QSS Technosoft builds and integrates LIMS software for hospital, reference, pathology, public-health and research labs: sample tracking and chain of custody, analyzer interfaces, HL7 and FHIR orders and results, quality control, billing and audit trails, engineered for CLIA, CAP, ISO 15189 and HIPAA requirements.
100+ healthcare projects | 16+ years in healthcare | HL7 v2 · FHIR R4 · ASTM · LOINC
HL7 v2 · FHIR R4ASTM · LOINCLab interoperability standards
100+Healthcare projectsProven healthcare expertise
CMMILevel 3ISO 27001 · ISO 9001
16+ yearsIn healthcareUS-headquartered in Bloomington, MNTrusted Partners
Most lab information management systems work well inside the lab. The trouble starts where they meet everything else: the analyzer, the EHR, the billing system and the clinician waiting for a result. That is where our work starts, and it carries through to the sample, the QC run and the signed report.
CHALLENGES LABS FACE
Labs rarely fail on the science. They lose time on the handoffs: the mislabeled tube, the analyzer result typed in by hand, the order that never arrived from the EHR, the QC failure nobody saw until the inspection. Here is where we see labs get stuck, and how we get them unstuck.
Problem
How we solve itBarcode labels at collection, scan-in at every handoff and a full chain-of-custody log with location, temperature and user for each specimen and aliquot.
Every sample traceable, from draw to disposal.ProblemHow we solve itBidirectional analyzer interfaces over ASTM, HL7 and POCT1-A, directly or through instrument middleware, with host query so worklists download automatically.
No transcription errors and shorter turnaround.ProblemHow we solve itHL7 ORM/OML order and ORU result interfaces and FHIR R4 APIs to the EHRs your clients use, with LOINC-coded results and a portal for practices that have no interface.
Orders in, results out, nothing re-typed.ProblemHow we solve itQC capture from the analyzer, Levey-Jennings charts and configurable Westgard rules that hold patient results when a run fails, with corrective actions logged.
Problems caught before a result is released.ProblemHow we solve itImmutable audit trails, electronic signatures, document control and competency records built to the evidence CLIA, CAP and ISO 15189 assessors ask for.
Inspection-ready records on any day.ProblemHow we solve itA modern, cloud-ready platform built or extended around your workflows, with phased data migration from the legacy system and no gap in testing.
New tests, sites and clients without a rebuild.
Facing similar challenges?Tell us how a sample moves through your lab today, and we'll show you where the time and the risk sit.Talk to Our US Team →OUR SERVICES
A new LIMS, an extension to the one you run, or the interfaces that connect it to everything else. We build all three, for clinical and research labs.
Custom LIMS software development
A laboratory information management system designed around how your lab actually works, from accessioning to sign-out, for a single hospital lab, a multi-site reference lab or a research facility. Configurable tests, panels and workflows, so lab staff change the rules without a developer.
Test catalogTests, panels, reference ranges, units and reflex rules, all configurable.
AccessioningOrder entry, requisition capture, specimen labeling and receipt.
Result entry and reviewWorklists, delta and critical-value checks, technologist and pathologist sign-out.
Cloud or on-premiseDeployed on AWS, Azure or Google Cloud, or in your own data center.
99.9%Production uptime
100+Healthcare projects
16+ yearsIn healthcareSample tracking, storage and chain of custody
Full visibility of every specimen from collection to disposal, including aliquots, pooled samples and long-term storage, with the custody record forensic, toxicology and research work depends on.
Barcode and RFIDLabels printed at collection and scanned at every handoff.Storage locationsFreezer, rack, box and position tracking with freeze-thaw counts.Chain of custodyWho held each sample, where, when and at what temperature.Courier and logisticsPickup, transport and receipt tracking for outreach and satellite sites.4Storage levels: freezer, rack, box, position1Custody log per specimen2ID methods: barcode, RFIDAnalyzer and instrument integration
Results flow straight from the instrument to the LIMS and worklists flow back, across chemistry, hematology, immunoassay, coagulation, urinalysis, microbiology and molecular platforms.
