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Laboratory Information Management System

A custom, HIPAA-compliant LIMS on AWS that replaced Salesforce for a diagnostic lab, with automated instrument ingestion and EHR delivery, enabling 10,000+ samples a day.

Role
Product Manager
Type
Professional
Category
Healthcare Tech
Stack
React · Node.js · PostgreSQL · AWS
10,000+

Samples per day

100s

Daily active users

01

Overview

A custom laboratory information management system for a diagnostic lab that had outgrown Salesforce. It covers the lab's full workflow: sample accessioning and intake, test ordering and result entry, automated instrument integration, and reporting and billing, including EHR delivery.

I led the product from concept through company-wide deployment, shaping the system design with lab technicians, operations staff, and leadership. It replaced Salesforce and is used by hundreds of employees.

02

The Challenge

The lab had outgrown Salesforce, which could not scale to its sample volume or support its lab-specific workflows.

A replacement had to handle high-volume testing from intake through result delivery without bottlenecks, take results straight from lab instruments, and meet HIPAA requirements.

03

The Solution

INTAKEACCESSIONTESTINGREVIEWRESULTS10,000+ SAMPLES / DAYREPLACED SALESFORCE · DEPLOYED COMPANY-WIDE
Laboratory Information Management System: system architecture

Custom platform on AWS

A purpose-built platform hosted on AWS and built with React, Node.js, and PostgreSQL, designed around the lab's actual workflows instead of a general-purpose CRM.

End-to-end lab workflow

  • Sample accessioning and intake
  • Test ordering and result entry
  • Reporting and billing, including EHR delivery

Automated instrument integration

Lab instruments export CSV files, which the system ingests automatically over a USB connection, removing manual result transcription.

Compliance

Fully HIPAA compliant and audited by a third party.

04

Results & Impact

  • Replaced Salesforce with a purpose-built system
  • Scaled to process 10,000+ samples per day with lower error rates
  • Fully HIPAA compliant, audited by a third party
  • Deployed company-wide with hundreds of daily active users