15 Years of Strengthening Laboratories Worldwide

From a collaboration between U.S. public health laboratories to a global open-source platform supporting clinical and public health laboratories across four continents.

In 2004, the Minnesota and Iowa public health laboratories faced a common challenge: they needed a modern, flexible laboratory information system that could adapt to their evolving needs. Rather than purchase expensive proprietary software, they chose to build something new—an open-source solution that any laboratory could use and customize.

Working with the Association of Public Health Laboratories (APHL), they created OpenELIS, an enterprise-ready LIS built on open standards. But the story didn’t stop there. When I-TECH at the University of Washington partnered with the U.S. Centers for Disease Control and Prevention (CDC) to strengthen laboratories in resource-limited settings, they saw OpenELIS’s potential to transform global health.

In 2009, the first international implementations launched in Haiti and Côte d’Ivoire—beginning a journey that would eventually touch hundreds of laboratories across the world.

Founding Partners

Minnesota Public Health Lab
Iowa Public Health Lab
APHL
CDC
I-TECH / University of Washington

Our Journey

Two decades of innovation, resilience, and global impact

The Beginning
2004–2008

Foundation

Minnesota and Iowa public health laboratories develop OpenELIS with APHL support, creating an enterprise-ready open-source LIS.

2009

Going Global

I-TECH and CDC launch first international implementations in Haiti and Côte d’Ivoire, initially focused on HIV viral load and early infant diagnosis.

PEPFAR-Supported

2010

Tested by Crisis

OpenELIS survives Haiti’s devastating earthquake, demonstrating the resilience of the platform. Côte d’Ivoire deploys OpenELIS 1.0 nationally.

2011

Expanding Reach

Network grows to 10+ laboratories. Vietnam begins implementation journey with focus on sustainability and host-country ownership.

Growth & Scale
2012–2018

Beyond HIV

Platform evolves to support full laboratory workflows—clinical chemistry, hematology, microbiology, and more. Côte d’Ivoire scales to 100+ labs. Bahmni integration brings OpenELIS to 14+ additional countries.

100+ Labs in Côte d’Ivoire

2019

Modern Architecture

With Digital Square support, work begins on FHIR-based interoperability framework, positioning OpenELIS for the future of health information exchange.

Pandemic Response
2020

COVID-19 Response

Mauritius deploys OpenELIS across 12 public health laboratories in days—not months—processing over 500,000 COVID-19 tests with a 4,000% increase in capacity.

500K+ COVID Tests

Today & Beyond
2022–Present

OpenELIS Global 3

Modern platform built on Java Spring, Carbon for React frontend, and comprehensive FHIR R4 APIs. Continued expansion across Africa, Asia, and the Caribbean with focus on national-scale sustainability.

FHIR-Native Platform

Pandemic-Ready Infrastructure

When COVID-19 struck, Mauritius needed to scale their laboratory capacity immediately. Traditional procurement would have taken 3-6 months. With OpenELIS, they were processing tests in days.

The open-source model meant no licensing delays. The flexible architecture meant rapid customization for COVID workflows. The result: what previously required 60 staff for analysis could now be done by 3-5 people, freeing resources for the frontlines.

500K+
COVID Tests Processed
4,000%
Surge Capacity
12
Labs Deployed
Days
To Deploy

OpenELIS Global 3: The Modern Platform

Built for today’s laboratories with tomorrow’s needs in mind

🔗

FHIR-Native

Comprehensive HL7 FHIR R4 APIs for seamless integration with EMRs, national health information exchanges, and the broader health ecosystem.

🔒

Enterprise Security

Modern authentication, role-based access control, complete audit trails, and encryption at rest and in transit.

🔬

Analyzer Integration

Bi-directional interfaces with laboratory analyzers via ASTM and HL7 protocols, reducing manual data entry and transcription errors.

📊

Quality Assurance

Built-in support for ISO 15189 compliance, SLIPTA accreditation workflows, Westgard rules, and external quality assessment programs.

📱

Patient Portal

Secure result delivery via email and SMS, empowering patients with access to their laboratory data.

⚙️

Configurable Workflows

Adaptable to any laboratory context—from small clinics to national reference laboratories—without code changes.

Global Impact

500+
Laboratories
4
Continents
Millions
of Tests Processed
15+
Years of Development

“OpenELIS Global exists to ensure that every laboratory—regardless of resources—has access to enterprise-quality laboratory information systems that improve patient care, strengthen public health surveillance, and support laboratory quality improvement.”

Stewarded by DIGI at the University of Washington

Ready to Get Started?

See how OpenELIS Global can transform your laboratory operations.

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