Report (Patient)

First Name (Patient): Ahmed Last Name (Patient): Hassan

Date of Birth (Patient): Specific: IgE
Patient-ID: 3 Sample-ID: 3

Result: Test: Panel 30 Food IRAQ Revision: 001

AllergenDescription IU/ml Class AllergenDescription IU/ml Class

Control [Ctrl] >100 6.0 Broad Bean [F500] 0.06 0.1
Milk [F2] 0.08 0.2 Orange [F33] 0.35 1.0
Egg white [F1] 0.16 0.4 Hazelnut [F17] 0.29 0.8
Sunflower seed [F114] 1.1 2.1 Pistachio nut [F203] 0.00 0.0
Egg yolk [F75] 0.00 0.0 Cod fish [F3] 0.00 0.0
Peach [F95] 1.0 2.1 Apricot [F237] 3.9 3.0
Soy bean [F14] 0.29 0.8 Meat Mix [Fx23] 0.00 0.0
Banana [F92] 0.06 0.1 Gluten [F79] 0.00 0.0
Olive [F458] 0.00 0.0 Sesame seed [F10] 0.00 0.0
Strawberry [F44] 0.00 0.0 Potato [F35] 0.77 2.0
Tomato [F25] 0.49 1.4 Garlic [F47] 0.00 0.0
Carrot [F31] 1.4 2.2 Pepper [F263] 0.00 0.0
Cacao [F93] 0.10 0.2 Aubergine [F262] 0.81 2.0
Kiwi [F84] 0.06 0.1 Walnut [F256] 0.02 0.0
Fig [F328] 1.3 2.2 Raspberry [F343] 0.95 2.0
Almond [F20] 0.24 0.6

Date of impression: 05/07/2017 Date of evaluation: 05/07/2017

Class Sign. Assistant/Physician

0: not or hardly present [0.00-0.34 IU/ml] 1: low threshold [0.35-0.69 IU/ml] 2: slight increase [0.70-3.49 IU/ml]
3: significantly increased [3.50-17.49 IU/ml] 4: high [17.5-49.9 IU/ml] 5: very high [50.0-100.0 IU/ml]
6: extremly high [>100 IU/ml]

Head Office: Mediwiss Analytic GmbH; Uerdinger Straße 3; 47441 Moers v1.4