Test Ordering Workflow
CDx ordering tooling helps prescribers order the correct validated test, since therapy eligibility depends on the specific assay named in the approved label.
Companion diagnostics software connects biomarker testing to therapy eligibility across ordering, result delivery, and prescriber workflow. Because a CDx result determines whether a patient may receive a specific therapy, the software carries regulatory weight: result interpretation stays with the laboratory director or pathologist, and eligibility follows the approved label rather than software logic.
Companion diagnostics sit at an unusual intersection, since the test is regulated as a device while the therapy is regulated as a drug, and their approvals are linked. Taction Software builds companion diagnostics software across ordering, result integration, and eligibility support, with the regulatory boundaries that linkage creates handled explicitly rather than assumed.

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Companion diagnostics software supports the workflow connecting a biomarker test to a therapy whose label requires it: test ordering, specimen tracking, laboratory result delivery, prescriber notification, eligibility documentation, and program analytics. Some components may themselves meet the definition of a medical device, particularly where software interprets or reports patient-specific results influencing treatment. Our work sits within our broader pharma and life sciences practice and connects to precision medicine delivery.
CDx ordering tooling helps prescribers order the correct validated test, since therapy eligibility depends on the specific assay named in the approved label.
Specimen tracking covers collection, shipment, and receipt, where delays directly postpone treatment decisions in time-sensitive oncology contexts.
Result integration delivers findings to ordering prescribers, building on our lab information system development work for result routing.
Biomarker reporting presents results with the interpretation the laboratory provides. The pathologist or laboratory director interprets, never the software.
Eligibility documentation records that required testing occurred, supporting the label requirement without the software determining who qualifies.
Testing analytics measure ordering rates, turnaround, and result distribution, informing program decisions made by medical and commercial teams.
Our companion diagnostics software services cover ordering platforms, laboratory integration, result delivery, prescriber tooling, and program analytics. The regulatory question we settle first is which components constitute device software, since that determines validation and submission obligations for those elements. Engagements typically open with a review of the CDx approval, the laboratory network, and how results currently reach prescribers. Deliverables are structured so regulatory, medical, and commercial stakeholders can review independently.
We build ordering platforms connecting prescribers to validated testing, with clear identification of which assay the approved label requires.
Integration spans laboratory systems across a testing network, handling the interface variability that multi-lab CDx programs always encounter.
Result delivery reaches prescribers reliably through EHR integration or direct channels, since undelivered results delay treatment decisions.
Where molecular or image-based testing is involved, our pathology AI work covers digital pathology integration patterns.
CDx sits within broader precision medicine delivery, connecting with our precision medicine platform work on genomic workflow.
Where components meet device definitions, our FDA SaMD compliance services cover classification and validation requirements.
The benefits concentrate in testing rate visibility, faster result turnaround, and documented eligibility. CDx programs frequently underperform because eligible patients are never tested, and that gap is usually operational rather than clinical: prescribers do not know which test to order, or results take too long to influence the treatment decision. We publish no figures on testing rates, turnaround, or therapy uptake, because those depend entirely on the product, testing network, and clinical setting.
Explicit identification of the required assay reduces incorrect test ordering, which is a common and largely invisible failure in CDx programs.
Logistics tracking and result routing reduce delay between specimen collection and the prescriber receiving an actionable finding.
Testing analytics show where eligible patients are not being tested, which is where most CDx programs lose patients before therapy is ever considered.
Structured eligibility records support the label requirement and reimbursement documentation without the software determining qualification.
Result data supports trial identification, connecting with AI clinical trial matching where biomarker criteria apply.
Aggregate data informs program decisions on laboratory network, education, and support, made by medical and commercial leadership.
We deliver companion diagnostics software projects in gated phases so regulatory, medical, and commercial stakeholders approve direction before engineering cost accumulates. Discovery establishes the approved CDx and therapy labeling, the testing network, and which software components may constitute device software. That classification question comes first because it determines validation obligations for those components and materially affects timeline. Result delivery reliability receives particular attention, since undelivered results have direct clinical consequence.
Discovery reviews the approved labeling and assesses which components meet device definitions, since that determines validation and submission obligations.
We evaluate the laboratory network and interface capability, which varies considerably and determines integration effort more than platform design does.
We design ordering with prescribers, since assay specificity confusion is a leading cause of incorrect testing and consequent eligibility delay.
Delivery reliability is engineered with confirmation and exception handling, because a result that fails to arrive delays a treatment decision silently.
Components meeting device definitions follow validation protocols with documented testing appropriate to their regulatory classification.
Rollout expands by region or laboratory with turnaround monitoring, program analytics, and continuing support as networks and labeling change.
