wdt_ID | Company | Contact | City, State | Phone | Website | Name of laboratory information system | How LIS functionality is deployed | Company provides list of client sites to potential customers on request | Updates covered by standard software maintenance fee | • Schedule for providing standard software updates to clients | • Clients must install updates in specified timespans to avoid maintenance fee increase | • Fee for software modifications to comply with federal regulations and laws | Year company began selling LISs (any brand or model) | Most recent LIS go-live at a client site (based on August 2023 survey deadline) | Last product release or update for featured LIS | Total No. of contracts for sites operating LIS worldwide | • No. of sales and installations of LIS between August 2022–July 2023 | Total No. of sites operating LIS in the U.S. (hospitals/independent labs/clinics or group practices/public health labs/other sites) | Percentage of high-volume* U.S. sites installed/Low-volume** U.S. sites installed | Foreign locations where company actively markets LIS | • Foreign locations where LIS has been sold | • Human languages (other than English) supported by LIS | Approximate No. of employees in entire company | Central hardware or service type | Programming languages and development applications or environments | Operating system(s) | Databases and tools/System includes full transaction logging | Features/modules incorporated in product: | • Chemistry/Hematology/Bar-coded collection labels | • Microbiology/Public health microbiology | • Blood bank donor/Blood bank transfusion | • Surgical pathology/Cytology | • Molecular pathology/Cytogenetics/Flow cytometry | • EHR interface for admission/discharge/transfer (ADT) | • EHR interface for order entry/EHR interface for results reporting | • EHR interface for packaging results into PDF format | • EHR interface for packaging results into CDA1 format/CDA2 format | • Ad hoc reporting/Rules-based system | • Management and statistical reporting/Client services or CRM module | • POL link or Web portal to physician offices/Patient Web portal | • Commercial reference lab functionality/Compliance checking | • Comprehensive billing and accounts receivable or RCM | • Materials management and inventory/Test partition | • Remote faxing/Remote printing | • HIPAA-standard transaction formats | • Web-based remote inquiry of reports/Web access for order entry | • Management and tracking of specimens in lab/Before arriving in lab | • QA tools/Environmental health | • Interfaces for sending orders from primary lab to reference lab, handling results return, and status updates | • Business analytics/Clinical analytics | • Ability to schedule patient for test collection/Patient-based test registration | • Ability to coordinate with nurses for collections that phlebotomists cannot perform | • Interfaces with public health databases using ELR as part of Promoting Interoperability | • Results for tests run using different methods show method on clinical reports | Barcode symbologies supported by LIS | LIS can generate analytics for tests based on specific data elements | Ability to use artificial intelligence (e.g., machine-learning software) with LIS | LIS can report lab data to public health agencies via automated electronic transmission using specified formats (e.g., HL7 2.5.1, LOINC, SNOMED, etc.) for: | • Microbiology (culture and sensitivity) | • Other reportable diseases (e.g., blood lead, immunology, etc.) | • Tumor diagnosis and case data to regional cancer registry*** | Other vendors’ lab systems to which LIS bidirectionally interfaces in live sites | Lab automation systems or workcells to which LIS has a direct interface | LIS uses third-party middleware for LIS–instrument interfaces | LIS supports use of SNOMED CT | LIS automatically ingests and applies electronic updates of tables and rules from organizations and government agencies | LIS allows for image capture, display, reporting | LIS provides indexed field in each test definition for LOINC code | Company provides LIS clients with positive patient ID software to identify patients and/or blood specimens collected at bedside | • LIS interfaces to third-party positive patient ID software to identify patients and/or blood specimens collected at bedside | Client gets copy of source code/User group that meets on established schedule | Qualified users or third parties can modify or augment LIS functions or features | Methods by which users can tailor LIS in their own setting | Distinguishing product features (supplied by company) | *generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day | **generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day | ***using NAACCR Pathology Laboratory Electronic Reporting, vol. V, version 4.0, April 2011 ed. | Note: a dash as an answer means company did not respond or question is not applicable | Additional Features | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Altera Digital Health | Susan Eben | susan.eben@alterahealth.com | Niagra Falls, NY | www.alterahealth.com | Altera Lab† | remote hosting or local hosting if Data Innovations server on site | yes (partial list of comparable sites but prospective clients must sign a nondisclosure agreement) | all updates | annually or as needed | yes (support current release and one back; upgrades to current version required) | standard (no charge) | 2022 | Jun-2023 | June 2023, version 