Form LB - Local Processing
LB - Local Processing
What was the name of the laboratory used?
Was the sample collected?
No
Yes
What was the date of the lab specimen collection?
01 Jan 2000
What was the (start) time of the lab specimen collection?
12:00
Was the subject fasting?
No
Yes
LB - Local Processing - Details
What was the lab test name?
What was the lab test name?
Choose
IU/L
U/L
ukat/L
umol/s/L
What was the lower limit of the reference range for this lab test?
What was the high limit of the reference range for this lab test?
Was this result clinically significant?
No
Yes
LB - Local Processing - Details
What was the lab test name?
What was the lab test name?
Choose
mg/dL
mEq/L
mg/L
mmol/L
What was the lower limit of the reference range for this lab test?
What was the high limit of the reference range for this lab test?
Was this result clinically significant?
No
Yes
*
Mandatory field