Specimen Validity Intelligence

Validate the sample before you trust the result.

VDx Specimen Validity Testing detects substitution, dilution, and adulteration in urine drug screens. This is what that diagnostics power looks like as a platform — an explainable worklist, a live lab-ops dashboard, and subversion trends across sites. Built by Nona.

A modern clinical chemistry analyzer beside a rack of specimen tubes
VDx Validity IntelligencePrototype · seeded data
As of 2026-06-01
Specimens tested
1,284
+6.2%
Valid-specimen rate
82.4%
-1.1%
Invalid / suspicious
17.6%
+1.1%
Synthetic suspected
3.1%
+0.7%
Dilution suspected
8.9%
+0.3%
Oxidant / adulterant
2.4%
-0.2%
Avg turnaround
5.8 hr
-0.4 hr
Reagent days left
23 d
reorder soon

Interactive prototype with seeded data. Switch tabs, filter the worklist, and open a specimen for the full explanation.

From raw assay to defensible decision

The first version is explainable and rules-based — auditable from day one. Predictive AI comes later, once enough validated data is collected.

Isometric data flow from a lab analyzer through a rules engine to a dashboard
01

Ingest

Chemistry analyzers, LIS, and EHR feed results in — instrument export, HL7 v2 ORU, or FHIR.

02

Classify

A rules-based Specimen Validity Risk Engine scores each specimen against VDx assay thresholds and lab policy.

03

Explain

Every flag carries the markers behind it and a recommended next step — auditable, not a black box.

The Gen2-Validity™ 5-panel

Five test areas that together detect 18 classes of subversion — from counterfeit urine and oxidant adulterants to dilution, acid/alkali tampering, and catheter substitution.

Macro view of labeled reagent vials and an assay tray under soft blue and purple light

Counterfeit / True Urine SD

Detects synthetic or non-urinary-origin samples.

Oxidant History

Detects oxidant adulteration — including historical markers up to 30 days.

Specific Gravity Index

Detects dilution, salts, and substitution patterns.

pH

Detects acid / alkali adulteration.

Creatinine

Detects simple dilution and in-vivo overhydration.

A staged roadmap

Phase 1Rules-based SVT dashboardConverts VDx assays into clear operational intelligence
Phase 2LIS / EHR integrationsEmbeds VDx results into existing lab and provider workflow
Phase 3AI anomaly detectionFinds emerging tampering patterns and site-level outliers
Phase 4Provider decision supportInterprets longitudinal compliance and specimen validity
Phase 5Predictive operationsForecasts reagent demand, TAT bottlenecks, and QC risk
Phase 6Network intelligenceAggregated trend intelligence across programs and geographies

Decision support — not a diagnosis

This platform surfaces and explains specimen-validity risk; clinical interpretation stays with the provider per lab policy. It is designed around HIPAA-aligned safeguards — role-based access, audit logging, encryption, and minimum-necessary access — and any clinical-decision-support scope is evaluated against FDA CDS / SaMD guidance.