For Physicians, Specialists & Clinical Practices

When Routine Testing Doesn't Answer the Clinical Question, Know What to Investigate Next.

Reficio helps clinicians navigate from routine investigations to appropriate advanced biomarkers, molecular diagnostics and genomics when clinically relevant — while the treating physician remains in control of diagnosis and treatment.

Built to support clinicians — not replace clinical judgement.
Treating physician retains 100% therapeutic authority.
Diagnostic Logic Flow

How Reficio Enters the Diagnostic Journey

A structured diagnostic continuum designed to support your clinical decision tree at every step.

Phase 01

Patient Presents

Symptom onset, clinical presentation, and history taking.

Phase 02

Clinical Question

Clinician identifies the diagnostic hypothesis to verify.

Phase 03

Routine Investigations (Tier 1)

CBC, organ chemistry, metabolic screening, baseline tests.

Clinical Decision Point
Is the Clinical Question Fully Answered?
YES — Definitive Finding

Standard Clinical Care

Treating doctor initiates evidence-based treatment, lifestyle recommendations, or standard periodic monitoring.

✓ Routine pathway complete
NO / Needs Deeper Evaluation — Enter Reficio Pathway Intelligence

Reficio Escalates to the Appropriate Diagnostic Layer

Rather than unguided testing, Reficio structures the next logical tier proportional to the clinical presentation:

Advanced BiomarkersHep-2 IIF ANA, ENA-17, Anti-CCP, iron kinetics, specific free hormones.
Molecular TestingTargeted quantitative RT-PCR, viral loads, single-gene mutations (BRAF, EGFR).
Genomics / NGSWhen indicated: hereditary cancer panels, clinical exome, somatic TSO500.
Testing Coordination → Standardised Report Delivered → Treating Doctor Directs Care
Clinical Principle: Testing is proportional to the clinical question. Not every patient needs advanced testing or genomics. Reficio helps identify the exact depth warranted by the presentation.
Clinical Scenarios

When the First Test Isn't the Whole Answer

Common clinical scenarios where stepped investigation pathways prevent diagnostic delays.

Scenario 01

Persistent or Unexplained Clinical Findings

Clinical Presentation / Question:

Unexplained fatigue, persistent arthralgia, or chronic elevated ESR/CRP with normal initial routine blood counts.

Diagnostic Depth Pathway:

Tier 1 Baseline → Tier 2 Autoantibody & Specific Inflammatory Cascades

How Reficio Supports: Reficio identifies reflex biomarker staging (ANA by Hep-2 IIF, 17-Antigen ENA profile, Anti-CCP) before indiscriminate panel ordering.
Scenario 02

Conflicting or Inconclusive Investigation Results

Clinical Presentation / Question:

Borderline endocrine parameters with overt clinical symptoms, or discordant free hormone fractions.

Diagnostic Depth Pathway:

Tier 1 Screening → Tier 2/3 Method-Specific Free Fractions & Autoantibody Titers

How Reficio Supports: Reficio maps specific analytical methods (e.g., equilibrium dialysis, CLIA, anti-thyroid antibodies) to clarify equivocal findings.
Scenario 03

Need for Deeper Molecular Characterisation

Clinical Presentation / Question:

Confirmed infectious or oncological presentation requiring targeted genotype or resistance profiling.

Diagnostic Depth Pathway:

Tier 1/2 Baseline → Tier 3 Targeted RT-PCR / Single-Gene Mutation Assays

How Reficio Supports: Reficio coordinates rapid-turnaround quantitative nucleic acid amplification (e.g., HBV/HCV viral loads, EGFR, BRAF V600E).
Scenario 04

Hereditary & Familial Genomic Risk Questions

Clinical Presentation / Question:

Early-onset family cancer clustering or complex syndromic pediatric presentation requiring genomic evaluation.

Diagnostic Depth Pathway:

Tier 1/2 Routine Workup → Tier 4/5 Germline NGS Panels or Clinical Exome Sequencing

How Reficio Supports: Reficio structures ACMG/NCCN-aligned multi-gene germline panels with comprehensive CNV analysis and clinical curation.
Practice Impact

What Changes for Your Practice?

Clear clinical benefits without administrative overhead or loss of patient continuity.

Save Search Time

Navigate a structured 781-investigation directory and multigene panels instead of independently searching across fragmented laboratory options.

Access Greater Diagnostic Depth

Move seamlessly from routine biochemistry toward specialised molecular and genomic testing when clinically appropriate.

One Coordinated Pathway

Rely on dedicated coordination for test selection, sample collection logistics, verified lab processing, and timely report delivery.

You Retain Clinical Control

The treating physician remains solely responsible for interpretation, diagnosis, and all patient management decisions.

Ecosystem Value

Value Across the Care Continuum

How structured diagnostic orchestration supports patients, physicians, and clinical institutions simultaneously.

