Permission before action
Authority is checked per capability and per working site, before a clinical record can change.
ACCOUNTABILITY, BUILT IN
Every decision has an owner.
Every change has a reason.
Clinical governance belongs in the workflow itself. Labnerva checks authority, preserves evidence and refuses actions that fail the required controls.
AUTHORITY WITH CONTEXT
The right person.The right site.The right action.
Twenty-eight capabilities are evaluated on the server before a write. Site grants and revokes require written reasons and create an immutable record.
Capability groupScope
Clinical · 13 capabilitiesClinical workflow actions
Governance · 15 capabilitiesPolicies, approvals and evidence
Site-level grantsWorking-site context
Audit accessA distinct capability
SEPARATION OF DUTIES
A second pair of eyes.A decision on the record.
The same person cannot author and approve the same version when the enforced separation rule applies. Rules roll out individually; every rule begins undecided.
AuthorCreates a version
Independent reviewDifferent actor required
ApproverSigns the decision
14 rules catalogued; 1 enforced in the central evaluator. Other rules are implemented in individual domains, awaiting evaluation, or dependent on pilot SOPs. This is not a claim that all 14 rules are active.
THE EVIDENCE BEHIND THE ACTION
Designed to answer the next question.
Quality before release
Signed batch decisions connect quality-control evidence to the patient results they govern.
History without overwriting
Reference ranges and reports retain their versions. An amendment never erases the original.
A reason behind the change
Governed changes require a written reason, with the actor and decision preserved in the record.
Designed to support ISO 15189 evidence. Not itself certified.
LET’S TALK ABOUT YOUR LAB
Bring us your bench.
We’ll bring the proof.
See the workflows, the quality gates, and the decisions behind every result.