Daniel Mercado Medical Center

Test :
HBsAg
Month :
APRIL 2012

Levey-Jennings Control Chart

Control Lot #:
Expiration:

LO

0.00

mg/dl MID

Machine :

ELECSYS 2010

Section :

SEROLOGY

ESTABLISHED DATA VALUES

0.60 mg/dl HI
1.20
mg/dl

SD 0.20

1.00

0.00
1
DAY
DATE
RESULT
RERUN

1
1-Apr

2-Apr

3-Apr

0.66

4-Apr

5-Apr

0.32

6-Apr

7-Apr

8-Apr

0.68

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

9-Apr

10-Apr

11-Apr

12-Apr

13-Apr

14-Apr

15-Apr

16-Apr

17-Apr

18-Apr

19-Apr

20-Apr

21-Apr

22-Apr

23-Apr

24-Apr

25-Apr

26-Apr

27-Apr

28-Apr

29-Apr

30-Apr

1-May

0.47

0.90

0.23

0.23

0.35

0.51

0.88

Control Lot #:
Expiration:

0.66

0.65

0.77

LO

0.80

mg/dl MID

25

26

27

ESTABLISHED DATA VALUES

2.00 mg/dl HI
3.20
mg/dl

SD 0.40

2.80

2.30
1.80
1.30

0.80
1

DAY
DATE
RESULT
RERUN

1
1-Apr

2-Apr

3-Apr

1.70

4-Apr

5-Apr

2.00

6-Apr

7-Apr

8-Apr

1.67

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

28

29

30

31

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

9-Apr

10-Apr

11-Apr

12-Apr

13-Apr

14-Apr

15-Apr

16-Apr

17-Apr

18-Apr

19-Apr

20-Apr

21-Apr

22-Apr

23-Apr

24-Apr

25-Apr

26-Apr

27-Apr

28-Apr

29-Apr

30-Apr

1-May

2.45

2.65

2.01

2.73

1.54

2.62

2.76

1.77

2.45

2.54

Signed:_______________________
Unit Manager

Hospital Name:
Section
Month/Year:
Starting DATE:

Daniel Mercado Medical Center

SEROLOGY
APRIL 2012
1-Apr

Control Lot #
Control Lot Expiration

2012-10

QC Level 1 Target

0.6

SD

QC Level 2 Target

2.00

SD

QC Level 3 Target

304.20

SD