To the Editor. —Since 1984, the clinical laboratory at the medical center of the University of California, San Francisco, has offered a three-test panel (bilirubin, alkaline phosphatase, and aspartate aminotransferase) for screening for liver disease. A clinician could order all three tests by selecting the panel option on the clinical laboratory order form. We recently investigated the contribution of bilirubin to this panel. We used the Combined Patient Experience database (University of California, San Francisco, Department of Laboratory Medicine), which was created by linkage of computerized data from three sources: the clinical laboratory, hospital information, and medical records. The database contains diagnostic, demographic, and laboratory test information for all inpatients during the study 1986 and 1987. Forty percent (12 459/31 064) of the adults aged ≥19 years during these 2 years had all three tests performed within 48 hours of admission. These 12 459 admissions constituted our study