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CLIA ยท CLSI EP09-A3 ยท CAP GEN.55400 โ€” Method Comparison
Report Number
VTL-LTL-20260821-2C7D
Date: 2026-08-21
Performed by: Maria Gonzalez, MLS(ASCP)
โœ… Approved
โ† Back to Method Comparison ๐Ÿ“‹ Regulatory Context

๐Ÿ“Š METHOD COMPARISON REPORT โ€” CLSI EP09-A3

Analyte: Glucose
Reference Method: Roche cobas c503 (Reagent Lot A)
New/Test Method: Roche cobas c503 (Reagent Lot B)
Samples (n): 30 used / 30 total
Bias Limit: ยฑ15.0%
TEa: 10.0%
Outlier Method: Tukey IQR (k=1.5), n=0 detected, flagged only
Regression Methods: Deming & Passing-Bablok
โœ…
PASS โ€” Methods are Comparable
Bias โœ“  ยท  Rยฒ โœ“  ยท  Deming Slope โœ“
0.9998
Pearson r
Rยฒ = 0.9996 โ‰ฅ0.95 โœ“
1.97%
Mean Bias %
Limit ยฑ15.0% โœ“ Pass
1.011
Deming Slope
Ideal 1.00 โœ“ Pass

๐Ÿ“ˆ Scatter Plot โ€” Deming & Passing-Bablok Regression

Scatter Plot

๐Ÿ“‰ Bland-Altman Plot (Limits of Agreement)

Bland-Altman

๐Ÿ“Š Percent Bias Plot

Percent Bias

๐Ÿ“ Regression Statistics

Deming Regression (Parametric)
Slope1.011 (SE 0.0045)
Intercept1.4212 (SE 1.0729)
SEE1.8112
Rยฒ (Pearson)0.9996
Passing-Bablok Regression (Non-Parametric)
Slope1.0106 (95% CI: 1.0007 โ€” 1.0177)
Intercept1.3544 (95% CI: -0.3585 โ€” 3.7337)
Slope โ‰ˆ 1.0?โŒ No โ€” proportional bias
Intercept โ‰ˆ 0?โœ… Yes

โš–๏ธ Bias & Bland-Altman Statistics

ParameterValueInterpretation
Mean Bias (absolute)3.8133Average difference New โˆ’ Reference
Mean Bias %1.97%Limit: ยฑ15.0% โœ“ Pass
SD of Bias2.0319Precision of bias estimate
SD of %Bias1.7%
Bland-Altman Upper LoA7.7959+1.96 ร— SD โ€” 95% upper limit of agreement
Bland-Altman Lower LoA-0.1693โˆ’1.96 ร— SD โ€” 95% lower limit of agreement

๐Ÿ“‹ Descriptive Statistics by Method

ParameterReference Method (Reference_Method)New/Test Method (New_Method)
Mean218.0221.8133
SD90.962491.9603
CV%41.73%41.46%
n30 samples (0 excluded as outliers if applicable)

๐ŸŽฏ Quality Goals (TEa-Based)

๐Ÿ“ Quality Goals from TEa = 10.0%

TEa (Total Allowable Error) 10.0%
SEa (Allowable Systematic Error = TEa/2) 5.0% Bias 1.97% โ€” โœ“ โ‰ค SEa
REa (Allowable Random Error = TEa/2) 5.0%
Total Error (|Bias| + 1.65ร—CV) 70.81% โœ— > TEa
Six Sigma (ฯƒ) ฯƒ 0.19 โ€” Poor

๐Ÿ“‹ Clinical Interpretation

Analyte: Glucose
Reference Method: Roche cobas c503 (Reagent Lot A)
New/Test Method: Roche cobas c503 (Reagent Lot B)

โœ… The new method is acceptable for clinical use. The mean percent bias (1.97%) is within the acceptance limit of ยฑ15.0%. The Pearson correlation (r = 0.9998, Rยฒ = 0.9996) indicates excellent correlation. The Deming regression slope (1.011) is near ideal (1.00), indicating no significant proportional bias.

