140 lines
3.6 KiB
Markdown
140 lines
3.6 KiB
Markdown
---
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type: lab_report
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category: semen_analysis
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person: Yanxin Lu
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date: 2023-03-14
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provider: UChicago Medicine - Center for Reproductive Medicine and Fertility
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source: RS172526.PDF
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---
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# Semen Analysis (Count, Motility & Morphology)
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**UChicago Medicine**
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1101 S Canal St Ste 201
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Chicago IL 60607-4944
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---
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## Patient Information
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| Field | Value |
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| Patient | Lu, Yanxin |
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| MRN | 5287241 |
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| DOB | 10/17/1989 |
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| Sex | M |
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| Acct # | 2012076592 |
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| Visit Date | 3/14/2023 |
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| Visit Type | Lab Only in South Loop REI |
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---
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## Order Information
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| Field | Value |
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| Test | SEMEN ANALYSIS (COUNT, MOTILITY & MORPHOLOGY) [298450550] |
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| Status | Final result (Abnormal) |
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| Electronically signed by | Renalda Tomic, A.P.N. on 03/09/23 0856 |
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| Ordering user | Renalda Tomic, A.P.N. 03/09/23 0856 |
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| Ordering provider | Renalda Tomic, A.P.N. |
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| Authorized by | Renalda Tomic, A.P.N. |
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| Ordering mode | Standard |
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| Frequency | ELECTIVE (Patient to call for appt) 03/09/23 |
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| Class | Print Requisition |
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| Quantity | 1 |
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| Lab status | Final result |
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| Instance released by | Madeline Gammons 3/14/2023 10:16 AM |
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| Resulted by | TOMIC, RENALDA |
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| Filed by | Gladell P Paner, M.D. 03/17/23 1419 |
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| Collected by | Patient 03/14/23 0912 |
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| Resulting lab | UCMC SEMEN ANALYSIS LABORATORY |
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| Lab Technician | MG |
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| Resulted | 03/14/23 1425 |
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### Diagnoses
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Scrotal varices [I86.1]
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---
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## Specimen Data and Appearance
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| Field | Value |
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| Partner's Name | N/A |
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| Physician | TOMIC, RENALDA |
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| Technician | MG |
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| Accession Number | 4965 |
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| Time Received | 9:12 AM |
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| Time Analyzed | 9:55 AM |
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| Method of Analysis | Manual |
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| Place of Collection | Clinic-1101 |
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| Complete Sample | Yes |
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| Collection Method | Masturbation |
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| Type of Container | Sterile Specimen |
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| Days of Abstinence | 2 |
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---
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## Results
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Reference Standard: **REI REFERENCE - WHO 5th Standard (Strict Criteria)**
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| Component | Value | Reference Range | Flag | Lab |
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| Liquefaction (Complete-1, Incomplete-2) | 1 | 1 - 1.999 | — | UC SAL |
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| Color (Pearl White-1, Yellow-2, Reddish-3) | 1 | 1 - 2 | — | UC SAL |
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| Viscosity (Normal-1, Slight-2, Marked-3) | 1 | 1 - 2 | — | UC SAL |
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| pH | 7.2 | 7.2 - 8.0 | — | UC SAL |
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| Volume | 4.1 | 1.5 - 6 mL | — | UC SAL |
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| Sperm Concentration | 5.4 | 15 x10^6/ml | **A** (Abnormal) | UC SAL |
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| Motility | 64 | 40 % | — | UC SAL |
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| **Grade of Motility** | | | | |
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| A = Rapid Forward Progressive | 0 | % A+B >= 50% | — | UC SAL |
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| B = Slow Forward Progressive | 28 | % | — | UC SAL |
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| C = Non-Progressive Motility | 28 | % | — | UC SAL |
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| D = Immotile | 44 | % | — | UC SAL |
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| Round Cells | <1 | 0.9999 x10^6/ml | — | UC SAL |
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| Normal Morphology | 4 | 4 % Strict Criteria | — | UC SAL |
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| Total Sperm | 21.9 | 22 mill/ejac | **A** (Abnormal) | UC SAL |
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| Total Motile Sperm | 13.9 | 9 mill/ejac | — | UC SAL |
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---
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## CC List
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| Recipient | Modifier | Fax | Address | Added |
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| Renalda Tomic, A.P.N. | — | — | — | — |
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## Recipients
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**Renalda Tomic, A.P.N.**
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| Added By? | Delivery Method | Outcome | Message ID | Address Source |
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|---|---|---|---|---|
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| EpicCare CC List | In Basket | Result sent | 182142444 | Primary |
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---
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## Testing Performed By
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| Lab - Abbreviation | Name | Director | Address | Valid Date Range |
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| 37 - UC SAL | UCMC SEMEN ANALYSIS LABORATORY | Unknown | 1101 S. Canal Street, Suite 202, Chicago IL 60607 | 01/10/22 1513 - Present |
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---
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## Scheduling Instructions
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1101 S. Canal Street, Suite 202A
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Chicago, IL 60607
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Phone: (773) 702-6642
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Fax: (773) 702-5848
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www.chicagofertility.org
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---
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*Printed by S10409739K at 5/17/23 10:02 AM (4 pages)*
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