DSTU2 Ballot Source

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Diagnosticreport-examples-lab-text

This is the narrative for the resource. See also the XML or JSON format.

CUMULATIVE REPORT
Request No:   Z168748  Z968634  Z986932
      Date:  10/12/02 05/04/12 05/04/12
      Time:     16:00    11:15    23:30                   Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1        *        *                          0.8-1.3
APTT               26        *        *                    secs  23-36
Fibrinogen        8.1H       *        *                    g/L   2.0-5.0

12Z968932 05/04/12 23:30
Comment: Please note specimen clotted. Ward notified.

12Z968634 05/04/12 11:15
Comment: * Specimen clotted.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:38:00 AM

subject: Patient/112

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986932-16258709

diagnostic: Apr 6, 2012 9:30:00 AM


CUMULATIVE REPORT
Req No:   Z916580  Z661921  Z766455  Z986634  Z968932
  Date:  09/10/06 26/03/07 28/09/07 05/04/12 05/04/12
  Time:     09:25    10:10    08:45    11:15    23:30  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            130      119      121      136      129  g/L       115-150
WCC           6.1      5.5      6.0      8.9      8.6  x10^9/L   4.0-11.0
PLT           263      237      264        *      213  x10^9/L   140-400
RCC          4.92     4.41     4.58     4.63     4.42  x10^12/L  3.80-5.10
PCV          0.39     0.35     0.36     0.39     0.38  L/L       0.35-0.45
MCV          79.3L    79.7L    79.3L    84.6     86.0  fL        80.0-96.0
MCH          26.5L    26.8L    26.3L    29.3     29.3  pg        27.0-33.0
MCHC          334      337      332      346      341  g/L       320-360
RDW          15.1H    15.5H    15.2H    13.7     14.0  %         11.0-15.0
White Cell Differential
Neut         3.8      2.9      3.4      6.7      6.2   x10^9/L   2.0-8.0
Lymph        1.6      2.0      2.0      1.5      1.5   x10^9/L   1.2-4.0
Mono         0.4      0.5      0.5      0.6      0.8   x10^9/L   0.1-1.0
Eos          0.2      0.0      0.1      0.0      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.1   x10^9/L   0.0-0.1

07Z661921 26/03/07 10:10
Film Comment : Film scanned.

12Z986634 05/04/12 11:15
Film Comment : Platelets are clumped, but appear adequate in number. Red
               cells are mainly normocytic normochromic with mild
               rouleaux. White cells appear normal.
Comment: *PLEASE NOTE AMENDED REPORT*

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:59:00 AM

subject: Patient/112

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968932-16258708

diagnostic: Apr 6, 2012 9:30:00 AM


Request No:  Z516369
      Date: 05/04/12                                              Arterial
      Time:    23:55                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.38                                              7.35-7.45
pCO2              55H                                     mmHg    35-45
Base Excess      7.1H                                     mmol/L  -3.0/3.0
pO2               30L                                     mmHg    75-100
O2 Sat            41L                                     %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.3                                      mmol/L  3.5-5.5
Sodium           141                                      mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb       145                                      g/L     130-170

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:57:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561369-16258707

requestDetail: Patient/113; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 9:55:00 AM


Anti-Factor Xa Assay (Plasma)
Heparin Level by Anti-Xa          0.03   U/mL

Anti-Factor Xa Comment:
   Reference range for Anti-Xa level depends upon route, time, dose and
   reason for anticoagulation.
   Therapeutic anticoagulation with LMWH (such as Enoxaparin) generally does
   not require routine monitoring. However, anti-Xa levels are recommended
   for patients on LMWH requiring dose adjustment in settings of (1) renal
   impairment, (2) obesity and (3) pregnancy.  To assist interpretation of
   therapeutic ranges, anti-Xa levels should be collected four hours after
   the third dose.  For less common indications such a patients at high risk
   of bleeding, and interpretation of results, please contact the on-call
   laboratory Haematology registrar or Haematologist via ACME switchboard.


Generated Narrative with Details

text:

name: Special Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:23:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968942-16258706

diagnostic: Apr 6, 2012 9:40:00 AM


CUMULATIVE REPORT
Request No:   Z968427  Z968448  Z986671  Z968774  Z968942
      Date:  05/04/12 05/04/12 05/04/12 05/04/12 05/04/12
      Time:     03:30    05:10    09:10    17:02    23:40 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.7H     1.7H                                  0.8-1.3
APTT               31       31       27       31       35  secs  23-36
Fibrinogen        1.9L     1.8L                            g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:19:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986942-16258705

diagnostic: Apr 6, 2012 9:40:00 AM


CUMULATIVE REPORT
Request No:   Z466872  Z864523  Z560485  Z896274  Z968972
      Date:  08/01/09 08/01/09 17/02/09 19/02/09 05/04/12
      Time:     08:10    09:34    15:30    06:00    23:10 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR                 *      1.0      0.8      0.9      1.0        0.8-1.3
APTT                *       23L      25       25       24  secs  23-36
Fibrinogen          *      3.5      2.9      3.3      5.3H g/L   2.0-5.0

09Z466872 08/01/09 08:10
Comment: * Note: unsuitable specimen - tube underfilled.   Please
         fill coag. tubes to the blue line.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:19:00 AM

subject: Patient/115

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968972-16258704

diagnostic: Apr 6, 2012 9:10:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         3.9     mmol/L ( 3.5-5.5  )
Chloride          108     mmol/L ( 95-110   )
HCO3               25     mmol/L ( 22-30    )
Creatinine         62     umol/L ( 64-104   )
 (Creatinine)    0.062    mmol/L ( 0.05-0.11)
Urea              6.3     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Calcium          2.40     mmol/L ( 2.10-2.60)
Phosphate        1.74     mmol/L ( 0.8-1.5  )
Magnesium        0.87     mmol/L ( 0.7-1.1  )
Albumin            32     g/L    ( 35-50    )
Troponin I       24.15    ug/L   (See Below )
CK                828     IU/L   ( <175     )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:39:00 AM

subject: Patient/115

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986972-16258703

diagnostic: Apr 6, 2012 9:10:00 AM


THYROID FUNCTION
Free T4                   75.1    H  pmol/L  ( 9.0-26.0 )
Free T3                   14.9    H  pmol/L  ( 3.5-6.5  )
TSH                       0.01    L  mIU/L   ( 0.1-4.0  )




Generated Narrative with Details

text:

name: Endo / Nutrition (Details )

status: FINAL

issued: Apr 6, 2012 3:49:00 PM

subject: Patient/115

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968972-16258702

diagnostic: Apr 6, 2012 9:10:00 AM


CUMULATIVE REPORT
Req No:   Z466872  Z560485  Z869274  Z676769  Z968972
  Date:  08/01/09 17/02/09 19/02/09 24/01/12 05/04/12
  Time:     08:10    15:30    06:00    15:50    23:10  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            159      143      144      149      132  g/L       130-170
WCC           7.3      6.5      7.1      7.6      6.9  x10^9/L   4.0-11.0
PLT           231      241      220      225      227  x10^9/L   140-400
RCC          4.96     4.54     4.54     4.68     4.17L x10^12/L  4.50-5.70
PCV          0.46     0.42     0.42     0.43     0.38L L/L       0.40-0.50
MCV          92.9     92.7     92.3     92.4     91.7  fL        80.0-96.0
MCH          32.1     31.5     31.6     31.8     31.8  pg        27.0-33.0
MCHC          345      340      343      344      346  g/L       320-360
RDW          12.8     13.3     13.7     13.3     12.4  %         11.0-15.0
White Cell Differential
Neut         4.6      3.3      4.5      4.0      3.7   x10^9/L   2.0-8.0
Lymph        1.9      2.4      1.8      2.7      2.1   x10^9/L   1.2-4.0
Mono         0.5      0.5      0.6      0.6      0.8   x10^9/L   0.1-1.0
Eos          0.2      0.3      0.2      0.2      0.3   x10^9/L   0.0-0.5
Baso         0.1      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:59:00 AM

subject: Patient/115

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968972-16258701

diagnostic: Apr 6, 2012 9:10:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         3.6     mmol/L ( 3.5-5.5  )
Chloride          109     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine         66     umol/L ( 49-90    )
 (Creatinine)    0.066    mmol/L ( 0.05-0.09)
Urea              4.0     mmol/L ( 2.5-8.3  )
 eGFR             76             ( SEE-BELOW)
C-React Prot      152     mg/L   ( <5       )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 9:30:00 AM

subject: Patient/116

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968922-16258699

requestDetail: Patient/116; clinicalNotes: Infected Tendon Sheath

diagnostic: Apr 6, 2012 9:30:00 AM


CUMULATIVE REPORT
Req No:   Z986922
  Date:  05/04/12
  Time:     23:30                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            123                                      g/L       115-150
WCC           9.7                                      x10^9/L   4.0-11.0
PLT           217                                      x10^9/L   140-400
RCC          3.93                                      x10^12/L  3.80-5.10
PCV          0.36                                      L/L       0.35-0.45
MCV          91.1                                      fL        80.0-96.0
MCH          31.3                                      pg        27.0-33.0
MCHC          344                                      g/L       320-360
RDW          13.2                                      %         11.0-15.0
White Cell Differential
Neut         7.2                                       x10^9/L   2.0-8.0
Lymph        1.9                                       x10^9/L   1.2-4.0
Mono         0.6                                       x10^9/L   0.1-1.0
Eos          0.0                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:30:00 AM

subject: Patient/116

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968922-16258698

requestDetail: Patient/116; clinicalNotes: Infected Tendon Sheath

diagnostic: Apr 6, 2012 9:30:00 AM


SERUM/PLASMA
Sodium            136     mmol/L ( 135-145  )
Potassium         3.8     mmol/L ( 3.5-5.5  )
Chloride          108     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine        117     umol/L ( 64-104   )
 (Creatinine)    0.117    mmol/L ( 0.05-0.11)
Urea             10.0     mmol/L ( 2.5-8.3  )
 eGFR             53             ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:31:00 AM

subject: Patient/117

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968991-16258697

requestDetail: Patient/117; clinicalNotes: Post Tx

diagnostic: Apr 6, 2012 8:40:00 AM


CUMULATIVE REPORT
Req No:   Z968331  Z968584  Z986666  Z968991
  Date:  04/04/12 05/04/12 05/04/12 05/04/12
  Time:     19:45    04:35    12:05    22:40           Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             76L      81L      86L      80L          g/L       130-170
WCC          10.6      9.0     11.1H     8.1           x10^9/L   4.0-11.0
PLT           177      155      141      207           x10^9/L   140-400
RCC          2.24L    2.39L    2.51L    2.37L          x10^12/L  4.50-5.70
PCV          0.22L    0.23L    0.24L    0.23L          L/L       0.40-0.50
MCV          98.6H    96.4H    96.9H    96.3H          fL        80.0-96.0
MCH          33.7H    34.0H    34.1H    33.9H          pg        27.0-33.0
MCHC          342      352      352      352           g/L       320-360
RDW          15.8H    16.3H    16.8H    17.5H          %         11.0-15.0
White Cell Differential
Neut         7.8      6.8      9.8H     6.3            x10^9/L   2.0-8.0
Lymph        1.1L     1.1L     0.7L     0.9L           x10^9/L   1.2-4.0
Mono         0.6      0.8      0.7      0.7            x10^9/L   0.1-1.0
Eos          0.1      0.2      0.0      0.2            x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0            x10^9/L   0.0-0.1
Bands        0.8H                                      x10^9/L   0.0-0.5
Meta         0.1H                                      x10^9/L   0.0
NRBC            1H                                     /100WBCs  0
NRBC Abs     0.1H                                      x10^9/L   0

12Z968331 04/04/12 19:45
Film Comment : Red cells show moderate polychromasia with occasional
               nucleated red cells.
               Mild neutrophilia with moderate left shift and toxic
               changes. Manual differential.
               Platelets appear normal.
Conclusion: In keeping with stated history of acute blood loss.
            Infection / inflammation cannot be excluded. Suggest
            clinical correlation and follow up FBE.
Comment: Film reviewed by Dr Radio Xray - Haematology
         Registrar

12Z986584 05/04/12 04:35
Comment: Please note rise in haemoglobin since the last
         examination. ? Consistent with post blood transfusion.

12Z968666 05/04/12 12:05
Film Comment : Mild neutrophilia with mild toxic changes. Manual
               differential. Red cells are mildly macrocytic with some
               target cells and polychromatic cells. Platelets appear
               normal.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:53:00 AM

subject: Patient/117

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986991-16258696

requestDetail: Patient/117; clinicalNotes: Post Tx

diagnostic: Apr 6, 2012 8:40:00 AM


CUMULATIVE REPORT
Request No:   Z362693  Z763647  Z886473  Z461534  Z968912
      Date:  08/02/12 15/02/12 15/02/12 29/02/12 05/04/12
      Time:     20:20    14:15    16:37    12:20    19:50 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.3        *      1.2      1.2        *        0.8-1.3
APTT               28        *       26       27        *  secs  23-36
Fibrinogen        6.5H       *      4.6      6.3H       *  g/L   2.0-5.0

12Z986912 05/04/12 19:50
Comment: Please note specimen clotted. Ward notified.

12Z763647 15/02/12 14:15
Comment: * Specimen clotted. Suggest repeat. Ward notified.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:22:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986912-16258695

diagnostic: Apr 6, 2012 5:50:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         6.1     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               20     mmol/L ( 22-30    )
Creatinine        193     umol/L ( 49-90    )
 (Creatinine)    0.193    mmol/L ( 0.05-0.09)
Urea             19.8     mmol/L ( 2.5-8.3  )
 eGFR             22             ( SEE-BELOW)

Comment: The Potassium result has been checked.

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 11:03:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986912-16258694

diagnostic: Apr 6, 2012 5:50:00 AM


CUMULATIVE REPORT
Req No:   Z963032  Z346840  Z963807  Z963931  Z986912
  Date:  26/03/12 02/04/12 03/04/12 05/04/12 05/04/12
  Time:     09:15    10:10    09:15    08:10    19:50  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             82L      80L      80L      92L      80L g/L       115-150
WCC          10.1     12.1H    10.5     13.0H     8.1  x10^9/L   4.0-11.0
PLT           553H     554H     596H     683H     578H x10^9/L   140-400
RCC          3.13L    3.11L    3.11L    3.57L    3.17L x10^12/L  3.80-5.10
PCV          0.24L    0.24L    0.24L    0.27L    0.24L L/L       0.35-0.45
MCV          76.9L    76.7L    76.3L    76.0L    76.3L fL        80.0-96.0
MCH          26.3L    25.8L    25.6L    25.8L    25.2L pg        27.0-33.0
MCHC          343      336      336      340      331  g/L       320-360
RDW          16.0H    16.3H    15.8H    16.4H    16.4H %         11.0-15.0
White Cell Differential
Neut         7.4      9.5H     8.3H    10.7H     6.3   x10^9/L   2.0-8.0
Lymph        1.5      1.5      1.2      1.5      1.3   x10^9/L   1.2-4.0
Mono         0.6      0.6      0.4      0.5      0.4   x10^9/L   0.1-1.0
Eos          0.5      0.5      0.6H     0.1      0.1   x10^9/L   0.0-0.5
Baso         0.1      0.0      0.1      0.1      0.1   x10^9/L   0.0-0.1

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:54:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968912-16258693

diagnostic: Apr 6, 2012 5:50:00 AM


Request No:  Z561960  Z561162  Z516464  Z561266  Z561269
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    14:05    14:50    17:35    20:21    23:31  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH                 *     7.38     7.36     7.39     7.41          7.35-7.45
pCO2              37       38       35       37       36  mmHg    35-45
HCO3(Std)                  23       20L      22       23  mmol/L  22.0-30.0
Base Excess              -2.1     -5.0L    -2.5     -1.8  mmol/L  -3.0/3.0
pO2              113H     203H      89      102H      99  mmHg    75-100
O2 Sat            99      100       97       98       98  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.0      4.3      4.1      4.1      4.1  mmol/L  3.5-5.5
Sodium           139      138      139      138      140  mmol/L  135-145
Chloride         108      109      109      109      109  mmol/L  95-110
iCa++           1.10L    1.09L    1.09L    1.11L    1.14  mmol/L  1.12-1.30
Glucose          8.3H     7.4      8.7H     8.1H     6.1  mmol/L  3.6-7.7
Lactate          1.2      1.5      1.6      1.2      1.1  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        89L      90L      86L      87L      87L g/L     130-170
Reduced Hb       1.4      0.4      3.0      1.9      1.8  %       0-5
CarbOxy Hb       1.8H     1.5      1.7H     1.6H     1.7H %       0.5-1.5
Meth    Hb       1.7H     1.1      1.5      1.1      1.4  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:35:00 AM

subject: Patient/119

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516269-16258691

requestDetail: Patient/119; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 9:31:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         4.8     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine        153     umol/L ( 64-104   )
 (Creatinine)    0.153    mmol/L ( 0.05-0.11)
Urea             10.0     mmol/L ( 2.5-8.3  )
 eGFR             40             ( SEE-BELOW)
Troponin I       <0.02    ug/L   (See Below )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:11:00 AM

subject: Patient/110

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968941-16258690

diagnostic: Apr 6, 2012 9:21:00 AM


CUMULATIVE REPORT
Req No:   Z568494  Z068305  R099045  Z826677  Z968941
  Date:  02/07/10 14/09/10 02/02/11 07/02/12 05/04/12
  Time:     15:25    08:50    09:00    10:54    23:21  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            127L     126L     123L     123L     110L g/L       130-170
WCC                    5.7      5.1      8.9      5.3  x10^9/L   4.0-11.0
PLT                    141      140      189      132L x10^9/L   140-400
RCC                   3.74L    3.57L    3.79L    3.42L x10^12/L  4.50-5.70
PCV                   0.36L    0.35L    0.36L    0.32L L/L       0.40-0.50
MCV                   95.8     97.7H    93.7     92.5  fL        80.0-96.0
MCH                   33.8H    34.3H    32.3     32.3  pg        27.0-33.0
MCHC                   353      351      345      349  g/L       320-360
RDW                   13.9     13.5     14.8     14.9  %         11.0-15.0
White Cell Differential
Neut                  3.5      3.1      5.4      3.5   x10^9/L   2.0-8.0
Lymph                 1.8      1.5      2.4      1.3   x10^9/L   1.2-4.0
Mono                  0.3      0.3      0.8      0.4   x10^9/L   0.1-1.0
Eos                   0.2      0.1      0.3      0.1   x10^9/L   0.0-0.5
Baso                  0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:59:00 PM

subject: Patient/110

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986941-16258689

diagnostic: Apr 6, 2012 9:21:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         4.0     mmol/L ( 3.5-5.5  )
Chloride          103     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         78     umol/L ( 64-104   )
 (Creatinine)    0.078    mmol/L ( 0.05-0.11)
Urea              5.4     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Troponin I       <0.02    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:12:00 AM

subject: Patient/111

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986951-16258688

requestDetail: Patient/111; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 9:00:00 AM


CUMULATIVE REPORT
Req No:   Z968951
  Date:  05/04/12
  Time:     23:00                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            133                                      g/L       130-170
WCC           7.0                                      x10^9/L   4.0-11.0
PLT           248                                      x10^9/L   140-400
RCC          4.44L                                     x10^12/L  4.50-5.70
PCV          0.39L                                     L/L       0.40-0.50
MCV          87.4                                      fL        80.0-96.0
MCH          30.0                                      pg        27.0-33.0
MCHC          343                                      g/L       320-360
RDW          12.7                                      %         11.0-15.0
White Cell Differential
Neut         4.0                                       x10^9/L   2.0-8.0
Lymph        2.2                                       x10^9/L   1.2-4.0
Mono         0.6                                       x10^9/L   0.1-1.0
Eos          0.2                                       x10^9/L   0.0-0.5
Baso         0.1                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:35:00 AM

subject: Patient/111

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968951-16258687

requestDetail: Patient/111; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 9:00:00 AM


CUMULATIVE REPORT
Request No:   Z964154  Z946710  Z965564  Z265492  Z986961
      Date:  04/03/12 05/03/12 19/03/12 20/03/12 05/04/12
      Time:     22:57    21:40    10:10    09:55    23:00 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.4H     1.3      1.2      1.2      1.3        0.8-1.3
APTT               30                29       29           secs  23-36
Fibrinogen        1.9L              2.2      2.0           g/L   2.0-5.0

12Z964154 04/03/12 22:57
Comment: Please note mild hypofibrinogenaemia persists.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:02:00 AM

subject: Patient/111

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968961-16258686

requestDetail: Patient/111; clinicalNotes: PR Bleed Hep C +ve

diagnostic: Apr 6, 2012 9:00:00 AM


SERUM/PLASMA
Sodium            136     mmol/L ( 135-145  )
Potassium         4.4     mmol/L ( 3.5-5.5  )
Chloride          102     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine         62     umol/L ( 49-90    )
 (Creatinine)    0.062    mmol/L ( 0.05-0.09)
Urea             11.7     mmol/L ( 2.5-8.3  )
 eGFR             78             ( SEE-BELOW)
Albumin            22     g/L    ( 35-50    )
AP                 71     IU/L   ( 30-120   )
GGT                41     IU/L   ( 10-65    )
ALT                76     IU/L   ( <34      )
AST               134     IU/L   ( <31      )
Bili Total         17     umol/L ( <19      )
Protein Total      63     g/L    ( 65-85    )
Troponin I        0.03    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:44:00 AM

subject: Patient/111

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968961-16258685

requestDetail: Patient/111; clinicalNotes: PR Bleed Hep C +ve

diagnostic: Apr 6, 2012 9:00:00 AM


SERUM/PLASMA
Sodium            136     mmol/L ( 135-145  )
Potassium         4.4     mmol/L ( 3.5-5.5  )
Chloride          102     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine         62     umol/L ( 49-90    )
 (Creatinine)    0.062    mmol/L ( 0.05-0.09)
Urea             11.7     mmol/L ( 2.5-8.3  )
 eGFR             78             ( SEE-BELOW)
Albumin            22     g/L    ( 35-50    )
AP                 71     IU/L   ( 30-120   )
GGT                41     IU/L   ( 10-65    )
ALT                76     IU/L   ( <34      )
AST               134     IU/L   ( <31      )
Bili Total         17     umol/L ( <19      )
Protein Total      63     g/L    ( 65-85    )
Troponin I        0.03    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:44:00 AM

subject: Patient/111

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986961-16258685

requestDetail: Patient/111; clinicalNotes: PR Bleed Hep C +ve

diagnostic: Apr 6, 2012 9:00:00 AM


CUMULATIVE REPORT
Req No:   Z268321  Z386901  Z965931  Z965863  Z986961
  Date:  23/03/12 24/03/12 25/03/12 26/03/12 05/04/12
  Time:     10:35    11:10    09:35    10:50    23:00  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            127      124      120      110L     101L g/L       115-150
WCC           4.9      4.7      4.2      3.7L     5.9  x10^9/L   4.0-11.0
PLT            98L      93L      85L      77L      96L x10^9/L   140-400
RCC          3.81     3.73L    3.62L    3.37L    2.93L x10^12/L  3.80-5.10
PCV          0.37     0.36     0.35     0.33L    0.29L L/L       0.35-0.45
MCV          96.7H    96.7H    96.8H    97.1H    98.0H fL        80.0-96.0
MCH          33.3H    33.2H    33.3H    32.8     34.4H pg        27.0-33.0
MCHC          345      343      344      338      351  g/L       320-360
RDW          20.1H    21.2H    20.4H    20.4H    21.7H %         11.0-15.0
White Cell Differential
Neut         3.4      2.7      2.6      2.3      3.8   x10^9/L   2.0-8.0
Lymph        0.9L     1.3      1.0L     0.8L     1.4   x10^9/L   1.2-4.0
Mono         0.4      0.5      0.4      0.4      0.6   x10^9/L   0.1-1.0
Eos          0.1      0.1      0.1      0.1      0.1   x10^9/L   0.0-0.5
Baso         0.0      0.1      0.0      0.0      0.0   x10^9/L   0.0-0.1

12Z268321 23/03/12 10:35
Comment: Please note moderate thrombocytopenia persists. Instrument
         differential and parameters reported.

12Z368901 24/03/12 11:10
Comment: Instrument differential and parameters reported.

12Z956931 25/03/12 09:35
Comment: Note persistent thrombocytopenia. Instrument differential
         and parameters reported.

12Z965863 26/03/12 10:50
Film Comment : Mild anaemia. Red cells show moderate anisocytosis with
               some macrocytes, occasional target cells and mild
               rouleaux. White cells are unremarkable. Moderate
               thrombocytopenia.
Comment: Please note moderate thrombocytopenia persists. Please
         note: no clinical details given.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:37:00 AM

subject: Patient/111

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968961-16258684

requestDetail: Patient/111; clinicalNotes: PR Bleed Hep C +ve

diagnostic: Apr 6, 2012 9:00:00 AM


SERUM/PLASMA
Sodium            134     mmol/L ( 135-145  )
Potassium         3.4     mmol/L ( 3.5-5.5  )
Chloride           97     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         45     umol/L ( 49-90    )
 (Creatinine)    0.045    mmol/L ( 0.05-0.09)
Urea              3.4     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            31     g/L    ( 35-50    )
AP                 88     IU/L   ( 30-120   )
GGT                51     IU/L   ( 10-65    )
ALT                39     IU/L   ( <34      )
AST                24     IU/L   ( <31      )
Bili Total         <5     umol/L ( <19      )
Protein Total      65     g/L    ( 65-85    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 11:03:00 AM

subject: Patient/112

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968971-16258683

requestDetail: Patient/112; clinicalNotes: Vomiting Diarrhoea

diagnostic: Apr 6, 2012 9:23:00 AM


CUMULATIVE REPORT
Req No:   Z167613  Z167802  Z886375  Z868929  Z968971
  Date:  01/04/12 02/04/12 03/04/12 04/04/12 05/04/12
  Time:     20:15    06:20    04:50    05:30    23:23  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            104L     111L     113L     105L     114L g/L       115-150
WCC           4.4      4.0      3.9L     4.7     10.3  x10^9/L   4.0-11.0
PLT           163      183      236      250      310  x10^9/L   140-400
RCC          3.76L    3.98     4.09     3.73L    4.05  x10^12/L  3.80-5.10
PCV          0.31L    0.32L    0.34L    0.30L    0.33L L/L       0.35-0.45
MCV          81.3     80.2     81.9     80.9     80.9  fL        80.0-96.0
MCH          27.8     28.0     27.7     28.3     28.1  pg        27.0-33.0
MCHC          342      349      338      350      348  g/L       320-360
RDW          14.7     15.1H    14.9     14.9     14.8  %         11.0-15.0
White Cell Differential
Neut         3.0      2.1      1.6L     1.9L     7.6   x10^9/L   2.0-8.0
Lymph        0.7L     1.2      1.7      1.8      0.9L  x10^9/L   1.2-4.0
Mono         0.7      0.7      0.5      0.5      0.8   x10^9/L   0.1-1.0
Eos          0.0      0.1      0.1      0.3      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1
Bands                          0.0      0.1      0.9H  x10^9/L   0.0-0.5

12Z176613 01/04/12 20:15
Comment: Note: fall in haemoglobin.

12Z868375 03/04/12 04:50
Film Comment : White cells show mild neutropenia. Manual differential.
               Red cells are mainly normocytic normochromic with
               occasional elongated cells and target cells.
               Platelets appear normal.
Conclusion: ? Cause of decreasing neutrophil count, ? therapy-related.

12Z868929 04/04/12 05:30
Film Comment : White cells show mild neutropenia, the neutrophils present
               show mild toxic changes. Manual differential.
               Red cells appear essentially normal.
               Platelets appear normal.

12Z986971 05/04/12 23:23
Film Comment : Mild neutrophilia with mild left shift, moderate toxic
               granulation and vacuolation and occasional Doehle bodies.
               Occasional reactive lymphocytes. Manual differential.
Conclusion: Suggestive of infection.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:55:00 PM

subject: Patient/112

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986971-16258682

requestDetail: Patient/112; clinicalNotes: Vomiting Diarrhoea

diagnostic: Apr 6, 2012 9:23:00 AM


  Request No:  Z563831  Z986981
        Date: 02/07/11 05/04/12                                   Therapeut
        Time:    16:00    23:25                            Units    Range
              -------- -------- -------- -------- -------- ------ ---------
PLASMA
Carbamazepine                <2L                           umol/L 20-50
Hrs Since Dose          No Info                            HH:MM
Phenytoin                    <2L                           umol/L 40-80
Hrs Since Dose          No Info                            HH:MM
Valproate          283L      57L                           umol/L 350-700
Hrs Since Dose No Info  No Info                            HH:MM


Generated Narrative with Details

text:

contained:

name: Therapeutic Drugs (Details )

status: FINAL

issued: Apr 6, 2012 1:24:00 PM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968981-16258681

requestDetail: Patient/113; clinicalNotes: Intoxicated Agitated ? Penetrating Head Injury

diagnostic: Apr 6, 2012 9:25:00 AM


SERUM/PLASMA
Sodium            139     mmol/L ( 135-145  )
Potassium         3.5     mmol/L ( 3.5-5.5  )
Chloride           91     mmol/L ( 95-110   )
HCO3               28     mmol/L ( 22-30    )
Creatinine         82     umol/L ( 64-104   )
 (Creatinine)    0.082    mmol/L ( 0.05-0.11)
Urea              3.8     mmol/L ( 2.5-8.3  )
 eGFR             90             ( SEE-BELOW)
Albumin            37     g/L    ( 35-50    )
AP                 62     IU/L   ( 30-120   )
GGT               117     IU/L   ( 10-65    )
ALT                31     IU/L   ( <45      )
AST                71     IU/L   ( <35      )
Bili Total         10     umol/L ( <19      )
Protein Total      78     g/L    ( 65-85    )
Lipase             87     IU/L   ( <60      )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:08:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986981-16258680

requestDetail: Patient/113; clinicalNotes: Intoxicated Agitated ? Penetrating Head Injury

diagnostic: Apr 6, 2012 9:25:00 AM


CUMULATIVE REPORT
Req No:   Z563540  Z536831  Z468013  Z968981
  Date:  02/07/11 02/07/11 03/07/11 05/04/12
  Time:     02:00    16:00    04:20    23:25           Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            125L     113L     125L     148           g/L       130-170
WCC           7.0      3.9L     7.1      6.2           x10^9/L   4.0-11.0
PLT           292      268      267      246           x10^9/L   140-400
RCC          3.40L    3.11L    3.36L    4.17L          x10^12/L  4.50-5.70
PCV          0.36L    0.33L    0.36L    0.43           L/L       0.40-0.50
MCV         106.5H   105.3H   106.5H   103.0H          fL        80.0-96.0
MCH          36.7H    36.4H    37.2H    35.5H          pg        27.0-33.0
MCHC          345      346      349      345           g/L       320-360
RDW          16.5H    15.7H    15.2H    14.1           %         11.0-15.0
White Cell Differential
Neut         4.1      2.9      5.2      2.7            x10^9/L   2.0-8.0
Lymph        2.1      0.5L     1.0L     3.0            x10^9/L   1.2-4.0
Mono         0.5      0.4      0.7      0.4            x10^9/L   0.1-1.0
Eos          0.1      0.0      0.1      0.0            x10^9/L   0.0-0.5
Baso         0.0      0.1      0.1      0.0            x10^9/L   0.0-0.1

11Z536540 02/07/11 02:00
Film Comment : Red cells are macrocytic with some target cells and
               stomatocytes.
               White cells are unremarkable.
               Platelets are plentiful.
Conclusion: Common causes of macrocytosis include liver disease,
            B12/folate deficiency, hypothyroidism, alcohol, smoking,
            and certain drugs including chemotherapy. Suggest liver
            function tests, serum B12/folate levels, and review drug
            history if cause not already known.

11Z563831 02/07/11 16:00
Comment: Instrument differential and parameters reported.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:36:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968981-16258679

requestDetail: Patient/113; clinicalNotes: Intoxicated Agitated ? Penetrating Head Injury

diagnostic: Apr 6, 2012 9:25:00 AM


CUMULATIVE REPORT
Request No:   Z986931
      Date:  05/04/12
      Time:     23:00                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.2                                            0.8-1.3

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:02:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968931-16258678

diagnostic: Apr 6, 2012 9:00:00 AM


SERUM/PLASMA
Sodium            132     mmol/L ( 135-145  )
Potassium         4.1     mmol/L ( 3.5-5.5  )
Chloride          101     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine        156     umol/L ( 64-104   )
 (Creatinine)    0.156    mmol/L ( 0.05-0.11)
Urea             19.5     mmol/L ( 2.5-8.3  )
 eGFR             43             ( SEE-BELOW)
Calcium          1.97     mmol/L ( 2.10-2.60)
Phosphate        0.94     mmol/L ( 0.8-1.5  )
Magnesium        0.58     mmol/L ( 0.7-1.1  )
Albumin            26     g/L    ( 35-50    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:06:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968931-16258677

diagnostic: Apr 6, 2012 9:00:00 AM


Request No:  Z561169
      Date: 05/04/12                                              Arterial
      Time:    23:19                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.39                                              7.35-7.45
pCO2              40                                      mmHg    35-45
Base Excess     -0.9                                      mmol/L  -3.0/3.0
pO2               57L                                     mmHg    75-100
O2 Sat            91L                                     %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.1                                      mmol/L  3.5-5.5
Sodium           128L                                     mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb       122L                                     g/L     130-170

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:21:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516169-16258676

requestDetail: Patient/113; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 9:19:00 AM


CUMULATIVE REPORT
Request No:   Z968921
      Date:  05/04/12
      Time:     23:00                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               3.0H                                           0.8-1.3

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:02:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986921-16258675

requestDetail: Patient/114; clinicalNotes: Fall From Standing Height Headstrike LOC

diagnostic: Apr 6, 2012 9:00:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         4.6     mmol/L ( 3.5-5.5  )
Chloride          105     mmol/L ( 95-110   )
HCO3               25     mmol/L ( 22-30    )
Creatinine         73     umol/L ( 64-104   )
 (Creatinine)    0.073    mmol/L ( 0.05-0.11)
Urea              8.0     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 11:03:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986921-16258674

requestDetail: Patient/114; clinicalNotes: Fall From Standing Height Headstrike LOC

diagnostic: Apr 6, 2012 9:00:00 AM


CUMULATIVE REPORT
Req No:   Z968921
  Date:  05/04/12
  Time:     23:00                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            142                                      g/L       130-170
WCC           7.2                                      x10^9/L   4.0-11.0
PLT           184                                      x10^9/L   140-400
RCC          4.31L                                     x10^12/L  4.50-5.70
PCV          0.41                                      L/L       0.40-0.50
MCV          96.0                                      fL        80.0-96.0
MCH          33.0                                      pg        27.0-33.0
MCHC          343                                      g/L       320-360
RDW          15.2H                                     %         11.0-15.0
White Cell Differential
Neut         5.0                                       x10^9/L   2.0-8.0
Lymph        1.3                                       x10^9/L   1.2-4.0
Mono         0.5                                       x10^9/L   0.1-1.0
Eos          0.3                                       x10^9/L   0.0-0.5
Baso         0.1                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:37:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968921-16258673

requestDetail: Patient/114; clinicalNotes: Fall From Standing Height Headstrike LOC

diagnostic: Apr 6, 2012 9:00:00 AM


Request No:  Z561576  Z516361  Z561663  Z561365  Z516069
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    09:27    14:18    17:00    19:04    23:15  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.50H       *     7.51H       *     7.51H         7.35-7.45
pCO2              36       31L      34L      34L      33L mmHg    35-45
HCO3(Std)         29                28                28  mmol/L  22.0-30.0
Base Excess      4.5H              3.7H              3.8H mmol/L  -3.0/3.0
pO2               90       86       89       86       78  mmHg    75-100
O2 Sat            98       98       98       97       97  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.2      3.8      4.2      3.8      3.3L mmol/L  3.5-5.5
Sodium           142      140      141      141      142  mmol/L  135-145
Chloride         109      107      108      106      109  mmol/L  95-110
iCa++           1.11L    1.09L    1.09L    1.12     1.07L mmol/L  1.12-1.30
Glucose          5.9     13.0H    13.4H    12.6H     8.9H mmol/L  3.6-7.7
Lactate          1.0      1.0      1.5      1.4      1.1  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        94L      92L      88L      88L      87L g/L     130-170
Reduced Hb       1.8      2.2      2.2      2.6      3.1  %       0-5
CarbOxy Hb       1.1      1.3      1.3      1.3      1.4  %       0.5-1.5
Meth    Hb       1.0      1.5      1.2      1.4      1.3  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:43:00 AM

subject: Patient/115

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561069-16258672

requestDetail: Patient/115; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 9:15:00 AM


CUMULATIVE REPORT
Request No:   Z968901
      Date:  05/04/12
      Time:     22:30                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.0                                            0.8-1.3
APTT               29                                      secs  23-36
Fibrinogen        5.5H                                     g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 10:02:00 AM

subject: Patient/116

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986901-16258671

requestDetail: Patient/116; clinicalNotes: TIA Slurred Speech Facial Droop Cardiac Hx

diagnostic: Apr 6, 2012 8:30:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.6     mmol/L ( 3.5-5.5  )
Chloride          103     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine        148     umol/L ( 64-104   )
 (Creatinine)    0.148    mmol/L ( 0.05-0.11)
Urea             14.6     mmol/L ( 2.5-8.3  )
 eGFR             41             ( SEE-BELOW)
Calcium          2.43     mmol/L ( 2.10-2.60)
Albumin            32     g/L    ( 35-50    )
AP                 90     IU/L   ( 30-120   )
GGT                19     IU/L   ( 10-65    )
ALT                14     IU/L   ( <45      )
AST                22     IU/L   ( <35      )
Bili Total         10     umol/L ( <19      )
Protein Total      77     g/L    ( 65-85    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:07:00 AM

subject: Patient/116

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986901-16258670

requestDetail: Patient/116; clinicalNotes: TIA Slurred Speech Facial Droop Cardiac Hx

diagnostic: Apr 6, 2012 8:30:00 AM


CUMULATIVE REPORT
Req No:   Z968901
  Date:  05/04/12
  Time:     22:30                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            120L                                     g/L       130-170
WCC           9.3                                      x10^9/L   4.0-11.0
PLT           220                                      x10^9/L   140-400
RCC          4.13L                                     x10^12/L  4.50-5.70
PCV          0.35L                                     L/L       0.40-0.50
MCV          85.5                                      fL        80.0-96.0
MCH          29.0                                      pg        27.0-33.0
MCHC          340                                      g/L       320-360
RDW          14.4                                      %         11.0-15.0
White Cell Differential
Neut         5.6                                       x10^9/L   2.0-8.0
Lymph        2.8                                       x10^9/L   1.2-4.0
Mono         0.7                                       x10^9/L   0.1-1.0
Eos          0.2                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 9:37:00 AM

subject: Patient/116

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968901-16258669

requestDetail: Patient/116; clinicalNotes: TIA Slurred Speech Facial Droop Cardiac Hx

diagnostic: Apr 6, 2012 8:30:00 AM


  Request No:  Z666913  Z076504  Z968911
        Date: 27/11/11 30/03/12 05/04/12                          Therapeut
        Time:    11:27    19:15    22:56                   Units    Range
              -------- -------- -------- -------- -------- ------ ---------
PLASMA
Paracetamol        <60      <60      <60                   umol/L AS-BELOW
Salicylate       <0.30             <0.30                   mmol/L <2.9

* Paracetamol *  The significance of the plasma concentration depends
                 on the timing of the sample after ingestion.
                 Hepato-toxicity may be seen with a plasma concentration
                 of 1000 umol/L at 4 hours after ingestion or 600 umol/L
                 at 8 hours after ingestion.

