METODE ALAT HEMATOLOGI

MINDRAY 231 & 311

N PARAMETER METODE LOD RANGE INTERFERENCE
O
Certain unusual RBC
Abnormalities that resist lysing,nucleated RBCs,
1. WBC IMPENDANCE < 2.0 X 109L 0.3-999.9 x 109 /L Fragmented WBCs, unlysed particles,very large or
Aggregated platelets a when anticoagulated with
oxalate or heparin

Very high WBC

Count,severe lipemia,certain unusual RBC
COLORIMETRI
2. HGB < 6.0 X 1012/L 10-250 g/L Abnormalities that resist lysing,anything that increases
C the turbidity of the sample such as elevated levels of
triglycerides

Very high WBC

3. HCT IMPENDANCE < 18.4 % Count,high concentration of very large platelets,
Agglutinated RBCs, RBC fragments

Very small red blood

Cells near the upper PLT threshold,cell fragments,
4. PLT IMPENDANCE < 82 X 109/L 10-999 x 109/L Clumped platelets as with oxalate or heparin, platelet
Fragments or cellular debris near the lower platelet
Threshold

Very high WBC

0.20-8.00 x
5. RBC IMPENDANCE < 2.37 X 1012/L Count,high concentration of very large platelets,
1012/L Agglutinated RBCs and smaller RBC

Very high WBC

6. MCV IMPENDANCE < 77.5 fL Count,high concentration of very large platelets,
Agglutinated RBCs, RBC fragments

7. MCH IMPENDANCE < 25.3 pg None

8. MCHC IMPENDANCE < 32.7 g/dL None

9. LYMPHOSIT# IMPENDANCE < 1.3 None

10. GRANULOSIT# IMPENDANCE < 0.6 None

11. IMPENDANCE < 0.1 None

MONOSIT
 ADVIA120

N PARAMETER METODE LOD RANGE INTERFERENCE

O
High WBC, lipermic
Extremely high bilirubin, interfere with
1. HGB CYANMET-HB < 5.7 g/dl 0-22.5 g/dl
Cyanmethemoglobin only, none with direct
Cellular Hb (CHCM)

FLOW Incomplete RBC

2. WBC <3.40 X109/L 0.02-400 x 103/µL
CYTOMETRIC Lysis ( peroxidase only )

FLOW Cold agglutinins

3. RBC < 2.22 X1012/L 0.0-7.0 x 106 /µL
CYTOMETRIC Extreme sickle cell

FLOW
4. PLT < 58 X109/ /L 5.0-3500 x103 /µL None
CYTOMETRIC

FLOW
5. RBC < 70.5fl None
CYTOMETRIC

FLOW None
6. MCV < 25.7 pg
CYTOMETRIC

FLOW
7. MCH < 27.0 g/dL None
CYTOMETRIC

FLOW
8. MPV < 6.0 fl None
CYTOMETRIC

FLOW
9. RDW < 11% None
CYTOMETRIC

FLOW
10. GRANULOSIT# < 1.0 g/dL None
CYTOMETRIC

FLOW
11. RETIC < 0.2 % 0.2-24.5 % None
CYTOMETRIC
 CELL – DYNE RUBY

N PARAMETER METODE LOD RANGE INTERFERENCE

O
Fragile WBC,
FLOW 9 Neutrophil aggregates, lytic – resistant RBCs,
1. WBC ( NOC ) < 0.10 X10 /L 3 3/
0.02 x10 – 246.8x10 µL
CYTOMETRIC NRBCs,PLT
Clumps, cryofibrinogen,cryoglobulins

Fragile WBC,
FLOW
2. WBC ( WOC ) < 0.10 X109/L 0.02x103 – 246.8x103/µL Neutrophil aggregates, lytic – resistant RBCs,
CYTOMETRIC NRBCs,PLT
Clumps, cryofibrinogen,cryoglobulins

Elevated WBC,
FLOW
3. RBC < 2.0 X1012/L 0.01x106 - 7.16x106 /µL Increase numbers of giant PLT,
CYTOMETRIC Autoagglutination, in vitro hemolysis

Elevated WBC,
FLOW Increase plasma substances ( triglycerides,
4. HGB < 2.0 g/dL 0.0 – 19.9 g/dL
CYTOMETRIC Bilirubin, in vivo hemolysis), lytic – resistant
RBCs

Elevated WBC,
FLOW
5. HCT < 5.0 % 13.0 – 60.0% Hyperglycemia, in vitro hemolysis,increased
CYTOMETRIC
Number of giant PLTs

Elevated WBC,
FLOW Hyperglycemia, in vitro hemolysis,increased
6. MCV < 20 fl 58 – 139 fL
CYTOMETRIC Number of giant PLTs

FLOW
7. MCH < 10 pg
CYTOMETRIC

FLOW
8. MCHC < 35 g/dL
CYTOMETRIC

FLOW
9. RDW < 3.0 %
CYTOMETRIC

WBC fragments, in
FLOW Vitro hemolysis, microtic RBCs,
10. PLT < 5.0 x109/L
CYTOMETRIC cryofibrinogen, cryoglobulins, PLT
clumping, increased number of giant PLT
11. FLOW < 3.0 fl 4.3 – 17.2 fL
CYTOMETRIC
MPV
 FLOW
12. RETC < 0.1 % 0.2 – 22.9 %
CYTOMETRIC
SYSMEX XN-1000

N PARAMETER METODE LOD RANGE INTERFERENCE

O
Rendah : agregasi leukosit
FLOW
WBC 0.00 0.00-440x103/µL
CYTOMETRY Tinggi : PLT clumps,
cryoprotein,cryoglobulin,fibrin, giant platelets

Rendah : agregasi eritrosit ( cold agglutinin ),

FLOW
RBC 0.00 0.00-8.60x106/µL Microerythrocytes, fragmented RBCs
CYTOMETRY Tinggi : Leukositos > 100000 /µL, giant Platelet

Renda : PLT clumps, pseudothromboctopenia,

giant platelet.
FLOW
PLT 0.00 0-5000x103/µL
CYTOMETRY Tinggi : microerythrocytes.fragmented RBCs,
cryoprotein, cryoglobulin

Tinggi : leukositosis, lipemia,abnormal protein

HGB SLS 0.0 0.0-26.0 g/dL
Rendah : agregasi eritrosit ( cold agglutinin ),
Microerythrocytes, fragmented RBCs
FLOW
HCT 0.0
CYTOMETRY Tinggi : leukositos, severe diabetes, uremia,
spherocytosis

FLOW
MCV 0.0
CYTOMETRY

FLOW
MCH 0.0
CYTOMETRY

FLOW
MCHC 0.0
CYTOMETRY

FLOW
RDW -SD 0.0
CYTOMETRY

FLOW
RDW-CV 0.0
CYTOMETRY

FLOW
PDW 0.0
CYTOMETRY

FLOW
MPV 0.0
CYTOMETRY
 FLOW
P-LCR 0.0
CYTOMETRY

FLOW
NRBC# 0.0
CYTOMETRY

FLOW
NRBC% 0.0
CYTOMETRY

FLOW
NEUT# 0.0
CYTOMETRY

FLOW
LYMPH# 0.0
CYTOMETRY

FLOW
MONO 0.0
CYTOMETRY

FLOW
EO 0.0
CYTOMETRY

FLOW
BASO# 0.0
CYTOMETRY

FLOW
NEUT % 0.0
CYTOMETRY

FLOW
LYMPH % 0.0
CYTOMETRY

FLOW
MONO % 0.0
CYTOMETRY

FLOW
EO % 0.0
CYTOMETRY

FLOW
BASO % 0.0
CYTOMETRY
 FLOW
IG# 0.0
CYTOMETRY

FLOW
IG# 0.0
CYTOMETRY

Tinggi : Erythrocite aggregation (cold

FLOW agglutinin), giant platelets,PLT
RET% 0.0
CYTOMETRY clumps,fragmented leukocytes,malaria,
Howell-Jolly body

