Flagging and Result Interpretation
PT SABA INDOMEDIKA JAYA
Flagging
NEGATIVE
No abnormality
POSITIVE
One or more of the 39 IP messages is
generated
ERROR
Classified as Func, functional
abnormality
ERROR
Classified as Result, Low reliability
Positive and Error Alarm
Marks
Data Exceeding Reference Interval
+,@
Data Outside Numerical Range
*
Data is Doubtful
“----”
Analysis can’t be done
“++++”
Data exceeds display capability
“
No order given
&
“
Corrected Data
Display Range and Linearity Range
Display Range
WBC
RBC
HGB
HCT
PLT
0.00 – 999.99 x 103 /µL
0.00 – 99.99 x 106 /µL
0.0 - 30 g/dL
0.0 - 100.0 %
0 - 9999 x 103 /µL
Display Range and Linearity Range
Linearity Range:
WBC within ±3% or ±0.3×103/μL ( 0 to 100 x 103/µL)
within ±6% ( 100.01 to 300 x 103/µL)
within ±11% ( 310.01 to 400 x 103/µL)
RBC within ±3% or ±0.03×106/μL ( 0 to 8 x 106/µL)
HGB ±2% or within ±0.2 g/dL ( 0.0 to 25.0 g/dL)
HCT ±3% or within ±1 HCT% ( 0.0 to 60.0 HCT %)
PLT
within ±5% or ±10×103/μL ( 0 to 2000 x 103/µL)
within ±16% ( 2001 – 5000 x 103/µL)
(depending on the RBC density, the value may not be
within the range of the above mentioned )
range above 310.00 x 103 /µL of WBC and the range above 2000 x 103 /µL of PLT are
based on the verification with a stable material
* The
WBC Flagging
RBC Flagging
PLT Flagging
Printout of a Normal Sample
(CBC+Diff)
(CBC)
A Normal Blood Sample under Microscope
Cell diameter (µm)
Thrombocyte
Band
Lymphocyte
Leucocytes (WBC)
Eosinophil
Neutrophil
Monocyte
Erythrocyte
Basophil
Lymphocyte
7 - 12
Basophil
9 - 14
Neutrophil
10 -15
Eosophil
11 -16
Monocyte
12 - 20
Erythrocyte (RBC)
6 - 8.5
Thrombocyte (Platelets)
3-5
Normal Scattergram
Mono
Lymph
Neut
Baso
Ghost
Eo
Abnormal Scattergram
Cell Stage
Cell diameter
(µm)
Myeloblast
14 - 20
Promyelocyte
15 -21
Myelocyte
16 - 24
Metamyelocyte
12 -18
Band
10 -15
Neutrophil
10 -15
Q-Flag System
IP Message
300
BLASTS ?
300
200
200
100
100
Green, if
below 100
80
BLASTS ?
250
Red, if
above 100
Numerical value of the bar height
Sysmex Q-Flag system gives the operator the full picture.
Neutrophilia
< Normal >
Manual : 89.00%
XS
: 86.9%
Lymphocytosis
Manual : 52.75%
XS
: 66.0%
< Normal >
Monocytosis
< Normal >
Manual : 15.25%
XS
: 15.6%
Eosinophilia
Manual : 32.50 %
XS
: 30.5 %
< Normal >
Basophilia
< Normal >
Manual : 4.75%
XS
: 3.7 %