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:	26-APR-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:	26-APR-2024

Chemistry

Test	26-APR-2024	Reference Range	Unit
Glucose [Mass/volume] in Serum or Plasma	89.3	70 - 140	mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma	13.7	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	9.1	8.5 - 10.5	mg/dL
Sodium [Moles/volume] in Serum or Plasma	136.3	135 - 145	mmol/L
Potassium [Moles/volume] in Serum or Plasma	3.9	3.5 - 5.3	mmol/L
Chloride [Moles/volume] in Serum or Plasma	110.2 H	98 - 107	mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma	24.3	22 - 33	mmol/L
Ketones [Presence] in Urine by Test strip	Urine ketone test = ++
Hemoglobin A1c/Hemoglobin.total in Blood	3.4 L	4.3 - 6	%

Urinalysis

Test	26-APR-2024	Reference Range	Unit
Glucose [Mass/volume] in Urine by Test strip	0.5	0 - 0.8	mg/dL
Glucose [Presence] in Urine by Test strip	++
Bilirubin.total [Mass/volume] in Urine by Test strip	0.9	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	13.6 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	6.9	4.5 - 7.5	pH
Protein [Mass/volume] in Urine by Test strip	237.9 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	26-APR-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, and low urine specific gravity, suggesting impaired renal function. Urine is cloudy, brown, with ammoniacal odor, and contains glucose and ketones, but no leukocytes or nitrites, making infection less likely. Low HbA1c with normoglycemia may reflect anemia or altered red cell turnover. Recommend further renal evaluation and assessment for possible underlying metabolic or renal pathology.

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

The patient shows elevated serum creatinine, proteinuria, and low urine specific gravity, suggesting impaired renal function. Urine is cloudy, brown, with ammoniacal odor, and contains glucose and ketones, but no leukocytes or nitrites, making infection less likely. Low HbA1c with normoglycemia may reflect anemia or altered red cell turnover. Recommend further renal evaluation and assessment for possible underlying metabolic or renal pathology.