Tinggi : Erythrocite aggregation (cold

FLOW 0.0000- agglutinin), giant platelets,PLT
RET 0.0
CYTOMETRY 0.7200X106µL clumps,fragmented leukocytes,malaria,
Howell-Jolly body

FLOW
WBC-BF 0.0
CYTOMETRY

FLOW
RBC-BF 0.0
CYTOMETRY

FLOW
MN 0.0
CYTOMETRY

FLOW
PMN 0.0
CYTOMETRY

FLOW
MN% 0.0
CYTOMETRY

FLOW
PMN% 0.0
CYTOMETRY

FLOW
TC-BF#
CYTOMETRY
N ALAT PARAMETER METODE RANGE INTERFERENCE
O
STAGO PT Elektro mekanik 11-12.5 detik HCT > 55%
Starmax N Memanjang pada :
Terapi Vitamin K antagonis, antibiotics
( streptomisin, Kanamisin,Kloramfenikol),
Antikoagulan ( warfarin ), Heparin,
fenibutazon, kuinidin, sulfonamide.
Penyakit hati,afibrinogemia, defisiensi
factor koaulasi,hemorraghic disease of the
newborn (HDN). Gangguan reabsorbsi
usus.

Memendek pada :
Tromboplebitis, infark
miokardial,embolisme pulmonal, pengaruh
terapi barbiturate, digitalis, diuretic,
kontrasepsi oral, rifampisin,
metaproterenol.

APTT Elektro mekanik 20-35 detik Memanjang pada :

Defisiensi bawaan hipofibrinogen,
flitzgerald factor, defisiensi Vit.K,

Memendek pada :
Tromboplebitis, infark
miokardial,embolisme pulmonal, pengaruh
terapi barbiturate, digitalis, diuretic,
kontrasepsi oral, rifampisin,
metaproterenol.

APTT Elektro mekanik 20-35 detik Memanjang pada :

Defisiensi bawaan hipofibrinogen,
flitzgerald factor, defisiensi Vit.K,

Memendek pada :
Penyakit hati ( Sirosis hati ), Leukimia,
VonWillebrand, malaria, koagulopati
konsumtif, DIC, terapi heparin, Coumadin.
INR Elektro mekanik < 1.5 Hanya boleh digunakan setelah respon
1.5-2.0 Low pasien stabil terhadap warfarin ( minimal
Intensity satu minggu terapi ). Standar INR tidak
2.0-3.0 Mod boleh digunakan jika pasien baru mulai
Intensity terapi warfarin untuk menghindari hasil uji
2.5-3.5 High yang salah.
Intensity
3.0-4.0 High
Intensity
5 Common
Critical Value
10 Common
Upper Limit
D Dimer Spektrofotometr 0.27-20 µ/ml Hemoglobin ( up to 2g/l)
i Conjugated bilirubin ( up to 290 mg/l),
unconjugated Bilirubin ( up to 200 mg/l)
Unfractionated heparin ( up to 2 IU/ml),
low molecular weight heparin ( up to 2 anti
– Xa IU /ml )
 METODE ALAT KIMIA