* Salicylate *   The significance of the plasma concentration depends
                 on the timing of the sample after ingestion.
                 Toxicity may be seen with a plasma concentration
                 of greater than 3 mmol/L.


Generated Narrative with Details

text:

contained:

name: Therapeutic Drugs (Details )

status: FINAL

issued: Apr 6, 2012 10:19:00 AM

subject: Patient/117

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968911-16258668

requestDetail: Patient/117; clinicalNotes: Collapse

diagnostic: Apr 6, 2012 8:56:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         3.5     mmol/L ( 3.5-5.5  )
Chloride          100     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine         76     umol/L ( 49-90    )
 (Creatinine)    0.076    mmol/L ( 0.05-0.09)
Urea              6.5     mmol/L ( 2.5-8.3  )
 eGFR             68             ( SEE-BELOW)
Calcium          2.33     mmol/L ( 2.10-2.60)
Phosphate        1.27     mmol/L ( 0.8-1.5  )
Magnesium        0.78     mmol/L ( 0.8-1.0  )
Albumin            39     g/L    ( 35-50    )
AP                 53     IU/L   ( 30-120   )
GGT                13     IU/L   ( 10-65    )
ALT                11     IU/L   ( <34      )
AST                 9     IU/L   ( <31      )
Bili Total         17     umol/L ( <19      )
Protein Total      70     g/L    ( 65-85    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:06:00 AM

subject: Patient/117

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968911-16258667

requestDetail: Patient/117; clinicalNotes: Collapse

diagnostic: Apr 6, 2012 8:56:00 AM


CUMULATIVE REPORT
Req No:   Z466067  Z267256  Z076504  Z067795  Z968911
  Date:  05/12/11 07/12/11 30/03/12 31/03/12 05/04/12
  Time:     09:25    07:40    19:15    06:00    22:56  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            115      105L     115      110L     105L g/L       115-150
WCC          10.0      8.0      3.9L     4.5      5.2  x10^9/L   4.0-11.0
PLT           508H     560H     200      189      208  x10^9/L   140-400
RCC          3.74L    3.42L    3.73L    3.56L    3.43L x10^12/L  3.80-5.10
PCV          0.34L    0.30L    0.33L    0.32L    0.30L L/L       0.35-0.45
MCV          89.9     89.0     89.2     88.8     88.8  fL        80.0-96.0
MCH          30.7     30.7     30.8     30.9     30.7  pg        27.0-33.0
MCHC          342      345      345      348      346  g/L       320-360
RDW          13.6     13.3     12.9     13.0     13.1  %         11.0-15.0
White Cell Differential
Neut         4.8      3.5      1.7L     2.0      1.5L  x10^9/L   2.0-8.0
Lymph        3.4      3.5      1.9      2.1      3.3   x10^9/L   1.2-4.0
Mono         1.5H     0.8      0.3      0.3      0.4   x10^9/L   0.1-1.0
Eos          0.3      0.2      0.0      0.0      0.0   x10^9/L   0.0-0.5
Baso         0.1      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

11Z276256 07/12/11 07:40
Comment: Specimen taken more than 12 hours before receipt in lab.

12Z067504 30/03/12 19:15
Film Comment : Mild neutropenia. Red cells and platelets appear normal.
Comment: Please note mild neutropenia. ? cause. A repeat FBE may be
         of value.

12Z067795 31/03/12 06:00
Comment: Please note fall in haemoglobin.

12Z986911 05/04/12 22:56
Film Comment : Film scanned.
Comment: Mild neutropenia.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:57:00 PM

subject: Patient/117

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986911-16258666

requestDetail: Patient/117; clinicalNotes: Collapse

diagnostic: Apr 6, 2012 8:56:00 AM


Request No:  Z561762  Z516364  Z561766  Z561868  Z516968
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    15:28    17:29    20:59    23:13    23:13  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.31L    7.38     7.37     7.38     7.38          7.35-7.45
pCO2              45       36       37       37       37  mmHg    35-45
HCO3(Std)         21L      22       22       22       22  mmol/L  22.0-30.0
Base Excess     -3.7L    -3.1L    -3.4L    -2.9     -2.9  mmol/L  -3.0/3.0
pO2              210H      97      157H     129H     129H mmHg    75-100
O2 Sat            99       98       99       99       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.6      4.6      4.6      4.4      4.4  mmol/L  3.5-5.5
Sodium           131L     130L     129L     130L     130L mmol/L  135-145
Chloride         103      103      102      102      102  mmol/L  95-110
iCa++           1.12     1.10L    1.12     1.14     1.14  mmol/L  1.12-1.30
Glucose          9.8H     9.0H     9.4H     9.7H     9.7H mmol/L  3.6-7.7
Lactate          0.8      0.7      0.7      0.7      0.7  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        90L      87L      81L      84L      84L g/L     115-150
Reduced Hb       0.6      2.1      0.8      1.0      1.0  %       0-5
CarbOxy Hb       0.6      0.9      0.8      0.9      0.9  %       0.5-1.5
Meth    Hb       1.0      1.3      1.2      1.1      1.1  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:17:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561968-16258665

requestDetail: Patient/118; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 9:13:00 AM


Request No:  Z561061  Z561762  Z516364  Z561766  Z561868
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    14:08    15:28    17:29    20:59    23:13  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.32L    7.31L    7.38     7.37     7.38          7.35-7.45
pCO2              42       45       36       37       37  mmHg    35-45
HCO3(Std)         21L      21L      22       22       22  mmol/L  22.0-30.0
Base Excess     -4.0L    -3.7L    -3.1L    -3.4L    -2.9  mmol/L  -3.0/3.0
pO2              203H     210H      97      157H     129H mmHg    75-100
O2 Sat            99       99       98       99       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.4      4.6      4.6      4.6      4.4  mmol/L  3.5-5.5
Sodium           131L     131L     130L     129L     130L mmol/L  135-145
Chloride         104      103      103      102      102  mmol/L  95-110
iCa++           1.10L    1.12     1.10L    1.12     1.14  mmol/L  1.12-1.30
Glucose         10.5H     9.8H     9.0H     9.4H     9.7H mmol/L  3.6-7.7
Lactate          1.1      0.8      0.7      0.7      0.7  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        94L      90L      87L      81L      84L g/L     115-150
Reduced Hb       0.7      0.6      2.1      0.8      1.0  %       0-5
CarbOxy Hb       0.8      0.6      0.9      0.8      0.9  %       0.5-1.5
Meth    Hb       1.5      1.0      1.3      1.2      1.1  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:17:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516868-16258664

requestDetail: Patient/118; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 9:13:00 AM


Request No:  Z516160  Z561262  Z561962  Z516166  Z561768
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    12:51    15:08    16:17    20:08    23:01  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.48H       *        *     7.48H    7.46H         7.35-7.45
pCO2              36       37       37       34L      39  mmHg    35-45
HCO3(Std)         27                         27       27  mmol/L  22.0-30.0
Base Excess      2.8                        2.1      3.3H mmol/L  -3.0/3.0
pO2               76       76       78       88       89  mmHg    75-100
O2 Sat            96       96       96       97       97  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.4      3.9      3.9      4.1      5.4  mmol/L  3.5-5.5
Sodium           142      143      144      141      141  mmol/L  135-145
Chloride         112H     110      111H     113H     111H mmol/L  95-110
iCa++           1.09L    1.11L    1.11L    1.07L    1.06L mmol/L  1.12-1.30
Glucose          9.0H     7.6      6.6      8.9H    11.2H mmol/L  3.6-7.7
Lactate          2.5H     1.6      1.6      1.9H     1.6  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       122L     125L     127L     128L     132  g/L     130-170
Reduced Hb       4.1      4.2      3.9      2.7      3.1  %       0-5
CarbOxy Hb       0.7      0.8      0.8      0.6      0.6  %       0.5-1.5
Meth    Hb       1.4      1.5      1.3      1.3      1.5  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:06:00 AM

subject: Patient/119

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561768-16258663

requestDetail: Patient/119; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 9:01:00 AM


Request No:  Z561547  Z516569  Z561666  Z561068  Z516668
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    10:42    12:34    20:56    22:30    22:58  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.42     7.40     7.39     7.40     7.41          7.35-7.45
pCO2              46H      47H      46H      43       42  mmHg    35-45
HCO3(Std)         28       28       26       26       26  mmol/L  22.0-30.0
Base Excess      4.6H     4.2H     2.6      1.8      1.7  mmol/L  -3.0/3.0
pO2              103H     210H      78       89       88  mmHg    75-100
O2 Sat            98      100       95       97       98  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.8      4.2      4.6      4.3      4.7  mmol/L  3.5-5.5
Sodium           141      141      138      138      137  mmol/L  135-145
Chloride         109      109      109      109      107  mmol/L  95-110
iCa++           1.11L    1.14     1.14     1.10L    1.12  mmol/L  1.12-1.30
Glucose          6.8      6.0      8.6H     7.3      7.4  mmol/L  3.6-7.7
Lactate          0.6      0.3      1.0      1.0      1.0  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        81L      80L     100L     102L     105L g/L     130-170
Reduced Hb       1.7      0.5      4.4      2.6      2.0  %       0-5
CarbOxy Hb       1.3      1.4      2.0H     1.9H     2.0H %       0.5-1.5
Meth    Hb       1.7H     1.8H     1.3      1.2      1.0  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:03:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561668-16258662

requestDetail: Patient/120; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:58:00 AM


Request No:  Z561568
      Date: 05/04/12                                              Arterial
      Time:    22:57                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.48H                                             7.35-7.45
pCO2              38                                      mmHg    35-45
Base Excess      4.6H                                     mmol/L  -3.0/3.0
pO2               60L                                     mmHg    75-100
O2 Sat            92L                                     %       95-100

ELECTROLYTES (Whole Blood)
Potassium        3.3L                                     mmol/L  3.5-5.5
Sodium           133L                                     mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb       116                                      g/L     115-150

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:00:00 AM

subject: Patient/112

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516568-16258661

requestDetail: Patient/112; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:57:00 AM


Request No:  Z561467  Z561468
      Date: 05/04/12 05/04/12                                     Arterial
      Time:    22:05    22:58                             Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0                             Deg. C
pH              7.34L    7.34L                                    7.35-7.45
pCO2              32L      32L                            mmHg    35-45
HCO3(Std)       18.0L      18L                            mmol/L  22.0-30.0
Base Excess     -7.9L    -8.2L                            mmol/L  -3.0/3.0
pO2               80       78                             mmHg    75-100
O2 Sat          96.0       96                             %       95-100

ELECTROLYTES (Whole Blood)
Potassium          *      3.5                             mmol/L  3.5-5.5
Sodium           141      142                             mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb        99L     101L                            g/L     115-150

05/04/12 12Z516467
General Comments: Potassium unavailable. Sample transported on ice.

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 9:00:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516468-16258660

requestDetail: Patient/121; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:58:00 AM


Request No:  Z561463  Z516864  Z561765  Z561067  Z516368
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    16:46    18:10    19:54    21:22    22:36  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.36     7.40     7.36     7.24L    7.29L         7.35-7.45
pCO2              23L      21L      27L      44       37  mmHg    35-45
HCO3(Std)         16L      17L      17L      18L      18L mmol/L  22.0-30.0
Base Excess    -11.8L   -10.8L    -9.4L    -7.9L    -8.1L mmol/L  -3.0/3.0
pO2              138H     136H     306H     345H     141H mmHg    75-100
O2 Sat            99      100      100      100       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        5.7H     6.0H     5.6H     6.2H     6.0H mmol/L  3.5-5.5
Sodium           140      141      138      136      134L mmol/L  135-145
Chloride         107      106      107      105      106  mmol/L  95-110
iCa++           0.99L    0.98L    0.97L    0.98L    0.95L mmol/L  1.12-1.30
Glucose          5.3      4.4      7.4      6.4      5.9  mmol/L  3.6-7.7
Lactate         12.3H    11.7H     9.3H     7.5H     5.9H mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       106L     109L     108L     108L     100L g/L     130-170
Reduced Hb       0.6      0.5     -0.2L    -0.1L     0.9  %       0-5
CarbOxy Hb       1.7H     1.8H     1.4      1.3      1.5  %       0.5-1.5
Meth    Hb       1.0      1.2      1.1      0.7      1.1  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 8:40:00 AM

subject: Patient/122

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561368-16258659

requestDetail: Patient/122; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:36:00 AM


Request No:  Z561060  Z561268
      Date: 05/04/12 05/04/12                                     Arterial
      Time:    12:53    22:36                             Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0                             Deg. C
pH              7.47H    7.49H                                    7.35-7.45
pCO2              34L      34L                            mmHg    35-45
HCO3(Std)       26.0       27                             mmol/L  22.0-30.0
Base Excess      1.1      2.5                             mmol/L  -3.0/3.0
pO2               58L      70L                            mmHg    75-100
O2 Sat          91.0L      99                             %       95-100

ELECTROLYTES (Whole Blood)
Potassium          *      3.3L                            mmol/L  3.5-5.5
Sodium           136      137                             mmol/L  135-145
Chloride                  108                             mmol/L  95-110
iCa++                    1.14                             mmol/L  1.12-1.30
Glucose                   7.9H                            mmol/L  3.6-7.7
Lactate                   1.8                             mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       115      101L                            g/L     115-150
Reduced Hb                0.8                             %       0-5
CarbOxy Hb                1.2                             %       0.5-1.5
Meth    Hb                1.1                             %       0-1.5

05/04/12 12Z516060
General Comments: Potassium unavailable. Sample transported on ice.

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 8:40:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516268-16258658

requestDetail: Patient/114; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:36:00 AM


Specimen Type:  Serum

Generated Narrative with Details

text:

contained:

name: Internal Serology (Details )

status: FINAL

issued: Apr 6, 2012 8:20:00 AM

subject: Patient/123

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968990-16258657

requestDetail: Patient/123; clinicalNotes: Needlestick Recipient

diagnostic: Apr 6, 2012 8:20:00 AM


Specimen Type           Serum

HEPATITIS SEROLOGY
Hepatitis B Surface Antibody (by Architect)            : Moderate Positive
HBsAB Titre                                            :      44 IU/L

       Hepatitis B Surface Antibody Titres          Interpretation
     =======================================       ================

                   < 10 IU/L                          Not Detected
              10 -  100 IU/L                       Moderate Positive
                 >  100 IU/L                            Detected
     =======================================       =================

Generated Narrative with Details

text:

contained:

name: Needlestick Serology (Details )

status: FINAL

issued: Apr 6, 2012 8:20:00 AM

subject: Patient/123

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968990-16258656

requestDetail: Patient/123; clinicalNotes: Needlestick Recipient

diagnostic: Apr 6, 2012 8:20:00 AM


Request No:  Z561594  Z561539  Z516763  Z561167  Z561168
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    08:02    12:24    17:03    21:26    22:33  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.37     7.32L    7.33L    7.39     7.41          7.35-7.45
pCO2              42       47H      46H      37       34L mmHg    35-45
HCO3(Std)         24       23       23       23       22  mmol/L  22.0-30.0
Base Excess     -0.7     -1.6     -1.5     -2.1     -2.7  mmol/L  -3.0/3.0
pO2              186H     115H     344H     239H     398H mmHg    75-100
O2 Sat            99       97       99       99       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.3      5.4      5.4      4.2      3.8  mmol/L  3.5-5.5
Sodium           141      137      136      134L     134L mmol/L  135-145
Chloride         113H     109      105      105      107  mmol/L  95-110
iCa++           1.20     1.20     1.19     1.18     1.15  mmol/L  1.12-1.30
Glucose          7.1     10.4H     9.3H    13.8H    13.8H mmol/L  3.6-7.7
Lactate          1.4      1.0      1.3      1.7      1.6  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        81L      86L      83L      71L      66L g/L     115-150
Reduced Hb       1.1      2.5      0.9      1.2      0.9  %       0-5
CarbOxy Hb       0.8      0.7      0.6      0.6      0.6  %       0.5-1.5
Meth    Hb       1.6H     2.0H     2.1H     1.9H     2.5H %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 8:38:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516168-16258655

requestDetail: Patient/124; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:33:00 AM


THYROID FUNCTION
Free T4                   18.5       pmol/L  ( 9.0-26.0 )
Free T3                    5.3       pmol/L  ( 3.5-6.5  )
TSH                       0.08    L  mIU/L   ( 0.1-4.0  )




Generated Narrative with Details

text:

contained:

name: Endo / Nutrition (Details )

status: FINAL

issued: Apr 6, 2012 11:08:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968898-16258654

requestDetail: Patient/124; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 7:40:00 AM


Request No:  Z561595  Z561547  Z516569  Z561666  Z561068
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    08:49    10:42    12:34    20:56    22:30  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.42     7.42     7.40     7.39     7.40          7.35-7.45
pCO2              43       46H      47H      46H      43  mmHg    35-45
HCO3(Std)         27       28       28       26       26  mmol/L  22.0-30.0
Base Excess      3.3H     4.6H     4.2H     2.6      1.8  mmol/L  -3.0/3.0
pO2              105H     103H     210H      78       89  mmHg    75-100
O2 Sat            98       98      100       95       97  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.6      4.8      4.2      4.6      4.3  mmol/L  3.5-5.5
Sodium           141      141      141      138      138  mmol/L  135-145
Chloride         108      109      109      109      109  mmol/L  95-110
iCa++           1.11L    1.11L    1.14     1.14     1.10L mmol/L  1.12-1.30
Glucose          7.6      6.8      6.0      8.6H     7.3  mmol/L  3.6-7.7
Lactate          0.7      0.6      0.3      1.0      1.0  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        83L      81L      80L     100L     102L g/L     130-170
Reduced Hb       1.6      1.7      0.5      4.4      2.6  %       0-5
CarbOxy Hb       1.5      1.3      1.4      2.0H     1.9H %       0.5-1.5
Meth    Hb       1.4      1.7H     1.8H     1.3      1.2  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 8:35:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516068-16258653

requestDetail: Patient/120; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:30:00 AM


CUMULATIVE REPORT
Request No:   Z886959  Z968226  Z968410  Z386038  Z968970
      Date:  04/04/12 04/04/12 05/04/12 05/04/12 05/04/12
      Time:     05:10    18:13    00:15    10:00    22:20 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.2               1.3      1.3      1.4H       0.8-1.3
APTT               73H      49H      50H      52H      45H secs  23-36
Fibrinogen        4.1               4.0               3.8  g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:56:00 AM

subject: Patient/125

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968970-16258652

diagnostic: Apr 6, 2012 8:20:00 AM


Lab No : Z366362
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

contained:

name: Blood Cultures (Details )

status: FINAL

issued: Apr 10, 2012 10:00:00 AM

subject: Patient/126

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968980-16258651

requestDetail: Patient/126; clinicalNotes: Febrile >38

diagnostic: Apr 6, 2012 7:30:00 AM


Request No:  Z561546  Z516519  Z561561  Z561964  Z516967
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    09:19    12:19    14:24    18:18    22:28  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.46H    7.43     7.42     7.48H       *          7.35-7.45
pCO2              44       52H      53H      45           mmHg    35-45
HCO3(Std)         30       32H      32H      33H          mmol/L  22.0-30.0
Base Excess      6.9H     9.1H     8.6H     9.2H          mmol/L  -3.0/3.0
pO2               62L      86      131H      81           mmHg    75-100
O2 Sat            92L      96       98       96           %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.1      3.8      4.4      4.1           mmol/L  3.5-5.5
Sodium           144      143      144      145           mmol/L  135-145
Chloride         110      106      107      109           mmol/L  95-110
iCa++           1.11L    1.11L    1.09L    1.11L          mmol/L  1.12-1.30
Glucose          7.7      7.6      7.5      7.8H          mmol/L  3.6-7.7
Lactate          1.0      0.7      0.5      0.6           mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       102L     115      111L     104L          g/L     115-150
Reduced Hb       7.6H     3.6      1.6      3.6           %       0-5
CarbOxy Hb       1.3      1.0      1.1      1.2           %       0.5-1.5
Meth    Hb       1.6H     1.7H     1.9H     1.4           %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 4:21:00 PM

subject: Patient/127

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561967-16258650

requestDetail: Patient/127; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:28:00 AM


Lab No      : Z763774
SPECIMEN
Specimen Type : Urine Midstream


CHEMISTRY
pH              5.0
Protein         NEGATIVE
Specific Grav.  1.009
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      NEGATIVE


MICROSCOPY
Leucocytes                    1          x10^6/L ( <2x10^6/L )
Red Blood Cells               Nil        x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil








STANDARD BACTERIAL CULTURE

1. Streptococcus agalactiae (group B)                 10^7 cfu/L


SENSITIVITIES:   1
Amoxicillin      S
Cotrimoxazole    S
Nitrofurantoin   S
Penicillin       S
Vancomycin       S

ORGANISM 1: Isolates of beta haemolytic streptococci  (Groups A,
B, C and G) susceptible to penicillin are  considered susceptible
to ampicillin, amoxicillin,  augmentin, cefazolin, cephalothin,
cefotaxime,  ceftriaxone, cefepime and meropenem.

Group B Streptococcus is part of the normal vaginal flora.
It may be significant in pregnant patients causing intrauterine,
perinatal or neonatal infection.


Generated Narrative with Details

text:

contained:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 9, 2012 9:38:00 PM

subject: Patient/128

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986960-16258649

requestDetail: Patient/128; clinicalNotes: Appendiceal Abscess

diagnostic: Apr 6, 2012 7:30:00 AM


Request No:  Z561063  Z561963  Z516366  Z561567  Z561867
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    16:20    17:16    20:36    22:13    22:25  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.42     7.41     7.40        *     7.39          7.35-7.45
pCO2              34L      35       36                40  mmHg    35-45
HCO3(Std)         23       23       23                24  mmol/L  22.0-30.0
Base Excess     -1.9     -2.4     -1.8              -0.4  mmol/L  -3.0/3.0
pO2               68L      85       74L               59L mmHg    75-100
O2 Sat            94L      99       95                90L %       95-100

ELECTROLYTES (Whole Blood)
Potassium        3.8      3.6      4.1               3.8  mmol/L  3.5-5.5
Sodium           140      141      140               141  mmol/L  135-145
Chloride         111H     112H     113H              110  mmol/L  95-110
iCa++           1.17     1.15     1.18              1.19  mmol/L  1.12-1.30
Glucose          5.7      5.5      5.8               6.1  mmol/L  3.6-7.7
Lactate          0.8      0.8      0.8               0.9  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       104L     103L     112L              117L g/L     130-170
Reduced Hb       5.5H     0.8      5.0               9.6H %       0-5
CarbOxy Hb       1.4      1.1      1.2               1.2  %       0.5-1.5
Meth    Hb       1.1      1.5      1.4               1.6H %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 8:31:00 AM

subject: Patient/129

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516867-16258648

requestDetail: Patient/129; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:25:00 AM


VITAMINS AND NUTRITION
Retinol (Vitamin A)              *     umol/L( 0.7-3.0 )

Test Referred to: Melbourne Pathology
    Date Packed:      00/00/00
Date Dispatched:      00/00/00
Vitamin 25 D                 TF      nmol/L( SEE-BELOW
Vitamin E                      *     umol/L(11-45     )

Test Referred to: Melbourne Pathology
    Date Packed:      00/00/00
Date Dispatched:      00/00/00

Comment: sample not protected from light ward notified for
         recollection



Generated Narrative with Details

text:

name: Endo / Nutrition (Details )

status: PARTIAL

issued: Apr 10, 2012 5:01:00 PM

subject: Patient/130

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968950-16258646

diagnostic: Apr 6, 2012 6:20:00 AM


CUMULATIVE REPORT
Request No:   Z167860  Z868247  Z986950
      Date:  02/04/12 03/04/12 05/04/12
      Time:     05:50    00:00    20:20                   Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR                 *      1.2      1.1                          0.8-1.3
APTT                        24       24                    secs  23-36
Fibrinogen                 2.3      2.7                    g/L   2.0-5.0

12Z167860 02/04/12 05:50
Comment: * Please note: no specimen received. CSR notified ward

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:56:00 AM

subject: Patient/130

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986950-16258645

diagnostic: Apr 6, 2012 6:20:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         4.2     mmol/L ( 3.5-5.5  )
Chloride           98     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine         75     umol/L ( 49-90    )
 (Creatinine)    0.075    mmol/L ( 0.05-0.09)
Urea              4.0     mmol/L ( 2.5-8.3  )
 eGFR             74             ( SEE-BELOW)
Calcium          2.05     mmol/L ( 2.10-2.60)
Phosphate        0.96     mmol/L ( 0.8-1.5  )
Magnesium        0.78     mmol/L ( 0.8-1.0  )
Albumin            23     g/L    ( 35-50    )
C-React Prot        2     mg/L   ( <5       )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 9:43:00 AM

subject: Patient/130

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986950-16258644

diagnostic: Apr 6, 2012 6:20:00 AM


CUMULATIVE REPORT
Req No:   Z167860  Z986368  Z968950
  Date:  02/04/12 04/04/12 05/04/12
  Time:     05:50    23:00    20:20                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             97L     112L     107L                   g/L       115-150
WCC          11.9H     8.1      9.3                    x10^9/L   4.0-11.0
PLT           349      285      347                    x10^9/L   140-400
RCC          3.79L    4.48     4.29                    x10^12/L  3.80-5.10
PCV          0.31L    0.35     0.34L                   L/L       0.35-0.45
MCV          80.6     78.8L    79.9L                   fL        80.0-96.0
MCH          25.5L    25.0L    24.9L                   pg        27.0-33.0
MCHC          317L     317L     311L                   g/L       320-360
RDW          21.5H    21.0H    21.8H                   %         11.0-15.0
ESR            30H                                     mm in 1hr 2-12
White Cell Differential
Neut         7.4      3.4      5.2                     x10^9/L   2.0-8.0
Lymph        3.1      3.9      3.3                     x10^9/L   1.2-4.0
Mono         1.1H     0.7      0.6                     x10^9/L   0.1-1.0
Eos          0.0      0.0      0.0                     x10^9/L   0.0-0.5
Baso         0.0      0.0      0.1                     x10^9/L   0.0-0.1
Bands        0.4                                       x10^9/L   0.0-0.5

12Z167860 02/04/12 05:50
Film Comment : White cells show mild monocytosis and nild toxic changes
               in the neutrophils. Manual differential.
               Red cells show moderate numbers of target cells and some
               stomatocytes.
               Platelets appear normal.
Conclusion: No clinical information provided.
            ? Infection / inflammation
            Note anaemia, suggest iron studies.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:41:00 AM

subject: Patient/130

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968950-16258643

diagnostic: Apr 6, 2012 6:20:00 AM


Comment: Potassium unavailable. Sample transported on ice.

Request No:  Z561767
      Date: 05/04/12                                              Arterial
      Time:    22:24                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.32L                                             7.35-7.45
pCO2              43                                      mmHg    35-45
HCO3(Std)       21.0L                                     mmol/L  22.0-30.0
Base Excess     -3.4L                                     mmol/L  -3.0/3.0
pO2               53L                                     mmHg    75-100
O2 Sat          85.0L                                     %       95-100

ELECTROLYTES (Whole Blood)
Potassium          *                                      mmol/L  3.5-5.5
Sodium           139                                      mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb        97L                                     g/L     115-150

05/04/12 12Z516767
General Comments: Potassium unavailable. Sample transported on ice.

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 8:27:00 AM

subject: Patient/131

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561767-16258642

requestDetail: Patient/131; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:24:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         4.0     mmol/L ( 3.5-5.5  )
Chloride          103     mmol/L ( 95-110   )
HCO3               28     mmol/L ( 22-30    )
Creatinine         86     umol/L ( 64-104   )
 (Creatinine)    0.086    mmol/L ( 0.05-0.11)
Urea             12.2     mmol/L ( 2.5-8.3  )
 eGFR             73             ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 9:16:00 AM

subject: Patient/132

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986930-16258641

requestDetail: Patient/132; clinicalNotes: Fall

diagnostic: Apr 6, 2012 8:20:00 AM


CUMULATIVE REPORT
Req No:   Z968930
  Date:  05/04/12
  Time:     22:20                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            131                                      g/L       130-170
WCC          11.6H                                     x10^9/L   4.0-11.0
PLT           220                                      x10^9/L   140-400
RCC          3.65L                                     x10^12/L  4.50-5.70
PCV          0.38L                                     L/L       0.40-0.50
MCV         104.1H                                     fL        80.0-96.0
MCH          35.8H                                     pg        27.0-33.0
MCHC          344                                      g/L       320-360
RDW          14.9                                      %         11.0-15.0
White Cell Differential
Neut         9.3H                                      x10^9/L   2.0-8.0
Lymph        1.2                                       x10^9/L   1.2-4.0
Mono         0.9                                       x10^9/L   0.1-1.0
Eos          0.0                                       x10^9/L   0.0-0.5
Baso         0.1                                       x10^9/L   0.0-0.1

12Z986930 05/04/12 22:20
Film Comment : Red cells are mildly macrocytic with occasional target
               cells. Mild neutrophilia.
Conclusion: Common causes of macrocytosis include liver disease,
            B12/folate deficiency, and certain drugs including
            chemotherapy. Suggest liver function tests, serum
            B12/folate levels, and review drug history if cause not
            already known.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:48:00 PM

subject: Patient/132

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968930-16258640

requestDetail: Patient/132; clinicalNotes: Fall

diagnostic: Apr 6, 2012 8:20:00 AM


CUMULATIVE REPORT
Request No:   Z968940
      Date:  05/04/12
      Time:     22:00                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1                                            0.8-1.3
APTT               27                                      secs  23-36
Fibrinogen        4.0                                      g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:57:00 AM

subject: Patient/128

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986940-16258639

requestDetail: Patient/128; clinicalNotes: Appendiceal Abscess

diagnostic: Apr 6, 2012 8:00:00 AM


SERUM/PLASMA
Sodium            139     mmol/L ( 135-145  )
Potassium         3.9     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         54     umol/L ( 49-90    )
 (Creatinine)    0.054    mmol/L ( 0.05-0.09)
Urea              3.4     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            38     g/L    ( 35-50    )
AP                 90     IU/L   ( 30-120   )
GGT                61     IU/L   ( 10-65    )
ALT                23     IU/L   ( <34      )
AST                25     IU/L   ( <31      )
Bili Total          6     umol/L ( <19      )
Protein Total      86     g/L    ( 65-85    )
C-React Prot        4     mg/L   ( <5       )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 11:17:00 AM

subject: Patient/128

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986940-16258638

requestDetail: Patient/128; clinicalNotes: Appendiceal Abscess

diagnostic: Apr 6, 2012 8:00:00 AM


CUMULATIVE REPORT
Req No:   Z362853  Z236704  Z363276  Z566600  Z986940
  Date:  09/02/12 10/02/12 11/02/12 08/03/12 05/04/12
  Time:     05:25    05:00    05:45    12:00    22:00  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            111L     109L     111L     140      133  g/L       115-150
WCC          12.9H     5.3      5.2     10.6      6.0  x10^9/L   4.0-11.0
PLT           358      359      380      288      373  x10^9/L   140-400
RCC          3.62L    3.45L    3.53L    4.43     4.25  x10^12/L  3.80-5.10
PCV          0.33L    0.31L    0.32L    0.40     0.39  L/L       0.35-0.45
MCV          90.6     90.5     90.2     90.4     92.3  fL        80.0-96.0
MCH          30.7     31.6     31.3     31.6     31.4  pg        27.0-33.0
MCHC          339      350      347      349      340  g/L       320-360
RDW          14.6     14.3     14.4     16.2H    14.8  %         11.0-15.0
White Cell Differential
Neut        10.5H     3.5      2.4      9.1H     3.0   x10^9/L   2.0-8.0
Lymph        1.3      1.2      2.0      1.0L     2.5   x10^9/L   1.2-4.0
Mono         0.9      0.5      0.5      0.5      0.4   x10^9/L   0.1-1.0
Eos          0.0      0.1      0.2      0.1      0.1   x10^9/L   0.0-0.5
Baso         0.1      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:41:00 AM

subject: Patient/128

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968940-16258637

requestDetail: Patient/128; clinicalNotes: Appendiceal Abscess

diagnostic: Apr 6, 2012 8:00:00 AM


Request No:  Z561556  Z561559  Z516662  Z561764  Z561667
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    09:21    12:31    15:23    17:56    22:18  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.30L    7.31L       *        *     7.35          7.35-7.45
pCO2              39       41       39       37       36  mmHg    35-45
HCO3(Std)         19L      20L                        20L mmol/L  22.0-30.0
Base Excess     -6.4L    -5.1L                      -4.8L mmol/L  -3.0/3.0
pO2              111H     104H      98       85       92  mmHg    75-100
O2 Sat            98       98       97       96       97  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        2.7L     4.4      4.0      3.8      4.5  mmol/L  3.5-5.5
Sodium           153H     152H     152H     154H     153H mmol/L  135-145
Chloride         125H     126H     125H     125H     125H mmol/L  95-110
iCa++           1.28     1.24     1.26     1.25     1.24  mmol/L  1.12-1.30
Glucose          7.6      7.5      6.6      6.9      6.9  mmol/L  3.6-7.7
Lactate          1.8      1.5      1.8      1.7      1.9H mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       100L     100L      96L     101L     105L g/L     130-170
Reduced Hb       2.3      2.4      2.7      3.6      3.3  %       0-5
CarbOxy Hb       0.5      0.6      0.6      0.7      0.6  %       0.5-1.5
Meth    Hb       1.3      1.9H     1.6H     1.5      1.6H %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 8:31:00 AM

subject: Patient/133

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516667-16258636

requestDetail: Patient/133; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:18:00 AM


CUMULATIVE REPORT
Request No:   Z486606  Z468827  Z968920
      Date:  02/04/12 04/04/12 05/04/12
      Time:     11:40    09:45    22:10                   Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1      1.1      1.2                          0.8-1.3
APTT               24       24       22L                   secs  23-36
Fibrinogen        2.6      2.4      2.3                    g/L   2.0-5.0

12Z986920 05/04/12 22:10
Comment: Please note : Low APTT.  ? Cause  ? Pre-activation of
         specimen.  Suggest repeat.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:56:00 AM

subject: Patient/134

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968920-16258635

diagnostic: Apr 6, 2012 8:10:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         4.6     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               24     mmol/L ( 22-30    )
Creatinine        110     umol/L ( 64-104   )
 (Creatinine)    0.110    mmol/L ( 0.05-0.11)
Urea             11.1     mmol/L ( 2.5-8.3  )
 eGFR             58             ( SEE-BELOW)
Calcium          2.34     mmol/L ( 2.10-2.60)
Phosphate        1.51     mmol/L ( 0.8-1.5  )
Magnesium        0.81     mmol/L ( 0.7-1.1  )
Albumin            34     g/L    ( 35-50    )
AP                 99     IU/L   ( 30-120   )
GGT                32     IU/L   ( 10-65    )
ALT                37     IU/L   ( <45      )
AST                26     IU/L   ( <35      )
Bili Total         15     umol/L ( <19      )
Protein Total      69     g/L    ( 65-85    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:47:00 AM

subject: Patient/134

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968920-16258634

diagnostic: Apr 6, 2012 8:10:00 AM


CUMULATIVE REPORT
Req No:   Z468606  Z568213  Z986920
  Date:  02/04/12 05/04/12 05/04/12
  Time:     11:40    10:40    22:10                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            147      137      140                    g/L       130-170
WCC          10.1     11.2H    16.1H                   x10^9/L   4.0-11.0
PLT            71L      89L      82L                   x10^9/L   140-400
RCC          4.45L    4.21L    4.36L                   x10^12/L  4.50-5.70
PCV          0.42     0.40     0.41                    L/L       0.40-0.50
MCV          95.1     95.7     94.8                    fL        80.0-96.0
MCH          32.9     32.6     32.2                    pg        27.0-33.0
MCHC          346      341      340                    g/L       320-360
RDW          13.6     13.0     13.1                    %         11.0-15.0
White Cell Differential
Neut         7.9      9.0H    14.7H                    x10^9/L   2.0-8.0
Lymph        1.7      1.5      0.8L                    x10^9/L   1.2-4.0
Mono         0.2      0.6      0.6                     x10^9/L   0.1-1.0
Eos          0.0      0.0      0.0                     x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0                     x10^9/L   0.0-0.1
Bands        0.3                                       x10^9/L   0.0-0.5

