Blake Photo Time-Line

BRMH NEONATAL INTENSIVE CARE 17000 Medical Center Dr Baton Rouge LA 70816

Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M Acct #: 72010142213 Adm: 2/14/2020 02/14/2020 - Admission (Discharged) in O'Neal - NICU (continued)

Labs (continued)

the U.S. Food and Drug Administration. Test Performed by:

Mayo Clinic Laboratories - Rochester Superior Drive 3050 Superior Drive NW, Rochester, MN 55901 Lab Director: William G. Morice M.D. Ph.D.; CLIA# 24D1040592

Testing Performed By

Lab - Abbreviation Name

Director

Address

Valid Date Range

216 - MAYO

MAYO MEDICAL LABORATORY

William G Morice II, MD, PhD

200 1st St Southwest 530 Hilton Bldg ROCHESTER MN 55905

12/03/19 2138 - Present

POCT glucose [497472534] (Final result) Electronically signed by: Interface, Lab In Hlseven on 02/14/20 0446

Status: Completed

Ordering user: Interface, Lab In Hlseven 02/14/20 0446

Ordering provider: Myriam Ortiz-de Jesus, MD

Authorized by: Myriam Ortiz-de Jesus, MD

Ordering mode: Standard

Frequency: Routine Once 02/14/20 0447 - 1 occurrence

Class: Normal

Quantity: 1

Lab status: Final result

Instance released by: (auto-released) 2/14/2020 4:50 AM

Specimen Information ID

Type

Source

Collected By 02/14/20 0446

20200214045048 105666

—

Blood

POCT glucose [497472534] (Abnormal)

Resulted: 02/14/20 0450, Result status: Final result

Ordering provider: Myriam Ortiz-de Jesus, MD 02/14/20 0446 Order status: Completed Filed by: Interface, Lab In Hlseven 02/14/20 0450 Collected by: 02/14/20 0446 Resulting lab: UNIPOC Lab Technician: 92749

Components Component

Value

Reference Range Flag

Lab

POCT Glucose

53

70 - 110 mg/dL

UPOC

L

Testing Performed By

Lab - Abbreviation Name

Director

Address

Valid Date Range

247 - UPOC

UNIPOC

N/A

N/A

11/08/16 1135 - Present

PKU FILTER PAPER TEST [501947646] (Final result) Electronically signed by: Interface, Transcription Incoming on 02/14/20 0000

Status: Completed

Ordering user: Interface, Transcription Incoming 02/14/20 0000

Ordering provider: Historical Provider

Authorized by: Historical Provider

Ordering mode: Standard

Frequency: -

Quantity: 1

Lab status: Final result

Scan on 3/12/2020 5:34 PM (below)

Generated on 7/19/22 2:38 PM

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