N NAMA
O ALAT PARAMETER METODE RANGE LOD INTERFERENCE
1 Cobas Lower
Conjugated bilirubin > 274
C311 detection
mmol/L or 16 mg/dL;
limit of
Unconjugated bilirubin >
the test
239 mmol/L or 14 mg/dL),
0.1
Hemolysis >435 umol/L or
Enzymatic 0.1-20.7 mmol/L mmol/L
700 mg/dl, Lipemia >L
colorimetric (3.86-800 (3.86
index 2000
Cholesterol method mg/dL) mg/dL)
Lower
Bilirubin > 1026 mmol/L
detection
or 60 mg/dL, Heinolysis >
limit of the
621 mmol/L or 1000
0.11-41.6 test 0.11
mg/d, Lipemia (dari
mmol/L (2- mmol/L (2
intralipid) >625 mg/dL
Glukosa Heksokinase 750 mg/dL) mg/dL)
Lower
detection Bilirubin > 1026 mmol/L
limit of or 60 mg/d, Hemolysis >
5-700 U/L the test 5 56 mmol/L or 90 mg/dL,
(0.08-11.7 U/L (0.08 Lipemia >500 mg/dL
AST/SGOT UV-Test ukat/L) ukat/L)
Lower
detection Bilirubin > 1026 mmol/L
limit of or 60 mg/d, Hemolysis >
5-700 U/L the test 5 56 mmol/L or 90 mg/dL,
(0.08-11.7 U/L (0.08 Lipemia >500 mg/dL
ALT/SGPT UV-Test ukat/L) ukat/L)
Conjugated bilirubin:
855umol/L or 50mg/dL
Lower and unconjugated
detection bilirubin: 342umol/L or
limit of 20 mg/dL) Hemolysis>
Enzymatic 3-1200 U/L the test 3 124 pmol/L or 200
colorimetric (0.05-20.0 U/L (0.05 mg/dL, lipemia >500
GGT assay ukat/L) ukat/L) mg/dL
Lower
detection Bilirubin > : 1026
limit of umol/L or 60 mg/dL
the test 5 Hemolysis > 124
5-1200 U/L U/L umol/L or 200 mg/dL,
Colorimetric (0.084-20 0 (0.084 Lipemia (dari intralipid)
ALP assay ukat/L) ukat/L) >L index of 2000.
Bilirubin Total Diazo method Lower Hemolysis > 310
0.1-35.0 detection umol/L or 500
mg/dL, limit of mg/dL, Lipemia > L
70.0 mg/dL the test index of 600
(ReRun) 1.7
umol/L
(0.1
 mg/dL)
Lower
detection
limit of
the test
0 - 15.0 1,2 Hemolysis > 15.5
mg/dL, > 18 umol/L umol/L or 25
mg/dL (Re- (0.07 mg/dL, Lipemia > L
Bilirubin Direct Diazo method Run) mg/dL) index of 750
Lower
detection Bilirubin(unconjugated) >
limit of 342 umol/L or 20 mg/dL,
the test Hemolysis 311 >umol/L or
Colorimetric 2.0-12.0 2.0 g/L 500 mg/dL, Lipemia >L
Total Protein assay g/dL (0.2 g/dL) index 2000
Conjugated
bilirubin >1026
umol/L or 60
mg/dL,
0.1-
0.1 uncojugated
10.0
mmol/L bilirubin 855
mmol/L
(8.85 umol/L or 50
(8.85-885
mg/dL) mg/dL, Hemolysis
mg/dL)
>248 umol/L or
Enzymatic 400 mg/dL,
colorimetric Triglycerides >
Trigliserida assay 3000mg/dL
Conjugated bilirubin
>513 umol/L or 30mg/dL
and Unconjugated
bilirubin 1026 umol/L or
60mg/dL, Hemolysis
Homogenous 0.08 >745 umol/L or 1200
enzymatic 0.08 - 3.12 mmol/L mg/dL, Triglycerides
colorimetric mmol/L (3- (3 >13.7 mmol/L or l200
HDL cholesterol test 121 mg/dL) mg/dL) mg/dL
Conjugated bilirubin and
Unconjugated bilirubin
>1026 umol/L or
Homogenous 0.10 - 14.2 0.10 60mg/dL, Hemolysis
enzymatic mmol/L mmol/L >621 umol/L or 1000
colorimetric (3.86-548 (3.86 mg/dL, Lipemia > L index
LDL cholesterol test mg/dL) mg/dL) 200
Conjugated bilirubin and
Unconjugated bilirubin
0.2 - 25.0 0.2 >684 umol/L or 40
Enzymatic mmol/L mmol/L mg/dL, Hemolysis >621
colorimetric (11.9-1487 (11.9 umol/L or 1000 mg/dL,
Uric Acid test mg/dL) mg/dL) Lipemia > L index 1500
Creatine UV-Test 7-2000 U/L 7 U/L Conjugated bilirubin and
Kinase (0.12-33.4 (0.12 Unconjugated bilirubin
 >1026 umol/L or
60mg/dL, Hemolysis
>124 umol/L or 200
mg/dL, Lipemia > L index
ukat/L) ukat/L) 1000
0.5 Conjugated bilirubin and
Kinetic test 0.5-40 mmol/L Unconjugated bilirubin
with urease mmol/L (3.0- (3.0 mg/dL >1026 umol/L or
and 240 mg/dL urea, 1.4 60mg/dL, Hemolysis
glutamate urea, 1.4-112 mg/dL >621 umol/L or 1000
dehydrogenas mg/dL urea urea mg/dL, Lipemia > L index
Ureum e nitrogen) nitrogen) 1000
2 Archite Bilirubin > 30mg/dL,
ct Plus Hb > 1000 mg/dL,
C4000 5- 800 Intralipid > 1000
Glucose Heksokinase mg/dL 2.5 mg/dL mg/dL
Bilirubin > 30mg/dL,
Hb > 62 mg/dL,
AST/SGOT NADH 0-913 U/L 2 U/L Intralipid > 550 mg/dL
Bilirubin > 30mg/dL,
Hb > 750 mg/dL,
ALT/SGPT NADH 0-942 U/L 2 U/L Intralipid > 550 mg/dL
L-Gamma-
glutamy1-3- Bilirubin > 30mg/dL,
carboxy-4- Hb > 250 mg/dL,
nitroanilide Intralipid > 1000
GGT Substrate 0-1543 U/L 2.5 U/L mg/dL
Bilirubin > 30mg/dL,
PNPP AMP Hb > 750 mg/dL,
ALP BUFFER 0-2200 U/L 5 U/L Intralipid > 750 mg/dL
Bilirubin > 31mg/dL,
0.1-15.0 Hb > 125 mg/dL, TG
Bilirubin Total Diazo Reaction mg/dL 0.04 mg/dL > 519 mg/dL
Spectrophot 0-51.1 0.03 Hb > 250 mg/dL, TG
Bilirubin Direct metric mg/dL mg/dL > 750 mg/dL
Bilirubin > 30mg/dL,
Hb > 125 mg/dL,
Total Protein Biuret 0-18.4 g/dL 0.5 g/dL Intralipid > 750 mg/dL
Bilirubin > 30mg/dL,
Hb > 750 mg/dL,
Bromcresol Intralipid > 1000
Albumin Green 0.4-10.5 g/dL 0.3 g/dL mg/dL
Bilirubin > 30mg/dL,
Hb > 1000 mg/dL,
Urea Nitrogen Urease 0-125 mg/dL 0.7 mg/dL Intralipid > 750 mg/dL
Creatinin Alkaline picrate- 0-38.7 mg/dL 0.05 mg/dL Bilirubin > 3.8mg/dL,
kinetic rate Hb > 500 mg/dL,
blanked Intralipid > 750
mg/dL, ascorbate 1.5
mg/dL, glucose 300
mg/dL, protein 9 g/dL
 Conjugated Bilirubin >
32.6mg/dL,
Unconjugated
Bilirubin > 32.4mg/dL,
Hb > 1000 mg/dL,
Accelerator Intralipid > 1000
Selective mg/dL, ascorbate 2.9
HDL Detergent 0-180 mg/dL 5 mg/dL mg/dL
Conjugated Bilirubin >
20mg/dL,
Unconjugated
Bilirubin > 20mg/dL,
Liquid Selective Hb > 500 mg/dL,
LDL Detergent 1-800 mg/dL 1 mg/dL ascorbate 50 mg/dL
Bilirubin > 7.5mg/dL,
Hb > 750 mg/dL,
Intralipid > 1000
mg/dL, ascorbate 1.5
Cholesterol Total Enzimatik 0-705 mg/dL 5 mg/dL mg/dL
Bilirubin > 7.5mg/dL,
Hb > 750 mg/dL,
Intralipid > 1000
5.0-1420 mg/dL, ascorbate 1.5
Triglyceride Enzimatik mg/dL 5 mg/dL mg/dL
Conjugated Bilirubin >
50mg/dL,
Unconjugated
Bilirubin > 50mg/dL,
UIBC Ferene 41-500 kg/dL 41 pg/dL Intralipid > 500 mg/dL
Conjugated Bilirubin >
66mg/dL,
Unconjugated
Bilirubin > 66mg/dL,
Hb > 500 mg/dL,
Intralipid >1500
mg/dL, Faktor
Immunoturbidi rheumatoid >550
CRM metry 0.2-320 mg/dL 0.2 mg/dL IU/ml
3 Advia 0-700 Bilirubin > 25mg/dL,
1800 mg/dL, Hemolysis > 500
>1190 mg/d mg/dL, Intralipid >
Glukosa (GLUH) HEKSOKINASE L (ReRun) 0 mg/dL 500 mg/dL
0-1000 U/L,
>6000 U/L Bilirubin > 30mg/dL,
AST/SGOT UV WITH P5P (Rerun) 0 U/L Intralipid > 488 mg/dL
Bilirubin > 30mg/dL,
0—1100 U/L, Hemolysis > 520
>6600 U/L mg/dL, Intralipid >
ALT/SGPT UV WITH PSP (Rerun) 0 U/L 488 mg/dL
GGT Modified IFCC 0-1200 U/L, 0 U/L Bilirubin > 30mg/dL,
>7200 U/L Hemolysis > 1000
 mg/dL, Intralipid >
(Rerun) 650 mg/dL
Bilirubin > 30
  0—1100
mg/dL , Hemolysis
> 250 mg/dL,
PNPP. AMP Lipemia (dari
U/L
ALP BUFFER 0 U/L intralipid) > 650
mg/dL.
  >6600 U/L  
(Re
  Run)  
Asam askorbat > 50
     
mg/dL ,
Hemolysis > 1000
Bilirubin Total mg/dL, Lipemia
0.1-35.0 0.1
(T- Bil) VANADAT (dari intralipid) >
E OXIDATION 750 mg/dL.
  mg/dL mg/dL  
  >70.0    
mg/dL(Re
Run)
0.0-15.0   Asam askorbat >
mg/dL 0 mg/dL 50 mg/dL ,
Bil
VANADA >22.5   Hemolysis > 750
irubin Direct
TE OXIDATION mg/dL mg/dL, Lipemia
(D- BIL)
(   (dari intralipid) >
Re Run) 1000 mg/dL.
Bilmlbin (unconjugated) >
25mg/dL, hemolysis
    >500mg/dL, Lipemia(dari
intralipid) > 500 mg/dL,
Dextran > 1500 ngdL.
2.0 - 12.0 g/dL,
Biuret, No Serum
Total Protein >24.0 2 g/dL  
Blank, End Point
gr/dL(Rerun)
     