12Z468606 02/04/12 11:40
Film Comment : Moderate thrombocytopenia. Occasional reactive
               lymphocytes. Manual differential. Red cells are mainly
               normocytic normochromic with occasional elongated cells.
Conclusion: Known history of immune thrombocytopenic purpura (ITP).
            Suggest follow up FBEs to monitor platelet count.
Comment: Film reveiwed by Dr Radio Xray - Haematology
         Registrar

12Z568213 05/04/12 10:40
Comment: Note neutrophilia.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:34:00 AM

subject: Patient/134

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986920-16258633

diagnostic: Apr 6, 2012 8:10:00 AM


SERUM/PLASMA
Troponin I        0.02    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:57:00 AM

subject: Patient/135

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968910-16258632

requestDetail: Patient/135; clinicalNotes: Chest Pain FI

diagnostic: Apr 6, 2012 8:05:00 AM


SERUM/PLASMA
Troponin I       <0.02    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:57:00 AM

subject: Patient/136

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986900-16258631

requestDetail: Patient/136; clinicalNotes: Serial Troponins

diagnostic: Apr 6, 2012 8:00:00 AM


No Test Requested
NTRC

Generated Narrative with Details

text:

contained:

name: Central Reception (Details )

status: PARTIAL

issued: Apr 6, 2012 8:00:00 AM

subject: Patient/137

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968899-16258630

requestDetail: Patient/137; clinicalNotes: R/Central Chest Pain Febrile

diagnostic: Apr 6, 2012 8:00:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.1     mmol/L ( 3.5-5.5  )
Chloride          102     mmol/L ( 95-110   )
HCO3               30     mmol/L ( 22-30    )
Creatinine         94     umol/L ( 64-104   )
 (Creatinine)    0.094    mmol/L ( 0.05-0.11)
Urea              5.3     mmol/L ( 2.5-8.3  )
 eGFR             75             ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 9:43:00 AM

subject: Patient/137

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968899-16258629

requestDetail: Patient/137; clinicalNotes: R/Central Chest Pain Febrile

diagnostic: Apr 6, 2012 8:00:00 AM


CUMULATIVE REPORT
Req No:   Z568703  Z169290  Z886775  Z169620  Z968899
  Date:  30/01/07 08/06/09 24/08/09 20/07/11 05/04/12
  Time:     17:50    08:30    02:10    06:30    22:00  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            161      136      151      141      138  g/L       130-170
WCC           6.9      7.3     10.2     13.8H     4.2  x10^9/L   4.0-11.0
PLT           299      229      280      207      159  x10^9/L   140-400
RCC          5.44     4.47L    4.98     4.67     4.55  x10^12/L  4.50-5.70
PCV          0.47     0.40     0.44     0.41     0.40  L/L       0.40-0.50
MCV          85.9     89.7     88.4     87.8     87.3  fL        80.0-96.0
MCH          29.6     30.3     30.3     30.2     30.4  pg        27.0-33.0
MCHC          345      338      343      344      348  g/L       320-360
RDW          12.7     13.1     12.6     13.0     13.0  %         11.0-15.0
White Cell Differential
Neut         4.6      4.6      7.6     11.0H     3.8   x10^9/L   2.0-8.0
Lymph        1.4      2.1      1.8      1.4      0.2L  x10^9/L   1.2-4.0
Mono         0.7      0.5      0.6      1.2H     0.1   x10^9/L   0.1-1.0
Eos          0.1      0.1      0.1      0.2      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:32:00 AM

subject: Patient/137

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986899-16258628

requestDetail: Patient/137; clinicalNotes: R/Central Chest Pain Febrile

diagnostic: Apr 6, 2012 8:00:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         3.5     mmol/L ( 3.5-5.5  )
Chloride          107     mmol/L ( 95-110   )
HCO3               24     mmol/L ( 22-30    )
Creatinine         60     umol/L ( 49-90    )
 (Creatinine)    0.060    mmol/L ( 0.05-0.09)
Urea              6.1     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:47:00 AM

subject: Patient/138

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968889-16258627

diagnostic: Apr 6, 2012 8:11:00 AM


CUMULATIVE REPORT
Req No:   Z968889
  Date:  05/04/12
  Time:     22:11                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            128                                      g/L       115-150
WCC           9.9                                      x10^9/L   4.0-11.0
PLT           303                                      x10^9/L   140-400
RCC          3.89                                      x10^12/L  3.80-5.10
PCV          0.37                                      L/L       0.35-0.45
MCV          94.8                                      fL        80.0-96.0
MCH          32.9                                      pg        27.0-33.0
MCHC          347                                      g/L       320-360
RDW          12.1                                      %         11.0-15.0
White Cell Differential
Neut         6.8                                       x10^9/L   2.0-8.0
Lymph        2.2                                       x10^9/L   1.2-4.0
Mono         0.8                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:32:00 AM

subject: Patient/138

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986889-16258626

diagnostic: Apr 6, 2012 8:11:00 AM


Lab No      : Z860599
SPECIMEN
Specimen Type : Swab
Description   : site not stated



GRAM STAIN
Leucocytes                                     +
Gram positive cocci                            +


CULTURE




1. Staphylococcus aureus                              ++


SENSITIVITIES    1

Clindamycin      S
Cotrimoxazole    S
Erythromycin     S
Fusidic Acid     S
Oxacillin        S
Penicillin       S
Rifampicin       S
Vancomycin       S


This oxacillin susceptible isolate will also be susceptible to
flucloxacillin, methicillin, augmentin, cloxacillin, cephalexin,
cephalothin and cefazolin.
This clindamycin sensitive isolate will also be  sensitive to
lincomycin.


COMMENT
Dry swab received only - swab in TRANSPORT MEDIUM is optimal for
culture.

Generated Narrative with Details

text:

contained:

name: Wounds/Tips/Ent/Eye (Details )

status: FINAL

issued: Apr 9, 2012 10:08:00 PM

subject: Patient/139

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986879-16258625

requestDetail: Patient/139; clinicalNotes: Collapsed Low BP

diagnostic: Apr 6, 2012 8:00:00 AM


Request No:  Z561062  Z561063  Z516963  Z561366  Z561567
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    14:47    16:20    17:16    20:36    22:13  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.40     7.42     7.41     7.40        *          7.35-7.45
pCO2              38       34L      35       36           mmHg    35-45
HCO3(Std)         24       23       23       23           mmol/L  22.0-30.0
Base Excess     -0.9     -1.9     -2.4     -1.8           mmol/L  -3.0/3.0
pO2               67L      68L      85       74L          mmHg    75-100
O2 Sat            93L      94L      99       95           %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.0      3.8      3.6      4.1           mmol/L  3.5-5.5
Sodium           140      140      141      140           mmol/L  135-145
Chloride         111H     111H     112H     113H          mmol/L  95-110
iCa++           1.21     1.17     1.15     1.18           mmol/L  1.12-1.30
Glucose          5.6      5.7      5.5      5.8           mmol/L  3.6-7.7
Lactate          0.8      0.8      0.8      0.8           mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       106L     104L     103L     112L          g/L     130-170
Reduced Hb       6.4H     5.5H     0.8      5.0           %       0-5
CarbOxy Hb       1.3      1.4      1.1      1.2           %       0.5-1.5
Meth    Hb       1.3      1.1      1.5      1.4           %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 4:21:00 PM

subject: Patient/129

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516567-16258624

requestDetail: Patient/129; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:13:00 AM


URINE

Urine Creatinine               11.5   mmol/L
Urine Creatinine Excretion            mmol/D          ( 7-13     )
Creatinine Clearance                  ml/sec          ( 1.5-2.5  )
Creatinine Clearance                  ml/min          ( 90-150   )
Urine Protein                  0.34   g/L
Urine Protein Excretion               g/D             ( <0.15    )
Protein/Creat Ratio              30   mg/mmol Creat   ( 15-35    )

Generated Narrative with Details

text:

name: Urine Chemistry (Details )

status: FINAL

issued: Apr 8, 2012 2:54:00 AM

subject: Patient/140

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968769-16258623

diagnostic: Apr 6, 2012 4:11:00 AM


LAB.NUMBER: Z364920

SURVEILLANCE SCREENING


CULTURE
SCREENING TEST FOR            VRE

GROIN SWAB                    VRE not detected

Generated Narrative with Details

text:

contained:

name: Surveillance (Details )

status: FINAL

issued: Apr 8, 2012 7:50:00 PM

subject: Patient/141

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986895-16258622

requestDetail: Patient/141; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 6:00:00 AM


CUMULATIVE REPORT
Request No:   Z761461  Z663728  Z676651  Z364144  Z968859
      Date:  11/10/08 21/12/08 28/09/11 16/02/12 05/04/12
      Time:     09:45    21:20    12:45    07:55    21:50 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               2.2H     3.3H     1.1      1.2      1.1        0.8-1.3
APTT                                          28       28  secs  23-36
Fibrinogen                                   3.9      4.7  g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:40:00 AM

subject: Patient/142

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986859-16258621

diagnostic: Apr 6, 2012 7:50:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         5.2     mmol/L ( 3.5-5.5  )
Chloride          107     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine        127     umol/L ( 64-104   )
 (Creatinine)    0.127    mmol/L ( 0.05-0.11)
Urea             16.8     mmol/L ( 2.5-8.3  )
 eGFR             47             ( SEE-BELOW)
Calcium          2.38     mmol/L ( 2.10-2.60)
Phosphate        1.11     mmol/L ( 0.8-1.5  )
Magnesium        0.94     mmol/L ( 0.7-1.1  )
Albumin            32     g/L    ( 35-50    )
AP                201     IU/L   ( 30-120   )
GGT               360     IU/L   ( 10-65    )
ALT                17     IU/L   ( <45      )
AST                31     IU/L   ( <35      )
Bili Total         12     umol/L ( <19      )
Protein Total      79     g/L    ( 65-85    )
Troponin I        0.08    ug/L   (See Below )
CK                 43     IU/L   ( <175     )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:56:00 AM

subject: Patient/142

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968859-16258620

diagnostic: Apr 6, 2012 7:50:00 AM


CUMULATIVE REPORT
Req No:   Z167305  Z868378  Z766119  Z367707  Z968859
  Date:  01/04/12 03/04/12 04/04/12 05/04/12 05/04/12
  Time:     09:16    06:00    11:40    08:20    21:50  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             93L      95L      92L      98L      94L g/L       130-170
WCC           7.5      7.2      7.2      8.0      9.0  x10^9/L   4.0-11.0
PLT           200      214        *      226      244  x10^9/L   140-400
RCC          3.80L    3.92L    3.83L    4.01L    3.91L x10^12/L  4.50-5.70
PCV          0.28L    0.29L    0.29L    0.30L    0.30L L/L       0.40-0.50
MCV          74.2L    74.6L    74.9L    75.7L    75.8L fL        80.0-96.0
MCH          24.5L    24.3L    24.1L    24.5L    24.1L pg        27.0-33.0
MCHC          330      326      322      323      318L g/L       320-360
RDW          15.7H    15.6H    15.7H    15.7H    16.1H %         11.0-15.0
White Cell Differential
Neut         4.9      5.1      5.9      5.5      5.8   x10^9/L   2.0-8.0
Lymph        1.3      0.9L     0.7L     1.5      1.9   x10^9/L   1.2-4.0
Mono         0.6      0.1      0.4      0.6      0.7   x10^9/L   0.1-1.0
Eos          0.6H     0.6H     0.1      0.3      0.6H  x10^9/L   0.0-0.5
Baso         0.1      0.2H     0.0      0.0      0.1   x10^9/L   0.0-0.1
Bands                 0.2                              x10^9/L   0.0-0.5

12Z886378 03/04/12 06:00
Film Comment : Manual differential. Red cells are microcytic hypochromic
               with some polychromasia, elongated cells and occasional
               target cells. Platelets appear normal.
Conclusion: Mild Eosinophilia persists.
            Known Beta-Thalassaemia Minor. Iron
            studies may be of value. Suggest repeat FBE.

            Film reviewed by Dr Radio Xray - Haematology
            Registrar

12Z766119 04/04/12 11:40
Film Comment : Platelets appear normocytic normochromic with occasional
               fibrin strands noted. ? accuracy of platelet count. Red
               cells are unchanged. White cells are unremarkable.
Conclusion: Known beta thalassaemia minor. Suggest repeat FBE for an
            accurate platelet count.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:32:00 AM

subject: Patient/142

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986859-16258619

diagnostic: Apr 6, 2012 7:50:00 AM


CUMULATIVE REPORT
Request No:   Z968315  Z968465  Z986643  Z968743  Z968869
      Date:  04/04/12 05/04/12 05/04/12 05/04/12 05/04/12
      Time:     21:10    03:15    10:54    16:10    22:05 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR                        1.3                                   0.8-1.3
APTT              105H      44H      38H      40H      40H secs  23-36
Fibrinogen                 4.9                             g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:40:00 AM

subject: Patient/143

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986869-16258618

requestDetail: Patient/143; clinicalNotes: Heparin Infusion

diagnostic: Apr 6, 2012 8:05:00 AM


Comment: Potassium unavailable. Sample transported on ice.

Request No:  Z516467
      Date: 05/04/12                                              Arterial
      Time:    22:05                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.34L                                             7.35-7.45
pCO2              32L                                     mmHg    35-45
HCO3(Std)       18.0L                                     mmol/L  22.0-30.0
Base Excess     -7.9L                                     mmol/L  -3.0/3.0
pO2               80                                      mmHg    75-100
O2 Sat          96.0                                      %       95-100

ELECTROLYTES (Whole Blood)
Potassium          *                                      mmol/L  3.5-5.5
Sodium           141                                      mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb        99L                                     g/L     115-150

05/04/12 12Z561467
General Comments: Potassium unavailable. Sample transported on ice.

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 8:11:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561467-16258617

requestDetail: Patient/121; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 8:05:00 AM


URINE
Period                          ru.   Hrs
Volume                           nk   ml

Urine Creatinine                2.2   mmol/L
Urine Creatinine Excretion            mmol/D          ( 7-13     )
Urine Protein                  0.51   g/L
Urine Protein Excretion               g/D             ( <0.15    )
Protein/Creat Ratio             232 H mg/mmol Creat   ( 15-35    )

Generated Narrative with Details

text:

name: Urine Chemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:16:00 AM

subject: Patient/144

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968849-16258616

diagnostic: Apr 6, 2012 7:58:00 AM


Lab No      : Z736764
SPECIMEN
Specimen Type : Urine Type Not Stated


CHEMISTRY
pH              6.5
Protein         +
Specific Grav.  1.012
Blood           +
Glucose         +
Leucocytes      NEGATIVE


MICROSCOPY
Leucocytes                    5          x10^6/L ( <2x10^6/L )
Red Blood Cells               2          x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     +








STANDARD BACTERIAL CULTURE
No Growth -Detection limit 10^7 CFU/L


Generated Narrative with Details

text:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 6:57:00 PM

subject: Patient/144

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968849-16258615

diagnostic: Apr 6, 2012 7:58:00 AM


CUMULATIVE REPORT
Request No:   Z986839
      Date:  05/04/12
      Time:     21:40                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.0                                            0.8-1.3
APTT               21L                                     secs  23-36
Fibrinogen        4.5                                      g/L   2.0-5.0

12Z968839 05/04/12 21:40
Comment: Please note : Low APTT.  ? Cause  ? Pre-activation of
         specimen.  Suggest repeat.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:28:00 AM

subject: Patient/145

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968839-16258614

requestDetail: Patient/145; clinicalNotes: PR Bleeding

diagnostic: Apr 6, 2012 7:40:00 AM


SERUM/PLASMA
Sodium            143     mmol/L ( 135-145  )
Potassium         4.5     mmol/L ( 3.5-5.5  )
Chloride          105     mmol/L ( 95-110   )
HCO3               30     mmol/L ( 22-30    )
Creatinine         77     umol/L ( 64-104   )
 (Creatinine)    0.077    mmol/L ( 0.05-0.11)
Urea              7.5     mmol/L ( 2.5-8.3  )
 eGFR             86             ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:31:00 AM

subject: Patient/145

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968839-16258613

requestDetail: Patient/145; clinicalNotes: PR Bleeding

diagnostic: Apr 6, 2012 7:40:00 AM


CUMULATIVE REPORT
Req No:   Z986839
  Date:  05/04/12
  Time:     21:40                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            143                                      g/L       130-170
WCC           7.2                                      x10^9/L   4.0-11.0
PLT           171                                      x10^9/L   140-400
RCC          4.61                                      x10^12/L  4.50-5.70
PCV          0.41                                      L/L       0.40-0.50
MCV          88.4                                      fL        80.0-96.0
MCH          31.1                                      pg        27.0-33.0
MCHC          352                                      g/L       320-360
RDW          13.8                                      %         11.0-15.0
White Cell Differential
Neut         5.5                                       x10^9/L   2.0-8.0
Lymph        1.0L                                      x10^9/L   1.2-4.0
Mono         0.7                                       x10^9/L   0.1-1.0
Eos          0.0                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:01:00 AM

subject: Patient/145

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968839-16258612

requestDetail: Patient/145; clinicalNotes: PR Bleeding

diagnostic: Apr 6, 2012 7:40:00 AM


SERUM/PLASMA
Sodium            139     mmol/L ( 135-145  )
Potassium         4.7     mmol/L ( 3.5-5.5  )
Chloride          101     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine        127     umol/L ( 49-90    )
 (Creatinine)    0.127    mmol/L ( 0.05-0.09)
Urea             16.2     mmol/L ( 2.5-8.3  )
 eGFR             35             ( SEE-BELOW)
Troponin I        0.04    ug/L   (See Below )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:44:00 AM

subject: Patient/146

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968829-16258611

diagnostic: Apr 6, 2012 7:53:00 AM


CUMULATIVE REPORT
Req No:   Z864851  Z864950  Z836163  Z863134  Z968829
  Date:  04/03/12 04/03/12 07/03/12 08/03/12 05/04/12
  Time:     07:48    09:40    10:15    09:55    21:53  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            103L      93L      81L      84L      96L g/L       115-150
WCC           5.6      6.8      5.6      4.8      6.7  x10^9/L   4.0-11.0
PLT           267      283      240      230      302  x10^9/L   140-400
RCC          3.45L    3.17L    2.77L    2.80L    3.50L x10^12/L  3.80-5.10
PCV          0.31L    0.28L    0.25L    0.25L    0.30L L/L       0.35-0.45
MCV          89.7     87.3     88.8     88.3     84.9  fL        80.0-96.0
MCH          29.7     29.2     29.4     30.2     27.4  pg        27.0-33.0
MCHC          331      334      330      342      323  g/L       320-360
RDW          16.5H    16.5H    16.7H    16.9H    16.9H %         11.0-15.0
White Cell Differential
Neut         4.0      5.2      3.9      3.5      4.5   x10^9/L   2.0-8.0
Lymph        0.8L     0.8L     0.7L     0.6L     0.8L  x10^9/L   1.2-4.0
Mono         0.4      0.4      0.6      0.5      0.8   x10^9/L   0.1-1.0
Eos          0.4      0.4      0.5      0.3      0.5   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.1   x10^9/L   0.0-0.1

12Z846851 04/03/12 07:48
Film Comment : Red cells are mainly normocytic normochromic with some
               elongated cells, target cells, polychromatic cells and
               mild rouleaux. Platelets show occasional large fomrs.
               White cells appear normal.

12Z863134 08/03/12 09:55
Film Comment : Red cell changes persist. Film scanned.
Conclusion: Note persistent anaemia.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:02:00 AM

subject: Patient/146

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986829-16258610

diagnostic: Apr 6, 2012 7:53:00 AM


SERUM/PLASMA
Sodium            139     mmol/L ( 135-145  )
Potassium         3.9     mmol/L ( 3.5-5.5  )
Chloride          110     mmol/L ( 95-110   )
HCO3               18     mmol/L ( 22-30    )
Creatinine        132     umol/L ( 49-90    )
 (Creatinine)    0.132    mmol/L ( 0.05-0.09)
Urea             10.7     mmol/L ( 2.5-8.3  )
 eGFR             35             ( SEE-BELOW)
Calcium          2.09     mmol/L ( 2.10-2.60)
Phosphate        1.66     mmol/L ( 0.8-1.5  )
Magnesium        1.10     mmol/L ( 0.8-1.0  )
Albumin            28     g/L    ( 35-50    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:31:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986819-16258609

diagnostic: Apr 6, 2012 7:40:00 AM


CUMULATIVE REPORT
Req No:   Z968356  Z986691  Z968819
  Date:  04/04/12 05/04/12 05/04/12
  Time:     22:01    10:00    21:40                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            109L      90L     100L                   g/L       115-150
WCC           7.3      8.8     12.8H                   x10^9/L   4.0-11.0
PLT           184      170      206                    x10^9/L   140-400
RCC          3.45L    2.82L    3.23L                   x10^12/L  3.80-5.10
PCV          0.32L    0.26L    0.30L                   L/L       0.35-0.45
MCV          92.5     92.1     92.4                    fL        80.0-96.0
MCH          31.5     31.9     31.0                    pg        27.0-33.0
MCHC          340      346      335                    g/L       320-360
RDW          15.8H    16.5H    16.3H                   %         11.0-15.0
White Cell Differential
Neut         6.7      8.0     11.4H                    x10^9/L   2.0-8.0
Lymph        0.5L     0.7L     0.5L                    x10^9/L   1.2-4.0
Mono         0.1      0.0L     0.9                     x10^9/L   0.1-1.0
Eos          0.0      0.0      0.0                     x10^9/L   0.0-0.5
Baso         0.0      0.1      0.1                     x10^9/L   0.0-0.1

12Z968691 05/04/12 10:00
Comment: Intra-op

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:01:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968819-16258608

diagnostic: Apr 6, 2012 7:40:00 AM


CUMULATIVE REPORT
Request No:   Z968694  Z986770  Z968745  Z968803  Z986809
      Date:  05/04/12 05/04/12 05/04/12 05/04/12 05/04/12
      Time:     11:25    14:57    17:00    19:00    21:30 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1                                            0.8-1.3
APTT               55H      44H       *       67H      61H secs  23-36
Fibrinogen        4.3                                      g/L   2.0-5.0

12Z968803 05/04/12 19:00
Comment: Further testing with a heparin resistant reagent confirmed
         the presence of heparin. Please indicate anticoagulant
         therapy on request form.

12Z968745 05/04/12 17:00
Comment: * Insufficient specimen to perform APTT. Ward informed.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:23:00 AM

subject: Patient/147

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968809-16258607

diagnostic: Apr 6, 2012 7:30:00 AM


Request No:  Z561163  Z516164  Z561865  Z561566  Z516367
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    16:22    17:26    20:00    20:52    21:52  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.28L    7.17L    7.31L    7.37     7.37          7.35-7.45
pCO2              51H      50H      41       35       32L mmHg    35-45
HCO3(Std)                           20L      21L      20L mmol/L  22.0-30.0
Base Excess     -2.3     -9.8L    -4.8L    -4.6L    -6.0L mmol/L  -3.0/3.0
pO2              141H     233H     245H     134H     160H mmHg    75-100
O2 Sat            98       98       99       99       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        3.9      3.7      4.2      4.3      4.2  mmol/L  3.5-5.5
Sodium           141      144      141      142      141  mmol/L  135-145
Chloride                           115H     114H     115H mmol/L  95-110
iCa++                             1.07L    1.06L    1.07L mmol/L  1.12-1.30
Glucose                           10.8H    10.7H    11.0H mmol/L  3.6-7.7
Lactate                            1.0      1.2      1.1  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       104L      92L      94L      95L      98L g/L     130-170
Reduced Hb                         0.8      1.4      1.0  %       0-5
CarbOxy Hb                         0.3L     0.5      0.6  %       0.5-1.5
Meth    Hb                         1.6H     1.7H     1.6H %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 7:56:00 AM

subject: Patient/148

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561367-16258606

requestDetail: Patient/148; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 7:52:00 AM


Request No:  Z561267
      Date: 05/04/12                                              Arterial
      Time:    21:49                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.37                                              7.35-7.45
pCO2              53H                                     mmHg    35-45
Base Excess      5.0H                                     mmol/L  -3.0/3.0
pO2               19L                                     mmHg    75-100
O2 Sat            25L                                     %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.6                                      mmol/L  3.5-5.5
Sodium           142                                      mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb       149                                      g/L     130-170

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 7:51:00 AM

subject: Patient/145

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516267-16258605

requestDetail: Patient/145; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 7:49:00 AM


SERUM/PLASMA
Sodium            142     mmol/L ( 135-145  )
Potassium         3.9     mmol/L ( 3.5-5.5  )
Chloride          105     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         50     umol/L ( 49-90    )
 (Creatinine)    0.050    mmol/L ( 0.05-0.09)
Urea              4.4     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            40     g/L    ( 35-50    )
AP                 91     IU/L   ( 30-120   )
GGT                28     IU/L   ( 10-65    )
ALT                34     IU/L   ( <34      )
AST                22     IU/L   ( <31      )
Bili Total          7     umol/L ( <19      )
Protein Total      80     g/L    ( 65-85    )
Troponin I       <0.02    ug/L   (See Below )
C-React Prot        5     mg/L   ( <5       )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:58:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986898-16258604

requestDetail: Patient/124; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 7:40:00 AM


CUMULATIVE REPORT
Req No:   Z968898
  Date:  05/04/12
  Time:     21:40                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            120                                      g/L       115-150
WCC           6.9                                      x10^9/L   4.0-11.0
PLT           250                                      x10^9/L   140-400
RCC          4.16                                      x10^12/L  3.80-5.10
PCV          0.34L                                     L/L       0.35-0.45
MCV          81.1                                      fL        80.0-96.0
MCH          28.9                                      pg        27.0-33.0
MCHC          356                                      g/L       320-360
RDW          13.4                                      %         11.0-15.0
White Cell Differential
Neut         3.8                                       x10^9/L   2.0-8.0
Lymph        2.6                                       x10^9/L   1.2-4.0
Mono         0.4                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:01:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968898-16258603

requestDetail: Patient/124; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 7:40:00 AM


SERUM/PLASMA
CK                344     IU/L   ( <175     )
CKMB Mass         34.0    ug/L   ( <4       )
LIPIDS

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 1:49:00 PM

subject: Patient/149

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968888-16258602

requestDetail: Patient/149; clinicalNotes: Trial See Slip

diagnostic: Apr 6, 2012 7:44:00 AM


Lab No      : Z066808
SPECIMEN
Specimen Type:         Faeces
Description:           Unformed


CLOSTRIDIUM DIFFICILE
C.difficile Culture:                       C.difficile NOT isolated


COMMENT
* Faeces examination for patients in hospital for >3 days will
ONLY have C.difficile tests performed.

 If the clinical condition requires more extensive culture, other
pathogen detection, or if the clinical condition warrants further
investigation, please contact the Microbiology Registrar.

Generated Narrative with Details

text:

contained:

name: Faeces (Details )

status: FINAL

issued: Apr 8, 2012 12:25:00 AM

subject: Patient/150

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968878-16258601

requestDetail: Patient/150; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 7:00:00 AM


Lab No      : Z996588
SPECIMEN
Specimen Type : Tracheal Aspirate


MICROSCOPY

GRAM STAIN
Pus Cells                                 +
No organisms seen





CULTURE

Standard culture:   ++ Mixed upper respiratory tract flora





Generated Narrative with Details

text:

name: Respiratory M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 10:54:00 PM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968868-16258600

diagnostic: Apr 6, 2012 7:30:00 AM


Lab No      : Z736754
SPECIMEN
Specimen Type : Urine Type Not Stated


CHEMISTRY
pH              5.5
Protein         +
Specific Grav.  >=1.030
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      NEGATIVE


MICROSCOPY
Leucocytes                    4          x10^6/L ( <2x10^6/L )
Red Blood Cells               Nil        x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil








STANDARD BACTERIAL CULTURE
No Growth -Detection limit 10^7 CFU/L


Generated Narrative with Details

text:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 6:55:00 PM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968868-16258599

diagnostic: Apr 6, 2012 7:30:00 AM


Lab No : Z366352
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 8:49:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968868-16258598

diagnostic: Apr 6, 2012 7:30:00 AM


SERUM/PLASMA
Bili Total          *     umol/L ( <19      )
Protein Total       *     g/L    ( 65-85    )

Comment: The requested tests were not completed as no
         sample was  received.

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 9:43:00 AM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968858-16258597

requestDetail: Patient/151; clinicalNotes: S\H/A Anneurism

diagnostic: Apr 6, 2012 7:30:00 AM


Miscellaneous Fluid
Fluid Type:   CSF
Cerebrospinal Fluid
Csf Protein      0.22 g/L    ( 0.15-0.45
Csf Glucose       3.6 mmol/L ( 2.5-5.0)

Xanthochromia Test

Date of Symptom Onset:   04/04/2012
Time of Symptom Onset:   12:00
Date of Lumbar Puncture: 05/04/2012
Time of Lumbar Puncture: 21:30
Hand Delivered?:         no
Time Difference:         33:30
Xan Result               As below
Xanthochromia Comment:   Oxyhaemoglobin present but no significant
                         bilirubin.   The concentration of oxyhaemoglobin
                         may mask a small  but significant increase in
                         bilirubin.  Subarachnoid  haemorrhage not
                         excluded.
                         NOTE: This xanthochromia result cannot be fully
                         relied  upon as specimens were not collected /
                         forwarded  according to protocol.


Generated Narrative with Details

text:

contained:

name: Csf & Fluid Chemistr (Details )

status: FINAL

issued: Apr 6, 2012 9:01:00 AM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986858-16258596

requestDetail: Patient/151; clinicalNotes: S\H/A Anneurism

diagnostic: Apr 6, 2012 7:30:00 AM


Lab No      : Z262849
SPECIMEN
Specimen Type : CSF Lumbar Puncture

MACROSCOPIC APPEARANCE                 MACROSCOPIC APPEARANCE

CSF Total volume: 7    ml(s)

TUBE 3                                 TUBE 1
Clear and colourless                   Faintly bloodstained

CELL COUNT:          x10^6/L           CELL COUNT:          x10^6/L
Erythrocytes         3                 Erythrocytes         114
Polymorphs           0                 Polymorphs           0
Lymphocytes          0                 Lymphocytes          0

CULTURE
No Growth After 2 Days.

COMMENT
This CSF specimen will be cultured on routine media for 48 hours.
Please contact the Microbiology registrar if either extended
culture or special media are required.

Generated Narrative with Details

text:

contained:

name: CSF M/C/S (Details )

status: FINAL

issued: Apr 8, 2012 8:12:00 PM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968858-16258595

requestDetail: Patient/151; clinicalNotes: S\H/A Anneurism

diagnostic: Apr 6, 2012 7:30:00 AM


CUMULATIVE REPORT
Request No:   Z764221  Z566945  Z765513  Z765914  Z986838
      Date:  28/07/11 09/03/12 10/03/12 11/03/12 05/04/12
      Time:     16:20    04:30    06:10    01:20    21:25 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               2.6H     2.7H     3.4H     3.5H     1.9H       0.8-1.3
APTT                                                   31  secs  23-36
Fibrinogen                                            3.2  g/L   2.0-5.0

12Z765513 10/03/12 06:10
Comment: Please indicate anticoagulant therapy on request form.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:28:00 AM

subject: Patient/152

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968838-16258594

requestDetail: Patient/152; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 7:25:00 AM


SERUM/PLASMA
Sodium            143     mmol/L ( 135-145  )
Potassium         4.3     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               26     mmol/L ( 22-30    )
Creatinine         89     umol/L ( 49-90    )
 (Creatinine)    0.089    mmol/L ( 0.05-0.09)
Urea              8.5     mmol/L ( 2.5-8.3  )
 eGFR             53             ( SEE-BELOW)
Troponin I        0.02    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:29:00 AM

subject: Patient/152

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968838-16258593

requestDetail: Patient/152; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 7:25:00 AM


CUMULATIVE REPORT
Req No:   Z765513  Z765823  Z756914  Z165519  Z968838
  Date:  10/03/12 10/03/12 11/03/12 12/03/12 05/04/12
  Time:     06:10    19:00    01:20    06:27    21:25  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            115        *      116      109L     112L g/L       115-150
WCC           5.2               7.2      7.3      9.6  x10^9/L   4.0-11.0
PLT           144        *      164      154      172  x10^9/L   140-400
RCC          3.90              3.98     3.71L    3.83  x10^12/L  3.80-5.10
PCV          0.34L             0.35     0.32L    0.34L L/L       0.35-0.45
MCV          87.3              87.8     87.1     87.5  fL        80.0-96.0
MCH          29.5              29.2     29.3     29.3  pg        27.0-33.0
MCHC          338               332      337      335  g/L       320-360
RDW          15.6H             15.5H    15.5H    15.6H %         11.0-15.0
White Cell Differential
Neut         3.2               4.7      5.3      6.7   x10^9/L   2.0-8.0
Lymph        1.4               1.7      1.4      2.0   x10^9/L   1.2-4.0
Mono         0.4               0.6      0.5      0.7   x10^9/L   0.1-1.0
Eos          0.2               0.2      0.1      0.2   x10^9/L   0.0-0.5
Baso         0.0               0.1      0.0      0.1   x10^9/L   0.0-0.1

12Z756823 10/03/12 19:00
Comment: * Please note: no specimen received.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:01:00 AM

subject: Patient/152

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986838-16258592

requestDetail: Patient/152; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 7:25:00 AM


Specimen Type           Serum

Test performed at Friends Laboratory



COMMENT: This serum sample has been stored for 3 months.  If clinically
         indicated please send convalescent sera 2-3  weeks after
         symptom onset for Mycoplasma, Influenza, Chlamydia and Q fever
         or 4-6 weeks after symptom onset for Legionella.  More rapid
         results are available for Legionella  pneumophila and
         Pneumococcus by urinary antigen  testing, or for Influenza by
         PCR of nose/throat swabs.



Generated Narrative with Details

text:

contained:

name: Micro Sendout (Details )

status: FINAL

issued: Apr 6, 2012 10:52:00 PM

subject: Patient/153

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968848-16258591

requestDetail: Patient/153; clinicalNotes: Chest Pain Worse On Exercise

diagnostic: Apr 6, 2012 7:30:00 AM


Request No:  Z516524  Z561594  Z561539  Z516763  Z561167
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    06:18    08:02    12:24    17:03    21:26  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.36     7.37     7.32L    7.33L    7.39          7.35-7.45
pCO2              37       42       47H      46H      37  mmHg    35-45
HCO3(Std)         21L      24       23       23       23  mmol/L  22.0-30.0
Base Excess     -3.7L    -0.7     -1.6     -1.5     -2.1  mmol/L  -3.0/3.0
pO2              105H     186H     115H     344H     239H mmHg    75-100
O2 Sat            97       99       97       99       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        3.5      4.3      5.4      5.4      4.2  mmol/L  3.5-5.5
Sodium           145      141      137      136      134L mmol/L  135-145
Chloride         118H     113H     109      105      105  mmol/L  95-110
iCa++           1.11L    1.20     1.20     1.19     1.18  mmol/L  1.12-1.30
Glucose          5.3      7.1     10.4H     9.3H    13.8H mmol/L  3.6-7.7
Lactate          0.8      1.4      1.0      1.3      1.7  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        74L      81L      86L      83L      71L g/L     115-150
Reduced Hb       2.7      1.1      2.5      0.9      1.2  %       0-5
CarbOxy Hb       0.8      0.8      0.7      0.6      0.6  %       0.5-1.5
Meth    Hb       2.4H     1.6H     2.0H     2.1H     1.9H %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 7:30:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561167-16258590

requestDetail: Patient/124; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 7:26:00 AM


Request No:  Z561261  Z516463  Z561864  Z561765  Z516067
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    14:13    16:46    18:10    19:54    21:22  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.26L    7.36     7.40     7.36     7.24L         7.35-7.45
pCO2              26L      23L      21L      27L      44  mmHg    35-45
HCO3(Std)         14L      16L      17L      17L      18L mmol/L  22.0-30.0
Base Excess    -14.4L   -11.8L   -10.8L    -9.4L    -7.9L mmol/L  -3.0/3.0
pO2              142H     138H     136H     306H     345H mmHg    75-100
O2 Sat            99       99      100      100      100  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        5.0      5.7H     6.0H     5.6H     6.2H mmol/L  3.5-5.5
Sodium           142      140      141      138      136  mmol/L  135-145
Chloride         109      107      106      107      105  mmol/L  95-110
iCa++           0.98L    0.99L    0.98L    0.97L    0.98L mmol/L  1.12-1.30
Glucose          5.2      5.3      4.4      7.4      6.4  mmol/L  3.6-7.7
Lactate         15.0H    12.3H    11.7H     9.3H     7.5H mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        99L     106L     109L     108L     108L g/L     130-170
Reduced Hb       1.2      0.6      0.5     -0.2L    -0.1L %       0-5
CarbOxy Hb       1.4      1.7H     1.8H     1.4      1.3  %       0.5-1.5
Meth    Hb       1.2      1.0      1.2      1.1      0.7  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 7:26:00 AM

subject: Patient/122

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561067-16258589

requestDetail: Patient/122; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 7:22:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         4.0     mmol/L ( 3.5-5.5  )
Chloride          111     mmol/L ( 95-110   )
HCO3               21     mmol/L ( 22-30    )
Creatinine         75     umol/L ( 64-104   )
 (Creatinine)    0.075    mmol/L ( 0.05-0.11)
Urea              7.0     mmol/L ( 2.5-8.3  )
 eGFR             89             ( SEE-BELOW)

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:23:00 AM

subject: Patient/154

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986808-16258588

diagnostic: Apr 6, 2012 7:10:00 AM


CUMULATIVE REPORT
Req No:   Z069574  Z616341  Z968385  Z968583  Z986808
  Date:  28/10/11 02/11/11 04/04/12 05/04/12 05/04/12
  Time:     11:10    13:00    21:25    06:15    21:10  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            134      133      156      155      121L g/L       130-170
WCC           7.0     11.6H    12.6H    12.8H     8.7  x10^9/L   4.0-11.0
PLT           298      315      339      341      283  x10^9/L   140-400
RCC          4.35L    4.31L    5.10     5.03     3.90L x10^12/L  4.50-5.70
PCV          0.40     0.40     0.47     0.46     0.36L L/L       0.40-0.50
MCV          91.5     92.1     91.8     92.3     91.6  fL        80.0-96.0
MCH          30.7     30.8     30.5     30.9     31.0  pg        27.0-33.0
MCHC          336      335      333      335      339  g/L       320-360
RDW          15.2H    15.2H    14.8     14.5     14.4  %         11.0-15.0
White Cell Differential
Neut         4.7      8.8H    10.8H     9.1H     6.2   x10^9/L   2.0-8.0
Lymph        1.7      1.8      1.1L     0.5L     1.7   x10^9/L   1.2-4.0
Mono         0.4      1.0      0.6      0.6      0.8   x10^9/L   0.1-1.0
Eos          0.0      0.0      0.1      0.0      0.1   x10^9/L   0.0-0.5
Baso         0.1      0.0      0.1      0.0      0.0   x10^9/L   0.0-0.1
Bands                                   2.6H           x10^9/L   0.0-0.5

11Z661341 02/11/11 13:00
Comment: Note: mild neutrophilia. Instrument differential and
         parameters reported.

