Salus Agentic
Continuous adaptation for public health laboratories

The rules move. The threats move.
Your laboratory should already be ready.

Salus Agentic is the living intelligence and attestation layer for public health laboratories: coded tests, regulatory change, and guardrailed agents, always under human oversight, always with an audit trail.

Explore the pathogen library See what changed

Decision support only. Local CLIA, state law, and medical director judgment control.

HL7 v2 + FHIRLOINC + SNOMED CTELR + epidemiology
Live intelligence streamLive
Salus GIS disease and outbreak cluster map

Decision support only. Local CLIA certification, state law, and medical director judgment control all testing and reporting. Salus Agentic does not perform regulated testing and does not replace a laboratory director.

How the platform is constrained
Five product pillars

Watch the rules. Watch the threats. Keep a human on the pen.

01

Living regulatory intelligence

CMS CLIA, OIG LEIE, CDC and APHL guidance, state reportable lists, and court outcomes, translated into operational implications instead of static binders.

02

Pathogen and test library

Structured entries for respiratory, arboviral, enteric, biothreat, AMR, and pathogen-agnostic methods, with LOINC, SNOMED CT, and ELR notes on every card.

03

Guardrailed agentic workbench

Validation outlines, SOP skeletons, and jurisdictional mapping that cite sources, leave an audit trail, and require a human before anything becomes operational.

04

Integrity and attestation

LEIE and SAM screening guidance, documentation completeness checks, and exportable evidence packages suitable for a CLIA survey or an OIG inquiry.

05

Community registry

Versioned test definitions, coded result sets, and lab-routed packs other public health laboratories can install without retyping a single LOINC.

Outbreak surge simulator

A new protocol drops. Watch the lab move without a change order.

Fictional, non-PHI demonstration. Conrad proposes. A human still holds the switch. Nothing here is a live accession, a live ELR send, or a live grant filing.

  1. 01 Choose a surge pack ·
  2. 02 Conrad parses the manifest ·
  3. 03 Conrad flags the z-score ·
  4. 04 Conrad drafts the exchange frame ·
  5. 05 Conrad tags the grant line ·
  6. 06 Signed federation package ·
  7. 07 Human kill-switch

Selected pack

Influenza A H5 (HPAI) · lab MOL · LOINC 68986-9 · emerging

One click from the community registry. Molecular packs land in MOL, enteric toxins in ENT, wastewater in WAT. Destination: STATE-ELR + IHR note.

Open the real catalog
APHL, WHO, and CDC DMI

The four things a lab director asks before the next grant cycle.

Data modernization, surge intake, grant justification, and genomics on the same specimen. Each page says what ships and what we will not claim.

01 Exchange

CDC DMI and TEFCA-shaped payloads

ELR, eCR, AIMS routing, and USCDI+ vocabulary as product. We implement the laboratory messages. We do not claim to be your QHIN, and we do not advertise a 0% reject rate.

02 Surge

One-click outbreak packs

When CDC or WHO drops a protocol, pull the coded pack from the community registry. Destination lab is already on the bundle. Conrad proposes the surge accession. A human still confirms.

03 Funding

Grant-tagged operations

Conrad tags volume, TAT, and interoperability work to ELC, PHEP, and DMI categories so a director can export a justification. He never files a CDC report alone.

04 Genomics

NGS next to the accession

Sequence, AMR markers, wastewater, and IHR-relevant notes stay on the specimen. Orchestration runs in the jurisdiction tenant under CLIA validation. Not a laptop pipeline in email.

What directors askLegacy LIMSSalus
We do not have IT staff to maintain servers.Pay a professional-services retainer to keep the database alive.BYO-Snowflake or hosted Snowflake. The application layer is stateless. Agents do not replace your Snowflake admin of record.
What happens when the next outbreak hits?Submit a change order to build new accessioning forms.Install a coded pack from the registry. Conrad drafts bulk accessioning. The kill switch stays with the supervisor.
Will we lose control of our data?No, but it is trapped in a proprietary schema.You own the tenant. Full-fidelity export is a button. Data never has to leave the jurisdiction to use the LIMS.
How do we prove value to state leadership?Export CSV files and rebuild the charts in Excel.Command center, coded ELR completeness, and grant-tagged throughput. Conrad drafts the justification. A human still signs.
What changed recently

Signals a director should already have on the desk.

Full change log
Court · 2025-03-31

ACLA v. FDA vacated the LDT final rule

LDTs remain under CLIA high-complexity rules, not the FDA device pathway. Public health laboratories keep the ability to iterate assays for novel or regional threats, but only if analytic validation, personnel competency, and documentation stay rigorous. Flexibility without a quality system is still a survey finding.

CMS · 2026-07

2026 CMS/CDC CLIA RFI: AI, NGS, cybersecurity, emergency preparedness

Laboratories should treat AI, NGS, and cyber resilience as quality-system topics now, not after a final rule. Document how any model is supervised, what it is forbidden to do (release, diagnose, transmit), and how an outage or surge is handled. Salus surfaces those expectations; it does not certify them.

OIG · Standing

LEIE screening remains mandatory under 42 CFR 1001.1901

A public health laboratory that touches federal program funds needs a repeatable LEIE/SAM workflow, not an annual PDF. Log who was screened, when, against which list, and who reviewed an alert. Global Hands supports the workflow. It does not itself bill federal programs or perform testing.

The story

Public health laboratories do not merely process specimens. They stand watch.

Every day, they see the first fragments of a larger story: one unusual result, then another; a wastewater increase; a cluster spanning counties; a new variant appearing quietly in the background.