23.1 | 45 | 6 sales/5 installations | 43 (42/1/0/0/0) | 50%/50% | worldwide (English-speaking countries only) | Qatar, Saudi Arabia | — | 5,500 | Hewlett-Packard, IBM, Dell, Azure | C, C#, Java, JavaScript, Perl, HTML, CSS | Windows, Red Hat Enterprise Linux, Oracle Linux | Oracle/yes | installed at client sites (all 3 features) | installed at client sites/installed at client sites | available via WellSky/available via WellSky | available via NovoPath/available via NovoPath | available via NovoPath/available via NovoPath/available via NovoPath | installed at client sites | installed at client sites/installed at client sites | installed at client sites | not available/not available | installed at client sites/installed at client sites | installed at client sites/not available | not available/not available | installed at client sites/not available | not available | not available/— | installed at client sites/installed at client sites | installed at client sites | not available/not available | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | not available/installed at client sites | installed at client sites | installed at client sites | installed at client sites | Code 39, Code 128 | planned for future | planned for future | yes | yes | yes | Cerner, Clinisys, NovoPath, Epic, Orchard, CPSI, others | interface through Data Innovations to Beckman, Siemens, QuidelOrtho, Roche, Sysmex, many others | yes, for all instrument interfaces (Data Innovations) | yes, for all cases | planned for future | yes | yes (provide LOINC dictionary free of charge with install) | software to identify patients and blood specimens integrated in LIS–no additional fee | — | escrow/yes (via webinar and conference call) | yes (client users and designated third parties) | ad hoc query tools, user-defined interfaces, dictionary settings, read/write privileges, workflow configuration, tailored worklists, interface engine | fits well in most organizations: extremely scalable, flexible, customizable; substantially decreased total cost of ownership with availability of Linux platform | †formerly Horizon Lab, McKesson Lab, Allscripts Lab | |||||||
2 | Clinical Software Solutions | Elaine Nordhues | info@clin1.com | Queen Creek, AZ | 480-888-9447 | www.clin1mobile.net | CLIN1 Laboratory | remote hosting and/or local server/software | yes (partial list of comparable sites but prospective clients must sign a nondisclosure agreement) | some updates (specific customizations charged separately) | annually | no | standard (no charge) | 1987 | Jul-2023 | July 2023, version 12.3 | 56 | 4 sales/4 installations | 56 (0/53/0/0/3–education) | 10%/90% | none | Canada, United Kingdom | — | — | client/server, software-as-a-service | 4GL, C# | Microsoft Windows | Microsoft SQL/yes | installed at client sites (all 3 features) | installed at client sites/installed at client sites | available but not installed/available but not installed | installed at client sites/installed at client sites | installed at client sites/installed at client sites/available but not installed | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/available but not installed | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites | Codabar (NW-7), Code 39, Code 128, DataMatrix (LIS also supports QR codes) | planned for future | yes (via interface to Amazon Rekognition) | yes | yes | no | Altera, Athena, eClinicalWorks, Epic, Orchard, others | Beckman Coulter, Siemens, QuidelOrtho, Sysmex, Thermo Scientific, Olympus, Roche, Abbott, Tecan, others | no (interface directly) | yes, for all cases | yes (LOINC, CPT, ICD-10; drug interactions) | yes | yes | software to identify patients and blood specimens integrated in LIS–no additional fee | — | no/yes (via webinar and conference call) | no (all modifications made by vendor) | ad hoc query tools, dictionary settings, workflow configuration | experienced and personalized support; customized workflows backed by powerful software; multi-lab, multi-site, multi-use capable with client/patient portals and SMS/email notification | |||||||
3 | Clinisys | Amber Kazansky | amber.kazansky@clinisys.com | Tucson, AZ | 520-570-2000 | www.clinisys.com | Clinisys Clinical Laboratory† | remote hosting or local server/software | yes (partial list of comparable sites with no restrictions regarding its use) | all updates | semiannually | no | standard (no charge) | 1979 | Jan-2023 | April 2023, version 2023.1 | 140+ | 25 sales | — | — | worldwide | — | — | 1,400+ | service model accessed by a Web browser | .Net 6, C#, SQL, PL/SQL | Microsoft Windows | Oracle Enterprise/no | installed at client sites (all 3 features) | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites | — | yes (based on all data in database) | planned for future | yes | yes | yes | — | Beckman Coulter, Siemens, QuidelOrtho, Sysmex, Olympus, Roche, Abbott, Bayer, Thermo Scientific, Tecan | combination of direct interfaces and third-party middleware (Data Innovations) | yes, for all cases | yes | yes | yes | software to identify patients and blood specimens integrated in LIS–additional fee | none | escrow/yes (via conference call and in person) | yes (client users) | ad hoc query tools, user-defined interfaces, dictionary settings, workflow configuration, tailored worklists, rules engine | handles environmental and clinical work naturally in the same system; Clinisys is a large independent global LIMS/LIS provider offering superior resources and expertise | †formerly Sunquest Laboratory | ||||||
