CLSI C28 P3 : 3ED 2008
Superseded
A superseded Standard is one, which is fully replaced by another Standard, which is a new edition of the same Standard.
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DEFINING, ESTABLISHING, AND VERIFYING REFERENCE INTERVALS IN THE CLINICAL LABORATORY
24-11-2008
12-01-2013
Abstract
Committee Membership
Foreword
1 Scope and Introduction
2 Standard Precautions
3 Definitions
3.1 IFCC/ICSH Definitions
3.2 Clarifications
4 Use of Systhme International d'Unitis (SI Units)
5 Protocol Outline for Obtaining Reference Values and
Establishing Reference Intervals
5.1 New Analyte or Analytical Method
5.2 Multicenter Reference Interval Studies
5.3 Previously Measured Analyte
6 Selection of Reference Individuals
6.1 Introduction
6.2 Exclusion and Partitioning
6.3 Sample Questionnaire
6.4 Selection of Reference Individuals
7 Preanalytical and Analytical Considerations
7.1 Subject Preparation
7.2 Specimen Type, Collection, Handling, and Storage
7.3 Analytical Method Characteristics
8 Analysis of Reference Values
8.1 Minimum Number of Reference Values
8.2 Treatment of Outlying Observations
8.3 Partitioning of Reference Values
8.4 Examples
8.5 Confidence Intervals for Reference Limits
9 Transference
9.1 Transference: Comparability of the Analytical System
9.2 Transference: Comparability of the Test Subject
Population
10 Validation
10.1 Validation: Subjective
10.2 Validation: Using Small Numbers of Reference Individuals
10.3 Validation: Using Larger Numbers of Reference Individuals
11 Presentation of Reference Values
11.1 Introduction
11.2 Laboratory Presentation
11.3 Manufacturer Presentation
12 Other Issues
12.1 Qualitative Analysis
12.2 Therapeutic Drug Levels
12.3 Time-Dependent/Challenge Tests
12.4 Individual Variation
12.5 "Critical Values"
13 Summary
References
Appendix A. Effectiveness of Several Statistical Tests in
Validating Transference of Reference Intervals
Appendix B. Robust Calculation
Summary of Comments and Subcommittee Responses
The Quality Management System Approach
Related CLSI Reference Materials
Contains guidelines for determining reference values and reference intervals for quantitative clinical laboratory tests.
DocumentType |
Proposed Guideline
|
PublisherName |
Clinical Laboratory Standards Institute
|
Status |
Superseded
|
SupersededBy |
BIS IS/ISO 15189 : 2012 | MEDICAL LABORATORIES - REQUIREMENTS FOR QUALITY AND COMPETENCE |
CLSI H21 A5 : 5ED 2008 | COLLECTION, TRANSPORT, AND PROCESSING OF BLOOD SPECIMENS FOR TESTING PLASMA-BASED COAGULATION ASSAYS AND MOLECULAR HEMOSTASIS ASSAYS |
CLSI GP16 A2 : 2ED 2001 | ROUTINE URINALYSIS AND COLLECTION, TRANSPORTATION, AND PRESERVATION OF URINE SPECIMENS |
CLSI C49 A : 1ED 2007 | ANALYSIS OF BODY FLUIDS IN CLINICAL CHEMISTRY |
CLSI GP41 A6 : 6ED 2007 | PROCEDURES FOR THE COLLECTION OF DIAGNOSTIC BLOOD SPECIMENS BY VENIPUNCTURE |
CLSI EP32 R : 1ED 2006 | METROLOGICAL TRACEABILITY AND ITS IMPLEMENTATION |
CLSI GP43 A4 : 4ED 2004 | PROCEDURES FOR THE COLLECTION OF ARTERIAL BLOOD SPECIMENS |
CLSI C24 A3 : 3ED 2006 | STATISTICAL QUALITY CONTROL FOR QUANTITATIVE MEASUREMENT PROCEDURES: PRINCIPLES AND DEFINITIONS |
CLSI H4 A5 : 5ED 2004 | PROCEDURES AND DEVICES FOR THE COLLECTION OF DIAGNOSTIC CAPILLARY BLOOD SPECIMENS |
CLSI H18 A3 : 3ED 2004 | PROCEDURES FOR THE HANDLING AND PROCESSING OF BLOOD SPECIMENS |
CLSI EP9 A2 : 2ED 2002 | METHOD COMPARISON AND BIAS ESTIMATION USING PATIENT SAMPLES |
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