Too often, those fragments remain separated by incompatible systems, manual spreadsheets, delayed interfaces, and organizational boundaries. By the time the pattern becomes obvious, the opportunity to act early may already be gone.

Salus changes the role of the laboratory information system. It unifies the work inside the laboratory, the reporting that leaves it, and the epidemiological intelligence that must follow. The result is not simply a modern LIMS. It is a living public-health network.

CDC describes ELR as a way to reduce manual entry errors and improve standardized, complete laboratory reporting. CDC also emphasizes that public-health data modernization must address outdated technology, complicated processes, and systems that do not work well together. Salus is designed directly around that mission.

The real platform

Not a mockup. This is what your lab sees.

Every screen below is a live capture of the working application - the same dashboard, outbreak map, and results worklist a technologist or lab director uses every day.

Salus, Dashboard
Salus, Results worklist
Salus, Outbreak map
One platform, five layers

From specimen to statewide intelligence.

Each layer is valuable on its own. Together, they create a continuous path from laboratory operations to evidence-backed public-health action.

01

Salus Laboratory

Accessioning, testing, instruments, quality, chain of custody, result verification, inventory, and laboratory operations.

02

Salus Exchange

HL7, FHIR, ELR, eCR, instruments, terminology, secure routing, acknowledgments, and inter-laboratory exchange.

03

Salus Surveillance

Historical baselines, trend analysis, anomaly detection, geospatial clusters, wastewater signals, and forecasts.

04

Salus Epidemiology

Cases, investigations, timelines, exposure relationships, hypotheses, outbreak workflows, and reporting.

05

Salus Intelligence

Human-supervised agents that assemble evidence, correlate signals, explain risk, and accelerate investigation.

Surveillance beyond the laboratory

See the pattern before the pattern becomes a crisis.

Salus combines laboratory truth with complementary public-health signals. It does not let an AI “declare” an outbreak. It builds an explainable evidence package for epidemiologists to review.

⌁

Temporal detection

Detect sustained changes-not merely isolated spikes-using historical baselines and transparent surveillance models.

  • EWMA and CUSUM
  • Change-point detection
  • Seasonal adjustment
◎

Geospatial intelligence

Reveal clusters across counties, facilities, schools, sewersheds, and neighboring jurisdictions while controlling geographic precision.

  • Space-time clustering
  • Population-normalized rates
  • Regional spillover analysis
≋

Wastewater intelligence

Compare wastewater movement with clinical and laboratory activity to identify community changes earlier.

  • Sewershed trends
  • Cross-source confirmation
  • Quality-aware confidence
⌬

Genomic surveillance

Connect lineage, mutation, resistance, and sequence-cluster information with laboratory and geographic context.

  • Variant growth
  • Sequence clustering
  • AMR markers
⊕

One Health correlation

Bring environmental, veterinary, foodborne, water, and vector signals into the same investigative picture.

  • Food and water sources
  • Animal and vector events
  • Shared exposure graphs
↗

Evidence-backed forecasting

Generate short-horizon forecasts with prediction intervals, model comparisons, and visible limitations.

  • Model ensembles
  • Calibration monitoring
  • Human interpretation
How intelligence moves

One continuous public-health workflow.

1

Observe

Laboratories, clinical systems, wastewater programs, and environmental sources contribute governed data.

2

Understand

Salus validates, normalizes, deduplicates, geocodes, and preserves the provenance of every observation.

3

Detect

Statistical, geospatial, graph, and cross-source models identify meaningful departures from expected activity.

4

Act

Epidemiologists review the evidence, open investigations, coordinate laboratories, and authorize escalation.

Human-supervised agentic AI

AI does the exhausting work.
People retain the authority.

Conrad is the Salus Agentic voice, not an all-powerful chatbot. He has defined tools, permissions, evidence requirements, and approval boundaries.

Salus Agentic voice

Conrad

The single in-product and public AI. Guides accessioning, results, QC, ELR, surveillance, and operations. Drafts the exhausting work. A human still signs and transmits.

Never releases or transmits alone
Federated by design

Local control. Regional awareness. National readiness.

Every laboratory and jurisdiction retains control of its detailed records. Salus shares only the signals, summaries, and authorized evidence required for collaboration.

LocalData custody and policy remain with the jurisdiction.
SignedFederation packages are validated and auditable.
MinimalOnly approved data crosses organizational boundaries.
ConnectedRegional patterns can emerge across separate nodes.
Salus Network connecting a hospital, county lab, state lab, wastewater site, and reference lab
Public Health Access Program

Modern infrastructure should not be reserved for the best-funded laboratory.

Qualified public-health organizations receive the complete platform, not a stripped-down edition. The software license is $0 and there is no setup fee. Production funds hosting from $15,000 per year and a flat $7,500 per year for maintenance and support, so operations stay funded.

Complete Salus platform
Unlimited users
Multi-laboratory hierarchy
Agentic AI capabilities
Continuous enhancements
Security updates
Review the Access Program
Setup + volume hosting + maintenanceNo setup fee. Hosting from $15,000/year, assessed each quarter against real usage. $7,500/year maintenance and support. Laboratories start at $22,500/year.
Founding Steward giftA restricted contribution to the shared platform. It does not waive annual hosting or maintenance.
Professional ServicesImplementation, migration, integrations, validation, training, and custom development.
The laboratory is where the signal begins

Give your scientists more than a better LIMS. Give your public-health network the ability to see together.

Enter the live Salus environment and experience laboratory operations, interoperability, surveillance, and agentic intelligence as one connected system.

Enter the live platform Start a public-health conversation