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Pharmacy & lab

Reference Range

In short

The band of values considered normal for an analyte, which varies by age and sex — and, for newborns, by age in days rather than years.

Category
Pharmacy & lab

A reference range is the interval of results expected in a healthy population for a given analyte, against which a measured value is flagged as low, normal or high. Ranges are not universal: they differ by sex, by age, by method and by laboratory. For neonates they change over days — a haemoglobin or bilirubin normal at birth is abnormal a week later — which is why age granularity in the range table is not a technical nicety.

Why it matters in a hospital

The flag beside a number is what a busy clinician reads first, and an incorrect range makes that flag actively misleading rather than merely absent. A system that stores ranges in years cannot express a nought-to-seven-day band at all, so it silently applies an adult range to a newborn — and in paediatrics and obstetrics, which is where the smallest patients are, that is precisely the population it gets wrong. A non-numeric result deserves the same care: a value that cannot be compared should read as indeterminate, never be quietly treated as normal.

How Trisvio handles it

Trisvio stores reference bands in DAYS, so a neonatal band is expressible and is preferred over the unbounded adult row when both could apply. Ranges are edited by the hospital in the diagnostics catalogue rather than being fixed in code, and a result that cannot be compared numerically is marked indeterminate rather than defaulted to normal.

In Trisvio

See how Trisvio supports this in practice.

Related

Related terms