And OfflineTest Data FMLA-IT Download Containing Organism Data

FMLA-IT Download Examples (Request): FMLA-IT VITEK

3. 4. 5.

6.

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

14.1

FMLA-IT Download Containing Patient, Specimen, Organism And OfflineTest Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_fmlait_v2c_Request xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <patient> <person> <identifier>G406270/A</identifier> <lastName>Robinson</lastName> <firstName>Adele</firstName> </person> <visit> <patientVisitNumber>G406270-123</patientVisitNumber> <attendingPhysicians> <person> <identifier>Dr Robert</identifier> </person> </attendingPhysicians> <location> <code>9EAST</code> </location> </visit> <comment> <code>Age=7</code> </comment> </patient> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> <collectionDateTime>20090203105500</collectionDateTime> <specimenDescriptors> <specimenDescriptor> <specimenType> <code>Wound</code> </specimenType> <specimenSource> <code>Left Arm</code> </specimenSource> </specimenDescriptor> </specimenDescriptors> <comment> <code>S-GN</code> </comment> </specimen> <testOrder> <actionCode>N</actionCode> </testOrder> <offlineTests> <offlineTest> <identifications> <items> <organism> <code>ECO</code> <name>Escherichia coli</name> </organism> </items> </identifications> </offlineTest> <offlineTest> <univTest> <type> <code>BLA</code> <name>Beta-Lactamase</name> </type> </univTest> <basic> <result>Pos</result> </basic> </offlineTest> </offlineTests> </ns2:fmlait_fmlait_v2c_Request>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

14.2

FMLA-IT Download Containing Patient, Specimen And Organism Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_fmlait_v2c_Request xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <patient> <person> <identifier>G406270/A</identifier> <lastName>Robinson</lastName> <firstName>Adele</firstName> </person> <visit> <patientVisitNumber>G406270-123</patientVisitNumber> <attendingPhysicians> <person> <identifier>Dr Robert</identifier> </person> </attendingPhysicians> <location> <code>9EAST</code> </location> </visit> <comment> <code>Age=7</code> </comment> </patient> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> <collectionDateTime>20090203105500</collectionDateTime> <specimenDescriptors> <specimenDescriptor> <specimenType> <code>Wound</code> </specimenType> <specimenSource> <code>Left Arm</code> </specimenSource> </specimenDescriptor> </specimenDescriptors> <comment> <code>S-GN</code> </comment> </specimen> <testOrder> <actionCode>N</actionCode> </testOrder> <offlineTests> <offlineTest> <identifications> <items> <organism> <code>ECO</code> <name>Escherichia coli</name> </organism> </items> </identifications> </offlineTest> </offlineTests> </ns2:fmlait_fmlait_v2c_Request>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

14.3

FMLA-IT Download Containing Patient, Specimen And OfflineTest Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_fmlait_v2c_Request xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <patient> <person> <identifier>G406270/A</identifier> <lastName>Robinson</lastName> <firstName>Adele</firstName> </person> <visit> <patientVisitNumber>G406270-123</patientVisitNumber> <attendingPhysicians> <person> <identifier>Dr Robert</identifier> </person> </attendingPhysicians> <location> <code>9EAST</code> </location> </visit> <comment> <code>Age=7</code> </comment> </patient> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> <collectionDateTime>20090203105500</collectionDateTime> <specimenDescriptors> <specimenDescriptor> <specimenType> <code>Wound</code> </specimenType> <specimenSource> <code>Left Arm</code> </specimenSource> </specimenDescriptor> </specimenDescriptors> <comment> <code>S-GN</code> </comment> </specimen> <testOrder> <actionCode>N</actionCode> </testOrder> <offlineTests> <offlineTest> <univTest> <type> <code>BLA</code> <name>Beta-Lactamase</name> </type> </univTest> <basic> <result>Pos</result> </basic> </offlineTest> </offlineTests> </ns2:fmlait_fmlait_v2c_Request>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

