Diagnostics, Laboratories and Independent Providers

This Diagnostic & Third-Party Healthcare Services Policy explains how Prajeeva Healthcare Private Limited, operating under the brand name Prajeeva Healthcare Private Limited, manages diagnostic services and healthcare services that may involve independent laboratories, diagnostic centres, healthcare professionals, technology providers or other external service providers.

Prajeeva Healthcare Private Limited's preventive healthcare model may use diagnostic information, biomarkers and other clinical assessments to support individual health evaluation and programme planning. Depending on the service selected, certain tests or specialist services may be performed directly within the applicable Prajeeva Healthcare Private Limited service environment or facilitated through an external provider.

This Policy applies to diagnostic testing, laboratory referrals, specimen collection arrangements, specialist assessments, health reports and other healthcare services involving an independent provider. It should be read together with the Terms & Conditions, Medical Disclaimer & Health Advice Warning, Preventive Healthcare & Wellness Services Policy, Privacy Policy and Personal & Health Data Protection Policy.

Diagnostic testing may form part of a preventive healthcare assessment, personalised health programme, physician consultation or other Prajeeva Healthcare Private Limited service.

Depending on clinical requirements and service availability, diagnostic activities may include laboratory testing, biomarker analysis, health screening, physiological assessments and other investigations considered relevant to an individual's programme.

The purpose of diagnostic testing is to provide information that may assist appropriately qualified healthcare professionals in assessing health status, identifying relevant risk indicators, monitoring measurable changes or determining whether further investigation is appropriate.

A diagnostic test should not be interpreted independently of its clinical context.

Not every test or assessment is appropriate for every individual.

The selection of diagnostic investigations may depend on:

• Medical and family history.
• Current symptoms or health concerns.
• Age and other relevant individual factors.
• Existing medical conditions.
• Current medicines or supplements.
• Previous diagnostic findings.
• Preventive healthcare objectives.
• Clinical risk assessment.
• Professional judgement.
• Programme requirements.

Prajeeva Healthcare Private Limited may recommend additional, alternative or repeat testing where clinically appropriate.

A user's request for a particular test does not require a healthcare professional to recommend or order that test where it is considered unnecessary, unsuitable or outside the applicable scope of service.

Certain diagnostic services may be performed by independent laboratories, diagnostic centres or specialist providers.

Where an independent provider performs the test, that provider may be responsible for matters within its control, including laboratory procedures, analytical methodology, equipment, internal quality controls, technical validation and issuance of laboratory results.

Where accreditation is relevant to the particular test or laboratory service, Prajeeva Healthcare Private Limited may consider the provider's applicable accreditation status and scope. In India, the National Accreditation Board for Testing and Calibration Laboratories, or NABL, accredits medical laboratories against ISO 15189. Accreditation applies according to the laboratory's approved scope and should not be assumed to cover every test offered by a provider.

Prajeeva Healthcare Private Limited will not represent an external provider as accredited for a particular test unless that status and applicable scope have been appropriately established.

Prajeeva Healthcare Private Limited may consider relevant professional, technical, operational, privacy and service factors when selecting an external diagnostic or healthcare provider.

Depending on the service, considerations may include:

• Appropriate qualifications or professional standing.
• Applicable licences, registrations or accreditations.
• Scope of available diagnostic services.
• Laboratory or clinical quality procedures.
• Sample handling requirements.
• Data protection and confidentiality practices.
• Reporting procedures.
• Service availability and turnaround requirements.
• Geographic or logistical considerations.
• Ability to support the relevant clinical requirement.

The appropriate criteria may differ according to the nature of the service.

A sample or diagnostic request may need to be referred to another laboratory where specialised testing, confirmation, second opinion or another legitimate diagnostic requirement applies.

NABL's current medical laboratory criteria address referrals for specified circumstances and require, among other things, appropriate selection of referral laboratories, maintenance of referral records, consideration of sample transport and prior information to users regarding referred tests.

Where Prajeeva Healthcare Private Limited facilitates a referral, users may be informed that an external provider will perform the relevant test where this is material to the service.

A referral does not mean that Prajeeva Healthcare Private Limited itself performed the laboratory analysis.

Certain diagnostic services may require collection of blood, urine, saliva, swabs or other clinically appropriate specimens.

Collection requirements depend on the test and the laboratory or healthcare provider performing the analysis. Users may receive instructions concerning fasting, medication, timing, hydration, collection procedures or other preparation requirements.

