L4E rule 7-8 (2018) - Revision history

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2019-05-20T01:19:53Z

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	\|-		\|-
	\| All specimen types		\| All specimen types
	\| 0.15 L4E/[[Quality#Classification_of_IHC_tests\|class 1 immunostain]] slide, 0.15 L4E/non-onerous special stain		\| 0.125 L4E/[[Quality#Classification_of_IHC_tests\|class 1 immunostain]] slide, 0.125 L4E/non-onerous special stain
	\| does '''not''' include [[Quality#Classification_of_IHC_tests\|class 2 IHC test]]s † (e.g. ER/PR/HER2 for breast ca), does '''not''' include so called ''onerous special stains'' (see below), 1 IHC = 0.33 L4E, 2 IHC = 0.66 L4E, 3 IHC = 1 L4E ...		\| does '''not''' include [[Quality#Classification_of_IHC_tests\|class 2 IHC test]]s † (e.g. ER/PR/HER2 for breast ca), does '''not''' include so called ''onerous special stains'' (see below), 1 IHC = 0.125 L4E, 2 IHC = 0.25 L4E, 3 IHC = 0.75 L4E ...
	\| 2 lung cores with CRC demonstrated with 5 IHC = 1 L4E ([[L4E rule 1\|rule 1]]) + 5 x 0.15 L4E		\| 2 lung cores with CRC demonstrated with 5 IHC = 1 L4E ([[L4E rule 1\|rule 1]]) + 5 x 0.125 L4E
	\| Rule 7		\| Rule 7
	\|-		\|-
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	\| 0.5 L4E/onerous special stain		\| 0.5 L4E/onerous special stain
	\| includes only time consuming special stains: [[Warthin-Starry stain]], [[ZN stain]], [[Fite stain]]; stain must be ordered by pathologist - if the stain is done upfront/routinely by the lab it is not counted ‡		\| includes only time consuming special stains: [[Warthin-Starry stain]], [[ZN stain]], [[Fite stain]]; stain must be ordered by pathologist - if the stain is done upfront/routinely by the lab it is not counted ‡
	\| one lung core biopsy with granulomas - ZN, GMS, PASD done = 1 ([[L4E rule 1\|rule 1]]) + 0.5 + 2 x 0.15 L4E		\| one lung core biopsy with granulomas - ZN, GMS, PASD done = 1 ([[L4E rule 1\|rule 1]]) + 0.5 + 2 x 0.125 L4E
	\| Rule 7		\| Rule 7
	\|-		\|-
	\| All specimen types		\| All specimen types
	\| 0.33 L4E/immunofluorescent stain		\| 0.25 L4E/immunofluorescent stain
	\| applies only to immunofluorescent stains (IFs)		\| applies only to immunofluorescent stains (IFs)
	\| skin biopsy with 4 IFs = 1 L4E ([[L4E rule 1\|rule 1]]) + 4 x 0.33 L4E		\| skin biopsy with 4 IFs = 1 L4E ([[L4E rule 1\|rule 1]]) + 4 x 0.25 L4E
	\| Rule 7		\| Rule 7
	\|-		\|-

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2019-05-20T01:10:38Z

Michael: Michael moved page L4E rule 7 (2018) to L4E rule 7-8 (2018): match previous

2019-05-20T01:10:29Z

Michael moved page L4E rule 7 (2018) to L4E rule 7-8 (2018): match previous

← Older revision		Revision as of 01:10, 20 May 2019
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This article covers '''L4E rule 7''' and '''L4E rule 8''' for the 2018 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2018]].

The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref>

==Overview==
*Rule 7 applies to specimens with additional stains and/or diagnostic ([[Quality#Classification_of_IHC_tests|class 1]]) immunostains requested by the pathologist.
*Rule 8 applies to specimens with [[Quality#Classification_of_IHC_tests|class 2 immunostains]] (e.g. ER/PR/HER2 for breast cancer).

==Details==
{| class="wikitable sortable"
! Specimen type(s)
! Weight (L4E)
! Details
! Examples
! Rule
|-
| All specimen types
| 0.15 L4E/[[Quality#Classification_of_IHC_tests|class 1 immunostain]] slide, 0.15 L4E/non-onerous special stain
| does '''not''' include [[Quality#Classification_of_IHC_tests|class 2 IHC test]]s † (e.g. ER/PR/HER2 for breast ca), does '''not''' include so called ''onerous special stains'' (see below), 1 IHC = 0.33 L4E, 2 IHC = 0.66 L4E, 3 IHC = 1 L4E ...
| 2 lung cores with CRC demonstrated with 5 IHC = 1 L4E ([[L4E rule 1|rule 1]]) + 5 x 0.15 L4E
| Rule 7
|-
| All specimen types
| 0.5 L4E/onerous special stain
| includes only time consuming special stains: [[Warthin-Starry stain]], [[ZN stain]], [[Fite stain]]; stain must be ordered by pathologist - if the stain is done upfront/routinely by the lab it is not counted ‡
| one lung core biopsy with granulomas - ZN, GMS, PASD done = 1 ([[L4E rule 1|rule 1]]) + 0.5 + 2 x 0.15 L4E
| Rule 7
|-
| All specimen types
| 0.33 L4E/immunofluorescent stain
| applies only to immunofluorescent stains (IFs)
| skin biopsy with 4 IFs = 1 L4E ([[L4E rule 1|rule 1]]) + 4 x 0.33 L4E
| Rule 7
|-
| All specimen types
| 0.5 L4E/class 2 immunostain slide
| does '''not''' apply to IHCs done in a diagnostic context, e.g. using ER to demonstrate metastatic breast ca in a vertebra body
| 2 breast cores with ER/PR/HER2 IHC = 1 L4E ([[L4E rule 1|rule 1]]) + 3 x 0.5 L4E
| Rule 8
|}

Notes:
*‡ Stomach biopsies which (routinely) come with a Warthin-Starry are not counted.

==See also==
*[[L4E rules of 2018]].
*[[L4E rule 7 (2014)]].

==References==
{{Reflist|1}}

[[Category:Workload]]

← Older revision		Revision as of 01:10, 20 May 2019
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	==See also==		==See also==
	*[[L4E rules of 2018]].		*[[L4E rules of 2018]].
	*[[L4E rule 7 (2014)]].		*[[L4E rule 7-8 (2014)]].

	==References==		==References==