14.4

FMLA-IT Download Containing Patient And Specimen Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_fmlait_v2c_Request xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <patient> <person> <identifier>G406270/A</identifier> <lastName>Robinson</lastName> <firstName>Adele</firstName> </person> <visit> <patientVisitNumber>G406270-123</patientVisitNumber> <attendingPhysicians> <person> <identifier>Dr Robert</identifier> </person> </attendingPhysicians> <location> <code>9EAST</code> </location> </visit> <comment> <code>Age=7</code> </comment> </patient> <specimen> <specimenID>1</specimenID> <collectionDateTime>20090203105500</collectionDateTime> <specimenDescriptors> <specimenDescriptor> <specimenType> <code>Wound</code> </specimenType> <specimenSource> <code>Left Arm</code> </specimenSource> </specimenDescriptor> </specimenDescriptors> <comment> <code>S-GN</code> </comment> </specimen> <testOrder> <actionCode>N</actionCode> </testOrder> </ns2:fmlait_fmlait_v2c_Request>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

14.5

FMLA-IT Download Containing Organism and OfflineTest Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_fmlait_v2c_Request xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> </specimen> <testOrder> <actionCode>N</actionCode> </testOrder> <offlineTests> <offlineTest> <identifications> <items> <organism> <code>ECO</code> <name>Escherichia coli</name> </organism> </items> </identifications> </offlineTest> <offlineTest> <univTest> <type> <code>BLA</code> <name>Beta-Lactamase</name> </type> </univTest> <basic> <result>Pos</result> </basic> </offlineTest> </offlineTests> </ns2:fmlait_fmlait_v2c_Request>

14.6

FMLA-IT Download Containing OfflineTest Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_fmlait_v2c_Request xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> </specimen> <testOrder> <actionCode>N</actionCode> </testOrder> <offlineTests> <offlineTest> <univTest> <type> <code>BLA</code> <name>Beta-Lactamase</name> </type> </univTest> <basic> <result>Pos</result> </basic> </offlineTest> </offlineTests> </ns2:fmlait_fmlait_v2c_Request>

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bioMrieux, Inc. Information Technology 14.7 FMLA-IT Download Containing Organism Data

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_fmlait_v2c_Request xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> </specimen> <testOrder> <actionCode>N</actionCode> </testOrder> <offlineTests> <offlineTest> <identifications> <items> <organism> <code>ECO</code> <name>Escherichia coli</name> </organism> </items> </identifications> </offlineTest> </offlineTests> </ns2:fmlait_fmlait_v2c_Request>

15.0

FMLA-IT Upload Examples (Result): VITEK FMLA-IT

FMLA-IT Upload (Result) Notes: 1. 2. 3. To improve readability of the XML message, the data values for an XML elment have been highlighted in yellow If VITEK is operating in Demoless mode (Patient Demograpics disabled), Patient information will NOT be present in any Upload Result message. If VITEK is operating in Demoless mode (Patient Demograpics disabled), Specimen information (except for SpecimenId, and IsolateNumber), will NOT be present in any Upload Result message. Deduced Antibiotics do not have an MIC value (see sample message 4.1). Beta-Lactamase is uploaded as an Antibiotic (see sample message 4.2) and Downloaded as an OfflineTest (see sample message 3.6). Antibiotic results that have no MIC value and no Expert Category call will be sent to FMLA-IT, but should NOT be sent to the LIS (see sample message 4.2). Antibiotic results with a suppressed MIC are sent to FMLA-IT, but FMLA-IT should send a blank MIC value to the LIS (see sample message 4.2).

4. 5. 6. 7.

