Visualize HL7 Example and Test Instances (vi7eti)

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

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Patient
Name:	Lagarde, , Victor,
DOB:	31-AUG-1939 (Age: 86)
Gender:	male
Address:	avenue Robert 80300 Albert (France)
ID:	9925-001801-9 (ECI)

Report
Date:	24-MAY-2024

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

Requested by
Thiriot Didier (Cardiologie) 89000 Auxerre (France)

Specimen
Collected:	24-MAY-2024

Chemistry

Test	24-MAY-2024	Reference Range	Unit
Glucose [Mass/volume] in Serum or Plasma	81.5	70 - 140	mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma	8.2	7 - 20	mg/dL
Creatinine [Mass/volume] in Serum or Plasma	2.1 H	0.9 - 1.3	mg/dL
Calcium [Mass/volume] in Serum or Plasma	9.0	8.5 - 10.5	mg/dL
Sodium [Moles/volume] in Serum or Plasma	143.1	135 - 145	mmol/L
Potassium [Moles/volume] in Serum or Plasma	4.1	3.5 - 5.3	mmol/L
Chloride [Moles/volume] in Serum or Plasma	108.6 H	98 - 107	mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma	23.6	22 - 33	mmol/L
Ketones [Presence] in Urine by Test strip	Urine ketone test = ++
Hemoglobin A1c/Hemoglobin.total in Blood	3.1 L	4.3 - 6	%

Urinalysis

Test	24-MAY-2024	Reference Range	Unit
Glucose [Mass/volume] in Urine by Test strip	2.0 H	0 - 0.8	mg/dL
Glucose [Presence] in Urine by Test strip	++
Bilirubin.total [Mass/volume] in Urine by Test strip	0.8	0 - 1.9	mg/dL
Bilirubin.total [Presence] in Urine by Test strip	Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip	10.1 H	0 - 3	mg/dL
Specific gravity of Urine by Test strip	1.0 L	1.01 - 1.03	{nominal}
pH of Urine by Test strip	6.5	4.5 - 7.5	pH
Protein [Mass/volume] in Urine by Test strip	370.3 H	0 - 149	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	24-MAY-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, proteinuria, glucosuria, and ketonuria, suggesting impaired renal function and possible diabetic or metabolic derangement, despite a low HbA1c. Urine is dilute, brown, and cloudy with ammoniacal odor, but no evidence of infection. Further evaluation for acute or chronic kidney disease and possible non-diabetic causes of glucosuria/ketonuria is recommended.

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

The patient shows elevated serum creatinine, proteinuria, glucosuria, and ketonuria, suggesting impaired renal function and possible diabetic or metabolic derangement, despite a low HbA1c. Urine is dilute, brown, and cloudy with ammoniacal odor, but no evidence of infection. Further evaluation for acute or chronic kidney disease and possible non-diabetic causes of glucosuria/ketonuria is recommended.