Close
Visualize HL7 Example and Test Instances (vi7eti), pronounced /viːˈsɛtiː/
Disclaimer: FOR TEST AND EXAMPLE PURPOSES ONLY! These web pages are not intended to be used as a source of information on medicines. The web pages are not kept up to date and are for demonstration purposes only. For up-to-date information on a medicine, please consult www.ema.europa.eu/medicines or the package leaflet of your medicine.
 Show source BACK TO LIST

Laboratory Report

Patient
Name: Ferreira, Vicente
DOB: 26-DEC-1941 (Age: 83)
Gender: male
Address:
R São Domingos 111
2645-065 Alcabideche (Portugal)
ID: 7321-512116-8
Report
Date: 17-JUN-2025
Laboratory
Requested by
CASP -Centro de Apoio Social do Pisão
2710-631 Sintra (Portugal)
Specimen
Collected: 16-JUN-2025

Chemistry

Test 16 Jun 2025 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 76.0 70 - 99 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 9.0 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 9.4 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Serum or Plasma 141.3 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 5.0 3.5 - 5.3 mmol/L
Chloride [Moles/volume] in Serum or Plasma 106.2 H 98 - 106 mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma 21.5 L 22 - 29 mmol/L
Ketones [Presence] in Urine by Test strip Urine ketone test = ++
Hemoglobin A1c/Hemoglobin.total in Blood 3.6 L 4 - 6 %
Glucose [Mass/volume] in Blood 76.0 70 - 99 mg/dL
Urea nitrogen [Mass/volume] in Blood 9.0 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 2.7 H 0.9 - 1.3 mg/dL
Calcium [Mass/volume] in Blood 9.4 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 141.3 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 5.0 3.5 - 5.3 mmol/L
Chloride [Moles/volume] in Blood 106.2 H 98 - 106 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 21.5 L 22 - 29 mmol/L

Urinalysis

Test 16 Jun 2025 Reference Range Unit
Glucose [Mass/volume] in Urine by Test strip 1.2 H 0 - 0.8 mg/dL
Glucose [Presence] in Urine by Test strip ++
Bilirubin.total [Mass/volume] in Urine by Test strip 1.3 0 - 1.4 mg/dL
Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip 12.0 0 - 20 mg/dL
Specific gravity of Urine by Test strip 1.0 L 1.01 - 1.03 {nominal}
pH of Urine by Test strip 5.7 4.5 - 7 pH
Protein [Mass/volume] in Urine by Test strip 231.7 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 elevated creatinine, suggesting impaired renal function, and significant proteinuria, glycosuria, and ketonuria, indicating possible diabetic nephropathy or another renal pathology despite low HbA1c. Urine is abnormal in appearance and color, with low specific gravity, but no evidence of infection. Mild metabolic acidosis is suggested by low CO₂. Further nephrological evaluation and assessment for underlying causes (e.g., diabetes, dehydration, or other renal disease) are recommended.