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

15.1

FMLA-IT Upload Containing SuperFlex AST Result Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_v2c_fmlait_Result xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <patient> <person> <identifier>G406270/A</identifier> <lastName>Robinson, Adele</lastName> </person> <visit> <patientVisitNumber>G406270-123</patientVisitNumber> <attendingPhysicians> <person> <identifier>Dr Rob</identifier> <lastName>Dr Robert</lastName> </person> </attendingPhysicians> <location> <code>9EAST/</code> <name>9EAST/Room 123</name> </location> </visit> <comment> <source>P</source> <code>Child </code> <text>Child Age=7</text> <type>G</type> </comment> </patient> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> <collectionDateTime>20091104012303</collectionDateTime> <specimenDescriptors> <specimenDescriptor> <specimenType> <code>Wound</code> <name>Wound</name> </specimenType> <specimenSource> <code>Left A</code> <name>Left Arm</name> </specimenSource> </specimenDescriptor> </specimenDescriptors> <comment> <source>P</source> <code>Dog Bi</code> <text>Dog Bite</text> <type>G</type> </comment> </specimen> <modifiedTestOrder> <universalTestID> <organismTestGroup>SU</organismTestGroup> <type> <code>AST-NSE3</code> </type> </universalTestID> <resultReportedDateTime>20091123215153</resultReportedDateTime> <instrumentID>123456789000</instrumentID> </modifiedTestOrder> <testResult> <commonPart> <resultStatus>F</resultStatus> <startDateTime>20091123130653</startDateTime> <completedDateTime>20091123215153</completedDateTime> <tracabilityResult> <disposables> <disposableUsage> <startDateTime>20091123130653</startDateTime> <completedDateTime>20091123215153</completedDateTime> <operators>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

<operator> <person> <identifier>Laboratory Technicia</identifier> <lastName>Laboratory Technician</lastName> </person> <activity>Card Setup</activity> </operator> </operators> <disposable> <disposableIdentifier>1393811101009074</disposableIdentifier> <reference>AST-N017</reference> <disposableType>VITEK2-AST-CARD</disposableType> <lotNumber>139381110</lotNumber> <expirationDate>20170521</expirationDate> </disposable> </disposableUsage> <disposableUsage> <startDateTime>20091123130701</startDateTime> <completedDateTime>20091123193701</completedDateTime> <operators> <operator> <person> <identifier>Laboratory Superviso</identifier> <lastName>Laboratory Supervisor</lastName> </person> <activity>Card Setup</activity> </operator> </operators> <disposable> <disposableIdentifier>0893995001300263</disposableIdentifier> <reference>AST-EXN2</reference> <disposableType>VITEK2-AST-CARD</disposableType> <lotNumber>089399500</lotNumber> <expirationDate>20171121</expirationDate> </disposable> </disposableUsage> </disposables> </tracabilityResult> </commonPart> </testResult> <v2cTestResult> <identifications> <items> <organism> <code>ECO</code> <name>Escherichia coli</name> </organism> </items> </identifications> <ast> <antibioticList> <antibiotic> <drug> <code>AM</code> <name>Ampicillin</name> </drug> <mic> <hiSign>&gt;=</hiSign> <hiValue>32</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>R</basicCategory> </antibiotic> <antibiotic> <drug> <code>AMC</code> <name>Amoxicillin/Clavulanic Acid</name> </drug> <mic> <hiSign></hiSign> <hiValue>8</hiValue> </mic> <expertCategory>S</expertCategory>

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<basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>TIC</code> <name>Ticarcillin</name> </drug> <mic> <hiSign>&gt;=</hiSign> <hiValue>128</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>R</basicCategory> </antibiotic> <antibiotic> <drug> <code>TCC</code> <name>Ticarcillin/Clavulanic Acid</name> </drug> <mic> <hiSign></hiSign> </mic> </antibiotic> <antibiotic> <drug> <code>TZP</code> <name>Piperacillin/Tazobactam</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>4</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>CF</code> <name>Cefalotin</name> </drug> <mic> <hiSign></hiSign> <hiValue>16</hiValue> </mic> <expertCategory>I</expertCategory> <basicCategory>I</basicCategory> </antibiotic> <antibiotic> <drug> <code>FOX</code> <name>Cefoxitin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>4</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>CTX</code> <name>Cefotaxime</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug>

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

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<code>CAZ</code> <name>Ceftazidime</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>IPM</code> <name>Imipenem</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>AN</code> <name>Amikacin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>2</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>GM</code> <name>Gentamicin</name> </drug> <mic> <hiSign>&gt;=</hiSign> <hiValue>16</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>R</basicCategory> </antibiotic> <antibiotic> <drug> <code>NET</code> <name>Netilmicin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>TM</code> <name>Tobramycin</name> </drug> <mic> <hiSign>&gt;=</hiSign> <hiValue>16</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>R</basicCategory> </antibiotic> <antibiotic> <drug> <code>NA</code>

