<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.51.05.04" title_num="10" subtitle_num="51" chapter_num="05" heading="Quality Control Program.">
  <paragraph num="A.">
    <text>A licensee shall:</text>
    <paragraph num="(1)">
      <text>Develop, establish, maintain, implement, and follow quality control policies and procedures that ensure accurate and reliable:</text>
      <paragraph num="(a)">
        <text>Forensic analysis results; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Case reports;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Ensure that all quality control activities set forth in this chapter are documented;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ensure that the quality control program is able to detect shifts and trends that could result in an adverse impact on the quality of forensic analysis results;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Ensure that quality control data are evaluated routinely and when found to be contaminated, out of range, incorrect, or otherwise unacceptable:</text>
      <paragraph num="(a)">
        <text>Corrective actions are taken; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Incorrect results are not reported;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Ensure that quality control material and reference standards are specified in the SOPM and the results of quality control testing are documented in the case record;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Ensure that a reagent used for a forensic analysis:</text>
      <paragraph num="(a)">
        <text>Is tested for reliability before being put into use;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is identified with the:</text>
        <paragraph num="(i)">
          <text>Name of the reagent;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Lot number or date the reagent was prepared; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Expiration date;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Is checked for reliability on a cycle determined by the technical leader;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Has a record documenting:</text>
        <paragraph num="(i)">
          <text>Who prepared the reagent; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Completion of a reliability check before use; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>Has storage, safety, and handling requirements specified;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Ensure that a reagent that is not used for a forensic analysis on a regular basis is tested for reliability before each use;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Discard a reagent, make a new reagent, and check the new reagent’s reliability before any casework being performed, if the reagent reliability is found to be compromised;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Use reagents that are suitable for the forensic analysis methods employed;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Have procedures for tracking the receipt and use of commercial reagents;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Have procedures for the formulation of in-house reagents in the SOPM; and</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Test the forensic analysis method, before reporting a forensic analysis result, using:</text>
      <paragraph num="(a)">
        <text>A positive and negative external control for a qualitative forensic analysis; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Known levels of external controls for each analyte in a quantitative forensic analysis.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Postmortem Forensic Toxicology. In addition to applicable requirements of this regulation, a laboratory performing postmortem forensic toxicology shall meet the requirements of this section.</text>
    <paragraph num="(1)">
      <text>Screening Tests. A licensee shall:</text>
      <paragraph num="(a)">
        <text>Ensure a postmortem toxicology screening test is appropriate and validated for the type of biological specimen being analyzed; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Perform and document precision studies for a method that uses cut-off values for analyte concentrations.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Confirmatory Tests. A licensee shall:</text>
      <paragraph num="(a)">
        <text>Confirm, if possible, the detection or initial identification of controlled dangerous substances or other toxicants by a second method based on a different chemical principle; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Ensure the confirmatory test is more specific than the initial test for the target analyte, if possible.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Immunoassay. A laboratory shall:</text>
      <paragraph num="(a)">
        <text>Be able to demonstrate sufficient separation in the response between a negative and positive specimen at the cut-off concentration of the immunoassay;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Validate the use of an immunoassay method or procedure on a specimen if the method or procedure is not recommended by the manufacturer of the immunoassay; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Use matrix-matched quality control materials for each batch of specimens analyzed with the immunoassay.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Chromatography. A laboratory shall:</text>
      <paragraph num="(a)">
        <text>Analyze calibrators or controls with each batch of specimens for qualitative and quantitative chromatography assays;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Establish an acceptable range for each quantitative quality control material; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Use a suitable internal reference standard, when available.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Spectrophotometry. A laboratory shall maintain cuvettes used for spectrophotometry in good optical condition.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Mass Spectrometry. A laboratory shall:</text>
      <paragraph num="(a)">
        <text>Establish and adhere to criteria for acceptable mass spectrometric tune;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Have written criteria for full scan mass spectrometric identification through library searching; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Compare ion ratios and retention times between reference standards, calibrators, quality control materials, and case specimens when using selected ion monitoring or selected reaction monitoring.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>