12Z968583 05/04/12 06:15
Film Comment : Mild neutrophilia with toxic changes and a moderate left
               shift. Manual differential. Red cells are mainly
               normocytic normochromic with occasional elongated cells.
               Platelets appear normal.
Conclusion: ? Infection / inflammation. repeat FBE may be of value.

12Z986808 05/04/12 21:10
Comment: Please note fall in haemoglobin and platelet count since
         the previous examination. ?Rehydration. Suggest repeat.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 7:35:00 AM

subject: Patient/154

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968808-16258587

diagnostic: Apr 6, 2012 7:10:00 AM


SERUM/PLASMA
Sodium            133     mmol/L ( 135-145  )
Potassium         3.7     mmol/L ( 3.5-5.5  )
Chloride           99     mmol/L ( 95-110   )
HCO3               25     mmol/L ( 22-30    )
Creatinine        175     umol/L ( 49-90    )
 (Creatinine)    0.175    mmol/L ( 0.05-0.09)
Urea              9.1     mmol/L ( 2.5-8.3  )
 eGFR             28             ( SEE-BELOW)

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:23:00 AM

subject: Patient/155

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986818-16258586

diagnostic: Apr 6, 2012 6:10:00 AM


SERUM/PLASMA
Sodium            133     mmol/L ( 135-145  )
Potassium         3.7     mmol/L ( 3.5-5.5  )
Chloride           99     mmol/L ( 95-110   )
HCO3               25     mmol/L ( 22-30    )
Creatinine        175     umol/L ( 49-90    )
 (Creatinine)    0.175    mmol/L ( 0.05-0.09)
Urea              9.1     mmol/L ( 2.5-8.3  )
 eGFR             28             ( SEE-BELOW)

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:23:00 AM

subject: Patient/155

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968818-16258586

diagnostic: Apr 6, 2012 6:10:00 AM


CUMULATIVE REPORT
Req No:   Z376489  Z868657  Z868982  Z986405  Z968818
  Date:  03/04/12 03/04/12 04/04/12 05/04/12 05/04/12
  Time:     09:38    16:45    03:45    02:35    20:10  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             95L      84L      97L      93L      81L g/L       115-150
WCC           7.8     11.4H     8.1      9.1      6.8  x10^9/L   4.0-11.0
PLT           127L     142      110L     123L     125L x10^9/L   140-400
RCC          3.22L    2.90L    3.29L    3.16L    2.75L x10^12/L  3.80-5.10
PCV          0.27L    0.24L    0.28L    0.27L    0.23L L/L       0.35-0.45
MCV          85.1     84.0     85.1     86.3     85.1  fL        80.0-96.0
MCH          29.5     29.1     29.4     29.4     29.3  pg        27.0-33.0
MCHC          346      346      345      340      344  g/L       320-360
RDW          14.2     14.3     14.9     14.3     15.0  %         11.0-15.0
White Cell Differential
Neut         6.4      8.1H     6.5      7.6      5.2   x10^9/L   2.0-8.0
Lymph        0.9L     1.6      1.0L     0.8L     1.1L  x10^9/L   1.2-4.0
Mono         0.4      1.0      0.5      0.6      0.5   x10^9/L   0.1-1.0
Eos          0.0      0.1      0.0      0.1      0.1   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1
Bands                 0.2                              x10^9/L   0.0-0.5
Meta                  0.3H                             x10^9/L   0.0
NRBC                     1H                            /100WBCs  0
NRBC Abs              0.1H                             x10^9/L   0

12Z868657 03/04/12 16:45
Film Comment : Manual differential. Mild neutrophilia with slight left
               shift. A rare nucleated red blood cell seen and increased
               rouleaux. Mild thrombocytopenia.
Conclusion: Please note fall in haemoglobin since the previous
            examination. ? any infection / inflammation.
            No clinical information provided.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 7:36:00 AM

subject: Patient/155

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968818-16258585

diagnostic: Apr 6, 2012 6:10:00 AM


Anti-Factor Xa Assay (Plasma)
Heparin Level by Anti-Xa          0.07   U/mL

Anti-Factor Xa Comment:
   Reference range for Anti-Xa level depends upon route, time, dose and
   reason for anticoagulation.
   Therapeutic anticoagulation with LMWH (such as Enoxaparin) generally does
   not require routine monitoring. However, anti-Xa levels are recommended
   for patients on LMWH requiring dose adjustment in settings of (1) renal
   impairment, (2) obesity and (3) pregnancy.  To assist interpretation of
   therapeutic ranges, anti-Xa levels should be collected four hours after
   the third dose.  For less common indications such a patients at high risk
   of bleeding, and interpretation of results, please contact the on-call
   laboratory Haematology registrar or Haematologist via ACME switchboard.

Tests of Hypercoagulability (Plasma)
Antithrombin (Functional)         88     %      (80-120)

Generated Narrative with Details

text:

name: Special Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 8:07:00 AM

subject: Patient/155

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986818-16258584

diagnostic: Apr 6, 2012 6:10:00 AM


CUMULATIVE REPORT
Request No:   Z367489  Z886657  Z868982  Z968405  Z986818
      Date:  03/04/12 03/04/12 04/04/12 05/04/12 05/04/12
      Time:     09:38    16:45    03:45    02:35    20:10 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.2      1.2      1.3      1.3      1.3        0.8-1.3
APTT               74H      70H      59H      64H      66H secs  23-36
Fibrinogen        6.5H     6.7H     6.4H     7.3H     6.2H g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 7:48:00 AM

subject: Patient/155

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968818-16258583

diagnostic: Apr 6, 2012 6:10:00 AM


Specimen Type:  Urine

Legionella Antigen by Immunochromatography               : NOT Detected

S.pneumoniae Antigen by Immunochromatography             : NOT Detected


GENERAL COMMENT:

LEGIONELLA URINARY ANTIGEN:
Presumptive negative for Legionella pneumophila  serogroup 1
antigen in urine. Infection due to  Legionella cannot be ruled out
since other serogroups  and species may cause disease.
Antigen may not be  present in urine in early infection.
Please send another urine if clinically indicated.

STREPTOCOCCUS PNEUMONIAE ANTIGEN:
Presumptive  negative for pneumococcal pneumonia.


Generated Narrative with Details

text:

contained:

name: Internal Serology (Details )

status: FINAL

issued: Apr 10, 2012 10:51:00 PM

subject: Patient/153

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986828-16258582

requestDetail: Patient/153; clinicalNotes: Chest Pain Worse On Exercise

diagnostic: Apr 6, 2012 7:17:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         4.6     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine        161     umol/L ( 64-104   )
 (Creatinine)    0.161    mmol/L ( 0.05-0.11)
Urea             16.4     mmol/L ( 2.5-8.3  )
 eGFR             37             ( SEE-BELOW)

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:22:00 AM

subject: Patient/156

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968897-16258581

diagnostic: Apr 6, 2012 7:05:00 AM


Lab No      : Z996578
SPECIMEN
Specimen Type : Sputum


MICROSCOPY

GRAM STAIN
Macroscopic Description                   Mucoid
Pus:Epithelial Cell Ratio                 <25:10
Pus Cells                                 Occasional
Squamous Epithelial Cells                 ++
Gram positive cocci                       +
Gram positive bacilli                     +
Gram negative bacilli                     +
yeasts                                    Occasional

 Standard bacterial culture is not indicated as the ratio
 of pus to epithelial cells, or the bacteria seen in the
 Gram stain indicate salivary contamination.

Generated Narrative with Details

text:

name: Respiratory M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 12:19:00 AM

subject: Patient/157

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968887-16258579

diagnostic: Apr 6, 2012 7:10:00 AM


Request No:  Z516566  Z561599  Z561862  Z516564  Z561866
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    09:24    12:42    15:58    17:46    21:08  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.32L    7.37     7.37     7.36     7.38          7.35-7.45
pCO2              35       34L      34L      35       33L mmHg    35-45
HCO3(Std)         18L      20L      20L      20L      20L mmol/L  22.0-30.0
Base Excess     -7.3L    -5.1L    -5.0L    -5.3L    -4.8L mmol/L  -3.0/3.0
pO2              129H     112H     117H      95       81  mmHg    75-100
O2 Sat            99       98       99       98       96  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.4      3.9      4.6      4.3      4.2  mmol/L  3.5-5.5
Sodium           135      134L     135      137      135  mmol/L  135-145
Chloride         110      110      110      110      109  mmol/L  95-110
iCa++           1.06L    1.05L    1.08L    1.09L    1.08L mmol/L  1.12-1.30
Glucose          8.7H     9.0H     7.6      6.7     10.3H mmol/L  3.6-7.7
Lactate          2.5H     2.1H     2.8H     2.6H     2.0H mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        80L      79L      80L      81L      81L g/L     115-150
Reduced Hb       1.3      1.7      1.1      2.4      3.7  %       0-5
CarbOxy Hb       0.7      0.6      0.7      0.6      0.6  %       0.5-1.5
Meth    Hb       1.1      1.6H     1.1      0.8      1.1  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 7:12:00 AM

subject: Patient/158

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561866-16258578

requestDetail: Patient/158; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 7:08:00 AM


THYROID FUNCTION
TSH                       2.52       mIU/L   ( 0.1-4.0  )




Generated Narrative with Details

text:

contained:

name: Endo / Nutrition (Details )

status: FINAL

issued: Apr 6, 2012 7:58:00 AM

subject: Patient/135

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968704-16258577

requestDetail: Patient/135; clinicalNotes: Chest Pain Fi

diagnostic: Apr 6, 2012 2:52:00 AM


Lab No      : Z736744
SPECIMEN
Specimen Type : Urine In/Out Catheter


CHEMISTRY
pH              5.5
Protein         TRACE
Specific Grav.  1.018
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      +


MICROSCOPY
Leucocytes                    5          x10^6/L ( <2x10^6/L )
Red Blood Cells               Nil        x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil








STANDARD BACTERIAL CULTURE
No Growth -Detection limit 10^7 CFU/L


Generated Narrative with Details

text:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 6:55:00 PM

subject: Patient/159

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968867-16258576

diagnostic: Apr 6, 2012 6:20:00 AM


Lab No      : Z736734
SPECIMEN
Specimen Type : Urine Midstream


CHEMISTRY
pH              5.5
Protein         +
Specific Grav.  1.025
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      TRACE


MICROSCOPY
Leucocytes                    28         x10^6/L ( <2x10^6/L )
Red Blood Cells               6          x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     ++








STANDARD BACTERIAL CULTURE
No Growth -Detection limit 10^7 CFU/L


Generated Narrative with Details

text:

contained:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 6:55:00 PM

subject: Patient/139

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968877-16258575

requestDetail: Patient/139; clinicalNotes: Collapsed Low BP

diagnostic: Apr 6, 2012 7:00:00 AM


Lab No      : Z736724
SPECIMEN
Specimen Type : Urine Type Not Stated


CHEMISTRY
pH              5.0
Protein         NEGATIVE
Specific Grav.  1.014
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      NEGATIVE


MICROSCOPY
Leucocytes                    1          x10^6/L ( <2x10^6/L )
Red Blood Cells               3          x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil








STANDARD BACTERIAL CULTURE
No Growth -Detection limit 10^7 CFU/L


Generated Narrative with Details

text:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 6:55:00 PM

subject: Patient/160

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968857-16258574

diagnostic: Apr 6, 2012 6:45:00 AM


CUMULATIVE REPORT
Request No:   Z176645  Z868279  Z868875  Z986450  Z968847
      Date:  01/04/12 03/04/12 04/04/12 05/04/12 05/04/12
      Time:     22:00    02:00    00:30    00:10    20:59 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.0      1.0      1.0      1.1      1.1        0.8-1.3
APTT               28       26       28       27       25  secs  23-36
Fibrinogen        6.8H     7.8H     7.9H     8.9H     8.0H g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 7:27:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968847-16258573

diagnostic: Apr 6, 2012 6:59:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.9     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         43     umol/L ( 64-104   )
 (Creatinine)    0.043    mmol/L ( 0.05-0.11)
Urea              3.5     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Calcium          2.16     mmol/L ( 2.10-2.60)
Phosphate        1.42     mmol/L ( 0.8-1.5  )
Magnesium        0.81     mmol/L ( 0.7-1.1  )
Albumin            21     g/L    ( 35-50    )
AP                117     IU/L   ( 30-120   )
GGT               172     IU/L   ( 10-65    )
ALT                31     IU/L   ( <45      )
AST                58     IU/L   ( <35      )
Bili Total         17     umol/L ( <19      )
Protein Total      55     g/L    ( 65-85    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:47:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968847-16258572

diagnostic: Apr 6, 2012 6:59:00 AM


CUMULATIVE REPORT
Req No:   Z176645  Z868279  Z868875  Z986450  Z968847
  Date:  01/04/12 03/04/12 04/04/12 05/04/12 05/04/12
  Time:     22:00    02:00    00:30    00:10    20:59  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             83L      79L      80L      82L      96L g/L       130-170
WCC          12.7H     9.2      8.1     10.9     16.1H x10^9/L   4.0-11.0
PLT           147      190      236      321      410H x10^9/L   140-400
RCC          2.70L    2.54L    2.55L    2.64L    3.12L x10^12/L  4.50-5.70
PCV          0.24L    0.23L    0.23L    0.24L    0.28L L/L       0.40-0.50
MCV          90.5     90.2     90.1     91.3     89.3  fL        80.0-96.0
MCH          30.9     31.1     31.3     31.0     30.8  pg        27.0-33.0
MCHC          341      345      347      340      344  g/L       320-360
RDW          14.4     14.5     14.7     14.6     14.3  %         11.0-15.0
White Cell Differential
Neut         9.6H     5.5      5.1      7.6     11.6H  x10^9/L   2.0-8.0
Lymph        1.7      2.3      1.1L     1.5      0.5L  x10^9/L   1.2-4.0
Mono         1.3H     0.6      1.4H     1.5H     2.6H  x10^9/L   0.1-1.0
Eos          0.1      0.3      0.3      0.3      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.1      0.0   x10^9/L   0.0-0.1
Bands                 0.5      0.2               1.4H  x10^9/L   0.0-0.5

12Z868279 03/04/12 02:00
Film Comment : Neutrophils show a slight left shift and mild toxic
               changes. Manual differential. Red cells are mainly
               normocytic normochromic with some target cells,
               polychromatic cells and mild rouleaux. Platelets appear
               normal.

12Z886875 04/04/12 00:30
Film Comment : Manual differential.

12Z968847 05/04/12 20:59
Film Comment : Manual differential. Mild neutrophilia and monocytosis
               with left shift and slight toxic granulation. Red cells
               essentially unchanged.
Conclusion: Increase in leucocyte count since the last examination.
            ? any acute infection / inflammation.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:29:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968847-16258571

diagnostic: Apr 6, 2012 6:59:00 AM


Lab No      : Z763714
SPECIMEN
Specimen Type : Urine Type Not Stated


CHEMISTRY
pH              7.5
Protein         ++
Specific Grav.  1.017
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      NEGATIVE


MICROSCOPY
Leucocytes                    3          x10^6/L ( <2x10^6/L )
Red Blood Cells               5          x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil








STANDARD BACTERIAL CULTURE
No Growth -Detection limit 10^7 CFU/L


Generated Narrative with Details

text:

contained:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 6:55:00 PM

subject: Patient/161

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968837-16258570

requestDetail: Patient/161; clinicalNotes: Febrile FI

diagnostic: Apr 6, 2012 6:45:00 AM


Cortisol                   37    L  nmol/L  ( 120-650  )
Cortisol Diurnal Variation:AM (0800 - 0900): 150 - 650 nmol/L
                           PM (1500 - 1600): 120 - 400 nmol/L





Generated Narrative with Details

text:

name: Endo / Nutrition (Details )

status: FINAL

issued: Apr 6, 2012 9:44:00 AM

subject: Patient/162

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968827-16258569

diagnostic: Apr 6, 2012 6:10:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         3.6     mmol/L ( 3.5-5.5  )
Chloride          103     mmol/L ( 95-110   )
HCO3               31     mmol/L ( 22-30    )
Creatinine         88     umol/L ( 64-104   )
 (Creatinine)    0.088    mmol/L ( 0.05-0.11)
Urea              4.9     mmol/L ( 2.5-8.3  )
 eGFR             88             ( SEE-BELOW)
Osmolality        290     mosm/kg( 280-300  )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:41:00 AM

subject: Patient/162

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968827-16258568

diagnostic: Apr 6, 2012 6:10:00 AM


URINE
Period                          ru.   Hrs
Volume                           nk   ml

Urine Sodium                    147   mmol/L
Urine Sodium Excretion                mmol/D          ( 75-300   )
Urine Potassium                  29   mmol/L
Urine Potassium Excretion             mmol/D          ( 40-100   )
Urine Osmolality                618   mmol/L          ( 50-1200  )

Generated Narrative with Details

text:

name: Urine Chemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:41:00 AM

subject: Patient/162

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986827-16258567

diagnostic: Apr 6, 2012 6:10:00 AM


Request No:  Z561509  Z516061  Z561762  Z561364  Z516766
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    11:42    14:08    15:28    17:29    20:59  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.15L    7.32L    7.31L    7.38     7.37          7.35-7.45
pCO2              58H      42       45       36       37  mmHg    35-45
HCO3(Std)         17L      21L      21L      22       22  mmol/L  22.0-30.0
Base Excess     -8.0L    -4.0L    -3.7L    -3.1L    -3.4L mmol/L  -3.0/3.0
pO2               73L     203H     210H      97      157H mmHg    75-100
O2 Sat            89L      99       99       98       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        5.4      4.4      4.6      4.6      4.6  mmol/L  3.5-5.5
Sodium           130L     131L     131L     130L     129L mmol/L  135-145
Chloride         100      104      103      103      102  mmol/L  95-110
iCa++           1.24     1.10L    1.12     1.10L    1.12  mmol/L  1.12-1.30
Glucose         13.9H    10.5H     9.8H     9.0H     9.4H mmol/L  3.6-7.7
Lactate          7.7H     1.1      0.8      0.7      0.7  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        99L      94L      90L      87L      81L g/L     115-150
Reduced Hb      10.6H     0.7      0.6      2.1      0.8  %       0-5
CarbOxy Hb       0.9      0.8      0.6      0.9      0.8  %       0.5-1.5
Meth    Hb       1.3      1.5      1.0      1.3      1.2  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 7:03:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561766-16258566

requestDetail: Patient/118; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:59:00 AM


URINE
Period                          ru.   Hrs
Volume                           nk   ml

Urine Sodium                     87   mmol/L
Urine Sodium Excretion                mmol/D          ( 75-300   )
Urine Potassium                  81   mmol/L
Urine Potassium Excretion             mmol/D          ( 40-100   )
Urine Osmolality                612   mmol/L          ( 50-1200  )

Generated Narrative with Details

text:

name: Urine Chemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:41:00 AM

subject: Patient/163

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986817-16258565

diagnostic: Apr 6, 2012 6:15:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.1     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine         91     umol/L ( 64-104   )
 (Creatinine)    0.091    mmol/L ( 0.05-0.11)
Urea              5.4     mmol/L ( 2.5-8.3  )
 eGFR             78             ( SEE-BELOW)
Osmolality        295     mosm/kg( 280-300  )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 8:41:00 AM

subject: Patient/163

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968817-16258564

diagnostic: Apr 6, 2012 6:15:00 AM


SERUM/PLASMA
Sodium            128     mmol/L ( 135-145  )
Potassium         5.0     mmol/L ( 3.5-5.5  )
Chloride           94     mmol/L ( 95-110   )
HCO3               24     mmol/L ( 22-30    )
Creatinine        189     umol/L ( 64-104   )
 (Creatinine)    0.189    mmol/L ( 0.05-0.11)
Urea             20.8     mmol/L ( 2.5-8.3  )
 eGFR             34             ( SEE-BELOW)
Albumin            34     g/L    ( 35-50    )
AP                 46     IU/L   ( 30-120   )
GGT                30     IU/L   ( 10-65    )
ALT                25     IU/L   ( <45      )
AST                31     IU/L   ( <35      )
Bili Total         31     umol/L ( <19      )
Protein Total      73     g/L    ( 65-85    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:46:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968896-16258563

requestDetail: Patient/113; clinicalNotes: Gastro

diagnostic: Apr 6, 2012 6:55:00 AM


CUMULATIVE REPORT
Req No:   Z968896
  Date:  05/04/12
  Time:     20:55                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            142                                      g/L       130-170
WCC          10.1                                      x10^9/L   4.0-11.0
PLT           109L                                     x10^9/L   140-400
RCC          4.47L                                     x10^12/L  4.50-5.70
PCV          0.41                                      L/L       0.40-0.50
MCV          92.6                                      fL        80.0-96.0
MCH          31.7                                      pg        27.0-33.0
MCHC          343                                      g/L       320-360
RDW          12.8                                      %         11.0-15.0
White Cell Differential
Neut         5.4                                       x10^9/L   2.0-8.0
Lymph        0.5L                                      x10^9/L   1.2-4.0
Mono         0.3                                       x10^9/L   0.1-1.0
Eos          0.0                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1
Bands        3.8H                                      x10^9/L   0.0-0.5
Meta         0.1H                                      x10^9/L   0.0

12Z968896 05/04/12 20:55
Film Comment : Manual differential. Mild neutrophilia with prominent left
               shift and moderate vaccuolation. Red cells are normocytic
               normochromic. Mild thrombocytopenia with occasional large
               forms.
Conclusion: Features suggestive of infection / inflammation. Suggest
            repeat FBE to confirm thrombocytopenia.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:04:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986896-16258562

requestDetail: Patient/113; clinicalNotes: Gastro

diagnostic: Apr 6, 2012 6:55:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.3     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         85     umol/L ( 64-104   )
 (Creatinine)    0.085    mmol/L ( 0.05-0.11)
Urea              4.1     mmol/L ( 2.5-8.3  )
 eGFR             85             ( SEE-BELOW)

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:45:00 AM

subject: Patient/164

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968807-16258561

diagnostic: Apr 6, 2012 6:56:00 AM


CUMULATIVE REPORT
Req No:   Z968807
  Date:  05/04/12
  Time:     20:56                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            143                                      g/L       130-170
WCC           9.3                                      x10^9/L   4.0-11.0
PLT           294                                      x10^9/L   140-400
RCC          4.23L                                     x10^12/L  4.50-5.70
PCV          0.41                                      L/L       0.40-0.50
MCV          97.1H                                     fL        80.0-96.0
MCH          33.8H                                     pg        27.0-33.0
MCHC          348                                      g/L       320-360
RDW          11.9                                      %         11.0-15.0
White Cell Differential
Neut         6.3                                       x10^9/L   2.0-8.0
Lymph        2.2                                       x10^9/L   1.2-4.0
Mono         0.7                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.1                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 7:13:00 AM

subject: Patient/164

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986807-16258560

diagnostic: Apr 6, 2012 6:56:00 AM


Request No:  Z561523  Z561595  Z516547  Z561569  Z561666
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    05:29    08:49    10:42    12:34    20:56  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.38     7.42     7.42     7.40     7.39          7.35-7.45
pCO2              47H      43       46H      47H      46H mmHg    35-45
HCO3(Std)         26       27       28       28       26  mmol/L  22.0-30.0
Base Excess      2.4      3.3H     4.6H     4.2H     2.6  mmol/L  -3.0/3.0
pO2               78      105H     103H     210H      78  mmHg    75-100
O2 Sat            96       98       98      100       95  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.0      4.6      4.8      4.2      4.6  mmol/L  3.5-5.5
Sodium           139      141      141      141      138  mmol/L  135-145
Chloride         106      108      109      109      109  mmol/L  95-110
iCa++           1.14     1.11L    1.11L    1.14     1.14  mmol/L  1.12-1.30
Glucose          8.7H     7.6      6.8      6.0      8.6H mmol/L  3.6-7.7
Lactate          0.6      0.7      0.6      0.3      1.0  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        87L      83L      81L      80L     100L g/L     130-170
Reduced Hb       4.2      1.6      1.7      0.5      4.4  %       0-5
CarbOxy Hb       1.4      1.5      1.3      1.4      2.0H %       0.5-1.5
Meth    Hb       1.3      1.4      1.7H     1.8H     1.3  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 7:01:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516666-16258559

requestDetail: Patient/120; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:56:00 AM


Request No:  Z516360  Z561163  Z561164  Z516865  Z561566
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    13:39    16:22    17:26    20:00    20:52  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.32L    7.28L    7.17L    7.31L    7.37          7.35-7.45
pCO2              45       51H      50H      41       35  mmHg    35-45
HCO3(Std)                                    20L      21L mmol/L  22.0-30.0
Base Excess     -3.1L    -2.3     -9.8L    -4.8L    -4.6L mmol/L  -3.0/3.0
pO2              110H     141H     233H     245H     134H mmHg    75-100
O2 Sat            95       98       98       99       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.0      3.9      3.7      4.2      4.3  mmol/L  3.5-5.5
Sodium           138      141      144      141      142  mmol/L  135-145
Chloride                                    115H     114H mmol/L  95-110
iCa++                                      1.07L    1.06L mmol/L  1.12-1.30
Glucose                                    10.8H    10.7H mmol/L  3.6-7.7
Lactate                                     1.0      1.2  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       109L     104L      92L      94L      95L g/L     130-170
Reduced Hb                                  0.8      1.4  %       0-5
CarbOxy Hb                                  0.3L     0.5  %       0.5-1.5
Meth    Hb                                  1.6H     1.7H %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 6:57:00 AM

subject: Patient/148

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561566-16258558

requestDetail: Patient/148; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:52:00 AM


Specimen Type:  Viral Swab

RESPIRATORY VIRUS PCR
Influenza A PCR (ABI Taqman)  : Not detected
Influenza B PCR (ABI Taqman)  : DETECTED
RSV PCR (ABI Taqman)          : Not Detected
Rhinovirus PCR (ABI Taqman)   : Not Detected



GENERAL COMMENT:

Please note this result has been notified to the  State
Department of Health. Notification by the referring medical
practitioner is also required  under the Public Health and
Wellbeing Regulations  2009. To notify, go to
  http://www.state.gov/xxx or
call 1-800-555-2123 to contact the State Department of Health.




Generated Narrative with Details

text:

name: Internal Serology (Details )

status: FINAL

issued: Apr 9, 2012 9:39:00 PM

subject: Patient/161

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968886-16258557

diagnostic: Apr 6, 2012 6:52:00 AM


Lab No : Z366342
SPECIMENS
Specimen Type : Blood Cultures
Description   : Not-stated

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

contained:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 7:19:00 AM

subject: Patient/140

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968832-16258556

requestDetail: Patient/140; clinicalNotes: Febrile

diagnostic: Apr 6, 2012 4:57:00 AM


Request No:  Z516466
      Date: 05/04/12                                              Arterial
      Time:    20:52                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.40                                              7.35-7.45
pCO2              36                                      mmHg    35-45
Base Excess     -2.1                                      mmol/L  -3.0/3.0
pO2               81                                      mmHg    75-100
O2 Sat            96                                      %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.3                                      mmol/L  3.5-5.5
Sodium           138                                      mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb       148                                      g/L     130-170

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 6:54:00 AM

subject: Patient/153

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561466-16258555

requestDetail: Patient/153; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:52:00 AM


SERUM/PLASMA
Troponin I        0.02    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:56:00 AM

subject: Patient/165

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968876-16258554

requestDetail: Patient/165; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 6:30:00 AM


SERUM/PLASMA
C-React Prot      149     mg/L   ( <5       )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:46:00 AM

subject: Patient/167

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z546943-16258547

requestDetail: Patient/167; clinicalNotes: Febrile

diagnostic: Apr 6, 2012 6:40:00 AM


Lab No : Z366332
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

contained:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 8:49:00 AM

subject: Patient/167

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z564943-16258546

requestDetail: Patient/167; clinicalNotes: Febrile

diagnostic: Apr 6, 2012 6:40:00 AM


Vitamin 25 D                 TF      nmol/L( SEE-BELOW




Generated Narrative with Details

text:

contained:

name: Endo / Nutrition (Details )

status: PARTIAL

issued: Apr 6, 2012 6:39:00 AM

subject: Patient/168

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968856-16258539

requestDetail: Patient/168; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 6:39:00 AM


Request No:  Z986856
      Date: 05/04/12
      Time:    20:39                                      Units   Ref Range
             -------- -------- -------- -------- -------- ------- ---------
Serum Vitamin B12 and Folate Studies
Vit B12          979H                                     pmol/L  150-600
Ser Fol         44.2                                      nmol/L  >12.2
Iron Studies (Plasma/serum)
Ferritin       182.0                                      ug/L    15-200
Iron              15                                      umol/L  10-30
Transferrin     2.33                                      g/L     1.9-3.2
Transf'n IBC    58.4                                      umol/L  47.6-80.2
Transf'n Sat      25                                      %       14.7-37.4

NOTE NEW REFERENCE RANGES FOR FOLATE
From 27th April 2004, B12 and Folate will be performed on the Bayer Centaur
Serum Folate Deficient -           <7.63 nmol/L
Serum Folate Indeterminate - 7.64 to 12.2 nmol/L
Old Ref Ranges prior to 27th April 2004
   Serum Folate    - 6.0 to 38.0 nmol/L
   Red Cell Folate - 350 to 1350 nmol/L

Generated Narrative with Details

text:

contained:

name: Haem Iron/B12 & Fol (Details )

status: FINAL

issued: Apr 6, 2012 6:31:00 PM

subject: Patient/168

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968856-16258538

requestDetail: Patient/168; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 6:39:00 AM


SERUM/PLASMA
Sodium            134     mmol/L ( 135-145  )
Potassium         3.9     mmol/L ( 3.5-5.5  )
Chloride           96     mmol/L ( 95-110   )
HCO3               20     mmol/L ( 22-30    )
Creatinine         56     umol/L ( 49-90    )
 (Creatinine)    0.056    mmol/L ( 0.05-0.09)
Urea              3.1     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Glucose           3.2     mmol/L ( 3.3-7.7  )
 (fasting)      NoInfo
Calcium          2.56     mmol/L ( 2.10-2.60)
Phosphate        1.03     mmol/L ( 0.8-1.5  )
Magnesium        0.75     mmol/L ( 0.8-1.0  )
Albumin            43     g/L    ( 35-50    )
AP                 60     IU/L   ( 30-120   )
GGT                23     IU/L   ( 10-65    )
ALT                17     IU/L   ( <34      )
AST                24     IU/L   ( <31      )
Bili Total         13     umol/L ( <19      )
Protein Total      83     g/L    ( 65-85    )
C-React Prot        2     mg/L   ( <5       )
LIPIDS

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:14:00 AM

subject: Patient/168

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968856-16258537

requestDetail: Patient/168; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 6:39:00 AM


CUMULATIVE REPORT
Req No:   Z968856
  Date:  05/04/12
  Time:     20:39                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            132                                      g/L       115-150
WCC           6.6                                      x10^9/L   4.0-11.0
PLT           396                                      x10^9/L   140-400
RCC          4.23                                      x10^12/L  3.80-5.10
PCV          0.38                                      L/L       0.35-0.45
MCV          90.4                                      fL        80.0-96.0
MCH          31.3                                      pg        27.0-33.0
MCHC          346                                      g/L       320-360
RDW          12.7                                      %         11.0-15.0
White Cell Differential
Neut         2.9                                       x10^9/L   2.0-8.0
Lymph        3.0                                       x10^9/L   1.2-4.0
Mono         0.5                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:52:00 AM

subject: Patient/168

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986856-16258536

requestDetail: Patient/168; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 6:39:00 AM


SERUM/PLASMA
Sodium            134     mmol/L ( 135-145  )
Potassium         4.3     mmol/L ( 3.5-5.5  )
Chloride          102     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine         49     umol/L ( 49-90    )
 (Creatinine)    0.049    mmol/L ( 0.05-0.09)
Urea              4.4     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:14:00 AM

subject: Patient/169

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986846-16258529

requestDetail: Patient/169; clinicalNotes: Febrile

diagnostic: Apr 6, 2012 6:39:00 AM


CUMULATIVE REPORT
Req No:   Z861610  Z156358  Z366626  Z467684  Z986846
  Date:  25/07/11 05/12/11 26/03/12 05/04/12 05/04/12
  Time:     15:30    13:45    13:55    13:30    20:39  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            129      133      149      139      123  g/L       115-150
WCC          10.4      5.4      9.4     13.1H    13.2H x10^9/L   4.0-11.0
PLT           172      179      208      188      156  x10^9/L   140-400
RCC          3.97     4.16     4.56     4.26     3.76L x10^12/L  3.80-5.10
PCV          0.38     0.40     0.44     0.41     0.36  L/L       0.35-0.45
MCV          96.3H    94.8     95.8     97.3H    95.8  fL        80.0-96.0
MCH          32.4     31.9     32.7     32.5     32.7  pg        27.0-33.0
MCHC          337      336      341      334      341  g/L       320-360
RDW          13.6     13.2     13.8     13.7     13.1  %         11.0-15.0
ESR            67H                                     mm in 1hr 2-20
White Cell Differential
Neut         8.9H     3.9      8.2H    12.2H    12.5H  x10^9/L   2.0-8.0
Lymph        0.9L     1.0L     0.5L     0.1L     0.3L  x10^9/L   1.2-4.0
Mono         0.6      0.4      0.5      0.8      0.2   x10^9/L   0.1-1.0
Eos          0.1      0.1      0.1      0.0      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.1      0.1      0.0      0.1   x10^9/L   0.0-0.1

12Z467684 05/04/12 13:30
Film Comment : White cells show mild neutrophilia.
               Manual differential.
               Red cells and platelets appear normal.