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

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<name>Nalidixic Acid</name> </drug> <mic> <hiSign>&gt;=</hiSign> <hiValue>32</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>R</basicCategory> </antibiotic> <antibiotic> <drug> <code>CIP</code> <name>Ciprofloxacin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.25</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>NOR</code> <name>Norfloxacin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>OFL</code> <name>Ofloxacin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.25</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>FT</code> <name>Nitrofurantoin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>16</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>SXT</code> <name>Trimethoprim/Sulfamethoxazole</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>20</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>AMX</code> <name>Amoxicillin</name>

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</drug> <deducedDrug>true</deducedDrug> <mic/> <expertCategory>R</expertCategory> </antibiotic> <antibiotic> <drug> <code>CEC</code> <name>Cefaclor</name> </drug> <deducedDrug>true</deducedDrug> <mic/> <expertCategory>I</expertCategory> </antibiotic> <antibiotic> <drug> <code>CFR</code> <name>Cefadroxil</name> </drug> <deducedDrug>true</deducedDrug> <mic/> <expertCategory>I</expertCategory> </antibiotic> <antibiotic> <drug> <code>CN</code> <name>Cefalexin</name> </drug> <deducedDrug>true</deducedDrug> <mic/> <expertCategory>I</expertCategory> </antibiotic> <antibiotic> <drug> <code>PIP</code> <name>Piperacillin</name> </drug> <mic> <hiSign>&gt;=</hiSign> <hiValue>128</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>R</basicCategory> </antibiotic> <antibiotic> <drug> <code>CXM</code> <name>Cefuroxime</name> </drug> <mic> <hiSign></hiSign> <hiValue>8</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>CXMA</code> <name>Cefuroxime Axetil</name> </drug> <mic> <hiSign></hiSign> <hiValue>8</hiValue> </mic> <expertCategory>I</expertCategory> <basicCategory>I</basicCategory> </antibiotic> <antibiotic> <drug> <code>CTT</code> <name>Cefotetan</name> </drug>

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

NOTE 4

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<mic> <hiSign>&lt;=</hiSign> <hiValue>4</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>CFM</code> <name>Cefixime</name> </drug> <mic> <hiSign></hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>CPD</code> <name>Cefpodoxime</name> </drug> <mic> <hiSign></hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>CRO</code> <name>Ceftriaxone</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>FEP</code> <name>Cefepime</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>ATM</code> <name>Aztreonam</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>MEM</code> <name>Meropenem</name> </drug> <mic>

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<hiSign>&lt;=</hiSign> <hiValue>0.25</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>TE</code> <name>Tetracycline</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>TMP</code> <name>Trimethoprim</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> </antibioticList> </ast> <expertFindings> <expertFinding> <confidence> <code>Consistent</code> <name>Consistent</name> </confidence> <resistanceMechanismList> <drugFamily> <code>80</code> <name>QUINOLONES</name> </drugFamily> <phenotype> <code>42</code> <name>RESISTANT QUIN-1</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>44</code> <name>BETA-LACTAMS</name> </drugFamily> <phenotype> <code>6</code> <name>ACQUIRED PENICILLINASE</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>83</code> <name>FURANES</name> </drugFamily> <phenotype> <code>99</code> <name>WILD</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>75</code> <name>AMINOGLYCOSIDES</name> </drugFamily>

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<phenotype> <code>26</code> <name>RESISTANT GEN TOB (ANT(2"))</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>92</code> <name>TRIMETHOPRIM/SULFONAMIDES</name> </drugFamily> <phenotype> <code>116</code> <name>WILD</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>88</code> <name>TETRACYCLINES</name> </drugFamily> <phenotype> <code>61</code> <name>WILD</name> </phenotype> </resistanceMechanismList> </expertFinding> </expertFindings> </v2cTestResult> </ns2:fmlait_v2c_fmlait_Result>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

