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lab_report semen_analysis Yanxin Lu 2023-03-14 UChicago Medicine - Center for Reproductive Medicine and Fertility lu_semen_analysis_2023.pdf

Semen Analysis (Count, Motility & Morphology)

UChicago Medicine 1101 S Canal St Ste 201 Chicago IL 60607-4944


Patient Information

Field Value
Patient Lu, Yanxin
MRN 5287241
DOB 10/17/1989
Sex M
Acct # 2012076592
Visit Date 3/14/2023
Visit Type Lab Only in South Loop REI

Order Information

Field Value
Test SEMEN ANALYSIS (COUNT, MOTILITY & MORPHOLOGY) [298450550]
Status Final result (Abnormal)
Electronically signed by Renalda Tomic, A.P.N. on 03/09/23 0856
Ordering user Renalda Tomic, A.P.N. 03/09/23 0856
Ordering provider Renalda Tomic, A.P.N.
Authorized by Renalda Tomic, A.P.N.
Ordering mode Standard
Frequency ELECTIVE (Patient to call for appt) 03/09/23
Class Print Requisition
Quantity 1
Lab status Final result
Instance released by Madeline Gammons 3/14/2023 10:16 AM
Resulted by TOMIC, RENALDA
Filed by Gladell P Paner, M.D. 03/17/23 1419
Collected by Patient 03/14/23 0912
Resulting lab UCMC SEMEN ANALYSIS LABORATORY
Lab Technician MG
Resulted 03/14/23 1425

Diagnoses

Scrotal varices [I86.1]


Specimen Data and Appearance

Field Value
Partner's Name N/A
Physician TOMIC, RENALDA
Technician MG
Accession Number 4965
Time Received 9:12 AM
Time Analyzed 9:55 AM
Method of Analysis Manual
Place of Collection Clinic-1101
Complete Sample Yes
Collection Method Masturbation
Type of Container Sterile Specimen
Days of Abstinence 2

Results

Reference Standard: REI REFERENCE - WHO 5th Standard (Strict Criteria)

Component Value Reference Range Flag Lab
Liquefaction (Complete-1, Incomplete-2) 1 1 - 1.999 UC SAL
Color (Pearl White-1, Yellow-2, Reddish-3) 1 1 - 2 UC SAL
Viscosity (Normal-1, Slight-2, Marked-3) 1 1 - 2 UC SAL
pH 7.2 7.2 - 8.0 UC SAL
Volume 4.1 1.5 - 6 mL UC SAL
Sperm Concentration 5.4 15 x10^6/ml A (Abnormal) UC SAL
Motility 64 40 % UC SAL
Grade of Motility
A = Rapid Forward Progressive 0 % A+B >= 50% UC SAL
B = Slow Forward Progressive 28 % UC SAL
C = Non-Progressive Motility 28 % UC SAL
D = Immotile 44 % UC SAL
Round Cells <1 0.9999 x10^6/ml UC SAL
Normal Morphology 4 4 % Strict Criteria UC SAL
Total Sperm 21.9 22 mill/ejac A (Abnormal) UC SAL
Total Motile Sperm 13.9 9 mill/ejac UC SAL

CC List

Recipient Modifier Fax Address Added
Renalda Tomic, A.P.N.

Recipients

Renalda Tomic, A.P.N.

Added By? Delivery Method Outcome Message ID Address Source
EpicCare CC List In Basket Result sent 182142444 Primary

Testing Performed By

Lab - Abbreviation Name Director Address Valid Date Range
37 - UC SAL UCMC SEMEN ANALYSIS LABORATORY Unknown 1101 S. Canal Street, Suite 202, Chicago IL 60607 01/10/22 1513 - Present

Scheduling Instructions

1101 S. Canal Street, Suite 202A Chicago, IL 60607 Phone: (773) 702-6642 Fax: (773) 702-5848 www.chicagofertility.org


Printed by S10409739K at 5/17/23 10:02 AM (4 pages)