12Z968846 05/04/12 20:39
Comment: Instrument differential and parameters reported.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 7:04:00 AM

subject: Patient/169

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968846-16258528

requestDetail: Patient/169; clinicalNotes: Febrile

diagnostic: Apr 6, 2012 6:39:00 AM


Lab No : Z366322
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

contained:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 8:49:00 AM

subject: Patient/169

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968846-16258527

requestDetail: Patient/169; clinicalNotes: Febrile

diagnostic: Apr 6, 2012 6:39:00 AM


Lab No      : Z763704
SPECIMEN
Specimen Type : Urine Midstream


CHEMISTRY
pH              6.0
Protein         TRACE
Specific Grav.  1.026
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      +++


MICROSCOPY
Leucocytes                    336        x10^6/L ( <2x10^6/L )
Red Blood Cells               35         x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     ++








STANDARD BACTERIAL CULTURE

1. Pseudomonas aeruginosa                             10^8-10^9 cfu/L


SENSITIVITIES:   1
Ceftazidime      S
Ciprofloxacin    S
Gentamicin       S
Meropenem        S
Tazocin          S
Timentin         S

Generated Narrative with Details

text:

contained:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 9, 2012 6:45:00 PM

subject: Patient/126

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968836-16258526

requestDetail: Patient/126; clinicalNotes: Febrile >38

diagnostic: Apr 6, 2012 6:25:00 AM


Lab No      : Z969568
SPECIMEN
Specimen Type : Sputum


MICROSCOPY

GRAM STAIN
Macroscopic Description                   Mucopurulent
Pus:Epithelial Cell Ratio                 >25:10
Pus Cells                                 ++
Squamous Epithelial Cells                 +
Gram negative bacilli                     Occasional





CULTURE

Standard culture:   +++  Mixed upper respiratory tract flora




Generated Narrative with Details

text:

name: Respiratory M/C/S (Details )

status: FINAL

issued: Apr 8, 2012 9:37:00 PM

subject: Patient/170

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968826-16258522

diagnostic: Apr 6, 2012 6:38:00 AM


Request No:  Z561660  Z516062  Z561063  Z561963  Z516366
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    13:53    14:47    16:20    17:16    20:36  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.32L    7.40     7.42     7.41     7.40          7.35-7.45
pCO2              48H      38       34L      35       36  mmHg    35-45
HCO3(Std)         23       24       23       23       23  mmol/L  22.0-30.0
Base Excess     -1.6     -0.9     -1.9     -2.4     -1.8  mmol/L  -3.0/3.0
pO2              189H      67L      68L      85       74L mmHg    75-100
O2 Sat            99       93L      94L      99       95  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.2      4.0      3.8      3.6      4.1  mmol/L  3.5-5.5
Sodium           142      140      140      141      140  mmol/L  135-145
Chloride         110      111H     111H     112H     113H mmol/L  95-110
iCa++           1.27     1.21     1.17     1.15     1.18  mmol/L  1.12-1.30
Glucose          5.6      5.6      5.7      5.5      5.8  mmol/L  3.6-7.7
Lactate          0.9      0.8      0.8      0.8      0.8  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       106L     106L     104L     103L     112L g/L     130-170
Reduced Hb       0.7      6.4H     5.5H     0.8      5.0  %       0-5
CarbOxy Hb       1.3      1.3      1.4      1.1      1.2  %       0.5-1.5
Meth    Hb       1.7H     1.3      1.1      1.5      1.4  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 6:40:00 AM

subject: Patient/129

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561366-16258521

requestDetail: Patient/129; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:36:00 AM


SERUM/PLASMA
Sodium            135     mmol/L ( 135-145  )
Potassium         5.8     mmol/L ( 3.5-5.5  )
Chloride           98     mmol/L ( 95-110   )
HCO3               22     mmol/L ( 22-30    )
Creatinine        281     umol/L ( 49-90    )
 (Creatinine)    0.281    mmol/L ( 0.05-0.09)
Urea             26.5     mmol/L ( 2.5-8.3  )
 eGFR             14             ( SEE-BELOW)
C-React Prot        2     mg/L   ( <5       )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:20:00 AM

subject: Patient/144

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986816-16258520

requestDetail: Patient/144; clinicalNotes: Nausea And Vomiting FI

diagnostic: Apr 6, 2012 6:20:00 AM


Lab No : Z366312
SPECIMENS
Specimen Type : Blood Cultures
Description   : Central Line

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 7:19:00 AM

subject: Patient/171

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968806-16258519

diagnostic: Apr 6, 2012 6:06:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         3.0     mmol/L ( 3.5-5.5  )
Chloride          108     mmol/L ( 95-110   )
HCO3               21     mmol/L ( 22-30    )
Creatinine         62     umol/L ( 49-90    )
 (Creatinine)    0.062    mmol/L ( 0.05-0.09)
Urea              5.3     mmol/L ( 2.5-8.3  )
 eGFR             86             ( SEE-BELOW)
Calcium          2.25     mmol/L ( 2.10-2.60)
Phosphate        0.75     mmol/L ( 0.8-1.5  )
Magnesium        0.79     mmol/L ( 0.8-1.0  )
Albumin            22     g/L    ( 35-50    )
AP                104     IU/L   ( 30-120   )
GGT                24     IU/L   ( 10-65    )
ALT                17     IU/L   ( <34      )
AST                20     IU/L   ( <31      )
Bili Total          5     umol/L ( <19      )
Protein Total      56     g/L    ( 65-85    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:13:00 AM

subject: Patient/131

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968885-16258518

diagnostic: Apr 6, 2012 6:00:00 AM


CUMULATIVE REPORT
Req No:   Z176927  Z868800  Z868980  Z986417  Z968885
  Date:  02/04/12 03/04/12 04/04/12 05/04/12 05/04/12
  Time:     12:30    18:30    02:10    03:30    20:00  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            119      112L     105L      97L      91L g/L       115-150
WCC          15.3H     8.9     14.0H    13.1H    15.5H x10^9/L   4.0-11.0
PLT           233        *      194      157      177  x10^9/L   140-400
RCC          4.14     3.89     3.70L    3.36L    3.24L x10^12/L  3.80-5.10
PCV          0.35     0.33L    0.31L    0.29L    0.27L L/L       0.35-0.45
MCV          84.7     85.4     84.4     85.2     83.7  fL        80.0-96.0
MCH          28.8     28.9     28.4     28.8     28.2  pg        27.0-33.0
MCHC          340      338      337      338      337  g/L       320-360
RDW          17.9H    18.0H    17.5H    17.8H    17.6H %         11.0-15.0
White Cell Differential
Neut        11.3H     7.3     10.6H    12.7H    14.9H  x10^9/L   2.0-8.0
Lymph        2.4      0.1L     0.4L     0.2L     0.2L  x10^9/L   1.2-4.0
Mono         1.3H     0.1      0.0L     0.2      0.2   x10^9/L   0.1-1.0
Eos          0.3      0.0      0.1      0.0      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1
Bands                 1.4H     2.8H              0.3   x10^9/L   0.0-0.5

12Z167927 02/04/12 12:30
Comment: Note mild neutrophilia and mild monocytosis.

12Z886800 03/04/12 18:30
Film Comment : Red cells show mild anisocytosis and mild rouleaux.
               Moderate left shift and mild vacuolation in the
               neutrophils.  Manual differential.
               * Film shows fibrin strands and platelet clumps suggestive
               of a partially clotted specimen. Accurate platelet count
               unavailable.  Please repeat FBE.
Conclusion: Suggestive of infection / inflammation.

12Z868980 04/04/12 02:10
Film Comment : Mild neutrophilia with left shift and mild vacuolation.
               Manual differential.

12Z968417 05/04/12 03:30
Comment: Instrument differential and parameters reported.

12Z986885 05/04/12 20:00
Film Comment : Red cells show some microcytes, elongated cells and mildly
               increased rouleaux. Manual differential. Mild
               neutrophilia. Slight vaccuolation noted.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:23:00 AM

subject: Patient/131

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968885-16258517

diagnostic: Apr 6, 2012 6:00:00 AM


Lab No      : Z806548
SPECIMEN
Specimen Type : Fluid
Description   : Drain Collection



Total specimen volume:     3 ml(s)


MICROSCOPY


GRAM STAIN
Leucocytes                       +++
Yeast cells                      +


Specimen clotted - cell count not possible.

CULTURE

1. Candida albicans                                   +++


Generated Narrative with Details

text:

contained:

name: Sterile Sites M/C/S (Details )

status: PARTIAL

issued: Apr 9, 2012 10:07:00 PM

subject: Patient/172

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968779-16258516

requestDetail: Patient/172; clinicalNotes: Drain Fluid. Prev Vre And Kleb Pneumo Rx Teicoplan/Tazo

diagnostic: Apr 6, 2012 4:10:00 AM


Request No:  Z516527  Z561960  Z561162  Z516464  Z561266
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    10:32    14:05    14:50    17:35    20:21  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.41        *     7.38     7.36     7.39          7.35-7.45
pCO2              35       37       38       35       37  mmHg    35-45
HCO3(Std)         23                23       20L      22  mmol/L  22.0-30.0
Base Excess     -2.2              -2.1     -5.0L    -2.5  mmol/L  -3.0/3.0
pO2              134H     113H     203H      89      102H mmHg    75-100
O2 Sat            99       99      100       97       98  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.3      4.0      4.3      4.1      4.1  mmol/L  3.5-5.5
Sodium           138      139      138      139      138  mmol/L  135-145
Chloride         109      108      109      109      109  mmol/L  95-110
iCa++           1.10L    1.10L    1.09L    1.09L    1.11L mmol/L  1.12-1.30
Glucose          7.3      8.3H     7.4      8.7H     8.1H mmol/L  3.6-7.7
Lactate          1.3      1.2      1.5      1.6      1.2  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        91L      89L      90L      86L      87L g/L     130-170
Reduced Hb       0.9      1.4      0.4      3.0      1.9  %       0-5
CarbOxy Hb       1.8H     1.8H     1.5      1.7H     1.6H %       0.5-1.5
Meth    Hb       1.2      1.7H     1.1      1.5      1.1  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 6:25:00 AM

subject: Patient/119

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561266-16258515

requestDetail: Patient/119; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:21:00 AM


LAB.NUMBER: Z769310

SURVEILLANCE SCREENING


CULTURE
SCREENING TEST FOR            VRE

RECTAL SWAB                   VRE not detected

Generated Narrative with Details

text:

contained:

name: Surveillance (Details )

status: FINAL

issued: Apr 8, 2012 7:51:00 PM

subject: Patient/126

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968875-16258514

requestDetail: Patient/126; clinicalNotes: On Admission

diagnostic: Apr 6, 2012 6:00:00 AM


SERUM/PLASMA
Troponin I       <0.02    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:04:00 AM

subject: Patient/173

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968865-16258513

requestDetail: Patient/173; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 6:00:00 AM


SERUM/PLASMA
Sodium              *     mmol/L ( 135-145  )
Potassium           *     mmol/L ( 3.5-5.5  )
Chloride            *     mmol/L ( 95-110   )
HCO3                *     mmol/L ( 22-30    )
Creatinine      *         umol/L ( 64-104   )
 (Creatinine)        *    mmol/L ( 0.05-0.11)
Urea                *     mmol/L ( 2.5-8.3  )
 eGFR             N/A            ( SEE-BELOW)

Comment: The requested tests were not completed as the
         sample was labeled incorrectly. Ward notified.

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:40:00 AM

subject: Patient/175

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968855-16258510

diagnostic: Apr 6, 2012 6:12:00 AM


CUMULATIVE REPORT
Req No:   Z968855
  Date:  05/04/12
  Time:     20:12                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb              *                                      g/L       130-170
PLT             *                                      x10^9/L   140-400

12Z968855 05/04/12 20:12
Comment: The specimen received was mislabeled. The ward has  been
         notified and a new sample requested.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:51:00 AM

subject: Patient/175

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986855-16258509

diagnostic: Apr 6, 2012 6:12:00 AM


Request No:  Z536992  Z968835
      Date: 19/02/10 05/04/12
      Time:    08:30    19:30                             Units   Ref Range
             -------- -------- -------- -------- -------- ------- ---------
Serum Vitamin B12 and Folate Studies
Vit B12          334      333                             pmol/L  150-600
Ser Fol        >54.0     23.2                             nmol/L  >12.2
Iron Studies (Plasma/serum)
Ferritin       215.0                                      ug/L    30-300
Iron              25                                      umol/L  10-35
Transferrin     2.69                                      g/L     1.9-3.2
Transf'n IBC    67.4                                      umol/L  47.6-80.2
Transf'n Sat      38                                      %       14.7-43.6

NOTE NEW REFERENCE RANGES FOR FOLATE
From 27th April 2004, B12 and Folate will be performed on the Bayer Centaur
Serum Folate Deficient -           <7.63 nmol/L
Serum Folate Indeterminate - 7.64 to 12.2 nmol/L
Old Ref Ranges prior to 27th April 2004
   Serum Folate    - 6.0 to 38.0 nmol/L
   Red Cell Folate - 350 to 1350 nmol/L

Generated Narrative with Details

text:

contained:

name: Haem Iron/B12 & Fol (Details )

status: FINAL

issued: Apr 6, 2012 7:13:00 PM

subject: Patient/176

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968835-16258507

requestDetail: Patient/176; clinicalNotes: Acute Alcohol Withdrawal

diagnostic: Apr 6, 2012 5:30:00 AM


CUMULATIVE REPORT
Request No:   Z563488  Z986835
      Date:  18/02/10 05/04/12
      Time:     11:30    19:30                            Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1      1.0                                   0.8-1.3
APTT               25       25                             secs  23-36
Fibrinogen        3.4      3.5                             g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 7:04:00 AM

subject: Patient/176

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968835-16258506

requestDetail: Patient/176; clinicalNotes: Acute Alcohol Withdrawal

diagnostic: Apr 6, 2012 5:30:00 AM


Vitamin 25 D                 TF      nmol/L( SEE-BELOW




Generated Narrative with Details

text:

contained:

name: Endo / Nutrition (Details )

status: PARTIAL

issued: Apr 6, 2012 5:30:00 AM

subject: Patient/176

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986835-16258505

requestDetail: Patient/176; clinicalNotes: Acute Alcohol Withdrawal

diagnostic: Apr 6, 2012 5:30:00 AM


CUMULATIVE REPORT
Req No:   Z668490  Z536488  Z563992  R059163  Z968835
  Date:  26/02/08 18/02/10 19/02/10 11/11/10 05/04/12
  Time:     08:35    11:30    08:30    11:50    19:30  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            139      143      140      130      124L g/L       130-170
WCC           6.0     13.1H     9.2      8.4      5.4  x10^9/L   4.0-11.0
PLT           216      253      226      265      227  x10^9/L   140-400
RCC          6.70H    6.75H    6.63H    6.16H    5.89H x10^12/L  4.50-5.70
PCV          0.43     0.43     0.42     0.40     0.38L L/L       0.40-0.50
MCV          64.1L    64.1L    63.4L    64.7L    65.2L fL        80.0-96.0
MCH          20.7L    21.2L    21.1L    21.0L    21.0L pg        27.0-33.0
MCHC          323      330      333      325      322  g/L       320-360
RDW          16.3H    15.8H    16.2H    15.3H    16.5H %         11.0-15.0
White Cell Differential
Neut         3.2      9.7H     5.1      5.5      2.9   x10^9/L   2.0-8.0
Lymph        2.0      2.1      2.8      1.9      1.8   x10^9/L   1.2-4.0
Mono         0.6      1.2H     1.1H     0.7      0.6   x10^9/L   0.1-1.0
Eos          0.2      0.1      0.2      0.2      0.2   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:45:00 AM

subject: Patient/176

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968835-16258504

requestDetail: Patient/176; clinicalNotes: Acute Alcohol Withdrawal

diagnostic: Apr 6, 2012 5:30:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         4.2     mmol/L ( 3.5-5.5  )
Chloride          100     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine         85     umol/L ( 64-104   )
 (Creatinine)    0.085    mmol/L ( 0.05-0.11)
Urea              4.1     mmol/L ( 2.5-8.3  )
 eGFR             87             ( SEE-BELOW)
Albumin            37     g/L    ( 35-50    )
AP                 62     IU/L   ( 30-120   )
GGT               184     IU/L   ( 10-65    )
ALT                95     IU/L   ( <45      )
AST                74     IU/L   ( <35      )
Bili Total         13     umol/L ( <19      )
Protein Total      77     g/L    ( 65-85    )
C-React Prot       12     mg/L   ( <5       )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:59:00 AM

subject: Patient/176

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968835-16258503

requestDetail: Patient/176; clinicalNotes: Acute Alcohol Withdrawal

diagnostic: Apr 6, 2012 5:30:00 AM


Lab No : Z366302
SPECIMENS
Specimen Type : Blood Cultures
Description   : Not-stated

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

contained:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 7:19:00 AM

subject: Patient/177

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968825-16258502

requestDetail: Patient/177; clinicalNotes: T+ 38.7C

diagnostic: Apr 6, 2012 6:04:00 AM


CUMULATIVE REPORT
Request No:   Z656878  Z968616  Z766236  Z986763  Z968815
      Date:  01/10/10 05/04/12 05/04/12 05/04/12 05/04/12
      Time:     11:00    11:55    13:47    16:26    20:04 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               2.5H       *      4.4H     1.3      1.3        0.8-1.3
APTT               43H       *       34       28       27  secs  23-36
Fibrinogen        7.3H       *      3.2      3.4      3.0  g/L   2.0-5.0
PT                                 43.1                    secs
PT mix                             14.2                    secs

12Z766236 05/04/12 13:47
PT Mix  : 50/50 mixture of the patient's plasma with normal plasma -
          CORRECTED.

12Z986616 05/04/12 11:55
Comment: * Specimen clotted. ED informed.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 7:04:00 AM

subject: Patient/148

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968815-16258501

diagnostic: Apr 6, 2012 6:04:00 AM


SERUM/PLASMA
Sodium            142     mmol/L ( 135-145  )
Potassium         4.3     mmol/L ( 3.5-5.5  )
Chloride          114     mmol/L ( 95-110   )
HCO3               22     mmol/L ( 22-30    )
Creatinine        106     umol/L ( 64-104   )
 (Creatinine)    0.106    mmol/L ( 0.05-0.11)
Urea              7.4     mmol/L ( 2.5-8.3  )
 eGFR             59             ( SEE-BELOW)
Calcium          1.80     mmol/L ( 2.10-2.60)
Phosphate        1.05     mmol/L ( 0.8-1.5  )
Magnesium        0.63     mmol/L ( 0.7-1.1  )
Albumin            26     g/L    ( 35-50    )
AP                 50     IU/L   ( 30-120   )
GGT                13     IU/L   ( 10-65    )
ALT                18     IU/L   ( <45      )
AST                25     IU/L   ( <35      )
Bili Total         13     umol/L ( <19      )
Protein Total      51     g/L    ( 65-85    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:00:00 AM

subject: Patient/148

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968815-16258500

diagnostic: Apr 6, 2012 6:04:00 AM


CUMULATIVE REPORT
Req No:   Z167500  Z663514  Z166157  Z968616  Z968815
  Date:  29/09/10 30/09/10 01/10/10 05/04/12 05/04/12
  Time:     10:35    09:28    08:05    11:55    20:04  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            123L     118L     127L     124L      90L g/L       130-170
WCC           9.2      6.6      5.8     11.3H    13.3H x10^9/L   4.0-11.0
PLT           268      244      258      240      164  x10^9/L   140-400
RCC          4.01L    3.83L    4.11L    3.97L    2.90L x10^12/L  4.50-5.70
PCV          0.36L    0.35L    0.37L    0.36L    0.27L L/L       0.40-0.50
MCV          90.5     90.4     91.1     91.5     92.3  fL        80.0-96.0
MCH          30.7     30.8     31.0     31.2     31.1  pg        27.0-33.0
MCHC          340      341      340      341      337  g/L       320-360
RDW          13.5     13.1     13.1     13.0     13.0  %         11.0-15.0
White Cell Differential
Neut         7.5      5.4      4.2      7.7     10.6H  x10^9/L   2.0-8.0
Lymph        0.8L     0.5L     0.8L     2.6      0.7L  x10^9/L   1.2-4.0
Mono         0.7      0.5      0.5      0.7      0.7   x10^9/L   0.1-1.0
Eos          0.1      0.1      0.2      0.2      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.1      0.0   x10^9/L   0.0-0.1
Bands                                            1.3H  x10^9/L   0.0-0.5

12Z986616 05/04/12 11:55
Comment: Mildly reduced haemoglobin level.

12Z968815 05/04/12 20:04
Film Comment : Manual differential. Mild neutrophilia with left shift.
               Red cells show some elongated cells. Platelets appear
               normal.
Conclusion: Please note fall in haemoglobin since the previous
            examination.
            Recent tissue damage / trauma.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:11:00 AM

subject: Patient/148

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986815-16258499

diagnostic: Apr 6, 2012 6:04:00 AM


Request No:  Z561577  Z561160  Z516262  Z561962  Z561166
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    10:50    12:51    15:08    16:17    20:08  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.46H    7.48H       *        *     7.48H         7.35-7.45
pCO2              37       36       37       37       34L mmHg    35-45
HCO3(Std)         27       27                         27  mmol/L  22.0-30.0
Base Excess      2.8      2.8                        2.1  mmol/L  -3.0/3.0
pO2               78       76       76       78       88  mmHg    75-100
O2 Sat            96       96       96       96       97  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        3.8      4.4      3.9      3.9      4.1  mmol/L  3.5-5.5
Sodium           140      142      143      144      141  mmol/L  135-145
Chloride         112H     112H     110      111H     113H mmol/L  95-110
iCa++           1.08L    1.09L    1.11L    1.11L    1.07L mmol/L  1.12-1.30
Glucose         10.5H     9.0H     7.6      6.6      8.9H mmol/L  3.6-7.7
Lactate          1.7      2.5H     1.6      1.6      1.9H mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       118L     122L     125L     127L     128L g/L     130-170
Reduced Hb       4.0      4.1      4.2      3.9      2.7  %       0-5
CarbOxy Hb       0.6      0.7      0.8      0.8      0.6  %       0.5-1.5
Meth    Hb       1.5      1.4      1.5      1.3      1.3  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 6:12:00 AM

subject: Patient/119

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516166-16258497

requestDetail: Patient/119; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:08:00 AM


Request No:  Z516502  Z561861  Z561362  Z516264  Z561066
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    03:10    14:31    15:18    17:26    20:05  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.41     7.45     7.28L    7.43     7.43          7.35-7.45
pCO2              43       40       24L      42       41  mmHg    35-45
HCO3(Std)         27       28       14L      28       27  mmol/L  22.0-30.0
Base Excess      2.8      3.6H   -14.2L     3.9H     2.8  mmol/L  -3.0/3.0
pO2              134H     189H     131H      73L      92  mmHg    75-100
O2 Sat            99      100       99       96       98  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        3.9      4.3      5.3      4.1      4.2  mmol/L  3.5-5.5
Sodium           146H     145      142      145      143  mmol/L  135-145
Chloride         115H     112H     108      109      110  mmol/L  95-110
iCa++           1.13     1.10L    1.02L    1.11L    1.06L mmol/L  1.12-1.30
Glucose          8.5H     6.6      3.4L     6.8      7.0  mmol/L  3.6-7.7
Lactate          0.8      0.9     14.5H     0.7      0.6  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        75L      79L     103L      77L      75L g/L     130-170
Reduced Hb       0.7      0.4      1.3      3.8      2.0  %       0-5
CarbOxy Hb       1.2      1.4      1.6H     1.4      1.4  %       0.5-1.5
Meth    Hb       1.0      1.8H     1.3      1.5      1.3  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 6:10:00 AM

subject: Patient/179

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561066-16258496

requestDetail: Patient/179; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:05:00 AM


THYROID FUNCTION
TSH                       1.55       mIU/L   ( 0.1-4.0  )




Generated Narrative with Details

text:

contained:

name: Endo / Nutrition (Details )

status: FINAL

issued: Apr 6, 2012 6:51:00 AM

subject: Patient/174

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968805-16258495

requestDetail: Patient/174; clinicalNotes: Palpitation

diagnostic: Apr 6, 2012 5:50:00 AM


CUMULATIVE REPORT
Req No:   Z986805
  Date:  05/04/12
  Time:     19:50                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            141                                      g/L       130-170
WCC           9.7                                      x10^9/L   4.0-11.0
PLT           204                                      x10^9/L   140-400
RCC          4.74                                      x10^12/L  4.50-5.70
PCV          0.41                                      L/L       0.40-0.50
MCV          87.7                                      fL        80.0-96.0
MCH          29.8                                      pg        27.0-33.0
MCHC          340                                      g/L       320-360
RDW          13.4                                      %         11.0-15.0
White Cell Differential
Neut         7.7                                       x10^9/L   2.0-8.0
Lymph        1.2                                       x10^9/L   1.2-4.0
Mono         0.8                                       x10^9/L   0.1-1.0
Eos          0.0                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:13:00 AM

subject: Patient/174

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968805-16258494

requestDetail: Patient/174; clinicalNotes: Palpitation

diagnostic: Apr 6, 2012 5:50:00 AM


SERUM/PLASMA
Sodium            136     mmol/L ( 135-145  )
Potassium         4.1     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine         66     umol/L ( 64-104   )
 (Creatinine)    0.066    mmol/L ( 0.05-0.11)
Urea              4.3     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Calcium          2.34     mmol/L ( 2.10-2.60)
Phosphate        0.92     mmol/L ( 0.8-1.5  )
Magnesium        0.82     mmol/L ( 0.7-1.1  )
Albumin            38     g/L    ( 35-50    )
Troponin I        0.03    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:51:00 AM

subject: Patient/174

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968805-16258493

requestDetail: Patient/174; clinicalNotes: Palpitation

diagnostic: Apr 6, 2012 5:50:00 AM


Lab No      : Z763793
SPECIMEN
Specimen Type : Urine Type Not Stated


CHEMISTRY
pH              5.5
Protein         NEGATIVE
Specific Grav.  1.013
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      NEGATIVE


MICROSCOPY
Leucocytes                    8          x10^6/L ( <2x10^6/L )
Red Blood Cells               13         x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     +








STANDARD BACTERIAL CULTURE
10^8-10^9 cfu/L Mixed organisms including: staphylococci,
streptococci and diphtheroid bacilli.


Generated Narrative with Details

text:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 8:14:00 PM

subject: Patient/180

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986894-16258492

diagnostic: Apr 6, 2012 5:40:00 AM


Request No:  Z561588  Z561661  Z516761  Z561665  Z561965
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    11:30    14:28    14:28    19:43    20:02  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.41        *        *        *     7.40          7.35-7.45
pCO2              38       36       36                41  mmHg    35-45
HCO3(Std)         24                                  25  mmol/L  22.0-30.0
Base Excess     -0.4                                 0.7  mmol/L  -3.0/3.0
pO2               90       90       90                76  mmHg    75-100
O2 Sat            98       98       98                96  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.3      3.7      3.7               3.7  mmol/L  3.5-5.5
Sodium           147H     148H     148H              148H mmol/L  135-145
Chloride         119H     118H     118H              119H mmol/L  95-110
iCa++           1.10L    1.10L    1.10L             1.11L mmol/L  1.12-1.30
Glucose          8.5H     8.5H     8.5H              8.4H mmol/L  3.6-7.7
Lactate          1.0      1.0      1.0               0.9  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        94L     101L     101L               97L g/L     130-170
Reduced Hb       1.9      1.8      1.8               3.8  %       0-5
CarbOxy Hb       1.9H     1.8H     1.8H              1.5  %       0.5-1.5
Meth    Hb       1.4      1.3      1.3               1.1  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 6:14:00 AM

subject: Patient/181

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516965-16258491

requestDetail: Patient/181; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:02:00 AM


Prothrombin Gene Mutation Analysis

G20210A Substitution Result:

Factor V Gene Mutation Analysis

G1691A Substitution Result:


Generated Narrative with Details

text:

contained:

name: Molecular Haem (Details )

status: PARTIAL

issued: Apr 6, 2012 6:00:00 AM

subject: Patient/182

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968884-16258490

requestDetail: Patient/182; clinicalNotes: Thrombophilic Screen

diagnostic: Apr 6, 2012 6:00:00 AM


URINE
Period                          ru.   Hrs
Volume                           na   ml

Urine Creatinine                7.6   mmol/L
Urine Creatinine Excretion            mmol/D          ( 8.0-17   )
Urine Protein                  0.12   g/L
Urine Protein Excretion               g/D             ( <0.15    )
Protein/Creat Ratio              16   mg/mmol Creat   ( 15-35    )
Urine Microalbumin               43 H mg/L            ( <15      )
Urine Microalb Excretion              ug/min          ( <20.0    )
MicroAlb/Creat Ratio           5.66 H mg/mmol creat   ( <2.5     )

Generated Narrative with Details

text:

name: Urine Chemistry (Details )

status: FINAL

issued: Apr 6, 2012 2:06:00 PM

subject: Patient/183

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986874-16258489

diagnostic: Apr 6, 2012 5:57:00 AM


Request No:  Z561549  Z516360  Z561163  Z561164  Z516865
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    12:27    13:39    16:22    17:26    20:00  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.30L    7.32L    7.28L    7.17L    7.31L         7.35-7.45
pCO2              45       45       51H      50H      41  mmHg    35-45
HCO3(Std)                                             20L mmol/L  22.0-30.0
Base Excess     -3.7L    -3.1L    -2.3     -9.8L    -4.8L mmol/L  -3.0/3.0
pO2              322H     110H     141H     233H     245H mmHg    75-100
O2 Sat            97       95       98       98       99  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        3.9      4.0      3.9      3.7      4.2  mmol/L  3.5-5.5
Sodium           140      138      141      144      141  mmol/L  135-145
Chloride                                             115H mmol/L  95-110
iCa++                                               1.07L mmol/L  1.12-1.30
Glucose                                             10.8H mmol/L  3.6-7.7
Lactate                                              1.0  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       117L     109L     104L      92L      94L g/L     130-170
Reduced Hb                                           0.8  %       0-5
CarbOxy Hb                                           0.3L %       0.5-1.5
Meth    Hb                                           1.6H %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 6:04:00 AM

subject: Patient/148

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561865-16258488

requestDetail: Patient/148; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 6:00:00 AM


SERUM/PLASMA
Sodium            136     mmol/L ( 135-145  )
Potassium         4.1     mmol/L ( 3.5-5.5  )
Chloride          103     mmol/L ( 95-110   )
HCO3               26     mmol/L ( 22-30    )
Creatinine         51     umol/L ( 64-104   )
 (Creatinine)    0.051    mmol/L ( 0.05-0.11)
Urea              5.0     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            30     g/L    ( 35-50    )
AP                224     IU/L   ( 30-120   )
GGT               468     IU/L   ( 10-65    )
ALT                88     IU/L   ( <45      )
AST                77     IU/L   ( <35      )
Bili Total        103     umol/L ( <19      )
Protein Total      64     g/L    ( 65-85    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:39:00 AM

subject: Patient/184

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986854-16258486

diagnostic: Apr 6, 2012 5:40:00 AM


CUMULATIVE REPORT
Req No:   Z766130  Z886994  Z866826  Z968535  Z986854
  Date:  03/04/12 04/04/12 04/04/12 05/04/12 05/04/12
  Time:     08:41    03:45    11:10    04:45    19:40  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            111L     107L     111L      92L      86L g/L       130-170
WCC           7.2      5.7      5.7      5.7      7.8  x10^9/L   4.0-11.0
PLT           157      155      164      161      167  x10^9/L   140-400
RCC          3.42L    3.34L    3.45L    2.84L    2.64L x10^12/L  4.50-5.70
PCV          0.32L    0.32L    0.32L    0.27L    0.25L L/L       0.40-0.50
MCV          94.3     94.2     93.7     93.8     94.6  fL        80.0-96.0
MCH          32.5     32.0     32.3     32.5     32.5  pg        27.0-33.0
MCHC          345      340      345      346      344  g/L       320-360
RDW          12.3     13.1     12.8     13.2     13.3  %         11.0-15.0
White Cell Differential
Neut         6.0      4.5      4.3      4.5      6.7   x10^9/L   2.0-8.0
Lymph        0.5L     0.5L     0.8L     0.5L     0.5L  x10^9/L   1.2-4.0
Mono         0.5      0.5      0.5      0.5      0.5   x10^9/L   0.1-1.0
Eos          0.1      0.1      0.2      0.2      0.1   x10^9/L   0.0-0.5
Baso         0.0      0.1      0.0      0.0      0.0   x10^9/L   0.0-0.1

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:14:00 AM

subject: Patient/184

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968854-16258485

diagnostic: Apr 6, 2012 5:40:00 AM


Request No:  Z561579  Z561261  Z516463  Z561864  Z561765
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    12:36    14:13    16:46    18:10    19:54  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.17L    7.26L    7.36     7.40     7.36          7.35-7.45
pCO2              28L      26L      23L      21L      27L mmHg    35-45
HCO3(Std)         11L      14L      16L      17L      17L mmol/L  22.0-30.0
Base Excess    -17.1L   -14.4L   -11.8L   -10.8L    -9.4L mmol/L  -3.0/3.0
pO2              161H     142H     138H     136H     306H mmHg    75-100
O2 Sat            98       99       99      100      100  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        6.2H     5.0      5.7H     6.0H     5.6H mmol/L  3.5-5.5
Sodium           139      142      140      141      138  mmol/L  135-145
Chloride         110      109      107      106      107  mmol/L  95-110
iCa++           1.02L    0.98L    0.99L    0.98L    0.97L mmol/L  1.12-1.30
Glucose          6.9      5.2      5.3      4.4      7.4  mmol/L  3.6-7.7
Lactate         13.9H    15.0H    12.3H    11.7H     9.3H mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       101L      99L     106L     109L     108L g/L     130-170
Reduced Hb       1.6      1.2      0.6      0.5     -0.2L %       0-5
CarbOxy Hb       1.1      1.4      1.7H     1.8H     1.4  %       0.5-1.5
Meth    Hb       1.3      1.2      1.0      1.2      1.1  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 5:59:00 AM

subject: Patient/122

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516765-16258484

requestDetail: Patient/122; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 5:54:00 AM


CUMULATIVE REPORT
Request No:   Z986844
      Date:  05/04/12
      Time:     19:45                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.0                                            0.8-1.3
APTT              111H                                     secs  23-36
Fibrinogen        3.6                                      g/L   2.0-5.0

12Z968844 05/04/12 19:45
Comment: Further testing with a heparin resistant reagent confirmed
         the presence of heparin. Suggest repeat.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 6:43:00 AM

subject: Patient/185

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968844-16258483

requestDetail: Patient/185; clinicalNotes: Post Angio + Stent

diagnostic: Apr 6, 2012 5:45:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         4.0     mmol/L ( 3.5-5.5  )
Chloride          103     mmol/L ( 95-110   )
HCO3               26     mmol/L ( 22-30    )
Creatinine         68     umol/L ( 64-104   )
 (Creatinine)    0.068    mmol/L ( 0.05-0.11)
Urea              3.9     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Calcium          2.30     mmol/L ( 2.10-2.60)
Phosphate        1.17     mmol/L ( 0.8-1.5  )
Magnesium        0.88     mmol/L ( 0.7-1.1  )
Albumin            34     g/L    ( 35-50    )
AP                 96     IU/L   ( 30-120   )
GGT               102     IU/L   ( 10-65    )
ALT                50     IU/L   ( <45      )
AST               128     IU/L   ( <35      )
Bili Total          8     umol/L ( <19      )
Protein Total      65     g/L    ( 65-85    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:18:00 AM

subject: Patient/185

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968844-16258482

requestDetail: Patient/185; clinicalNotes: Post Angio + Stent

diagnostic: Apr 6, 2012 5:45:00 AM


CUMULATIVE REPORT
Req No:   Z986844
  Date:  05/04/12
  Time:     19:45                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            141                                      g/L       130-170
WCC           7.2                                      x10^9/L   4.0-11.0
PLT           218                                      x10^9/L   140-400
RCC          4.64                                      x10^12/L  4.50-5.70
PCV          0.41                                      L/L       0.40-0.50
MCV          88.8                                      fL        80.0-96.0
MCH          30.4                                      pg        27.0-33.0
MCHC          342                                      g/L       320-360
RDW          13.1                                      %         11.0-15.0
White Cell Differential
Neut         5.0                                       x10^9/L   2.0-8.0
Lymph        1.5                                       x10^9/L   1.2-4.0
Mono         0.6                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

12Z968844 05/04/12 19:45
Film Comment : Film scanned. The blood film shows no diagnostic features.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 8:06:00 AM

subject: Patient/185

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968844-16258481

requestDetail: Patient/185; clinicalNotes: Post Angio + Stent

diagnostic: Apr 6, 2012 5:45:00 AM


Lab No      : Z763783
SPECIMEN
Specimen Type : Urine Catheter Specimen


CHEMISTRY
pH              7.5
Protein         TRACE
Specific Grav.  1.013
Blood           +++
Glucose         NEGATIVE
Leucocytes      +++


MICROSCOPY
Leucocytes                    920        x10^6/L ( <2x10^6/L )
Red Blood Cells               6940       x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil








STANDARD BACTERIAL CULTURE

1. Escherichia coli                                   >10^9 cfu/L


SENSITIVITIES:   1
Ciprofloxacin    S
Cotrimoxazole    R
Gentamicin       S
Meropenem        S
Nitrofurantoin   I
Trimethoprim     R

ORGANISM 1: This organism has a raised ceftazidime and/  or
ceftriaxone MIC. This would suggest that treatment of  this
organism with cephalosporins, aztreonam and all  penicillins
including augmentin, tazocin and timentin  could lead to rapid
emergence of resistance  and clinical failure.


Generated Narrative with Details

text:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 9, 2012 6:45:00 PM

subject: Patient/186

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968834-16258480

diagnostic: Apr 6, 2012 3:00:00 AM


SERUM/PLASMA
Sodium            142     mmol/L ( 135-145  )
Potassium         3.8     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         67     umol/L ( 64-104   )
 (Creatinine)    0.067    mmol/L ( 0.05-0.11)
Urea              6.0     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
C-React Prot       24     mg/L   ( <5       )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:19:00 AM

subject: Patient/187

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968824-16258479

diagnostic: Apr 6, 2012 5:45:00 AM


CUMULATIVE REPORT
Req No:   Z916147  Z968416  Z968824
  Date:  13/07/09 15/09/09 05/04/12
  Time:     16:20    14:00    19:45                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            140      138      129L                   g/L       130-170
WCC           8.4      7.2      7.8                    x10^9/L   4.0-11.0
PLT           538H     456H     373                    x10^9/L   140-400
RCC          4.78     4.74     4.28L                   x10^12/L  4.50-5.70
PCV          0.41     0.41     0.37L                   L/L       0.40-0.50
MCV          86.1     86.4     86.8                    fL        80.0-96.0
MCH          29.3     29.1     30.1                    pg        27.0-33.0
MCHC          341      336      347                    g/L       320-360
RDW          12.3     12.9     12.4                    %         11.0-15.0
Retics %     1.09                                      %         0.5-2.0
Retics       52.1                                      x10^9/L   20-130
White Cell Differential
Neut         5.4      4.4      5.2                     x10^9/L   2.0-8.0
Lymph        2.1      1.8      1.2                     x10^9/L   1.2-4.0
Mono         0.5      0.5      1.1H                    x10^9/L   0.1-1.0
Eos          0.3      0.4      0.3                     x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0                     x10^9/L   0.0-0.1

09Z916147 13/07/09 16:20
Film Comment : Red cells and leucocytes are unremarkable. Mild
               thrombocytosis.
Conclusion: ? reactive thrombocytosis. Suggest follow up FBE.

