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 Release 22.0, Sept. 2008
 
Chapter : ch40. Unit Conversions Section : Unit Conversions
  Introduction to SI Units

  Online Excel Reference
Copyright (c) 2008-2010, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

SI Units is the abbreviation for le Système international d'Unités  which is the international standard for reporting laboratory data, providing a uniform method which allows comparison of information throughout the world. While endorsed in this country for over 20 years, most laboratory data in the United States is still reported in the "conventional" units used historically; these unfortunately can be arbitrary or confusing.

 

In addition to simplifying the exchange of information globally, certain practical issues make the SI unit system attractive. For example, the weight of a compound present is of less import than knowing the number of moles or ion equivalents present when calculating metabolic balance equations.

 

The SI recognizes 7 "base" units, and a number of units derived from these base units.

 

Base Units

Name

Symbol

amount of substance

mole

mol

electric current

ampere

A

luminous intensity

candela

cd

length

meter

m

mass

kilogram

kg

pressure

newton

N

thermodynamic temperature

kelvin

K

time

second

s

 

Units derived from these base units include area, volume, clearance, pressure, density, molality, concentration and energy. For enzyme activity the unit is the katal, which indicates the number of moles of substrate converted per second under defined conditions.

 

Each specimen has an abbreviation, which can be further specified by a prefix.

 

Specimens

Abbrev

amniotic fluid

Amf

blood

B

duodenal fluid

Df

erythrocyte(s)

Erc(s)

feces

F

gastric fluid

Gf

hair

H

leukocytes

Lkcs

peritoneal fluid

Peritf

plasma

P

pleural fluid

Plf

seminal fluid

Semf

serum

S

synovial fluid

Synf

tissue

Tis

urine

U

 

 

Prefixes for Specimens

Abbrev

arterial

a

capillary

c

fasting

f

venous

v

24 hour

d

 

 

When very large or small units are involved, a symbol is used for the appropriate multiple of 10 involved, according to the following table:

 

Factor

Prefix

Symbol

10^12

tera

T

10^9

giga

G

10^6

mega

M

10^4

myria

my

10^3

kilo

k

10^2

hecto

h

10^1

deka

da

10^(-1)

deci

d

10^(-2)

centi

c

10^(-3)

milli

m

10^(-6)

micro

µ

10^(-9)

nano

n

10^(-12)

pico

p

10^(-15)

femto

f

10^(-18)

atto

a

 

 

Some style conventions (after Young, 1987):

(1) A symbol or abbreviation should be in lowercase, except for kelvin (K), ampere (A) and liter (L).

(2) Symbols are not followed by a period (.) except at the end of a sentence.

(3) Symbols are not followed by an "s" if multiple ones are present.

(4) When numbers are expressed, the associated abbreviation is preferred to the textual term, and this should be separated from the number by a blank space.

(5) Do not mix the textual term (kilogram, etc.) with abbreviations (s, mol, etc.).

(6) A product of units is indicated by a "•" (not "*" or "x").

(7) If more than one solidus ("/") occurs in the expression (example: mL per s per meter square), only one "/" is shown with symbols to the right of it expressed as a product (example: mL / (s • m^2)).

(8) Decimals are preferred to fractions.

(9) A "0" is placed before decimals less than 1.

(10) Spaces are preferred to commas for separating long numbers, with insertion every 3 columns from the right.

 

Some analytes require that the reference intervals be specified for:

(1) gender

(2) race

(3) age

(4) methodology

 

Symbols for Expressing non-SI Unit Time Intervals

 

Time

Symbol

minutes

min

hour

h

day

d

week

wk

month

mo

year

y

 

  References:

American Society of Clinical Pathology. SI Conversion Guide. adapted from AJCP. 1987; 87:140-151.

Conversion Table for SI Units. Transfusion 1990; 30:79-90.

JAMA Instructions for Authors. 1997; 278: 74-76.

Jordan CD, Flood JG, et al. Normal reference laboratory values. NEJM. 1992; 327: 718-724.

Lehmann HP, Henry JB. Appendix 4: SI Units. pages 1449-1462. IN: Henry JB. Clinical Diagnosis and Management by Laboratory Methods, Nineteenth Edition. W.B. Saunders. 1996.

Lundberg GD. SI Unit Implementation - the next step. JAMA. 1988; 260: 73-74.

McQueen MJ. SI Unit Pocket Guide. ASCP Press. Chicago. 1990.

Tietz NW (editor). Clinical Guide to Laboratory Tests, Third Edition. W.B. Saunders Co. 1995.

Wallach J. Interpretation of Laboratory Tests, 6th edition. Little, Brown and Company. 1996. pages 923-936.

Wallach J. Interpretation of Laboratory Tests, 7th edition. Lippincott Williams & Wilkins. 2000. page 978,

Wilson JD, Foster DW. Williams Textbook of Endocrinology, 8th Edition. W.B. Saunders Co. 1992. (front cover interleaf)

Young DS. Implementation of SI Units for Clinical Laboratory Data. Ann Intern Med. 1987; 106:114-129.

 

 

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