     
     
     
     
Bilirubin > 30 mg/dL ,
    1-6 g/dL  
Hemolysis
> 525 mg/dL, Lipemia
Bromcresol >12 /dL (Re
Albumin 1 g/dL (dari intralipid) > 280
Green Run)
mg/dL.
Bilirubin > 30 mg/dL ,
    5-150
Hemolysis
Urea Nitrogen Uricase/Pero mg/dL   > 250 mg/dL, Lipemia
(UN) xidase (dari intralipid) > 650
mg/dL.
    >300  
mg/dL(Re
    Run)  
0.1-25 Bilirubin > 15 mg/dL ,
    0.1
mg/dL Hemolysis
>50.0 > 750 mg/dL, Lipemia
Creatlnin JAFFE mg/dL(Re mg/dL (dari intralipid) > 750
Run) mg/dL.
Bilirubin > 30 mg/dL ,
    0-20  
Hemolysis
> 525 mg/dL, Lipemia
Uricase/Pero
Uric Acid mg/dL 0 mg/dL (dari intralipid) > 280
xidase
mg/dL.
    >100 mg/dL    
(Re Run)
  20-700 U/L Bilirubin > 30
Lactate/N mg/dL , Lipemia (dari
LDH >4200 U/L(Re 20 U/L
AD intralipid) > 650
  Run) mg/dL.
Bilirubin > 30
5-115 mg/dL  
mg/dL , Hemolysis
> 500 mg/dL,
Lipemia (dari
HDL Katalase   5 mg/dL
intralipid) > 1000
mg/dL.
>230 mg/dL    
(Re Run)
Bilirubin
        (Conjugated) > 20
mg/dL
, Bilirubin
(Unconjugated) >
32 mg/dL
  Katalase     Hemolysis > 810
mg/dL, Lipemia
(dari intralipid) >
436 mg/dL
, Lipemia (dari
0-
LDL     konsentrat
1000
trigliserid)
    > 1009 mg/dL,
m 0
Asam askorbat > 50
g/dL mg/dL
mg/dL.
Cholesterol Bilirubin
  0-675  
Total (Unconjugated) > 30
mg/dL , Hemolysis >
Direct 525 mg/dL, Lipemia
  mg/dL 0 mg/dL
Measure (dari intralipid) > 65
mg/dL.
    >1350    
     mg/dL(Re    
Run)
Triglycerides   0-550  
Bilirubin
  GPO mg/dL 0 mg/dL
(Unconjugated) > 16
    >1100  
mg/dL , Hemolysis >
    mg/dL(Re   525 mg/dL.
Run)
Ion Selective
40- 40
Electrode
Natrium 205 mmol/L  
(ISE)
mmol/L
   
Ion Selective
1.5
Kalium Electrode 1.5-15
mmol/L  
4 AVL Ca (ISE) mmol/L
     
Ion Selective
Electrode
0.2- 0.2 Lithium dosis
Kalsium (ISE)
5.0 mmoI/L mmol/L tinggi
 
 
Ion Selective
Natrium Electrode 70 mmol/L  
(ISE)  
Jokoh
Ion Selective
Electrol
Electrode
5 yte Kalium 1 mmol/L  
(ISE)  
Analyze
   
r
Ion Selective
Chloride Electrode 70 mmol/L  
(ISE)  
Reverse Acetylated Hb
Phase Kation 50mg/dL, Albumin
  Exchange 20000mg/dL,
Chromatogra 3% -> 9
Conjugated Bilirubin
phy mmol/L   >100mg/dL,
Arkray HbAlc     Unconjugated
6
A1c       Bilinibin >l00mg/dL
  Reverse   Carbamylated Hb
Phase Kation 25mg/dL, Labile Hb
Exchange 2000mg/dL,
HbF 0% Rheumatoid Factor
Chromatogra
phy   750 IU/mL
Bilirubin less than
17.9 mg/dL or 306
mmol/L,
Capillary HbA2 0.0— Triglyceride
7 Sebia Electrophores 9.9 %, HbF concentration less
HbA1c is 0.0-713%   than 22.34 g/dL
Serum Protein Serum 55.8%,
Electrophoresi Capillary 2.9%, 7.1%,    
s: Albumin,
Alpha-1,
Alpha-2, Beta-
1, Beta-2, Electrophores 4.7%, 3.2%,
Gamma is 11.1%
 METODE ALAT SEROLOGI

ALAT PARAMETER METODE LOD LINEARITY INTERFERENCES

1. ARCHITECT I HBsAg Chemiluminescent Hemoglobin >
1000 SR   Microparticle Menentukan S/CO 500mg/dL
  Immunoassay (CMIA) kadar HBsAg <1.00 : NR
    dalam serum ≥ 1.00 : R Bilirubin >20mg/dL
     
      Triglyceride >3000
    mg/dL

Protein >12 g/dL

Anti HCV Chemiluminescent
  Microparticle Menentukan S/CO Hemoglobin >
  Immunoassay (CMIA) Kadar Anti HCV <1.00: NR 500mg/dL
    dalam serum ≥ 1.00 : R
      Bilirubin >20mg/Dl
     
    Triglyceride >3000
mg/dL

Protein >12 g/dL

Ferritin Chemiluminescent
Microparticle Menentukan 1.5 - 1200 Hemolisis
Immunoassay (CMIA) kadar Ferritin ng/mL
dalam serum

2. VIDAS 1 HBeAg Prinsip pengujian

Biomeriux   Immunoenzymatic, Menentukan i<0.1 Hemolisis
  pembacaan final kadar HBeAg Negative
fluorescent. dalam i≥1 Bilirubin>490µmol/L
serum/plasma Positive
Metode ELFA (enzyme-     Triglyceride > 10
linked Fluorescent   mg/mL
Immuno assay). Prinsip
reaksi sandwich, fase
padat antibody
monoklonal

ALFA FETO Prinsip pengujian 0.5 - 400 Hemolisis

PROTEIN immunoenzymatic, IU/mL
(AFP) pembacaan final 0.5 IU/mL   Bilirubin>196µmol/L
fluorescent.    
  Triglyceride >2 g/L
Metode ELFA (enzyme-
linked Fluorescent
Immuno assay). Prinsip
reaksi sandwich, fase
padat antibody
 
PROSTAT Prinsip pengujian Hemolisis
SPESIFIK Immunoenzymatic, 0.07 ng/mL 0 - 10
ANTIGEN pembacaan final   ng/mL Bilirubin>490µmol/L
 (PSA) fluorescent.    
    Triglyceride >10
Metode ELFA (enzyme-   mg/mL
linked fluorescent  
Immuno assay).Prinsip
reaksi sandwich, fase
padat antibody
 
