CrcScreeningResultGateChecker

Crc Screening Result Gate

Liquid Biopsy жидкостная биопсия cfDNA ctDNA CTC exosomes NGS qPCR

Utility description: Crc Screening Result Gate

Crc Screening Result Gate Checker — CRC Screening Result Validation

ℹ️ Utility performs specialized verification of CRC screening test results according to FDA De Novo/PMA requirements and USPSTF guidelines:
• Analytical Validity: Verification of internal controls, DNA sufficiency, and absence of inhibition.
• Algorithmic Correctness: Verification of calculated score correspondence to declared raw result.
• Clinical Completeness: Guarantee of colonoscopy recommendation for every positive result.
• Indeterminate Zone: Identification of results in gray zone between positive and negative thresholds.
• Release Classification: REPORTABLE_POSITIVE / REPORTABLE_NEGATIVE / INVALID / INDETERMINATE.

⚠️ IMPORTANT:
• Screening test applies to asymptomatic population — cost of false result is extremely high.
• Positive result without follow-up recommendation is clinically useless and ethically unacceptable.
• Insufficient DNA may lead to false-negative result, missing early cancer.

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

Input format:
SampleID,TestPlatform,AlgorithmScore,PositiveThreshold,IndeterminateLowerBound,IndeterminateUpperBound,InternalControl_Pass,DnaInput_ng,MinDnaInput_ng,InhibitionControl_Pass,RawResult,FollowUpRecommendation_Present,AgeEligible

Example:
CRC-001,Shield,0.82,0.65,0.55,0.65,true,35.0,10.0,true,Positive,true,true

📍 Scope of Application (Usage Where):
• Screening Laboratories: Final check before result delivery to patient/physician.
• IVD Manufacturers: Interpretation algorithm validation during test development.
• Regulatory Submissions: Documentation of gate-keeping logic for FDA/CE-IVDR.
• Population Screening Programs: Quality control of mass testing.

— WHY IS THIS NEEDED?
CRC screening affects fate of thousands of asymptomatic individuals.
False-positive leads to unnecessary invasive colonoscopy with complication risks.
False-negative misses curable early-stage cancer.
Automated gate eliminates technical interpretation errors and guarantees clinical completeness of every report.

⚠️ CRITICAL:
• Follow-Up Mandatory: Positive result without colonoscopy recommendation = INVALID.
• DNA Sufficiency: Below minimum = INVALID (false-negative risk).
• Score-Raw Concordance: Score/raw mismatch = systemic algorithm error.
• Indeterminate Zone: Gray zone results MUST NOT be reported as positive or negative.

Key features:
• Four-status screening result classification
• Mandatory follow-up recommendation check
• Indeterminate zone control
• Algorithm concordance verification
• Compliance with FDA CRC screening guidance

Critical parameters:
• Internal Control: Pass
• DNA Input: ≥ Minimum
• Inhibition Control: Pass
• Score vs Threshold: Correct classification
• Follow-Up Recommendation: Present if Positive

💡 Usage tips:
1. Thresholds: Use only manufacturer-validated thresholds — do not establish your own.
2. Indeterminate Protocol: Pre-define action protocol for indeterminate results (repeat, alternative test).
3. Age: Verify patient eligibility for screening age (45-75 per USPSTF).
4. Communication: Positive results must include clear instructions for primary care physician.
5. Monitoring: Track % indeterminate and invalid as process KPI.

⚠️ Note: This utility is a screening result validation tool. It does not replace physician's clinical decision on colonoscopy referral but guarantees that result is technically reliable and clinically complete.

input.csv

SampleID,TestPlatform,AlgorithmScore,PositiveThreshold,IndeterminateLowerBound,IndeterminateUpperBound,InternalControl_Pass,DnaInput_ng,MinDnaInput_ng,InhibitionControl_Pass,RawResult,FollowUpRecommendation_Present,AgeEligible
CRC-SCR-2026-001,Shield_Blood,0.82,0.65,0.55,0.65,true,35.0,10.0,true,Positive,true,true
CRC-SCR-2026-002,Shield_Blood,0.22,0.65,0.55,0.65,true,42.0,10.0,true,Negative,false,true
CRC-SCR-2026-003,FIT-DNA,0.71,0.65,0.55,0.65,false,5.0,10.0,true,Positive,false,true
CRC-SCR-2026-004,Shield_Blood,0.58,0.65,0.55,0.65,true,28.0,10.0,true,Indeterminate,false,true

URS & FS — User Requirements and Functional Specification

This document describes the controlled interface and behaviour of CrcScreeningResultGateChecker for Crc Screening Result Gate 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.

ℹ️ Utility performs specialized verification of CRC screening test results according to FDA De Novo/PMA requirements and USPSTF guidelines:
⚠️ CRITICAL:
• Indeterminate Zone: Gray zone results MUST NOT be reported as positive or negative.
Critical parameters:
• DNA Input: ≥ Minimum
3. Age: Verify patient eligibility for screening age (45-75 per USPSTF).
4. Communication: Positive results must include clear instructions for primary care physician.

