For Specialty & Molecular Labs

Your tests, inside
the EHR.

Casandra gives specialty labs a structured operational path into provider workflows — without replacing existing systems or disrupting how your lab operates today.

Watch the video

Book a Demo View Pricing

14,000+

Structured tests

Labs mapped

SMART on FHIR

EHR integration

HIPAA

Compliant

The ordering gap

Specialty tests are difficult to order inside standard clinical workflows

PDFs, portals, and paper requisitions still dominate specialty ordering

Many advanced tests remain effectively inaccessible at point of care

Health system outreach lab?Explore enterprise solutions

How it works

From test catalog to completed order — without leaving the EHR

Casandra is the infrastructure layer between your lab and the clinicians ordering your tests. We structure your catalog, connect it to the EHR, and handle the ordering workflow end-to-end.

Provider opens Casandra in EHR

SMART on FHIR launch directly inside Epic, Cerner, and most EHRs. No tab switching, no portal login — the workflow stays intact.

›

Your test surfaces with full context

Structured test profiles include specimen requirements, CPT codes, biomarker context, and turnaround time — exactly as your lab defines them.

›

Order pre-populated automatically

Patient context carries through from the EHR. Orders are largely pre-filled with deterministic specimen routing — reducing manual entry and errors.

›

Routed directly to your LIS

The completed order routes directly to your laboratory. No intermediary holds the transaction — Casandra orchestrates, your lab receives.

In-workflow ordering

What it looks like inside the EHR

Providers access your test without changing systems. Patient context is already loaded, the order form is pre-populated, and specimen routing is deterministic — the whole experience takes under two minutes.

No separate login or portal required
Patient demographics and insurance carry through automatically
Specimen and collection requirements are clear and deterministic
Order routes directly to your LIS upon confirmation

Casandra — SMART on FHIR · Epic

James Mitchell, 58M

MRN 4821-0093 · NSCLC, stage IIIA · Aetna PPO

Comprehensive Solid Tumor NGS Panel

Tempus AI

FFPE Tumor Tissue

NGS · 648 genes

10–14 day TAT

EGFR Mutation Analysis (Tissue)

Caris Life Sciences

FFPE Tumor Tissue

PCR + Sequencing

5–7 day TAT

Patient context loaded · Demographics pre-filled · Routes to lab on confirm

Platform capabilities

Everything your test needs to be orderable

A modular platform that overlays your existing LIS — connecting specialty tests to provider workflows without replacing core lab infrastructure.

Structured Test Catalog

Your test menu structured with clinical context, biomarker intelligence, specimen requirements, CPT codes, and turnaround time. Discoverable and searchable at point of care — owned and controlled by your lab.

EHR Ordering Integration

SMART on FHIR launch inside Epic, Cerner, and major EHRs. Patient context flows through automatically. No custom integration required on the provider side — Casandra handles the connectivity layer.

Admin & Specimen Routing

Deterministic routing logic maps specimen type and test to the correct collection pathway — reducing manual coordination, rejected samples, and ordering errors upstream.

LIS / LIMS Overlay

Connects to your existing LIS without replacing it. Data flows bidirectionally so your laboratory operations, reporting pipelines, and systems of record remain fully intact.

Analytics & Intelligence

Order completion rates, provider adoption patterns, and test utilization trends — clear operational visibility into what is working and where ordering friction remains.

Security & Compliance

HIPAA-compliant infrastructure, SOC 2 aligned, SMART on FHIR standards throughout. Enterprise-grade security for clinical data in motion and at rest.

Who it's for

Built for labs where access is the challenge

If your test is clinically sophisticated but difficult to reach inside standard workflows, Casandra is designed for you.

Specialty Labs

Tests that require complex ordering logic

Your tests require specific patient context, ICD codes, specimen handling, and prior auth logic. Casandra structures all of it and puts it in front of the right providers at the right moment — without requiring them to leave the EHR.

Molecular & Genomics Labs

Biomarker intelligence at point of care

Variant context, biomarker eligibility, and companion diagnostic guidance — surfaced inline so oncologists, geneticists, and pathologists have what they need to order confidently the first time.

Companion Diagnostics

CDx tests tied to precision therapies

Casandra surfaces FDA-approved CDx tests alongside the relevant treatment context — keeping diagnostic ordering aligned with clinical guidelines and therapy eligibility criteria at the point of prescribing.