 
CARCINO Prinsip pengujian
EMBRIONOC Immunoenzymatic, < 0.5 ng/mL 0 - 200 Hemolisis
ANTIGEN pembacaan final   ng/mL
(CEA) fluorescent.     Bilirubin > 30 mg/dl
   
Metode ELFA (enzyme-   Triglyceride > 30 g/L
linked fluorescent  
Immuno assay). Prinsip
reaksi sandwich,fase
padat antibody
monoklonal dan
konjugat antibody
poliklonal
 
 
THYROID Prinsip pengujian
STIMULATIN Immunoenzymatic, 0.05 µIU/mL 0.05 - 60 Hemolisis
G HORMONE pembacaan final   µIU/ml
(TSH) fluorescent.     Bilirubin> 513
    µmol/L
Metode ELFA (enzyme-  
linked Fluorescent Triglyceride>
Immuno assay). Prinsip 5mg/mL
reaksi sandwich, fase  
padat antibody
monoklonal dan
konjugat antibody
monoklonal
 
 
FERRITIN Prinsip pengujian
  Immunoenzymatic, 1.5 ng/mL 1.5 - 1200 Hemolisis
  pembacaan final   ng/mL
fluorescent.     Bilirubin>513
  µmol/L
Metode ELFA (enzyme-
linked Fluorescent Triglyceride >2 g/L
immuno assay). Prinsip
reaksi sandwich, fase
padat antibody
monoklonal anti ferritin
immunoglobulin,
konjugat antibody
monoklonal
FREE T4 (FT4) Prinsip pengujian
  Immunoenzymatic, 1 pmol/L 1 - 70 Hemolisis
  pembacaan final   pmol/L
 fluorescent.     Bilirubin >239
  µmol/L
Metode ELFA (enzyme-
linked Fluorescent Triglyceride > 2 g/L
Immuno assay). Prinsip
reaksi sandwich, fase
padat antibody
monoklonal dan
konjugat antibody
monoklonal
 
FREE T3 (FT3) Prinsip pengujian
  Immunoenzymatic, < 0.7 pmol/L 0,7 - 45 Hemolisis
  pembacaan final   pmol/L
fluorescent.     Bilirubin > 520
  µmol/L
Metode ELFA (enzyme-
linked Fluorescent Triglyceride >2 g/L
Immuno assay).
 
CA 125 Prinsip pengujian
  Immunoenzymatic, 4 U/mL 4 - 600 Hemolisis
  pembacaan final   U/mL
fluorescent.     Bilirubin > 364
  µmol/L
Metode ELFA (enzyme-
linked Fluorescent Triglyceride > 10
Immuno assay). Prinsip mg/mL
reaksi sandwich, fase
padat antibody
monoklonal dan
konjugat antibody
poliklonal
 
CA 19-9 Prinsip pengujian
  Immunoenzymatic, 3 U/ mL 3 - 500 Hemolisis
  pembacaan final   U/mL
fluorescent.     Bilirubin > 300
  µmol/L
Metode ELFA (enzyme-
linked Fluorescent Triglyceride > 2
Immuno assay). Prinsip mg/mL
reaksi sandwich, fase
padat antibody
monoklonal dan
konjugat antibody
monoklonal
 
PCT Metode ELFA (enzyme-
(PROCALCITONIN linked Fluorescent 0.05 ng/mL 0.05-200 Hemolisis
) Immuno assay).   ng/mL
        Bilirubin > 574
    µmol/L
Triglyceride > 30 g/L
Anti HBc Total Metode ELFA (enzyme-   I<1: Hemolisis
  linked Fluorescent   Positif
   Immuno assay).   1 ≤ I ,1.4 : Bilirubin > 50
  Equivocal µmol/L
  I ≥ 1.4 :
Negatif Triglyceride > 5
mg/mL
3. MINI VIDAS ANTI HAV Metode ELFA (enzyme-   < 15 Hemolisis
Biomeriux   linked Fluorescent   mIU/mL :
  Immuno assay).   Negative Bilirubin > 400
      ≥ 15 dan µmol/L
  <20
  mIU/mL : Triglyceride > 2
Bordeline mg/mL
Positif  
I≥
20mIU/m
L : Positif
4. MANUAL TES KEHAMILAN IMMUNOCHROMATOG Penilaian:    
  RAPHY (ICT) Positif : 2 garis    
    merah (garis    
    kontrol "C" dan    
    garis Test "T")    
  Negative : 1 garis
merah pada "C"
Nilai rujukan :
Negatif
IGM ANTI IMMUNOCHROMATOG Menentukan ada    
SALMONELLA RAPHY (ICT) tidaknya IgM    
  anti salmonella
dalam darah
HIV IMMUNOCHROMATOG Menentukan    
  RAPHY (ICT) antibody    
  terhadap HIV 1
dan 2
dalam serum
5. VIDAS 2 ALFA FETO Prinsip pengujian      
Biomeriux PROTEIN Immunoenzymatic, 0.5 IU/mL 0.5 - 400 Hemolisis
(AFP) pembacaan final   IU/mL
  fluorescent.     Bilirubin >
    196µmol/L
Metode ELFA (enzyme-
linked Fluorescent Triglyceride > 2 g/L
Immuno assay). Prinsip
reaksi sandwich, fase
padat antibody
 
 
 METODE ALAT SEKRESI – EKSKRESI

N NAMA PARAMETER METODE RANGE INTERFERENCE

O ALAT
1 Sysmex
UX-
2000
A. CHM Glucose Glucoseoxidase-   False (-) : ascorbid acid
peroxidase 30-
1000mg/d False (+) : hypochlorite, clorine,
L acidic urine pH < 4
Protein Protein-error   False (-) : acidlc urine pH < 3 False
reaction 10-600 (+) : alkaline urine pH +8,
mg/dL hemoglobin banyak, control
medium, high molecular subs.,

Bilirubin Diazonium salt   False (-) : ascorbid acid, uric acid,

0.5-10 nitrite False (+) : urobllinogen,
mg/dL ethodolac

Urobilinogen Diazonium salt 2-12 False (+) : Carbapenem

mg/dL
 
pH Chromogenic 5.0-9.0 Old urine increase alkalinity
Blood Pseudoperoxidas 0.03-1.0 False (-) : ascorbid acid, elevated
e mg/dL urine
  SG, elevated protein
 
False (+) : hypochlorite, chlorine
Ketones Na Nitropusside   False (+) : L-DOPA, BSP,
5-150 PSP,phenylketone, cephalosporine,
mg/dL aldose reductive antienzyme,
bucillamine.

Nltrite Sulfanilamlde   False (-) : ascorbid acid, urine with

0.08-0.5 elevated SG
mg/dL

Leukocytes Esterase   False (-) : Glucose>500mg/dL,

25-500 protein >300mg/dL, acidic urine,
Leu/uL urine with elevated SG
 
False (+) : formaldehyde
B. FCM RBC Fluorescence flow    
cytometry
WBC Fluorescence flow    
cytometry
Epithelial Fluorescence flow    
Cell cytometry
Cast Fluorescence flow    
cytometry
 Bacteria Fluorescence flow    
cytometry
X'TAL Fluorescence flow    
cytometry
YLC Fluorescence flow    
cytometry
Sperm Fluorescence flow    
cytometry
Mucus Fluorescence flow    
cytometry
Conductivity Fluorescence flow    
cytometry
2 Arkray pH F0T0METRI 3.0—8.0 pH Basa: Setelah makan, vegetarian,
Aution   REFLEKSIF alkalosis sistemik, ISK, spesimen
Eleven BIKROMATIK basi, Asidosis tubulus ginjal
 

pH Asam: Ketosis asidosis, asidosis

respiratorik, Diabetes
Berat Jenis F0T0METRI 1.005- Hasil rendah: Gg. Fungsi reabsorpsi
REFLEKSIF 1.030 tubulus, kadar glukosa tinggi,
BIKROMATIK nokturia.