15.2

FMLA-IT Upload Containing AST Result Data With Beta-Lactamase

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_v2c_fmlait_Result xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <patient> <person> <identifier>G406270/AB</identifier> <lastName>Robinson, Adele</lastName> </person> <visit> <patientVisitNumber>G406270-1234</patientVisitNumber> <attendingPhysicians> <person> <identifier>Dr. Ro</identifier> <lastName>Dr. Robert</lastName> </person> </attendingPhysicians> <location> <code>9EAST</code> <name>9EAST</name> </location> </visit> <comment> <source>P</source> <code>Age=7</code> <text>Age=7</text> <type>G</type> </comment> </patient> <specimen> <specimenID>2</specimenID> <isolateNumber>1</isolateNumber> <collectionDateTime>20091204124501</collectionDateTime> <specimenDescriptors> <specimenDescriptor> <specimenType> <code>Wound</code> <name>Wound</name> </specimenType> <specimenSource> <code>Left A</code> <name>Left Arm</name> </specimenSource> </specimenDescriptor> </specimenDescriptors> <comment> <source>P</source> <code>S-GN</code> <text>S-GN</text> <type>G</type> </comment> </specimen> <modifiedTestOrder> <universalTestID> <organismTestGroup>SU</organismTestGroup> <type> <code>AST-GP55</code> </type> </universalTestID> <resultReportedDateTime>20091210235230</resultReportedDateTime> <instrumentID>123456789000</instrumentID> </modifiedTestOrder> <testResult> <commonPart> <resultStatus>F</resultStatus> <startDateTime>20091210172230</startDateTime> <completedDateTime>20091210235230</completedDateTime> <tracabilityResult> <disposables> <disposableUsage> <startDateTime>20091210172230</startDateTime> <completedDateTime>20091210235230</completedDateTime> <operators>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

<operator> <person> <identifier>Laboratory Technicia</identifier> <lastName>Laboratory Technician</lastName> </person> <activity>Card Setup</activity> </operator> </operators> <disposable> <disposableIdentifier>1201850201206984</disposableIdentifier> <reference>AST-GP55</reference> <disposableType>VITEK2-AST-CARD</disposableType> <lotNumber>120185020</lotNumber> <expirationDate>20120107</expirationDate> </disposable> </disposableUsage> </disposables> </tracabilityResult> </commonPart> </testResult> <v2cTestResult> <identifications> <items> <organism> <code>MSN</code> <name>Coagulase negative Staphylococcus</name> </organism> </items> </identifications> <ast> <antibioticList> <antibiotic> <drug> NOTE 5 <code>BLA</code> <name>Beta-Lactamase</name> </drug> <suppressedDrug>true</suppressedDrug> <mic> <hiSign></hiSign> <hiValue>Pos</hiValue> </mic> <expertCategory>+</expertCategory> <basicCategory>+</basicCategory> </antibiotic> <antibiotic> <drug> <code>P</code> <name>Benzylpenicillin</name> </drug> <mic> <hiSign>&gt;=</hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>R</basicCategory> </antibiotic> <antibiotic> <drug> NOTE 6 <code>AM</code> <name>Ampicillin</name> </drug> <mic> <hiSign></hiSign> </mic> </antibiotic> <antibiotic> <drug> NOTE 7 <code>SAM</code> <name>Ampicillin/Sulbactam</name> </drug> <suppressedMic>true</suppressedMic> <mic> <hiSign>&lt;=</hiSign>

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<hiValue>2</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>OX1</code> <name>Oxacillin</name> </drug> <mic> <hiSign></hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>R</basicCategory> </antibiotic> <antibiotic> <drug> <code>CZ</code> <name>Cefazolin</name> </drug> <suppressedMic>true</suppressedMic> <mic> <hiSign>&lt;=</hiSign> <hiValue>4</hiValue> </mic> <expertCategory>R</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>HLG</code> <name>Gentamicin High Level (synergy)</name> </drug> <mic> <hiSign></hiSign> </mic> </antibiotic> <antibiotic> <drug> <code>HLS</code> <name>Streptomycin High Level (synergy)</name> </drug> <mic> <hiSign></hiSign> </mic> </antibiotic> <antibiotic> <drug> <code>GM</code> <name>Gentamicin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>CIP</code> <name>Ciprofloxacin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic>

