UrologyBiomarkerResultChecker

Urology Biomarker Result

Liquid Biopsy жидкостная биопсия cfDNA ctDNA CTC exosomes NGS qPCR

Utility description: Urology Biomarker Result

Urology Biomarker Result Checker — Final Verification of Urology Biomarker Test Results

Performs result verification per CAP/CLIA §GEN.48800, ISO 15189 §7.4, EAU Guidelines 2026, NCCN Prostate Cancer Early Detection v2.2026 and AUA Best Practice Statements: analytical validity (QC passed, within assay range, delta check), confounding factors (5-ARI PSA adjustment mandatory, ejaculation <48h, catheterization <7d, active prostatitis, hematuria affecting urine markers), clinical context completeness (DRE performed, prostate volume for PSAD, mpMRI before biopsy per EAU 2026, prior biopsy history, family history), marker-specific checks (free/total ratio at PSA 4–10, PSAD >0.15 threshold, PCA3 ≥35, UroVysion aneusomy ≥4 cells, risk score categorization), and report completeness (recommendation, limitations, units/ref ranges, methodology, guideline version referenced). Four-tier classification: RESULT_VERIFIED / INTERPRETATION_CONCERN / CLINICAL_CONTEXT_MISSING / RESULT_BLOCKED.

⚠️ Critical: PSA without 5-ARI adjustment = systematic risk underestimation. Biopsy decision based on PSA WITHOUT mpMRI contradicts EAU 2026. Prostatitis can elevate PSA 5–10×; biopsy during inflammation is uninformative. Free/total ratio is meaningful ONLY in PSA 4–10 ng/mL range. Urine-based markers (PCA3, NMP22, BTA) are unreliable with hematuria. Delta check is critical for monitoring: abrupt PSA rise requires sample verification. Age-adjusted PSA norms vary; universal 4.0 ng/mL threshold is outdated. Tool performs RESULT AND INTERPRETATION VERIFICATION only; does not replace urologist clinical judgment. Final biopsy/therapy/surveillance decisions made by physician considering complete clinical picture. INTERPRETATION_CONCERN status indicates need for manual review, not necessarily an error.

Usage:
UrologyBiomarkerResultChecker.exe → demo mode (console output)
UrologyBiomarkerResultChecker.exe input.csv output.json → evaluate your data

📍 Scope of Application:
• Urology laboratories: Final verification before result release.
• Uro-oncology tumor boards: Standardized input for decision-making.
• Active surveillance programs: Marker dynamics monitoring.
• Screening programs: PSA interpretation quality control.
• CAP/ISO accreditation: Documentation of post-analytical verification.

💡 Tips:
1. 5-ARI Auto-Flag: Configure LIMS to auto-flag when 5-ARI listed in medications.
2. PSA Density Calculator: Integrate automatic PSAD calculation when volume available.
3. Guideline Version Control: Update interpretation rules with each new EAU/NCCN release.
4. Confounder Checklist: Implement mandatory confounder checklist in LIS.
5. Delta Check Thresholds: Establish marker-specific biological variation thresholds.

⚠️ Note: This utility performs RESULT AND INTERPRETATION VERIFICATION. It does not replace urologist clinical judgment. Final decisions regarding biopsy, therapy, or surveillance are made by the physician considering the complete clinical picture. INTERPRETATION_CONCERN status indicates need for manual pathologist/laboratorian review but does not necessarily indicate an error.

