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Establishing India's first accredited EQA program in transplant immunology and Immunophenotyping: The CHIMERA® EQA
Niharika Singh1, Vikash Chandra Mishra2, Ashutosh Rawat3
1Chimera Translational Research Fraternity, India; Santosh medical college and hospital, India.
Human Immunology
|September 10, 2025
Summary
India
Area of Science:
- Clinical Diagnostics
- Laboratory Medicine
- Transplant Immunology
Background:
- External Quality Assessment (EQA) is crucial for laboratory accuracy and international accreditation standards.
- India faces a shortage of accredited EQA providers in transplant immunology and immunophenotyping (IPT).
- A 2019 gap analysis revealed demand for a local, cost-effective EQA program in transplant immunology.
Purpose of the Study:
- To establish India's first accredited EQA program for transplant immunology and IPT.
- To address the critical gap in specialized EQA services for organ transplantation diagnostics.
- To demonstrate the feasibility of implementing an accredited EQA program with limited resources.
Main Methods:
- Established a Quality Management System (QMS) and technical protocols.
- Recruited qualified personnel and formed a specialized committee.
- Achieved ISO/IEC 17043 accreditation and conducted pilot surveys and audits.
Main Results:
- Successfully launched India's first ISO/IEC 17043 accredited EQA program for transplant immunology and IPT.
- The program covers 25 analytes and has conducted 82 proficiency testing (PT) surveys.
- Overcame challenges including sample acquisition, awareness, and digital infrastructure development.
Conclusions:
- An accredited EQA program in transplant immunology is feasible even with resource constraints.
- The program enhances diagnostic quality, regulatory compliance, and international recognition.
- This initiative supports India's growing organ transplant sector by improving laboratory testing reliability.

