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Chemistry<\/h3>
Test<\/th>
08 Aug 2023<\/th>
Reference Range<\/th>
Unit<\/th><\/tr><\/thead>
Hemoglobin A1c\/Hemoglobin.total in Blood<\/td>
5.4<\/td>
4 - 6<\/td>
%<\/td><\/tr>
Glucose [Mass\/volume] in Blood<\/td>
157.5 H<\/strong><\/td>
70 - 140<\/td>
mg\/dL<\/td><\/tr>
Urea nitrogen [Mass\/volume] in Blood<\/td>
7.9<\/td>
7 - 20<\/td>
mg\/dL<\/td><\/tr>
Creatinine [Mass\/volume] in Blood<\/td>
0.5 L<\/strong><\/td>
0.6 - 1.1<\/td>
mg\/dL<\/td><\/tr>
Calcium [Mass\/volume] in Blood<\/td>
9.7<\/td>
8.5 - 10.5<\/td>
mg\/dL<\/td><\/tr>
Sodium [Moles\/volume] in Blood<\/td>
141.3<\/td>
135 - 145<\/td>
mmol\/L<\/td><\/tr>
Potassium [Moles\/volume] in Blood<\/td>
3.9<\/td>
3.5 - 5<\/td>
mmol\/L<\/td><\/tr>
Chloride [Moles\/volume] in Blood<\/td>
105.2<\/td>
98 - 108<\/td>
mmol\/L<\/td><\/tr>
Carbon dioxide, total [Moles\/volume] in Blood<\/td>
25.3<\/td>
22 - 29<\/td>
mmol\/L<\/td><\/tr>
Cholesterol [Mass\/volume] in Serum or Plasma<\/td>
243.7 H<\/strong><\/td>
239 - 200<\/td>
mg\/dL<\/td><\/tr>
Triglyceride [Mass\/volume] in Serum or Plasma<\/td>
225.9 H<\/strong><\/td>
0 - 150<\/td>
mg\/dL<\/td><\/tr>
Cholesterol in LDL [Mass\/volume] in Serum or Plasma by Direct assay<\/td>
177.6 H<\/strong><\/td>
0 - 130<\/td>
mg\/dL<\/td><\/tr>
Cholesterol in HDL [Mass\/volume] in Serum or Plasma<\/td>
20.9 L<\/strong><\/td>
40 - 60<\/td>
mg\/dL<\/td><\/tr>
Microalbumin\/Creatinine [Mass Ratio] in Urine<\/td>
15.2<\/td>
0 - 30<\/td>
mg\/g<\/td><\/tr><\/tbody><\/table><\/div>" }, "title": "Chemistry" } ], "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 persistent hyperglycemia with normal HbA1c, suggesting possible postprandial elevations or impaired glucose tolerance. There is marked dyslipidemia (high total cholesterol, LDL, triglycerides, and low HDL), increasing cardiovascular risk. Renal function appears preserved (normal urea, low creatinine likely due to low muscle mass), and microalbumin\/creatinine ratio is normal. Electrolytes and calcium are within normal limits. Recommend clinical correlation for diabetes and aggressive management of lipid abnormalities.<\/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:009880f8-af11-4900-b4e3-27337d2c7e17" }, "date": "2023-08-09T00:00:00Z", "title": "Laboratory Report", "confidentiality": "N" } }, { "fullUrl": "urn:uuid:788de0d4-5d57-47fd-94b0-12dd09c7fdd7", "resource": { "resourceType": "DiagnosticReport", "id": "788de0d4-5d57-47fd-94b0-12dd09c7fdd7", "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": "de1ec8fb-2afc-48ba-be48-300a70f29970" } ], "extension": [ { "url": 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Laboratory Report
Patient
Name:
Hyam
, Elizabeth
DOB:
01-SEP-1942 (Age: 83)
Gender:
female
Address:
74 Preston Rd
TQ9 3SB Moreleigh (United Kingdom)
ID:
6284-190445-1
Report
Date:
09-AUG-2023
Laboratory
Requested by
Totnes Community Hospital
TQ9 5 Totnes (United Kingdom)
Specimen
Collected:
08-AUG-2023
Chemistry
Test
08 Aug 2023
Reference Range
Unit
Hemoglobin A1c/Hemoglobin.total in Blood
5.4
4 - 6
%
Glucose [Mass/volume] in Blood
157.5 H
70 - 140
mg/dL
Urea nitrogen [Mass/volume] in Blood
7.9
7 - 20
mg/dL
Creatinine [Mass/volume] in Blood
0.5 L
0.6 - 1.1
mg/dL
Calcium [Mass/volume] in Blood
9.7
8.5 - 10.5
mg/dL
Sodium [Moles/volume] in Blood
141.3
135 - 145
mmol/L
Potassium [Moles/volume] in Blood
3.9
3.5 - 5
mmol/L
Chloride [Moles/volume] in Blood
105.2
98 - 108
mmol/L
Carbon dioxide, total [Moles/volume] in Blood
25.3
22 - 29
mmol/L
Cholesterol [Mass/volume] in Serum or Plasma
243.7 H
239 - 200
mg/dL
Triglyceride [Mass/volume] in Serum or Plasma
225.9 H
0 - 150
mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay
177.6 H
0 - 130
mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma
20.9 L
40 - 60
mg/dL
Microalbumin/Creatinine [Mass Ratio] in Urine
15.2
0 - 30
mg/g
Annotation
Conclusion and Recommendations based on this report and previous findings known to us
The patient shows persistent hyperglycemia with normal HbA1c, suggesting possible postprandial elevations or impaired glucose tolerance. There is marked dyslipidemia (high total cholesterol, LDL, triglycerides, and low HDL), increasing cardiovascular risk. Renal function appears preserved (normal urea, low creatinine likely due to low muscle mass), and microalbumin/creatinine ratio is normal. Electrolytes and calcium are within normal limits. Recommend clinical correlation for diabetes and aggressive management of lipid abnormalities.