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Head-to-head · Medical Lab Software

Casandra LIS vs OpenELIS Global

  • Updated Nov 2026
  • Both researched from official sources
  • 2 checks side by side
Higher score Casandra LIS #6 in Medical Lab Software 7.8/10 Free plan · pricing on request Free plan✓ 1 of 6 features Visit Casandra.ai
OpenELIS Global #8 in Medical Lab Software 6.9/10 Free plan Free plan✓ 0 of 6 features Try OpenELIS Global

Casandra LIS leads on 0 checks, OpenELIS Global on 0, and 2 are even. Who comes out ahead on the 2 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreCasandra LIS · 7.8/10
  • Free planboth
  • Most featuresCasandra LIS · 1 of 6

Casandra LIS scores higher on our rubric for medical lab software: 7.8 against 6.9 out of 10; our editors rank them #6 and #8.

Casandra LIS is the better fit for smaller labs seeking a free cloud LIS. OpenELIS Global is the better fit for teams evaluating a free clinical lab platform.

  • Casandra LIS fits best

    Smaller labs seeking a free cloud LIS

  • OpenELIS Global fits best

    Teams evaluating a free clinical lab platform

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Side by side

Feature Casandra LIS 7.8/10 Visit ↗ OpenELIS Global 6.9/10 Visit ↗
At a glance
Editor score 7.8 6.9
Ranking #6 in Medical Lab Software #8 in Medical Lab Software
Best for Smaller labs seeking a free cloud LIS Teams evaluating a free clinical lab platform
Pricing model Free plan + paid Free
Starting price Free plan · pricing on request Free plan
Free plan ✓ ✓
Free trial — —
Features Casandra LIS 1/6 · OpenELIS Global 0/6
HL7 connectivity Not checked yet Not checked yet
Instrument integrations Not checked yet Not checked yet
Specimen tracking ✓ (best) Not checked yet
Patient portal Not checked yet Not checked yet
Billing module Not checked yet Not checked yet
Multi-site management Not checked yet Not checked yet
Specs
Deployment Cloud Not checked yet
Our review
Pros
  • Covers order receipt, accessioning, specimen tracking and result validation
  • Routes orders and results through FHIR-enabled EHRs
  • Offers a free plan and an upgrade path to enterprise LIS platforms
  • Open-source project that can be adapted for laboratory needs
  • Designed for public health and clinical laboratory settings
  • Covers patient and test information, specimens, and results
Cons
  • Commercial deployment and support are available, but pricing is contact-sales
  • Its stated integrations focus on Casandra Ordering and FHIR-enabled EHRs
  • The product is aimed at specialty and emerging labs, not every lab workflow
  • Its stated focus is limited to clinical and public health laboratories
  • Adapting an open-source system may require technical ownership
  • The described scope does not establish broader healthcare workflow coverage
Our verdict

Casandra LIS is a cloud laboratory information system for specialty laboratories, molecular diagnostics organizations and emerging testing programs. Its workflow covers order receipt and management, accessioning, specimen status tracking,…

Read the review →

OpenELIS Global is an open-source laboratory information system intended for public health and clinical laboratory settings. It is aimed at teams looking for a clinical lab platform they can adapt to laboratory needs, rather than…

Read the review →
  1. Casandra LISMedical Lab Software 7.8Free plan · pricing on request
  2. OpenELIS GlobalMedical Lab Software 6.9Free plan

Strengths and trade-offs

  • Casandra LIS — where it wins

    • Covers order receipt, accessioning, specimen tracking and result validation
    • Routes orders and results through FHIR-enabled EHRs
    • Offers a free plan and an upgrade path to enterprise LIS platforms

    Where it doesn't

    • Commercial deployment and support are available, but pricing is contact-sales
    • Its stated integrations focus on Casandra Ordering and FHIR-enabled EHRs
    • The product is aimed at specialty and emerging labs, not every lab workflow
  • OpenELIS Global — where it wins

    • Open-source project that can be adapted for laboratory needs
    • Designed for public health and clinical laboratory settings
    • Covers patient and test information, specimens, and results

    Where it doesn't

    • Its stated focus is limited to clinical and public health laboratories
    • Adapting an open-source system may require technical ownership
    • The described scope does not establish broader healthcare workflow coverage

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Nov 2026

Last updated · How we research and update