input.csv

SampleID,PatientID,PatientAge_Years,Sex,BiomarkerPanel,ClinicalIndication,PSATotal_ng_mL,PSAFree_ng_mL,FreeTotal_Ratio,PSADensity_ng_mL_cc,ProstateVolume_cc,ProstateVolume_Available,PCA3_Score,TMPRSS2_ERG_Score,UroVysion_Result,UroVysion_Aneusomy_Cells,RiskScore_Value,RiskCategory,NMP22_Units_mL,BTA_Result,AgeAdjusted_PSA_UpperLimit,PSATotal_RefUpper,FreeTotal_Ratio_RefLower,PCA3_Threshold,RiskScore_LowThreshold,RiskScore_HighThreshold,AssayMethod,DRE_Performed,DRE_Result,mpMRI_Performed,PI_RADS_Score,PriorBiopsy_Performed,PriorBiopsy_Result,MonthsSincePriorBiopsy,FamilyHistory_PC,CurrentMedications,On5ARI,RecentEjaculation_Within48h,RecentCatheterization_Within7d,ActiveProstatitis_Symptoms,Hematuria_Present,GeneratedInterpretation,Interpretation_MatchesGuidelines,Recommendation_Included,Limitations_Stated,UnitsAndRefRanges_Reported,Methodology_Stated,PreviousResults_Compared,GuidelineReferenced,AnalyticalQC_Passed,ResultWithin_AssayRange,DeltaCheck_Passed,DeltaChange_Percent,MaxExpectedDelta_Percent,CriticalValue_Flagged
URO-2026-001,PAT-PC-042,62,M,PSA_Total_Free_PCA3,Biopsy_Decision,5.8,0.72,0.124,0.14,42.0,true,48.0,0,NA,0,0,,0,NA,4.5,4.0,0.15,35.0,0,0,Roche_Elecsys_PSA;Hologic_Progensa_PCA3,true,Normal,true,3,true,Negative,14,true,None,false,false,false,false,false,"PSA elevated with low free/total ratio and PCA3 above threshold. Combined profile suggests increased probability of clinically significant PCa.",true,true,true,true,true,true,EAU_2026,true,true,true,12.0,50,false
URO-2026-002,PAT-PC-055,68,M,PSA_Total_Free,Screening,3.2,0.85,0.266,0,0,false,0,0,NA,0,0,,0,NA,5.0,4.0,0.15,35.0,0,0,Abbott_Architect,false,Not_Performed,false,NA,false,,0,false,"Finasteride 5mg",true,true,false,true,false,"PSA within normal range.",false,false,false,true,true,false,,true,true,true,0,50,false

URS & FS — User Requirements and Functional Specification

This document describes the controlled interface and behaviour of UrologyBiomarkerResultChecker for Urology Biomarker Result Checker.

Domain limits URS input.csv FS IQ/OQ/PQ

Domain limits and critical parameters

Key fragments from the source description are shown below. Before production use, limits must be verified against the approved specification, registration dossier and local SOPs.

Performs result verification per CAP/CLIA §GEN.48800, ISO 15189 §7.4, EAU Guidelines 2026, NCCN Prostate Cancer Early Detection v2.2026 and AUA Best Practice Statements: analytical validity (QC passed, within assay range, delta check), confounding factors (5-ARI PSA adjustment mandatory, ejaculation <48h, catheterization <7d, active prostatitis, hematuria affecting urine markers), clinical context completeness (DRE performed, prostate volume for PSAD, mpMRI before biopsy per EAU 2026, prior biop
⚠️ Critical: PSA without 5-ARI adjustment = systematic risk underestimation. Biopsy decision based on PSA WITHOUT mpMRI contradicts EAU 2026. Prostatitis can elevate PSA 5–10×; biopsy during inflammation is uninformative. Free/total ratio is meaningful ONLY in PSA 4–10 ng/mL range. Urine-based markers (PCA3, NMP22, BTA) are unreliable with hematuria. Delta check is critical for monitoring: abrupt PSA rise requires sample verification. Age-adjusted PSA norms vary; universal 4.0 ng/mL threshold is
• CAP/ISO accreditation: Documentation of post-analytical verification.

URS — User Requirements Specification

ID	Requirement	Criticality	Acceptance criterion
URS-001	The utility shall accept an input.csv file for Urology Biomarker Result Checker with headers defined in the data contract.	High	The file is processed without manual header editing.
URS-002	The utility shall perform deterministic QC evaluation without machine learning and without probabilistic conformance decisions.	High	Identical input data, rule version and configuration produce reproducible results.
URS-003	The utility shall validate mandatory fields, data types, ranges, units and domain plausibility.	High	Schema, conversion and range errors are explicitly reported.
URS-004	The utility shall apply domain limits and rules from the description, approved specification, registration dossier and local SOPs.	High	Each check has PASS/WARNING/FAIL and a clear message.
URS-005	The utility shall generate output.json with machine-readable results, source values, warnings, failures and critical findings.	High	JSON is suitable for LIMS/ELN/MES integration and QA/QC review.
URS-006	The utility shall preserve traceability between batch/sample, input file, applied rules and final status.	High	Output contains identifiers, checked parameters and audit metadata.
URS-007	The documentation shall support IQ/OQ/PQ, CSV/CSA and review by internal QA or inspectors.	Medium	URS, FS, input/output contract and test scenarios are supplied with the utility.
URS-008	The utility shall be used as a QC decision-support tool and not as a substitute for approved specifications and QA/QP release decision.	Medium	Documentation states change control and limit-verification expectations.

