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This is the link to Rick Jones's post about the error. https://www.jiscmail.ac.uk/cgi-bin/webadmin?A2=ind1302&L=ACB-CLIN-CHEM-GEN&F=&S=&P=38055 Mike Collins BMS3 Biochemistry Automation Norfolk & Norwich University Hospital England [log in to unmask] http://www.nnuh.nhs.uk/ -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Bradbury Wayne (RNL) North Cumbria University Hospitals Sent: 16 August 2013 13:40 To: [log in to unmask] Subject: Re: NLMC Units of measurement That's my understanding........ Path Harmony recommended umol/L and we changed from mmol/L 18 months ago. We would look at bit stupid if we changed back to mmol/L now! Wayne. Mr WH Bradbury FRCPath Consultant Biochemist/Head of Blood Sciences North Cumbria University Hospitals NHS Trust Cumberland Infirmary CARLISLE Cumbria CA2 7HY Tel: 01228 814521 Fax: 01228 814831 E-mail: [log in to unmask] -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of GROVES LIZ (RM1) Norfolk and Norwich University Hospital Sent: 16 August 2013 12:53 To: [log in to unmask] Subject: Re: NLMC Units of measurement Importance: High Actually Mike, they didn't change and change back, they've always been mmol/L; however, they are about to change to umol/L because of what I've been told by both NLMC and Path Harmony - that that PBCL recommendation for mmol/L was an error, and that umol/L is/will be recommended by all. Please reassure me quickly, i.e. today, that this is the case, folks! Liz Groves__ ______________________________________ From: Clinical biochemistry discussion list [[log in to unmask]] on behalf of COLLINS MICHAEL (RM1) Norfolk and Norwich University Hospital [[log in to unmask]] Sent: 16 August 2013 12:27 To: [log in to unmask] Subject: Re: NLMC Units of measurement According to information we received the recommendation to change to mmol/L for urate was incorrect. One lab in our area has already changed and then changed back. Perhaps somebody in this group could clarify the situation. My personal preference would be to use mmol/L for urate but this does not fit in with SI guidelines. Mike Collins BMS3 Biochemistry Automation Norfolk & Norwich University Hospital England [log in to unmask] http://www.nnuh.nhs.uk/ -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Gary Mascall Sent: 16 August 2013 12:17 To: [log in to unmask] Subject: NLMC Units of measurement Or should it be more accurately units for reporting? Anyway, we are looking to make some changes, and I have canvassed a number of users, most would like us to "dual report" for a short period when we switch from imperial to molar units (i.e PTH). However, there is almost 100% concern/rejection of the recommendation to move from umol/L to mmol/L for Urate. They cite the recent switch of Hb from g/dL to g/L, say this was sensible, it "lost" the decimal point, but what is proposed will be to change a result from NNN to 0.NNN, something they see as just a nonsense. One of them sensibly(??) asked why it is not proposed to change Bilirubin and Creatinine from umol/L to mmol/L too, as this appears to be the sole reason for the Urate change. So, does anyone have/know the rationale behind the proposed change? Looking at the SI website and multiple documents, they appear to favour whole numbers over decimals, so why the suggested change? Interestingly, our EQA provider reports Urate as umol/L too. Is there any wriggle room here, if not, to whom do I need to pass these concerns on to? Thanks, Gary Mascall Worcestershire Acute Hospitals NHS Trust. ------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 Green Laboratories Work http://www.laboratorymedicine.nhs.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/ This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the originator of the message. This footer also confirms that this email message has been scanned for the presence of computer viruses but this should not be relied upon as a guarantee that the contents are virus free. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of the Norfolk and Norwich University Hospitals NHS Foundation Trust. The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed ------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 Green Laboratories Work http://www.laboratorymedicine.nhs.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/ This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the originator of the message. This footer also confirms that this email message has been scanned for the presence of computer viruses but this should not be relied upon as a guarantee that the contents are virus free. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of the Norfolk and Norwich University Hospitals NHS Foundation Trust. The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed ------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 Green Laboratories Work http://www.laboratorymedicine.nhs.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/ ------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 Green Laboratories Work http://www.laboratorymedicine.nhs.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/ This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the originator of the message. This footer also confirms that this email message has been scanned for the presence of computer viruses but this should not be relied upon as a guarantee that the contents are virus free. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of the Norfolk and Norwich University Hospitals NHS Foundation Trust. The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed ------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 Green Laboratories Work http://www.laboratorymedicine.nhs.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/