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reflim/reflimR: R package for the estimation of reference limits from routine laboratory results

reflimR: Reference Limit Estimation Using Routine Laboratory Data

The reflimR package provides a simple and robust three-step procedure for the estimation of reference intervals from routine laboratory data that may contain an unknown proportion of pathological results. Reference intervals play a crucial role in the medical interpretation and statistical evaluation of laboratory results.

To install the reflimR package, open R and enter the following command in the console:

install.packages("reflimR")

This command will download the package from CRAN. Once the installation is complete, load the package into your R session using the following command:

The package will then be ready for use in your R environment (e.g. in RStudio). To see the documentation of the package with all its help files, please enter

Here is a basic example demonstrating how to use reflimR:

library(reflimR)

x <- c(rnorm(800, 100, 10), rnorm(100, 70, 15), rnorm(100, 125, 15))
reflim(x, targets = qnorm(c(0.025, 0.975), 100, 10))

reflimR has been published in: Hoffmann, G., Klawitter, S., Trulson, I., Adler, J., Holdenrieder, S., & Klawonn, F. (2024). A Novel Tool for the Rapid and Transparent Verification of Reference Intervals in Clinical Laboratories. Journal of clinical medicine, 13(15), 4397. https://doi.org/10.3390/jcm13154397


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