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APPENDIX 1




               SENSITIVITY AND SPECIFICITY STUDY



               Sensitivity is defined as the ability of a  test to correctly identify  the true positive  (TP)  rate,
               whereas specificity is defined as the ability of the test to correctly identify the true negative (TN)
               rate.

               The positive prediction value (PPV) and negative predictive value (NPV) is defined as the
               strength of a test to predict the true condition either positive or negative.

                                                  Known Condition
                                              Positive          Negative
               Test          Positive      True Postive      False Negative      Positive Predictive Value
               outcome       Negative     False Negative      True Negative      Negative Predictive value
                                            Sensitivity        Specificity


               PROCEDURE

               ANALYTE / TEST        :
               METHOD                :
               ANALYZER              :


               1.  Prepare the statistically required sample size for this study (known positive and negative)
               2.  Analyze the samples.
               3.  Determine TP,FP,FN,TN,PPV& NPV as per table below.

                                                   Known Condition
                                              Positive           Negative
                                         (No. of samples =   )   (No. of samples =  )

                             Positive          TP =                FP =         PPV = [TP / (TP + FP)] x100
               Test
               outcome
                             Negative          FN =                TN =         NPV = [TN / (FN + TN)] x100

                                            Sensitivity        Specificity
                                          = [TP / (TP + FN)]   = [TN / (FP + TN)]
                                               x100                x100




               False positive rate (%) = 1 – specificity

               False negative rate 9%) = 1 - sensitivity
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