Visualize HL7 Example and Test Instances (vi7eti)

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

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Patient
Name:	Jenkins, , Molly,
DOB:	14-AUG-1967 (Age: 58)
Gender:	female
Address:	98 Ali field AB42 Port Jennamouth (United Kingdom)
ID:	7634-012682-0 (ECI)

Report
Date:	06-JUL-2017

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

Requested by
Aberdeen Community Health and Care Village AB11 6 Aberdeen (United Kingdom)

Specimen
Collected:	06-JUL-2017

Chemistry

Test	06-JUL-2017	Reference Range	Unit
Glucose [Mass/volume] in Serum or Plasma	73.8	70 - 139	mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma	15.6	7 - 20	mg/dL
Creatinine [Mass/volume] in Serum or Plasma	1.9 H	0.6 - 1.1	mg/dL
Calcium [Mass/volume] in Serum or Plasma	8.8	8.5 - 10.4	mg/dL
Sodium [Moles/volume] in Serum or Plasma	138.5	135 - 145	mmol/L
Potassium [Moles/volume] in Serum or Plasma	4.7	3.5 - 5.1	mmol/L
Chloride [Moles/volume] in Serum or Plasma	101.4	98 - 110	mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma	21.9 L	22 - 32	mmol/L
Ketones [Presence] in Urine by Test strip	Urine ketone test = +
Hemoglobin A1c/Hemoglobin.total in Blood	2.9 L	4 - 6	%

Urinalysis

Test	06-JUL-2017	Reference Range	Unit
Glucose [Mass/volume] in Urine by Test strip	1.8 H	0 - 0	mg/dL
Glucose [Presence] in Urine by Test strip	++
Bilirubin.total [Mass/volume] in Urine by Test strip	0.7	0 - 1.6	mg/dL
Bilirubin.total [Presence] in Urine by Test strip	Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip	15.2 H	0 - 0.5	mg/dL
Specific gravity of Urine by Test strip	1.0 L	1.005 - 1.03	{nominal}
pH of Urine by Test strip	5.7	4.5 - 7.5	pH
Protein [Mass/volume] in Urine by Test strip	324.4 H	0 - 15	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	06-JUL-2017	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, low total CO₂, and significant proteinuria, glycosuria, and ketonuria, with low urine specific gravity. These findings suggest impaired renal function, possible metabolic acidosis, and abnormal glucose handling despite low HbA1c. Urine abnormalities (cloudy, brown, ammoniacal) further support renal involvement. Recommend urgent clinical evaluation for possible acute or chronic kidney disease and metabolic derangements.

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

The patient shows elevated serum creatinine, low total CO₂, and significant proteinuria, glycosuria, and ketonuria, with low urine specific gravity. These findings suggest impaired renal function, possible metabolic acidosis, and abnormal glucose handling despite low HbA1c. Urine abnormalities (cloudy, brown, ammoniacal) further support renal involvement. Recommend urgent clinical evaluation for possible acute or chronic kidney disease and metabolic derangements.