Bidirectional interfacesHost query and worklist download, result upload and flags.ProtocolsASTM E1381/E1394 (CLSI LIS1/LIS2), HL7 v2 and POCT1-A.MiddlewareIntegration with existing instrument middleware or direct connections.Automation linesTrack systems, sorters and pre- and post-analytical automation.3Instrument protocols supported7Analyzer disciplines connected0Results keyed in by handEHR, HIS and reference-lab integration
Electronic orders in and structured results out, to and from the hospitals, practices and partner labs you serve, built on an interface engine so each new client is configuration, not a project.
HL7 v2ORM/OML orders, ORU results and ADT feeds, including ELINCS-style lab result profiles.FHIR R4ServiceRequest, Specimen, Observation and DiagnosticReport APIs.EHR platformsEpic, Oracle Health (Cerner), Meditech, Allscripts (Veradigm), athenahealth and others.Reference labsSend-out orders and results with partner and reference laboratories.20+EHR/EMR/HIS integrations delivered2Standards: HL7 v2, FHIR R44Interface enginesQuality control, compliance and audit
The quality system built into the LIMS rather than kept beside it, so QC, competency and documentation evidence is produced as the lab works.
QC and Westgard rulesLevey-Jennings charts, multirule QC and automatic holds on failed runs.Audit trail and e-signaturesTime-stamped, unalterable records aligned with 21 CFR Part 11.Document controlSOPs, versions, approvals and read-and-acknowledge records.Competency and maintenanceStaff training, instrument maintenance and calibration records.3Frameworks: CLIA, CAP, ISO 151896Westgard rules configurable1Audit trail for every recordBilling, outreach portals, analytics and modernization
The commercial side of the lab and the systems around it: getting paid for every test, serving outreach clients well, and replacing or extending what you run today. We also extend and connect existing lab information management systems when a full replacement isn't the right call.
Lab billingCPT and ICD-10 coding, X12 837/835 claims, eligibility and client billing.Outreach portalOnline ordering, requisitions, result delivery and supply requests for clients.DashboardsTurnaround time, volume, rejection rates and revenue by test and client.ModernizationMigration from legacy LIS or LIMS platforms without a gap in testing.3Billing types: insurance, client, patient4Dashboard views0Testing downtime during migrationA LIMS is judged on the joins: the analyzer that uploads without a retype, the EHR order that arrives complete, the QC failure that holds a result, the audit trail an inspector accepts. QSS builds lab software on the interoperability and compliance backbone we have engineered for healthcare clients for 16+ years.
Dedicated HL7 v2, FHIR R4, Mirth Connect and Iguana teams and 20+ EHR, EMR and HIS integrations delivered. We connect new and existing lab information management systems to the EHRs, analyzers and partner labs around them.
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ASTM and CLSI instrument protocols, POCT1-A, HL7 ORM/ORU, FHIR lab resources, LOINC, SNOMED CT, UCUM and CPT. We know which one each instrument, client and payer will ask for.
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CLIA, CAP and ISO 15189 evidence, 21 CFR Part 11 audit trails and e-signatures, HIPAA safeguards and state retention rules, designed into the data model from the first sprint.
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Our hospital information system, EHR and HIE work means the lab is built as part of the clinical record, with orders, results and billing flowing to the systems clinicians and finance teams already use.
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Delta-check and QC drift flags, turnaround forecasting and requisition capture, always with a technologist or pathologist in the loop and a full audit trail.
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Fixed-scope build, a dedicated lab-software team or build-operate-transfer, under CMMI Level 3 and ISO 27001 processes with 4.9/5 client satisfaction on Clutch.
Learn more →The building blocks we draw on most often. Select the ones that matter and we'll map them to your lab in the discovery call.
