LIS Core Components

Over 20 years Apex has developed a vast library of software components that are configured by our Deploy Team to meet your exact workflow requirements. The over 5 million lines of code and 300 database tables are grouped into a set of subsystems that are integrated by the Deploy Team and then configured by setting the appropriate workflow parameters. All versions of the Apex LIS draw from the same set of proven modules.

Apex LIS

Order Entry

Apex provides 5 ways to enter orders. When deployed as a POL or Hospital LIS orders are typically entered in the EHR which sends the order to Apex as an HL7 message.

When deployed as a Commercial or Reference Lab many more options are available including: CSV upload, HL7, Mobile order entry, web portal, XML and custom (e.g. anything you want).

As part of the deploy process our Deploy Team will build you two order entry forms to any format you request.

Order Options

The LIS is designed to handle any order entry option you require. This can be set by client for conmmercial labs.

  • Web portal
  • HL7 Interface
  • CSV Upload
  • Custom API
  • Phone (requires PPP)

Specimen Management

Apex provides the most comprehensive set of specimen management features in the industry. Its proven reliability can be configured for any type of lab. Whether your specimen is blood or chemicals or organic our specimen manger can be easily configured to match your workflow requirements.

The design of our Specimen Manager includes barcode enabled chain of custody tracking and easy storage and retrieval.

Specimen Options

The LIS is designed to handle any order entry option you require. This can be set by client for conmmercial labs.

  • Easy specimen barcoding
  • Chain of custody auddit trail
  • Batching and bill of lading
  • Barcode receiving
  • Barcode storage
  • Accepts 3rd Party barcode
  • Data Analysis
  • Workflow Management

Analyzer Management

Apex has interfaced more than 500 analyzers from the all the leading manufacturers in the world. With its amazing Data Capture System it is able to interface any analyzer in days. Apex has hospital clients with over 27 analyzers in lab as well as one client with 24 urgent care locations each with more than 6 analyzers in each location. One of America's largest childrens hospital uses Apex to manage it 10 remote clinics.

The LIS provides complete support for managing analyzer QC processing. Apex will also provide rapid results entry screens for non-device tests like flu & strep or for low volume analyzers you have chosen not to interface.

Analyzer Options

The LIS is designed to handle any type of analyzer.

  • Uni-directional
  • Bi-directional
  • Host query
  • Custom interface
  • QC processing

Tray Management

Our Tray Manager system allows you to easily define tray utilization for each analyzer using trays. The process of defining a tray begins with which analyzer then rows and columns and how to label them. The you define the sequence for populating wells (e.g. left to right, top to bottom, etc.) and then finally defining well(s)where to put QC. We are experienced in custom coding to accomodate robotic tray loading for which their is an additional one-time fee.

The Tray Manager understands specimen Pooling. We have defined trays with 484 wells which were then populated with vials each containing 10 COVID specimens.

Tray Options

Easily configure tray processing rules to meet your analyzer and workflow requirements.

  • Auto or manual tray population
  • QC support and processing
  • Support for robotics
  • Pre & post processing of data

Results Processing

Apex has substantial experience in post processing of analyzer reports using a set of rules provided by client. From simple post processing like converting a plus sign to the word "Positive" to complex rule sets like those associated with Toxicology Apex is ready to work with your team to achieve the most efficient workflow consistent with the highest quality processing.

Apex is able to apply post processing rules that result in automatic generation of post processing service by third party and waiting for result in order to incorporate into final report.

Processing Options

The LIS is designed to handle post processing based on client supplied rules.

  • Auto processsing of analyzer results
  • Upload of CSV with large set of results
  • Manual results intervention
  • Batch processing support
  • Workflow Management

Results Reporting

Once a reults report is ready the system checks its workflow rules to determine reporting workflow. First we check which results report template should be used to render the report. Then we check to see if either of the two levels of approval must first be satisfied. Then we check the mode of delivery and to which individuals. A permanent copy of the results report is archieved on your web portal for later retrieval by authorized individuals.

As part of the deploy process our Deploy Team will build your Results Report to any format you request.

Abnormals Report 1.|. Abnormals Report 2.|. Analyte Trend.|. Chemistry Results Report.|. Color Report.|. Comparison Results Report.|. Confirm Results Report.|. Consult Results Report.| COVID Results Report.| Drug Screen Report.| Drug Screen Results Report.| Hematology Results Report a.| Hematology Results Report b.| Mandarin Results Report.|. MicroBiology Results Report.| Mobile Results.|. Results Trend Report.|. Sample Microbiology Rpt.| Toxicology Results 1.|. Results Reports 2.|.
Reporting Options

The LIS is designed to let you set secure distribution rules for each of your clients.

  • Paper or Fax
  • PDF via web portal
  • eMail & QC
  • Text message
  • Results to Provider and/or Patient
  • Use of QR codes to simplify retrieval

Compliance & Security

Apex runs its CloudLab LIS on Microsoft Azure Servers which Microsoft guarantees to be in full compliance with all applicable CLIA & PHI requirements. Apex has substantial experience building applications that are in compliance with CFR 21 Part 11 and related National Archives and Record Administration requirements.

Finally, Apex has a contract with NIT of Colorado to provide real-time monuitoring of our Microsoft Azure Servers to ensure bonth continous operation and PHI compliance.


In addition to Microsoft-supplied security Apex provides aggressive, robust and thorough protection for all CloudLab data including:

  • Endpoint protection from Sentinel One Complete
  • Breach & ransomware protection using Huntress
  • Proactive Windows OS & 3rd party software patching every month
  • Azure disk encryption
  • 256 bit AES encryption of all result reports
  • Backups through Acronis Cyber Cloud
  • 24/7 monitoring and alerting of server activity