Infrastructure that works with you

Casandra is not a marketplace or a reseller. We are the infrastructure layer — your lab keeps full ownership of its provider relationships, pricing, and commercialization strategy.

You own the provider relationship

Providers order from your lab directly. Casandra facilitates the connection — it does not insert itself commercially between you and your customers.

You control pricing and branding

Your tests appear under your lab name, at your pricing. Casandra does not aggregate, repackage, or resell your test menu.

Your systems stay intact

Casandra overlays your existing LIS and operations — no rip and replace. Your data, your workflows, your reporting remain fully under your control.

For startup labs

No LIS? We have you covered.

Casandra LIS is a commercially supported implementation of OpenELIS — giving startup and emerging labs an affordable path to modern lab infrastructure without the cost and complexity of traditional enterprise LIS platforms.

Order management & accession tracking

Receive orders from Casandra, manage accessioning, and track specimen status — all in one place.

Pre-integrated with Casandra ordering

No custom API work required. Casandra LIS and the Casandra ordering platform are built to work together — orders flow through automatically from day one.

Scale into a traditional enterprise LIS

Casandra LIS is designed to grow with your lab. If your operational needs evolve, Casandra already supports integration with major commercial LIS platforms — without disrupting your ordering workflow.

Learn about Casandra LIS

Open source

Casandra LIS

Commercial deployment & support available

Order receipt & accessioning

Open source

Specimen tracking

Open source

Result entry & reporting

Open source

Casandra ordering integration

Built in

EHR order receipt via FHIR

Built in

Upgrade path to traditional enterprise LIS

Supported

HIPAA-ready deployment guide included

Getting started

Start with visibility. Add ordering when you're ready.

Casandra is modular. List your tests and build discoverability first — then activate EHR ordering to turn that visibility into completed orders.

Catalog Listing

Get your tests structured, discoverable, and visible to providers searching for specialty diagnostics at point of care.

Structured test profiles
Biomarker & condition mapping
Specimen & CPT data
Provider-facing search visibility

Ready to make your tests orderable?

We will show you the workflow live — your test, inside the EHR, in under 30 minutes. No slides, no pitch deck.

Book a Demo View Pricing Download Brochure

For Specialty & Molecular Labs

Your tests, inside
the EHR.

Casandra gives specialty labs a structured operational path into provider workflows — without replacing existing systems or disrupting how your lab operates today.

Watch the video

Book a Demo View Pricing

14,000+

Structured tests

Labs mapped

SMART on FHIR

EHR integration

HIPAA

Compliant

The ordering gap

Specialty tests are difficult to order inside standard clinical workflows

PDFs, portals, and paper requisitions still dominate specialty ordering

Many advanced tests remain effectively inaccessible at point of care

Health system outreach lab?Explore enterprise solutions

How it works

From test catalog to completed order — without leaving the EHR

Casandra is the infrastructure layer between your lab and the clinicians ordering your tests. We structure your catalog, connect it to the EHR, and handle the ordering workflow end-to-end.

Provider opens Casandra in EHR

SMART on FHIR launch directly inside Epic, Cerner, and most EHRs. No tab switching, no portal login — the workflow stays intact.

›

Your test surfaces with full context

Structured test profiles include specimen requirements, CPT codes, biomarker context, and turnaround time — exactly as your lab defines them.

›

Order pre-populated automatically

Patient context carries through from the EHR. Orders are largely pre-filled with deterministic specimen routing — reducing manual entry and errors.

›

Routed directly to your LIS

The completed order routes directly to your laboratory. No intermediary holds the transaction — Casandra orchestrates, your lab receives.

In-workflow ordering

What it looks like inside the EHR

No separate login or portal required
Patient demographics and insurance carry through automatically
Specimen and collection requirements are clear and deterministic
Order routes directly to your LIS upon confirmation

Casandra — SMART on FHIR · Epic

James Mitchell, 58M

MRN 4821-0093 · NSCLC, stage IIIA · Aetna PPO

Comprehensive Solid Tumor NGS Panel

Tempus AI

FFPE Tumor Tissue

NGS · 648 genes

10–14 day TAT

EGFR Mutation Analysis (Tissue)

Caris Life Sciences

FFPE Tumor Tissue

PCR + Sequencing

5–7 day TAT

Patient context loaded · Demographics pre-filled · Routes to lab on confirm

Platform capabilities

Everything your test needs to be orderable

A modular platform that overlays your existing LIS — connecting specialty tests to provider workflows without replacing core lab infrastructure.

