🧪 Healthcare ERP · Lab and diagnostics

Every sample tracked, every result checked before it reaches the doctor

Barcodes from the collection point, analysers that send results straight to the system, Westgard QC on every run and rules that hold doubtful results for review. Reports reach doctors and patients on WhatsApp, the portal and ABHA, with turnaround time tracked at every step.

Sample S-24081

Turnaround0 minTarget 2 h

  1. Ordered
  2. Collected
  3. Received
  4. Analysed
  5. Validated
  6. Reported

CBCWaiting for the analyser

  • Haemoglobin13.6g/dL, 13.0 to 17.0
  • White cells11.810³/µL, 4.0 to 11.0High
  • Platelets24510³/µL, 150 to 410

Where errors happen

Most lab errors happen before the analyser

In a study of 51,746 tests at a hospital's stat lab, most errors happened before the sample reached the analyser (Carraro and Plebani, 2007). Hover a phase to see what goes wrong and how the system stops it.

Pre-analytical61.9% of errors

Before the sample reaches the analyser

What goes wrong

  • Wrong patient on the tube
  • Wrong or under-filled tube
  • Haemolysed or clotted sample
  • Delays in transport

What the system does

  • Barcode labels printed at the collection point
  • Tube type and volume set for every test
  • Rejections logged with a reason
  • Every hand-off scanned and timed

Analytical15% of errors

While the analyser runs the test

What goes wrong

  • Quality control failures
  • Calibration drift
  • Interference from the sample

What the system does

  • Westgard rules on every control run
  • Calibration and maintenance logs
  • Instrument flags carried with the result

Post-analytical23.1% of errors

After the result is produced

What goes wrong

  • Results typed in wrongly
  • Critical results phoned late
  • Reports sent to the wrong place

What the system does

  • Results flow from the analyser, never retyped
  • Critical value alerts with call logging
  • Reports to the right doctor and patient
Tube guide

Which tubes, and in what order?

Pick the tests on an order. The system works out the tubes, merges tests that share one and sorts them in the order of draw recommended by CLSI, so additives don't carry over between tubes.

Tests on this order

Common tube choices; your lab's test master sets the container for each test.

Tubes to draw—
Labels to print—
Tests—

CLSI order of draw

  1. Blood culture bottles
  2. Sodium citrate
  3. Serum, clot activator and gel
  4. Heparin
  5. EDTA
  6. Sodium fluoride and oxalate
Set up barcode labels
Quality control

Catch drift before it reaches a patient report

Two control levels plotted on a Levey-Jennings chart, with Westgard rules applied to every run. Pick a scenario to see which rules fire.

  • Control level 1
  • Control level 2
  • Rule broken

Rules checked on every run

  • 1-2sOne control beyond 2 SD: a warning to look closer
  • 1-3sOne control beyond 3 SD: reject the run
  • 2-2sTwo results beyond 2 SD on the same side: reject
  • R-4sOne level above +2 SD and the other below −2 SD in the same run: reject
  • 4-1sFour in a row beyond 1 SD on the same side: reject
  • 10xTen in a row on the same side of the mean: reject

Result checks

Release normal results, hold the doubtful ones

Each result is checked against reference ranges, critical limits and the patient's last result before it's released. Move the result to see what the rules decide. Example limits; your lab sets its own.

    • Normal
    • Outside range
    • Critical
    • Delta limit around the last result
    —
    Analyser interfacing

    Results that nobody has to type

    Orders go down to the analysers and results come back up over ASTM or HL7, coded with LOINC where the report needs it. Below is a live feed from a demo lab.

    HaematologyHL7 v2 link, bidirectional

    0results today

    BiochemistryASTM link, bidirectional

    0results today

    ImmunoassayASTM link, bidirectional

    0results today

    CoagulationHL7 v2 link, bidirectional

    0results today

    • ASTM E1394 / LIS2-A2The record format most chemistry and immunoassay analysers use.
    • HL7 v2 ORM and ORUOrder and result messages used by many haematology and hospital systems.
    • LOINC codesStandard codes for tests, so results mean the same thing everywhere.
    • FHIR for ABDMReports shared to ABHA as diagnostic reports.
    Radiology

    Imaging on the same record, from order to shared report

    RIS and PACS steps for X-ray, CT, MRI and ultrasound, tied to the same patient record as the lab.

