Sue is applying for new job at an eatery. There, employees are required to attend Medical Check-Up (MCU) for identifying any existing conditions that might interfere with doing their future job whilst also ensuring that the prospective employees are physically capable of performing the jobs assigned to them. Moreover, it can also determine whether prospective employees can safely perform a job, reduce insurance claims, and reduce other related medical costs. In other words, make you more productive and cost-efficient.
A medical laboratory is comprised of multiple parameters. There are a lot of measured parameters - I mean, A LOT. Hence, some might wonder what each parameter means, and why exactly should we take those tests.
Answering this inquiry is the page below.
Enjoy!
Most laboratory tests are prescribed by physicians or required by companies. Unlike in Japan, Indonesians are not fully aware of preventative medications. Hence, patients are often left unexplained on why should they take certain lab tests. Knowledge about lab test does not eliminate our needs of doctor, for sure. However, as Charles Bukowski said, "the problem with the world is that the intelligent people are full of doubts, while the stupid ones are full of confidence." Know what doctors told us to do, in this multi-million lab industry, at least, shapes us to be more critical about their decisions upon us.
In general, clinical laboratory tests are classified based on their sample. The type of sample dictates the information that physicians or analysts reagents can gather. For example, hematology test utilizes blood sample to know patient's amount of leucocyte, erhytrocyte, and platetet, meanwhile urinalysis requires urine sample to observe patient's urine processing based on proteins contained, its acidity, and so on. Some diagnostic processes require more that one lab tests
Some tests may extract same sample from patient's body. However, using separation technique like centrifuge in the lab, analysts will observe different parts of the sample. Hematology tests, for instance, separate blood cells from its plasma to count patient's blood cells amount. This is necessary to diagnose anemia, sickle cell, or other blood cell-related diseases. Clinical chemistry, on the other hand, uses chemical reaction to measure protein, pigments, or antibody in patient's blood. In other words, clinical chemistry does not observe patient's blood per se, but substances that it carries.
This classification is also important for structuring lab's cost. Each classification requires different reagents, controls, diluents, calibrators, automatic analyzer, even electrical cost.
Hematologi
Hemostasis
Complete Blood Count
Erythrocyte
Leucocyte
Platelet
Leucocyte 5-part differential
Lymphocyte
Monocyte
Neutrophils
Eosinophils
Basophils
Erythrocyte Sedimentation Rate (ESR)
Bleeding Time (BT)
Clotting Time (CT)
Prothrombin Time (PT)
activated Partial Thromboplastin Time (aPTT)
Thrombin Time (TT)
Rumpel Leede (RL)
ABO Rhesus
Fibrinogen
Clinical Chemistry
Protein Total
Bilirubin
Albumin
Cholesterol Total, HDL, LDL
Urea
Creatinine
Triglyceride
Blood Glucose
Sperm Analysis
Immunology
Fertility Test
Tumor Marker
Widal (Typhoid)
VDRL
CRP / hsCRP
Anti-HIV
TORCH (Toxoplasma, Rubella, CMV, HSV2)
Urinalysis
Macroscopic
Color
Clarity
Odor
Microscopic (leucocyte)
Chemical
Ketone
Nitrite
Urobilinogen
Albumin
Microbiology
With a population of 10.56 million in 2019, Jakarta is the sixth most populous province in Indonesia, home to 3.94% of its population, and the densest province in Indonesia (R. Martinez and I. N. Masron, “Jakarta: A city of cities,” Cities, vol. 106, no. July, 2020)
ICD-10 is a detailed diagnostic coding system, with 69,000 codes determined by the World Health Organization (WHO). This allows the systematic recording, analysis, interpretation and comparison of mortality and morbidity data collected in different countries or regions and at different times
Classification of Clinical Laboratory
PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA
NOMOR 411/MENKES/PER/111/2010
TENTANG
LABORATORIUM KLINIK