For the Patient

Clear, Connected Testing

  • Clearer testing journey with transparent sample requirements.
  • Less confusion around specialized and rare investigations.
  • Access to appropriate advanced testing pathways without referral dead-ends.
  • All reports return directly into clinician-led ongoing care.
For the Doctor

Clinical Depth & Control

  • Structured investigation navigation across 781 catalogue tests.
  • Seamless escalation to advanced biomarkers, PCR, and NGS panels.
  • Significantly reduced administrative coordination and lab chasing.
  • Complete retention of diagnostic and therapeutic authority.
For the Clinic / Hospital

Institutional Menu Expansion

  • Offer specialised and molecular testing without internal capital outlay.
  • Keep patient diagnostics and follow-up within the institutional ecosystem.
  • Standardised referral, sample transport, and reporting workflow.
  • Opportunity to introduce modern genomic service lines seamlessly.
The Reficio Difference

More Than a Test Catalogue

Traditional diagnostic portals offer passive search lists. Reficio provides an active clinical orchestration engine.

Traditional Test Discovery
1. Search: Fragmented keywords across different lab websites.
2. Test Picked: Individual test selected in isolation without clinical staging.
3. Arbitrary Lab: Dispatched without verifying test methodology or specialty capability.
4. Isolated Report: Unformatted PDF returned with no clinical context or follow-through support.
Reficio Diagnostic Orchestration
1. Clinical Question: Presentation mapped to structured diagnostic hypotheses.
2. Staged Pathway: Stepwise progression from routine to advanced and molecular depth.
3. Qualified Access: Matched to appropriate laboratory technology platforms and sample protocols.
4. Clinician-Led Care: Structured report delivered directly to treating doctor for diagnosis and management.

“Reficio connects diagnostic discovery, clinical context, advanced testing access and clinician-led follow-through in one structured journey.”

Genomic Purpose & Rigour

Where Genomics Adds Another Layer

We position next-generation sequencing as a purposeful clinical tool for specific indications — not as generic hype.

Level 01

Routine Chemistry

Examines standard circulating biochemical markers, enzymes, and cell morphology.

Baseline organ evaluation
Level 02

Advanced Biomarkers

Investigates autoimmune antibodies, free hormone fractions, and specialized proteins.

Reflex disease workups
Level 03

Molecular (RT-PCR)

Targeted single-gene mutations, pathogen identification, and viral load quantification.

Specific molecular targets
Level 04

NGS & Genomics

Examines hundreds of genetic regions simultaneously for oncology, hereditary risk, or rare Mendelian presentations.

Comprehensive multigene panels
“More testing is not automatically better testing.”The clinical objective is always the appropriate diagnostic depth for the clinical question.
Interactive Physician Tool

Show Me the Diagnostic Pathway

Select a common clinical presentation to see how Reficio structures investigations from routine baseline to advanced biomarkers and molecular genomics.

Autoimmune & Rheumatology

When inflammatory symptoms or joint pain persist despite non-specific routine findings.

Clinical Context: Persistent joint stiffness, unprovoked fatigue, multi-system inflammation, or elevated ESR/CRP with inconclusive initial workup.

Explore Category
Step 01Routine Initial

Tier 1 — Routine Baseline

Assess non-specific inflammatory activity and baseline organ parameters.

Indicative Catalogue Tests:
Complete Blood Count (CBC)
ESR (Westergren)
hs-CRP (High-Sensitivity)
Comprehensive Metabolic Panel
Urine Routine & Microscopic
Standard turnaround: Same day to 24 hours
Step 02Specialised Depth

Tier 2/3 — Specialised Biomarkers

Establish autoantibody specificity and connective tissue involvement.

Specialised Assays:
ANA by Hep-2 (Indirect Immunofluorescence)
17-Antigen ENA Profile (Sm, RNP, Ro, La, Scl-70)
Anti-CCP Antibodies
Rheumatoid Factor (Turbidimetry)
HLA-B27 PCR
Standard turnaround: 24 to 72 hours
Step 03When Clinically Indicated

Tier 4/5 — Molecular & NGS (If Indicated)

For suspected monogenic autoinflammatory syndromes or refractory pediatric onset.

Genomic / NGS Panels:
Primary Immunodeficiency 400+ Gene Panel
Monogenic Autoinflammatory NGS Panel (MEFV, TNFRSF1A, NLRP3)
Standard turnaround: 10 to 21 working days
Clinical Evidence Reference: EULAR / ACR Consensus Guidelines for the Evaluation of Early Rheumatic Disease (EULAR & American College of Rheumatology)
Browse All Guidelines
Clinician Coordination Desk

Have a Patient Who Needs a Deeper Diagnostic Work-Up?

Tell us the clinical requirement. Reficio can help identify and coordinate the appropriate testing pathway while you remain in control of clinical decision-making.

Hospital & Institutional Partners

Represent a Clinic, Hospital, or Department?

Establish an institutional testing arrangement for your oncology, rheumatology, or neurology wings without in-house capital expenditure.

Explore Institutional Partnerships →
Structured Diagnostic Enquiry

Clinician Diagnostic Enquiry

Submit a patient requirement or request test specifications for your practice.