QC KIMIA - 0811701 - Feb 2018

Parameter CV Maksimum
Albumin 6
Asam Urat 6
Bilirubin total 7
Fosfatase Alkali 7
Fosfatase Asam 11
Gamma GT 7
Glukosa 5
GOT 7
GPT 7
Kalium 2,7
Kalsium 3,3
Klorida 2
Kolesterol 6
Kolinesterase 7
Kreatin Kinase (CK) 8
Kreatinin 6
LDH 7
Magnesium 4
Natrium 7
Phospor anorganik 5
Protein total 3
Trigliserida 7
Ureum 8
Besi 7
INTERNAL QUALITY CONTROL CHART
INSTITUTION LABORATORIUM KLINIK RS. PANTI RAHAYU
TEST NAME Gula Darah INSTRUMENT
REAGENT CLONA CONTROL NAME
METHOD GOD-PAP
TARGET VALUE
PERIOD February-18 UNIT mg/dl
No. DATE C.FACTOR R.BLANK VALUE ERROR
-4.00 -2.00
1 15 Feb 2018 80 0
2 16 Feb 2018 88
3 17 Feb 2018 83
4 18 Feb 2018 85
5 19 Feb 2018 85
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17
3
18
19
20
21
22
4
23
24
25
26
27
28 5
29
30
31
6
5
AVR 84.20
6
SD 2.95
CV % 3.50
QUALITY CONTROL CHART
INSTRUMENT Metrolab 2300 A-011
CONTROL NAME DIACON N (LOT -0811701)
- 2S TARGET + 2S
TARGET VALUE
72 86 100
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5
ver.1.2.August 2001. Author : Alexander D Alvando

TEST NAME Ureum INSTRUMENT
METHOD UV
TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 37 0
2 16 Feb 2018 37
3 17 Feb 2018 32
4 18 Feb 2018 41
5 19 Feb 2018 40
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17 12/30/99
3
18 12/30/99
19 12/30/99
20 12/30/99
21 12/30/99
22 12/30/99
4
23 12/30/99
24 12/30/99
25 12/30/99
26 12/30/99
27 12/30/99
28 12/30/99 5
29 12/30/99
30 12/30/99
31 12/30/99
6
5
AVR 37.40
6
SD 3.51
CV % 9.38
- 2S TARGET + 2S
TARGET VALUE
30.2 38.7 47.2
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME Kreatinine INSTRUMENT
REAGENT Randox CONTROL NAME
METHOD JAFFE
TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 1.65 0
2 16 Feb 2018 1.54
3 17 Feb 2018 1.47
4 18 Feb 2018 1.31
5 19 Feb 2018 1.16
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17 12/30/99
3
18 12/30/99
19 12/30/99
20 12/30/99
21 12/30/99
22 12/30/99
4
23 12/30/99
24 12/30/99
25 12/30/99
26 12/30/99
27 12/30/99
28 12/30/99 5
29 12/30/99
30 12/30/99
31 12/30/99
6
5
AVR 1.43
6
SD 0.19
CV % 13.55
- 2S TARGET + 2S
TARGET VALUE
1.16 1.49 1.82
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME Asam Urat INSTRUMENT
METHOD THBA
TARGET VALUE
PERIOD February-18 UNIT g/dl
-4.00 -2.00
1 15 Feb 2018 6.4 0
2 16 Feb 2018 6
3 17 Feb 2018 6.7
4 18 Feb 2018 6.3
5 19 Feb 2018 6.7
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17 12/30/99
3
18 12/30/99
19 12/30/99
20 12/30/99
21 12/30/99
22 12/30/99
4
23 12/30/99
24 12/30/99
25 12/30/99
26 12/30/99
27 12/30/99
28 12/30/99 5
29 12/30/99
30 12/30/99
31 12/30/99
6
5
AVR 6.42
6
SD 0.29
CV % 4.59
- 2S TARGET + 2S
TARGET VALUE
5.85 6.8 7.75
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME Kolesterol Total INSTRUMENT
METHOD CHOD PAP

TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 145 0
2 16 Feb 2018 157
3 17 Feb 2018 159
4 18 Feb 2018 129
5 19 Feb 2018 129
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17 12/30/99
3
18 12/30/99
19 12/30/99
20 12/30/99
21 12/30/99
22 12/30/99
4
23 12/30/99
24 12/30/99
25 12/30/99
26 12/30/99
27 12/30/99
28 12/30/99 5
29 12/30/99
30 12/30/99
31 12/30/99
6
5
AVR 143.80
6
SD 14.53
CV % 10.11
- 2S TARGET + 2S
TARGET VALUE
127 148 169
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME HDL Kolesterol INSTRUMENT
REAGENT DSI CONTROL NAME
METHOD DIREC
TARGET VALUE
-4.00 -2.00
1 2 Nov 2017 36 0
10
11
12
13
14
15
16
17
1
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2
AVR 36.00
2
SD
CV %
CONTROL NAME Trucal
- 2S TARGET + 2S
TARGET VALUE
32 35.5 39
SD
-4.00 -2.00 0.00 2.00 4.00

0
2
2

TEST NAME LDL Kolesterol INSTRUMENT
METHOD DIREC
TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 79 12S 13S 0
4 1
7 2
10 3
11
12
13 4
14
15
16 5
17
18
19 6
20
21
7
22
23
24
8
25
26
27
9
28
29
30
10
31
11
9
10
AVR 79.00
11
SD
CV %
CONTROL NAME Trucal
- 2S TARGET + 2S
TARGET VALUE
140 152.5 165
SD
-4.00 -2.00 0.00 2.00 4.00

0
10
11
9
10
11

TEST NAME Trigliserida INSTRUMENT
METHOD GPO PAP

TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 119 0
2 16 Feb 2018 132
3 17 Feb 2018 167 12S 13S
4 18 Feb 2018 135 31S
5 19 Feb 2018 133 31S 41S
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17 12/30/99
3
18 12/30/99
19 12/30/99
20 12/30/99
21 12/30/99
22 12/30/99
4
23 12/30/99
24 12/30/99
25 12/30/99
26 12/30/99
27 12/30/99
28 12/30/99 5
29 12/30/99
30 12/30/99
31 12/30/99
6
5
AVR 137.20
6
SD 17.81
CV % 12.98
- 2S TARGET + 2S
TARGET VALUE
94.6 115.3 136
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

INSTITUTION LABORATORIUM KLINIK RS.PANTI WILASA DR.CIPTO SEMARANG
TEST NAME SGOT INSTRUMENT
REAGENT RAJAWALI CONTROL NAME
METHOD IFCC
TARGET VALUE
PERIOD February-18 UNIT U/l
-4.00 -2.00
1 15 Feb 2018 55 0
2 16 Feb 2018 53
3 17 Feb 2018 46
4 18 Feb 2018 43
5 19 Feb 2018 46 31S
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17 12/30/99
3
18 12/30/99
19 12/30/99
20 12/30/99
21 12/30/99
22 12/30/99
4
23 12/30/99
24 12/30/99
25 12/30/99
26 12/30/99
27 12/30/99
28 12/30/99 5
29 12/30/99
30 12/30/99
31 12/30/99
6
5
AVR 48.60
6
SD 5.13
CV % 10.55
R.CIPTO SEMARANG
- 2S TARGET + 2S
TARGET VALUE
42.2 54.8 67.4
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME SGPT INSTRUMENT
REAGENT RAJAWALI CONTROL NAME
METHOD IFCC
TARGET VALUE
1 15 Feb 2018 44 -4.00 -2.00