Electronic and paper requisitions, specimen labeling and receipt
Barcode and RFID scanning at every handoff, collection to disposal
Holder, location, time and temperature logged for every specimen
Bidirectional ASTM, HL7 and POCT1-A connections with host query
HL7 ORM/ORU and FHIR R4 with LOINC-coded results
Delta checks, critical values and pathologist approval
Lab-defined rules release normal results and hold the rest
Levey-Jennings charts, multirule QC and automatic holds
Time-stamped records aligned with 21 CFR Part 11
Client ordering, result delivery and supply requests
CPT and ICD-10 coding, claims, eligibility and client invoicing
Turnaround time, volume, rejections and revenue by test and client
Tests, panels, reference ranges, units and reflex rules
Bench, plate and run worklists with batch processing
Freezer, rack, box and position with freeze-thaw counts
Lot numbers, expiry dates, usage and reorder alerts
Calibration, preventive maintenance and downtime records
SOPs, versions, approvals and read-and-acknowledge
Training, assessments and sign-off per test and instrument
PT events, results and corrective actions in one record
Electronic lab reporting to state agencies over HL7 v2.5.1
Results released to patient portals and FHIR patient-access APIs
Culture workups, susceptibility and molecular run tracking
Consent, de-identification, studies and sample requests
MFA, role-based access, encryption and session controls
HOSPITAL & HEALTH-SYSTEM LABS
Results in the chart, not the fax tray
Core lab, stat and point-of-care testing connected to the hospital EHR, with critical values called and documented.
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EHR Integration
Critical Values
Stat TurnaroundREFERENCE & COMMERCIAL LABS
Every client connected, every test billed
High-volume accessioning, client interfaces, outreach portals and billing for labs that serve hundreds of practices.
Learn More →Client InterfacesOutreach PortalClean BillingANATOMIC PATHOLOGY
From grossing to the signed report
Case tracking for specimens, blocks and slides, synoptic reporting and pathologist sign-out, with links to digital pathology images.
Learn More →Case TrackingSynoptic ReportsPathologist SignoffDIAGNOSTIC CHAINS & PATIENT SERVICE CENTERS
One system across every collection site
Centralized catalog, pricing and reporting across collection centers, home collection and processing labs.
Learn More →Multi-site ControlHome CollectionCentral ReportingPUBLIC HEALTH LABS
Surveillance data that reaches the agency
Specimen intake from many submitters, outbreak testing surges and electronic reporting to state and federal programs.
Learn More →Electronic ReportingSurge CapacitySubmitter PortalMOLECULAR & GENOMICS LABS
Plates, runs and variants under control
Plate maps, run tracking, instrument file import and bioinformatics hand-offs for PCR and sequencing workflows.
Learn More →Plate MappingRun TrackingPipeline HandoffRESEARCH LABS & BIOBANKS
Samples, consent and data in one place
Study and protocol management, consent-linked sample storage and de-identified data release for researchers.
Learn More →Study ManagementConsent TrackingSample RequestsLab Specialties & Programs
Toxicology
Microbiology
Outreach
POCT
Trials
Occupational
VeterinaryReal results. Real impact. Empowering better care through technology.
A mobile healthcare platform offering medical services and doctor consultations in partnership with top hospitals and diagnostic centers. Users book health checkups, consult virtually, view digitized health records and follow up with doctors.
Tech Used
Kotlin · Swift · Laravel · MySQL · Google Cloud · HealthKit APIs
Results
We enhanced a personal health record (PHR) app that stores an individual's complete wellness data in one accessible place. Patients search for doctors, view lab results and communicate with providers on the go.
Tech Used
React Native · Node.js · MongoDB · AWS · HL7 FHIR
Results
We integrated Iguana to power a cloud-based document storage solution for senior living communities, enabling digital uploads, e-signatures and secure document sharing without physical paperwork.
Tech Used
Iguana · HL7 · REST APIs · AWS · MongoDB · Angular
Results
We add AI where it flags problems earlier and takes routine work off the bench, and keep a technologist or pathologist in control of every result that reaches a patient.
Lab Data
Orders, samples, QC runs, results
AI Engine
Flag, forecast, extract, route
Technologist Review
Human oversight + audit trail
Action
Faster, safer result release
Result review assistanceFlag unusual results and delta patterns for review, never released by the model alone
QC drift detectionSpot shifts and trends before a Westgard rule fails
Turnaround & workload forecastingPredict volume by hour and bench so staffing keeps pace
Requisition captureRead paper and faxed requisitions into draft orders for staff to confirmLab records are inspected, subpoenaed and audited more often than almost any other health data. We design every LIMS to the regulations and accreditation standards your lab works under, and can show you how, control by control.
