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Example DiagnosticReport/ghp (Narrative)

Responsible Owner: Orders and Observations Work GroupStandards Status: InformativeCompartments: Device, Encounter, Group, Patient, Practitioner

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile DiagnosticReport.


General Health Profile for Patient/pat2 (Report: ghp-example) issued 2015-08-17T06:40:17Z

Performer: Acme Laboratory, Inc

Specimens: Red Top Tube (Serum sample), Lavender Top Tube (Blood specimen with EDTA), Urine Sample (Urine specimen)

CBC panel - Blood by Automated count

Test                     Value       Units       Reference Range    Interp
Haemoglobin              176         g/L         135 - 180          
Red Cell Count           5.9         x10*12/L    4.2 - 6.0          
Haematocrit              55          %           38 - 52            H
Mean Cell Volume         99          fL          80 - 98            H
Mean Cell Haemoglobin    36          pg          27 - 35            H
Platelet Count           444         x10*9/L     150 - 450          
White Cell Count         4.6         x10*9/L     4.0 - 11.0         
Neutrophils              20          %                              
Neutrophils              0.9         x10*9/L     2.0 - 7.5          LL
Lymphocytes              20          %                              
Lymphocytes              0.9         x10*9/L     1.1 - 4.0          L
Monocytes                20          %                              
Monocytes                0.9         x10*9/L     0.2 - 1.0          
Eosinophils              20          %                              
Eosinophils              0.92        x10*9/L     0.04 - 0.40        HH
Basophils                20          %                              
Basophils                0.92        x10*9/L     <0.21              
						

Comprehensive metabolic 2000 panel - Serum or Plasma

Test                     Value       Units       Reference Range    Interp
Sodium                   140         mmol/L      137 - 147          
Potassium                4.2         mmol/L      3.5 - 5.0          
Chloride                 105         mmol/L      96 - 109           
Bicarbonate              26          mmol/L      25 - 33            
Anion gap                13          mmol/L      4 - 17             
Glucose                  7.4         mmol/L      3.0 - 7.7          
Urea nitrogen            4.7         mmol/L      2.0 - 7.0          
Creatinine               0.09        mmol/L      0.04 - 0.11        
Urate                    0.39        mmol/L      0.14 - 0.35        H
Bilirubin.total          7           umol/L      2 - 20             
Bilirubin.direct         3           umol/L      0 - 8              
Alkaline phosphatase     108         U/L         30 - 115           
Gamma glutamyl transfer. 35          U/L         0 - 45             
Alanine aminotransfer.   54          U/L         0 - 45             H
Aspartate aminotransfer. 30          U/L         0 - 41             
Lactate dehydrogenase    131         U/L         80 - 250           
Calcium                  2.38        mmol/L      2.25 - 2.65        
Calcium.ionized          2.39        mmol/L      2.25 - 2.65        
Phosphate                1.5         mmol/L      0.8 - 1.5          
Protein                  67          g/L         60 - 82            
Albumin                  42          g/L         35 - 50            
Globulin                 25          g/L         20 - 40            
						

Urinalysis macro (dipstick) panel - Urine

Test                     Value       Units
pH of Urine              5.0         pH
Protein [Presence]       Negative    
Specific gravity         1.009       
Erythrocytes [Presence]  Negative    
Glucose [Presence]       Negative    
Leukocytes [Presence]    Negative    
Leukocytes               1           /uL
Erythrocytes             <1          /uL
Epithelial cells.squam.  <1          /mL
						

 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.