09Z968416 15/09/09 14:00
Film Comment : Platelets are frequent large. Red cell and white cell
               morphology is unremarkable.
Conclusion: See trephine report. Dr Lab Labfellow
Comment: FBE with BMAT. Report to follow.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:13:00 AM

subject: Patient/187

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968824-16258478

diagnostic: Apr 6, 2012 5:45:00 AM


Does the patient have a previously diagnosed prostatic disease? (Y/N) N

PSA                      *           \XE6\g/L    (<4.0    )

Comment: The requested tests were not completed as no sample was
         received. Ward notified.

Generated Narrative with Details

text:

contained:

name: Tumour Markers (Details )

status: FINAL

issued: Apr 6, 2012 5:38:00 PM

subject: Patient/188

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968814-16258476

requestDetail: Patient/188; clinicalNotes: Urinary Symptoms 2/52 With Loin Pain

diagnostic: Apr 6, 2012 5:45:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.9     mmol/L ( 3.5-5.5  )
Chloride          103     mmol/L ( 95-110   )
HCO3               30     mmol/L ( 22-30    )
Creatinine         83     umol/L ( 64-104   )
 (Creatinine)    0.083    mmol/L ( 0.05-0.11)
Urea              6.5     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:19:00 AM

subject: Patient/188

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968814-16258475

requestDetail: Patient/188; clinicalNotes: Urinary Symptoms 2/52 With Loin Pain

diagnostic: Apr 6, 2012 5:45:00 AM


CUMULATIVE REPORT
Req No:   Z968814
  Date:  05/04/12
  Time:     19:45                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            152                                      g/L       130-170
WCC           6.8                                      x10^9/L   4.0-11.0
PLT           203                                      x10^9/L   140-400
RCC          5.02                                      x10^12/L  4.50-5.70
PCV          0.44                                      L/L       0.40-0.50
MCV          88.6                                      fL        80.0-96.0
MCH          30.2                                      pg        27.0-33.0
MCHC          341                                      g/L       320-360
RDW          12.1                                      %         11.0-15.0
White Cell Differential
Neut         3.7                                       x10^9/L   2.0-8.0
Lymph        2.3                                       x10^9/L   1.2-4.0
Mono         0.6                                       x10^9/L   0.1-1.0
Eos          0.2                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:13:00 AM

subject: Patient/188

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986814-16258474

requestDetail: Patient/188; clinicalNotes: Urinary Symptoms 2/52 With Loin Pain

diagnostic: Apr 6, 2012 5:45:00 AM


         Patient ID/Specimen/Reporting Errors
** This Test Is For Laboratory Statistical Use Only **

Generated Narrative with Details

text:

contained:

name: Central Reception (Details )

status: PARTIAL

issued: Apr 6, 2012 5:40:00 AM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986893-16258473

requestDetail: Patient/151; clinicalNotes: Sah

diagnostic: Apr 6, 2012 5:40:00 AM


SERUM/PLASMA
Albumin             *     g/L    ( 35-50    )
AP                  *     IU/L   ( 30-120   )
GGT                 *     IU/L   ( 10-65    )
ALT                 *     IU/L   ( <34      )
AST                 *     IU/L   ( <31      )
Bili Total          *     umol/L ( <19      )
Protein Total       *     g/L    ( 65-85    )

Comment: The requested tests were not completed as no
         sample was  received.Lfts added to Z968840.

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:15:00 AM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968893-16258472

requestDetail: Patient/151; clinicalNotes: Sah

diagnostic: Apr 6, 2012 5:40:00 AM


CUMULATIVE REPORT
Request No:   Z968893
      Date:  05/04/12
      Time:     19:40                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.0                                            0.8-1.3
APTT               30                                      secs  23-36
Fibrinogen        3.4                                      g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 6:32:00 AM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968893-16258471

requestDetail: Patient/151; clinicalNotes: Sah

diagnostic: Apr 6, 2012 5:40:00 AM


SERUM/PLASMA
Sodium            132     mmol/L ( 135-145  )
Potassium           *     mmol/L ( 3.5-5.5  )
Chloride           96     mmol/L ( 95-110   )
HCO3               22     mmol/L ( 22-30    )
Creatinine        116     umol/L ( 49-90    )
 (Creatinine)    0.116    mmol/L ( 0.05-0.09)
Urea              9.3     mmol/L ( 2.5-8.3  )
 eGFR             41             ( SEE-BELOW)
Albumin            38     g/L    ( 35-50    )
AP                107     IU/L   ( 30-120   )
GGT               187     IU/L   ( 10-65    )
ALT                32     IU/L   ( <34      )
AST                 *     IU/L   ( <31      )
Bili Total          *     umol/L ( <19      )
Protein Total      74     g/L    ( 65-85    )
Troponin I       <0.02    ug/L   (See Below )
CK                811     IU/L   ( <145     )

Comment: Haemolysed. Some tests (*) unavailable.

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:35:00 AM

subject: Patient/178

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968804-16258470

requestDetail: Patient/178; clinicalNotes: Increasing Sob On Exerion Post Surgery 3/52 Ago ? Pe

diagnostic: Apr 6, 2012 5:40:00 AM


CUMULATIVE REPORT
Req No:   Z256564  Z368815  Z965898  Z936275  Z968804
  Date:  24/03/12 25/03/12 26/03/12 27/03/12 05/04/12
  Time:     10:45    10:15    08:15    09:10    19:40  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            116      119      117      106L       *  g/L       115-150
WCC          11.7H    11.6H     9.5      9.9           x10^9/L   4.0-11.0
PLT           578H     677H     674H     649H       *  x10^9/L   140-400
RCC          3.99     4.18     4.04     3.69L          x10^12/L  3.80-5.10
PCV          0.34L    0.36     0.34L    0.31L          L/L       0.35-0.45
MCV          84.3     84.9     84.2     83.8           fL        80.0-96.0
MCH          29.0     28.5     29.0     28.7           pg        27.0-33.0
MCHC          343      336      344      343           g/L       320-360
RDW          13.8     13.6     13.9     13.9           %         11.0-15.0
White Cell Differential
Neut         8.9H     8.9H     6.7      7.5            x10^9/L   2.0-8.0
Lymph        1.5      1.4      1.8      1.3            x10^9/L   1.2-4.0
Mono         0.9      1.0      0.8      0.9            x10^9/L   0.1-1.0
Eos          0.3      0.2      0.2      0.1            x10^9/L   0.0-0.5
Baso         0.1      0.1      0.0      0.0            x10^9/L   0.0-0.1

12Z368815 25/03/12 10:15
Comment: Note moderate thrombocytosis. ? reactive.
         Instrument differential and parameters reported.

12Z986804 05/04/12 19:40
Comment: * Specimen clotted. ED informed.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:17:00 AM

subject: Patient/178

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968804-16258469

requestDetail: Patient/178; clinicalNotes: Increasing Sob On Exerion Post Surgery 3/52 Ago ? Pe

diagnostic: Apr 6, 2012 5:40:00 AM


Request No:  Z516535  Z561588  Z561661  Z516761  Z561665
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    08:12    11:30    14:28    14:28    19:43  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.42     7.41        *        *        *          7.35-7.45
pCO2              36       38       36       36           mmHg    35-45
HCO3(Std)         24       24                             mmol/L  22.0-30.0
Base Excess     -0.6     -0.4                             mmol/L  -3.0/3.0
pO2               84       90       90       90           mmHg    75-100
O2 Sat            98       98       98       98           %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.0      4.3      3.7      3.7           mmol/L  3.5-5.5
Sodium           146H     147H     148H     148H          mmol/L  135-145
Chloride         120H     119H     118H     118H          mmol/L  95-110
iCa++           1.10L    1.10L    1.10L    1.10L          mmol/L  1.12-1.30
Glucose          8.9H     8.5H     8.5H     8.5H          mmol/L  3.6-7.7
Lactate          0.9      1.0      1.0      1.0           mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        94L      94L     101L     101L          g/L     130-170
Reduced Hb       2.3      1.9      1.8      1.8           %       0-5
CarbOxy Hb       1.9H     1.9H     1.8H     1.8H          %       0.5-1.5
Meth    Hb       0.7      1.4      1.3      1.3           %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 4:21:00 PM

subject: Patient/181

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561665-16258468

requestDetail: Patient/181; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 5:43:00 AM


Lab No      : Z860538
SPECIMEN
Specimen Type : Biopsy
Description   : Left Lateral Foot




MICROSCOPY


GRAM STAIN
Leucocytes                       +
Epithelial Cells                 +
No organisms seen



CULTURE
No Growth After 2 Days.

Generated Narrative with Details

text:

contained:

name: Sterile Sites M/C/S (Details )

status: FINAL

issued: Apr 9, 2012 9:01:00 PM

subject: Patient/189

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968843-16258467

requestDetail: Patient/189; clinicalNotes: Known Endocarditis, Vasculitic Rash Past, ?septic Embol

diagnostic: Apr 6, 2012 5:21:00 AM


CUMULATIVE REPORT
Request No:   Z768114  Z816561  Z968883
      Date:  08/02/10 11/02/10 05/04/12
      Time:     18:00    08:08    19:28                   Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.0      1.1      1.0                          0.8-1.3
APTT                        27       26                    secs  23-36
Fibrinogen                 3.4      3.5                    g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 6:10:00 AM

subject: Patient/190

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968883-16258465

requestDetail: Patient/190; clinicalNotes: Trauma

diagnostic: Apr 6, 2012 5:28:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         4.1     mmol/L ( 3.5-5.5  )
Chloride          103     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine         90     umol/L ( 64-104   )
 (Creatinine)    0.090    mmol/L ( 0.05-0.11)
Urea              4.3     mmol/L ( 2.5-8.3  )
 eGFR             80             ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:06:00 AM

subject: Patient/190

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968883-16258464

requestDetail: Patient/190; clinicalNotes: Trauma

diagnostic: Apr 6, 2012 5:28:00 AM


CUMULATIVE REPORT
Req No:   Z861419  Z863387  Z476650  Z269106  Z968883
  Date:  12/02/10 25/02/10 15/04/10 29/07/10 05/04/12
  Time:     08:13    15:24    14:38    14:25    19:28  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            144      137      130      150      146  g/L       130-170
WCC          10.3      9.8      7.0      7.1     15.0H x10^9/L   4.0-11.0
PLT           190      215      204      200      225  x10^9/L   140-400
RCC          4.91     4.63     4.32L    5.02     4.81  x10^12/L  4.50-5.70
PCV          0.43     0.41     0.38L    0.44     0.44  L/L       0.40-0.50
MCV          88.0     87.5     87.7     88.3     90.4  fL        80.0-96.0
MCH          29.3     29.6     30.0     29.9     30.3  pg        27.0-33.0
MCHC          333      339      343      338      335  g/L       320-360
RDW          13.5     13.8     14.6     14.0     15.2H %         11.0-15.0
White Cell Differential
Neut         2.8      6.3      3.8      4.6     12.7H  x10^9/L   2.0-8.0
Lymph        6.3H     2.3      2.3      1.7      1.5   x10^9/L   1.2-4.0
Mono         0.9      0.9      0.5      0.6      0.6   x10^9/L   0.1-1.0
Eos          0.1      0.2      0.4      0.2      0.2   x10^9/L   0.0-0.5
Baso         0.1      0.1      0.1      0.0      0.1   x10^9/L   0.0-0.1

12Z986883 05/04/12 19:28
Comment: Please note mild neutrophilia

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 5:43:00 AM

subject: Patient/190

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986883-1625846422

requestDetail: Patient/190; clinicalNotes: Trauma

diagnostic: Apr 6, 2012 5:28:00 AM


HISTOPATHOLOGY
Lab No: 2021X023532

CLINICAL NOTES:

?Viral (illegible) ?Early EM. Widespread erythematous plaque.

MACROSCOPIC DESCRIPTION:

"Biopsy back": Two punch biopsies each 3mm across and 3mm deep.  A1.
(TJB)

MICROSCOPIC DESCRIPTION:



DIAGNOSIS:


Pathologist: To Follow

Generated Narrative with Details

text:

name: New Histology Rep (Details )

status: PARTIAL

issued: Apr 6, 2012 5:20:00 AM

subject: Patient/191

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968833-16258462

diagnostic: Apr 6, 2012 5:20:00 AM


HISTOPATHOLOGY
Lab No: 2021X023531

CLINICAL NOTES:

Shave biopsy (L) nose ?BCC ?(illegible) papule of the nose.

MACROSCOPIC DESCRIPTION:

"Shave biopsy nose": A white shaving of skin with a raised white
nodule and brown top all measuring 6x5x2mm.  Specimen bisected, A1.
(TJB)

MICROSCOPIC DESCRIPTION:



DIAGNOSIS:


Pathologist: To Follow

Generated Narrative with Details

text:

name: New Histology Rep (Details )

status: PARTIAL

issued: Apr 6, 2012 5:23:00 AM

subject: Patient/192

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968853-16258461

diagnostic: Apr 6, 2012 5:23:00 AM


CUMULATIVE REPORT
Request No:   Z361399  Z968863
      Date:  13/03/12 05/04/12
      Time:     14:20    19:24                            Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.3      1.3                                   0.8-1.3
APTT               28                                      secs  23-36
Fibrinogen        4.8                                      g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:24:00 AM

subject: Patient/139

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986883-1625846433

requestDetail: Patient/139; clinicalNotes: 89/M Collapsed, Low Bp

diagnostic: Apr 6, 2012 5:24:00 AM


SERUM/PLASMA
Sodium            135     mmol/L ( 135-145  )
Potassium         4.4     mmol/L ( 3.5-5.5  )
Chloride          100     mmol/L ( 95-110   )
HCO3               25     mmol/L ( 22-30    )
Creatinine        104     umol/L ( 64-104   )
 (Creatinine)    0.104    mmol/L ( 0.05-0.11)
Urea              8.6     mmol/L ( 2.5-8.3  )
 eGFR             58             ( SEE-BELOW)
Albumin            24     g/L    ( 35-50    )
AP                172     IU/L   ( 30-120   )
GGT                59     IU/L   ( 10-65    )
ALT                22     IU/L   ( <45      )
AST                27     IU/L   ( <35      )
Bili Total         84     umol/L ( <19      )
Protein Total      62     g/L    ( 65-85    )
C-React Prot      109     mg/L   ( <5       )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:24:00 AM

subject: Patient/139

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968863-16258459

requestDetail: Patient/139; clinicalNotes: 89/M Collapsed, Low Bp

diagnostic: Apr 6, 2012 5:24:00 AM


CUMULATIVE REPORT
Req No:   Z965662  Z361399  Z986863
  Date:  28/04/11 13/03/12 05/04/12
  Time:     12:30    14:20    19:24                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            148      116L     110L                   g/L       130-170
WCC           7.4     10.1     14.0H                   x10^9/L   4.0-11.0
PLT           223      274      305                    x10^9/L   140-400
RCC          4.65     3.59L    3.39L                   x10^12/L  4.50-5.70
PCV          0.42     0.33L    0.32L                   L/L       0.40-0.50
MCV          91.6     90.9     93.3                    fL        80.0-96.0
MCH          31.9     32.4     32.5                    pg        27.0-33.0
MCHC          348      356      348                    g/L       320-360
RDW          14.5     16.5H    15.4H                   %         11.0-15.0
White Cell Differential
Neut         5.5      7.8     11.4H                    x10^9/L   2.0-8.0
Lymph        1.2      1.1L     1.2                     x10^9/L   1.2-4.0
Mono         0.6      1.0      1.2H                    x10^9/L   0.1-1.0
Eos          0.0      0.0      0.0                     x10^9/L   0.0-0.5
Baso         0.0      0.0      0.1                     x10^9/L   0.0-0.1
Bands                 0.2                              x10^9/L   0.0-0.5

12Z361399 13/03/12 14:20
Film Comment : Red cells show numerous target cells and moderate
               anisocytosis. Manual differential. Platelets are
               plentiful.
Conclusion: Suggestive of liver dysfunction.

12Z968863 05/04/12 19:24
Comment: Please note mild neutrophilia and mild monocytosis

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 5:43:00 AM

subject: Patient/139

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986863-16258458

requestDetail: Patient/139; clinicalNotes: 89/M Collapsed, Low Bp

diagnostic: Apr 6, 2012 5:24:00 AM


URINE
Period                          ru.   Hrs
Volume                           na   ml

Urine Creatinine                3.0   mmol/L
Urine Creatinine Excretion            mmol/D          ( 7-13     )
Urine Protein                  0.57   g/L
Urine Protein Excretion               g/D             ( <0.15    )
Protein/Creat Ratio             190 H mg/mmol Creat   ( 15-35    )

Generated Narrative with Details

text:

contained:

name: Urine Chemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:49:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968873-16258457

requestDetail: Patient/124; clinicalNotes: Pre Organ

diagnostic: Apr 6, 2012 5:20:00 AM


HISTOPATHOLOGY
Lab No: 2021X023528

CLINICAL NOTES:

2 x punch biopsy (L) lateral foot. ?Immune mediated vasculitis.
Known endocarditis vasculitic rash post x 1.  ?Septic emboli.
?Thrombotic vasculitis.

MACROSCOPIC DESCRIPTION:

"Biopsy left foot": A 3mm core of skin 3mm deep.  A1.  (TJB)

MICROSCOPIC DESCRIPTION:



DIAGNOSIS:


Pathologist: To Follow

Generated Narrative with Details

text:

contained:

name: New Histology Rep (Details )

status: PARTIAL

issued: Apr 6, 2012 5:21:00 AM

subject: Patient/189

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986843-16258456

requestDetail: Patient/189; clinicalNotes: Known Endocarditis, Vasculitic Rash Past, ?septic Embol

diagnostic: Apr 6, 2012 5:21:00 AM


ISSUED PRODUCT REPORT


Product Issued:   Intragam P 12g 200mL
Product Batch:    4740600000
Product Quantity: 3
Date/Time Issued: 05/04/2010 19:28

Product administered by: __________________________________________
Date administered      : __________________________________________
Time administered      : __________________________________________

Product Issued:   Intragam P 3g 50mL
Product Batch:    4740500001
Product Quantity: 1
Date/Time Issued: 05/04/2010 19:28

Product administered by: __________________________________________
Date administered      : __________________________________________
Time administered      : __________________________________________

Products must be administered immediately upon receipt, or returned to
the Blood Bank.

Generated Narrative with Details

text:

contained:

name: Bbank Other Products (Details )

status: FINAL

issued: Apr 6, 2012 4:19:00 PM

subject: Patient/193

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z867193-16258455

requestDetail: Patient/193; clinicalNotes: Ivig-Intragram 39G

diagnostic: Apr 6, 2012 5:15:00 AM


Request No:  Z516565
      Date: 05/04/12                                              Arterial
      Time:    19:20                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.32L                                             7.35-7.45
pCO2              59H                                     mmHg    35-45
Base Excess      4.1H                                     mmol/L  -3.0/3.0
pO2               33L                                     mmHg    75-100
O2 Sat            57L                                     %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.0                                      mmol/L  3.5-5.5
Sodium           139                                      mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb       151                                      g/L     130-170

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 5:23:00 AM

subject: Patient/190

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561565-16258454

requestDetail: Patient/190; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 5:20:00 AM


SERUM/PLASMA
Calcium          1.55     mmol/L ( 2.10-2.60)
Phosphate        1.28     mmol/L ( 0.8-1.5  )
Magnesium        0.95     mmol/L ( 0.7-1.1  )
Albumin            22     g/L    ( 35-50    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:46:00 AM

subject: Patient/194

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968823-16258453

diagnostic: Apr 6, 2012 4:00:00 AM


Lab No      : Z763773
SPECIMEN
Specimen Type : Urine Type Not Stated


CHEMISTRY
pH              5.5
Protein         NEGATIVE
Specific Grav.  1.010
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      NEGATIVE


MICROSCOPY
Leucocytes                    3          x10^6/L ( <2x10^6/L )
Red Blood Cells               2          x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil

Red blood cell count unreliable due to low specific gravity.






STANDARD BACTERIAL CULTURE
10^8 cfu/L Mixed organisms including: staphylococci, streptococci
and diphtheroid bacilli.


Generated Narrative with Details

text:

contained:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 8:13:00 PM

subject: Patient/195

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986813-16258452

requestDetail: Patient/195; clinicalNotes: Recurrent Falls

diagnostic: Apr 6, 2012 5:00:00 AM


CUMULATIVE REPORT
Request No:   Z968503  Z968694  Z986770  Z968745  Z968803
      Date:  05/04/12 05/04/12 05/04/12 05/04/12 05/04/12
      Time:     06:00    11:25    14:57    17:00    19:00 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1      1.1                                   0.8-1.3
APTT              104H      55H      44H       *       67H secs  23-36
Fibrinogen        4.3      4.3                             g/L   2.0-5.0

12Z986803 05/04/12 19:00
Comment: Further testing with a heparin resistant reagent confirmed
         the presence of heparin. Please indicate anticoagulant
         therapy on request form.

12Z968745 05/04/12 17:00
Comment: * Insufficient specimen to perform APTT. Ward informed.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:57:00 AM

subject: Patient/147

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986803-16258451

diagnostic: Apr 6, 2012 5:00:00 AM


ISSUED PRODUCT REPORT


Product Issued:   Kiovig 20g 200mL
Product Batch:    LE12M354AC
Product Quantity: 1
Date/Time Issued: 05/04/2010 09:18

Product administered by: __________________________________________
Date administered      : __________________________________________
Time administered      : __________________________________________

Product Issued:   Kiovig 10g 100mL
Product Batch:    LE12L001AC
Product Quantity: 1
Date/Time Issued: 05/04/2010 09:18

Product administered by: __________________________________________
Date administered      : __________________________________________
Time administered      : __________________________________________

Products must be administered immediately upon receipt, or returned to
the Blood Bank.

Generated Narrative with Details

text:

contained:

name: Bbank Other Products (Details )

status: FINAL

issued: Apr 6, 2012 5:18:00 AM

subject: Patient/196

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z876183-16258450

requestDetail: Patient/196; clinicalNotes: Kovig Ivig- 30G

diagnostic: Apr 6, 2012 5:10:00 AM


Request No:  Z461110  Z516465
      Date: 28/03/12 05/04/12                                     Arterial
      Time:    19:21    19:11                             Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0                             Deg. C
pH              7.42     7.38                                     7.35-7.45
pCO2              36       33L                            mmHg    35-45
Base Excess     -0.5     -5.1L                            mmol/L  -3.0/3.0
pO2               80       86                             mmHg    75-100
O2 Sat            96       96                             %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.2      6.0H                            mmol/L  3.5-5.5
Sodium           138      132L                            mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb       100L      93L                            g/L     115-150

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 5:13:00 AM

subject: Patient/144

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561465-16258449

requestDetail: Patient/144; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 5:11:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         3.9     mmol/L ( 3.5-5.5  )
Chloride          102     mmol/L ( 95-110   )
HCO3               28     mmol/L ( 22-30    )
Creatinine         59     umol/L ( 64-104   )
 (Creatinine)    0.059    mmol/L ( 0.05-0.11)
Urea              3.5     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Calcium          2.09     mmol/L ( 2.10-2.60)
Phosphate        1.62     mmol/L ( 0.8-1.5  )
Magnesium        0.73     mmol/L ( 0.7-1.1  )
Albumin            30     g/L    ( 35-50    )
Troponin I        0.70    ug/L   (See Below )
CK                247     IU/L   ( <175     )
CKMB Mass            *    ug/L   ( <4       )
C-React Prot      166     mg/L   ( <5       )

Comment: The CKMB was not measured on this sample. It has
         been  replaced by Troponin.

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:14:00 AM

subject: Patient/197

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986892-16258448

requestDetail: Patient/197; clinicalNotes: Cags X3 24/24 Post

diagnostic: Apr 6, 2012 4:55:00 AM


CUMULATIVE REPORT
Req No:   Z860270  Z886554  Z968892
  Date:  22/02/12 03/04/12 05/04/12
  Time:     08:10    11:45    18:55                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            155      134       99L                   g/L       130-170
WCC           9.8      7.5      8.9                    x10^9/L   4.0-11.0
PLT           232      220      165                    x10^9/L   140-400
RCC          5.39     4.53     3.44L                   x10^12/L  4.50-5.70
PCV          0.46     0.40     0.30L                   L/L       0.40-0.50
MCV          85.3     87.3     86.4                    fL        80.0-96.0
MCH          28.7     29.5     28.8                    pg        27.0-33.0
MCHC          336      337      333                    g/L       320-360
RDW          14.1     14.6     14.8                    %         11.0-15.0
White Cell Differential
Neut         7.4      4.9      7.6                     x10^9/L   2.0-8.0
Lymph        1.7      2.0      0.6L                    x10^9/L   1.2-4.0
Mono         0.5      0.5      0.6                     x10^9/L   0.1-1.0
Eos          0.1      0.1      0.0                     x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0                     x10^9/L   0.0-0.1

12Z968892 05/04/12 18:55
Comment: Please note fall in haemoglobin and platelet count since
         the previous examination. Post CAGS.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 5:41:00 AM

subject: Patient/197

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968892-16258447

requestDetail: Patient/197; clinicalNotes: Cags X3 24/24 Post

diagnostic: Apr 6, 2012 4:55:00 AM


FLT3 Mutation Analysis

Internal Tandem Duplication (ITD):

FLT3 ITD Allelic Ratio:

Tyrosine Kinase Domain 2 (TK2) Result:

Nucleophosmin (NPM1) Gene Mutation Analysis

Exon 12 Indel Result:

Comment

CCAAT/Enhancer Binding Protein Alpha (C/EBPA) Gene Mutation Analysis

CEBPA Result:

Comment


Generated Narrative with Details

text:

contained:

name: Molecular Haem (Details )

status: PARTIAL

issued: Apr 6, 2012 3:15:00 AM

subject: Patient/198

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 5003-3385

requestDetail: Patient/198; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 3:15:00 AM


Request No:  Z561564  Z516576  Z561361  Z561663  Z516365
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    06:54    09:27    14:18    17:00    19:04  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.48H    7.50H       *     7.51H       *          7.35-7.45
pCO2              37       36       31L      34L      34L mmHg    35-45
HCO3(Std)         28       29                28           mmol/L  22.0-30.0
Base Excess      4.1H     4.5H              3.7H          mmol/L  -3.0/3.0
pO2               76       90       86       89       86  mmHg    75-100
O2 Sat            96       98       98       98       97  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        3.7      4.2      3.8      4.2      3.8  mmol/L  3.5-5.5
Sodium           142      142      140      141      141  mmol/L  135-145
Chloride         109      109      107      108      106  mmol/L  95-110
iCa++           1.12     1.11L    1.09L    1.09L    1.12  mmol/L  1.12-1.30
Glucose          7.1      5.9     13.0H    13.4H    12.6H mmol/L  3.6-7.7
Lactate          0.9      1.0      1.0      1.5      1.4  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        90L      94L      92L      88L      88L g/L     130-170
Reduced Hb       3.7      1.8      2.2      2.2      2.6  %       0-5
CarbOxy Hb       1.2      1.1      1.3      1.3      1.3  %       0.5-1.5
Meth    Hb       1.2      1.0      1.5      1.2      1.4  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 4:21:00 PM

subject: Patient/115

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561365-16258445

requestDetail: Patient/115; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 5:04:00 AM


CUMULATIVE REPORT
Request No:   Z964790  Z665812  Z566826  Z467914  Z968872
      Date:  02/10/05 09/10/05 16/10/05 19/10/05 05/04/12
      Time:     19:00    18:50    17:28    05:15    18:50 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1      1.1      1.1      1.1      2.6H       0.8-1.3

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:48:00 AM

subject: Patient/153

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986872-16258444

requestDetail: Patient/153; clinicalNotes: Chest Pain Worse On Exercise

diagnostic: Apr 6, 2012 4:50:00 AM


SERUM/PLASMA
Troponin I           *    ug/L   (See Below )

Comment: A troponin has been measured for this patient in
         recent  hours. If chest pain is ongoing, a
         repeat troponin  should not be done till at
         least 4 hours after the  last one.

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:25:00 AM

subject: Patient/153

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968872-16258443

requestDetail: Patient/153; clinicalNotes: Chest Pain Worse On Exercise

diagnostic: Apr 6, 2012 4:50:00 AM


  Request No:  Z868702  Z868897  Z986862
        Date: 03/04/12 04/04/12 05/04/12                          Therapeut
        Time:    18:40    02:10    18:45                   Units    Range
              -------- -------- -------- -------- -------- ------ ---------
PLASMA
Carbamazepine       44                                     umol/L 20-50
Hrs Since Dose No Info                                     HH:MM

WHOLE BLOOD
Cyclosporin                 113      384                   ng/mL  AS-BELOW
Hrs Since Dose          No Info    02:00                   HH:MM

* Note Cyclosporin Method Change. *
  From 26/07/2010 Cyclosporin is measured on an ADVIA Centaur
  Results will be approx 15% lower than previously
        Tentative Pre-dose therapeutic range:
           80-320 ng/ml
        Trial 2hr Post-dose therapeutic range:
          900-1400 ng/ml (Mth 0-1)
          800-1200 ng/ml (Mth 1-6)
          800-1000 ng/ml (Mth  >6)
        Cyclosporin levels vary widely, depending on drug
        therapy.  These ranges should be used as a guide only.


Generated Narrative with Details

text:

contained:

name: Therapeutic Drugs (Details )

status: FINAL

issued: Apr 6, 2012 6:39:00 AM

subject: Patient/199

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986862-16258442

requestDetail: Patient/199; clinicalNotes: 2Hrs Post Dose

diagnostic: Apr 6, 2012 4:45:00 AM


CUMULATIVE REPORT
Request No:   Z360130  Z306741  Z564088  Z666062  Z986852
      Date:  25/04/07 27/04/07 02/04/12 04/04/12 05/04/12
      Time:     19:00    06:00    15:25    09:10    18:58 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1      1.1      1.0      1.0      1.2        0.8-1.3
APTT                                 29       28       26  secs  23-36
Fibrinogen                          4.0      3.9      2.4  g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:48:00 AM

subject: Patient/100

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968852-16258441

requestDetail: Patient/100; clinicalNotes: Post Op MVR

diagnostic: Apr 6, 2012 4:58:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         4.0     mmol/L ( 3.5-5.5  )
Chloride          109     mmol/L ( 95-110   )
HCO3               26     mmol/L ( 22-30    )
Creatinine         64     umol/L ( 49-90    )
 (Creatinine)    0.064    mmol/L ( 0.05-0.09)
Urea              7.1     mmol/L ( 2.5-8.3  )
 eGFR             81             ( SEE-BELOW)
Calcium          1.88     mmol/L ( 2.10-2.60)
Phosphate        0.77     mmol/L ( 0.8-1.5  )
Magnesium        1.45     mmol/L ( 0.8-1.0  )
Albumin            25     g/L    ( 35-50    )
AP                 68     IU/L   ( 30-120   )
GGT               119     IU/L   ( 10-65    )
ALT                42     IU/L   ( <34      )
AST                72     IU/L   ( <31      )
Bili Total         18     umol/L ( <19      )
Protein Total      47     g/L    ( 65-85    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:45:00 AM

subject: Patient/100

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986852-16258440

requestDetail: Patient/100; clinicalNotes: Post Op MVR

diagnostic: Apr 6, 2012 4:58:00 AM


CUMULATIVE REPORT
Req No:   Z360130  Z546088  Z666062  Z968852
  Date:  25/04/07 02/04/12 04/04/12 05/04/12
  Time:     19:00    15:25    09:10    18:58           Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            133      124      118      103L          g/L       115-150
WCC           6.7      8.3      7.0     10.4           x10^9/L   4.0-11.0
PLT           284      258      236      132L          x10^9/L   140-400
RCC          4.22     3.91     3.71L    3.29L          x10^12/L  3.80-5.10
PCV          0.38     0.36     0.34L    0.30L          L/L       0.35-0.45
MCV          90.3     91.4     91.2     92.4           fL        80.0-96.0
MCH          31.5     31.6     31.7     31.4           pg        27.0-33.0
MCHC          349      346      348      340           g/L       320-360
RDW          12.7     13.9     14.3     14.1           %         11.0-15.0
White Cell Differential
Neut         3.8      5.1      5.4      9.2H           x10^9/L   2.0-8.0
Lymph        2.1      2.1      1.0L     0.6L           x10^9/L   1.2-4.0
Mono         0.5      0.8      0.3      0.5            x10^9/L   0.1-1.0
Eos          0.3      0.4      0.3      0.1            x10^9/L   0.0-0.5
Baso         0.1      0.1      0.0      0.0            x10^9/L   0.0-0.1

12Z986852 05/04/12 18:58
Comment: Please note fall in haemoglobin and platelet count since
         the previous examination. Post MVR.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 5:42:00 AM

subject: Patient/100

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968852-16258439

requestDetail: Patient/100; clinicalNotes: Post Op MVR

diagnostic: Apr 6, 2012 4:58:00 AM


No Test Requested
NTRC

Generated Narrative with Details

text:

contained:

name: Central Reception (Details )

status: PARTIAL

issued: Apr 6, 2012 4:30:00 AM

subject: Patient/195

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986842-16258438

requestDetail: Patient/195; clinicalNotes: Recurrent Falls

diagnostic: Apr 6, 2012 4:30:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         4.4     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               26     mmol/L ( 22-30    )
Creatinine         72     umol/L ( 49-90    )
 (Creatinine)    0.072    mmol/L ( 0.05-0.09)
Urea              8.4     mmol/L ( 2.5-8.3  )
 eGFR             66             ( SEE-BELOW)
Calcium          2.38     mmol/L ( 2.10-2.60)
Phosphate        1.26     mmol/L ( 0.8-1.5  )
Magnesium        0.84     mmol/L ( 0.8-1.0  )
Albumin            34     g/L    ( 35-50    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:45:00 AM

subject: Patient/195

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968842-16258437

requestDetail: Patient/195; clinicalNotes: Recurrent Falls

diagnostic: Apr 6, 2012 4:30:00 AM


CUMULATIVE REPORT
Req No:   Z476146  Z968842
  Date:  22/09/10 05/04/12
  Time:     17:05    18:30                             Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            116      119                             g/L       115-150
WCC           6.5      9.0                             x10^9/L   4.0-11.0
PLT           229      235                             x10^9/L   140-400
RCC          3.75L    3.84                             x10^12/L  3.80-5.10
PCV          0.33L    0.34L                            L/L       0.35-0.45
MCV          88.1     89.4                             fL        80.0-96.0
MCH          31.0     31.0                             pg        27.0-33.0
MCHC          352      347                             g/L       320-360
RDW          13.2     13.6                             %         11.0-15.0
White Cell Differential
Neut         4.4      7.2                              x10^9/L   2.0-8.0
Lymph        1.4      1.2                              x10^9/L   1.2-4.0
Mono         0.5      0.6                              x10^9/L   0.1-1.0
Eos          0.1      0.1                              x10^9/L   0.0-0.5
Baso         0.0      0.0                              x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 5:41:00 AM

subject: Patient/195

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968842-16258436

requestDetail: Patient/195; clinicalNotes: Recurrent Falls

diagnostic: Apr 6, 2012 4:30:00 AM


Lab No : Z366391
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

contained:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 7:19:00 AM

subject: Patient/140

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968832-16258435

requestDetail: Patient/140; clinicalNotes: Febrile

diagnostic: Apr 6, 2012 4:57:00 AM


Drugs of Abuse Screen (Urine)

Ampht-TypeSubst              Negative
Benzodiazepines              Negative
Cannabinoids                 Negative
Opiates                      Negative
Cocaine
Barbiturates
Methadone
TCA


General Comments:

Generated Narrative with Details

text:

contained:

name: Drug Screen (Toxic) (Details )

status: FINAL

issued: Apr 10, 2012 8:58:00 PM

subject: Patient/101

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968812-16258434

requestDetail: Patient/101; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 4:56:00 AM


Lab No      : Z996558
SPECIMEN
Specimen Type : Sputum


MICROSCOPY

GRAM STAIN
Macroscopic Description                   Mucopurulent
Pus:Epithelial Cell Ratio                 >25:10
Pus Cells                                 +++
Squamous Epithelial Cells                 Occasional
Gram positive cocci                       +
Gram positive bacilli                     Occasional





CULTURE

Standard culture:   +++  Mixed upper respiratory tract flora




Generated Narrative with Details

text:

name: Respiratory M/C/S (Details )

status: FINAL

issued: Apr 8, 2012 9:35:00 PM

subject: Patient/169

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968822-16258433

diagnostic: Apr 6, 2012 4:05:00 AM


CUMULATIVE REPORT
Req No:   Z886371  Z868965  Z968069  Z986477  Z968802
  Date:  03/04/12 04/04/12 04/04/12 05/04/12 05/04/12
  Time:     02:50    05:25    12:30    02:55    17:45  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             89L      96L     100L      83L      94L g/L       130-170
WCC           2.4L     2.9L     2.6L     2.0L     3.1L x10^9/L   4.0-11.0
PLT            21L       7L      32L      17L      41L x10^9/L   140-400
RCC          2.71L    3.00L    3.07L    2.60L    2.90L x10^12/L  4.50-5.70
PCV          0.25L    0.27L    0.28L    0.24L    0.27L L/L       0.40-0.50
MCV          92.2     90.6     90.9     91.8     91.5  fL        80.0-96.0
MCH          32.7     32.1     32.5     31.9     32.2  pg        27.0-33.0
MCHC          355      354      358      347      352  g/L       320-360
RDW          15.7H    15.2H    15.4H    15.3H    15.0  %         11.0-15.0
White Cell Differential
Neut         2.1      2.0      2.4      1.5L           x10^9/L   2.0-8.0
Lymph        0.1L     0.1L     0.1L     0.0L           x10^9/L   1.2-4.0
Mono         0.1      0.3      0.1      0.1            x10^9/L   0.1-1.0
Eos          0.0      0.0      0.0      0.0            x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0            x10^9/L   0.0-0.1
Bands                 0.5               0.3            x10^9/L   0.0-0.5
Meta                  0.1H                             x10^9/L   0.0
Myelo                                   0.0            x10^9/L   0.0
NRBC                                       2H          /100WBCs  0
NRBC Abs                                0.0            x10^9/L   0

12Z868965 04/04/12 05:25
Film Comment : Marked thrombocytopenia. Neutrophils show a moderate left
               shift and mild toxic changes. Manual differential.
               Red cells show no significant changes - see previous
               report.
Conclusion: Known CMML -> AML. Please note fall in platelet count
            since the last examination. ? Therapy related.

