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:	21-DEC-2018

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:	21-DEC-2018

Chemistry

Test	21-DEC-2018	Reference Range	Unit
Glucose [Mass/volume] in Serum or Plasma	93.8	70 - 140	mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma	15.5	7 - 20	mg/dL
Creatinine [Mass/volume] in Serum or Plasma	2.0 H	0.9 - 1.3	mg/dL
Calcium [Mass/volume] in Serum or Plasma	8.8	8.5 - 10.5	mg/dL
Sodium [Moles/volume] in Serum or Plasma	141.2	135 - 145	mmol/L
Potassium [Moles/volume] in Serum or Plasma	4.0	3.5 - 5.3	mmol/L
Chloride [Moles/volume] in Serum or Plasma	107.1 H	98 - 107	mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma	28.5	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	21-DEC-2018	Reference Range	Unit
Glucose [Mass/volume] in Urine by Test strip	2.3 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	9.9 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	350.5 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	21-DEC-2018	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 tubular dysfunction. Low urine specific gravity further supports renal concentrating defects. Despite normal serum glucose, low HbA1c and presence of glucose and ketones in urine may indicate recent metabolic derangement or acute illness. Urine is cloudy and brown, but no evidence of infection (negative nitrite/leukocytes). Recommend further evaluation for acute or chronic kidney disease and possible metabolic disturbances.

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 tubular dysfunction. Low urine specific gravity further supports renal concentrating defects. Despite normal serum glucose, low HbA1c and presence of glucose and ketones in urine may indicate recent metabolic derangement or acute illness. Urine is cloudy and brown, but no evidence of infection (negative nitrite/leukocytes). Recommend further evaluation for acute or chronic kidney disease and possible metabolic disturbances.