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Re: [Gnumed-devel] state of test results handling
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] state of test results handling |
Date: |
Sun, 30 Mar 2008 15:50:57 +0200 |
User-agent: |
Mutt/1.5.17+20080114 (2008-01-14) |
On Sun, Mar 30, 2008 at 12:30:51PM +0100, Adrian Midgley wrote:
> Our lab reports results with a _reference range_
Same here. GNUmed additionally offers a "clinical target
range" as per previous suggestion by Jim.
> rather than making a statement about normality.
Our labs may or may not provide that in addition.
> 1 in 20 results will be expected to be outside the reference range
> without indicating pathology.
That's acknowledged. Hence "ab*normal*" as opposed to
"pathological".
> I frequently mark a group of results - liver function tests for instance
> - - as normal despite one of them being outside the reference range.
Yep, GNUmed supports that.
> SOme patients have a congenitally different result on some measurement
> from the general run, a large but trivial example is those with
> GIlbert's syndrome having a higher bilirubin.
Those can be marked "normal" by the attending clinician --
although they would still be abnormal depending on the
reference group -- which can be recorded in GNUmed, too ;-)
The high bilirubin in Gilbert's isn't clinically
significant, however, which can be assigned independant of
"normality".
> Possibly the concept we are dealing with is less "normality" and more
> "remarkability".
In fact we are dealing with both and both are trackable
within GNUmed...
Karsten
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- [Gnumed-devel] state of test results handling, Karsten Hilbert, 2008/03/29
- Re: [Gnumed-devel] state of test results handling, James Busser, 2008/03/30
- Re: [Gnumed-devel] state of test results handling, Karsten Hilbert, 2008/03/31
- Re: [Gnumed-devel] state of test results handling, James Busser, 2008/03/31
- Re: [Gnumed-devel] state of test results handling, James Busser, 2008/03/31
Re: [Gnumed-devel] state of test results handling, Karsten Hilbert, 2008/03/30
Re: [Gnumed-devel] state of test results handling, Karsten Hilbert, 2008/03/30