Visualize HL7 Example and Test Instances (vi7eti)

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

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Patient
Name:	Johnson, Stanley
DOB:	05-MAR-1941 (Age: 85)
Gender:	male
Address:	289 Smith garden TN1 Terencebury (United Kingdom)
ID:	7188-531997-1 (ECI)

Report
Date:	10-FEB-2024

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

Requested by
Evelina Children's Hospital SE1 7 London (United Kingdom)

Specimen
Collected:	10-FEB-2024

Chemistry

Test	10-FEB-2024	Reference Range	Unit
Glucose [Mass/volume] in Serum or Plasma	71.7	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	1.5 H	0.6 - 1.3	mg/dL
Calcium [Mass/volume] in Serum or Plasma	8.8	8.6 - 10.3	mg/dL
Sodium [Moles/volume] in Serum or Plasma	137.3	135 - 145	mmol/L
Potassium [Moles/volume] in Serum or Plasma	4.3	3.5 - 5.1	mmol/L
Chloride [Moles/volume] in Serum or Plasma	103.3	98 - 107	mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma	20.7 L	22 - 29	mmol/L
Ketones [Presence] in Urine by Test strip	Urine ketone test = trace
Hemoglobin A1c/Hemoglobin.total in Blood	2.8 L	4.8 - 5.9	%

Urinalysis

Test	10-FEB-2024	Reference Range	Unit
Glucose [Mass/volume] in Urine by Test strip	1.4 H	0 - 0	mg/dL
Glucose [Presence] in Urine by Test strip	Urine glucose test = ++
Bilirubin.total [Mass/volume] in Urine by Test strip	1.1	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	6.1 H	0 - 4	mg/dL
Specific gravity of Urine by Test strip	1.0 L	1.005 - 1.030	{nominal}
pH of Urine by Test strip	6.6	5.0 - 7.0	pH
Protein [Mass/volume] in Urine by Test strip	132.0 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	10-FEB-2024	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
Renal function is mildly impaired (elevated creatinine), with metabolic acidosis suggested by low CO₂. Urinalysis shows proteinuria, glucosuria, ketonuria, and abnormal appearance (cloudy, brown, ammoniacal), but no evidence of infection (negative nitrite/leukocytes). Low urine specific gravity may indicate impaired concentrating ability. Markedly low HbA1c suggests possible anemia or recent hypoglycemia. Findings are consistent with renal dysfunction and possible tubular damage; clinical correlation and further nephrological evaluation are recommended.

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

Renal function is mildly impaired (elevated creatinine), with metabolic acidosis suggested by low CO₂. Urinalysis shows proteinuria, glucosuria, ketonuria, and abnormal appearance (cloudy, brown, ammoniacal), but no evidence of infection (negative nitrite/leukocytes). Low urine specific gravity may indicate impaired concentrating ability. Markedly low HbA1c suggests possible anemia or recent hypoglycemia. Findings are consistent with renal dysfunction and possible tubular damage; clinical correlation and further nephrological evaluation are recommended.