Protein FOTOMETRI 0-600 Positif palsu:

REFLEKSIF mg/dL Hematuria
BIKROMATIK Infus polivinilprolidon, obat
  Kontaminasi urin oleh senyawa
  ammonium kuartener
  Urine sangat basa pH>8. Negatif
  palsu:
  Urin sangat encer
Urin sangat asam pH<3

Glukosa FOTOMETRI 0-1000 Positif palsu:

REFLEKSIF mg/dL Bahan pengoksidasi (hydrogen
BIKROMATIK peroksida, hipoklorit, klorin), urin
  sangat asam pH<4.
  Negatif palsu:
Pengaruh obat (Vit.C, as.hogentisat,
salisilat, asam idroksindolasetat),
berat jenls >1.020, pH urin tlnggi,
infeksl bakteri.

Leukosit FOTOMETRI 5-75 Kadar glukosa >500mg/dl, protein

REFLEKSIF Leu/mL urin
BIKROMATIK >300mg/dl
  berat jenis urin tinggi kadar asam
  oksalat tinggi
  Urin mengandung Cephaloxin,
  Tetrasiklin, Cephalotin.
Positif palsu:
 Urin mengandung pengawet
forinaldehid Urin basi.
Eritrosit FOTOMETRI 0-1.0 Positif palsu:
REFLEKSIF mg/dL Urin tercemar dete en yang
BIKROMATIK mengandung hipoklorid, peroksida,
  terdapat bakteri yang mengandung
  perokslda, sampel urin dari wanita
sedang haid.
Negatif palsu:
Mengandung vit.C dosis tinggi,
pengawet fomialdehid, nltrit tinggi,
protein tinggi, berat jenis sangat
tinggi.

Keton FOTOMETRI 0- Positif palsu:

REFLEKSIF 150mg/dL Diet rendah karbohidrat, tinggi
BIKROMATIK lemak, obat tertentu,
  Negatif palsu:
  Urin pada suhu niangan disimpan
dalam waktu lama, infeksi bakteri .

Urobilinogen FOTOMETRI 0-12 Positif palsu:

  REFLEKSIF mg/dL Obat (Fenazopiridin, Sulfonamid,
BIKROMATIK   Azetazolamid, Natrium bikarbonat,
  Pengawet formaldehid
  Kaya karbohidrat Urin basa
  Urin lama.

Negatif palsu:
Antibiotik oral )
Obat (ammonium klorida, vit.C),
Paparan sinar UV

Bilirubin FOTOMETRI 0-10 Negatif palsu:

REFLEKSIF mg/dL Urin mengandung asam askorbat,
BIKROMATIK nltrit tinggi, asam urat tinggi,
teroksidasi
 METODE ALAT BIOMOLEKULER

No Nama Alat Parameter Metode Range LOD Interference

1 Cobas Z480 Gen SARS- Real-Time Kontaminasi
CoV 2 Polymerase
Chain
Reaction
2 Roche Lightcycler Gen SARS- Real-Time Kontaminasi
CoV 2 Polymerase
Chain
Reaction
 METODE LAB APHERESIS

No Nama Alat Parameter Metode Range LOD Interference

1 Nano Entek Frend™ COVID-19 Immunoassay Positif / Blirubin >
System IgG/IgM POCT Negatif 20mg/dL
Hb > 500
mg/dL
Trigliserida>
3 g/dL
Protein> 12
g/dL
2 EFK Hemo Control Hemoglobin Azide 0 – 25.6 0 g/dL
Methemoglobin g/dL
(0 – 15.9
mmol/L)
ALAT CITO
 METODE ALAT HEMATOLOGI

No Nama Alat Parameter Metode Range LOD Interference

1 Mindray Hemoglobin Cyanide 0-250 g/l 0 g/L Very high WBC
BC- 6800 Free reagent count Severe
Lipemia
RBC Impedance 0-8x 1012/L 0 /L Very high WBC
count Agglutinated
RBC
PLT Impedance 0-5000x 0 /L Very small RBC
109/L Cell Fragmented
Clumped platelets
WBC Diff Flowcytometr 0-5000x 0 /L NRBC
& Counting y + Laser light 109/L Fragmented WBC
scatter + Very Large or
chemical dye aggregated platelets
method
2 Mindray Hemoglobin Kolorimetri 10-250 10 g/L Very high WBC
BC- 1800 g/L count Severe
Lipemia
RBC Impedance 0.20-8.00 0.20 x 1012 Very high WBC
X1012 /L /L count Agglutinated
RBC
WBC Impedance 0.3-99.9 0.3 x NRBC
X 109/L 109/L Fragmented WBC
Very Large or
aggregated platelets

