Reference Lab LIS starts at $750/month

Apex designed its Cloud-based Reference Lab Manager to provide hospitals and reference labs the workflow management features associated with high-end laboratory information systems at a fraction of their cost. The initial (one-time) deployment fee of $5,000 includes:

  • Ability to accept orders via web portal or HL7 message from client
  • Support for up to 3 analyzers
  • Deploy cloud portal
  • Custom order form
  • Custom results report
  • Full support for plate/tray specimen processing
  • Secure delivery of results via cellphone (1cent/text), email and web portal.
  • Robust CLIA Compliance suite to ensure regulatory compliance.

Monthly subscription fee is twelve cents per lab report with a monthly minimum of $750 which pays for first 5000 result reports in month.

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Utilizing a rules-based design the Apex CloudLab LIS provides the user with an extensive set of configuration options that allow the user to easily and quickly configure the application to match the needs of their lab and clients.


The Apex Reference Lab Manager can accept lab orders from multiple web order forms, upload of client orders CSV, Facility Standing Orders or as HL7 messages sent by a client.

Specimen Management

When specimens are provided by the client the Reference Lab Manager will automatically print barcoded specimen labels at client location. Specimen labels are automatically created regardless of which order origination method the client chooses.

Specimens created locally or received from client are logged into specimen storage by using a barcode scanner to scan the specimen and the storage location barcodes. When the test is ready to be performed, the Lab Request Status screen identifies the location of the specimen. The specimen is removed from storage by using a barcode scanner to scan specimen and location barcodes. Specimen management options include:

  • Print specimen labels at order entry
  • Print 3 peel-off specimen labels at bottom of requisition
  • Pre-print labels
  • Accept client specimen label
  • Accept specimen container barcode
  • Generate specimen Bill of Lading
  • Simple barcode scan to intake specimens
  • Automatic population of multi-well specimen Plate/Tray.
  • Plate Tray Maps

Analyzer Plate/Tray Manager

The CloudLab has a suite of modules that allow you to quickly configure, load, process, approve and publish test results using Plate/Trays. Apex has substantial experience deploying solutions for multi-well speciemn processing utilizing both manual and robotic processes.

The CloudLab fully supports:

  • Auto-populate wells
  • Scan into well
  • Robotic well loading
  • User-defined well naming (e.g. A1 vs 1A)
  • User control of QC placement
  • Ability to upload tray map to analyzer
  • Ability to upload tray results file
  • Ability to selectively release tray test results
  • Full support for Specimen Pooling
  • Automatic population of multi-well specimen Plate/Tray.
  • Easy generation Plate/Tray Maps

Lab Device Operations

The application provides a variety of forms and reports used to manage and schedule testing. Multiple low-volume test devices may be connected to a single Apex LIS workstation (to a maximum of eight). For high performance lab devices you may dedicate an Apex LIS workstation to a single device.

Results Management

The Apex Reference Lab Manager provides a variety of results reporting options:

  • HL7 results message
  • Customized results report which can be: printed, faxed or emailed
  • Patient results notiofication be email or text
  • Web Portal access
Where multi-specimen processing is avaialble the CloudLab allows you to easily approve all, or part, of test results, generate Result Reports and deliver based on client requirements. Screenshot
Specimen Send-out Kits

For labs that mail out specimen collection kits the application provides optional automated tools for tracking and reporting on collection kit status. Mailing labels can be produced for use when mailing specimen kits. Apex provides a fixed price quote for building and deploying custom Specimen Send-out Kit processing.

Data Management

All lab results are also saved as data to facilitate analysis and comparison. The optional Apex Data Management subsystem allows you to easily assess trends at either the patient or group level. This system also allows you to configure the importing of data via CSV file and/or the exporting of LIS data. These features simplify the reporting of data to both clients and regulatory organizations.

At the patient level the Data Management subsystem is able to produce comparative results reports as well as graphs of analyte observation values.

At the group level the user is able to enter a search criteria against the entire patient population and retrieve all matching results sets. Search filters may include: sex, age and date range for observations.

Analyte filtering provides a complete set of Boolean filtering operators including: <, >, =, outside and inside ranges.

The matching data may then be exported to an Excel spreadsheet or CSV text file.

QC Management

Lab devices performing diagnostic testing are required to comply with quality control (QC) rules that specify periodic testing of the device to ensure that it is accurately measuring and reporting test observation results.

The Apex LIS application has an extensive set of automated tools to assist in performing, assessing and reporting on required QC testing.

Apex LIS applications are delivered with required QC testing for each device to be connected already loaded into the LIS database. The applications provide lab management tools for adding Westgard Rules processing, production of required QC reports (including Levey-Jennings). The Apex LIS automatically identifies QC results as control results and stores in the QC database subsystem for later evaluation and reporting.


The Quality Control (QC) Data Entry function provides an easy-to-use form for entering and maintaining QC Test results. Normally QC results are automatically processed by the Application( and this form is used to set final status (e.g. Pass or Fail) for the QC. You may, however, directly enter QC results from this form. The action buttons on the form allow you to add, change

or delete entries. Change and Delete require Supervisor login. The Quality Control Data Entry form has two parts. The top part is used to display detailed Quality Control information. The bottom part of the form contains a grid that is used to display Quality Control rows. When you click on a row the record information will be displayed in the fields at the top of the form.

Web Portal

The Apex Web Portal provides users of the Apex LIS with the ability to support the remote entry of lab orders and the ability to retrieve lab results.

The Web Portal is hosted on an Microsoft Azure secure servers to ensure HIPAA compliance and relieve the user of the need to host and manage the application. Although not required, Users with existing websites will provide a link from one of their website pages to the Web Portal. The entry point to both versions of the Web Portal is the Login Page. To gain access to the Web Portal functions requires a valid User ID and password. Two factor authentication is provided.

Patient Portal

The Apex CloudLab LIS has an optional smartphone-friendly Patient Portal which supports: the remote entry of:

  • Patient demographics
  • Billing information
  • Email and text results notification

The Patient Portal is especially useful in situations where large groups are being procesed to collect specimens.

The Web Portal is hosted on an Microsoft Azure secure servers to ensure HIPAA compliance and relieve the user of the need to host and manage the application. Although not required, Users with existing websites will provide a link from one of their website pages to the Patient Portal. To gain access to the Web Portal functions requires a valid User ID and password. Two factor authentication is provided.

HL7 Interfaces

The CloudLab provides complete support for HL7 interfaces including:

  • HL7 ADT processing to receive and/or send patient data with 3rd party applications
  • HL7 DFT processing to send Billing (DFT) data to billing applications or services
  • HL7 Orders & Results processing to client EMRs
  • HL7 Orders & Results processing to partner reference labs
  • HL7 Results Reporting to regulatory agencies.

Toxicology & other Special Lab Modules

Over the past 17 years Apex has developed a number of special lab modules to meet the special needs of: COVID testing and managenment, Genetic Testing, Pathology Labs and Toxicology Labs.

Apex is ready to work with your teams to build and deploy custom web-based solutions that meet your exact needs at affordable prices.