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Superseded

Superseded by What the lab timestamp marks.

What lab timestamps mark

Merged into "What the lab timestamp marks" on 18 October 2026; kept so old links still work. The original finding: central-lab timestamps most likely mark specimen receipt in the lab, about 10 minutes after the draw.

Date 2026-10-13
Status superseded
Methods Clinical and laboratory times, Rounding, heaping and value resolution

Background

  • Lab times are machine timestamps at 1 s resolution, with no rounding to model. The seconds component is spread evenly (about 1.7% per second).
  • The working hypothesis was that they mark when the result was returned.

Data

  • lab_data.csv: 131,942 unique timestamps.
  • Intra-operative central-lab timestamps (to 30 min after anaesthesia end) with a blood gas in the preceding hour: CBC 1,665, coagulation 1,539, chemistry 1,613.

Method

  • Compared timestamps of panels run on different analysers in the same case.
  • Checked for a consistent order of draw between panels.
  • Measured the lag from a point-of-care blood gas to the next central-lab panels.
  • Checked the time of day of ward CBCs, and the minute of the hour for heaping.

Results

  • Each panel has one timestamp for all its analytes. Panels drawn together are stamped within seconds of each other (75% of CBC–chemistry pairs within 60 s), centred on zero and in no fixed order.
  • There is no consistent order of draw: each panel is equally likely to be first.
  • Central-lab panels after a blood gas are stamped a median of about 10 min later (about a quarter within 5 min and three-quarters within 15 min). The lag is the same for CBC, coagulation and chemistry.
  • Ward CBC timestamps peak at 08:00–09:00, after a typical early-morning phlebotomy round.
  • The minute of the hour varies smoothly, with no spikes at 0 or 5.

Discussion

  • Result times would differ by analyser turnaround, with chemistry later than CBC. They do not, which rules that out.
  • For the API, lab times are single resolution (1 s, anchor floor). A central-lab timestamp should carry a backward lag of about 10 min (95% within about 30 min) to the sampling time; a blood-gas timestamp needs a few minutes at most.

The same question from the timing side: What the lab timestamp marks.

Limitations

  • The conclusion assumes that a blood gas and central-lab tubes are often drawn together.

Open questions

  • Receipt hypothesis against flush artefacts (next step). The receipt hypothesis should be checked against arterial-line flush artefacts in the waveforms, or by asking the VitalDB team.

Tags: from the resolution work