    1. OrderFrom OPD, wards or a referral, with the clinical question.
    2. ScheduleSlot booked; the modality gets the patient through a DICOM worklist.
    3. ScanImages go to PACS, linked to the order and the patient's record.
    4. ReportTemplates, voice dictation and prior scans side by side.
    5. ShareReport and image link to the doctor, the patient and ABHA.
    • X-ray22in the worklist
    • CT14in the worklist
    • MRI9in the worklist
    • Ultrasound31in the worklist
    • Mammography6in the worklist

    Demo worklist counts.

    How it works

    From test master to go-live

    Six steps to move your lab onto one system.

    1. Step 1Build the test masterTests, panels, ranges and containers.
    2. Step 2Connect analysersASTM or HL7 links and barcode printers.
    3. Step 3Set QC and rulesControl levels, Westgard rules, critical limits.
    4. Step 4Design reportsLetterheads, signatures and delivery.
    5. Step 5Train the teamsCollection, lab and reporting staff.
    6. Step 6Go live and trackTAT, rejections and QC every day.
    What it changes

    Results doctors, patients and assessors notice

    What changes once samples, QC and reports run on one system.

    Faster reports

    Turnaround tracked at every step, delays flagged early.

    Fewer sample errors

    Barcodes and tube rules from the first draw.

    QC you can show assessors

    Every control run, rule and action on record.

    Reports where patients are

    WhatsApp, portal and ABHA, the moment they're signed.

    Who it's for

    Built for every kind of lab

    From a clinic's in-house lab to a lab chain.

    • Hospital laboratories
    • Standalone diagnostic labs
    • Collection centres and franchises
    • Radiology and imaging centres
    • Lab chains with a central lab
    • Clinics with an in-house lab
    Healthcare ERP

    Other modules in the suite

    One integrated system.

    FAQ

    Lab and diagnostics questions

    Answers for lab owners, pathologists and IT teams.

    What is a laboratory information system (LIS)?

    It manages the lab's work from test order to report: sample barcodes, worklists, analyser interfaces, quality control, result validation and report delivery, with every step logged and timed.

    Which analysers can it connect to?

    Most analysers that support ASTM (E1394 or CLSI LIS2-A2) or HL7 v2, over serial or TCP/IP, in one-way or bidirectional mode. Orders go to the analyser and results come back without anyone typing them.

    How does it help with NABL accreditation?

    NABL accredits medical labs to ISO 15189; the 2022 edition replaced the 2012 one after a transition that ended in December 2025. The system keeps the records assessors look for: QC data and rule violations, calibration and maintenance logs, sample rejections, turnaround times, critical value calls and an audit trail.

    What are Westgard rules?

    Quality control rules for judging control results on a Levey-Jennings chart, such as 1-3s (one control beyond 3 SD) or 2-2s (two in a row beyond 2 SD on the same side). The system applies them to every run and holds patient results when a run fails.

    What is autoverification?

    Rules that release normal, plausible results automatically and hold the rest for review, based on reference ranges, critical limits, delta checks against the patient's previous result and instrument flags.

    What is a delta check?

    It compares a result with the same patient's previous result. A change bigger than the lab's limit can point to a wrong sample or a real change in the patient, so the result is held until someone reviews it.

    Can patients get reports on WhatsApp and in their ABHA app?

    Yes. Signed reports go out as PDFs on WhatsApp, SMS or the patient portal, and can be linked to the patient's ABHA as a diagnostic report under the Ayushman Bharat Digital Mission.

    Does it handle radiology too?

    Yes. It covers imaging orders, scheduling with DICOM modality worklists, PACS integration, report templates with prior comparison, and sharing images and reports with doctors and patients.

    How long does implementation take?

    Usually 6 to 10 weeks for one lab, depending on the number of analysers, tests and collection centres. This is an estimate.

    Get In Touch

    Ready for faster, safer lab reports?

    Tell us your daily test volume, analysers and collection centres. We reply within 4 business hours and can demo with your own data.

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