No Nama Paramete Metode Range LOD Interference

. Alat r
3 TMS 50I ALT / UV WITH P5P 0 - 600 4 U/L Asam askorbat
SGPT U/L > 30 mg/dL
Biliribuin >
40mg/dl
Lipemia (TAG >
200 mg/dl) Hb >
400 mg/dL
AST / UV WITH P5P 0 - 700 0 U/L Asam askorbat
SGOT U/L > 30 mg/dL
Biliribuin >
40mg/dl
Lipemia (TAG >
200 mg/dl) Hb
 dalam serum
Alkali Tes 0 - 1.400 2 U/L Asam askorbat
Phospata Fotometrikine U/L > 30 mg/dL
se tik Biliribuin Direk
> 60mg/dl
Bilirubin Indirek
>25 Lipemia
(TAG > 200
mg/dl) Hb
dalam serum
Albumin Fotometri 0,2 - 6 0,2 / Asam askorbat
dengan g/dL dL > 30 mg/dL
Bromocresol Biliribuin >
Green 40mg/dl
Lipemia (TAG >
200 mg/dl) Hb >
400 mg/dL
Billirubin Fotometrik 0,1 - 10 0,1 Asam askorbat
Direk menggunakan mg/dL mg/dL > 30 mg/dL
2,4 Lipemia (TAG >
dichloroanilin 500 mg/dl) Hb >
e (DCA) 50 mg/dL
Bilirubin Fotometrik 0,1 - 30 0,07 Asam askorbat
Total menggunakan mg/dL mg/dL > 30 mg/dL
2,4 Lipemia (TAG >
dichloroanilin 500 mg/dl) Hb >
e (DCA) 50 mg/dL
Kolesterol Fotometrik 3 - 750 3 Asam askorbat
enzimatis mg/dL mg/dL > 30 mg/dL
Biliribuin >
20mg/dl
Lipemia (TAG >
2000 mg/dl) Hb
> 500 mg/dL
Kreatinin Kolorimetri 0,03 - 160 0,03 Asam askorbat
Enzimatik mg/dL mg/dl > 25 mg/dL
Biliribuin >
20mg/dl
Lipemia (TAG >
1500 mg/dl) Hb
> 400 mg/dL
Proline >12mg
Kreatinin Jaffe 0,2 - 1,5 0,2 Asam askorbat
FS mg/dL mg/dL > 30 mg/dL
 Biliribuin >
40mg/dl
Lipemia (TAG >
2000 mg/dl) Hb
> 500 mg/dL
Gamma Fotometrik 1200 U/L 2 U/L Asam askorbat
GT FS kinetik Szasz / > 30 mg/dL
Persijn Biliribuin >
40mg/dl
Lipemia (TAG >
2000 mg/dl) Hb
> 400 mg/dL
Glukosa Fotometrik 1 - 400 1mg/d Asam askorbat
GOD enzimatis mg/dL L > 15 mg/dL
Biliribuin >
40mg/dl
Lipemia (TAG >
2000 mg/dl) Hb
> 200 mg/dL
Glukosa Tes UV 2- 2 Asam askorbat
Hexokina Enzimatik 900mg/dl mg/dL > 30 mg/dL
se dengan pada 365 Biliribuin >
hexokinase nm 2 - 40mg/dl
500 Lipemia (TAG >
mg/dl 2000 mg/dl) Hb
pada > 500 mg/dL
334/340n
m
Trigliserid Enzimatik 2-1000 2 Asam askorbat
a kolorimetri mg/dL mg/dL > 3 mg/dL
dengan Biliribuin
glycerol-3- Terkonjuasi >
phosphate- 30mg/dl
oxidease Billirubin tak
(GPO) terkonjugasi >9
mg/dL Lipemia
(TAG > 1000
mg/dl) Hb > 500
mg/dL Dextran
>2000mg/dL
Total Fotometrik 0,05 - 15 0,05 Asam askorbat
Protein dengan g/dL g/dL > 30 mg/dL
metode Biliribuin >
biuret 40mg/dl
 Lipemia (TAG >
1000 mg/dl) Hb
> 500 mg/dL
Urea Tes UV   2- 2 mg/dL
enzimatik : 300
"Urease - mg/dL
GLDH" (dala
m
serum
plasm
a
30g/d
L)
(dala
m
urin)
Asam Tes 0,07 - 20 0,07 Billirubin
Urat Fotometrik mg/dL mg/dL >10mg/dL
enzimatik Lipemia (TAG >
menggunakan 2000mg/dL Hb
TBHBA (2,4,6- > 100mg/dL
tribromo-3-
hydroksybenz
oic acid)
Kolesterol HDL-C 1 - 180 1mg/d Asam askorbat
HDL Immuno FS md/dL L > 50 mg/dL
Biliribuin >
40mg/dl
Lipemia (TAG >
1200 mg/dl) Hb
> 500 mg/dL
Kolesterol LDL-C Select 1 - 400 1mg/d Asam askorbat
LDL FS L > 50 mg/dL
Biliribuin >
50mg/dl
Lipemia (TAG >
1200 mg/dl) Hb
> 500 mg/dL
Kalsium Penentuan 0,2 - 25 0,2 Asam askorbat
titik akhir mg/dL md/dL > 30 mg/dL
fotometri Biliribuin >
dengan 60mg/dl
phosphonazo Lipemia (TAG >
III 1200 mg/dl) Hb
 > 1000 mg/dL
Mg >20 mg/dL
CRP Particle 0,05 - 20 0,05 Biliribuin >
enhanced mg/dL mg/dL 40mg/dl
immuno Lipemia (TAG >
turbidimetric 1200 mg/dl) Hb
test > 1000 mg/dL
Magnesiu Penentuan 0,05 - 5 0,05 Asam askorbat
m titik akhir mg/dL mg/dl > 30 mg/dL
fotometri Biliribuin >
dengan 40mg/dl
xylidyl blue Lipemia (TAG >
2000 mg/dl)
Kalsium >25
mg/dL
4 Phox Na+ Direct ISE 80 - 20 80 Sulf Hb
Plus L mmo;/L mmol/
Nova L
Biomedic K+ Direct ISE 1 - 20 1  
al mmol/L mmol/
L
Ca+ Direct ISE 0,1 - 2,7 0,1  
mmol/L mmol/
L
Glukosa Enzyme / 15 - 15  
Amperometri 500mg/dL mg/dL
Laktat Enzyme / 0,3 - 20 0,3  
Amperometri mmol/L mg/dl
Cl- Direct ISE 50 - 200 50  
mmol/L mmol/
L
pH Direct ISE 6,50 - 8,00 6.5  
pCO2 Severinghouse 3,0 - 3,0  
200mmHg mmHg
pO2 Amperometric 0 - 800 3,0  
mmHg mmHg
SO2% Optical 300 - 30%    
100 %
Hematokrit Conductivity / 4,0 - 24,0 4,0 g/dl  
Na+ correction g/dl
Hemoglobi Multi 12% - 70% 12%  
n wavelenght
reflectence /
Conductivity
correction
             
5 GEM pH Potentio Metric 6,80 - 7,80 6.8 Flaxedil 2mg/dL
3500 Ethanol 350mg/dL
 Premier Acetaminofen 15
Analyzer mg/dL Isoniazid
2mg/dL
Thiocynate
10mg/dL
Hidroxyurea
10mg/dL Sodium
fluoride 1 g/dL
Potassium oxalate
1g/dL
pCO2 Potentio Metric 5 - 115 5  
mmHg mmHg
pO2 Ampero metric 0 -760 0  
mmHg mmHg
Na+ Potentio Metric 100 - 200 100  
mmol/L mmol/
L
K+ Potentio Metric 0,1 - 20,0 0,1  
mmol/L mmol/
L
Ca++ Potentio Metric 0,10 - 5,00 0,10  
mmol/L mmol/
L
Glu Ampero metric 5 - 50 5  
mg/dL mg/dL
Lac Ampero metric 0,2 - 15 0,2  
mmol/L mmol/
L
Hct Conductivity 15 - 65% 12%  
HCO3 Potentio Metric 3,0 - 60 3,0  
mmol/L mmol/
L
BE Potentio Metric (-30) - 30 -30  
SO2% Optical 0 - 100% 0%  
             
6 Rapid Sodium Ion Selective   115 Trigliserida <
Chem Electroda mmol/ 500mg/dL
Elektroly L Hiperproteinemia
te Kontaminasi
EDTA
Potassium Ion Selective   3 Trigliserida <
Electroda mmol/ 500mg/dL
L
Choride Ion Selective   90 Trigliserida <
Electroda mmol/ 500mg/dL
L Hiperproteinemia
Kontaminasi
EDTA
             
7 AVL Sodium Ion Selective 40 - 205 1 or 0,1 -
Ca/Cl Electroda mmol/L mmol/
 L
Potassium Ion Selective 1,5 - 15 1 or -
Electroda mmol/L 0,01
(0,8 - 15 mmol/
mmol/L L
dialysate)
Calcium Ion Selective 0,2 - 5,0 1 or 0,1 -
Electroda mmol/L mmol/
L
Chloride Ion Selective 50 - 200 0,01 or Salicilate in
Electroda mmol/L 0,001 extremely high
mmol/ level
L
Lithium Ion Selective 0,1 - 6,0 0,01 or -
Electroda mmol/L 0,001
mmol/
L
Urine Ion Selective 1 - 300 1 -
Electrolyte Electroda mmol/L mmol/
L
Urine Ion Selective 1 - 300 1 -
Electrolyte Electroda mmol/L 4,5 mmol/
Sodium - 120 mol/L L 0,1
Potassium (60 - 120 mmol/
Cholride with L1
additional mmol/
dilution 1 - L
300
mmol.L)

