09/08/2026
Buy the wrong lab system and you find out on the first morning, not during the demo.
The clearest example is history. After a conversion, no patient has any history in the new system, so automated delta checks have nothing to compare against. A delta check is the flag that fires when a result has moved implausibly since the last one. Nothing looks broken. The system simply has no past, and every check that depends on a past has quietly stopped existing. Transfusion services are separately exposed where historical blood type was not migrated, which can mean a second draw before products are issued.
None of that appears in a feature comparison. And the feature lists really have converged: plenty of products serve both markets, and a vendor using both terms on a page is doing search coverage rather than misleading you.
What has not converged is the regulation and the data model. An LIS is built around a patient, a requisition and an accession number, under CLIA, with an EHR on one side and billing on the other. A LIMS is built around a sample, a client, a project and a holding-time clock, under ISO/IEC 17025 or 21 CFR Part 11.
Our new article covers both, plus why a clinical lab says accessioning and an environmental lab says sample login for the same moment, and the one question worth asking a vendor that the acronym cannot answer.
The two acronyms describe systems built around different objects, a patient and a sample. The feature lists have converged. The regulation and the data model have not, and that surfaces at go-live.