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REVISED
Patient:
Patient #:
Doctor:
Test, Patient
1-24777
Doctor, Test
Birth:
Age:
Gender:
1/14/1993
23 years
Female
Acc #:
23404
Collection Date:
Received in Lab:
1/26/2016 4:08 PM
SPECIMEN VALIDITY TESTING
TEST
Glucose
Protein
Bilirubin
Urobilinogen
pH
Blood
Ketone
Nitrite
Leukocytes
Clarity
Specific Gravity
Color
Ascorbic Acid
TEST
MEASURED
OUTCOME RESULT
REFERENCE
RANGE
Abnormal
50
<20 (Max >500)
Abnormal
100
<20 (Max >500)
Normal
Negative
<1.8 (Max >4)
Normal
Negative
<1.6 (Max >4)
Normal
6
5-9
Normal
Negative
<0.02 (Max >1)
Normal
Negative
<3 (Max >80)
Normal
Negative
<0.04 Negative
Normal
Negative
<15 (Max >500)
Normal
Clear
Clear/Cloudy/Turbid
Normal
1.022
1 - 1.06
Abnormal
Brown
Yellow/Amber/RGB
Normal
Negative
<17 (Max >40)
Originally Reported On:
1/29/2016 5:16 PM
Printed:
1/29/2016 5:28 PM
Page 2 of 5
Accession: 23404 Patient ID: 1-24777
Lab Results For: Patient Test
STAT[S] Corrected [C] Added [A]
REVISED
Patient:
Patient #:
Doctor:
Test, Patient
1-24777
Doctor, Test
Test Name
Urinalysis (UA)
Glucose
Protein
Bilirubin
Urobilinogen
pH
Blood
Ketone
Nitrite
Leukocytes
Clarity
Specific Gravity
Color
Ascorbic Acid
Super Panel
Amphetamine
Methamphetamine
Alprazolam
Alphahydroxyalprazola
m
Clonazepam
7-Aminoclonazepam
Diazepam
Nordiazepam
Lorazepam
Oxazepam
Temazepam
6-MAM
Cocaine
Benzoylecgonine
MDA
MDEA
MDMA
PCP
THC
(Tetrahydrocannabinol)
Codeine
Morphine
Hydrocodone
Norhydrocodone
Hydromorphone
Oxycodone
Noroxycodone
Oxymorphone
Buprenorphine
Norbuprenorphine
Fentanyl
Birth:
Age:
Gender:
1/14/1993
23 years
Female
Acc #:
23404
Collection Date:
Received in Lab:
1/26/2016 4:08 PM
Outcome
Measured Result
Cutoff
Units
Illicit?
Status
Abnormal
Abnormal
Normal
Normal
Normal
Normal
Normal
Normal
Normal
Normal
Normal
Abnormal
Normal
50
100
Negative
Negative
6
Negative
Negative
Negative
Negative
Clear
1.022
Brown
Negative
<20 (Max >500)
<20 (Max >500)
<1.8 (Max >4)
<1.6 (Max >4)
5-9
<0.02 (Max >1)
<3 (Max >80)
<0.04 Negative
<15 (Max >500)
Clear/Cloudy/Turbid
1 - 1.06
Yellow/Amber/RGB
<17 (Max >40)
mg/dL
mg/dL
mg/dL
mg/dL
Negative
Negative
Negative
Negative
<25
<10
<10
<10
ng/mL
ng/mL
ng/mL
ng/mL
No
Yes
No
No
Run by: CT on 1/29/2016 9:21 AM
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Positive
Positive
Negative
Negative
Negative
Negative
Positive
<25
<25
<10
<10
<10
<10
<10
<10
<10
<10
<10
<10
<25
<10
<125
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Inconsistent Result
Inconsistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Inconsistent Result
Inconsistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Inconsistent Result
<25
<10
<10
<25
<10
<10
<25
<10
<10
<10
<10
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
ng/mL
No
No
No
No
No
No
No
No
No
No
No
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Consistent Result
Run by: CT on 1/29/2016 5:26 PM
Negative
Positive
Negative
Negative
Positive
Negative
Negative
Negative
Negative
Negative
Negative
Originally Reported On:
1/29/2016 5:16 PM
Printed:
1/29/2016 5:28 PM
Page 3 of 5
50
35
500
1000
30
mg/dL
mg/dL
mg/dL
WBCs/uL
mg/dL
Accession: 23404 Patient ID: 1-24777
Lab Results For: Patient Test
STAT[S] Corrected [C] Added [A]
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