4 | Clinsis LLC | Cedric Simon | cedric.simon@clinsis.com | Dover, DE | 765-276-3451 | www.clinsis.com | Clinsis | remote hosting or local server/software | yes (complete list but prospective clients must sign a nondisclosure agreement) | all updates | monthly | no | standard (no charge) | 2005 | Jun-2023 | August 2023, version 16.1.4 | 42 | 4 sales/0 installations | 0 | 0 | Central America, Caribbean | Dominican Republic, Trinidad and Tobago, Nicaragua, El Salvador, Honduras, Guatemala | Spanish | 5 | Dell PowerEdge, dedicated server | Java, JSP, JavaScript, SQL, JasperReports | Linux | MariaDB, MySQL/yes | installed at client sites (all 3 features) | installed at client sites/not available | in development/in development | installed at client sites/installed at client sites | in development/not available/not available | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/not available | installed at client sites/installed at client sites | installed at client sites/not available | installed at client sites/installed at client sites | in development/installed at client sites | installed at client sites | installed at client sites/installed at client sites | in development/installed at client sites | in development | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/not available | in development | installed at client sites/installed at client sites | installed at client sites/installed at client sites | not available | not available | installed at client sites | Code 128 (LIS also supports QR codes) | yes (based on all data in database) | planned for future | no | no | no | — | Beckman Coulter, Siemens, QuidelOrtho, Sysmex, Thermo Scientific, Abbott, Bayer, BioMérieux, others | no (interface directly) | planned for future | planned for future | yes | yes | no | — | no/no | no (all modifications made by vendor) | user-defined interfaces, dictionary settings, workflow configuration, tailored worklists | user friendly and intuitive; minimal training required; reliable and flexible, a complete HIS and RIS as well | |||||||
5 | Comp Pro Med | Dave McClung | dmcclung@comppromed.com | Santa Rosa, CA | 707-890-6589 | www.comppromed.com | Polytech LIS | remote hosting or local server/software | no (information is confidential) | all updates | every 6 months | no | standard (no charge) | 1983 | Jul-2023 | February 2023, version 8.6.6 | 185 | 5 sales/5 installations | 120 (2/72/46/0/0) | 5%/95% | Philippines, Africa, Bahamas | Africa, Bhutan, Canada, Caribbean, Ethiopia, Philippines, Bahamas | any supported by Windows operating system | 8 | any (client supported) | C++, PHP, HTML, JavaScript | Windows | Pervasive, MySQL/yes | installed at client sites (all 3 features) | installed at client sites/installed at client sites | not available/not available | installed at client sites/installed at client sites | installed at client sites (all 3 features) | installed at client sites | installed at client sites/installed at client sites | installed at client sites | not available/not available | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites | Codabar (NW-7), Code 39, Code 128, DataMatrix (LIS also supports QR codes) | yes (based on all data in database) | yes (via interface to DeepGlioma AI) | yes | yes | yes | — | Beckman Coulter, Siemens, QuidelOrtho, Sysmex, Abbott, Thermo Scientific | no (interface directly) | for some types of cases (can be implemented by client through functionality within the LIS) | yes (LOINC, ICD, FDA NDC) | yes | yes (provide LOINC dictionary free of charge with install) | planned for future | — | no/no | yes (client users) | ad hoc query tools, user-defined interfaces, dictionary settings, read/write privileges, workflow configuration, tailored worklists, built-in customizable report generator | fast installation without skipping on robust tools; no phone trees for support calls; user friendly; 90% of work done on one screen | |||||||
Company | Contact | City, State | Phone | Website | Name of laboratory information system | How LIS functionality is deployed | Company provides list of client sites to potential customers on request | Updates covered by standard software maintenance fee | • Schedule for providing standard software updates to clients | • Clients must install updates in specified timespans to avoid maintenance fee increase | • Fee for software modifications to comply with federal regulations and laws | Year company began selling LISs (any brand or model) | Most recent LIS go-live at a client site (based on August 2023 survey deadline) | Last product release or update for featured LIS | Total No. of contracts for sites operating LIS worldwide | • No. of sales and installations of LIS between August 2022–July 2023 | Total No. of sites operating LIS in the U.S. (hospitals/independent labs/clinics or group practices/public health labs/other sites) | Percentage of high-volume* U.S. sites installed/Low-volume** U.S. sites installed | Foreign locations where company actively markets LIS | • Foreign locations where LIS has been sold | • Human languages (other than English) supported by LIS | Approximate No. of employees in entire company | Central hardware or service type | Programming languages and development applications or environments | Operating system(s) | Databases and tools/System includes full transaction logging | Features/modules incorporated in product: | • Chemistry/Hematology/Bar-coded collection labels | • Microbiology/Public health microbiology | • Blood bank donor/Blood bank transfusion | • Surgical pathology/Cytology | • Molecular pathology/Cytogenetics/Flow cytometry | • EHR interface for admission/discharge/transfer (ADT) | • EHR interface for order entry/EHR interface for results reporting | • EHR interface for packaging results into PDF format | • EHR interface for packaging results into CDA1 format/CDA2 format | • Ad hoc reporting/Rules-based system | • Management and statistical reporting/Client services or CRM module | • POL link or Web portal to physician offices/Patient Web portal | • Commercial reference lab functionality/Compliance checking | • Comprehensive billing and accounts receivable or RCM | • Materials management and inventory/Test partition | • Remote faxing/Remote printing | • HIPAA-standard transaction formats | • Web-based remote inquiry of reports/Web access for order entry | • Management and tracking of specimens in lab/Before arriving in lab | • QA tools/Environmental health | • Interfaces for sending orders from primary lab to reference lab, handling results return, and status updates | • Business analytics/Clinical analytics | • Ability to schedule patient for test collection/Patient-based test registration | • Ability to coordinate with nurses for collections that phlebotomists cannot perform | • Interfaces with public health databases using ELR as part of Promoting Interoperability | • Results for tests run using different methods show method on clinical reports | Barcode symbologies supported by LIS | LIS can generate analytics for tests based on specific data elements | Ability to use artificial intelligence (e.g., machine-learning software) with LIS | LIS can report lab data to public health agencies via automated electronic transmission using specified formats (e.g., HL7 2.5.1, LOINC, SNOMED, etc.) for: | • Microbiology (culture and sensitivity) | • Other reportable diseases (e.g., blood lead, immunology, etc.) | • Tumor diagnosis and case data to regional cancer registry*** | Other vendors’ lab systems to which LIS bidirectionally interfaces in live sites | Lab automation systems or workcells to which LIS has a direct interface | LIS uses third-party middleware for LIS–instrument interfaces | LIS supports use of SNOMED CT | LIS automatically ingests and applies electronic updates of tables and rules from organizations and government agencies | LIS allows for image capture, display, reporting | LIS provides indexed field in each test definition for LOINC code | Company provides LIS clients with positive patient ID software to identify patients and/or blood specimens collected at bedside | • LIS interfaces to third-party positive patient ID software to identify patients and/or blood specimens collected at bedside | Client gets copy of source code/User group that meets on established schedule | Qualified users or third parties can modify or augment LIS functions or features | Methods by which users can tailor LIS in their own setting | Distinguishing product features (supplied by company) | *generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day | **generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day | ***using NAACCR Pathology Laboratory Electronic Reporting, vol. V, version 4.0, April 2011 ed. | Note: a dash as an answer means company did not respond or question is not applicable |
Company:
Contact:
Email:
City, State:
Phone:
Website:
Name of laboratory information system:
How LIS functionality is deployed:
Company provides list of client sites to potential customers on request:
Updates covered by standard software maintenance fee:
• Schedule for providing standard software updates to clients:
• Clients must install updates in specified timespans to avoid maintenance fee increase:
• Fee for software modifications to comply with federal regulations and laws:
Year company began selling LISs (any brand or model):
Most recent LIS go-live at a client site (based on August 2023 survey deadline):
Last product release or update for featured LIS:
Total No. of contracts for sites operating LIS worldwide:
• No. of sales and installations of LIS between August 2022–July 2023:
Total No. of sites operating LIS in the U.S. (hospitals/independent labs/clinics or group practices/public health labs/other sites):
Percentage of high-volume* U.S. sites installed/Low-volume** U.S. sites installed:
Foreign locations where company actively markets LIS:
• Foreign locations where LIS has been sold:
• Human languages (other than English) supported by LIS:
Approximate No. of employees in entire company:
Central hardware or service type:
Programming languages and development applications or environments:
Operating system(s):
Databases and tools/System includes full transaction logging:
Features/modules incorporated in product::
• Chemistry/Hematology/Bar-coded collection labels:
• Microbiology/Public health microbiology:
• Blood bank donor/Blood bank transfusion:
• Surgical pathology/Cytology:
• Molecular pathology/Cytogenetics/Flow cytometry:
• EHR interface for admission/discharge/transfer (ADT):
• EHR interface for order entry/EHR interface for results reporting:
• EHR interface for packaging results into PDF format:
• EHR interface for packaging results into CDA1 format/CDA2 format:
• Ad hoc reporting/Rules-based system:
• Management and statistical reporting/Client services or CRM module:
