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Annex XIII 3-Pillar Evidence

IVDR Performance Evaluation — Evidence Architecture

Under Annex XIII, the Performance Evaluation Report (PER) integrates Scientific Validity, Analytical Performance and Clinical Performance into one definitive conclusion on whether clinical evidence supports safety, diagnostic accuracy and GSPR conformity.

The IVDR Performance Evaluation Model

01

Intended Purpose

02

Performance Claims

03

Scientific Validity

04

Analytical Performance

05

Clinical Performance

06

PER Integration

07

PMPF Lifecycle

Performance Evaluation Plan (PEP) Scope

Intended purpose, intended user and clinical utility definition
Analyte / marker identification and associated medical condition
Target clinical population, specimen types and storage conditions
Specific analytical and clinical performance claims
Applicable state of the art and standard-of-care benchmark methods
Methodology, protocols and criteria for generating required evidence
Identification of scientific validity, analytical and clinical performance datasets
Quantitative evidence gap analysis and justification of needed studies
Predefined acceptance criteria and statistical hypotheses
PMPF strategy and annual / biennial lifecycle update triggers
Expert Differentiator

Evidence Matrix Before Writing

We do not start by blindly writing the PER. We first construct an evidence matrix linking each intended-purpose element and performance claim to the specific data needed to substantiate it, identifying and closing gaps before Notified Body review.

PER Deliverables

• Performance Evaluation Plan (PEP)

• Scientific Validity Report (SVR)

• Analytical Performance Report (APR)

• Clinical Performance Report (CPR)

• Integrated Performance Evaluation Report (PER)

• Post-Market Performance Follow-up (PMPF) Plan

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