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NABL 112 Compliance Map

Every NABL 112 specification, mapped to AyusLab.

For compliance officers, lab managers, and assessors evaluating AyusLab — this is the full mapping of NABL 112 (Specific Criteria for Medical Laboratories) to where each requirement is implemented in the platform.

38
Compliant
7
Part compliant
4
Roadmap
8
Not lab-software scope

Total: 57 mapped specifications. “Not lab-software scope” covers requirements that are operational responsibilities of the lab (e.g. equipment calibration, staff training) where AyusLab provides supporting documentation features.

Section Specification Status AyusLab implementation
4.5
p.4
Examination by referral laboratories
Documented policy for selecting and referring tests to other accredited labs. Accredited lab must specify the name of the referral lab in the report.
Part compliant Outsourced-lab list with per-report tracking
4.6
p.5
External services and supplies
Each lot of reagents checked against earlier in-use lots before service. Antibiotic sensitivity discs checked for activity / potency.
Part compliant Inventory module — reagent + lot tracked against each test
4.12
p.5
Continual improvement
Comprehensive quality improvement program with quality indicators: sample collection, transport, analysis, TAT, complaints, equipment downtime, MU, EQAS performance.
Part compliant TAT module, Sample module, QC module, Equipment / analyzer module
4.13
p.6
Quality and technical records
Minimum retention: 5 years for Histopathology / Cytopathology, 1 year for other disciplines.
Compliant Cloud storage with retention policy
5.1.1.2
p.7
Qualification norms for authorized signatories
Authorized signatories list maintained with qualifications and authorisation rules.
Part compliant Signatures master with authorisation rules per report print
5.3
p.11
Laboratory equipment
Many equipment types calibrated in-house using reference materials or comparative techniques.
Not implemented Lab equipment master maintained; calibration is the lab’s responsibility
5.4
p.18
Pre-examination procedures
Sample collection and handling instructions documented. Guidelines for rejection (under-fill / over-fill, coagulation tubes). Reasons for rejection stated in writing.
Compliant Sample module with rejection workflow
5.6
p.28
Quality of examination procedures
Daily QC values documented with %CV from monthly QC data. Control charts maintained for stability of analytical measuring systems.
Compliant Quality Check (QC) module
5.6
p.29
Haematology — variation limits
Day-to-day variation in MCV, MCH should be between the 2SD limits determined on 400 samples.
Compliant Quality Check (QC)
5.6
p.31
Cytopathology — follow-up records
Review all previous slides for a patient. Match previously reported abnormal smears with histopathology sections. Compare cytological findings with colposcopy / biopsy.
Compliant Patient historical records maintained
5.8
p.33
Reporting — critical limits
Establish critical limits for tests requiring immediate attention. Communicate critical results with proper documentation.
Compliant Critical-value alert feature
5.8
p.33
Biological reference intervals
Age- and sex-specific reference intervals established by the lab for the method used. Documentation retained.
Compliant Normal range — age and gender specific
5.8
p.34
Authorizing and issuing reports
Reports checked for accuracy by a pathologist before authorising printed or electronic reports.
Compliant Multi-level approval workflow per department
5.8
p.34
TAT for issue of reports
TAT for issue of reports should not exceed 4 days. Interim reports for special procedures.
Part compliant Interim Report (IR) with marked IR label
5.8
p.34
Cytopathology — explanatory notes
Explanatory notes shall accompany any unsatisfactory or equivocal report.
Compliant Report master with notes provision
6
p.35
Guidelines for collection centres
Guidelines for operating collection centres.
Compliant SOP document upload provision
6
p.36
Sample condition on receipt
Record of temperature and condition of sample on receipt at the lab.
Part compliant Sample quality recorded with approve / reject option
6
p.36
Collection-centre staff training
Adequate training including policies, hygiene, methodology, processing, packaging, transport, first aid, safety, waste disposal.
Not relevant Document repository for SOP reference
6
p.36
Collection centre name in reports
Include the name and address of the collection centre in the test report.
Compliant Reference center provision in report
6
p.37
Assessment plan for collection centres
Sampling-based assessment of collection centres.
Not relevant Collection centers maintained separately for assessment
6
p.38
Collection centre audit checklist
Additional requirements for accreditation of labs operating collection centres.
Not relevant Compliance checklist module
Annex 1
p.42
List of routine and special tests
Routine and special test list maintained.
Compliant Comprehensive report master
4
p.12
Service agreements
Users explicitly informed about non-accredited status of requested tests.
Compliant Report master flags NABL vs non-NABL tests
4
p.13
Records — referral laboratories
Records of referred tests and referral labs with signatory details. Information kept in referral file and patient file.
Compliant Outsourced labs list maintained
4
p.13
Referring laboratory — prior intimation
Prior intimation to users about referred tests. Produce original referral lab report or transcribe without altering clinical interpretation.
Compliant Provision to upload referral lab report as-is
5.5
p.25
Measurement uncertainty
Run controls for each analyte; derive SD and %CV from lab mean (not manufacturer’s target). %CV to first decimal place.
