6 min read · Updated 18 Aug 2026
Choosing pathology lab software comes down to five checks: can you export your own data, are reference ranges configurable by age and sex, is result approval enforced as a permission, is the price published in full, and what happens to your reports if you stop paying.
Start with the exit, not the demo
Every demo looks good. The question that separates vendors is what happens on the way out. Can you export patients, bills and reports in a readable format, on your own, without asking permission? If the answer involves a support ticket and a fee, you are not buying software, you are renting access to your own records.
Check the price you will actually pay
Most vendors in this market quote on request, which usually means the price varies by how much you seem able to pay. Ask for the published rate card, the price after any introductory period, what happens at renewal, and whether the features shown in the demo are on the plan you were quoted. Feature gating between tiers is normal and rarely mentioned unprompted.
Reference ranges are not a detail
Ask to see a range configured for a paediatric patient and a sex-specific range side by side. A system that stores one range per test will flag results incorrectly for children and for many sex-specific analytes, and a wrong flag on a report is worse than no flag.
Approval should be a permission, not a habit
Ask whether a receptionist can release a report. If the answer is that they simply would not, the control does not exist. On a busy Saturday, habits break and permissions do not.
Ask what it does not do
Any vendor who says their software does everything is either not listening or not telling you. Analyser interfacing, multi-branch consolidation, a public API, a patient portal and accreditation support are the usual gaps. Get the list of gaps in writing before you decide whether they matter to you.
Things worth verifying yourself
Claims are cheap in this market.
- Customer counts and "trusted by" logos — ask for two references you can call
- Any accreditation claim — check the certificate, not the badge on the website
- Testimonials — a real name and lab you can look up, or treat it as decoration
- Uptime and backup claims — ask what the actual backup schedule and retention are
- AI features — ask specifically whether it drafts for a human or decides on its own