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We are having big problems using Sunquest ICE together with Winpath 5.32 When we add a comment under a test result, although this displays correctly in Winpath, when it gets to ICE (which is accessed through the Medway PAS system, we only get the first line of the comment, and that in a corrupted form e.g. FT4 12\.br\TSH unhelpful in hypopituitarism Whereas what we should have is FT4 12 TSH unhelpful in hypopituitarism Please DO NOT tick Thyroid Function. Request fT4 only. Sunquest's explanation is On checking the message we are receiving the follwoing in the HL7 message: OBX|1|NM|FT4^free T4^WinPath||12\.br\TSH unhelpful in hypopituitarism. OBX|1|NM|Please DO NOT\.br\tick Thyroid Function. Request fT4 only. OBX|1|NM|Thank you|pmol/L|5.6 - 21||||F||||| What we would expect to receive is: OBX|1|NM|FT4^free T4^WinPath||12|5.6 - 21||||F||||| OBX|2|ST|FT4^free T4^WinPath||TSH unhelpful in hypopituitarism. Please OBX|2|ST|DO NOT\.br\tick Thyroid Function. Request fT4 only. Thank OBX|2|ST|you|pmol/L|5.6 - 21||||F||||| In the one that we receive, the text is being put in to a numerical (NM) OBX segment, but comments for a test should be received in a String (ST) OBX segment. When received in an OBX|ST segment, the BR will be handled and applicable line breaks inclucded. Although the impact on the above comment is not majorly significant, in some cases we receive electronic results from a referral lab such as pE IGF1 (Somatomedin) * 453 ug/L 73 - 357 * high pE | Low IGF:- May be consistent with Growth Hormone pE | deficiency or resistance (Laron's Syndrome). Exclude pE | secondary causes such as nutritional deficiencies (e.g. pE | malnutrition or anorexia nervosa), chronic kidney pE | or liver disease and high doses of oestrogen. pE | High IGF:- Consistent with Growth Hormone excess pE | (gigantism or acromegaly). pE | Result from Southampton General Hospital. This displays on ICE as IGF1 (SOMATOMEDIN) IGF1 (Somatomedin) * 453\.br\Low IGF:- May be consistent with Growth Hormone\.br\deficiency ug/L 73 - 357 Where the first line of the comment says LOW IGF, whereas in fact the value is HIGH - giving a totally erroneous comment. Has anyone else had this problem and if so, how have they solved it? Michael ________________________________ Great Western Hospitals NHS Foundation Trust Great Western Hospital Marlborough Road Swindon SN3 6BB Tel 01793 60 40 20 http://www.gwh.nhs.uk Register to become a member of the Trust at https://members.gwh.nhs.uk This message and any files transmitted with it are confidential and intended solely for the individual(s) addressed. If you believe you have received this e-mail in error, disclosing, copying, distributing or retaining this message, or any part of it, is strictly prohibited; please notify the sender immediately and delete it from your system. Any views or opinions presented are solely those of the author and do not necessarily represent those of Great Western Hospitals NHS Foundation Trust. All messages sent by the Trust are checked for viruses but this does not, and cannot, guarantee that a virus has not been transmitted. The Trust accepts no liability for any damage caused by any virus transmitted with this e-mail. ------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/