MSH|^~\&|LAB|SMH|||201911061116||ORU^R01|4100710|D|2.3|||AL|NE
PID|1||SM00043881|SM43723|TMLTEST^SMH(B)^||19830702|F||||||||||SM004724/18|9875607547
OBR|1|34945^LAB|00026821^0611:HC00008R^LAB^061119:HC8^34945|220.8900^INR^INR^^^6301-6||201911061114|201911061111|||||||201911061111||||||||||LAB|F||||
OBX|1|ST|220.9000^INR R^INR^^6301-6^6301-6|1|2.0^^Y||0.8-1.2|H||A^S|F|||201911061116
NTE|1||INR Therapeutic Ranges:
NTE|2||    Mechanical Heart Valves 2.5 - 3.5
NTE|3||    Other indications       2.0 - 3.0

MSH|^~\&|LAB|SMH|||201911061116||ORU^R01|4100712|D|2.3|||AL|NE
PID|1||SM00043881|SM43723|TMLTEST^SMH(B)^||19830702|F||||||||||SM004724/18|9875607547
OBR|1|34944^LAB|00026821^0611:H00008R^LAB^061119:H8^34944|200.1000^CBC^Hematology Cell Panel^^^XCA01592-5||201911061114|201911061111|||||||201911061111||||||||||LAB|F||||
OBX|1|ST|200.2500^PLT^Platelet Count^^777-3^777-3|1|15^^Y|x10*9/L|150-400|LL||A^S|F|||201911061116

MSH|^~\&|LAB|ARH|||201911061122||ORU^R01|4100720|D|2.3|||AL|NE
PID|1||AB00008342|AB8244|EDMTEST^WinOS^2016 Upgrade|||F||||||||||AB000639/19|
OBR|1|34937^LAB|00026816^0611:HC00007U^LAB^061119:HC7^34937|220.8900^INR^INR^^^6301-6||201911061046|201911061044|||||||201911061116||||||||||LAB|F||||
OBX|1|ST|220.9000^INR R^INR^^6301-6^6301-6|1|2.5^^Y||0.8-1.2|H||A^S|F|||201911061122
NTE|1||INR Therapeutic Ranges:
NTE|2||    Mechanical Heart Valves 2.5 - 3.5
NTE|3||    Other indications       2.0 - 3.0

MSH|^~\&|LAB|ARH|||201911061123||ORU^R01|4100721|D|2.3|||AL|NE
PID|1||AB00008342|AB8244|EDMTEST^WinOS^2016 Upgrade|||F||||||||||AB000639/19|
OBR|1|34938^LAB|00026816^0611:C00019U^LAB^061119:C19^34938|500.1000^CP7^Chem 7 - Glu R,Urea,Crea,Lytes^^^XXX-1710||201911061046|201911061044|||||||201911061116||||||||||LAB|F||||
OBX|1|ST|500.1900^NA^Sodium^^2951-2^2951-2|1|138^^Y|mmol/L|135-145|N||A^S|F|||201911061123
OBX|2|ST|500.2000^K^Potassium^^2823-3^2823-3|1|5.2^^Y|mmol/L|3.5-5.0|H||A^S|F|||201911061123
OBX|3|ST|500.2100^CL^Chloride^^2075-0^2075-0|1|104^^Y|mmol/L|98-108|N||A^S|F|||201911061123
OBX|4|ST|500.2200^BICARB^Bicarbonate^^1962-0^1962-0|1|25^^Y|mmol/L|20-30|N||A^S|F|||201911061123
OBX|5|ST|500.2300^GAP^Anion Gap^^33037-3^33037-3|1|9^^Y|mmol/L|3-16|N||A^S|F|||201911061123
OBX|6|ST|500.2400^UREA^Urea^^14937-7^22664-7|1|6^^Y|mmol/L|2-9|N||A^S|F|||201911061123
OBX|7|ST|500.2600^CR^Creatinine Modified Jaffe^^14682-9^14682-9|1|88^^Y|umol/L|45-90|N||A^S|F|||201911061123
OBX|8|ST|500.2700^EGFR^Glomerular Filtration Rate Est^^33914-3^33914-3|1|73^^Y|mL/min|>60|N||A^S|F|||201911061123
OBX|9|ST|500.2900^GLU^Glucose, Random^^14749-6^14749-6|1|12.5^^Y|mmol/L|3.6-7.8|H||A^S|F|||201911061123
OBR|2|34938^LAB|00026816^0611:C00019U^LAB^061119:C19^34938|500.5690^TROP^Troponin I^^^10839-9||201911061046|201911061044|||||||201911061116||||||||||LAB|F||||
OBX|1|ST|500.5695^TROPIHS^Troponin I High Sensitivity^^89579-7^89579-7|1|888^^Y|ng/L|<18|HH||A^S|F|||201911061123
NTE|1||*CRITICAL VALUE
NTE|2||Critically elevated Troponin I suggestive of myocardial
NTE|3||injury. To assess if this is acute, repeat Troponin I in 3
NTE|4||hours to evaluate the change ("delta"). If this is a follow
NTE|5||up Troponin I collected within 3-6 hours of previous:
NTE|6||Delta < 11 ng/L: Acute myocardial injury is unlikely.
NTE|7||Delta 11 - 21 ng/L: Consistent with myocardial injury, but
NTE|8||low positive predictive value for an acute event. Consider a
NTE|9||further Troponin I in another 3 hours to re-evaluate.
NTE|10||Delta >= 22 ng/L: Critical change in Troponin I. Result is
NTE|11||highly predictive for acute myocardial injury.