Visualize HL7 Example and Test Instances (vi7eti)

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

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Patient
Name:	Rémy, Yves
DOB:	16-MAY-1948 (Age: 77)
Gender:	male
Address:	rue de Turpin 06400 Cannes (France)
ID:	4543-821530-8 (ECI)

Report
Date:	03-NOV-2024

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

Requested by
Clinique du Méridien 06150 Cannes (France)

Specimen
Collected:	03-NOV-2024

Chemistry

Test	03-NOV-2024	Reference Range	Unit
Glucose [Mass/volume] in Serum or Plasma	91.9	70 - 100	mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma	7.4	7 - 20	mg/dL
Creatinine [Mass/volume] in Serum or Plasma	1.9 H	0.6 - 1.3	mg/dL
Calcium [Mass/volume] in Serum or Plasma	9.5	8.5 - 10.5	mg/dL
Sodium [Moles/volume] in Serum or Plasma	138.5	135 - 145	mmol/L
Potassium [Moles/volume] in Serum or Plasma	4.5	3.5 - 5.1	mmol/L
Chloride [Moles/volume] in Serum or Plasma	109.8 H	98 - 107	mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma	23.4	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	03-NOV-2024	Reference Range	Unit
Glucose [Mass/volume] in Urine by Test strip	1.8 H	0 - 0.8	mg/dL
Glucose [Presence] in Urine by Test strip	Urine glucose test = ++
Bilirubin.total [Mass/volume] in Urine by Test strip	1.3 H	0.0 - 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	5.1 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	5.2	4.5 - 8.0	pH
Protein [Mass/volume] in Urine by Test strip	175.6 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	03-NOV-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
The patient shows elevated serum creatinine, suggesting impaired renal function, and mild hyperchloremia. Urinalysis reveals significant proteinuria, glucosuria, ketonuria, and bilirubinuria, with low specific gravity and abnormal urine appearance, indicating possible renal tubular dysfunction and/or underlying metabolic disturbance. HbA1c is unexpectedly low, possibly due to anemia or altered red cell turnover. Recommend further nephrological and metabolic evaluation, and correlation with clinical findings.

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

The patient shows elevated serum creatinine, suggesting impaired renal function, and mild hyperchloremia. Urinalysis reveals significant proteinuria, glucosuria, ketonuria, and bilirubinuria, with low specific gravity and abnormal urine appearance, indicating possible renal tubular dysfunction and/or underlying metabolic disturbance. HbA1c is unexpectedly low, possibly due to anemia or altered red cell turnover. Recommend further nephrological and metabolic evaluation, and correlation with clinical findings.