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Understanding the 'Silver Book' - An important reference for standardised nomenclature in clinical laboratory
Robert Flatman1, Georges Férard2, René Dybkaer3
1Sullivan Nicolaides Pathology, Brisbane, Queensland, Australia.
Summary
Standardized nomenclature in clinical laboratories is crucial for accurate testing. The Silver Book provides recommendations for logical naming conventions across laboratory disciplines, improving patient data representation.
Area of Science:
- Clinical Laboratory Science
- Biomedical Informatics
Background:
- Clinical laboratories conduct a wide array of tests.
- Clear, standardized nomenclature is essential for accurate test requesting, examination, and ordering.
- Existing nomenclature can lack uniformity across different laboratory disciplines.
Purpose of the Study:
- To introduce the Silver Book (SB) as a comprehensive guide for standardized nomenclature in clinical laboratory sciences.
- To highlight the SB's recommendations for logical nomenclature, symbols, properties, and units.
- To emphasize the broad applicability of SB recommendations across various laboratory disciplines.
Main Methods:
- The study reviews the recommendations published in the Silver Book (SB).
- It emphasizes the foundational principles from international organizations like ISO, BIPM, IUPAC, and IFCC.
- It discusses practical applications of these principles in laboratory settings.
Main Results:
- The Silver Book offers standardized nomenclature for all examination types, including quantitative and qualitative properties.
- Recommendations are applicable beyond clinical chemistry to disciplines like hemostasis, toxicology, microbiology, and molecular biology.
- The SB aligns with international standards from ISO, BIPM, IUPAC, and IFCC.
Conclusions:
- Standardized nomenclature, as recommended by the Silver Book, is vital for safe and effective patient health information.
- These standards enhance data portability and support the development of future decision support systems.
- The International Union of Pure and Applied Chemistry (IUPAC) and the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) play key roles in developing these essential standards.
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