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State of Illinois Department of Public Health Report of Blood Lead Test Result Illinois Lead Program 525 West Jefferson Street Third Floor Springfield Illinois 62761-0001 Phone 217-782-3517 Fax 217-557-1188 TTY hearing impaired use only 800-547-0466 Child s Name Last First Parent/Guardian s Name Middle Init Phone Date of Birth County Child s Address City State Medicaid Number Sex check appropriate one Race check appropriate box White Asian Black ZIP Code Male Female Hispanic check appropriate...
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How to fill out blood test report
How to fill out blood test report?
01
Start by providing your personal information such as your full name, date of birth, and contact information.
02
Next, indicate the date and time of the blood test along with the name and address of the healthcare facility where it was conducted.
03
Specify the reason for the blood test, whether it was for a routine check-up, to monitor a specific condition, or as part of a diagnostic process.
04
Include the details of any medications, supplements, or treatments you are currently undergoing as they may affect the interpretation of the results.
05
Provide a comprehensive list of the blood tests that were performed and their respective results. Include the reference ranges for each test to help with interpretation.
06
If any abnormal results are present, make note of them and indicate whether any follow-up actions are required, such as consulting with a specialist or repeating the test.
07
Conclude the report by signing and dating it, indicating that the information provided is accurate to the best of your knowledge.
Who needs blood test report?
01
Individuals undergoing medical treatment or assessments may require a blood test report. This could include patients visiting a general practitioner, specialist, or hospital.
02
Insurance companies or employers may request blood test reports as part of their screening or assessment processes.
03
Researchers and scientists conducting clinical trials or studies may need blood test reports to monitor participant health or assess the effectiveness of a treatment or intervention.
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What is shown in blood test report?
Blood tests can be used for many different things, including to check cholesterol and blood glucose levels. These help monitor your risk of heart and circulatory diseases and diabetes, or how your condition is being managed. Tests for different chemicals and proteins can indicate how your liver or kidneys are working.
What are the normal ranges for blood test results?
Normal Laboratory Values Laboratory TestNormal Range in US UnitsNormal Range in SI UnitsHigh160-189 mg/dL4.14 – 4.89 mmol/LVery High>190 mg/dL>4.91 mmol/LCholesterol, HDL>60 mg/dL>1.55 mmol/LModerate40-60 mg/dL1.03-1.55 mmol/L36 more rows
What are the 5 main blood tests?
Common ones include: Complete blood count (CBC). This test measures different parts of your blood, including red and white blood cells, platelets, and hemoglobin. Basic metabolic panel. Blood enzyme tests. Blood tests to check for heart disease. Blood clotting tests, also known as a coagulation panel.
What is normal blood test results?
In general, the reference ranges are: White blood cells: 4,500 to 11,000 cells per microliter (cells/mcL) Red blood cells: 4.5 million to 5.9 million cells/mcL for men; 4.1 million to 5.1 million cells/mcL for women. Hemoglobin: 14 to 17.5 grams per deciliter (gm/dL) for men; 12.3 to 15.3 gm/dL for women.
What are good levels in a blood test?
While the Comprehensive Metabolic Panel can test more values, some of the most common tests with their normal values are below. Potassium: 3.5 to 5.0 mmol/L. Sodium: 135 to 145 mmol/L. Chloride: 98 to 110 mmol/L. Glucose: 70 to 100 mg/dL. Calcium: 8.5 to 10.5 mg/dL. BUN (blood urea nitrogen): 5 to 25 mg/dL.
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What is blood test report?
A blood test report is a document that provides the results of various tests conducted on a blood sample to assess health status and diagnose medical conditions.
Who is required to file blood test report?
Typically, healthcare providers such as doctors, clinics, or hospitals are required to file blood test reports for their patients after conducting blood tests.
How to fill out blood test report?
To fill out a blood test report, healthcare professionals should accurately input patient information, record the specific tests performed, and document the results alongside reference ranges and necessary interpretations.
What is the purpose of blood test report?
The purpose of a blood test report is to provide crucial information regarding a patient's health, including the detection of diseases, monitoring of health conditions, and assessing overall bodily functions.
What information must be reported on blood test report?
A blood test report must include patient identification details, date of the test, list of tests performed, test results, reference ranges, and interpretations or comments from the healthcare provider.
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