โš ๏ธ Passing-Bablok analysis indicates proportional bias (CI for slope does not include 1.00: 1.0007 โ€” 1.0177).
Regulatory Reference: CLIA ยง493.1253(b)(3) ยท CLSI EP09-A3 ยท CAP GEN.55400
Statistical Methods: Deming Regression (parametric, ฮป=1) ยท Passing-Bablok (non-parametric) ยท Bland-Altman Limits of Agreement ยท Pearson r ยท Tukey IQR Outlier Detection
Acceptance Criteria: Bias โ‰ค ยฑ15.0% ยท Rยฒ โ‰ฅ 0.95 ยท Deming slope 0.90โ€“1.10 ยท Passing-Bablok 95% CI includes slope=1 and intercept=0

๐Ÿ“‹ Raw Data

โ–ถ Show / Hide Raw Data (30 samples)
#Sample ID Reference_Method (Reference) New_Method (New Method) Difference% BiasFlag
1 S01 42.7 46.6 3.9 +9.13% โœ“
2 S02 51.1 52.6 1.5 +2.94% โœ“
3 S03 81.2 80.5 -0.7 -0.86% โœ“
4 S04 90.3 90.0 -0.3 -0.33% โœ“
5 S05 90.3 90.6 0.3 +0.33% โœ“
6 S06 112.0 116.1 4.1 +3.66% โœ“
7 S07 143.8 147.5 3.7 +2.57% โœ“
8 S08 149.4 154.6 5.2 +3.48% โœ“
9 S09 152.5 154.9 2.4 +1.57% โœ“
10 S10 179.5 183.8 4.3 +2.40% โœ“
11 S11 197.2 202.9 5.7 +2.89% โœ“
12 S12 197.4 200.8 3.4 +1.72% โœ“
13 S13 205.2 210.6 5.4 +2.63% โœ“
14 S14 209.6 212.3 2.7 +1.29% โœ“
15 S15 239.3 243.2 3.9 +1.63% โœ“
16 S16 241.3 245.2 3.9 +1.62% โœ“
17 S17 243.5 245.3 1.8 +0.74% โœ“
18 S18 244.7 250.8 6.1 +2.49% โœ“
19 S19 268.5 272.6 4.1 +1.53% โœ“
20 S20 279.3 284.8 5.5 +1.97% โœ“
21 S21 280.6 287.2 6.6 +2.35% โœ“
22 S22 285.7 292.3 6.6 +2.31% โœ“
23 S23 292.1 299.3 7.2 +2.46% โœ“
24 S24 293.9 299.2 5.3 +1.80% โœ“
25 S25 315.4 320.3 4.9 +1.55% โœ“
26 S26 321.1 326.9 5.8 +1.81% โœ“
27 S27 323.3 325.1 1.8 +0.56% โœ“
28 S28 329.7 332.2 2.5 +0.76% โœ“
29 S29 339.6 342.6 3.0 +0.88% โœ“
30 S30 339.8 343.6 3.8 +1.12% โœ“
Electronically Signed By: Maria Gonzalez, MLS(ASCP), MLS-004821
Chemistry
Date: 2026-08-21 10:40
Maria Gonzalez, MLS(ASCP)
Medical Laboratory Technologist / Analyst Signature
Submitted: 2026-08-21T10:40
Electronically Signed By: Dr. Jane Sample, MD, MD-119284
Director / Supervisor of Clinical Laboratory
Date: 2026-08-22 08:55
Dr. Jane Sample, MD
Laboratory Director Approval Signature
Approved: 2026-08-22T08:55
Example Regional Medical Center โ€” Clinical Laboratory
123 Laboratory Way, Sample City, ST 00000
CLIA: 00D0000000  ยท  State Lic.: CLS-000000  ยท  (555) 000-0000
Laboratory Director: Dr. Jane Sample, MD
Example Regional Medical Center โ€” Clinical Laboratory
Generated by ValidToolsLab ยท CLIA ยง493.1256 Compliant
Report: VTL-LTL-20260821-2C7D ยท 2026-08-21