The digital pathology suite, traced end to end.

Alveon introduces S2Dx, the suite that brings the LIMS, the slide viewer and the WSI PACS onto a single foundation : S2Dx LIMS, S2Dx View and S2Dx PACS WSI. An unbroken pre-analytical → diagnosis → archiving chain, with HL7 FHIR SDC structured reports, interoperable and built on international standards.

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Actions traced & timestamped
ISO 15189
15189 — ready · pathology
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Interoperability standards
Alveon
Built to the standard medical diagnosis demands
ISO 15189 ready ISO 13485 in progress French HDS hosting planned GDPR HL7 / FHIR IHE PaLM FHIR SDC DICOMweb SMART on FHIR coming soon
One platform, three building blocks

Alveon's S2Dx suite

The LIMS, the WSI viewer and the WSI PACS share one patient master record, one audit log and the same connectors. No brittle middleware : one datum, one truth, one trace.

S2Dx LIMS LIMS · Laboratory information system

The engine of the pathology laboratory : cases, specimens, blocks, slides and the full workflow.

  • Pre-analytical → diagnosis → archiving workflow
  • Grossing, IHC panels & technical protocols
  • Structured reports — HL7 FHIR SDC profile
  • Voice dictation, AI assistant & coding with ICD-11, ICD-O, SNOMED CT, LOINC (and CCAM in France)
  • Isolated multi-laboratory tenancy
See the capabilities
S2Dx View Viewer · WSI

Fluid whole-slide viewing (MRXS, SVS, NDPI…) wired straight to the case, with telepathology built in.

  • Multi-resolution navigation & ROI annotations
  • Patient priors & side-by-side slide comparison
  • Live co-viewing & second opinion (remote consultation)
  • Context-aware launch from the LIMS
See the capabilities
S2Dx PACS WSI WSI PACS · Image archiving

Whole-slide image storage and delivery through a DICOMweb façade configurable per laboratory.

  • Multi-tenant DICOMweb façade (WADO/QIDO/STOW)
  • LIMS ↔ WSI PACS reconciliation & monitoring
  • Volumetrics, DICOM tree & storage monitoring
  • Long-term archiving & retention policies
See the interoperability
End-to-end traceability

Every action leaves evidence.

From the specimen received to the signed report, S2Dx logs the entire journey. A tamper-proof audit trail, digital signatures and append-only archiving that meet ISO 15189 requirements and the French HDS framework.

Timestamped, named audit trail

Who, what, when, from which workstation — every action is recorded and legally defensible.

Append-only archiving

ISO/HDS logs reject any update or deletion — integrity enforced by database triggers.

Qualified digital signature

Report sign-off with a qualified electronic signature (eIDAS / French RGS**) and cryptographic sealing.

Specimen chain of custody

Transport, receipt, fixation, processing — time bounds enforced, non-conformity alerts raised.

Audit log — Case 25-AP-0427

Append-only · timestamped · GDPR
Specimen receivedM. Roux · Pre-analytical08:12
Embedding & sectioning — Block A1Technician · H&E10:47
Slide scanned → S2Dx WSI PACSWSI scanner · 0.24 µm/px11:30
Diagnostic sign-offDr Lefèvre · RGS** signature15:02
Integrity digest sha-256:9f2a…c41e
Structured reporting — HL7 FHIR SDC

A report that is no longer free text.

S2Dx builds on the HL7 FHIR SDC profile (Structured Data Capture) : the report form is a published Questionnaire, the pathologist's entry a QuestionnaireResponse. Data is born coded — it never has to be re-keyed, nor re-interpreted downstream.

Reference forms, imported as published

ICCR protocols, Bethesda / TBSRTC, national datasets : the Questionnaire validated outside the LIMS is authoritative — no rewriting, no version drift.

Assisted entry, traced item by item

Dictation and pre-population feed the structured fields, under the pathologist's review. Every item keeps its before → after history, named and timestamped.

Native extraction & projection

The $extract and $project operations turn the response into a FHIR DiagnosticReport, a CDA R2 document conforming to the IHE PaLM APSR profile (and the French CI-SIS CR-ACP volume) or HL7 v2 OBX segments — entered once, available in every format.

Sealed on signature

At sign-off the digest of the assembled report is frozen. The signed document and the coded data that produced it stay inseparable and legally defensible.

The direct payoff : data usable with no reprocessing for the tumour board, cancer registries, quality management and clinical research.

Questionnaire — Breast carcinoma

ICCR dataset · published version · FHIR SDC
Histological type Invasive carcinoma of no special type ICD-O-3 8500/3
Histological grade (Nottingham) Grade 2 SNOMED CT
Tumour size (largest dimension) 18 mm UCUM mm
Excision margins Clear — minimum margin 4 mm SNOMED CT
Pathological stage pT1c pN0 (sn) TNM UICC 8th
QuestionnaireResponse $extract DiagnosticReport CDA R2 · APSR / CR-ACP HL7 v2 OBX
Native interoperability

Connected to the whole health ecosystem.

S2Dx natively speaks the standards of hospital information systems and national health platforms. Your reports, patient identities and images travel securely, with no re-keying.

FHIR R4

Patient, observation & diagnostic resources.

FHIR SDC

Questionnaire / QuestionnaireResponse, $extract.

HL7 v2 · CDA R2

HIS messaging & structured documents.

DICOMweb

WADO / QIDO / STOW for whole-slide imaging.

