QA evidence

The evidence a surveyor asks for, produced while you work.

Entering a requisition into the LIS is regulated transcription under CLIA, and a surveyor can ask you to prove it was done accurately. Because Nexession performs that step, it generates the proof as a standing report instead of leaving your team to reconstruct it during survey week.

A reviewer annotating a printed document by hand

What you receive

A standing report, ready whenever the surveyor is.

A sampling job continuously compares completed orders against their source images, including every field a reviewer corrected. The output is a report your compliance lead can export on any day of the year, with the sample size, the agreement rates, and each exception with its resolution.

  • Sampled comparisons. Completed orders checked field by field against the scanned form they came from.
  • Agreement rates with context. Overall and per-field rates, tracked over time rather than assembled once.
  • Exception log. Every disagreement recorded with its cause, its correction, and who resolved it.

Mapped to the regulation

Requisition elements checked against the actual citation.

Validation rules reference 42 CFR 493.1241(c) element by element, so the answer to “how do you know this requisition is complete?” points at the regulation rather than at a policy binder.

Required elements, by citation

Patient identification, ordering provider, test selection, collection details, and the other required elements each map to their paragraph of 493.1241(c), including the conditional Pap-test elements under (c)(7).

Order-to-pixel lineage

Every delivered HL7 message is hashed and linked to its source image, and every field records the region of the page it was read from. An order in the LIS traces back to the exact ink on the form.

An audit trail that cannot be edited

Each access to protected health information and each field edit is written to an append-only log with the actor, the time, and the before and after values. The application cannot change or delete history.

Reviewer accountability

Every confirmation and correction is attributed to the person who made it, which turns the review step itself into evidence rather than an untracked judgment call.

Show this page to your compliance lead.

The fastest way to evaluate the evidence module is to bring your quality officer to the demo and let them ask exactly what their last survey asked them.

Hear about it when the pilots land.

Occasional email updates on product milestones and pilot results, written by the team. A few times a year, and never a sales sequence.

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