Hello! Today you are the world's most expert clinician and data scientist. You will help me sort, organize and analyze patient investigations and records.
STEP 1: Please extract all of the lab values, their units and reference ranges from the attached or pasted content. It is either a PDF or an image or copied text from a PDF that includes all of the relevant results and ranges. Please take the list of extracted values, results with units and reference ranges and reorganize them into the following categories and subcategories. If one doesn't belong in a category, include it in OTHER. If noted as Pending, include in Pending. Do not exclude any.
List them using this format:
- Test result units (reference range: )
- Fasting serum insulin 35 pmol/L (20-180 pmol/L)
Use bullets for each result on its own line.
Each result should be on one line. If OCR results appear incorrect or ambiguous, manual transcription should be used instead of relying solely on automated output.
Please BOLD the test name value unit and reference range that are outside of reference range or are otherwise abnormal. You must achieve 100% accuracy on this.
If the reference ranges listed on the lab report differ from the template below, please use the ranges in the report and not the template. Maintain the original lab values and ranges as reported in the patient's results.
Ensure that the correct results are assigned to the correct categories and subcategories. Use these section headers and sub-headers exactly as listed below.
Llst every test on its own line, grouped by section and subsection per the format below.
Consider that I need to copy and paste this data in one click without having to reformat in the destination software. After each result, move to a new line to list the next test result. Do not list them all in one block of text because you will slow me down, cause medical error and create extra work which is not acceptable.
Section Header: BLOOD COUNTS:
- Hemoglobin (insert this patient result here) (110-147 g/L)
- Hematocrit (insert this patient result here) (0.33-0.44 l/l)
- RBC (insert this patient result here) (3.8-5.2 x 10E12/L)
- MCV (insert this patient result here) (76-98 fl)
- MCH (insert this patient result here) (24-33 pg)
- MCHC (insert this patient result here) (313-344 g/L)
- RDW (insert this patient result here) (12.5-17.3)
- WBC (insert this patient result here) (3.2-9.4 x 10E9/L)
- Platelets (insert this patient result here) (155-372 x 10E9/L)
- MPV (insert this patient result here) (4.0-14.0 fl)
- Neutrophils (insert this patient result here) (1.4-6.3 x10E9/L)
- Lymphocytes (insert this patient result here) (1.0-2.9 x10E9/L)
- Monocytes (insert this patient result here) (0.2-0.8 x10E9/L)
- Eosinophils (insert this patient result here) (0.0-0.5 x10E9/L)
- Basophils (insert this patient result here) (0.00-0.09x10E9/L)
- Albumin (insert this patient result here) (35-52 g/L)
- INR (INSERT RESULT) (reference range: 0.9 - 1.2)
Section Header: ELECTROLYTES & CHEMISTRY:
- Creatinine (insert this patient result here) (50-100 umol/L)
- eGFR (insert this patient result here) (>=60 mL/min/1.73m2)
- Urate (insert this patient result here) (149-422 umol/L)
- Sodium (insert this patient result here) (136-146 mmol/L)
- Potassium (insert this patient result here) (3.7-5.4 mmol/L)
Section Header: URINE:
- Glucose (insert this patient result here) (NEGATIVE)
- Bilirubin (insert this patient result here) (NEGATIVE)
- Ketones (insert this patient result here) (NEGATIVE)
- Blood (insert this patient result here) (NEGATIVE)
- Protein (insert this patient result here) (NEGATIVE)
- Nitrite (insert this patient result here) (NEGATIVE)
- Leukocytes (insert this patient result here) (NEGATIVE)
- Albumin/Creat ratio (insert this patient result here) (<3.0 mg/mmol)
Section Header: BLOOD SUGAR & INSULIN FUNCTION:
- Glucose serum fasting (insert this patient result here) (3.6-6.0 mmol/L)
- Hemoglobin A1c (INSERT RESULT) %
- Insulin (insert this patient result here) (15-174 pmol/L)
- HOMA-IR (insert this patient calculated result here) (<2.0)
Section Header: CARDIOVASCULAR HEALTH:
- Hours Fasted: (insert the number of hours fasted indicated in the results)
- Cholesterol (insert this patient result here) (<5.20 mmol/L)
- Triglycerides (insert this patient result here) (<1.70 mmol/L)
- HDL Cholesterol (insert this patient result here) (F: >1.30 mmol/L)
- LDL Cholesterol (insert this patient result here) (<3.50 mmol/L)
- Non-HDL-Cholesterol (insert this patient result here) (<4.20 mmol/L)
- TC/HDL-C ratio (insert this patient result here)
- Apolipoprotein B (insert this patient result here) (<1.05 g/L)
- Lipoprotein(a) (insert this patient result here) (<100 nmol/L)
- OMEGA-3 INDEX (%) (insert this patient result here) BY WT (Optimal: 8-11%)
Section Header: HORMONES & REPRODUCTIVE HEALTH:
Section Sub-Header: Reproduction and Sex Hormones:
- LH (insert this patient result here) (Follicular: 1.9-14.6, Ovulatory: 12.2-118.0, Luteal: 0.7-12.9, Post-menopausal: 5.3-65.4 IU/L)
- FSH (insert this patient result here) (Follicular: 3-15, Ovulatory: 5-23, Luteal: 2-9, Post-menopausal: 16-157 IU/L)
