type, category, person, date, provider, source
type
category
person
date
provider
source
lab-results
medical
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)