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<drug> <code>LEV</code> <name>Levofloxacin</name> </drug> <mic> <hiSign></hiSign> <hiValue>0.25</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>NOR</code> <name>Norfloxacin</name> </drug> <mic> <hiSign></hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>OFL</code> <name>Ofloxacin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>E</code> <name>Erythromycin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.25</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>CM</code> <name>Clindamycin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.25</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>VA</code> <name>Vancomycin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug>

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<code>TE</code> <name>Tetracycline</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>1</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>FT</code> <name>Nitrofurantoin</name> </drug> <mic> <hiSign></hiSign> <hiValue>32</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>C</code> <name>Chloramphenicol</name> </drug> <mic> <hiSign></hiSign> <hiValue>8</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> <antibiotic> <drug> <code>RA</code> <name>Rifampicin</name> </drug> <mic> <hiSign>&lt;=</hiSign> <hiValue>0.5</hiValue> </mic> <expertCategory>S</expertCategory> <basicCategory>S</basicCategory> </antibiotic> </antibioticList> </ast> <expertFindings> <expertFinding> <confidence> <code>Consistent</code> <name>Consistent</name> </confidence> <resistanceMechanismList> <drugFamily> <code>84</code> <name>GLYCOPEPTIDES</name> </drugFamily> <phenotype> <code>96</code> <name>RESISTANT (TEC)</name> </phenotype> <phenotype> <code>90</code> <name>WILD</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>95</code> <name>RIFAMYCINES</name> </drugFamily>

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<phenotype> <code>110</code> <name>WILD</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>80</code> <name>QUINOLONES</name> </drugFamily> <phenotype> <code>41</code> <name>WILD</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>88</code> <name>TETRACYCLINES</name> </drugFamily> <phenotype> <code>61</code> <name>WILD</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>44</code> <name>BETA-LACTAMS</name> </drugFamily> <phenotype> <code>16</code> <name>MODIFICATION OF PBP (mecA)</name> </phenotype> <phenotype> <code>6</code> <name>ACQUIRED PENICILLINASE</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>83</code> <name>FURANES</name> </drugFamily> <phenotype> <code>99</code> <name>WILD</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>75</code> <name>AMINOGLYCOSIDES</name> </drugFamily> <phenotype> <code>32</code> <name>RESISTANT KAN TOB (ANT(4')(4"))</name> </phenotype> <phenotype> <code>33</code> <name>WILD</name> </phenotype> <phenotype> <code>20</code> <name>RESISTANT KAN (APH(3')-III)</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>86</code> <name>PHENICOLS</name> </drugFamily> <phenotype>

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<code>39</code> <name>WILD</name> </phenotype> </resistanceMechanismList> <resistanceMechanismList> <drugFamily> <code>76</code> <name>MACROLIDES/LINCOSAMIDES/STREPTOGRAMINS</name> </drugFamily> <phenotype> <code>65</code> <name>WILD</name> </phenotype> </resistanceMechanismList> </expertFinding> </expertFindings> </v2cTestResult> </ns2:fmlait_v2c_fmlait_Result>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

15.3

FMLA-IT Upload Containing ID Result Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_v2c_fmlait_Result xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <patient> <person> <identifier>G406270/A</identifier> <lastName>Robinson, Adele</lastName> </person> <visit> <patientVisitNumber>G406270-123</patientVisitNumber> <attendingPhysicians> <person> <identifier>Dr Rob</identifier> <lastName>Dr Robert</lastName> </person> </attendingPhysicians> <location> <code>9EAST/</code> <name>9EAST/Room 123</name> </location> </visit> <comment> <source>P</source> <code>Child </code> <text>Child Age=7</text> <type>G</type> </comment> </patient> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> <collectionDateTime>20091104012303</collectionDateTime> <specimenDescriptors> <specimenDescriptor> <specimenType> <code>Wound</code> <name>Wound</name> </specimenType> <specimenSource> <code>Left A</code> <name>Left Arm</name> </specimenSource> </specimenDescriptor> </specimenDescriptors> <comment> <source>P</source> <code>Dog Bi</code> <text>Dog Bite</text> <type>G</type> </comment> </specimen> <modifiedTestOrder> <universalTestID> <organismTestGroup>ID</organismTestGroup> <type> <code>GN</code> </type> </universalTestID> <resultReportedDateTime>20091123175150</resultReportedDateTime> <instrumentID>123456789000</instrumentID> </modifiedTestOrder> <testResult> <commonPart> <resultStatus>F</resultStatus> <startDateTime>20091123130650</startDateTime> <completedDateTime>20091123175150</completedDateTime> <tracabilityResult> <disposables> <disposableUsage> <startDateTime>20091123130650</startDateTime>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

