Visualize HL7 Example and Test Instances (vi7eti)

Visualize HL7 Example and Test Instances (vi7eti), pronounced /viːˈsɛtiː/

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Patient
Name:	Bauer, Angela
DOB:	08-DEC-1968 (Age: 57)
Gender:	female
Address:	Kalina-Baumgartner-Gasse 8/9 6240 Rattenberg (Austria)
ID:	9736-451235-6 (ECI)

Report
Date:	26-JUN-2020

Laboratory
dr Ample, Ex Laboratoire Central Européenne Boulevard du Jardin Botanique 32 1000 Brussels (Belgium)

Requested by
Dr. Gerald Mair Karl-Mauracher-Weg 26 6263 Fügen (Austria)

Specimen
Collected:	26-JUN-2020

Chemistry

Test	26-JUN-2020	Reference Range	Unit
Glucose [Mass/volume] in Serum or Plasma	78.8	70 - 100	mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma	9.4	7 - 20	mg/dL
Creatinine [Mass/volume] in Serum or Plasma	1.9 H	0.5 - 1.1	mg/dL
Calcium [Mass/volume] in Serum or Plasma	9.1	8.6 - 10.2	mg/dL
Sodium [Moles/volume] in Serum or Plasma	139.0	135 - 145	mmol/L
Potassium [Moles/volume] in Serum or Plasma	4.4	3.5 - 5.1	mmol/L
Chloride [Moles/volume] in Serum or Plasma	106.1	98 - 107	mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma	27.8	22 - 29	mmol/L
Ketones [Presence] in Urine by Test strip	Urine ketone test = +
Hemoglobin A1c/Hemoglobin.total in Blood	3.3 L	4.0 - 5.6	%

Urinalysis

Test	26-JUN-2020	Reference Range	Unit
Glucose [Mass/volume] in Urine by Test strip	1.3 H	0 - 0	mg/dL
Glucose [Presence] in Urine by Test strip	Urine glucose test = ++
Bilirubin.total [Mass/volume] in Urine by Test strip	0.9	0 - 4	mg/dL
Bilirubin.total [Presence] in Urine by Test strip	Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip	8.8	0 - 20	mg/dL
Specific gravity of Urine by Test strip	1.0 L	1.005 - 1.030	{nominal}
pH of Urine by Test strip	5.8	5.0 - 8.0	pH
Protein [Mass/volume] in Urine by Test strip	211.1 H	0 - 20	mg/dL
Protein [Presence] in Urine by Test strip	Urine protein test = ++
Nitrite [Presence] in Urine by Test strip	Urine nitrite negative
Hemoglobin [Presence] in Urine by Test strip	Urine blood test = negative
Leukocyte esterase [Presence] in Urine by Test strip	Urine leukocyte test negative

Specimen information

Test	26-JUN-2020	Specimen
Appearance of Urine	Cloudy urine	Urine
Odor of Urine	Urine smell ammoniacal	Urine
Clarity of Urine	Translucent	Urine
Color of Urine	Brown color	Urine

Annotation

Conclusion and Recommendations based on this report and previous findings known to us
The patient shows elevated serum creatinine, significant proteinuria, glucosuria, low urine specific gravity, and abnormal urine appearance, suggesting impaired renal function, possibly nephrotic syndrome or diabetic nephropathy. However, HbA1c is low, arguing against chronic hyperglycemia. No evidence of urinary tract infection. Recommend further nephrological evaluation and assessment for possible underlying renal pathology.

Conclusion and Recommendations based on this report and previous findings known to us

The patient shows elevated serum creatinine, significant proteinuria, glucosuria, low urine specific gravity, and abnormal urine appearance, suggesting impaired renal function, possibly nephrotic syndrome or diabetic nephropathy. However, HbA1c is low, arguing against chronic hyperglycemia. No evidence of urinary tract infection. Recommend further nephrological evaluation and assessment for possible underlying renal pathology.