Time-stamped, unalterable records of every create, change and delete, with reason codes and electronic signatures aligned with 21 CFR Part 11.
Every specimen handoff recorded with user, location, time and condition, from collection to disposal.
Review and sign-out rules, critical-value documentation and versioned corrected reports, so the original and the amendment are both on record.
QC, proficiency testing, maintenance, calibration and competency records kept with the results they support, and retention rules configured per record type.
AES-256 at rest and TLS 1.2+ in transit for results, images, interfaces and backups.
Multi-factor authentication, role-based access for phlebotomists, technologists, pathologists, billing and clients, and automatic session timeouts.
HIPAA-eligible environments on AWS, Azure or Google Cloud with BAAs in place, or on-premise; high availability, backups and tested disaster recovery.
Validation documentation (requirements, test scripts and traceability) to support your system validation, plus third-party vulnerability assessments and penetration tests tracked to closure.
Best for a defined launch. A set scope, such as an analyzer interface set, an outreach portal or an MVP, with fixed price, milestone-based delivery and a clear go-live date.
Best for an ongoing platform. Named engineers, interface analysts and QA who work as an extension of your lab IT team.
Best when you want to own the capability long term. We build and run the team and platform, then transfer both to you on an agreed timeline.
We choose the stack for your lab's requirements, not the other way round. These are the standards, platforms and tools our healthcare teams use most for lab software.
Interface engines & middlewareMirth Connect · Iguana (iNTERFACEWARE) · Rhapsody · Cloverleaf · Instrument middleware
Lab standards & terminologiesHL7 v2 (ORM, OML, ORU, ADT) · FHIR R4 · ASTM E1381/E1394 (CLSI LIS1/LIS2) · POCT1-A · LOINC · SNOMED CT · UCUM · CPT · ICD-10 · X12 837/835
Instruments & devicesChemistry, hematology, immunoassay, coagulation, urinalysis, microbiology and molecular analyzers · Barcode scanners · Label printers · RFID · Temperature monitors
Back-endJava / Spring Boot · .NET · Node.js · Python / Django
Front-end & mobileAngular · React · React Native · Flutter · Swift · Kotlin
DataPostgreSQL · SQL Server · Oracle · MongoDB · Elasticsearch
Cloud & DevOpsAWS · Microsoft Azure · Google Cloud · Docker · Kubernetes · Jenkins · GitLab CI
Security, testing & monitoringTLS · OAuth 2.0 · OpenID Connect · MFA · RBAC · Postman · JMeter · Selenium · Grafana · PrometheusEvery lab is scoped to its tests, instruments and clients, but buyers deserve a straight answer. These are typical ranges based on our delivery history and current market rates.
Analyzer and EHR interfaces for an existing LIMS, an outreach portal, or one module such as QC or sample storage
6–12 weeks
$20,000–$60,000
Typical investment
Accessioning, sample tracking, worklists, result review, core analyzer and EHR interfaces, QC and audit trail
3–6 months
$85,000–$200,000
Typical investment
Adds multiple sites and disciplines, outreach portal, billing, public-health reporting, analytics, AI assistance and legacy migration
6–12 months
$250,000–$600,000+
Typical investment
Investment is scoped to your tests, instruments, sites and integrations. You leave the discovery call with a range specific to your project.
Get an Estimate for Your Project →Talk to a healthcare solutions architect about your tests, instruments and clients, and leave the call with an interface map, a compliance gap list and a cost range.
ExpertGuidance
TailoredRecommendations
Clear Cost& TimelineAnswers about our LIMS software development services, integrations, compliance, timelines and costs.
A laboratory information management system is the software that runs a lab's day: it records orders, tracks each sample from collection to disposal, sends worklists to analyzers and collects their results, applies QC and review rules, and releases signed reports to the EHR, the patient and the billing system. It also keeps the audit trail, QC and document records that CLIA, CAP and ISO 15189 inspections rely on.
It depends on the number of tests, instruments, sites and integrations. As a guide, an interface set or a single module costs $20,000–$60,000, an MVP for one lab $85,000–$200,000, and a multi-site enterprise platform $250,000–$600,000 or more. You leave the discovery call with a range specific to your scope.
