qWERtyUi Patient Report

Specimen ID: 108-059-2143-0 Acct #: 09149190 Phone: (866) 999-4041 Rte: 09

Control ID: 41197306990
PROFESSIONAL CO-OP SERVICE INC
van Zyl, Joan M. 850 West Dania Beach Blvd
5028 LEWIS RD Dania Beach FL 33004





















MC DONALD TN 37353
(615) 306-5674

Patient Details Specimen Details Physician Details

DOB: 02/17/1942 Date collected: 04/18/2017 0952 Local Ordering: G SKEOCH
Age(y/m/d): 075/02/01 Date received: 04/18/2017 Referring:
Gender: F SSN: Date entered: 04/18/2017 ID: CAMD3225
Patient ID: Date reported: 04/24/2017 1835 ET NPI: 1447368287
General Comments & Additional Information
Total Volume: Not Provided Fasting: Yes
Ordered Items
CBC With Differential/Platelet; Comp. Metabolic Panel (14); HLA DRB1,3,4,5,DQB1 (IR); Vitamin B12 and Folate; Hgb A1c with eAG
Estimation; Pregnenolone, MS; Thyroxine (T4) Free, Direct, S; TSH; Estradiol; Total Glutathione; C-Reactive Protein, Cardiac;
Homocyst(e)ine, Plasma; Iron, Serum; Sedimentation Rate-Westergren; Thyroid Antibodies; Triiodothyronine,Free,Serum; Venipuncture
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
CBC With Differential/Platelet
WBC 2.8 Low x10E3/uL 3.4 - 10.8 01
RBC 2.87 Low x10E6/uL 3.77 - 5.28 01
Hemoglobin 9.7 Low g/dL 11.1 - 15.9 01
Hematocrit 30.7 Low % 34.0 - 46.6 01
MCV 107 High fL 79 - 97 01
MCH 33.8 High pg 26.6 - 33.0 01
MCHC 31.6 g/dL 31.5 - 35.7 01
RDW 16.8 High % 12.3 - 15.4 01
Platelets 411 High x10E3/uL 150 - 379 01
Neutrophils 77 % 01
Lymphs 14 % 01
Monocytes 8 % 01
Eos 0 % 01
Basos 1 % 01
Neutrophils (Absolute) 2.2 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 0.4 Low x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.2 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.0 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01

Comp. Metabolic Panel (14)

Glucose, Serum 86 mg/dL 65 - 99 01
BUN 10 mg/dL 8 - 27 01
Creatinine, Serum 0.53 Low mg/dL 0.57 - 1.00 01
eGFR If NonAfricn Am 93 mL/min/1.73 >59
eGFR If Africn Am 107 mL/min/1.73 >59

Date Issued: 04/25/17 0929 ET FINAL REPORT Page 1 of 5

This document contains private and confidential health information protected by state and federal law. 1995-2017 Laboratory Corporation of America Holdings
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qWERtyUi Patient Report
Patient: van Zyl, Joan M. Specimen ID: 108-059-2143-0
DOB: 02/17/1942 Patient ID: Control ID: 41197306990 Date collected: 04/18/2017 0952 Local

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

BUN/Creatinine Ratio 19 12 - 28
Sodium, Serum 146 High mmol/L 134 - 144 01
Potassium, Serum 4.1 mmol/L 3.5 - 5.2 01
Chloride, Serum 104 mmol/L 96 - 106 01
Carbon Dioxide, Total 26 mmol/L 18 - 29 01
Calcium, Serum 8.8 mg/dL 8.7 - 10.3 01
Protein, Total, Serum 6.0 g/dL 6.0 - 8.5 01
Albumin, Serum 3.6 g/dL 3.5 - 4.8 01
Globulin, Total 2.4 g/dL 1.5 - 4.5
A/G Ratio 1.5 1.2 - 2.2
Bilirubin, Total 0.3 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase, S 65 IU/L 39 - 117 01
AST (SGOT) 18 IU/L 0 - 40 01
ALT (SGPT) 12 IU/L 0 - 32 01

