# 1. What is LIMS

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The **Laboratory Information Management System (LIMS)** is a national digital platform designed to support and manage laboratory operations throughout the complete laboratory testing lifecycle.</span>

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The system supports the movement of laboratory information from the point at which a patient requires a laboratory investigation through ordering, sample collection, sample processing, testing, result verification, authorization, reporting, and synchronization with national health information systems.</span>

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">In Malawi, the LIMS ecosystem consists primarily of **iBLIS at the facility level** and the **National Laboratory Information Management System (NLIMS) at the national level**.</span>

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">At the facility level, iBLIS supports day-to-day laboratory operations, including patient registration, laboratory orders, sample tracking, barcode generation, analyzer interfacing, result entry, result validation, printing, and local reporting.</span>

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">At the national level, NLIMS receives synchronized laboratory information from participating laboratories and provides national aggregation, reporting, dashboard visualization, analytics, and monitoring of laboratory performance.</span>

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The overall information flow can be represented as:</span>

**<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">[![LIMS Overview.png](https://bookstack.hismalawi.org/uploads/images/gallery/2026-08/scaled-1680-/lims-overview.png)](https://bookstack.hismalawi.org/uploads/images/gallery/2026-08/lims-overview.png)</span>**

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">This architecture enables laboratory information to move from individual laboratory processes into national-level information systems for patient management, monitoring, planning, and public health decision-making.</span>