12Z986477 05/04/12 02:55
Film Comment : Moderate anaemia with red cells showing occasional target
               cells and polychromatic macrocytes. Platelets are markedly
               reduced in number. White cells show a mild neutropenia
               with a mild left shift showing mild toxic changes.
Conclusion: History of Bone Marrow Transplant for CMML -> AML. Please
            note mild fall in haemoglobin since the last examination.
            Manual differential.

12Z968802 05/04/12 17:45
Comment: Post platelet increment
         Instrument parameters reported.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 3:45:00 AM

subject: Patient/102

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968802-16258432

requestDetail: Patient/102; clinicalNotes: Post Platelet Increment

diagnostic: Apr 6, 2012 3:45:00 AM


SERUM/PLASMA
Amylase           527     IU/L   ( 22-100   )
Lipase            741     IU/L   ( <60      )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:57:00 AM

subject: Patient/103

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968891-16258431

diagnostic: Apr 6, 2012 4:00:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         3.8     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               21     mmol/L ( 22-30    )
Creatinine        110     umol/L ( 64-104   )
 (Creatinine)    0.110    mmol/L ( 0.05-0.11)
Urea             10.1     mmol/L ( 2.5-8.3  )
 eGFR             57             ( SEE-BELOW)
Calcium          2.16     mmol/L ( 2.10-2.60)
Phosphate        1.31     mmol/L ( 0.8-1.5  )
Magnesium        0.82     mmol/L ( 0.7-1.1  )
Albumin            27     g/L    ( 35-50    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 3:45:00 AM

subject: Patient/106

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968861-16258427

requestDetail: Patient/106; clinicalNotes: Post Angiogram Anaemia

diagnostic: Apr 6, 2012 3:45:00 AM


CUMULATIVE REPORT
Req No:   Z167899  Z868451  Z586852  Z367717  Z968861
  Date:  02/04/12 03/04/12 04/04/12 05/04/12 05/04/12
  Time:     10:00    06:20    11:39    08:00    17:45  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             86L      85L      82L      87L      77L g/L       130-170
WCC           6.4      5.9      6.0      6.0      4.9  x10^9/L   4.0-11.0
PLT           101L     112L     131L     155      150  x10^9/L   140-400
RCC          2.69L    2.73L    2.60L    2.89L    2.49L x10^12/L  4.50-5.70
PCV          0.24L    0.25L    0.23L    0.26L    0.22L L/L       0.40-0.50
MCV          90.0     90.5     90.1     89.9     90.4  fL        80.0-96.0
MCH          32.0     31.1     31.5     30.0     30.8  pg        27.0-33.0
MCHC          356      344      349      334      341  g/L       320-360
RDW          14.9     14.8     14.8     14.6     14.3  %         11.0-15.0
ESR                   >140H     135H                   mm in 1hr 2-14
White Cell Differential
Neut         4.7      4.8      5.0      5.2      3.7   x10^9/L   2.0-8.0
Lymph        1.1L     0.8L     0.7L     0.6L     0.9L  x10^9/L   1.2-4.0
Mono         0.4      0.3      0.2      0.2      0.3   x10^9/L   0.1-1.0
Eos          0.1      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.5
Baso         0.1      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

12Z176899 02/04/12 10:00
Comment: Please note mild fall in haemoglobin since the previous
         examination. Please note: no clinical details given.

12Z868451 03/04/12 06:20
Comment: Instrument differential and parameters reported.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 3:45:00 AM

subject: Patient/106

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986861-16258426

requestDetail: Patient/106; clinicalNotes: Post Angiogram Anaemia

diagnostic: Apr 6, 2012 3:45:00 AM


CUMULATIVE REPORT
Req No:   Z868595  Z968157  Z986851
  Date:  03/04/12 04/04/12 05/04/12
  Time:     12:10    15:45    18:00                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            155      139      129L                   g/L       130-170
WCC          10.3     11.5H    15.4H                   x10^9/L   4.0-11.0
PLT           290      301      291                    x10^9/L   140-400
RCC          4.85     4.29L    4.01L                   x10^12/L  4.50-5.70
PCV          0.44     0.39L    0.37L                   L/L       0.40-0.50
MCV          91.5     91.5     91.6                    fL        80.0-96.0
MCH          32.0     32.5     32.1                    pg        27.0-33.0
MCHC          349      355      351                    g/L       320-360
RDW          12.5     13.1     12.9                    %         11.0-15.0
White Cell Differential
Neut         7.0      7.9     14.3H                    x10^9/L   2.0-8.0
Lymph        2.1      2.6      0.3L                    x10^9/L   1.2-4.0
Mono         0.8      0.7      0.2                     x10^9/L   0.1-1.0
Eos          0.3      0.3      0.0                     x10^9/L   0.0-0.5
Baso         0.1      0.0      0.0                     x10^9/L   0.0-0.1
Bands                          0.5                     x10^9/L   0.0-0.5
Meta                           0.2H                    x10^9/L   0.0

12Z968851 05/04/12 18:00
Film Comment : Manual differential. Mild neutrophilia with slight left
               shift. Red cells and platelets appear normal.
Conclusion: ? Post-op.
            No clinical information provided.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 7:44:00 AM

subject: Patient/107

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986851-16258425

diagnostic: Apr 6, 2012 4:00:00 AM


Request No:  Z561531  Z561573  Z516506  Z561558  Z561265
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    02:06    05:48    08:52    11:25    18:54  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.38     7.38     7.40     7.32L    7.34L         7.35-7.45
pCO2              39       40       35       42       41  mmHg    35-45
HCO3(Std)         23       23       22       21L      22  mmol/L  22.0-30.0
Base Excess     -1.7     -1.6     -2.9     -3.9L    -3.0  mmol/L  -3.0/3.0
pO2              105H      92      124H     191H      78  mmHg    75-100
O2 Sat            98       97       99       99       95  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.1      3.8      3.7      3.6      3.8  mmol/L  3.5-5.5
Sodium           141      141      140      141      141  mmol/L  135-145
Chloride         112H     114H     114H     113H     109  mmol/L  95-110
iCa++           1.11L    1.07L    1.07L    1.08L    1.09L mmol/L  1.12-1.30
Glucose          5.3      5.3      5.6      5.7      8.1H mmol/L  3.6-7.7
Lactate          0.4      0.4      0.4      0.4      0.8  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       114L     115      117      119      124  g/L     115-150
Reduced Hb       1.9      3.2      1.2      0.7      4.9  %       0-5
CarbOxy Hb       0.9      0.8      0.9      0.8      1.0  %       0.5-1.5
Meth    Hb       1.7H     1.8H     1.4      1.8H     2.0H %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 4:59:00 AM

subject: Patient/199

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516265-16258424

requestDetail: Patient/199; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 4:54:00 AM


No Test Requested
NTRS

Generated Narrative with Details

text:

contained:

name: Central Reception (Details )

status: FINAL

issued: Apr 6, 2012 10:40:00 AM

subject: Patient/108

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968841-16258423

requestDetail: Patient/108; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 4:46:00 AM


  Request No:  Z168394  Z168607  Z866625  Z968841
        Date: 17/03/12 17/03/12 19/03/12 05/04/12                 Therapeut
        Time:    06:20    20:20    20:45    18:46          Units    Range
              -------- -------- -------- -------- -------- ------ ---------
PLASMA
Phenytoin           60                37L      23L         umol/L 40-80
Hrs Since Dose No Info           No Info  No Info          HH:MM
Vancomycin                   11                            mg/L   AS-BELOW
Hrs Since Dose          No Info                            HH:MM

VANCOMYCIN THERAPEUTIC RANGE
Pre Dose (Trough) level: 10 - 20 mg/L
Post Dose (Peak) level : Not recommended


Generated Narrative with Details

text:

contained:

name: Therapeutic Drugs (Details )

status: FINAL

issued: Apr 6, 2012 5:42:00 AM

subject: Patient/108

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986841-16258422

requestDetail: Patient/108; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 4:46:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         4.4     mmol/L ( 3.5-5.5  )
Chloride          101     mmol/L ( 95-110   )
HCO3               29     mmol/L ( 22-30    )
Creatinine         57     umol/L ( 49-90    )
 (Creatinine)    0.057    mmol/L ( 0.05-0.09)
Urea              3.9     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            32     g/L    ( 35-50    )
AP                129     IU/L   ( 30-120   )
GGT               264     IU/L   ( 10-65    )
ALT                55     IU/L   ( <34      )
AST                30     IU/L   ( <31      )
Bili Total         <5     umol/L ( <19      )
Protein Total      69     g/L    ( 65-85    )
C-React Prot       19     mg/L   ( <5       )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:42:00 AM

subject: Patient/108

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986841-16258421

requestDetail: Patient/108; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 4:46:00 AM


CUMULATIVE REPORT
Req No:   Z168607  Z186804  Z866625  Z866706  Z986841
  Date:  17/03/12 18/03/12 19/03/12 20/03/12 05/04/12
  Time:     20:20    06:40    20:45    01:30    18:46  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            114L     110L     112L     112L     118  g/L       115-150
WCC          15.2H    13.7H    10.2     10.1      3.8L x10^9/L   4.0-11.0
PLT           249      248      290      306      255  x10^9/L   140-400
RCC          3.73L    3.65L    3.69L    3.67L    3.91  x10^12/L  3.80-5.10
PCV          0.33L    0.33L    0.33L    0.33L    0.35  L/L       0.35-0.45
MCV          89.6     90.5     88.9     89.4     88.7  fL        80.0-96.0
MCH          30.6     30.2     30.4     30.5     30.2  pg        27.0-33.0
MCHC          341      333      342      341      340  g/L       320-360
RDW          12.6     12.4     12.6     12.2     13.0  %         11.0-15.0
White Cell Differential
Neut        13.5H    12.2H     7.5      8.4H     2.6   x10^9/L   2.0-8.0
Lymph        0.7L     0.8L     1.8      1.1L     0.5L  x10^9/L   1.2-4.0
Mono         1.0      0.7      0.8      0.5      0.6   x10^9/L   0.1-1.0
Eos          0.0      0.0      0.0      0.0      0.1   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.1      0.0      0.0   x10^9/L   0.0-0.1

12Z168607 17/03/12 20:20
Comment: Note: mild neutrophilia. Instrument differential and
         parameters reported.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 5:01:00 AM

subject: Patient/108

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968841-16258420

requestDetail: Patient/108; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 4:46:00 AM


Lab No      : Z736763
SPECIMEN
Specimen Type : Urine Midstream


CHEMISTRY
pH              6.5
Protein         NEGATIVE
Specific Grav.  1.026
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      NEGATIVE


MICROSCOPY
Leucocytes                    1          x10^6/L ( <2x10^6/L )
Red Blood Cells               Nil        x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil








STANDARD BACTERIAL CULTURE
No Growth -Detection limit 10^7 CFU/L


Generated Narrative with Details

text:

contained:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 6:54:00 PM

subject: Patient/188

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968831-16258419

requestDetail: Patient/188; clinicalNotes: Urinary Symptoms 2/52 With Loin Pain

diagnostic: Apr 6, 2012 4:45:00 AM


CUMULATIVE REPORT
Request No:   Z686947  Z868416  Z968183  Z986440  Z968821
      Date:  17/01/12 03/04/12 04/04/12 05/04/12 05/04/12
      Time:     10:55    08:15    13:53    01:00    18:49 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.2      1.1      1.5H     1.3      1.4H       0.8-1.3
APTT               30       27       33       35       35  secs  23-36
Fibrinogen        6.4H     4.8      1.9L     2.3      4.2  g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:34:00 AM

subject: Patient/109

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968821-16258418

diagnostic: Apr 6, 2012 4:49:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         5.2     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               24     mmol/L ( 22-30    )
Creatinine         93     umol/L ( 49-90    )
 (Creatinine)    0.093    mmol/L ( 0.05-0.09)
Urea              6.4     mmol/L ( 2.5-8.3  )
 eGFR             53             ( SEE-BELOW)
Calcium          1.94     mmol/L ( 2.10-2.60)
Phosphate        1.44     mmol/L ( 0.8-1.5  )
Magnesium        1.12     mmol/L ( 0.8-1.0  )
Albumin            20     g/L    ( 35-50    )
Troponin I        7.09    ug/L   (See Below )
CKMB Mass            *    ug/L   ( <4       )

Comment: The CKMB was not measured on this sample. It has
         been  replaced by Troponin

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 7:57:00 AM

subject: Patient/109

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968821-16258417

diagnostic: Apr 6, 2012 4:49:00 AM


CUMULATIVE REPORT
Req No:   Z086981  Z868416  Z968183  Z986440  Z968821
  Date:  16/03/12 03/04/12 04/04/12 05/04/12 05/04/12
  Time:     12:00    08:15    13:53    01:00    18:49  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            119      125       85L      74L      74L g/L       115-150
WCC           6.4      5.9     10.9      9.7     14.1H x10^9/L   4.0-11.0
PLT           227      253       92L     124L     130L x10^9/L   140-400
RCC          3.88     4.09     2.75L    2.34L    2.43L x10^12/L  3.80-5.10
PCV          0.35     0.37     0.24L    0.21L    0.22L L/L       0.35-0.45
MCV          90.5     90.6     88.5     89.8     90.2  fL        80.0-96.0
MCH          30.6     30.5     30.8     31.8     30.3  pg        27.0-33.0
MCHC          338      337      348      354      336  g/L       320-360
RDW          15.0     15.7H    15.0     15.5H    15.6H %         11.0-15.0
White Cell Differential
Neut         4.3      3.7      9.2H     8.7H    11.7H  x10^9/L   2.0-8.0
Lymph        1.6      1.6      1.1L     0.5L     1.4   x10^9/L   1.2-4.0
Mono         0.4      0.4      0.5      0.4      1.1H  x10^9/L   0.1-1.0
Eos          0.1      0.1      0.0      0.1      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

12Z968183 04/04/12 13:53
Comment: Please note fall in haemoglobin and platelet count since
         the previous examination. ?Post op. Suggest repeat.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 5:01:00 AM

subject: Patient/109

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968821-16258416

diagnostic: Apr 6, 2012 4:49:00 AM


Blank Report?

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 10:03:00 AM

subject: Patient/110

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986811-16258415

diagnostic: Apr 6, 2012 3:50:00 AM


Specimen Type:  Serum

Varicella zoster virus IgG Antibody (by EIA)            :

EBV-VCA IgG Antibody by EIA                             :
EBV-VCA IgM Antibody by EIA                             :

Mycoplasma pneumoniae IgG Antibody by EIA               :

GENERAL COMMENT:

MYCOPLASMA SEROLOGY:
Recommend repeat mycoplasma serology in 2-3 weeks if clinically
indicated.

Other atypical pneumonia serology will only be performed on paired
sera. This serum sample has been stored for 3 months.


Generated Narrative with Details

text:

name: Internal Serology (Details )

status: PARTIAL

issued: Apr 6, 2012 3:50:00 AM

subject: Patient/110

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968811-16258414

diagnostic: Apr 6, 2012 3:50:00 AM


Specimen Type          : Serum

HIV 1/2 SEROLOGY
HIV-1/2 Ag/Ab Combo by Architect:

Generated Narrative with Details

text:

name: HIV Serology (Details )

status: PARTIAL

issued: Apr 6, 2012 3:50:00 AM

subject: Patient/110

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968811-16258413

diagnostic: Apr 6, 2012 3:50:00 AM


Specimen Type : Serum
         Request No: Z968811
               Date: 05/04/12
               Time: 17:50                                 Units  RefRange
                    ------------ ------------ ------------ ------ --------
Specimen            Serum

Antinuclear Antibodies
Antinuclear abs     TF

Generated Narrative with Details

text:

name: Immunology Auto-Abs (Details )

status: PARTIAL

issued: Apr 6, 2012 3:50:00 AM

subject: Patient/110

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986811-16258412

diagnostic: Apr 6, 2012 3:50:00 AM


Request No:  Z968811
      Date: 05/04/12
      Time:    17:50                                      Units   Ref Range
             -------- -------- -------- -------- -------- ------- ---------
Serum Vitamin B12 and Folate Studies
Vit B12          395                                      pmol/L  150-600
Ser Fol         29.6                                      nmol/L  >12.2

NOTE NEW REFERENCE RANGES FOR FOLATE
From 27th April 2004, B12 and Folate will be performed on the Bayer Centaur
Serum Folate Deficient -           <7.63 nmol/L
Serum Folate Indeterminate - 7.64 to 12.2 nmol/L
Old Ref Ranges prior to 27th April 2004
   Serum Folate    - 6.0 to 38.0 nmol/L
   Red Cell Folate - 350 to 1350 nmol/L

Generated Narrative with Details

text:

name: Haem Iron/B12 & Fol (Details )

status: FINAL

issued: Apr 6, 2012 5:48:00 AM

subject: Patient/110

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986811-16258411

diagnostic: Apr 6, 2012 3:50:00 AM


CUMULATIVE REPORT
Req No:   Z968365  Z968811
  Date:  04/04/12 05/04/12
  Time:     21:25    17:50                             Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            142                                      g/L       115-150
WCC           9.1                                      x10^9/L   4.0-11.0
PLT           273                                      x10^9/L   140-400
RCC          4.43                                      x10^12/L  3.80-5.10
PCV          0.41                                      L/L       0.35-0.45
MCV          93.0                                      fL        80.0-96.0
MCH          31.9                                      pg        27.0-33.0
MCHC          343                                      g/L       320-360
RDW          13.0                                      %         11.0-15.0
ESR                     22H                            mm in 1hr 2-12
White Cell Differential
Neut         5.8                                       x10^9/L   2.0-8.0
Lymph        2.4                                       x10^9/L   1.2-4.0
Mono         0.7                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.1                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 5:38:00 AM

subject: Patient/110

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986811-16258410

diagnostic: Apr 6, 2012 3:50:00 AM


No Test Requested
NTRESR

Generated Narrative with Details

text:

contained:

name: Central Reception (Details )

status: PARTIAL

issued: Apr 5, 2012 9:45:00 PM

subject: Patient/111

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z568456-16258409

requestDetail: Patient/111; clinicalNotes: Chronic Idiopathic Urticaria

diagnostic: Apr 5, 2012 9:45:00 PM


No Test Requested
NTRESR

Generated Narrative with Details

text:

contained:

name: Central Reception (Details )

status: PARTIAL

issued: Apr 5, 2012 6:30:00 PM

subject: Patient/112

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z966082-16258408

requestDetail: Patient/112; clinicalNotes: On Clozapine

diagnostic: Apr 5, 2012 6:30:00 PM


CUMULATIVE REPORT
Request No:   Z564933
      Date:  05/04/12
      Time:     18:30                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.0                                            0.8-1.3
APTT               25                                      secs  23-36
Fibrinogen        3.7                                      g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:25:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z564933-16258407

diagnostic: Apr 6, 2012 4:30:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.2     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               28     mmol/L ( 22-30    )
Creatinine         91     umol/L ( 64-104   )
 (Creatinine)    0.091    mmol/L ( 0.05-0.11)
Urea              6.8     mmol/L ( 2.5-8.3  )
 eGFR             72             ( SEE-BELOW)

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:21:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z564933-16258406

diagnostic: Apr 6, 2012 4:30:00 AM


CUMULATIVE REPORT
Req No:   Z546933
  Date:  05/04/12
  Time:     18:30                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            135                                      g/L       130-170
WCC          10.6                                      x10^9/L   4.0-11.0
PLT           365                                      x10^9/L   140-400
RCC          4.42L                                     x10^12/L  4.50-5.70
PCV          0.40                                      L/L       0.40-0.50
MCV          90.5                                      fL        80.0-96.0
MCH          30.5                                      pg        27.0-33.0
MCHC          337                                      g/L       320-360
RDW          14.6                                      %         11.0-15.0
White Cell Differential
Neut         5.6                                       x10^9/L   2.0-8.0
Lymph        3.8                                       x10^9/L   1.2-4.0
Mono         0.8                                       x10^9/L   0.1-1.0
Eos          0.4                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:56:00 AM

subject: Patient/113

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z564933-16258405

diagnostic: Apr 6, 2012 4:30:00 AM


Lab No : Z366381
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

contained:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 7:19:00 AM

subject: Patient/161

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968801-16258404

requestDetail: Patient/161; clinicalNotes: Febrile FI

diagnostic: Apr 6, 2012 4:44:00 AM


No Test Requested
NTRS
NTRF

Generated Narrative with Details

text:

name: Central Reception (Details )

status: FINAL

issued: Apr 6, 2012 10:40:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968890-16258403

diagnostic: Apr 6, 2012 4:40:00 AM


Lab No : Z366371
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 7:19:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986890-16258402

diagnostic: Apr 6, 2012 4:40:00 AM


CUMULATIVE REPORT
Request No:   Z760824  Z269341  Z516888  Z968890
      Date:  20/03/06 10/03/10 07/03/12 05/04/12
      Time:     00:50    14:45    19:46    18:40          Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.1      1.1      1.0      1.2                 0.8-1.3
APTT               29       29       26       27           secs  23-36
Fibrinogen        7.2H     6.0H     6.3H     7.6H          g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:25:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986890-16258401

diagnostic: Apr 6, 2012 4:40:00 AM


SERUM/PLASMA
Sodium            136     mmol/L ( 135-145  )
Potassium         4.0     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               25     mmol/L ( 22-30    )
Creatinine        158     umol/L ( 64-104   )
 (Creatinine)    0.158    mmol/L ( 0.05-0.11)
Urea              8.8     mmol/L ( 2.5-8.3  )
 eGFR             37             ( SEE-BELOW)
Calcium          2.48     mmol/L ( 2.10-2.60)
Phosphate        0.85     mmol/L ( 0.8-1.5  )
Magnesium        0.72     mmol/L ( 0.7-1.1  )
Albumin            25     g/L    ( 35-50    )
AP                 75     IU/L   ( 30-120   )
GGT                40     IU/L   ( 10-65    )
ALT                11     IU/L   ( <45      )
AST                15     IU/L   ( <35      )
Bili Total         20     umol/L ( <19      )
Protein Total      64     g/L    ( 65-85    )
LD                438     IU/L   ( 210-420  )
Uric Acid        0.42     mmol/L ( 0.2-0.47 )
C-React Prot      184     mg/L   ( <5       )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:20:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986890-16258400

diagnostic: Apr 6, 2012 4:40:00 AM


CUMULATIVE REPORT
Req No:   Z561888  Z956556  Z767991  Z968706  Z986890
  Date:  07/03/12 14/03/12 16/03/12 05/04/12 05/04/12
  Time:     19:46    10:50    10:20    17:15    18:40  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb              *      101L     106L      87L      83L g/L       130-170
WCC                    9.7      8.8      7.9      7.3  x10^9/L   4.0-11.0
PLT             *      228      221      344      330  x10^9/L   140-400
RCC                   3.69L    3.86L    3.14L    2.95L x10^12/L  4.50-5.70
PCV                   0.30L    0.32L    0.26L    0.25L L/L       0.40-0.50
MCV                   82.2     83.7     83.7     84.2  fL        80.0-96.0
MCH                   27.5     27.6     27.8     28.2  pg        27.0-33.0
MCHC                   334      330      332      335  g/L       320-360
RDW                   17.3H    17.0H    19.0H    19.3H %         11.0-15.0
White Cell Differential
Neut                  8.7H     7.0      5.3      5.0   x10^9/L   2.0-8.0
Lymph                 0.6L     1.3      1.6      1.3   x10^9/L   1.2-4.0
Mono                  0.3      0.4      0.9      0.8   x10^9/L   0.1-1.0
Eos                   0.1      0.1      0.0      0.0   x10^9/L   0.0-0.5
Baso                  0.0      0.1      0.1      0.1   x10^9/L   0.0-0.1

12Z561888 07/03/12 19:46
Comment: Note: No sample collected. Transit lounge closed at 1800.
         CSR: Pls ring tomorrow for fbe recollection.

12Z968706 05/04/12 17:15
Film Comment : Red cells show moderate anisocytosis, some stomatocytes
               and increased rouleaux. Unremarkable leucocytes and
               platelets.
Conclusion: Please note fall in haemoglobin since the previous
            examination. Suggest repeat FBE to confirm results.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:57:00 AM

subject: Patient/114

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968890-16258399

diagnostic: Apr 6, 2012 4:40:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         5.0     mmol/L ( 3.5-5.5  )
Chloride          102     mmol/L ( 95-110   )
HCO3               26     mmol/L ( 22-30    )
Creatinine        100     umol/L ( 49-90    )
 (Creatinine)    0.100    mmol/L ( 0.05-0.09)
Urea             11.7     mmol/L ( 2.5-8.3  )
 eGFR             47             ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:20:00 AM

subject: Patient/115

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968880-16258398

requestDetail: Patient/115; clinicalNotes: Atheroma With Complete Occlusions R/L Legs

diagnostic: Apr 6, 2012 4:30:00 AM


CUMULATIVE REPORT
Req No:   Z336811  Z867542  Z963499  Z096739  Z968880
  Date:  12/02/12 14/02/12 15/02/12 16/02/12 05/04/12
  Time:     11:10    08:25    09:15    07:25    18:30  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            105L     112L     113L     114L     114L g/L       115-150
WCC           8.7      4.6      3.8L     4.6      5.9  x10^9/L   4.0-11.0
PLT           161      181      166      208      222  x10^9/L   140-400
RCC          3.40L    3.67L    3.63L    3.70L    3.59L x10^12/L  3.80-5.10
PCV          0.30L    0.32L    0.32L    0.33L    0.32L L/L       0.35-0.45
MCV          89.6     87.5     87.5     88.1     89.9  fL        80.0-96.0
MCH          30.9     30.5     31.1     30.8     31.7  pg        27.0-33.0
MCHC          345      349      356      349      352  g/L       320-360
RDW          14.7     14.8     14.2     14.8     15.0  %         11.0-15.0
White Cell Differential
Neut         7.2      3.2      2.3      2.6      4.1   x10^9/L   2.0-8.0
Lymph        0.1L     0.9L     1.1L     1.5      1.2   x10^9/L   1.2-4.0
Mono         0.1      0.4      0.3      0.4      0.4   x10^9/L   0.1-1.0
Eos          0.0      0.1      0.1      0.1      0.1   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1
Bands        1.3H     0.0                              x10^9/L   0.0-0.5

12Z363811 12/02/12 11:10
Film Comment : Mild neutrophilia with a left shift and toxic changes.
               Manual differential. Mild rouleaux, otherwise red cells
               and platelets show no significant changes - see previous
               report.
Conclusion: Film may be suggestive of infection / inflammation. Repeat
            FBE may be of value.

12Z876542 14/02/12 08:25
Film Comment : Neutrophils show mild toxic changes. Manual differential.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:56:00 AM

subject: Patient/115

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968880-16258397

requestDetail: Patient/115; clinicalNotes: Atheroma With Complete Occlusions R/L Legs

diagnostic: Apr 6, 2012 4:30:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         4.1     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         64     umol/L ( 64-104   )
 (Creatinine)    0.064    mmol/L ( 0.05-0.11)
Urea              3.5     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            40     g/L    ( 35-50    )
AP                 96     IU/L   ( 30-120   )
GGT                40     IU/L   ( 10-65    )
ALT                22     IU/L   ( <45      )
AST                23     IU/L   ( <35      )
Bili Total          5     umol/L ( <19      )
Protein Total      71     g/L    ( 65-85    )
Troponin I       <0.02    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:29:00 AM

subject: Patient/136

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968870-16258396

requestDetail: Patient/136; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 4:35:00 AM


CUMULATIVE REPORT
Req No:   Z968870
  Date:  05/04/12
  Time:     18:35                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            145                                      g/L       130-170
WCC          12.3H                                     x10^9/L   4.0-11.0
PLT           298                                      x10^9/L   140-400
RCC          4.92                                      x10^12/L  4.50-5.70
PCV          0.42                                      L/L       0.40-0.50
MCV          85.5                                      fL        80.0-96.0
MCH          29.5                                      pg        27.0-33.0
MCHC          345                                      g/L       320-360
RDW          13.4                                      %         11.0-15.0
White Cell Differential
Neut         8.9H                                      x10^9/L   2.0-8.0
Lymph        2.3                                       x10^9/L   1.2-4.0
Mono         0.8                                       x10^9/L   0.1-1.0
Eos          0.3                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:56:00 AM

subject: Patient/136

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986870-16258395

requestDetail: Patient/136; clinicalNotes: Chest Pain

diagnostic: Apr 6, 2012 4:35:00 AM


Lab No : Z366361
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 7:19:00 AM

subject: Patient/116

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986850-16258393

diagnostic: Apr 6, 2012 4:10:00 AM


SERUM/PLASMA
Sodium            136     mmol/L ( 135-145  )
Potassium         3.4     mmol/L ( 3.5-5.5  )
Chloride           95     mmol/L ( 95-110   )
HCO3               28     mmol/L ( 22-30    )
Creatinine         90     umol/L ( 64-104   )
 (Creatinine)    0.090    mmol/L ( 0.05-0.11)
Urea              8.2     mmol/L ( 2.5-8.3  )
 eGFR             70             ( SEE-BELOW)
Albumin            38     g/L    ( 35-50    )
AP                133     IU/L   ( 30-120   )
GGT               332     IU/L   ( 10-65    )
ALT                62     IU/L   ( <45      )
AST                52     IU/L   ( <35      )
Bili Total         16     umol/L ( <19      )
Protein Total      79     g/L    ( 65-85    )
C-React Prot       54     mg/L   ( <5       )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:17:00 AM

subject: Patient/116

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986850-16258392

diagnostic: Apr 6, 2012 4:10:00 AM


CUMULATIVE REPORT
Req No:   Z164731  Z556133  Z868834  Z968397  Z986850
  Date:  11/05/11 13/05/11 03/04/12 04/04/12 05/04/12
  Time:     00:45    04:55    23:30    20:30    18:10  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            102L     108L     110L     108L     113L g/L       130-170
WCC           7.5      6.0      8.0      5.9      6.0  x10^9/L   4.0-11.0
PLT           101L     100L     106L      97L      97L x10^9/L   140-400
RCC          3.18L    3.35L    3.47L    3.42L    3.56L x10^12/L  4.50-5.70
PCV          0.29L    0.32L    0.32L    0.32L    0.33L L/L       0.40-0.50
MCV          92.7     94.3     92.3     93.4     93.5  fL        80.0-96.0
MCH          32.0     32.3     31.7     31.7     31.9  pg        27.0-33.0
MCHC          345      343      344      340      341  g/L       320-360
RDW          14.6     14.0     14.8     15.4H    15.5H %         11.0-15.0
White Cell Differential
Neut         5.8      4.2      6.7      4.6      4.2   x10^9/L   2.0-8.0
Lymph        1.0L     1.0L     0.6L     0.7L     0.9L  x10^9/L   1.2-4.0
Mono         0.5      0.7      0.7      0.7      0.8   x10^9/L   0.1-1.0
Eos          0.1      0.1      0.0      0.0      0.1   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

11Z164731 11/05/11 00:45
Film Comment : Platelets are mildly reduced in number.
               Red cells show slight polychromasia.
               Leucocytes are unremarkable.
Conclusion: ? Cause of persistent mild thrombocytopenia.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:46:00 AM

subject: Patient/116

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968850-16258391

diagnostic: Apr 6, 2012 4:10:00 AM


CUMULATIVE REPORT
Request No:   Z546768  Z666092  Z564961  Z986693  Z564923
      Date:  03/04/12 04/04/12 05/04/12 05/04/12 05/04/12
      Time:     07:20    09:35    08:45    10:50    18:15 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               4.3H     4.0H     6.2H     6.6H     6.9H       0.8-1.3

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:34:00 AM

subject: Patient/117

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z564923-16258390

requestDetail: Patient/117; clinicalNotes: See Slip

diagnostic: Apr 6, 2012 4:15:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         3.7     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         55     umol/L ( 49-90    )
 (Creatinine)    0.055    mmol/L ( 0.05-0.09)
Urea              4.0     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            40     g/L    ( 35-50    )
AP                111     IU/L   ( 30-120   )
GGT                16     IU/L   ( 10-65    )
ALT                18     IU/L   ( <34      )
AST                23     IU/L   ( <31      )
Bili Total          9     umol/L ( <19      )
Protein Total      80     g/L    ( 65-85    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:12:00 AM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968840-16258389

requestDetail: Patient/151; clinicalNotes: Headache

diagnostic: Apr 6, 2012 4:18:00 AM


CUMULATIVE REPORT
Req No:   Z986840
  Date:  05/04/12
  Time:     18:18                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            132                                      g/L       115-150
WCC           5.9                                      x10^9/L   4.0-11.0
PLT           245                                      x10^9/L   140-400
RCC          4.23                                      x10^12/L  3.80-5.10
PCV          0.38                                      L/L       0.35-0.45
MCV          90.8                                      fL        80.0-96.0
MCH          31.1                                      pg        27.0-33.0
MCHC          342                                      g/L       320-360
RDW          12.7                                      %         11.0-15.0
White Cell Differential
Neut         4.1                                       x10^9/L   2.0-8.0
Lymph        1.3                                       x10^9/L   1.2-4.0
Mono         0.4                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:46:00 AM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968840-16258388

requestDetail: Patient/151; clinicalNotes: Headache

diagnostic: Apr 6, 2012 4:18:00 AM


CUMULATIVE REPORT
Req No:   Z986840
  Date:  05/04/12
  Time:     18:18                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            132                                      g/L       115-150
WCC           5.9                                      x10^9/L   4.0-11.0
PLT           245                                      x10^9/L   140-400
RCC          4.23                                      x10^12/L  3.80-5.10
PCV          0.38                                      L/L       0.35-0.45
MCV          90.8                                      fL        80.0-96.0
MCH          31.1                                      pg        27.0-33.0
MCHC          342                                      g/L       320-360
RDW          12.7                                      %         11.0-15.0
White Cell Differential
Neut         4.1                                       x10^9/L   2.0-8.0
Lymph        1.3                                       x10^9/L   1.2-4.0
Mono         0.4                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:46:00 AM

subject: Patient/151

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968840-16258388

requestDetail: Patient/151; clinicalNotes: Headache

diagnostic: Apr 6, 2012 4:18:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         3.8     mmol/L ( 3.5-5.5  )
Chloride          102     mmol/L ( 95-110   )
HCO3               26     mmol/L ( 22-30    )
Creatinine         80     umol/L ( 64-104   )
 (Creatinine)    0.080    mmol/L ( 0.05-0.11)
Urea              5.3     mmol/L ( 2.5-8.3  )
 eGFR             81             ( SEE-BELOW)
Troponin I        1.02    ug/L   (See Below )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:24:00 AM

subject: Patient/157

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968830-16258387

diagnostic: Apr 6, 2012 4:15:00 AM


Lab No : Z366351
SPECIMENS
Specimen Type : Blood Cultures
Description   : Venous/peripheral

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 7:17:00 AM

subject: Patient/157

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986820-16258386

diagnostic: Apr 6, 2012 4:15:00 AM


CUMULATIVE REPORT
Request No:   Z968860
      Date:  05/04/12
      Time:     18:15                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.0                                            0.8-1.3

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:00:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986860-16258384

requestDetail: Patient/118; clinicalNotes: Trauma MVA

diagnostic: Apr 6, 2012 4:15:00 AM


REPRODUCTIVE HORMONES/ANDROGENS
Quant Pregnancy (hCG) <2           IU/L    ( <5       )




Generated Narrative with Details

text:

contained:

name: Endo / Nutrition (Details )

status: FINAL

issued: Apr 6, 2012 5:25:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986860-16258383

requestDetail: Patient/118; clinicalNotes: Trauma MVA

diagnostic: Apr 6, 2012 4:15:00 AM


CUMULATIVE REPORT
Req No:   Z968860
  Date:  05/04/12
  Time:     18:15                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            136                                      g/L       115-150
WCC          16.5H                                     x10^9/L   4.0-11.0
PLT           291                                      x10^9/L   140-400
RCC          4.38                                      x10^12/L  3.80-5.10
PCV          0.39                                      L/L       0.35-0.45
MCV          89.8                                      fL        80.0-96.0
MCH          31.1                                      pg        27.0-33.0
MCHC          347                                      g/L       320-360
RDW          12.2                                      %         11.0-15.0
White Cell Differential
Neut        14.1H                                      x10^9/L   2.0-8.0
Lymph        1.4                                       x10^9/L   1.2-4.0
Mono         0.9                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

12Z986860 05/04/12 18:15
Comment: Please note mild neutrophilia

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:39:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968860-16258382

requestDetail: Patient/118; clinicalNotes: Trauma MVA

diagnostic: Apr 6, 2012 4:15:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         4.2     mmol/L ( 3.5-5.5  )
Chloride          111     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine         81     umol/L ( 49-90    )
 (Creatinine)    0.081    mmol/L ( 0.05-0.09)
Urea              6.0     mmol/L ( 2.5-8.3  )
 eGFR             68             ( SEE-BELOW)
Albumin            34     g/L    ( 35-50    )
AP                 51     IU/L   ( 30-120   )
GGT                31     IU/L   ( 10-65    )
ALT                47     IU/L   ( <34      )
AST                51     IU/L   ( <31      )
Bili Total          6     umol/L ( <19      )
Protein Total      67     g/L    ( 65-85    )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 6:09:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986860-16258381

requestDetail: Patient/118; clinicalNotes: Trauma MVA

diagnostic: Apr 6, 2012 4:15:00 AM


Blood Bank Request Received - Specimen NOT Processed


Sample Error

    Date of Birth incorrect / missmatch

Comments / Steps Taken

    DOB on specimen "02/03/1975". Ward informed new specimen
    and request form required for GS.