Compliant Quality Check (QC) module
5.6
p.28
Other quality assurance procedures
Review of daily mean, delta check, clinical correlation, correlation with other lab results — in addition to IQC.
Compliant Quality Check (QC) — delta check, daily mean review
5.9
p.29
Release of reports
Reports released per signature / department workflow.
Compliant Signature and department-based workflow
5.9
p.30
Revised reports
Hard or soft copy of original and revised reports retained with reason for revision.
Compliant Result entry with revision history
5.1
p.31
Information system management
All functions from accession to reporting verified after installation.
Compliant Validation and help file documentation
5.1
p.31
Rule-based systems
Rule-based systems for automated selection and reporting verified.
Compliant Auto-dispatch with rule verification
5.1
p.32
Security and confidentiality
Role-based authenticated access. Procedures to inactivate users no longer authorised. Audit trail of user actions on patient data.
Compliant User role management + full audit trail
5.6
p.33
Ensuring quality of examination results
Two levels of QC at least once per day. For 24x7 ops: two levels at peak hour, one level every 8 hours. Daily QC values documented; LJ charts plotted daily.
Compliant Quality Check (QC) with LJ charts
5.6
p.33
Monthly mean / SD / %CV
Calculate monthly mean, SD, %CV. Maintain control charts to demonstrate stability of analytical measuring systems.
Compliant Quality Check (QC) — automated monthly stats
5.6
p.34
Reporting with interpretation
Reports should have interpretation where relevant.
Compliant Report master with interpretation field
5.4
p.35
Sample rejection guidelines
Under-fill or over-fill for coagulation tests rejected. Reasons stated in writing to collection staff.
Compliant Sample module with rejection workflow
5.6
p.38
Duplicate tests for precision
Duplicate tests on patient samples. Day-to-day variation in MCV / MCH / MCHC analysed using Bull’s algorithm.
Compliant Quality Check (QC) — duplicate testing support
5.3
p.43
Stains, reagents, kits — labelling
Labelled, dated, stored properly. Not used past expiry or showing signs of deterioration.
Compliant Inventory module with expiry tracking
5.5
p.45
Informed consent
Written informed consent before blood sample collection. Consent form in commonly used vernacular language.
Compliant Consent upload provision
5.5
p.45
Dengue rapid test disclaimer
Dengue rapid test reports include disclaimer that results are provisional; confirm with IgM capture ELISA.
Compliant Report master with disclaimers
5.6
p.46
Quality indicators
Specimen rejection rate, transit time, blood culture contamination rate, TAT.
Part compliant Sample + TAT tracking
5.8
p.47
Reporting — infectious diseases
Serological tests for infectious diseases reported with comments on interpretation and limitations.
Compliant Report summary with interpretation
5.3
p.55
Equipment maintenance log
All equipment installed, operated, maintained per manufacturer guidelines. Daily / weekly / monthly / semi-annual / annual maintenance log maintained.
Not relevant Equipment master with full equipment list
5.3
p.55
Reagent expiration assignment
Assign expiration date to reagents without manufacturer date — based on stability, use frequency, storage, deterioration risk.
Compliant Inventory module
5.4
p.56
Sample acceptance / rejection policy
Documented policy for acceptance, rejection, anticoagulant, collection time, transport temperature, processing, storage.
Compliant Sample policy module
5.6
p.60
Instrument set-up & QC
Instrument optimised for optical alignment, electronic standardisation, sensitivity / linearity, compensation. Documented function checks before daily run.
Compliant Equipment master with policy document upload
5.6
p.60
Cross-instrument performance
If more than one instrument for the same test, verify concordance at least twice a year.
Compliant Equipment master
5.8
p.61
Flow cytometry reports
Report includes instrument name / type, software used, cell preparation method, gating strategies, % of gated cells examined.
Compliant Report master
6
p.85
No testing at collection centre
Testing at collection centre in same city = satellite laboratory (multiple location). Different city = separate laboratory.
Compliant Reference center with location tracking
6
p.86
Sample transport time
Lab runs pilot studies to determine sample transport time by chosen route / mode.
Not relevant Collection Center module
6
p.87
Collection centre staff training
Adequate training on policies, hygiene, methodology, processing, packaging, transport, first aid, safety, waste disposal.
Not relevant SOP reference repository
6
p.88
Internal audit of collection centres
Annual internal audit of each collection centre. Discussed in management review.
Not relevant Collection Center module
Annex 1a
p.92
Scope preparation guidelines
Guidelines for scope preparation.
Not implemented Sample module
Annex 1b
p.98
Point of Care Testing (POCT)
Guidelines regarding POCT.
Not implemented Equipment master
Annex 3
p.103
Lot verification / parallel testing
Lot verification or parallel testing of controls.
Not implemented Quality Check (QC)
Annex 5
p.107
EQAS (External Quality Assessment)
External proficiency testing services to enable labs to compare with peer groups on accuracy.
Not relevant EQAS module
Annex 6
p.112
Auto-selection and reporting algorithm
Guidelines algorithm for automated selection and reporting of results.
Compliant Auto-approval rules configurable

Source: NABL 112 — Specific Criteria for Medical Laboratories (NABL India). For the official document, see nabl-india.org. For platform-specific compliance documentation or audit support, contact the AyusLab team.

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