<completedDateTime>20091123175150</completedDateTime> <operators> <operator> <person> <identifier>Laboratory Technicia</identifier> <lastName>Laboratory Technician</lastName> </person> <activity>Card Setup</activity> </operator> </operators> <disposable> <disposableIdentifier>2412729001063531</disposableIdentifier> <reference>GN</reference> <disposableType>VITEK2-ID-CARD</disposableType> <lotNumber>241272900</lotNumber> <expirationDate>20140604</expirationDate> </disposable> </disposableUsage> </disposables> </tracabilityResult> </commonPart> </testResult> <v2cTestResult> <identifications> <confidence> <code>ID_EXCELLENT</code> <name>Excellent identification</name> </confidence> <items> <organism> <code>PPA</code> <name>Pseudomonas aeruginosa</name> </organism> <bioNumber>0003053003500000</bioNumber> <percentProbability>99.0</percentProbability> </items> </identifications> <ast/> </v2cTestResult> </ns2:fmlait_v2c_fmlait_Result>

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15.4

FMLA-IT Upload Containing Demoless, ID Result Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_v2c_fmlait_Result xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <specimen> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> </specimen> <modifiedTestOrder> <universalTestID> <organismTestGroup>ID</organismTestGroup> <type> <code>GN</code> </type> </universalTestID> <resultReportedDateTime>20091123175150</resultReportedDateTime> <instrumentID>123456789000</instrumentID> </modifiedTestOrder> <testResult> <commonPart> <resultStatus>F</resultStatus> <startDateTime>20091123130650</startDateTime> <completedDateTime>20091123175150</completedDateTime> <tracabilityResult> <disposables> <disposableUsage> <startDateTime>20091123130650</startDateTime> <completedDateTime>20091123175150</completedDateTime> <operators> <operator> <person> <identifier>Laboratory Technicia</identifier> <lastName>Laboratory Technician</lastName> </person> <activity>Card Setup</activity> </operator> </operators> <disposable> <disposableIdentifier>2412729001063531</disposableIdentifier> <reference>GN</reference> <disposableType>VITEK2-ID-CARD</disposableType> <lotNumber>241272900</lotNumber> <expirationDate>20140604</expirationDate> </disposable> </disposableUsage> </disposables> </tracabilityResult> </commonPart> </testResult> <v2cTestResult> <identifications> <confidence> <code>ID_EXCELLENT</code> <name>Excellent identification</name> </confidence> <items> <organism> <code>PPA</code> <name>Pseudomonas aeruginosa</name> </organism> <bioNumber>0003053003500000</bioNumber> <percentProbability>99.0</percentProbability> </items> </identifications> <ast/> </v2cTestResult> </ns2:fmlait_v2c_fmlait_Result>

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VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

16.0

FMLA-IT Status Examples (InfoData): VITEK FMLA-IT

FMLA-IT Status (InfoData) Notes: 1. To improve readability of the XML message, the data values for an XML elment have been highlighted in yellow. 16.1 FMLA-IT Upload Containing VITEK Isolate Status Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_any_fmlait_InfoData xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <worklist> <worklistItem> <specimenID>1</specimenID> <isolateNumber>1</isolateNumber> <status>Approved</status> </worklistItem> </worklist> </ns2:fmlait_any_fmlait_InfoData>

16.2

FMLA-IT Upload Containing VITEK Core Server Status Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_any_fmlait_InfoData xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <status> <status> <property> <key>status</key> <value>READY_FOR_CONNECTIONS</value> </property> </status> <module> <identifier>US8015JONESS1</identifier> <name></name> <station> <identifier>3a6c9ea3-c2d3-4bf4-9965-f3e9f63ff43f</identifier> </station> <moduleType>V2S</moduleType> <location></location> <moduleVersion>05.01</moduleVersion> <subModules> <module> <identifier>5858</identifier> <moduleType>COMPACT</moduleType> <serialNumber>123456789000</serialNumber> <moduleVersion>BCB:45.43</moduleVersion> </module> </subModules> </module> </status> </ns2:fmlait_any_fmlait_InfoData>

