Objectives: The objective of this guideline is to improve standardizat
ion in clinical enzymology in order to improve intermethod comparabili
ty of patients' results. Design and Methods: The reference system, com
bination of the reference method and the reference material, is used t
o produce a reference value for a given catalytic activity. Sets of me
thods are formed of methods exhibiting the same analytical specificity
. Materials intended to be used as enzyme calibrators are experimental
ly checked for their commutability. Results: The transfer of accuracy
from the reference value to patients' results is dependent on methods
(analytical specificity) and on materials (experimentally assessed com
mutability). The feasibility of this approach was demonstrated with ma
terials of high level for several enzymes and for each of them for sev
eral routine methods. Conclusion: Expected advantages of this approach
in clinical enzymology are presented. Copyright (C) 1998 The Canadian
Society of Clinical Chemists.