You can use isset() without losing the concatenation:
//snip
$str = 'something'
. ( isset($output['alternate_title']) ? $output['alternate_title'] : '' )
. ( isset($output['access_info']) ? $output['access_info'] : '' )
. //etc.
You could also write a function to return the string if it is set - this probably isn't very efficient:
function getIfSet(& $var) {
if (isset($var)) {
return $var;
}
return null;
}
$str = getIfSet($output['alternate_title']) . getIfSet($output['access_info']) //etc
You won't get a notice because the variable is passed by reference.