Visualize HL7 Example and Test Instances (vi7eti)

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

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Patient
Name:	Δουλάμη, Ιορδανία
DOB:	07-JUL-1976 (Age: 49)
Gender:	female
Address:	Μεσιανής 0 291 00 Ζάκυνθος (Greece)
ID:	8835-942848-4 (ECI)

Report
Date:	28-JUN-2024

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

Requested by
Dr. Aggeliki Papadopoulos 130 Odós Mitropoleos 291 00 Zakynthos (Greece)

Specimen
Collected:	28-JUN-2024

Chemistry

Test	28-JUN-2024	Reference Range	Unit
Glucose [Mass/volume] in Serum or Plasma	65.7 L	70 - 100	mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma	16.2	7 - 20	mg/dL
Creatinine [Mass/volume] in Serum or Plasma	2.0 H	0.5 - 1.1	mg/dL
Calcium [Mass/volume] in Serum or Plasma	10.1	8.5 - 10.5	mg/dL
Sodium [Moles/volume] in Serum or Plasma	137.9	135 - 145	mmol/L
Potassium [Moles/volume] in Serum or Plasma	3.8	3.5 - 5.1	mmol/L
Chloride [Moles/volume] in Serum or Plasma	106.4	98 - 107	mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma	22.2	22 - 29	mmol/L
Ketones [Presence] in Urine by Test strip	Urine ketone test = +

Urinalysis

Test	28-JUN-2024	Reference Range	Unit
Glucose [Mass/volume] in Urine by Test strip	1.7	0 - 5	mg/dL
Glucose [Presence] in Urine by Test strip	Urine glucose test = ++
Bilirubin.total [Mass/volume] in Urine by Test strip	0.5	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	13.7	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	5.6	5.0 - 8.0	pH
Protein [Mass/volume] in Urine by Test strip	315.6 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	28-JUN-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, significant proteinuria, glycosuria, and ketonuria, with low serum glucose and low urine specific gravity. Urine is cloudy, brown, and ammoniacal. These findings suggest impaired renal function, likely with glomerular involvement, and possible tubular dysfunction. The presence of glycosuria with low blood glucose may indicate renal glycosuria. No evidence of urinary tract infection. Recommend urgent nephrology evaluation for further assessment and management.

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

The patient shows elevated serum creatinine, significant proteinuria, glycosuria, and ketonuria, with low serum glucose and low urine specific gravity. Urine is cloudy, brown, and ammoniacal. These findings suggest impaired renal function, likely with glomerular involvement, and possible tubular dysfunction. The presence of glycosuria with low blood glucose may indicate renal glycosuria. No evidence of urinary tract infection. Recommend urgent nephrology evaluation for further assessment and management.