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16.3

FMLA-IT Upload Containing VITEK Alarm Status Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_any_fmlait_InfoData xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <alarms> <alarm> <type> <code>V2S</code> <name>Vitek 2 Alarm</name> </type> <level>ERROR</level> <module> <identifier>US8015JONESS1</identifier> <name></name> <station> <identifier>3a6c9ea3-c2d3-4bf4-9965-f3e9f63ff43f</identifier> </station> <moduleType>V2S</moduleType> <location></location> <moduleVersion>05.01</moduleVersion> <subModules> <module> <identifier>5858</identifier> <moduleType>COMPACT</moduleType> <serialNumber>123456789000</serialNumber> <moduleVersion>BCB:45.43</moduleVersion> </module> </subModules> </module> </alarm> </alarms> </ns2:fmlait_any_fmlait_InfoData>

17.0

FMLA-IT ModuleId Example (ModuleIdentification): VITEK FMLA-IT

FMLA-IT Module Identification Notes: 1. To improve readability of the XML message, the data values for an XML elment have been highlighted in yellow. 17.1 FMLA-IT Upload Containing VITEK Module Identification Data

<?xml version="1.0" encoding="UTF-8" standalone="yes"?> <ns2:fmlait_any_fmlait_ModuleIdentification xmlns:ns2="http://v1.message.connectivity.fmlait.biomerieux.com"> <module> <identifier>US8015JONESS1</identifier> <name>Facilty Name</name> <station> <identifier>3a6c9ea3-c2d3-4bf4-9965-f3e9f63ff43f</identifier> </station> <moduleType>V2S</moduleType> <location>On My Desk12</location> <moduleVersion>05.01</moduleVersion> <subModules> <module> <identifier>5858</identifier> <moduleType>COMPACT</moduleType> <serialNumber>123456789000</serialNumber> <moduleVersion>BCB:45.43</moduleVersion> </module> </subModules> </module> </ns2:fmlait_any_fmlait_ModuleIdentification>

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bioMrieux, Inc. Information Technology

VITEK 2 Systems Communications Specification V2S-COMSPEC-013-B

18.0

VITEK Software Enumeration Values


18.1 IDConfidenceMessagesEnum P4 Source Location: Package Path: ClassName: FMLA Message: FMLA XML Field: 18.2 RenAesConfidence P4 Source Location: Package Path: ClassName: FMLA Message: FMLA XML Field: 18.3 InstrumentTypeEnum P4 Source Location: Package Path: ClassName: FMLA Message: FMLA XML Field: FMLA Message: FMLA XML Field: FMLA Message: FMLA XML Field: 18.4 IsolateStateEnum P4 Source Location: Package Path: ClassName: FMLA Message: FMLA XML Field: 18.5 ServerStatusEnum P4 Source Location: Package Path: ClassName: FMLA Message: FMLA XML Field: //v2c/501/rendev/common/src com.biomerieux.common.util.status ServerStatusEnum fmlait_any_fmlait_InfoData status/status/property/value //v2c/501/rendev/common/src com.biomerieux.ren.common.enums.isolate IsolateStateEnum fmlait_any_fmlait_InfoData worklist/worklistItem/isolateStatus //v2c/501/rendev/common/src com.biomerieux.ren.common.enums InstrumentTypeEnum fmlait_any_fmlait_ModuleIdentification module/submodules/module/type fmlait_any_fmlait_InfoData status/module/submodules/module/type fmlait_any_fmlait_InfoData alarms/alarm/module/submodules/module/type //v2c/501/rendev/common/src com.biomerieux.ren.aes RenAesConfidence fmlait_v2c_fmlait_Result v2cTestResult/expertFindingings/expertFinding/confidence/code //v2c/501/rendev/common/src com.biomerieux.ren.common.enums.id IDConfidenceMessagesEnum fmlait_v2c_fmlait_Result v2cTestResult/identifications/confidence/code

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