Generated Narrative with Details

text:

contained:

name: Duplicate Requests (Details )

status: FINAL

issued: Apr 6, 2012 5:24:00 AM

subject: Patient/182

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968709-16258380

requestDetail: Patient/182; clinicalNotes: Thrombophilic Screen

diagnostic: Apr 6, 2012 4:02:00 AM


Request No:  Z516065
      Date: 05/04/12                                              Arterial
      Time:    18:24                                      Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0                                      Deg. C
pH              7.32L                                             7.35-7.45
pCO2              52H                                     mmHg    35-45
Base Excess      0.4                                      mmol/L  -3.0/3.0
pO2               24L                                     mmHg    75-100
O2 Sat            40L                                     %       95-100

ELECTROLYTES (Whole Blood)
Potassium        5.6H                                     mmol/L  3.5-5.5
Sodium           141                                      mmol/L  135-145

BLOOD CO-OXIMETRY
Total   Hb       140                                      g/L     115-150

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 4:26:00 AM

subject: Patient/118

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z561065-16258379

requestDetail: Patient/118; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 4:24:00 AM


CUMULATIVE REPORT
Req No:   Z986663  Z968744  Z968810
  Date:  05/04/12 05/04/12 05/04/12
  Time:     11:00    16:55    18:05                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            188H     189H     185H                   g/L       130-170
WCC           9.6     10.2      9.4                    x10^9/L   4.0-11.0
PLT           143        *      153                    x10^9/L   140-400
RCC          6.09H    6.14H    6.03H                   x10^12/L  4.50-5.70
PCV          0.55H    0.55H    0.55H                   L/L       0.40-0.50
MCV          90.1     89.8     91.0                    fL        80.0-96.0
MCH          30.9     30.8     30.6                    pg        27.0-33.0
MCHC          343      343      337                    g/L       320-360
RDW          13.3     13.1     13.3                    %         11.0-15.0
White Cell Differential
Neut         6.2      5.5      6.3                     x10^9/L   2.0-8.0
Lymph        2.4      3.5      2.0                     x10^9/L   1.2-4.0
Mono         0.8      0.8      0.9                     x10^9/L   0.1-1.0
Eos          0.1      0.4      0.1                     x10^9/L   0.0-0.5
Baso         0.1      0.0      0.1                     x10^9/L   0.0-0.1

12Z986663 05/04/12 11:00
Film Comment : Red cells are normocytic normochromic. White cells are
               unremarkable. Platelets appear normal.
Comment: Please note mildly raised haemoglobin.

12Z968744 05/04/12 16:55
Film Comment : Film scanned. Manual differential.
Conclusion: * Film shows fibrin strands suggestive of a partially
            clotted specimen. Accurate platelet count unavailable.
            Please repeat FBE.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:46:00 AM

subject: Patient/119

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968810-16258378

diagnostic: Apr 6, 2012 4:05:00 AM


SERUM/PLASMA
Sodium            139     mmol/L ( 135-145  )
Potassium         3.5     mmol/L ( 3.5-5.5  )
Chloride          102     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         59     umol/L ( 49-90    )
 (Creatinine)    0.059    mmol/L ( 0.05-0.09)
Urea              4.2     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 4:41:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968800-16258377

requestDetail: Patient/120; clinicalNotes: Pleuritic Chest Pain

diagnostic: Apr 6, 2012 4:10:00 AM


CUMULATIVE REPORT
Req No:   Z646826  Z968800
  Date:  20/10/06 05/04/12
  Time:     15:45    18:10                             Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            130      130                             g/L       115-150
WCC           6.0     11.6H                            x10^9/L   4.0-11.0
PLT           283      280                             x10^9/L   140-400
RCC          4.26     4.14                             x10^12/L  3.80-5.10
PCV          0.37     0.37                             L/L       0.35-0.45
MCV          87.4     89.0                             fL        80.0-96.0
MCH          30.5     31.4                             pg        27.0-33.0
MCHC          349      353                             g/L       320-360
RDW          13.7     13.1                             %         11.0-15.0
White Cell Differential
Neut         3.2      7.5                              x10^9/L   2.0-8.0
Lymph        2.1      2.6                              x10^9/L   1.2-4.0
Mono         0.5      1.2H                             x10^9/L   0.1-1.0
Eos          0.2      0.2                              x10^9/L   0.0-0.5
Baso         0.0      0.1                              x10^9/L   0.0-0.1

12Z968800 05/04/12 18:10
Comment: Please note mild monocytosis

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:31:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968800-16258376

requestDetail: Patient/120; clinicalNotes: Pleuritic Chest Pain

diagnostic: Apr 6, 2012 4:10:00 AM


CUMULATIVE REPORT
Request No:   Z968800
      Date:  05/04/12
      Time:     18:10                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
D-Dimer        <220                                        ug/L  <500
Effective from 1st July 2009, the methodology of D-Dimer will be changed
to STAGO D-Dimer reagents (LIATEST). NB the reference range is unchanged

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:00:00 AM

subject: Patient/120

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986800-16258375

requestDetail: Patient/120; clinicalNotes: Pleuritic Chest Pain

diagnostic: Apr 6, 2012 4:10:00 AM


REPRODUCTIVE HORMONES/ANDROGENS
Quant Pregnancy (hCG) <2           IU/L    ( <5       )

MISCELLANEOUS
HbA1c(HPLC)       TF  mmol/molHb
HbA1c(HPLC)               %      (See Below)




Generated Narrative with Details

text:

name: Endo / Nutrition (Details )

status: PARTIAL

issued: Apr 6, 2012 4:54:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986799-16258374

diagnostic: Apr 6, 2012 4:10:00 AM


CUMULATIVE REPORT
Req No:   Z167743  Z886298  Z868818  Z968482  Z986799
  Date:  02/04/12 03/04/12 04/04/12 05/04/12 05/04/12
  Time:     02:00    01:31    02:15    01:40    18:10  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             94L      88L      80L      83L      76L g/L       115-150
WCC          18.5H     7.2      4.4      5.2      8.4  x10^9/L   4.0-11.0
PLT           175      154      127L     165      164  x10^9/L   140-400
RCC          2.81L    2.67L    2.42L    2.51L    2.37L x10^12/L  3.80-5.10
PCV          0.28L    0.26L    0.23L    0.24L    0.22L L/L       0.35-0.45
MCV          98.1H    96.2H    96.7H    96.3H    95.0  fL        80.0-96.0
MCH          33.7H    33.1H    33.1H    33.1H    32.0  pg        27.0-33.0
MCHC          343      344      342      344      338  g/L       320-360
RDW          13.6     13.8     14.1     14.3     13.3  %         11.0-15.0
White Cell Differential
Neut        12.9H     6.4      3.0      3.9      6.7   x10^9/L   2.0-8.0
Lymph        0.7L     0.6L     0.7L     1.1L     0.4L  x10^9/L   1.2-4.0
Mono         0.2      0.1      0.0L     0.0L     0.3   x10^9/L   0.1-1.0
Eos          0.0      0.1      0.2      0.2      0.0   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1
Bands        4.4H              0.6H              0.9H  x10^9/L   0.0-0.5
Meta         0.2H                                      x10^9/L   0.0
NRBC                              2H                   /100WBCs  0
NRBC Abs                       0.1H                    x10^9/L   0

12Z167743 02/04/12 02:00
Film Comment : White cells show mild neutrophilia with mild left shift
               and mild toxic changes. Manual differential.
               Red cells show mild macrocytosis.
               Platelets appear normal.
Conclusion: Recent trauma.

12Z868298 03/04/12 01:31
Comment: Instrument differential and parameters reported.

12Z886818 04/04/12 02:15
Film Comment : Moderate anaemia with mild polychromasia. Occasional
               nucleated red blood cells. Mild left shift in the
               neutrophils. Manual differential. Mild thrombocytopenia.
Conclusion: Consistent with infection / inflammation.

12Z968482 05/04/12 01:40
Comment: Instrument differential and parameters reported.

12Z968799 05/04/12 18:10
Film Comment : Manual differential. Neutrophils show left shift with mild
               toxic granulation. Red cells are normocytic normochromic
               with increased rouleaux. Platelets appear normal.
Conclusion: Recent tissue damage/trauma.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 7:04:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968799-16258373

diagnostic: Apr 6, 2012 4:10:00 AM


CUMULATIVE REPORT
Request No:   Z167743  Z886298  Z868818  Z968482  Z986799
      Date:  02/04/12 03/04/12 04/04/12 05/04/12 05/04/12
      Time:     02:00    01:31    02:15    01:40    18:10 Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.6H     1.2      1.1      1.3      1.3        0.8-1.3
APTT               35       36       37H      34       34  secs  23-36
Fibrinogen        5.2H     5.9H     6.2H     7.1H     8.0H g/L   2.0-5.0
PT               17.3                                      secs
PT mix           14.3                                      secs

12Z167743 02/04/12 02:00
PT Mix  : 50/50 mixture of the patient's plasma with normal plasma -
          CORRECTED.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:00:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968799-16258372

diagnostic: Apr 6, 2012 4:10:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         5.2     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               24     mmol/L ( 22-30    )
Creatinine         50     umol/L ( 49-90    )
 (Creatinine)    0.050    mmol/L ( 0.05-0.09)
Urea              4.0     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            21     g/L    ( 35-50    )
AP                 75     IU/L   ( 30-120   )
GGT                19     IU/L   ( 10-65    )
ALT                40     IU/L   ( <34      )
AST                46     IU/L   ( <31      )
Bili Total          8     umol/L ( <19      )
Protein Total      55     g/L    ( 65-85    )
Troponin I        0.42    ug/L   (See Below )
CK                295     IU/L   ( <145     )
Amylase            51     IU/L   ( 22-100   )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 5:30:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968799-16258371

diagnostic: Apr 6, 2012 4:10:00 AM


Lab No      : Z969548
SPECIMEN
Specimen Type : Sputum


MICROSCOPY

GRAM STAIN
Macroscopic Description                   Mucoid
Pus:Epithelial Cell Ratio                 >25:10
Pus Cells                                 ++
Squamous Epithelial Cells                 Occasional
Gram positive cocci                       Occasional
Gram positive bacilli                     Occasional
Gram negative bacilli                     Occasional





CULTURE

Standard culture:   +  Mixed upper respiratory tract flora




Generated Narrative with Details

text:

contained:

name: Respiratory M/C/S (Details )

status: FINAL

issued: Apr 8, 2012 9:40:00 PM

subject: Patient/141

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986789-16258370

requestDetail: Patient/141; clinicalNotes: Febrile . Neutripaenic

diagnostic: Apr 6, 2012 4:00:00 AM


Request No:  Z561543  Z561546  Z516519  Z561561  Z561964
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    05:39    09:19    12:19    14:24    18:18  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.49H    7.46H    7.43     7.42     7.48H         7.35-7.45
pCO2              44       44       52H      53H      45  mmHg    35-45
HCO3(Std)         32H      30       32H      32H      33H mmol/L  22.0-30.0
Base Excess      8.7H     6.9H     9.1H     8.6H     9.2H mmol/L  -3.0/3.0
pO2               70L      62L      86      131H      81  mmHg    75-100
O2 Sat            94L      92L      96       98       96  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        4.2      4.1      3.8      4.4      4.1  mmol/L  3.5-5.5
Sodium           143      144      143      144      145  mmol/L  135-145
Chloride         106      110      106      107      109  mmol/L  95-110
iCa++           1.15     1.11L    1.11L    1.09L    1.11L mmol/L  1.12-1.30
Glucose          7.4      7.7      7.6      7.5      7.8H mmol/L  3.6-7.7
Lactate          1.1      1.0      0.7      0.5      0.6  mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb        99L     102L     115      111L     104L g/L     115-150
Reduced Hb       5.5H     7.6H     3.6      1.6      3.6  %       0-5
CarbOxy Hb       1.2      1.3      1.0      1.1      1.2  %       0.5-1.5
Meth    Hb       1.6H     1.6H     1.7H     1.9H     1.4  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 4:23:00 AM

subject: Patient/127

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516964-16258369

requestDetail: Patient/127; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 4:18:00 AM


Miscellaneous Fluid
Fluid Type:   Drainage
LD              4303  IU/L
Amylase           390 IU/L

Generated Narrative with Details

text:

contained:

name: Csf & Fluid Chemistr (Details )

status: FINAL

issued: Apr 6, 2012 7:59:00 AM

subject: Patient/172

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968779-16258368

requestDetail: Patient/172; clinicalNotes: Drain Fluid. Prev Vre And Kleb Pneumo Rx Teicoplan/Tazo

diagnostic: Apr 6, 2012 4:10:00 AM


Lab No      : Z763753
SPECIMEN
Specimen Type : Urine Type Not Stated


CHEMISTRY
pH              5.5
Protein         TRACE
Specific Grav.  1.018
Blood           NEGATIVE
Glucose         NEGATIVE
Leucocytes      TRACE


MICROSCOPY
Leucocytes                    17         x10^6/L ( <2x10^6/L )
Red Blood Cells               1          x10^6/L ( <13x10^6/L )
Squamous Epithelial Cells     Nil








STANDARD BACTERIAL CULTURE
>10^9 cfu/L Mixed organisms including: staphylococci,
streptococci, diphtheroid bacilli \T\ gram negative bacilli.


Generated Narrative with Details

text:

name: Urine M/C/S (Details )

status: FINAL

issued: Apr 7, 2012 8:22:00 PM

subject: Patient/140

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986769-16258366

diagnostic: Apr 6, 2012 4:11:00 AM


Lab No      : Z860589
SPECIMEN
Specimen Type : Swab
Description   : Throat



CULTURE
+++ Mixed upper respiratory tract flora


No Beta haemolytic streptococci isolated.


Generated Narrative with Details

text:

contained:

name: Wounds/Tips/Ent/Eye (Details )

status: FINAL

issued: Apr 9, 2012 10:08:00 PM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986759-16258365

requestDetail: Patient/121; clinicalNotes: ga Streps

diagnostic: Apr 6, 2012 4:00:00 AM


Specimen Type:  Throat Swab

RESPIRATORY VIRUS PCR
Influenza A PCR (ABI Taqman)  : Not Detected
Influenza B PCR (ABI Taqman)  : Not Detected
RSV PCR (ABI Taqman)          : Not Detected
Rhinovirus PCR (ABI Taqman)   : Not Detected



GENERAL COMMENT:

Please note: Expired swab recieved (March 12).
A negative result may not be a true indicator of patient status.
Any further swabs recieved past their use-by date will not
be processed.


Generated Narrative with Details

text:

contained:

name: Internal Serology (Details )

status: FINAL

issued: Apr 8, 2012 2:52:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986759-16258364

requestDetail: Patient/121; clinicalNotes: ga Streps

diagnostic: Apr 6, 2012 4:00:00 AM


Specimen Type:  Serum

EBV-VCA IgG Antibody by EIA                             :
EBV-VCA IgM Antibody by EIA                             :

Mycoplasma pneumoniae IgG Antibody by EIA               :

GENERAL COMMENT:

Recommend repeat mycoplasma serology in 2-3 weeks if clinically
indicated.

Other atypical pneumonia serology will only be performed on paired
sera. This serum sample has been stored for 3 months.


Generated Narrative with Details

text:

name: Internal Serology (Details )

status: PARTIAL

issued: Apr 6, 2012 4:00:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968749-16258363

diagnostic: Apr 6, 2012 4:00:00 AM


Lab No : Z366341
SPECIMENS
Specimen Type : Blood Cultures
Description   : Not-stated

Aerobic bottle               4   days                 Negative
Anaerobic bottle             4   days                 Negative

Generated Narrative with Details

text:

name: Blood Cultures (Details )

status: PARTIAL

issued: Apr 10, 2012 6:35:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968749-16258362

diagnostic: Apr 6, 2012 4:00:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.4     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               27     mmol/L ( 22-30    )
Creatinine         74     umol/L ( 64-104   )
 (Creatinine)    0.074    mmol/L ( 0.05-0.11)
Urea              5.1     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            38     g/L    ( 35-50    )
AP                 68     IU/L   ( 30-120   )
GGT                20     IU/L   ( 10-65    )
ALT                31     IU/L   ( <45      )
AST                36     IU/L   ( <35      )
Bili Total         12     umol/L ( <19      )
Protein Total      75     g/L    ( 65-85    )
C-React Prot       44     mg/L   ( <5       )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 4:43:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968749-16258361

diagnostic: Apr 6, 2012 4:00:00 AM


CUMULATIVE REPORT
Req No:   Z968749
  Date:  05/04/12
  Time:     18:00                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            139                                      g/L       130-170
WCC           4.6                                      x10^9/L   4.0-11.0
PLT           119L                                     x10^9/L   140-400
RCC          4.18L                                     x10^12/L  4.50-5.70
PCV          0.40                                      L/L       0.40-0.50
MCV          95.8                                      fL        80.0-96.0
MCH          33.3H                                     pg        27.0-33.0
MCHC          348                                      g/L       320-360
RDW          13.8                                      %         11.0-15.0
White Cell Differential
Neut         3.1                                       x10^9/L   2.0-8.0
Lymph        0.8L                                      x10^9/L   1.2-4.0
Mono         0.4                                       x10^9/L   0.1-1.0
Eos          0.3                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

12Z968749 05/04/12 18:00
Film Comment : Red cells show occasional macrocytes. Mild
               thrombocytopenia. Unremarkable leucocytes.
Conclusion: Suggest repeat FBE to confirm platelet count.

Generated Narrative with Details

text:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 7:15:00 AM

subject: Patient/121

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986749-16258360

diagnostic: Apr 6, 2012 4:00:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         3.9     mmol/L ( 3.5-5.5  )
Chloride          104     mmol/L ( 95-110   )
HCO3               24     mmol/L ( 22-30    )
Creatinine         90     umol/L ( 64-104   )
 (Creatinine)    0.090    mmol/L ( 0.05-0.11)
Urea              7.5     mmol/L ( 2.5-8.3  )
 eGFR             75             ( SEE-BELOW)
Troponin I       <0.02    ug/L   (See Below )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 4:53:00 AM

subject: Patient/123

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968739-16258359

requestDetail: Patient/123; clinicalNotes: Sob On Exertion

diagnostic: Apr 6, 2012 4:02:00 AM


CUMULATIVE REPORT
Req No:   Z968739
  Date:  05/04/12
  Time:     18:02                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            136                                      g/L       130-170
WCC           8.0                                      x10^9/L   4.0-11.0
PLT           222                                      x10^9/L   140-400
RCC          4.32L                                     x10^12/L  4.50-5.70
PCV          0.39L                                     L/L       0.40-0.50
MCV          89.5                                      fL        80.0-96.0
MCH          31.6                                      pg        27.0-33.0
MCHC          353                                      g/L       320-360
RDW          13.1                                      %         11.0-15.0
White Cell Differential
Neut         5.5                                       x10^9/L   2.0-8.0
Lymph        1.6                                       x10^9/L   1.2-4.0
Mono         0.7                                       x10^9/L   0.1-1.0
Eos          0.2                                       x10^9/L   0.0-0.5
Baso         0.0                                       x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:32:00 AM

subject: Patient/123

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986739-16258358

requestDetail: Patient/123; clinicalNotes: Sob On Exertion

diagnostic: Apr 6, 2012 4:02:00 AM


Request No:  Z561578  Z561579  Z516261  Z561463  Z561864
      Date: 05/04/12 05/04/12 05/04/12 05/04/12 05/04/12          Arterial
      Time:    11:28    12:36    14:13    16:46    18:10  Units   Ref Range
            -------- -------- -------- -------- --------  ------  ---------
BLOOD GASES
Temperature     37.0     37.0     37.0     37.0     37.0  Deg. C
pH              7.18L    7.17L    7.26L    7.36     7.40          7.35-7.45
pCO2              19L      28L      26L      23L      21L mmHg    35-45
HCO3(Std)         10L      11L      14L      16L      17L mmol/L  22.0-30.0
Base Excess    -20.1L   -17.1L   -14.4L   -11.8L   -10.8L mmol/L  -3.0/3.0
pO2              516H     161H     142H     138H     136H mmHg    75-100
O2 Sat           100       98       99       99      100  %       95-100

ELECTROLYTES (Whole Blood)
Potassium        6.8H     6.2H     5.0      5.7H     6.0H mmol/L  3.5-5.5
Sodium           135      139      142      140      141  mmol/L  135-145
Chloride         109      110      109      107      106  mmol/L  95-110
iCa++           1.09L    1.02L    0.98L    0.99L    0.98L mmol/L  1.12-1.30
Glucose          6.9      6.9      5.2      5.3      4.4  mmol/L  3.6-7.7
Lactate         12.4H    13.9H    15.0H    12.3H    11.7H mmol/L  0.2-1.8

BLOOD CO-OXIMETRY
Total   Hb       103L     101L      99L     106L     109L g/L     130-170
Reduced Hb      -0.1L     1.6      1.2      0.6      0.5  %       0-5
CarbOxy Hb       1.3      1.1      1.4      1.7H     1.8H %       0.5-1.5
Meth    Hb       1.1      1.3      1.2      1.0      1.2  %       0-1.5

Note: Reference Ranges shown are for arterial blood only.
      Venous blood ranges for pH pCO2 pO2 are:
      pH     7.31 - 7.41
      pCO2    40  -  50  mmHg
      pO2     30  -  50  mmHg


Generated Narrative with Details

text:

contained:

name: Blood Gas (Details )

status: FINAL

issued: Apr 6, 2012 4:15:00 AM

subject: Patient/122

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z516864-16258356

requestDetail: Patient/122; clinicalNotes: Automatic Request Registration

diagnostic: Apr 6, 2012 4:10:00 AM


Prothrombin Gene Mutation Analysis

G20210A Substitution Result:

Factor V Gene Mutation Analysis

G1691A Substitution Result:


Generated Narrative with Details

text:

contained:

name: Molecular Haem (Details )

status: PARTIAL

issued: Apr 6, 2012 4:02:00 AM

subject: Patient/182

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968709-16258355

requestDetail: Patient/182; clinicalNotes: Thrombophilic Screen

diagnostic: Apr 6, 2012 4:02:00 AM


SERUM/PLASMA
Sodium            138     mmol/L ( 135-145  )
Potassium         3.6     mmol/L ( 3.5-5.5  )
Chloride          105     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine         65     umol/L ( 64-104   )
 (Creatinine)    0.065    mmol/L ( 0.05-0.11)
Urea              1.9     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Lactate           1.2     mmol/L ( 0.2-1.8  )

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 4:44:00 AM

subject: Patient/182

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986709-16258354

requestDetail: Patient/182; clinicalNotes: Thrombophilic Screen

diagnostic: Apr 6, 2012 4:02:00 AM


CUMULATIVE REPORT
Request No:   Z968709
      Date:  05/04/12
      Time:     18:02                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               3.3H                                           0.8-1.3
APTT               51H                                     secs  23-36
Fibrinogen        3.8                                      g/L   2.0-5.0
APTT mix         30.9                                      secs

12Z986709 05/04/12 18:02
APTT Mix: 50/50 mixture of the patient's plasma with normal plasma -
          CORRECTED.

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 5:26:00 AM

subject: Patient/182

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968709-16258353

requestDetail: Patient/182; clinicalNotes: Thrombophilic Screen

diagnostic: Apr 6, 2012 4:02:00 AM


CUMULATIVE REPORT
Req No:   Z968709
  Date:  05/04/12
  Time:     18:02                                      Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            150                                      g/L       130-170
WCC           8.0                                      x10^9/L   4.0-11.0
PLT           189                                      x10^9/L   140-400
RCC          4.24L                                     x10^12/L  4.50-5.70
PCV          0.43                                      L/L       0.40-0.50
MCV         100.3H                                     fL        80.0-96.0
MCH          35.2H                                     pg        27.0-33.0
MCHC          351                                      g/L       320-360
RDW          13.3                                      %         11.0-15.0
White Cell Differential
Neut         5.1                                       x10^9/L   2.0-8.0
Lymph        2.0                                       x10^9/L   1.2-4.0
Mono         0.8                                       x10^9/L   0.1-1.0
Eos          0.1                                       x10^9/L   0.0-0.5
Baso         0.1                                       x10^9/L   0.0-0.1

12Z968709 05/04/12 18:02
Film Comment : Red cells are mildly macrocytic with some target cells.
               Unremarkable leucocytes and platelets
Conclusion: Common causes of macrocytosis include liver disease,
            B12/folate deficiency, hypothyroidism, alcohol, smoking,
            and certain drugs including chemotherapy. Suggest liver
            function tests, serum B12/folate levels, and review drug
            history if cause not already known.

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 6:59:00 AM

subject: Patient/182

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986709-16258352

requestDetail: Patient/182; clinicalNotes: Thrombophilic Screen

diagnostic: Apr 6, 2012 4:02:00 AM


Specimen Type : Serum
         Request No: Z986709
               Date: 05/04/12
               Time: 18:02                                 Units  RefRange
                    ------------ ------------ ------------ ------ --------
Specimen            Serum

Anti-Cardiolipin
Anti-Cardio.IgG        TF                                  GPL U  0-20.0

ACL COMMENT
ACL-IgM is not performed routinely on requests of ACL antibodies. Some
patients with anti-phospholipid antibody syndrome have undetectable IgG
anti-cardiolipin antibodies.
Further testing for IgM ACL may also be indicated.
Please contact the immunopathology registrar for further advice on 9342 8023.

Generated Narrative with Details

text:

contained:

name: Immunology Auto-Abs (Details )

status: PARTIAL

issued: Apr 6, 2012 4:02:00 AM

subject: Patient/182

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968709-16258351

requestDetail: Patient/182; clinicalNotes: Thrombophilic Screen

diagnostic: Apr 6, 2012 4:02:00 AM


Tests of Hypercoagulability (Plasma)


Tests for APC Resistance (Plasma)
  n-APC Ratio

  n-APC Ratio Reference Ranges : > 0.86    : Normal
                                 0.80-0.86 : Borderline
                                 < 0.80    : Abnormal
Tests for Lupus Inhibitor (Plasma)
APTT (Filtered)                    T/F   sec  (25.0-37.0)
LAS Ratio/LAC Ratio                           (  <1.20  )


Lupus Inhibitor Comment:
     T/F


Generated Narrative with Details

text:

contained:

name: Special Coagulation (Details )

status: PARTIAL

issued: Apr 6, 2012 4:02:00 AM

subject: Patient/182

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968709-16258350

requestDetail: Patient/182; clinicalNotes: Thrombophilic Screen

diagnostic: Apr 6, 2012 4:02:00 AM


Blank Report?

Generated Narrative with Details

text:

name: ECG Trace (Details )

status: PARTIAL

issued: Apr 6, 2012 3:12:00 AM

subject: Patient/124

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986729-16258349

diagnostic: Apr 6, 2012 3:12:00 AM


SERUM/PLASMA
Sodium            141     mmol/L ( 135-145  )
Potassium         3.2     mmol/L ( 3.5-5.5  )
Chloride          111     mmol/L ( 95-110   )
HCO3               23     mmol/L ( 22-30    )
Creatinine         63     umol/L ( 64-104   )
 (Creatinine)    0.063    mmol/L ( 0.05-0.11)
Urea              4.6     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Calcium          2.12     mmol/L ( 2.10-2.60)
Phosphate        0.83     mmol/L ( 0.8-1.5  )
Magnesium        0.69     mmol/L ( 0.7-1.1  )
Albumin            23     g/L    ( 35-50    )

Generated Narrative with Details

text:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 4:43:00 AM

subject: Patient/125

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968798-16258348

diagnostic: Apr 6, 2012 3:30:00 AM


CUMULATIVE REPORT
Req No:   Z246532  Z968160  Z968308  Z986534  Z968788
  Date:  18/02/12 04/04/12 04/04/12 05/04/12 05/04/12
  Time:     09:45    12:40    22:56    06:45    18:00  Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb             95L      65L      76L      79L      88L g/L       130-170
WCC           7.3      6.4      8.0      5.7      5.9  x10^9/L   4.0-11.0
PLT           278      335      327      318      323  x10^9/L   140-400
RCC          4.40L    3.48L    3.82L    3.92L    4.20L x10^12/L  4.50-5.70
PCV          0.30L    0.21L    0.25L    0.26L    0.28L L/L       0.40-0.50
MCV          67.3L    60.4L    65.1L    66.2L    67.1L fL        80.0-96.0
MCH          21.6L    18.5L    19.9L    20.3L    20.8L pg        27.0-33.0
MCHC          321      307L     306L     307L     310L g/L       320-360
RDW          17.1H    19.0H    23.3H    22.6H    25.8H %         11.0-15.0
White Cell Differential
Neut         5.3      4.4      5.2      3.8      3.6   x10^9/L   2.0-8.0
Lymph        1.4      1.4      1.9      1.3      1.4   x10^9/L   1.2-4.0
Mono         0.5      0.5      0.7      0.5      0.7   x10^9/L   0.1-1.0
Eos          0.1      0.0      0.1      0.1      0.1   x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0      0.0      0.0   x10^9/L   0.0-0.1

12Z968160 04/04/12 12:40
Film Comment : Marked hypochromic, microcytic anaemia with some elongated
               cells and occasional acanthocytes. Occasional
               hypersegmented neutrophils seen. Platelets appear normal.
Conclusion: Suggestive of iron deficiency anaemia. Suggest correlation
            with iron studies.

            Film reviewed by Dr Radio Xray - Haematology
            Registrar

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:31:00 AM

subject: Patient/126

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968788-16258347

requestDetail: Patient/126; clinicalNotes: Anaemia

diagnostic: Apr 6, 2012 4:00:00 AM


CUMULATIVE REPORT
Req No:   R017388  Z767169  Z968719
  Date:  20/03/08 30/09/10 05/04/12
  Time:     02:37    22:50    18:00                    Units    Ref Range
         ________ ________ ________ ________ ________  ________ _________
Full Blood Count (Whole Blood)
Hb            148      146      153                    g/L       130-170
WCC           7.9     11.4H     7.3                    x10^9/L   4.0-11.0
PLT           239      176      167                    x10^9/L   140-400
RCC          5.16     5.09     5.32                    x10^12/L  4.50-5.70
PCV          0.43     0.42     0.44                    L/L       0.40-0.50
MCV          83.0     81.9     82.9                    fL        80.0-96.0
MCH          28.6     28.6     28.7                    pg        27.0-33.0
MCHC          345      349      346                    g/L       320-360
RDW          12.0     12.4     12.7                    %         11.0-15.0
White Cell Differential
Neut         3.2      8.2H     5.3                     x10^9/L   2.0-8.0
Lymph        3.5      2.1      1.5                     x10^9/L   1.2-4.0
Mono         0.5      0.9      0.4                     x10^9/L   0.1-1.0
Eos          0.6H     0.2      0.0                     x10^9/L   0.0-0.5
Baso         0.0      0.0      0.0                     x10^9/L   0.0-0.1

Generated Narrative with Details

text:

contained:

name: FBE & Routine Haem (Details )

status: FINAL

issued: Apr 6, 2012 4:31:00 AM

subject: Patient/127

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986719-16258345

requestDetail: Patient/127; clinicalNotes: Mba 80Km With Headstrike, Loc And R Neck Pain

diagnostic: Apr 6, 2012 4:00:00 AM


CUMULATIVE REPORT
Request No:   Z986719
      Date:  05/04/12
      Time:     18:00                                     Units   Ref.
             -------- -------- -------- -------- -------- ------ -----
Coagulation (Plasma)
INR               1.2                                            0.8-1.3
APTT               28                                      secs  23-36
Fibrinogen        2.4                                      g/L   2.0-5.0

APTT Therapeutic range for IV Heparin therapy = 60-85 seconds
From 9.12.2010 APTT normal range 23 - 36 seconds.

Generated Narrative with Details

text:

contained:

name: Routine Coagulation (Details )

status: FINAL

issued: Apr 6, 2012 4:36:00 AM

subject: Patient/127

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968719-16258344

requestDetail: Patient/127; clinicalNotes: Mba 80Km With Headstrike, Loc And R Neck Pain

diagnostic: Apr 6, 2012 4:00:00 AM


SERUM/PLASMA
Sodium            140     mmol/L ( 135-145  )
Potassium         4.2     mmol/L ( 3.5-5.5  )
Chloride          106     mmol/L ( 95-110   )
HCO3               28     mmol/L ( 22-30    )
Creatinine         77     umol/L ( 64-104   )
 (Creatinine)    0.077    mmol/L ( 0.05-0.11)
Urea              6.1     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Albumin            44     g/L    ( 35-50    )
AP                 98     IU/L   ( 30-120   )
GGT                29     IU/L   ( 10-65    )
ALT                26     IU/L   ( <45      )
AST                24     IU/L   ( <35      )
Bili Total         12     umol/L ( <19      )
Protein Total      76     g/L    ( 65-85    )
Lipase            154     IU/L   ( <60      )
Lactate           0.6     mmol/L ( 0.2-1.8  )
EtOH              4.7     mmol/L (See Below )
EtOH              0.02    gm%

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 4:45:00 AM

subject: Patient/127

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968719-16258343

requestDetail: Patient/127; clinicalNotes: Mba 80Km With Headstrike, Loc And R Neck Pain

diagnostic: Apr 6, 2012 4:00:00 AM


Request No:  R008346  Z986797
      Date: 26/10/10 05/04/12
      Time:    22:23    17:39                             Units   Ref Range
             -------- -------- -------- -------- -------- ------- ---------
Serum Vitamin B12 and Folate Studies
Vit B12        >1476H     295                             pmol/L  150-600
Ser Fol        >54.0    >54.0                             nmol/L  >12.2
Iron Studies (Plasma/serum)
Ferritin       388.0H                                     ug/L    15-200
Iron               7L                                     umol/L  10-30
Transferrin     2.18                                      g/L     1.9-3.2
Transf'n IBC    54.6                                      umol/L  47.6-80.2
Transf'n Sat      13L                                     %       14.7-37.4

NOTE NEW REFERENCE RANGES FOR FOLATE
From 27th April 2004, B12 and Folate will be performed on the Bayer Centaur
Serum Folate Deficient -           <7.63 nmol/L
Serum Folate Indeterminate - 7.64 to 12.2 nmol/L
Old Ref Ranges prior to 27th April 2004
   Serum Folate    - 6.0 to 38.0 nmol/L
   Red Cell Folate - 350 to 1350 nmol/L

Generated Narrative with Details

text:

contained:

name: Haem Iron/B12 & Fol (Details )

status: FINAL

issued: Apr 6, 2012 7:40:00 AM

subject: Patient/132

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: |RE||

requestDetail: Patient/132; clinicalNotes: Delerium Screen

diagnostic: Apr 6, 2012 3:39:00 AM


THYROID FUNCTION
TSH                       1.09       mIU/L   ( 0.1-4.0  )




Generated Narrative with Details

text:

contained:

name: Endo / Nutrition (Details )

status: FINAL

issued: Apr 6, 2012 6:53:00 AM

subject: Patient/132

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z968797-16258336

requestDetail: Patient/132; clinicalNotes: Delerium Screen

diagnostic: Apr 6, 2012 3:39:00 AM


SERUM/PLASMA
Sodium            137     mmol/L ( 135-145  )
Potassium         3.4     mmol/L ( 3.5-5.5  )
Chloride          101     mmol/L ( 95-110   )
HCO3               25     mmol/L ( 22-30    )
Creatinine         48     umol/L ( 49-90    )
 (Creatinine)    0.048    mmol/L ( 0.05-0.09)
Urea              6.8     mmol/L ( 2.5-8.3  )
 eGFR             >90            ( SEE-BELOW)
Glucose           4.6     mmol/L ( 3.3-7.7  )
 (fasting)      NoInfo
Calcium          2.42     mmol/L ( 2.10-2.60)
Phosphate        1.37     mmol/L ( 0.8-1.5  )
Magnesium        0.81     mmol/L ( 0.8-1.0  )
Albumin            29     g/L    ( 35-50    )
AP                166     IU/L   ( 30-120   )
GGT               222     IU/L   ( 10-65    )
ALT               134     IU/L   ( <4      )
AST                56     IU/L   ( <1      )
Bili Total          6     umol/L ( <19      )
Protein Total      77     g/L    ( 65-85    )
C-React Prot       23     mg/L   ( <5       )
LIPIDS

Generated Narrative with Details

text:

contained:

name: General Biochemistry (Details )

status: FINAL

issued: Apr 6, 2012 4:17:00 AM

subject: Patient/132

performer: Acme Laboratory, Inc. Generated Summary: ClinLab; name: Clinical Lab; ph: +1 555 234 1234(WORK), contact@labs.acme.org(WORK)

identifier: 12Z986797-16258335

requestDetail: Patient/132; clinicalNotes: Delerium Screen

diagnostic: Apr 6, 2012 3:39:00 AM


 

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.