Users should follow the instructions provided for the particular test.

Failure to follow preparation or collection requirements may affect sample quality, analytical reliability or the ability of the laboratory to complete the requested test.

Accurate identification is important throughout diagnostic testing.

Users should provide correct identity and other requested information during registration and specimen collection. Where appropriate, providers may use identifiers, labels, barcodes or other controls to associate a specimen with the relevant diagnostic request.

Sample handling requirements may differ according to the specimen and test involved.

Where a third-party laboratory controls collection, transportation, processing or storage, its applicable procedures and professional responsibilities govern those activities within its control.

Some specimens require controlled transportation conditions to maintain their integrity.

Depending on the test, factors such as time, temperature, packaging, handling and transport conditions may affect specimen quality.

NABL's medical laboratory criteria specifically recognise the need to assess transport to referral laboratories so that sample integrity is maintained within acceptable time periods.

Where a specimen becomes unsuitable for analysis because of clotting, contamination, insufficient quantity, deterioration, identification concerns or another technical issue, recollection may be necessary.

A laboratory or healthcare provider may reject a specimen where it does not meet the technical or identification requirements for reliable testing.

Reasons may include:

• Insufficient sample quantity.
• Incorrect collection container.
• Improper storage or transportation.
• Sample deterioration.
• Contamination.
• Clotting where incompatible with the test.
• Labelling or identification discrepancies.
• Failure to satisfy test preparation requirements.
• Technical circumstances affecting sample integrity.

Where recollection is required, the user will be informed through the applicable service process.

The need for recollection does not by itself indicate an abnormal clinical finding.

Diagnostic reports may be generated by Prajeeva Healthcare Private Limited or by the independent provider responsible for performing the relevant test.

Where an external laboratory performs an investigation, the report may identify the performing laboratory, testing methodology, reference information or other details according to that provider's reporting practices and applicable requirements.

Prajeeva Healthcare Private Limited should not materially alter a third-party diagnostic result in a way that misrepresents the original laboratory finding.

Where clinical commentary is separately provided by a Prajeeva Healthcare Private Limited healthcare professional, it should be distinguished from the underlying laboratory result where appropriate.

Laboratory and diagnostic results should be interpreted within the individual's wider clinical context.

An isolated result may be influenced by factors including:

• Age.
• Biological variation.
• Medication.
• Nutrition.
• Hydration.
• Recent physical activity.
• Time of sample collection.
• Acute illness.
• Laboratory methodology.
• Reference population.
• Sample quality.

A value outside a stated reference interval does not automatically establish disease. A result within a reference interval does not necessarily exclude a medical condition or future health risk.

Clinical interpretation should be undertaken by an appropriately qualified healthcare professional where required.

Reference intervals may differ between laboratories and testing methodologies.

A result should therefore be considered against the reference information supplied with the relevant report rather than automatically compared with a result produced using a different method or laboratory.

Changes in equipment, analytical methodology, units or reference intervals may also affect comparison between results obtained at different times.

Where longitudinal monitoring is clinically important, the responsible healthcare professional may consider these differences when evaluating changes.

Biomarkers may be used to provide information about measurable biological processes or health-related indicators.

Biomarker information can support preventive health assessment, risk evaluation or monitoring, but individual biomarkers should not ordinarily be treated as independent diagnoses.

A healthcare professional may consider several biomarkers together with medical history, lifestyle information, physical findings and other investigations before reaching a clinical interpretation.

Changes in biomarkers over time do not guarantee corresponding changes in long-term health outcomes.

Where genomic or genetic testing forms part of an available service, the test may provide information concerning genetic characteristics, variants, associations or potential health susceptibilities.

Genetic information may be probabilistic rather than predictive with certainty.

A genetic result does not necessarily mean that an individual will develop a particular medical condition. Equally, absence of a reported variant does not eliminate all genetic or non-genetic health risks.

Where appropriate, users may be advised to obtain specialist medical or genetic counselling before making significant healthcare decisions based on genetic findings.

Where microbiome or other specialised biological assessments are offered, results should be understood according to the methodology, scientific limitations and clinical relevance of the particular assessment.

Such results may contribute information to a broader healthcare evaluation but should not automatically be treated as definitive evidence of a disease or a specific treatment requirement.

The clinical usefulness of a specialised test may vary according to the individual's circumstances and available scientific evidence.