Structured Test Catalog

EHR Ordering Integration

SMART on FHIR launch inside Epic, Cerner, and major EHRs. Patient context flows through automatically. No custom integration required on the provider side — Casandra handles the connectivity layer.

Admin & Specimen Routing

Deterministic routing logic maps specimen type and test to the correct collection pathway — reducing manual coordination, rejected samples, and ordering errors upstream.

LIS / LIMS Overlay

Connects to your existing LIS without replacing it. Data flows bidirectionally so your laboratory operations, reporting pipelines, and systems of record remain fully intact.

Analytics & Intelligence

Order completion rates, provider adoption patterns, and test utilization trends — clear operational visibility into what is working and where ordering friction remains.

Security & Compliance

HIPAA-compliant infrastructure, SOC 2 aligned, SMART on FHIR standards throughout. Enterprise-grade security for clinical data in motion and at rest.

Who it's for

Built for labs where access is the challenge

If your test is clinically sophisticated but difficult to reach inside standard workflows, Casandra is designed for you.

Specialty Labs

Tests that require complex ordering logic

Molecular & Genomics Labs

Biomarker intelligence at point of care

Variant context, biomarker eligibility, and companion diagnostic guidance — surfaced inline so oncologists, geneticists, and pathologists have what they need to order confidently the first time.

Companion Diagnostics

CDx tests tied to precision therapies

Infrastructure that works with you

Casandra is not a marketplace or a reseller. We are the infrastructure layer — your lab keeps full ownership of its provider relationships, pricing, and commercialization strategy.

You own the provider relationship

Providers order from your lab directly. Casandra facilitates the connection — it does not insert itself commercially between you and your customers.

You control pricing and branding

Your tests appear under your lab name, at your pricing. Casandra does not aggregate, repackage, or resell your test menu.

Your systems stay intact

Casandra overlays your existing LIS and operations — no rip and replace. Your data, your workflows, your reporting remain fully under your control.

For startup labs

No LIS? We have you covered.

Order management & accession tracking

Receive orders from Casandra, manage accessioning, and track specimen status — all in one place.

Pre-integrated with Casandra ordering

No custom API work required. Casandra LIS and the Casandra ordering platform are built to work together — orders flow through automatically from day one.

Scale into a traditional enterprise LIS

Learn about Casandra LIS

Open source

Casandra LIS

Commercial deployment & support available

Order receipt & accessioning

Open source

Specimen tracking

Open source

Result entry & reporting

Open source

Casandra ordering integration

Built in

EHR order receipt via FHIR

Built in

Upgrade path to traditional enterprise LIS

Supported

HIPAA-ready deployment guide included

Getting started

Start with visibility. Add ordering when you're ready.

Casandra is modular. List your tests and build discoverability first — then activate EHR ordering to turn that visibility into completed orders.

Catalog Listing

Get your tests structured, discoverable, and visible to providers searching for specialty diagnostics at point of care.

Structured test profiles
Biomarker & condition mapping
Specimen & CPT data
Provider-facing search visibility

Ready to make your tests orderable?

We will show you the workflow live — your test, inside the EHR, in under 30 minutes. No slides, no pitch deck.

Book a Demo View Pricing Download Brochure

Your tests, insidethe EHR.

From test catalog to completed order — without leaving the EHR

What it looks like inside the EHR

Everything your test needs to be orderable

Built for labs where access is the challenge

Infrastructure that works with you

No LIS? We have you covered.

Start with visibility. Add ordering when you're ready.

Ready to make your tests orderable?

Your tests, insidethe EHR.

From test catalog to completed order — without leaving the EHR

What it looks like inside the EHR

Everything your test needs to be orderable

Built for labs where access is the challenge

Infrastructure that works with you

No LIS? We have you covered.

Start with visibility. Add ordering when you're ready.

Ready to make your tests orderable?

Your tests, inside
the EHR.

Your tests, inside
the EHR.