input.csv contract

#	Field	Type	Sample	Purpose
1	`SampleID`	string / controlled vocabulary	`URO-2026-001`	Sample or laboratory specimen identifier.
2	`PatientID`	string / controlled vocabulary	`PAT-PC-042`	Controlled input parameter for deterministic QC rules.
3	`PatientAge_Years`	decimal	`62`	Controlled input parameter for deterministic QC rules.
4	`Sex`	string / controlled vocabulary	`M`	Controlled input parameter for deterministic QC rules.
5	`BiomarkerPanel`	string / controlled vocabulary	`PSA_Total_Free_PCA3`	Controlled input parameter for deterministic QC rules.
6	`ClinicalIndication`	string / controlled vocabulary	`Biopsy_Decision`	Controlled input parameter for deterministic QC rules.
7	`PSATotal_ng_mL`	decimal	`5.8`	Volume/dose used for load, limit or release calculation.
8	`PSAFree_ng_mL`	decimal	`0.72`	Volume/dose used for load, limit or release calculation.
9	`FreeTotal_Ratio`	decimal	`0.124`	Component ratio; structural or formulation CQA.
10	`PSADensity_ng_mL_cc`	decimal	`0.14`	Volume/dose used for load, limit or release calculation.
11	`ProstateVolume_cc`	decimal	`42.0`	Volume/dose used for load, limit or release calculation.
12	`ProstateVolume_Available`	string / controlled vocabulary	`true`	Volume/dose used for load, limit or release calculation.
13	`PCA3_Score`	decimal	`48.0`	Controlled input parameter for deterministic QC rules.
14	`TMPRSS2_ERG_Score`	decimal	`0`	Controlled input parameter for deterministic QC rules.
15	`UroVysion_Result`	string / controlled vocabulary	`NA`	Result/status used in final classification.
16	`UroVysion_Aneusomy_Cells`	decimal	`0`	Controlled input parameter for deterministic QC rules.
17	`RiskScore_Value`	decimal	`0`	Controlled input parameter for deterministic QC rules.
18	`RiskCategory`	string / controlled vocabulary		Controlled input parameter for deterministic QC rules.
19	`NMP22_Units_mL`	decimal	`0`	Volume/dose used for load, limit or release calculation.
20	`BTA_Result`	string / controlled vocabulary	`NA`	Result/status used in final classification.
21	`AgeAdjusted_PSA_UpperLimit`	decimal	`4.5`	Approved limit applied during result evaluation.
22	`PSATotal_RefUpper`	decimal	`4.0`	Controlled input parameter for deterministic QC rules.
23	`FreeTotal_Ratio_RefLower`	decimal	`0.15`	Component ratio; structural or formulation CQA.
24	`PCA3_Threshold`	decimal	`35.0`	Controlled input parameter for deterministic QC rules.
25	`RiskScore_LowThreshold`	decimal	`0`	Controlled input parameter for deterministic QC rules.
26	`RiskScore_HighThreshold`	decimal	`0`	Controlled input parameter for deterministic QC rules.
27	`AssayMethod`	string / controlled vocabulary	`Roche_Elecsys_PSA;Hologic_Progensa_PCA3`	Method or process approach; controlled reference value.
28	`DRE_Performed`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
29	`DRE_Result`	string / controlled vocabulary	`Normal`	Result/status used in final classification.
30	`mpMRI_Performed`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
31	`PI_RADS_Score`	string / controlled vocabulary	`3`	Controlled input parameter for deterministic QC rules.
32	`PriorBiopsy_Performed`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
33	`PriorBiopsy_Result`	string / controlled vocabulary	`Negative`	Result/status used in final classification.
34	`MonthsSincePriorBiopsy`	decimal	`14`	Controlled input parameter for deterministic QC rules.
35	`FamilyHistory_PC`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
36	`CurrentMedications`	string / controlled vocabulary	`None`	Controlled input parameter for deterministic QC rules.
37	`On5ARI`	string / controlled vocabulary	`false`	Controlled input parameter for deterministic QC rules.
38	`RecentEjaculation_Within48h`	string / controlled vocabulary	`false`	Controlled input parameter for deterministic QC rules.
39	`RecentCatheterization_Within7d`	string / controlled vocabulary	`false`	Controlled input parameter for deterministic QC rules.
40	`ActiveProstatitis_Symptoms`	string / controlled vocabulary	`false`	Controlled input parameter for deterministic QC rules.
41	`Hematuria_Present`	string / controlled vocabulary	`false`	Controlled input parameter for deterministic QC rules.
42	`GeneratedInterpretation`	string / controlled vocabulary	`PSA elevated with low free/total ratio and PCA3 above threshold. Combined profile suggests increased probability of clinically significant PCa.`	Controlled input parameter for deterministic QC rules.
43	`Interpretation_MatchesGuidelines`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
44	`Recommendation_Included`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
45	`Limitations_Stated`	string / controlled vocabulary	`true`	Approved limit applied during result evaluation.
46	`UnitsAndRefRanges_Reported`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
47	`Methodology_Stated`	string / controlled vocabulary	`true`	Method or process approach; controlled reference value.
48	`PreviousResults_Compared`	string / controlled vocabulary	`true`	Result/status used in final classification.
49	`GuidelineReferenced`	string / controlled vocabulary	`EAU_2026`	Controlled input parameter for deterministic QC rules.
50	`AnalyticalQC_Passed`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
51	`ResultWithin_AssayRange`	string / controlled vocabulary	`true`	Result/status used in final classification.
52	`DeltaCheck_Passed`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
53	`DeltaChange_Percent`	decimal	`12.0`	Controlled input parameter for deterministic QC rules.
54	`MaxExpectedDelta_Percent`	decimal	`50`	Controlled input parameter for deterministic QC rules.
55	`CriticalValue_Flagged`	string / controlled vocabulary	`false`	Controlled input parameter for deterministic QC rules.