HLA DRB1,3,4,5,DQB1 (IR)

DRB1 02
DRB1*12:DUKV
DRB1 02
DRB1*13:ASXNG
Code Translation:
DUKV 01/06/10/17
ASXNG 01/117/166/173/186/190/215/218
DRB3 02
DRB3*01:ATHYC
DRB3 02
DRB3*02:ASXPW
Code Translation:
ATHYC 01:01/01:02/01:03/01:04/01:05/01:06/01:07
/01:08/01:09/01:10/01:11/01:12/01:13/01:14
/01:15/01:16/01:17/01:18/01:19/01:20/01:21
/01:22/01:23/01:24/01:25/01:26N/01:27
/01:28/01:29/01:30/01:31/01:32/01:33/01:34
/01:35/01:36/01:37/01:38/01:39
ASXPW 02:01/02:02/02:03/02:04/02:06/02:10/02:11
/02:12/02:14/02:15/02:17/02:20/02:23/02:24
/02:26/02:27/02:28/02:29N
DRB4 02
DRB4*-
DRB4 02
DRB4*-
DRB5 02
DRB5*-
DRB5 02
DRB5*-
DQB1 Allele 1 02
DQB1*03:ASXEG

Date Issued: 04/25/17 0929 ET FINAL REPORT Page 2 of 5

This document contains private and confidential health information protected by state and federal law. 1995-2017 Laboratory Corporation of America Holdings
If you have received this document in error, please call 205-581-3500 1.00
All Rights Reserved - Enterprise Report Version:
qWERtyUi Patient Report
Patient: van Zyl, Joan M. Specimen ID: 108-059-2143-0
DOB: 02/17/1942 Patient ID: Control ID: 41197306990 Date collected: 04/18/2017 0952 Local

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

DQB1 Allele 2 02
DQB1*06:ASWAX
Code Translation:
ASXEG 03:01/03:09/03:13/03:19/03:21/03:22/03:24
/03:27/03:28/03:29/03:35/03:36/03:42/03:48
/03:49/03:50/03:51/03:52/03:53/03:54/03:55
/03:56/03:58/03:59/03:60/03:69/03:71/03:73
/03:74/03:75/03:77/03:78/03:82/03:84N
/03:92/03:93/03:94/03:101/03:102/03:103
/03:108/03:113/03:114/03:115/03:116
/03:118N/03:119/03:120/03:122/03:127
/03:129/03:131/03:134/03:140/03:142/03:143
/03:144/03:147/03:148/03:150/03:151/03:157
/03:158/03:159/03:163/03:164/03:165/03:169
/03:170/03:171/03:182/03:188/03:191/03:193
/03:194/03:196/03:197Q/03:198/03:206
/03:207/03:208/03:218/03:219
ASWAX 06:03/06:14/06:28/06:32/06:41/06:44/06:59
/06:60/06:61/06:62/06:64/06:65/06:67/06:90
/06:91/06:110/06:128/06:134/06:141/06:143
/06:144N/06:145/06:148/06:154/06:184
/06:185/06:187/06:191/06:195/06:196
HLA allele interpretation for all loci based on IMGT/HLA
database version 3.25.0
HLA Lab CLIA ID Number 34D0954530
HLA Methodology 02
HLA results were obtained using sequence based typing (SBT),
sequence specific oligonucleotide probes (SSOP), and/or sequence
specific primers (SSP) as needed to obtain the required resolution.
Please contact HLA Customer Service at 1-800-533-1037 if you have any
questions.
Director of HLA Laboratory
Dr George C Maha, PhD

Vitamin B12 and Folate

Vitamin B12 >2000 High pg/mL 211 - 946 01
Folate (Folic Acid), Serum >20.0 ng/mL >3.0 01
Note: 01
A serum folate concentration of less than 3.1 ng/mL is
considered to represent clinical deficiency.

