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Difference between revisions of "L4E rule 7-8 (2014)"
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This article covers '''L4E rule 7''' for the 2014 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2014]]. | This article covers '''L4E rule 7''' and '''L4E rule 8''' for the 2014 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2014]]. | ||
The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2014>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2014. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf]. Accessed on: 17 October 2017.</ref> | The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2014>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2014. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf]. Accessed on: 17 October 2017.</ref> | ||
==Overview== | ==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== | ==Details== | ||
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|- | |- | ||
| All specimen types | | All specimen types | ||
| 0.15 L4E/class 1 immunostain slide, 0.15 L4E/non-onerous special | | 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]] | | 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 | | 2 lung cores with CRC demonstrated with 5 IHC = 1 L4E ([[L4E rule 1|rule 1]]) + 5 x 0.15 L4E | ||
| Rule 7 | | Rule 7 | ||
| Line 25: | Line 23: | ||
| All specimen types | | All specimen types | ||
| 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]]; 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 0.15 L4E | ||
| Rule 7 | | Rule 7 | ||
| Line 31: | Line 29: | ||
| All specimen types | | All specimen types | ||
| 0.33 L4E/immunofluorescent stain | | 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 | | skin biopsy with 4 IFs = 1 L4E ([[L4E rule 1|rule 1]]) + 4 x 0.33 L4E | ||
| Rule 7 | | Rule 7 | ||
| Line 37: | Line 35: | ||
| All specimen types | | All specimen types | ||
| 0.5 L4E/class 2 immunostain slide | | 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 | | 2 breast cores with ER/PR/HER2 IHC = 1 L4E ([[L4E rule 1|rule 1]]) + 3 x 0.5 L4E | ||
| Rule 8 | | Rule 8 | ||
| Line 47: | Line 45: | ||
==See also== | ==See also== | ||
*[[L4E rules of 2014]]. | *[[L4E rules of 2014]]. | ||
*[[L4E rule 7-8 (2018)]]. | |||
==References== | ==References== | ||