Where imaging or another specialist diagnostic investigation is required, Prajeeva Healthcare Private Limited may facilitate or recommend access to an appropriate external provider.

The performing provider is responsible for technical execution and reporting within its professional scope.

Where specialist interpretation is required, the relevant report should be reviewed by an appropriately qualified professional.

Prajeeva Healthcare Private Limited may incorporate the resulting information into a wider preventive healthcare assessment where appropriate.

Estimated turnaround times for diagnostic results may be communicated at the time of booking or sample collection.

Turnaround times are estimates unless expressly stated otherwise.

Delays may occur because of:

• Sample recollection.
• Quality control requirements.
• Repeat analysis.
• Specialist review.
• Referral testing.
• Laboratory workload.
• Equipment issues.
• Logistics or transportation.
• Public holidays.
• Circumstances outside Prajeeva Healthcare Private Limited's reasonable control.

Where an external provider performs the test, Prajeeva Healthcare Private Limited cannot guarantee a reporting time controlled entirely by that provider.

A diagnostic result may occasionally require repeat or confirmatory testing.

This may occur because of an unexpected result, analytical limitation, sample quality concern, clinical inconsistency or the need for a different methodology.

A recommendation for repeat testing does not automatically mean that the original result was incorrect.

The need for confirmation should be determined according to the circumstances of the particular result and appropriate clinical judgement.

Certain diagnostic results may require timely clinical attention.

Where Prajeeva Healthcare Private Limited receives a result identified as critical or requiring prompt review, reasonable steps may be taken to communicate the information according to the applicable clinical process.

Users are responsible for maintaining accurate contact details.

Diagnostic reporting channels are not substitutes for emergency medical services. A person experiencing acute or serious symptoms should seek immediate medical attention rather than wait for diagnostic results or routine communication from Prajeeva Healthcare Private Limited.

Prajeeva Healthcare Private Limited may facilitate access to healthcare professionals or specialists who are independent of Prajeeva Healthcare Private Limited.

An independent healthcare professional remains responsible for clinical decisions, professional conduct and services performed within their own professional scope.

Prajeeva Healthcare Private Limited does not direct a qualified independent professional to reach a predetermined diagnosis or clinical conclusion.

Any separate consultation terms, professional consent requirements or privacy notices may also apply.

No diagnostic service can reasonably be represented as identifying every disease, abnormality or future health risk.

Testing may have limitations involving sensitivity, specificity, detection thresholds, biological variation, sample quality and methodology.

A negative or normal result should not be used to disregard persistent, worsening or clinically concerning symptoms.

Further investigation may be appropriate even where an earlier result was within the stated reference range.

Diagnostic testing provides information. It does not itself guarantee prevention, treatment, recovery or improvement.

Prajeeva Healthcare Private Limited does not guarantee that identifying a biomarker, health risk or diagnostic finding will result in a particular health outcome.

Recommendations made following testing remain subject to individual clinical circumstances and professional judgement.

Users should not discontinue prescribed medication, delay treatment or disregard advice from their existing healthcare professionals solely because of a diagnostic result obtained through a Prajeeva Healthcare Private Limited service.

Where a result may affect an existing treatment plan, the individual should discuss it with an appropriately qualified healthcare professional.

Prajeeva Healthcare Private Limited may recommend specialist referral where a finding falls outside the scope of its preventive healthcare services.

Users are responsible for:

• Providing accurate identification and contact information.
• Providing relevant health information where requested.
• Following test preparation instructions.
• Disclosing medicines or supplements where relevant to testing.
• Attending collection or diagnostic appointments as scheduled.
• Informing the provider about relevant allergies or medical circumstances.
• Reviewing results with an appropriate healthcare professional where advised.
• Seeking urgent medical care where symptoms require it.

Users should not knowingly submit another person's specimen or provide false information relating to a diagnostic service.

Fees for laboratory, diagnostic or other external healthcare services may be included within a Prajeeva Healthcare Private Limited programme or charged separately depending on the applicable service arrangement.

Any known separate charges should be communicated through the relevant quotation, booking, invoice or programme information.

Additional testing recommended after an initial assessment may involve additional charges.

Refund or cancellation eligibility is governed by the applicable Refund & Cancellation Policy, service terms and mandatory consumer rights.

Where an external provider is required to perform a diagnostic or healthcare service, Prajeeva Healthcare Private Limited may share information reasonably necessary to arrange and complete that service.