0
2 16 Feb 2018 54
3 17 Feb 2018 42 12S
4 18 Feb 2018 44
5 19 Feb 2018 43 31S
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17 12/30/99
3
18 12/30/99
19 12/30/99
20 12/30/99
21 12/30/99
22 12/30/99
23 12/30/99 4
24 12/30/99
25 12/30/99
26 12/30/99
27 12/30/99
28 12/30/99 5
29 12/30/99
30 12/30/99
31 12/30/99
6
5
AVR 45.40
6
SD 4.88
CV % 10.75
R.CIPTO SEMARANG
- 2S TARGET + 2S
TARGET VALUE
42.1 54.7 67.3
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME ALKALI PHOSPHAT INSTRUMENT
REAGENT DSI-DIALAB CONTROL NAME
METHOD IFCC
TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 88 12S 0
2 16 Feb 2018 83
3 17 Feb 2018 74
4 18 Feb 2018 73
5 19 Feb 2018 73
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15 29 Feb 2018
16 30 Feb 2018
17 12/30/99
3
18 12/30/99
19 12/30/99
20 12/30/99
21 12/30/99
22 12/30/99
4
23 12/30/99
24 12/30/99
25 12/30/99
26 12/30/99
27 12/30/99
28 12/30/99 5
29 12/30/99
30 12/30/99
31 12/30/99
6
5
AVR 78.20
6
SD 6.91
CV % 8.83
R.CIPTO SEMARANG
- 2S TARGET + 2S
TARGET VALUE
52.6 70.1 87.6
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME TOTAL PROTEIN INSTRUMENT
REAGENT DIALAB CONTROL NAME
METHOD BIURET
TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 5.7 0
2 16 Feb 2018 4.9
3 17 Feb 2018 4.7

1
4 18 Feb 2018 4.8 31S
5 19 Feb 2018 4.3 12S 13S 31S 41S
6 20 Feb 2018 2
7 21 Feb 2018
8 22 Feb 2018 3
9 23 Feb 2018
10 24 Feb 2018
4
11 25 Feb 2018
12 26 Feb 2018
5
13 27 Feb 2018 5.7 R4S
14 28 Feb 2018
15 29 Feb 2018 6
16 30 Feb 2018
17 12/30/99
7
18 12/30/99
19 12/30/99
8
20 12/30/99
21 12/30/99
22 12/30/99 9
23 12/30/99
24 12/30/99
10
25 12/30/99
26 12/30/99
11
27 12/30/99
28 12/30/99
29 12/30/99 12
30 12/30/99
31 12/30/99
13
14
11
12
13
AVR 5.02
14
SD 0.57
CV % 11.31
R.CIPTO SEMARANG
- 2S TARGET + 2S
TARGET VALUE
4.7 5.28 5.86
SD
-4.00 -2.00 0.00 2.00 4.00

0
10
11
12
13
14
11
12
13
14

TEST NAME ALBUMIN INSTRUMENT
REAGENT HUMMAN CONTROL NAME
METHOD BCG
TARGET VALUE
1 15 Feb 2018 3.4 -4.00 -2.00

0
2 16 Feb 2018 4
3 17 Feb 2018 3.3
4 18 Feb 2018 3.5
5 19 Feb 2018 3.3
6 20 Feb 2018
1
7 21 Feb 2018
8 22 Feb 2018
9 23 Feb 2018
10 24 Feb 2018
11 25 Feb 2018
12 26 Feb 2018 2
13 27 Feb 2018
14 28 Feb 2018
15
16
17
3
18
19
20
21
22
23 4
24
25
26
27
28 5
29
30
6
5
31
AVR 3.50
6
SD 0.29
CV % 8.33
R.CIPTO SEMARANG
- 2S TARGET + 2S
TARGET VALUE
2.77 3.6 4.43
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME GAMMA GT INSTRUMENT
METHOD IFCC -SWAZZ

TARGET VALUE
-4.00 -2.00
1 0
4 1
7 2
10 3
11
12
13 4
14
15
16 5
17
18
19 6
20
21
7
22
23
24
8
25
26
27
9
28
29
30
10
31
11
9
10
AVR
11
SD
CV %
R.CIPTO SEMARANG
- 2S TARGET + 2S
TARGET VALUE
25.6 32.8 40
SD
-4.00 -2.00 0.00 2.00 4.00

0
10
11
9
10
11

TEST NAME BILIRUBIN TOTAL INSTRUMENT
METHOD DCA
TARGET VALUE
1 16 Feb 2018 1.19 -4.00 -2.00

0
2 17 Feb 2018 1.17
3 18 Feb 2018 1.19 31S
4 19 Feb 2018 1.21 31S 41S
7
1
8
10
11
12
13
14 2
15
16
17
18
19
20
3
21
22
23
24
25
26
27 4
28
29
30
31
5
4
AVR 1.19
5
SD 0.02
CV % 1.37
LITY CONTROL CHART
O SEMARANG
- 2S TARGET + 2S
TARGET VALUE
1.04 1.405 1.77
SD
-4.00 -2.00 0.00 2.00 4.00

0
5
4

TEST NAME DIREK BILIRUBIN INSTRUMENT
METHOD DCA
TARGET VALUE
-4.00 -2.00
1 16 Feb 2018 0.9 0
2 17 Feb 2018 0.8
3 18 Feb 2018 0.78
4 19 Feb 2018 0.8
7
1
8
10
11
12
13
14 2
15
16
17
18
19
20
3
21
22
23
24
25
26
27 4
28
29
30
31
5
4
AVR 0.82
5
SD 0.05
CV % 6.60
R.CIPTO SEMARANG
- 2S TARGET + 2S
TARGET VALUE
0.63 0.85 1.07
SD
-4.00 -2.00 0.00 2.00 4.00

0
5
4

TEST NAME LDH INSTRUMENT
METHOD IFCC
TARGET VALUE
-4.00 -2.00
1 19 Feb 2018 169 0
10
11
12
13
14
15
16
17
1
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2
AVR 169.00
2
SD
CV %
- 2S TARGET + 2S
TARGET VALUE
125 152 179
SD
-4.00 -2.00 0.00 2.00 4.00

0
2
2

TEST NAME CK -NAC INSTRUMENT
METHOD IFCC'
TARGET VALUE
-4.00 -2.00
1 16 Feb 2018 129 0
2 18 Feb 2018 153
3 19 Feb 2018 135
9 1
10
11
12
13
14
15
16
17
2
18
19
20
21
22
23
24
25
3
26
27
28
29
30
31
4
3
AVR 139.00
4
SD 12.49
CV % 8.99
- 2S TARGET + 2S
TARGET VALUE
126 158 190
SD
-4.00 -2.00 0.00 2.00 4.00

0
4
3

TEST NAME CK -MB INSTRUMENT
REAGENT BIOLINE CONTROL NAME
METHOD IFCC
TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 38 0
2 16 Feb 2018 35
3 17 Feb 2018 40
4 18 Feb 2018 35
5 19 Feb 2018 34
6
1
7
10
11
12 2
13
14
15
16
17
3
18
19
20
21
22
4
23
24
25
26
27
28 5
29
30
31
6
5
AVR 36.40
6
SD 2.51
CV % 6.90
- 2S TARGET + 2S
TARGET VALUE
30.6 38.3 46
SD
-4.00 -2.00 0.00 2.00 4.00

0
6
5

TEST NAME Calsium INSTRUMENT
METHOD CPC-FS
TARGET VALUE
-4.00 -2.00
1 15 Feb 2018 8.25 0
2 16 Feb 2018 8.99
3 17 Feb 2018 8.21
4 18 Feb 2018 9.7
5 19 Feb 2018 8.35

1
6 19 Feb 2018 9.01
10
2
11
12
13
14
15 3
16
17
18
19
4
20
21
22
23
24
5
25
26
27
28
29 6
30
31
7
6
AVR 8.75
7
SD 0.59
CV % 6.72
- 2S TARGET + 2S
TARGET VALUE
7.95 8.935 9.92
SD
-4.00 -2.00 0.00 2.00 4.00

0
7
6

TEST NAME Phospat An Organik INSTRUMENT
METHOD OCPC
TARGET VALUE
-4.00 -2.00
1 0
4 1
7 2
10 3
11
12
13 4
14
15
16 5
17
18
19 6
20
21
7
22
23
24
8
25
26
27
9
28
29
30
10
31
11
9
10
AVR
11
SD
CV %
- 2S TARGET + 2S
TARGET VALUE
2.72 3.32 3.92
SD
-4.00 -2.00 0.00 2.00 4.00

0
10
11
9
10
11

TEST NAME Magnesium INSTRUMENT
METHOD COLORIMETRI
TARGET VALUE
PERIOD February-18 UNIT ,g/dl
-4.00 -2.00
1 0
4 1
7 2
10 3
11
12
13 4
14
15
16 5
17
18
19 6
20
21
7
22
23
24
8
25
26
27
9
28
29
30
10
31
11
9
10
AVR
11
SD
CV %
- 2S TARGET + 2S
TARGET VALUE
1.68 2.005 2.33
SD
-4.00 -2.00 0.00 2.00 4.00

0
10
11
9
10
11

CALIBRASI MANUAL
FAKTOR BARU
HASIL QC 7 52.1
FAKTOR LAMA 73
TARGET 5
GLU 99.1
Ureum 42
Kreatinine 1.3 5.6333333333
Asam Urat 5.27 28.3333333333
Kolesterol Total 113
HDL Kolesterol 35.5
LDL Kolesterol 77
Trigliserida 108.5
SGOT 45.3
SGPT 35.2
ALKALI PHOSPHAT 116
TOTAL PROTEIN 5.1
ALBUMIN 4.1
GAMMA GT 33.7
BILIRUBIN TOTAL 1.6
DIREK BILIRUBIN 0.91
LDH 184
CK -NAC 144
CK -MB 38.6
Calsium 9.39
Phospat An Organik 3.30
Magnesium 1.775

QC KIMIA - 0811701 - Feb 2018

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Parameter CV Maksimum

TEST NAME Gula Darah INSTRUMENT

REAGENT CLONA CONTROL NAME

No. DATE C.FACTOR R.BLANK VALUE ERROR

INSTRUMENT Metrolab 2300 A-011

CONTROL NAME DIACON N (LOT -0811701)

-4.00 -2.00 0.00 2.00 4.00

ver.1.2.August 2001. Author : Alexander D Alvando

TEST NAME Ureum INSTRUMENT

REAGENT CLONA CONTROL NAME

No. DATE C.FACTOR R.BLANK VALUE ERROR

INSTRUMENT Metrolab 2300 A-011

CONTROL NAME DIACON N (LOT -0811701)

-4.00 -2.00 0.00 2.00 4.00

ver.1.2.August 2001. Author : Alexander D Alvando

TEST NAME Kreatinine INSTRUMENT

REAGENT Randox CONTROL NAME

No. DATE C.FACTOR R.BLANK VALUE ERROR

2 16 Feb 2018 1.54

3 17 Feb 2018 1.47

4 18 Feb 2018 1.31

5 19 Feb 2018 1.16

INSTRUMENT Metrolab 2300 A-011

CONTROL NAME DIACON N (LOT -0811701)

-4.00 -2.00 0.00 2.00 4.00

ver.1.2.August 2001. Author : Alexander D Alvando

TEST NAME Asam Urat INSTRUMENT

REAGENT CLONA CONTROL NAME

No. DATE C.FACTOR R.BLANK VALUE ERROR

3 17 Feb 2018 6.7

4 18 Feb 2018 6.3

5 19 Feb 2018 6.7

INSTRUMENT Metrolab 2300 A-011

CONTROL NAME DIACON N (LOT -0811701)

-4.00 -2.00 0.00 2.00 4.00

ver.1.2.August 2001. Author : Alexander D Alvando

TEST NAME Kolesterol Total INSTRUMENT

REAGENT CLONA CONTROL NAME

METHOD CHOD PAP

No. DATE C.FACTOR R.BLANK VALUE ERROR

2 16 Feb 2018 157

3 17 Feb 2018 159

4 18 Feb 2018 129

5 19 Feb 2018 129

INSTRUMENT Metrolab 2300 A-011

CONTROL NAME DIACON N (LOT -0811701)

-4.00 -2.00 0.00 2.00 4.00

ver.1.2.August 2001. Author : Alexander D Alvando

TEST NAME HDL Kolesterol INSTRUMENT

REAGENT DSI CONTROL NAME

No. DATE C.FACTOR R.BLANK VALUE ERROR

INSTRUMENT Metrolab 2300 A-011

CONTROL NAME Trucal

-4.00 -2.00 0.00 2.00 4.00

ver.1.2.August 2001. Author : Alexander D Alvando

TEST NAME LDL Kolesterol INSTRUMENT

REAGENT DSI CONTROL NAME

No. DATE C.FACTOR R.BLANK VALUE ERROR

INSTRUMENT Metrolab 2300 A-011

CONTROL NAME Trucal

-4.00 -2.00 0.00 2.00 4.00

ver.1.2.August 2001. Author : Alexander D Alvando

TEST NAME Trigliserida INSTRUMENT