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Modern laboratory operations for startup and specialty labs. Launch quickly, integrate ordering from day one, and scale without the cost and complexity of a traditional enterprise LIS.
Watch the videoCasandra LIS is a modern laboratory information system designed for specialty laboratories, molecular diagnostics organizations, and emerging testing programs. Built on a proven clinical foundation and architected for the cloud, Casandra combines modern interoperability, integrated ordering, and streamlined laboratory workflows without the cost and complexity of traditional enterprise LIS platforms.
Casandra LIS delivers an integrated workflow from provider order to lab result. Because Casandra LIS is pre-integrated with Casandra Ordering and native interoperability services, laboratories can launch ordering, accessioning, reporting, and results workflows as a unified platform from day one.
Casandra LIS is designed as an entry point, not a ceiling. As your lab grows, your operational needs evolve — and Casandra is built to support that transition without disrupting the ordering workflow your providers depend on.
Get your lab operational quickly and affordably. Casandra LIS handles the core workflow — order receipt, accessioning, processing, and result reporting — so you can focus on building your test menu and provider relationships.
Pair Casandra LIS with the full Casandra ordering platform — your tests become orderable inside provider EHRs, and orders flow automatically into your LIS. The complete end-to-end workflow, ready from day one.
If your operational needs outgrow Casandra LIS, Casandra already supports integration with major commercial LIS platforms — so the transition preserves your ordering workflow and provider relationships without disruption.
Traditional enterprise LIS platforms are built for high-volume reference labs with large IT teams and long implementation timelines. Casandra LIS is built for the lab that needs to get operational quickly, affordably, and in a way that connects to provider workflows from the start.
| Casandra LIS | Traditional Enterprise LIS | |
|---|---|---|
| Implementation timeline | Weeks | Months to years |
| Cost to launch | Accessible — open-source foundation | $100K–$500K+ licensing & implementation |
| Casandra ordering integration | Built in — no custom work required | Custom interface project required |
| EHR order receipt via FHIR | Built in | Vendor-dependent, often additional cost |
| IT resources required | Minimal — Casandra handles configuration | Dedicated IT team typically required |
| HIPAA-ready deployment | Included in deployment guide | Configuration project required |
| Scale path when you grow | Supported migration to enterprise LIS | Already enterprise-scale |
Casandra LIS builds on proven laboratory workflow concepts originally established within the OpenELIS project while delivering a completely modern application architecture developed by Casandra. The result is a platform that combines clinical maturity with modern interoperability, usability, integrated ordering, and cloud-native deployment.
OpenELIS helped establish many of the laboratory workflow concepts that inform Casandra LIS today. Casandra has built a modern platform around those foundations, combining cloud-native architecture, integrated ordering, interoperability, and an improved user experience for today's specialty laboratories.
Learn about OpenELISTalk to the team — we'll walk through the Casandra LIS setup, show you what the ordering workflow looks like end-to-end, and scope the right starting point for where your lab is today.