An interface set or focused module takes 6–12 weeks, an MVP for one lab 3–6 months, and a multi-site platform 6–12 months. Validation, data migration and parallel running are included in those timelines, because a lab can't stop testing while it switches systems.
A commercial LIMS is the faster route if its standard workflow fits your lab and you accept its license model and roadmap. A custom laboratory information management system makes sense when your workflows, test menu or client services are how you compete, when you need integrations the product doesn't support, or when per-user fees at scale cost more than owning the platform. Many labs do both: keep a commercial core and build the portal, interfaces or modules it lacks. We can help you decide in the discovery call.
Yes. We build bidirectional analyzer interfaces over ASTM, HL7 and POCT1-A, directly or through instrument middleware, and EHR interfaces using HL7 ORM/OML orders, ORU results and FHIR R4 APIs, usually on Mirth Connect or Iguana. Results are coded in LOINC so they file correctly in Epic, Oracle Health, Meditech and other EHRs.
A laboratory information system (LIS) traditionally serves clinical labs and is patient-centered: orders, results, reports and billing. A LIMS was traditionally sample-centered and used in research, pharma and public-health labs, with more focus on batches, storage and QC. Today most lab information management systems cover both, and the right choice depends on whether your work is driven by patient orders, by studies and samples, or by both.
Yes. Not every lab needs a replacement. We connect existing lab information management systems to new analyzers, EHRs and reference labs, add outreach portals, dashboards or billing modules around them, and modernize the parts that hold the lab back.
The software produces the evidence assessors ask for as the lab works: QC and corrective-action records, proficiency testing, instrument maintenance, staff competency, document control, versioned corrected reports and a complete audit trail. The lab holds its own CLIA certificate and accreditation; our job is to make the records complete and easy to retrieve. ISO 15189:2022 is now the only version accreditation bodies assess against, and its risk-based requirements are built into how we design QC and nonconformance workflows.
For labs that need it, such as clinical-trial central labs and labs working with pharma sponsors, we build time-stamped, unalterable audit trails, unique user accounts, electronic signatures linked to their records, and validation documentation. Part 11 compliance also depends on your lab's procedures, so we provide the evidence that supports your validation.
Each specimen gets a barcode or RFID label at collection and is scanned at every handoff: courier, receipt, processing, aliquoting, testing and storage. The system records who held it, where, when and in what condition, and tracks storage down to freezer, rack, box and position, so any sample can be found and its history shown in seconds.
Yes. QC results are captured from the analyzer, plotted on Levey-Jennings charts and evaluated against the Westgard rules you select. A failed run holds the related patient results automatically until a technologist reviews it and records the corrective action.
Yes. We build CPT and ICD-10 coding, medical-necessity checks, X12 837 claims and 835 remittance, eligibility checks and client billing for outreach accounts, or connect the LIMS to the RCM system you already use.
Yes. Client portals let practices order tests, print requisitions and labels, track specimens, receive results and request supplies, which helps outreach programs serve clients that have no EHR interface.
Yes. We build electronic laboratory reporting (ELR) to state and local public health agencies using the HL7 v2.5.1 ELR format with LOINC and SNOMED CT coding, plus submitter portals and surge workflows for public health labs.
In phases, without a gap in testing: data audit and mapping, migration of patients, orders, results, QC history and stored-sample locations, verification against the source, and a parallel run before cutover. Historical results stay retrievable for your record-retention period.
Both work. Cloud hosting on AWS, Azure or Google Cloud with a BAA gives multi-site access and lower infrastructure effort; on-premise suits labs with strict data-residency rules or heavy local instrument traffic. Many labs choose cloud for the application with a local interface service for the analyzers.
To flag unusual results and QC drift for review, forecast workload and turnaround, and read paper requisitions into draft orders. A technologist or pathologist stays in control of every result released, and every AI suggestion is logged in the audit trail.
QSS combines healthcare interface engineering, with dedicated HL7, FHIR, Mirth Connect and Iguana practices and 20+ EHR, EMR and HIS integrations delivered, with 16+ years of building HIPAA-compliant healthcare software under CMMI Level 3, ISO 27001 and ISO 9001 processes. We build the lab system and the connections it depends on, and support it after go-live. Button: View All FAQs
