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Unity among the units - a position paper by the DGKL.

Ralf Junker1, Andreas Bietenbeck2, Michael Kiehntopf3

  • 1Institute for Clinical Chemistry, Schleswig-Holstein University Hospital, Kiel, Germany.

Clinical Chemistry and Laboratory Medicine
|March 17, 2026
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Summary

Laboratory medical units in Germany remain inconsistent post-reunification. Standardizing measurement units enhances patient safety and enables secure digital health records by reducing treatment errors from misinterpreted lab findings.

Keywords:
SIlaboratory unitspatient safetysemantic operabilitystandardization

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Area of Science:

  • Medical Laboratory Science
  • Clinical Chemistry
  • Health Informatics

Background:

  • Discrepancies persist in laboratory medical measurement units between eastern (SI units) and western (conventional units) Germany over 30 years post-reunification.
  • Mixed unit usage is observed in border regions and Berlin, particularly in multi-regional institutions.
  • Global trends favor uniform national measurement unit standards.

Purpose of the Study:

  • To summarize the risks of inconsistent laboratory measurement units.
  • To present opportunities for standardization and criteria for selecting appropriate units.
  • To propose a unified approach to laboratory medical parameter units in Germany.

Main Methods:

  • Review and summarization of risks associated with inconsistent units.
  • Development of decision criteria for unit selection.
  • Drafting a proposal for Germany-wide unit standardization based on international standards.

Main Results:

  • Inconsistent units pose risks of incorrect treatment due to misinterpreted laboratory findings.
  • Standardization enhances patient safety through secure physician communication.
  • Standardized units improve interoperability in digital medicine and electronic health records.

Conclusions:

  • Standardizing laboratory measurement units is crucial for patient safety and efficient healthcare.
  • Clearer unit semantics and standardization facilitate reliable digital health processes.
  • A recommendation for Germany-wide uniform units, based on international standards, has been drafted.