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to LIS or middleware, where they are compared against the laboratory-defined acceptance parameters.1 Middleware is the information software installed between the LIS and the instrument as shown in Figure 1. It delivers information, such as the test orders from the LIS to the instrument and the test results of the instrument back to the LIS.2 Since the workload in clinical chemistry laboratory is very high, especially in a tertiary care center, it is a mammoth task to go through each examination and its reporting. In this scenario, AV can greatly reduce the time and effort of laboratory staff and final verification signatories, so that they can concentrate on other important aspects of laboratory like quality monitoring. Every examination in a patient sample performed by medical laboratory is to be followed by postexamination verification procedure. Even the most primitive biochemistry laboratory performs rudimentary verification of laboratory examination results just before printing the report or delivering it to the patient.1,2 Use of computer for postexamination verification called AV is an answer to the problem of verification of large number of test results produced by modern-day busy clinical chemistry laboratories. When the sample load is high, competent medical biochemists who are constantly verifying the reports are also prone to human error. To meet all these demands and to decrease the human error, a concept of AV is put forward. There are several software tools available for AV which can be used in a clinical chemistry laboratory. SMART TESTS is an AV design/software technique that can be used to build an AV system.3 SMART TESTS is an acronym that stands for Scope, Master algorithm template, Analyzer-specific algorithm template, Reagentspecific algorithm, Tool selection and implementation, Translation of algorithms into rules, Exceptions review process, Substantiation (validation), Train, and Scale.3 Other software tools that can be used are Linux operating system, html programming, Apache server, and PHP (Hypertext preprocessor).4 Minimum requirements for the software tools to build AV algorithm include the following3: • Ability to use multiple data elements in an unrestricted fashion. • Application of the algorithm in real time. 1Student, 2Professor and Head 1,2Department of Biochemistry, Sir Sayajirao General Hospital and Medical College, Vadodara, Gujarat, India

Is Autoverification of Reports the Need of the Hour in Clinical Chemistry Laboratory?