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Chemistry<\/h3>
Test<\/th>
30 Apr 2025<\/th>
Reference Range<\/th>
Unit<\/th><\/tr><\/thead>
Glucose [Mass\/volume] in Blood<\/td>
98.7<\/td>
70 - 140<\/td>
mg\/dL<\/td><\/tr>
Urea nitrogen [Mass\/volume] in Blood<\/td>
15.5<\/td>
7 - 25<\/td>
mg\/dL<\/td><\/tr>
Creatinine [Mass\/volume] in Blood<\/td>
3.1 H<\/strong><\/td>
0.6 - 1.3<\/td>
mg\/dL<\/td><\/tr>
Calcium [Mass\/volume] in Blood<\/td>
9.9<\/td>
8.5 - 10.5<\/td>
mg\/dL<\/td><\/tr>
Sodium [Moles\/volume] in Blood<\/td>
143.9<\/td>
135 - 145<\/td>
mmol\/L<\/td><\/tr>
Potassium [Moles\/volume] in Blood<\/td>
5.1<\/td>
3.5 - 5.3<\/td>
mmol\/L<\/td><\/tr>
Chloride [Moles\/volume] in Blood<\/td>
102.2<\/td>
98 - 108<\/td>
mmol\/L<\/td><\/tr>
Carbon dioxide, total [Moles\/volume] in Blood<\/td>
27.3<\/td>
24 - 29<\/td>
mmol\/L<\/td><\/tr>
Protein [Mass\/volume] in Serum or Plasma<\/td>
6.5<\/td>
6 - 8.3<\/td>
g\/dL<\/td><\/tr>
Albumin [Mass\/volume] in Serum or Plasma<\/td>
4.7<\/td>
3.5 - 5.5<\/td>
g\/dL<\/td><\/tr>
Globulin [Mass\/volume] in Serum by calculation<\/td>
3.3<\/td>
2 - 3.5<\/td>
g\/L<\/td><\/tr>
Bilirubin.total [Mass\/volume] in Serum or Plasma<\/td>
0.1 L<\/strong><\/td>
0.3 - 1.2<\/td>
mg\/dL<\/td><\/tr>
Alkaline phosphatase [Enzymatic activity\/volume] in Serum or Plasma<\/td>
51.8<\/td>
32 - 150<\/td>
U\/L<\/td><\/tr>
Alanine aminotransferase [Enzymatic activity\/volume] in Serum or Plasma<\/td>
56.2 H<\/strong><\/td>
34 - 55<\/td>
U\/L<\/td><\/tr>
Aspartate aminotransferase [Enzymatic activity\/volume] in Serum or Plasma<\/td>
25.4<\/td>
10 - 40<\/td>
U\/L<\/td><\/tr>
Ketones [Presence] in Urine by Test strip<\/td>
Urine ketone test = +++<\/td>
<\/td>
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Urinalysis<\/h3>
Test<\/th>
30 Apr 2025<\/th>
Reference Range<\/th>
Unit<\/th><\/tr><\/thead>
Glucose [Mass\/volume] in Urine by Test strip<\/td>
1.7 H<\/strong><\/td>
0.8 - 0<\/td>
mg\/dL<\/td><\/tr>
Glucose [Presence] in Urine by Test strip<\/td>
++<\/td>
<\/td>
<\/td><\/tr>
Bilirubin.total [Mass\/volume] in Urine by Test strip<\/td>
1.0<\/td>
0 - 1<\/td>
mg\/dL<\/td><\/tr>
Bilirubin.total [Presence] in Urine by Test strip<\/td>
Finding of bilirubin in urine<\/td>
<\/td>
<\/td><\/tr>
Ketones [Mass\/volume] in Urine by Test strip<\/td>
6.0 H<\/strong><\/td>
0 - 4<\/td>
mg\/dL<\/td><\/tr>
Specific gravity of Urine by Test strip<\/td>
1.0 L<\/strong><\/td>
1.01 - 1.03<\/td>
{nominal}<\/td><\/tr>
pH of Urine by Test strip<\/td>
5.1<\/td>
4.6 - 7<\/td>
pH<\/td><\/tr>
Protein [Mass\/volume] in Urine by Test strip<\/td>
423.2 H<\/strong><\/td>
0 - 15<\/td>
mg\/dL<\/td><\/tr>
Protein [Presence] in Urine by Test strip<\/td>
Urine protein test = +++<\/td>
<\/td>
<\/td><\/tr>
Nitrite [Presence] in Urine by Test strip<\/td>
Urine nitrite negative<\/td>
<\/td>
<\/td><\/tr>
Hemoglobin [Presence] in Urine by Test strip<\/td>
Urine blood test = negative<\/td>
<\/td>
<\/td><\/tr>
Leukocyte esterase [Presence] in Urine by Test strip<\/td>
Urine leukocyte test negative<\/td>
<\/td>
<\/td><\/tr><\/tbody><\/table><\/div>" }, "title": "Urinalysis" } ], "title": "Laboratory Report" }, { "text": { "status": "generated", "div": "
Annotation<\/h3>
Conclusion and Recommendations based on this report and previous findings known to us<\/th><\/tr>
