Clinical Pathology Management System

QDxPathology runs clinical labs processing thousands of patient specimens — biopsies, blood counts, cytology, and more. Their workflow was scattered across disconnected tools: specimen intake in one place, lab tracking in spreadsheets, and final pathology reports authored in Word and emailed manually. There was no single source of truth. Turnaround times were hard to measure, and HIPAA compliance for US patient data was being managed reactively.

They needed a purpose-built system to manage the full diagnostic cycle — from the moment a specimen arrives to the pathologist signing off a report — all within a secure, private environment that met US healthcare data requirements.

Over two years, a team of six built QDxPathology from the ground up on the Microsoft stack — ASP.NET Core, SQL Server, and Azure private cloud. Every screen, every workflow, and every data decision was shaped by one constraint: HIPAA compliance from the start, not as an afterthought. All patient data stays within a private Azure environment, authenticated through Azure Active Directory.

The system replaced every disconnected tool the lab had been relying on. From specimen receipt to final report approval, the entire process lives in one platform — visible in real time to the right people, locked away from everyone else. When the build was complete, we ran the system in parallel with the old workflow for six months, then handed it over to QDxPathology's internal tech team with full documentation and a structured support transition.