Is the Bayer DCA 2000 acceptable as a screening instrument for the early detection of renal disease?

I describe a comparatively simple method for assessing the quality of comments on clinical biochemistry reports. It is based on independent peer review of components of comments, appears reasonably robust and correlates well with separate independent assessment of the value of complete comments. The method gives a numerical score, and thus lends itself to a wide range of statistical manipulations and assessment for education and audit purposes.