The patient shows markedly elevated serum creatinine, indicating significant renal impairment, and mild elevation of ALT. Urinalysis reveals proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine appearance, suggesting nephrotic-range protein loss and possible tubular dysfunction. No evidence of urinary infection. Findings are consistent with acute or chronic kidney disease with possible metabolic derangements; prompt nephrology evaluation is recommended.<\/td><\/tr><\/table><\/div>" }, "code": { "coding": [ { "system": "http:\/\/loinc.org", "code": "48767-8", "display": "Annotation comment" } ] }, "title": "Annotation comment" } ], "status": "final", "subject": { "reference": "urn:uuid:80795751-8068-41ef-8c2a-aa9b684a257a" }, "date": "2025-05-01T00:00:00Z", "title": "Laboratory Report", "confidentiality": "N" } }, { "fullUrl": "urn:uuid:6c2b5028-a589-4f5b-8f64-042c9cc16f0d", "resource": { "resourceType": "DiagnosticReport", "id": "6c2b5028-a589-4f5b-8f64-042c9cc16f0d", "meta": { "profile": [ "http:\/\/hl7.eu\/fhir\/laboratory\/StructureDefinition\/DiagnosticReport-eu-lab" ] }, "identifier": [ { "assigner": { "display": "HL7 Europe" }, "system": "urn:oid:2.16.840.1.113883.2.51.999", "value": "3917496a-fb84-40f6-aad3-0872678220bb" } ], "extension": [ { "url": 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Laboratory Report
Patient
Name:
Fülöp
, Rozalia
DOB:
23-MAR-1947 (Age: 78)
Gender:
female
Address:
Munkácsy Mihály út 72.
2800 Tatabánya (Hungary)
ID:
7087-171686-9
Report
Date:
01-MAY-2025
Laboratory
Requested by
Árpád-házi Szent Erzsébet Szakkórház
Hősök tere 2
2890 Tata (Hungary)
Specimen
Collected:
30-APR-2025
Chemistry
Test
30 Apr 2025
Reference Range
Unit
Glucose [Mass/volume] in Blood
98.7
70 - 140
mg/dL
Urea nitrogen [Mass/volume] in Blood
15.5
7 - 25
mg/dL
Creatinine [Mass/volume] in Blood
3.1 H
0.6 - 1.3
mg/dL
Calcium [Mass/volume] in Blood
9.9
8.5 - 10.5
mg/dL
Sodium [Moles/volume] in Blood
143.9
135 - 145
mmol/L
Potassium [Moles/volume] in Blood
5.1
3.5 - 5.3
mmol/L
Chloride [Moles/volume] in Blood
102.2
98 - 108
mmol/L
Carbon dioxide, total [Moles/volume] in Blood
27.3
24 - 29
mmol/L
Protein [Mass/volume] in Serum or Plasma
6.5
6 - 8.3
g/dL
Albumin [Mass/volume] in Serum or Plasma
4.7
3.5 - 5.5
g/dL
Globulin [Mass/volume] in Serum by calculation
3.3
2 - 3.5
g/L
Bilirubin.total [Mass/volume] in Serum or Plasma
0.1 L
0.3 - 1.2
mg/dL
Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma
51.8
32 - 150
U/L
Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma
56.2 H
34 - 55
U/L
Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma
25.4
10 - 40
U/L
Ketones [Presence] in Urine by Test strip
Urine ketone test = +++
Urinalysis
Test
30 Apr 2025
Reference Range
Unit
Glucose [Mass/volume] in Urine by Test strip
1.7 H
0.8 - 0
mg/dL
Glucose [Presence] in Urine by Test strip
++
Bilirubin.total [Mass/volume] in Urine by Test strip
1.0
0 - 1
mg/dL
Bilirubin.total [Presence] in Urine by Test strip
Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip
6.0 H
0 - 4
mg/dL
Specific gravity of Urine by Test strip
1.0 L
1.01 - 1.03
{nominal}
pH of Urine by Test strip
5.1
4.6 - 7
pH
Protein [Mass/volume] in Urine by Test strip
423.2 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
Annotation
Conclusion and Recommendations based on this report and previous findings known to us
The patient shows markedly elevated serum creatinine, indicating significant renal impairment, and mild elevation of ALT. Urinalysis reveals proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine appearance, suggesting nephrotic-range protein loss and possible tubular dysfunction. No evidence of urinary infection. Findings are consistent with acute or chronic kidney disease with possible metabolic derangements; prompt nephrology evaluation is recommended.