Companion diagnostics software operates at a regulatory intersection. The diagnostic is an IVD, typically approved alongside the therapy, and software reporting patient-specific results influencing treatment may itself be a regulated device. Laboratory operations fall under CLIA, and result data is PHI handled under HIPAA where the software operates in a covered entity or business associate context. Taction holds ISO 27001 certification. The boundary that matters most is interpretation: the laboratory director or pathologist interprets results, and software presents rather than concludes.
Software reporting patient-specific results may constitute a regulated device, which we assess during discovery rather than assuming exemption.
Result interpretation belongs to the laboratory director or pathologist. Software presents findings and does not generate diagnostic conclusions.
Eligibility follows approved labeling. Software documents that required testing occurred rather than determining which patients qualify for therapy.
CLIA governs laboratory operations and result reporting, informing how results are transmitted, documented, and amended when corrections occur.
Result data is PHI in clinical contexts, requiring HIPAA-aligned controls. Our HIPAA compliance practice defines them.
Deployments run in your cloud tenancy or hybrid, with network segmentation, signed container images, and documented penetration testing before release.
Taction Software was founded in 2013 and has spent over 12 years building healthcare and life sciences software, delivering more than 200 healthcare projects from four US offices in Chicago, Cheyenne, Austin, and Sacramento, with ISO 27001 certification. Our relevant strength here is that CDx software spans pharma, laboratory, and provider environments simultaneously, and we build in all three. Vendors from one side alone tend to underestimate the constraints on the others. Our leadership brings more than 20 years of personal experience in the field.
We build pharma, laboratory, and provider systems, which is what CDx workflow spans and what single-environment vendors underestimate.
We assess device classification early, since components reporting patient-specific results carry obligations that surprise programs late in development.
Founded in 2013, we have concentrated on healthcare and life sciences rather than treating them as one vertical among several.
We delivered the FDA-registered applications Revive Ease and PainKare, so design controls and validation documentation are established practice.
We engineer delivery confirmation and exception handling, since a silently undelivered result delays treatment without anyone noticing.
ISO 27001 certification means security controls are documented and auditable, supporting sponsor and laboratory vendor assessment efficiently.
Companion diagnostics software pricing depends on scope, laboratory network size, whether components require device validation, and result delivery complexity. Device classification is the largest swing factor, since validated components carry documentation obligations that non-device tooling does not. Discovery produces an itemized, fixed-scope estimate with phase-level breakdown after regulatory classification is assessed. Laboratory interface fees, cloud infrastructure, and third-party licensing are separate from engineering.
An MVP covering ordering workflow or result delivery for one laboratory typically runs $40,000 to $80,000.
A full platform with ordering, logistics tracking, multi-lab integration, and program analytics typically falls between $80,000 and $200,000.
Enterprise engagements covering co-development programs, device-classified components, and global laboratory networks start at $200,000.
Discovery is a paid, time-boxed phase producing an itemized estimate, architecture plan, and regulatory classification assessment.
Device classification, laboratory network size, EHR integration breadth, and validation scope are the largest variables, identified during discovery.
Post-launch network expansion, labeling changes, revalidation, and support are quoted separately as a retainer sized to testing volume.
If you are evaluating companion diagnostics software for test ordering, result delivery, eligibility documentation, or program analytics, the fastest next step is a discovery call with our team. We will assess regulatory classification, review your laboratory network, and return an itemized, fixed-scope estimate. Contact us to schedule that conversation.
Program and regulatory leaders evaluating companion diagnostics software usually ask whether their software is a device, how eligibility is handled, and why testing rates underperform. The answers below reflect how we scope these projects.
It may be, particularly where it reports or interprets patient-specific results influencing treatment. Ordering logistics and program analytics generally are not. We assess classification during discovery rather than assuming, because discovering a device obligation late in development is expensive and delays launch.
No. Eligibility follows the approved labeling, and the software documents that required testing occurred and what the laboratory reported. Interpretation belongs to the laboratory director or pathologist, and the treatment decision belongs to the prescriber. Software that concluded eligibility would be making a clinical determination.
Usually operational rather than clinical. Prescribers may not know which specific assay the label requires, specimens take too long to reach the laboratory, or results arrive after the treatment decision was already made. Testing analytics identify which of these applies in your program.
An MVP covering ordering or result delivery runs $40,000 to $80,000. A full platform typically falls between $80,000 and $200,000. Enterprise co-development programs with device-classified components start at $200,000. Device classification is the largest cost variable.
Yes, and most programs need it. Laboratory interfaces vary considerably in capability and standard conformance, so we build adapters where necessary and standardize result presentation so prescribers see consistent output regardless of which laboratory performed the test.
Where germline testing is involved, we build referral and documentation workflow supporting counseling requirements. The software does not deliver counseling or interpret genetic implications, which requires qualified professionals, but it can ensure the referral pathway exists and is documented.
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