Hgb A1c with eAG Estimation

Hemoglobin A1c 5.6 % 4.8 - 5.6 01
Please Note: 01
Pre-diabetes: 5.7 - 6.4
Diabetes: >6.4
Glycemic control for adults with diabetes: <7.0
Estim. Avg Glu (eAG) 114 mg/dL

Pregnenolone, MS <10 ng/dL 03

Reference Range:
Date Issued: 04/25/17 0929 ET FINAL REPORT Page 3 of 5
This document contains private and confidential health information protected by state and federal law. 1995-2017 Laboratory Corporation of America Holdings
If you have received this document in error, please call 205-581-3500 1.00
All Rights Reserved - Enterprise Report Version:
qWERtyUi Patient Report
Patient: van Zyl, Joan M. Specimen ID: 108-059-2143-0
DOB: 02/17/1942 Patient ID: Control ID: 41197306990 Date collected: 04/18/2017 0952 Local

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

Adults: <151

Thyroxine (T4) Free, Direct, S

T4,Free(Direct) 0.88 ng/dL 0.82 - 1.77 01

TSH 1.750 uIU/mL 0.450 - 4.500 01

Estradiol <5.1 pg/mL 01

Adult Female:
Follicular phase 12.5 - 166.0
Ovulation phase 85.8 - 498.0
Luteal phase 43.8 - 211.0
Postmenopausal <6.0 - 54.7
Pregnancy
1st trimester 215.0 - >4300.0
Girls (1-10 years) 6.0 - 27.0
Roche ECLIA methodology

Total Glutathione 238 ug/mL 176 - 323 04

Results of this test are for Investigational Purposes Only. The
performance characteristics of this assay have been determined by
LabCorp. The result should not be used as a diagnostic procedure
without confirmation of the diagnosis by another medically
established diagnostic product or procedure.

C-Reactive Protein, Cardiac 1.97 mg/L 0.00 - 3.00 01

Relative Risk for Future Cardiovascular Event
Low <1.00
Average 1.00 - 3.00
High >3.00

Homocyst(e)ine, Plasma 6.4 umol/L 0.0 - 15.0 01

Iron, Serum 45 ug/dL 27 - 139 01

Sedimentation Rate-Westergren
4 mm/hr 0 - 40 01

Thyroid Antibodies
Thyroid Peroxidase (TPO) Ab 33 IU/mL 0 - 34 01
Thyroglobulin Antibody <1.0 IU/mL 0.0 - 0.9 01
Thyroglobulin Antibody measured by Beckman Coulter Methodology

Triiodothyronine,Free,Serum 3.2 pg/mL 2.0 - 4.4 01

01 MB LabCorp Birmingham Dir: Brian Ragland, MD

1801 First Avenue South, Birmingham, AL 35233-1935
02 2Q LabCorp Burlington DNA Dir: George Maha, PhD
1440 York Court, Burlington, NC 27215-3361

Date Issued: 04/25/17 0929 ET FINAL REPORT Page 4 of 5

This document contains private and confidential health information protected by state and federal law. 1995-2017 Laboratory Corporation of America Holdings
If you have received this document in error, please call 205-581-3500 1.00
All Rights Reserved - Enterprise Report Version:
qWERtyUi Patient Report
Patient: van Zyl, Joan M. Specimen ID: 108-059-2143-0
DOB: 02/17/1942 Patient ID: Control ID: 41197306990 Date collected: 04/18/2017 0952 Local

03 ES Esoterix Endocrinology Dir: Samuel Pepkowitz, MD

4301 Lost Hills Road, Calabasas Hills, CA 91301-5358
04 BN LabCorp Burlington Dir: William F Hancock, MD
1447 York Court, Burlington, NC 27215-3361
For inquiries, the physician may contact Branch: 800-762-4344 Lab: 205-581-3500

Date Issued: 04/25/17 0929 ET FINAL REPORT Page 5 of 5

This document contains private and confidential health information protected by state and federal law. 1995-2017 Laboratory Corporation of America Holdings
If you have received this document in error, please call 205-581-3500 1.00
All Rights Reserved - Enterprise Report Version: