Prothrombin time, PT/INR report format

( with interpretation )

This delves deep into the ideal prothrombin time, pt/inr report format with best practices designed for lab owners and technicians. You can download the prothrombin time, pt/inr report in MS Word format or create it online.

Download word format

What is Prothrombin time, PT/INR ?

Prothrombin Time (PT) measures the time it takes for blood to clot, providing insights into clotting disorders or the efficacy of anticoagulation treatments like warfarin. The International Normalized Ratio (INR) standardizes PT results to account for differences in testing methods across labs. Together, PT/INR values help monitor patients with clotting disorders or those on blood thinners, making accurate reporting vital for effective treatment.

Prothrombin time, PT/INR Report Format: Breakdown

Here’s what an ideal PT/INR report format should include:

Header Information:

  • Patient Details: Full name, Age, Gender, and ID.
  • TAT information: Timestamp for both sample collection and report generation.
  • Doctor's Information: Name of the referral doctor, if applicable.

Test Results Section:

  • Patient's results

    As obvious as it is, a test report should definitely have the patient's test result.

Interpretations

Nowadays, most labs prefer to add interpretations to the reports, making the report more patient-friendly. Labsmart software has interpretations of all routine test pre-filled in the software.

Footer Section:

  • Certifications:

    Display any relevant accreditations (e.g., NABL, ISO), adding to your lab's credibility.

  • Pathologist and technician signature:

    It's mandatory to add a Pathologist and technician signature to the report.

PT/INR Interpretation

In Labsmart software, this is the inbuilt interpretation for Prothrombin time, PT/INR

Physiologic Basis
PT evaluates the extrinsic and common coagulation pathways.The time required for fibrin clot formation is determined. It is most sensitive to deficiencies in the vitamin K-dependent clotting factors II, VII, and X. It is also sensitive to deficiency of factor V. It is less sensitive to fibrinogen deficiency and heparin. PT/INR tests are increasingly being used for monitoring warfarin therapy.

Interpretation
Increased in: Warfarin, liver disease, DIC, vitamin K deficiency, hereditary deficiency in factors VII, X, V and II, fibrinogen abnormality (eg, hypofibrinogenemia, afibrinogenemia, dysfibrinogenemia), circulating anticoagulant affecting the PT system (rarely lupus anticoagulant), massive transfusion.
Decreased in: Recombinant factor F VII treatment

Comments
Warfarin therapeutic range is INR 2.0 - 3.0. Bleeding has been reported to be 3 × more common in patients with INRs of 3.0–4.5 than in patients with INRs of 2.0–3.0.

All inbuilt interpretations in the Labsmart pathology software is made in consultation with a doctor and is © copyright of Labsmart Healthcare Technologies.

Importance of adding interpretation to reports:

It's very helpful to add interpretation in reports as it makes the reports more patient friendly and also helpful to doctors in some cases. Moreover, presently most labs prefer providing reports with interpretation. Thus, adding interpretation to report will help your lab stay at par with other competitor labs.

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PT/INR Report Format

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PT/INR MS Word format

(NO interpretation)

Download the Ms word editable Prothrombin time, PT/INR report format for offline reporting.

Download word format
PT/INR word sample image

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