SampleID,PatientID,PatientAge_Years,Sex,BiomarkerPanel,ClinicalIndication,PSATotal_ng_mL,PSAFree_ng_mL,FreeTotal_Ratio,PSADensity_ng_mL_cc,ProstateVolume_cc,ProstateVolume_Available,PCA3_Score,TMPRSS2_ERG_Score,UroVysion_Result,UroVysion_Aneusomy_Cells,RiskScore_Value,RiskCategory,NMP22_Units_mL,BTA_Result,AgeAdjusted_PSA_UpperLimit,PSATotal_RefUpper,FreeTotal_Ratio_RefLower,PCA3_Threshold,RiskScore_LowThreshold,RiskScore_HighThreshold,AssayMethod,DRE_Performed,DRE_Result,mpMRI_Performed,PI_RADS_Score,PriorBiopsy_Performed,PriorBiopsy_Result,MonthsSincePriorBiopsy,FamilyHistory_PC,CurrentMedications,On5ARI,RecentEjaculation_Within48h,RecentCatheterization_Within7d,ActiveProstatitis_Symptoms,Hematuria_Present,GeneratedInterpretation,Interpretation_MatchesGuidelines,Recommendation_Included,Limitations_Stated,UnitsAndRefRanges_Reported,Methodology_Stated,PreviousResults_Compared,GuidelineReferenced,AnalyticalQC_Passed,ResultWithin_AssayRange,DeltaCheck_Passed,DeltaChange_Percent,MaxExpectedDelta_Percent,CriticalValue_Flagged
URO-2026-001,PAT-PC-042,62,M,PSA_Total_Free_PCA3,Biopsy_Decision,5.8,0.72,0.124,0.14,42.0,true,48.0,0,NA,0,0,,0,NA,4.5,4.0,0.15,35.0,0,0,Roche_Elecsys_PSA;Hologic_Progensa_PCA3,true,Normal,true,3,true,Negative,14,true,None,false,false,false,false,false,PSA elevated with low free/total ratio and PCA3 above threshold. Combined profile suggests increased probability of clinically significant PCa.,true,true,true,true,true,true,EAU_2026,true,true,true,12.0,50,false
URO-2026-002,PAT-PC-055,68,M,PSA_Total_Free,Screening,3.2,0.85,0.266,0,0,false,0,0,NA,0,0,,0,NA,5.0,4.0,0.15,35.0,0,0,Abbott_Architect,false,Not_Performed,false,NA,false,,0,false,Finasteride 5mg,true,true,false,true,false,PSA within normal range.,false,false,false,true,true,false,,true,true,true,0,50,false