- Progesterone (insert this patient result here) (Follicular: <3.7, Ovulatory: <57.2, Luteal: 3.4-83.6, Post-menopausal: <0.7 nmol/L)
- Estradiol (insert this patient result here) (Follicular: 45-854, Ovulatory: 151-1461, Luteal: 82-1251, Post-menopausal: <202 pmol/L)
- Testosterone (insert this patient result here) (F: <2.0 nmol/L)
- Free testosterone (insert this patient result here) (<29 pmol/L)
- DHEA-S (insert this patient result here) (1.65-9.15 umol/L)
Section Sub-Header: Thyroid and Parathyroid:
- PTH (insert this patient result here) (1.6-6.9 pmol/L)
- TSH (insert this patient result here) (0.35-5.00 mIU/L)
- Free T4 (insert this patient result here) (11-23 pmol/L)
- Free T3 (insert this patient result here) (3.4-5.9 pmol/L)
- Thyroglobulin Ab (insert this patient result here) (<41 kIU/L)
- Thyroglobulin (insert this patient result here) (3.5-40.0 ug/L)
- Thyroid peroxidase Ab (insert this patient result here) (<35 kIU/L)
Section Sub-Header: Central + Adrenal:
- AM Cortisol (insert this patient result here) (130-540 nmol/L)
- Prolactin (insert this patient result here) (<24 ug/L)
Section Header: LIVER HEALTH:
- Bilirubin (insert this patient result here) (<23 umol/L)
- Bilirubin Glucuronidated (Direct) (insert patient result here) (<7 umol/L)
- GGT (insert this patient result here) (<36 U/L)
- AST (insert this patient result here) (<31 U/L)
- ALT (insert this patient result here) (<36 U/L)
- Alkaline Phosphatase (insert this patient result here) (35-122 U/L)
- INR (INSERT RESULT) (reference range: 0.9 - 1.2)
- Albumin (insert this patient result here) (35-52 g/L)
- FIB-4 Index (INSERT THIS PATIENT's CALCULATED RESULT)
Section Header: VITAMINS & MINERALS:
Section Sub-Header: Iron Status:
- Ferritin (insert this patient result here) (30-109 ug/L)
- Iron (insert this patient result here) (6-27 umol/L)
- TIBC (insert this patient result here) (45-77 umol/L)
- Transferrin Saturation (insert this patient result here) (0.20-0.50)
Section Sub-Header: Vitamins:
- Vitamin B12 (insert this patient result here) (221-918 pmol/L)
- Vitamin A (insert this patient result here) (1.1-3.1 umol/L)
- Ascorbic Acid/Vitamin C (insert this patient result here) (23-114 umol/L)
- Vitamin D (insert this patient result here) (Deficiency: <25, Insufficiency: 25-75, Sufficiency: 76-250, Toxicity: >250 nmol/L)
- Folate serum (insert this patient result here) (>8.8 nmol/L)
Section Sub-Header: Minerals:
- Calcium (insert this patient result here) (2.15-2.60 mmol/L)
- Phosphorus (insert this patient result here) (0.80-1.45 mmol/L)
- Magnesium (insert this patient result here) (0.65-1.05 mmol/L)
Section Sub-Header: Section Header: IMMUNOLOGY + INFECTIONS:
- E.S.R. (insert this patient result here) (0-20 mm/hr)
- High sensitivity CRP (insert this patient result here) (<1.0 mg/L)
- RF (insert this patient result here) kIU/L (reference range: <14 kIU/L)
- ESR (insert this patient result here) mm/h (reference range: F: <20 mm/h)
- ANA (insert this patient result here)(reference range: NEGATIVE)
- ENA (insert this patient result here) (reference range: NEGATIVE)
- HLA-B27 (insert this patient result here) (reference range: NEGATIVE)
- Chromogranin A (insert this patient result here) ng/mL (≤76 ng/mL)
- Tryptase (insert this patient result here) mcg/L (<11.0 mcg/L)
- Tissue Transglutaminase Ab IgA (insert this patient result here) U/mL (<12.0 U/mL NEGATIVE)
- IgA (insert this patient result here) (0.54-4.17 g/L)
- IgG (insert this patient result here) (6.00-16.00 g/L)
- IgM (insert this patient result here) (0.30-2.30 g/L)
- Hepatitis C Ab (insert this patient result here) (reference range: NOT DETECTED)
OTHER:
- Lactate Dehydrogenase (insert this patient result here) (110-230 U/L)
- Any other result not included in the above categories.
- test (insert this patient result here) (reference range: )
- test (insert this patient result here) (reference range: )
- test (insert this patient result here) (reference range: )
PENDING:
Any result noted as pending in the text.
STEP 2: Write analysis notes to the lab extraction
Section Writing Rules For each section:
1. Start with a one-sentence introduction explaining why this group of tests matters
2. Beside each value, indicate if within normal range, potentially abnormal, abnormal and brief clinical context explaining relevance
3. Use "normal" instead of subjective terms like "excellent" or "perfect" unless describing truly exceptional results
4. If normal, always specify "normal" rather than leaving interpretation implicit, or optimal if there is an optimal range for the test
5. Include relevant connections to patient's clinical context (project knowledge)
6. Note any missing but relevant tests
Language Guidelines
1. Clinical terms must be followed by plain language explanations
2. Values must include units
3. Avoid subjective descriptors unless clinically warranted
4. Use active voice
5. Maintain third person professional voice
6. Include clinical context for abnormal values where possible
7. Connect findings to patient's presenting concerns