IHE PaLM

LTW (LAB-4) and LAW (LAB-23) profiles & APSR structured report.

CI-SIS · ANS (France)

CR-ACP volume — Schematron checked on every build.

Terminologies

ICD-11, ICD-O, SNOMED CT, LOINC & CCAM.

Open REST API

Custom integration & webhooks.

SMART on FHIR Coming soon

Context-aware launch from the EHR — the OAuth2 / OIDC foundation and FHIR R4 server are already in place.

The whole discipline, covered

Capabilities designed for pathology

A complete functional scope, from the specimen pot to the signed report, with no third-party software to stack up.

Complete pathology workflow

Configurable workflows, decision trees, accreditation checkpoints, from pre-analytical to archiving.

Patient & case management

National patient identifier (INS in France), specimens, blocks, slides — one master record shared across the platform.

Configurable grossing

Per-field visibility and mandatory rules, grossing bench station & dictated descriptions.

IHC panels & protocols

Antibody catalogue, technical protocols, analyser worklist & typed results.

Voice dictation & transcription

Real-time Whisper transcription and a voice assistant built into the report.

Diagnostic AI assistant

LLM-based drafting help, summarisation and suggestions, under the pathologist's control.

WSI viewer & telepathology

Whole slides, patient priors, live co-viewing and second-opinion requests.

ISO 15189 quality

Non-conformities, reagents, staff competency & supervised co-signature.

Cockpits & monitoring

Configurable pathologist cockpit, WSI PACS console, S2Dx Notify alerts.

GDPR & security

Keycloak authentication (OIDC/JWT), fine-grained permissions, data purge & consent withdrawal.

FHIR SDC structured report

Imported ICCR / Bethesda forms, coded entry item by item, extraction to DiagnosticReport, CDA R2 and HL7 OBX.

HIS & EHR integration

Documented FHIR R4 API (CapabilityStatement), OAuth2 / OIDC, webhooks — plus SMART on FHIR context-aware launch Coming soon

Beyond the report

Structured data keeps on working

Structuring the report is not just about writing it faster. It is what makes the data reusable : for the tumour board, for research, and for an AI that proposes without ever deciding on its own.

AI assists, the pathologist decides

Dictation and transcription become proposed values for structured fields — never an automatic write to the case.

  • The model runs on your infrastructure : no patient data is sent to a third-party service.
  • Every suggestion is presented for confirmation before it enters the case.
  • Mandatory fields still empty are flagged at review time.

Reproducible scores, not probabilistic ones

What must be deterministic does not go through a model : scores are computed by frozen formulas.

  • Gleason / ISUP, Allred ER-PR, MSI status, triple-negative profile.
  • Versioned formulas : a score computed today replays identically ten years from now.
  • Input values are stored alongside the result.

Data ready for research & real-world evidence

A free-text report ends up in a PDF. A structured report stays usable.

  • Every item carries its code (SNOMED CT, ICD-O-3, LOINC) : aggregate it without re-reading or reprocessing.
  • Per-item traceability — who entered what, when : that is where a study database's quality is judged.
  • Per-laboratory pseudonymisation, with re-identification traced and justified.

Better-prepared tumour boards

The case reaches the meeting documented, and the report's elements are already usable.

  • Case flagging, attendees and review date tracked in the LIMS.
  • The report's structured items feed the summary presented in the meeting.
  • Priors and slides viewable during the session through S2Dx View.
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Of actions logged & timestamped
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LIMS · View · WSI PACS unified
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Interoperability standards
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Specimen → report, no re-keying
A specimen's journey

One continuous, traced chain, workstream by workstream

A pathology LIMS does not have one pathway, it has as many as it has workstreams. Each has its own set of steps, its own quality controls and its own traceability points — the foundation is shared, the journey is specific.

1
Accessioning

Registration & patient identity checks

2
Grossing

Description & cassetting

3
Processing

Embedding, microtomy, H&E staining

4
Scanning

Slide → S2Dx WSI PACS

5
Diagnosis

Reading in S2Dx View & SDC entry

6
Sign-off

Qualified signature & archiving

S2Dx also covers flow cytometry and frozen sections, whose timed intra-operative circuit follows a dedicated pathway. Each workstream is enabled per laboratory.

Compliance & accreditation

Built for accreditation

S2Dx does not bolt compliance on afterwards : it is written into the architecture. Traceability, document quality and data security are native.

  • ISO 15189 ready — quality and competence requirements for pathology laboratories covered by design.
  • ISO 13485 (in progress) — medical device quality management applied to software development.
  • GDPR — health data processed in compliance : minimisation, access logging, purge and consent withdrawal.
  • French HDS hosting — planned. HDS certification (health data hosting) is granted to the host, not the software (art. L.1111-8 of the French public health code) : French production will be deployed at a certified host before go-live. The architecture — encryption, logging, per-laboratory isolation — is designed for that framework.
  • Accreditation frameworks (COFRAC in France) — steps & controls embedded in the working circuits.
  • IHE PaLM & CI-SIS — HL7 v2 messages (LTW LAB-4, LAW LAB-23) and CDA R2 reports checked on every build against the official IHE profiles and the French ANS CR-ACP Schematron.
  • HL7 FHIR SDC — structured reports on reference datasets (ICCR, Bethesda), directly usable for tumour boards and registries.
Ready

ISO 15189

Pathology laboratories

In progress

ISO 13485

Medical devices — quality

Planned

French HDS hosting

At a certified host, before go-live

Compliant

GDPR

Data protection