Input validation rules

ID	Field	Rule	Criticality
VR-001	`SampleID`	The field shall match an approved dictionary or accepted string representation.	High
VR-002	`PatientID`	The field shall match an approved dictionary or accepted string representation.	High
VR-003	`PatientAge_Years`	The field shall match an approved dictionary or accepted string representation.	High
VR-004	`Sex`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-005	`BiomarkerPanel`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-006	`ClinicalIndication`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-007	`PSATotal_ng_mL`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-008	`PSAFree_ng_mL`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-009	`FreeTotal_Ratio`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-010	`PSADensity_ng_mL_cc`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-011	`ProstateVolume_cc`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-012	`ProstateVolume_Available`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-013	`PCA3_Score`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-014	`TMPRSS2_ERG_Score`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-015	`UroVysion_Result`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-016	`UroVysion_Aneusomy_Cells`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-017	`RiskScore_Value`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-018	`RiskCategory`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-019	`NMP22_Units_mL`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-020	`BTA_Result`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-021	`AgeAdjusted_PSA_UpperLimit`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-022	`PSATotal_RefUpper`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-023	`FreeTotal_Ratio_RefLower`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-024	`PCA3_Threshold`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-025	`RiskScore_LowThreshold`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-026	`RiskScore_HighThreshold`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-027	`AssayMethod`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-028	`DRE_Performed`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-029	`DRE_Result`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-030	`mpMRI_Performed`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-031	`PI_RADS_Score`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-032	`PriorBiopsy_Performed`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-033	`PriorBiopsy_Result`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-034	`MonthsSincePriorBiopsy`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-035	`FamilyHistory_PC`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-036	`CurrentMedications`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-037	`On5ARI`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-038	`RecentEjaculation_Within48h`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-039	`RecentCatheterization_Within7d`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-040	`ActiveProstatitis_Symptoms`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-041	`Hematuria_Present`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-042	`GeneratedInterpretation`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-043	`Interpretation_MatchesGuidelines`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-044	`Recommendation_Included`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-045	`Limitations_Stated`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-046	`UnitsAndRefRanges_Reported`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-047	`Methodology_Stated`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-048	`PreviousResults_Compared`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-049	`GuidelineReferenced`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-050	`AnalyticalQC_Passed`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-051	`ResultWithin_AssayRange`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-052	`DeltaCheck_Passed`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-053	`DeltaChange_Percent`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-054	`MaxExpectedDelta_Percent`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-055	`CriticalValue_Flagged`	The field shall match an approved dictionary or accepted string representation.	Medium

FS — Functional Specification

ID	Function	Implementation
FS-001	CLI execution	Support execution modes: demo mode without arguments and production mode input.csv output.json.
FS-002	CSV import	Read input.csv in UTF-8/CSV-compatible format and validate header and expected columns.
FS-003	Schema validation	Check mandatory fields, column count, unknown key fields and empty mandatory values.
FS-004	Type conversion	Convert numeric, flag and text values; invalid format is recorded as a row-level error.
FS-005	Domain rule engine	Apply rules for Urology Biomarker Result Checker, including critical limits from the description and approved specification.
FS-006	Status aggregation	Produce final status: FAIL for critical failure, WARNING for non-critical deviation, PASS for conformance.
FS-007	JSON export	Write output.json with detailed checks, source values, warnings, failures and critical findings.
FS-008	Audit support	Keep result structure suitable for review, deviation investigation and calculation reproduction.
FS-009	Integration contract	Support the scenario LIMS/ELN/MES → input.csv → utility → output.json → portal/admin review.
FS-010	Error handling	Return explicit messages for missing file, empty CSV, invalid schema, output write failure and invalid format.