ALAT PARAMETER METODE RANGE LOD INTERFERE

NCES
VIDAS hs-Troponin ELFA 1,5 - 40.000 < 0,01 ng/dl Hemolisis >
I ng/L 300
mmol/L,
Bilirubin >
850
mmol/L,
Triglyceride
> 30 g/L
NT Pro BNP ELFA 20 - 25.000 < 20 pg/ml Albuminem
pg/ml ia > 100
g/L, human
IgG > 17
g/L, Human
IgM > 6 g/L,
Rheumatoi
d factor >
1500 IU/ml,
hemolisis >
 300 mmol/L
atau 485
mg/dl,
lipemia >
30 g/L,
bilirubinemi
a 510
mmol/L
atau 30
mg/dl
Ferritin Prinsip pengujian 1.5 - 1200 1,5 ng/ml Hemolisis
Immunoenzymatic, ng/mL
pembacaan final
fluorescent.
Procalcitoni ELFA 0.05-200 0.05 ng/mL Hemolisis,
n ng/mL Bilirubin >
574
mmol/L,
Triglyceride
> 30 g/L
  D Dimer ELFA 45-10.000 <45 ng/ml Hemolisis >
nm/ml 300
mmol/L,
Bilirubin >
537
mmol/L,
Lipemia >
20 g/L,
Rheumatoi
d factor >
396 IU/ml
COBAS HBsAg ECLIA   0,01 IU/ml Bilirubin <
E411 684 mmol/L
atau <40
mg/dl,
hemoglobin
< 1,37
mmol/L
atau < 2200
mg/dl,
biotin < 180
nmol/L
atau < 44
ng/ml,
albumin <
22,0 g/dl
Anti HIV ECLIA NR < 1,0   Hemoglobi
COI, R > 1,0 n 500
COI mg/dl,
Lipemia
1500 mg/dl,
 Bilirubin 60
mg/dl,
Biotin in
serum 63
n+F14g/dl,
Biotin in
plasma 49
ng/ml,
human
serum
albumin 10
g/dl,
Rheumatoi
d factor
1500 IU/ml
SARS COV 2 ECLIA NR < 1,0   Bilirubin <
COI, R > 1,0 1129
COI mmol/L
atau < 66
mg/dl
Anti HCV ECLIA NR < 0,90   Hemoglobi
COI, R > 1,0 n 1,0 g/dl,
COI Bilirubin 66
mg/dl,
lipemia
2000 mg/dl,
Biotin 44
ng/ml,
Total
protein 20
g/dl
IL 6 ECLIA 1,5 - 5000 1,5 pg/ml Bilirubin <
pg/ml 684 mmol/L
atau < 40
mg/dl,
hemoglobin
< 0,621
mmol/L
atau < 1000
mg/dl,
Intralipid <
1500 mg/dl,
Biotin < 123
nmol/L
atau < 30
ng/ml,
Rheumatoi
d Factors <
1200 IU/ml
Antibodi ECLIA NR < 1,0   Bilirubin
SARS COV 2 COI, R > 1,0 <1129
 COI mmol/L
atau < 66
mg/dl,
hemoglobin
1000 mg/dl,
Intralipid
2000 mg/dl,
Biotin <
4912
nmol/L
atau < 1200
ng/ml,
Rheumatoi
d factors
1200 IU/ml,
IgG 7,0
g/dl, IgA 1,6
g/dl, IgM
1,0 g/dl
Sifilis ECLIA NR < 1,0   Bilirubin
COI, R > 1,0 <1129
COI mmol/L
atau < 66
mg/dl,
hemolisis
500 mg/dl,
lipemia <
2000 mg/dl,
human
serum
albumin
<10 g/dl,
human IgG
< 32 g/L,
human IgM
< 10 g/L,
human IgA
<2,8 g/L,
biotin < 246
nmol/L
atau < 60
ng/mL

10 Arkray pH F0T0METRI 3.0—8.0 pH Basa: Setelah makan, vegetarian,

Aution   REFLEKSIF alkalosis sistemik, ISK, spesimen
Eleven BIKROMATIK basi, Asidosis tubulus ginjal
 

pH Asam: Ketosis asidosis, asidosis

respiratorik, Diabetes
Berat Jenis F0T0METRI 1.005- Hasil rendah: Gg. Fungsi reabsorpsi
REFLEKSIF 1.030 tubulus, kadar glukosa tinggi,
BIKROMATIK nokturia.

Protein FOTOMETRI 0-600 Positif palsu:

REFLEKSIF mg/dL Hematuria
BIKROMATIK Infus polivinilprolidon, obat
  Kontaminasi urin oleh senyawa
  ammonium kuartener
  Urine sangat basa pH>8. Negatif
  palsu:
  Urin sangat encer
Urin sangat asam pH<3

Glukosa FOTOMETRI 0-1000 Positif palsu:

REFLEKSIF mg/dL Bahan pengoksidasi (hydrogen
BIKROMATIK peroksida, hipoklorit, klorin), urin
  sangat asam pH<4.
  Negatif palsu:
Pengaruh obat (Vit.C, as.hogentisat,
salisilat, asam idroksindolasetat),
berat jenls >1.020, pH urin tlnggi,
infeksl bakteri.

Leukosit FOTOMETRI 5-75 Kadar glukosa >500mg/dl, protein

REFLEKSIF Leu/mL urin
BIKROMATIK >300mg/dl
  berat jenis urin tinggi kadar asam
  oksalat tinggi
  Urin mengandung Cephaloxin,
  Tetrasiklin, Cephalotin.
Positif palsu:
Urin mengandung pengawet
forinaldehid Urin basi.
Eritrosit FOTOMETRI 0-1.0 Positif palsu:
REFLEKSIF mg/dL Urin tercemar dete en yang
BIKROMATIK mengandung hipoklorid, peroksida,
  terdapat bakteri yang mengandung
  perokslda, sampel urin dari wanita
sedang haid.
Negatif palsu:
Mengandung vit.C dosis tinggi,
pengawet fomialdehid, nltrit tinggi,
protein tinggi, berat jenis sangat
tinggi.

Keton FOTOMETRI 0- Positif palsu:

REFLEKSIF 150mg/dL Diet rendah karbohidrat, tinggi
BIKROMATIK lemak, obat tertentu,
  Negatif palsu:
  Urin pada suhu niangan disimpan
dalam waktu lama, infeksi bakteri .
Urobilinogen FOTOMETRI 0-12 Positif palsu:
  REFLEKSIF mg/dL Obat (Fenazopiridin, Sulfonamid,
BIKROMATIK   Azetazolamid, Natrium bikarbonat,
  Pengawet formaldehid
  Kaya karbohidrat Urin basa
  Urin lama.

Negatif palsu:
Antibiotik oral )
Obat (ammonium klorida, vit.C),
Paparan sinar UV

Bilirubin FOTOMETRI 0-10 Negatif palsu:

REFLEKSIF mg/dL Urin mengandung asam askorbat,
BIKROMATIK nltrit tinggi, asam urat tinggi,
teroksidasi