Title: Re: [USMA:35378] Re: proper use of SI symbols in healthcare
Most applications that use UNICODE (eg the Internet) express UNICODE in UTF-8 format.  UTF-8 uses a variable number of bytes per characters - one byte for ASCII characters and two bytes for Greek characters.   
----- Original Message -----
Sent: Saturday, January 07, 2006 9:46 PM
Subject: [USMA:35594] Re: proper use of SI symbols in healthcare

Paul, a field capable of storing UNICODE characters basically takes twice the space in memory, cache, disk, etc. Here is a link to aquick list of database tuning tips:  http://www.sql-server-performance.com/datatypes.asp . You could minimize the impact on database performance by using a properly normalized data structure – that is to say put them in a look-up table. More information on this is available at http://www.datamodel.org/NormalizationRules.html . If you would like further discussion of this, feel free to contact me offline.


--
Scott Hudnall





From: "Paul Trusten, R.Ph." <[EMAIL PROTECTED]>
Date: Sat, 7 Jan 2006 10:50:40 -0600
To: <[EMAIL PROTECTED]>
Cc: <[EMAIL PROTECTED]>
Subject: Re: [USMA:35378] Re: proper use of SI symbols in healthcare

Hi, Scott,
 
Thanks very much for this information. I found it very valuable and enlightening.
 
You mention high processor overhead. To what extent would this make it be prohibitive for the use of UNICODE in defining fields for SI symbols in healthcare software for medical laboratory and pharmacy use?
 
I'm taking the liberty of  sharing our discussion with Bruce Barrow of the SI 10 Committee.
 
Thanks,
 
Paul Trusten, R.Ph.
Editor, Metric Today

----- Original Message -----
 
From:  Scott Hudnall <mailto:[EMAIL PROTECTED]>  
 
To: U.S. Metric Association <mailto:[email protected]>  
 
Sent: Saturday, December 10, 2005  19:58
 
Subject: [USMA:35378] Re: proper use of  SI symbols in healthcare
 

Since I work as a programmer in laboratory  informatics, perhaps I could lend some insight as to why you often see these  sort of abbreviations sometimes make their way into lab reports. It has  nothing to do with an understanding of SI and everything to do with a  compromise programmers have to make to get their software as  database-independent as possible. This means if you use standard SI and  chemistry symbols in your database you run into a primary-key violation on the  UNITS table since every unit has to have a unique value. Some database  products are case-sensitive, others are not ˆ so some databases can  distinguish between mm (millimeter) and mM (millimolar), while others can not.  The best way to ensure that all databases understand what you mean is to  always use all capitol letters ˆ but that means you have to use non-SI symbols  in order to have unique values for every entry.

Also, to be able store  symbols such as Greek letters and math symbols in text fields, you would need  to define the fields as UNICODE....and that is going to cost you a lot of  processor overhead.


--
Scott Hudnall




 

From: "Paul Trusten, R.Ph."  <[EMAIL PROTECTED]>
Reply-To:  <[EMAIL PROTECTED]>
Date: Sat, 10 Dec 2005 16:31:43  -0600
To: "U.S. Metric Association"  <[email protected]>
Cc: Bruce Barrow  <[EMAIL PROTECTED]>
Subject: [USMA:35376] proper use of SI  symbols in healthcare

It comes down to which  healthcare professionals or agencies understand the
importance of SI  symbolism. If we presume to use a true standard of
measurement in  healthcare, then everyone involved must use the same symbols.
Sadly, they  don't do it uniformly. There are even more egregious violations
of that  symbolism in pharmacy software. Pharmacists who care about this
would be  grateful, right now, to see ANY letter "g" for gram, much less the
correct,  lower case "g." But much current pharmacy software uses the same
erroneous  "GM." that much of healthcare uses.  Retail pharmacies usually do
not  employ lower case on their prescription labels, so "MG" takes the place
of  the correct symbol for the milligram on most prescription labels.

Last  year, the Joint Commission on Accreditation of Healthcare  Organizations
(JCAHO) began prohibiting ambiguous abbreviations in medical  records, but it
has yet to extend this enforcement to correct SI unit  symbols. An
unfortunate, but practical, exception to SI symbol use in  healthcare is
JCAHO's prohibition of the Greek letter "mu" for the SI  prefix "micro." When
handwritten,  "mu" is is easily confused with a  lower case "m," and, I must
say, is not a familiar symbol to quite a few  healthcare workers anyway.
Better metric education, coupled with a  transition to 100% electronic
records, should one day solve that  problem.

I shall continue to urge the Institute for Safe Medication  Practices (ISMP)
to push for the correct use of SI in  healthcare.

Paul T.


----- Original Message -----
From:  "Jim Elwell" <[EMAIL PROTECTED]>
To: "U.S. Metric Association"  <[email protected]>
Sent: 05 Dec 10,Saturday 13:47
Subject:  [USMA:35372] blood tests


> I had my annual physical last Monday,  and received the blood test lab
> printouts yesterday. It won't surprise  anyone that they are all in
> metric: g/dL, mg/dL, etc.
>
>  Unfortunately, the entire document is printed in upper-case text. So
>  the symbols really show up as:
>
> MG/DL
> MMOL/L
>  G/DL
>
> The other problem is they list microliter as  MCL.
>
> I don't know if this is standard in the medical industry  or just this
> particular testing lab. It is unfortunate, in any  case.
>
> The company that did the testing is Quest Diagnostics.  They say on
> thier web site: "Quest Diagnostics is America's leading  provider of
> diagnostic testing services, performing laboratory tests  for more
> than 500,000 patients each day."
>
>  Jim
>
>
>
>
> Jim Elwell, CAMS
>  Electrical Engineer
> Industrial manufacturing manager
> Salt Lake  City, Utah, USA
> www.qsicorp.com
>
>


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