Example output.json

{
  "utilityId": "urologybiomarkerresultchecker",
  "utilityFolder": "UrologyBiomarkerResultChecker",
  "package": "LiquidBiopsy",
  "overallStatus": "PASS|WARNING|FAIL",
  "sourceFile": "input.csv",
  "processedAtUtc": "2026-06-10T00:00:00Z",
  "checks": [
    {
      "parameter": "SampleID",
      "value": "URO-2026-001",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-001"
    },
    {
      "parameter": "PatientID",
      "value": "PAT-PC-042",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-002"
    },
    {
      "parameter": "PatientAge_Years",
      "value": "62",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-003"
    },
    {
      "parameter": "Sex",
      "value": "M",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-004"
    },
    {
      "parameter": "BiomarkerPanel",
      "value": "PSA_Total_Free_PCA3",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-005"
    },
    {
      "parameter": "ClinicalIndication",
      "value": "Biopsy_Decision",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-006"
    },
    {
      "parameter": "PSATotal_ng_mL",
      "value": "5.8",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-007"
    },
    {
      "parameter": "PSAFree_ng_mL",
      "value": "0.72",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-008"
    },
    {
      "parameter": "FreeTotal_Ratio",
      "value": "0.124",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-009"
    },
    {
      "parameter": "PSADensity_ng_mL_cc",
      "value": "0.14",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-010"
    },
    {
      "parameter": "ProstateVolume_cc",
      "value": "42.0",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-011"
    },
    {
      "parameter": "ProstateVolume_Available",
      "value": "true",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-012"
    }
  ],
  "criticalFindings": [],
  "warnings": [],
  "audit": {
    "inputHash": "sha256:<calculated at runtime>",
    "rulesVersion": "<utility executable version>",
    "documentation": "UrologyBiomarkerResultChecker.documentation.html"
  }
}

Traceability matrix

URS	FS	Test	Evidence
URS-001	FS-001, FS-002	OQ-001	Verify execution and import of valid input.csv.
URS-002	FS-005, FS-006	OQ-004	Repeat the same dataset and compare output.json.
URS-003	FS-003, FS-004, FS-010	OQ-002, OQ-003	Verify missing columns and invalid types.
URS-004	FS-005, FS-006	OQ-004, PQ-001	Verify critical deviations on real/boundary data.
URS-005	FS-007, FS-009	OQ-005	Verify JSON schema and downstream-system suitability.
URS-006	FS-008	OQ-006	Verify identifiers and audit metadata.
URS-007	FS-008, FS-010	IQ-001, OQ-007	Verify documentation completeness and control evidence.
URS-008	FS-005, FS-008	PQ-002	Verify review workflow and no replacement of QA decision.

IQ/OQ/PQ test scenarios

ID	Scenario	Expected result
IQ-001	Verify executable, input.csv, documentation and checksum availability.	Delivery set is complete; version is recorded.
OQ-001	Valid sample row from input.csv.	PASS or acceptable WARNING according to rules.
OQ-002	Remove a mandatory CSV column.	Schema error or FAIL with missing-column reference.
OQ-003	Place a non-numeric value into a numeric field.	Type-conversion error with row/field reference.
OQ-004	Set a critical parameter outside the limit.	FAIL and critical finding.
OQ-005	Verify output.json structure.	All mandatory sections are present and JSON is valid.
OQ-006	Verify batch/sample traceability.	Input and result identifiers match.
PQ-001	Verify 3–5 real user batches/samples.	Result is confirmed by QC/QA review.
PQ-002	Verify deviation workflow and manual QA decision.	Utility supports review but does not replace approved decision.

QA/QC and change control

Do not rename columns without updating validator, documentation and test set.
Retain input.csv, output.json, executable version and checksum.
Before production use, perform IQ/OQ/PQ or equivalent CSV/CSA verification.
Critical limits shall be verified against the approved specification, registration dossier and local SOPs.
The utility provides structured QC decision support; final release decision remains with QA/QP and approved procedures.

Included in packages

Liquid Biopsy QC Suite

QC and pre-analytical control package for liquid biopsy workflows: cfDNA/ctDNA, CTC, EV/exosomes, methylation, NGS/qPCR/ddPCR, sample quality, contamination, sensitivity and reporting checks.

Open