Depending on the circumstances, this may include:

• Name and identification information.
• Contact details.
• Relevant demographic information.
• Test request information.
• Relevant clinical information.
• Specimen identifiers.
• Information required for reporting or billing.

Information should be limited to what is reasonably necessary for the relevant purpose.

Diagnostic reports and associated health information are treated as personal information and should receive safeguards appropriate to their nature.

Processing of digital personal data in India is subject to applicable requirements under the Digital Personal Data Protection Act, 2023 and its implementation framework, according to the provisions in force and applicable at the relevant time.

Prajeeva Healthcare Private Limited's handling of personal and health-related information is further addressed in its Privacy Policy and Personal & Health Data Protection Policy.

Consent to undertake a diagnostic test does not constitute unrestricted permission to use the resulting health information for unrelated purposes.

At a user's request or where otherwise lawfully authorised, diagnostic information may be shared with another healthcare professional involved in the individual's care.

Prajeeva Healthcare Private Limited may require appropriate verification or authorisation before sending personal health information to another person or organisation.

Users should ensure that recipient details supplied for this purpose are accurate.

Prajeeva Healthcare Private Limited may decline a disclosure request where identity, authority or recipient information cannot reasonably be verified.

Where diagnostic services form part of a corporate or employer-sponsored wellness programme, sponsorship or payment by the organisation does not automatically entitle that organisation to receive an individual's identifiable diagnostic results.

Individual health information will be handled according to applicable consent, privacy, contractual and legal requirements.

Where appropriate, corporate reporting may use aggregated or appropriately de-identified information rather than individual diagnostic records.

Any programme-specific reporting arrangements should be communicated separately where relevant.

NABL accredits medical laboratories in India against ISO 15189. Accreditation relates to the laboratory and the specific scope for which accreditation has been granted.

Where a test's accreditation status is material, users should refer to the current accreditation certificate and approved scope of the laboratory performing that test.

NABL criteria require laboratories to distinguish accredited and non-accredited test parameters when applicable and provide relevant information to users.

Prajeeva Healthcare Private Limited does not represent that every external laboratory, test or diagnostic service is NABL accredited unless that status has been verified for the relevant provider and scope.

If a concern relates to a diagnostic or healthcare service facilitated through Prajeeva Healthcare Private Limited, users may first contact Prajeeva Healthcare Private Limited so that the matter can be reviewed.

Where the issue concerns an activity controlled by an independent provider, Prajeeva Healthcare Private Limited may need to coordinate with that provider or direct the user to its applicable complaint process.

This does not prevent a user from exercising any statutory right to approach an appropriate regulatory, professional, consumer or judicial authority.

Prajeeva Healthcare Private Limited remains responsible for obligations that legally apply to services provided by Prajeeva Healthcare Private Limited.

Where an independent provider performs a service under its own professional or operational responsibility, Prajeeva Healthcare Private Limited cannot assume responsibility for matters entirely outside its reasonable control merely because it facilitated access to that provider.

Nothing in this Policy excludes liability for negligence, deficient service, breach of statutory duty or any other responsibility that cannot lawfully be excluded.

Mandatory rights available under applicable Indian law will prevail over any inconsistent provision of this Policy.

Prajeeva Healthcare Private Limited may update this Policy where its diagnostic services, laboratory arrangements, healthcare partnerships, technology, data processing practices or applicable regulatory requirements change.

The current version will be published on the Prajeeva Healthcare Private Limited website.

Where a material change affects an existing service, applicable contractual, consent and statutory requirements will continue to apply.

This Policy should be read together with:

• Terms & Conditions
• Medical Disclaimer & Health Advice Warning
• Preventive Healthcare & Wellness Services Policy
• Privacy Policy
• Personal & Health Data Protection Policy
• Data Protection & User Rights
• Refund & Cancellation Policy
• Payments, Subscriptions & Billing Policy

For diagnostic services, reports, third-party healthcare services, privacy or related enquiries:

Prajeeva Healthcare Private Limited

Email: enquiries@prajeeva.com
Phone: +91-95913-21052
Website: https://prajeeva.com
Office: Prajeeva Healthcare Private Limited, Units B-403 & B-404, 4th Floor, Garden of Eden by UKN, Pattandur Agrahara, Whitefield, Bengaluru – 560066, India.

If you have questions about this page or how your information is handled, reach out to our team directly.