Is this really a feasible solution ?
If a local viewer is wanting to look at a cumulation of LFT results, they
will not want the screen cluttered up with units and reference ranges for 8
or 9 analytes on successive dates (who would?). As a result they are going
to omit these items from their view, just as we all see in clinical
presentations including alk phos results gleaned from notes. We already have
problems with creatinines in µmol/L and mmol/L, troponins T & I called
'troponin', adjusted calcium, digoxin in ng/mL, µg/L, nmol/L etc. etc
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
DA14 6LT
020-8308-3084
-----Original Message-----
From: Griffiths Paul (RQ3) BCH [mailto:[log in to unmask]]
Sent: 14 October 2004 11:59
To: [log in to unmask]
Subject: Re: Aggregation of reports from nontransferable methods
Jonathan,
This was raised by several of us at a clinical engagement session on
orders/reporting in the NWWM cluster. As I understand it the result will be
transmitted together with the appropriate reference range attached and this
will form part of the record. However I agree that this may then be used out
of context. I also agree about the non-transferability of results, however
one only needs to look at the range of results for EQA data to see that even
labs using the same methods can vary greatly in their results for individual
specimens/analytes.
Regards
Paul Griffiths
Birmingham Children's Hospital
-----Original Message-----
From: Jonathan Kay [mailto:[log in to unmask]]
Sent: 14 October 2004 11:22
To: [log in to unmask]
Subject: Aggregation of reports from nontransferable methods
Yes, it's an enormous problem.
I've noted this with NPfIT, but I don't think it is identified in any
of their documents.
Jonathan
PS: I think this nontransferability reflects badly on our profession...
On 14 Oct 2004, at 09:24, Mainwaring-Burton Richard (RGZ) wrote:
> I have a serious concern in this regard relating to coding and the
> centralisation of records. As we are using a variety of tehniques for
> estimation of parameters, there are inevitably going to be variations
> in
> reference ranges and units between result providers. Alkaline
> phosphatase is
> the classic example. Hence the coding system will have to reflect these
> variations when the results are uploaded from our laboratory systems
> onto
> the ICRS in the sky so that the results can be meaningfully filed and
> compared by the viewers. Does anyone know of anyone else who is a)
> concerned and b) addressing the issue ?
>
> with best wishes
>
> Richard
>
> Richard Mainwaring-Burton
> Consultant Biochemist
> Queen Mary's Hospital
> Sidcup, Kent
> DA14 6LT
> 020-8308-3084
>
>
> -----Original Message-----
> From: gordon.challand [mailto:[log in to unmask]]
> Sent: 14 October 2004 00:02
> To: [log in to unmask]
> Subject: Re: C-NPU
>
>
> Dear Urban
> I simply enquired how many labs in the UK were using IUPAC coding
> numbers.
> From the deafening silence from almost all of the participants in the
> UK ACB
> mailbase (half of which are outside the UK) I infer virtually none
> are. This
> is not related to the insular minds of the Albions (whatever that
> means) nor
> to any argument about what might or might not be 'metrologically
> correct'
> (whatever that means).
> I'm old enough to remember being asked to comment on an IFCC document
> which
> related to definitions without any units attached to them (ie simple
> numbers). The proposed IFCC definition at that time was 'entitities'. I
> don't know how much time or expense was embarked on by the IFCC at
> that time
> to establish this basic premise; but even thirty years later I am
> astonished
> at the gulf between what might be called metrological purists, and
> those who
> have to try to convert numericl values into terms which might be
> understood
> by the patient, by the clinician, by the layman, and by the
> politician. Can
> some of you please 'get real' to the gulf between how we express our
> results, and how we convert those results into terms which are
> comprehensible to the outside world.
> With best wishes
> Gordon Challand
> ----- Original Message -----
> From: "Urban Forsum" <[log in to unmask]>
> To: <[log in to unmask]>
> Cc: "Anders Kallner" <[log in to unmask]>; "Jean-Claude
> FOREST"
> <[log in to unmask]>; "Muller, Mathias"
> <[log in to unmask]>
> Sent: Wednesday, October 13, 2004 10:16 PM
> Subject: Re: C-NPU
>
>
> Dear College,
> With regard to the conversation below I would be happy to supply you
> with
> whatever information you may need to be conversant with the philosophy
> and
> practice of the C-NPU that is dedicate to further the cause of
> metrologically correct and correct transmission the value of
> quantities (and
> other properties) that are measured or observed in the clinical
> laboratory.
> Yours
> Urban Forsum
> Chairman C-NPU
>
>
> Urban Forsum MD, PhD
> Visiting Professor
> Department of Pathology and Laboratory Medicine
> University of Wisconsin
> cellular phone: +46-708-730157
> [log in to unmask]
> private:
> 34 University Houses
> Apartment F
> Madison WI 537 05 USA
> voice-phone: +1-608-238 2169
>
>
>
>
> ----- Original Message -----
> From: Anders Kallner <[log in to unmask]>
> Date: Wednesday, October 13, 2004 0:27 am
> Subject: C-NPU
>
>> Dear Urban, Mathias and Jean-Claud,
>>
>> The correspondance below appeared on the ACB (Association of
>> Clinical Biochemists, UK).
>>
>> The IFCC/IUPAC and the colleagues in UK in particular should take
>> this opportunity to contribute with substantial information on the
>> C-NPU system. It fall upon others to break the insular mind of the
>> Albions!
>> Best regards,
>>
>> Anders
>>
>> How does this sit alongside the obsolescent Read codes and
>> incipient SNOMED codes ?
>>
>> with best wishes
>>
>> Richard
>>
>> Richard Mainwaring-Burton
>> Consultant Biochemist
>> Queen Mary's Hospital
>> Sidcup, Kent
>> DA14 6LT
>> 020-8308-3084
>>
>> -----Original Message-----
>> From: gordon.challand [[log in to unmask]]
>> Sent: 11 October 2004 13:53
>> To: [log in to unmask]
>> Subject: IUPAC/IFCC unique test code numbers
>>
>>
>> I gather that IUPAC and IFCC have developed a list of unique
>> numerical codes to identify which laboratory test is being carried
>> out.
>> Are any UK laboratories using these to identify their own tests;
>> or are we all using our own self-generated codes for our LISs?
>> Gordon Challand
>> ------ACB discussion List Information-------- This is an open
>> discussion list for the academic and clinical community working in
>> clinical biochemistry. Please note, archived messages are public
>> and can be viewed via the internet. Views expressed are those of
>> the individual and they are responsible for all message content.
>> ACB Web Site http://www.acb.org.uk List Archives
>> http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List
>> Instructions (How to leave etc.) http://www.jiscmail.ac.uk/
>>
>>
>> Anders Kallner
>> Docent, överläkare
>> Avd Klin Kemi
>> Karolinska universitetsjukhuset i Solna
>> tel 08 5177 49 43
>> fax 08 517728 99
>> [log in to unmask]
>
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