• POL link or Web portal to physician offices/Patient Web portal:
• Commercial reference lab functionality/Compliance checking:
• Comprehensive billing and accounts receivable or RCM:
• Materials management and inventory/Test partition:
• Remote faxing/Remote printing:
• HIPAA-standard transaction formats:
• Web-based remote inquiry of reports/Web access for order entry:
• Management and tracking of specimens in lab/Before arriving in lab:
• QA tools/Environmental health:
• Interfaces for sending orders from primary lab to reference lab, handling results return, and status updates:
• Business analytics/Clinical analytics:
• Ability to schedule patient for test collection/Patient-based test registration:
• Ability to coordinate with nurses for collections that phlebotomists cannot perform:
• Interfaces with public health databases using ELR as part of Promoting Interoperability:
• Results for tests run using different methods show method on clinical reports:
Barcode symbologies supported by LIS:
LIS can generate analytics for tests based on specific data elements:
Ability to use artificial intelligence (e.g., machine-learning software) with LIS:
LIS can report lab data to public health agencies via automated electronic transmission using specified formats (e.g., HL7 2.5.1, LOINC, SNOMED, etc.) for::
• Microbiology (culture and sensitivity):
• Other reportable diseases (e.g., blood lead, immunology, etc.):
• Tumor diagnosis and case data to regional cancer registry***:
Other vendors’ lab systems to which LIS bidirectionally interfaces in live sites:
Lab automation systems or workcells to which LIS has a direct interface:
LIS uses third-party middleware for LIS–instrument interfaces:
LIS supports use of SNOMED CT:
LIS automatically ingests and applies electronic updates of tables and rules from organizations and government agencies:
LIS allows for image capture, display, reporting:
LIS provides indexed field in each test definition for LOINC code:
Company provides LIS clients with positive patient ID software to identify patients and/or blood specimens collected at bedside:
• LIS interfaces to third-party positive patient ID software to identify patients and/or blood specimens collected at bedside:
Client gets copy of source code/User group that meets on established schedule:
Qualified users or third parties can modify or augment LIS functions or features:
Methods by which users can tailor LIS in their own setting:
Distinguishing product features (supplied by company):
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day:
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day :
***using NAACCR Pathology Laboratory Electronic Reporting, vol. V, version 4.0, April 2011 ed.:
Note: a dash as an answer means company did not respond or question is not applicable:
Reports revisited—panel on preferences and pain points
November 2023—Reports—integrated or otherwise—were up for discussion when CAP TODAY publisher Bob McGonnagle convened online in October a group of informatics experts, who spoke of the need for simplicity in a time of growing complexity, ease of access, where Epic isn’t strong. The full conversation follows.
During last year’s roundtable, the panel was clear about three important themes that had emerged from the pandemic. We had a need for device integration in the world of lab information systems. We also had a need for report integration in the LIS and EHR. And ease of access was emphasized as things become increasingly complex and many more clinicians and others are interested in laboratory results. On the other hand, some people are more interested in a full report. Mark Tuthill, do those same themes remain important, and is there anything that has emerged in the past year you want to mention?
J. Mark Tuthill, MD, division head, pathology informatics, Henry Ford Health System: These are increasingly pressing needs, particularly in molecular pathology automation, where end-to-end solutions require device integration. With reports becoming more complex, viewability and usability are more essential than ever.
We have had at least three incidents in which people were viewing the HL7 data in Epic and made mistakes because they didn’t click the link to our full-featured PDF report. So I put in a push to Epic and said that our PDF report should be the primary view a clinician sees. Apparently Epic still cannot do that. So we may need to turn off our HL7 display in Epic and force all clinicians to click on the link that says “View PDF” because we’re having problems with people rushing through data. The PDF display is excellent; it’s a clean report. It will also allow us to do things in the reporting that we can’t do without that viewability.
Amjad Azizi, do you have customers who find that the display of data in the EHR is sometimes problematic?
Amjad Azizi, director, informatics strategy and solutions, Sysmex America: Yes. We have a cloud-based workflow solution [Caresphere Workflow Solution]. Still, we have customers who say they prefer a small-scale solution, which is our reporting solution, over an LIS solution because of the lack of data integrity. The data shows a solidity from one source and there is no consolidated view to get all the data from the same local LISs. That creates timing issues, especially when they must comment on special cases related to patients, and timely consolidated reports play a major role in ensuring patient safety and timely results.