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 -- GPG key ID E4071346 @ wwwkeys.pgp.net E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346 _______________________________________________ Gnumed-devel mailing list [email protected] http://lists.gnu.org/mailman/listinfo/gnumed-devel