URS — User Requirements Specification

ID	Requirement	Criticality	Acceptance criterion
URS-001	The utility shall accept an input.csv file for Crc Screening Result Gate 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	`CRC-SCR-2026-001`	Sample or laboratory specimen identifier.
2	`TestPlatform`	string / controlled vocabulary	`Shield_Blood`	Controlled input parameter for deterministic QC rules.
3	`AlgorithmScore`	decimal	`0.82`	Controlled input parameter for deterministic QC rules.
4	`PositiveThreshold`	decimal	`0.65`	Controlled input parameter for deterministic QC rules.
5	`IndeterminateLowerBound`	decimal	`0.55`	Controlled input parameter for deterministic QC rules.
6	`IndeterminateUpperBound`	decimal	`0.65`	Controlled input parameter for deterministic QC rules.
7	`InternalControl_Pass`	string / controlled vocabulary	`true`	Biological/molecular component controlled as a CQA.
8	`DnaInput_ng`	decimal	`35.0`	Biological/molecular component controlled as a CQA.
9	`MinDnaInput_ng`	decimal	`10.0`	Biological/molecular component controlled as a CQA.
10	`InhibitionControl_Pass`	string / controlled vocabulary	`true`	Control point/control sample for assay run validity.
11	`RawResult`	string / controlled vocabulary	`Positive`	Result/status used in final classification.
12	`FollowUpRecommendation_Present`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.
13	`AgeEligible`	string / controlled vocabulary	`true`	Controlled input parameter for deterministic QC rules.

SampleID,TestPlatform,AlgorithmScore,PositiveThreshold,IndeterminateLowerBound,IndeterminateUpperBound,InternalControl_Pass,DnaInput_ng,MinDnaInput_ng,InhibitionControl_Pass,RawResult,FollowUpRecommendation_Present,AgeEligible
CRC-SCR-2026-001,Shield_Blood,0.82,0.65,0.55,0.65,true,35.0,10.0,true,Positive,true,true
CRC-SCR-2026-002,Shield_Blood,0.22,0.65,0.55,0.65,true,42.0,10.0,true,Negative,false,true
CRC-SCR-2026-003,FIT-DNA,0.71,0.65,0.55,0.65,false,5.0,10.0,true,Positive,false,true

Input validation rules

ID	Field	Rule	Criticality
VR-001	`SampleID`	The field shall match an approved dictionary or accepted string representation.	High
VR-002	`TestPlatform`	The field shall match an approved dictionary or accepted string representation.	High
VR-003	`AlgorithmScore`	The field shall match an approved dictionary or accepted string representation.	High
VR-004	`PositiveThreshold`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-005	`IndeterminateLowerBound`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-006	`IndeterminateUpperBound`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-007	`InternalControl_Pass`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-008	`DnaInput_ng`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-009	`MinDnaInput_ng`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-010	`InhibitionControl_Pass`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-011	`RawResult`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-012	`FollowUpRecommendation_Present`	The field shall match an approved dictionary or accepted string representation.	Medium
VR-013	`AgeEligible`	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 Crc Screening Result Gate 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": "crcscreeningresultgatechecker",
  "utilityFolder": "CrcScreeningResultGateChecker",
  "package": "LiquidBiopsy",
  "overallStatus": "PASS|WARNING|FAIL",
  "sourceFile": "input.csv",
  "processedAtUtc": "2026-06-10T00:00:00Z",
  "checks": [
    {
      "parameter": "SampleID",
      "value": "CRC-SCR-2026-001",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-001"
    },
    {
      "parameter": "TestPlatform",
      "value": "Shield_Blood",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-002"
    },
    {
      "parameter": "AlgorithmScore",
      "value": "0.82",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-003"
    },
    {
      "parameter": "PositiveThreshold",
      "value": "0.65",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-004"
    },
    {
      "parameter": "IndeterminateLowerBound",
      "value": "0.55",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-005"
    },
    {
      "parameter": "IndeterminateUpperBound",
      "value": "0.65",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-006"
    },
    {
      "parameter": "InternalControl_Pass",
      "value": "true",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-007"
    },
    {
      "parameter": "DnaInput_ng",
      "value": "35.0",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-008"
    },
    {
      "parameter": "MinDnaInput_ng",
      "value": "10.0",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-009"
    },
    {
      "parameter": "InhibitionControl_Pass",
      "value": "true",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-010"
    },
    {
      "parameter": "RawResult",
      "value": "Positive",
      "status": "PASS|WARNING|FAIL",
      "message": "Deterministic rule-based check result",
      "ruleReference": "FS-RULE-011"
    },
    {
      "parameter": "FollowUpRecommendation_Present",
      "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": "CrcScreeningResultGateChecker.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