Methods are disclosed for determining, in a sample derived from a human,
the functional activity of a component of the human blood coagulation
system, which activity can be correlated to conversion of a substrate
specific for activated Protein C (APC), by measuring in an assay medium
containing the sample and a substrate for APC, the conversion of the
substrate by APC and correlating the conversion to the functional
activity of the component. When the component is anticoagulant Factor V,
at least one of exogenous APC, Protein S or an inhibitor of Protein S
activity is added to the medium. When the component is Protein C, APC, or
Protein S, exogenous anticoagulant Factor V or an inhibitor of
anticoagulant activity of Factor V is added to the medium. Methods are
also disclosed for diagnosing a blood coagulation/anticoagulation
disorder or for determining a predisposition thereto in a human by
determining anticoagulant Factor V activity in an assay medium containing
a sample derived from the human.