Learning Center

Public health laboratory modernization, explained.

Practical guides on migration, AI governance, cloud architecture, security, and interoperability, written for laboratory leaders, not vendors.

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A first set of articles. More are published as the platform grows.

Who it is for

Who Salus Agentic is for

Decision support for qualified public health laboratories. JIL Sovereign Technologies, Inc. operates this host. SalusAgentic is its trade name.

Read article 8 min read
Regulatory intelligence

Living regulatory intelligence for public health laboratories

CMS, OIG, CDC, APHL, state reportable rules, and court outcomes, written as operational notes. Salus records what changed. It does not certify the laboratory.

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Interoperability

LOINC and SNOMED CT on the public health test card

The site already puts LOINC on the observation and SNOMED CT on coded results and organisms. This is how that coding is meant to travel, and what it does not prove.

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AI in the laboratory

Guardrailed agents for laboratory work

Conrad drafts, flags, and validates under a human gate. He does not release a result, transmit a message, submit a claim, or declare an outbreak.

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Integrity

Survey-ready attestation for a public health laboratory

Attestation here is an exportable, reviewable evidence package. It is not a certificate, not a clean-survey guarantee, and not a medical-device claim.

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Boundaries

What Salus Agentic does not do

Decision support for qualified public health laboratories. Not a diagnosis, not a laboratory director, and not a JIL chain.

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Interoperability

CDC DMI, AIMS, and TEFCA for a public health laboratory

What data modernization actually requires of a PHL LIMS, and what Salus will and will not claim about TEFCA.

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Surveillance

WHO IHR, genomics, and what a state PHL actually owes

H5, VHF, and other IHR-relevant detections have to be visible on the same record as the state ELR, or they get lost between systems.

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Genomics

How a public health LIMS interfaces with bioinformatics pipelines

Why running sequence assembly inside a LIMS fails, and how clean JSON metric ingestion preserves CLIA lineage and CDC reporting.

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Regulatory intelligence

The LDT landscape after ACLA v. FDA

What the 2025 vacatur actually changed for public health laboratories, and why validation discipline is now the whole advantage.

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Regulatory intelligence

The 2026 CLIA RFI: AI, NGS, cyber, and emergency preparedness

CMS and CDC asked the field how CLIA should treat AI, sequencing, cybersecurity, and surge. Here is how a PHL should answer in practice.

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Integrity

LEIE and SAM screening for a public health laboratory

42 CFR 1001.1901 is not only a hospital rule. If federal program funds touch the work, exclusion screening is part of the quality system.

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Laboratory modernization

Migrating from a legacy LIMS: what actually changes

A realistic look at what moving off a legacy LIMS involves, what Salus maps for you, and what stays in your control.

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AI in the laboratory

How Salus's AI personas actually work

Conrad is the live Salus voice, with a scoped role and an autonomy level, and why a human always holds the kill switch.

Read article 7 min read
Snowflake architecture

Why Salus runs on Snowflake SPCS

Salus runs in Snowflake Snowpark Container Services. AI calls AWS through Amazon Bedrock. Snowflake and AWS each provide a Business Associate Agreement.

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Architecture

Salus architecture: Snowflake SPCS and AWS

Salus runs in Snowflake Snowpark Container Services. AI calls AWS through Amazon Bedrock. Snowflake and AWS each provide a Business Associate Agreement.

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Security & compliance

HIPAA, NIST, SOC 2, and HITRUST for laboratory systems

How Salus's security model aligns with the frameworks public health programs are actually held to, and what it does and does not claim.

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Interoperability

ELR, HL7, and FHIR: a practical implementation guide

What actually has to be configured to get a state feed live, and why onboarding a new jurisdiction doesn't mean a new build.

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Analytics & surveillance

Turnaround time and outbreak signals

How the day's results become turnaround, backlog, and outbreak signals a director can read before a time-critical test hides in the queue.

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Data ownership

Zero lock-in: exporting and re-importing your lab's data

Your data is yours. How Salus lets a lab export everything, including the schema, and re-import clean records, so leaving is always an option you never have to use.

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Community & content

The Salus community: publish once, adopt everywhere

A package registry for public health lab content. How a reference lab can build a test once, code it to LOINC and SNOMED, and let every other lab adopt it.

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Security & compliance

Continuous compliance monitoring: how Salus watches for PHI risk

A security persona watches access, contains a threat, and turns HIPAA safeguards into evidence a laboratory can show.

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Laboratory modernization

Billing, insurance, and reference labs for public health

Submitter invoices, purchase orders, insurance payers, and 837 claims for public health laboratories, without becoming a commercial billing product.

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Laboratory modernization

Accessioning that names the lab, the specimen, and the pick

How Salus registers specimens at public health volume: lab-qualified IDs, picks, imports, and holding times that start at collection.

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Laboratory modernization

The Salus feature map for PHL buyers and bench leads

How to read the Salus feature matrix: what matters to the bench, to directors, and to procurement.

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Interoperability

ETOR, ELR, and eCR: the PHL exchange triad

Why electronic orders, laboratory reporting, and case reporting must live together in a public health LIMS, and how Salus implements each with human gates.

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Public health domains

Newborn screening at a public health laboratory

Why a state's newborn screening program needs its own workflow inside the LIMS, not a bolt-on spreadsheet, and what that looks like in practice.

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Public health domains

Environmental and water testing at a public health laboratory

Wastewater, veterinary isolates, and clinical specimens arrive at the same dock. Salus keeps them from becoming one worklist.

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Analytics & surveillance

Outbreak detection with EWMA and CUSUM

Outbreak signals come from verified lab data and transparent EWMA and CUSUM models, reviewed by a human. An AI does not declare an outbreak.

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Architecture

Multi-tenant isolation: schema or database

How Salus keeps one laboratory's data out of another's reach on shared infrastructure, and why the isolation boundary differs by database engine.

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Security & compliance

Signed data exchange between public health labs

A receiving laboratory can trust a signed surveillance signal without trusting the sending laboratory's database.

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Laboratory modernization

What is a LIMS for public health? A buyer's glossary

Accessioning, ELR, chain of custody, LOINC/SNOMED coding: the terms a state or local health department hears during procurement, defined plainly.

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