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SystemOne Resolves Persistent Device Identification Challenge Across Global TB Diagnostic Networks

Apr 23
3 min read

Deployment in Bangladesh sets new standard for data integrity in national TB programs



Northampton, MA — April 23, 2026 — SystemOne, whose Aspect platform connects diagnostic instruments across national TB programs, today announced the successful deployment of its Unique Device Identification (UDI) solution in Bangladesh's National TB Program. The release addresses a fundamental data integrity problem that has affected GeneXpert diagnostic networks since their large-scale rollouts in global health settings.


The Problem

GeneXpert instruments are the backbone of TB diagnostics in high-burden countries. SystemOne has connected over 5,000 of these devices globally. Yet until now, no reliable method existed to uniquely and stably identify each physical instrument as it reported results to national data platforms, with consequences that are both practical and consequential for program management. 


When a national TB program reports having 630 GeneXpert devices, that number reflects physical machines in facilities across the country. But supporting data systems have long struggled to match that count or attribute specific results to specific GeneXpert devices. Identifiers historically used — system names, computer names, MAC addresses — are neither unique nor stable. A device that gets swapped out for repair, moved to a new facility, or reconnected through a new laptop could appear as a brand-new instrument in the database, generating duplicate records. In addition, GeneXperts can come as four devices connected to a single PC and programs have struggled to identify these properly. Over years and across thousands of devices, device count and attribution errors compound into a significant source of data quality problems, affecting connectivity reporting, result counts, error management and troubleshooting, and the program-level planning that donors and national programs depend on to allocate resources and measure impact.


The Solution

SystemOne's UDI release anchors every device record to the unique Instrument Serial number that Cepheid's software embeds in each test result. This identifier is stable, hardware-bound, and travels with the physical instrument regardless of changes to the surrounding computer or network configuration.


The solution introduces three clearly defined concepts: instruments, tied one-to-one to unique serial numbers; devices, corresponding to the physical machines a country program tracks in its inventory; and deployments, recording where each device has been located over time. A device that moved between facilities retains a complete location history, with results accurately attributed to the correct site for each period. Decommissioned instruments no longer drop results from program counts. And the device totals in Aspect now reflect what program managers and their funders actually see on the ground.


Bangladesh and Beyond

Bangladesh operates one of the largest GeneXpert networks in the world. With UDI now deployed across that network and training underway for country teams, Bangladesh's program will be among the first to operate with a device registry that accurately mirrors its physical inventory.


"Country programs and their funders need to be able to trust the numbers," said Nicolas Boillot, CEO of SystemOne. "When a program reports how many instruments are active and where, that should reflect reality. We have now built the technical foundation to make that true, and we are committed to deploying it across every program we serve."


For global health funders and implementing partners working to strengthen country ownership and data sovereignty, UDI represents a meaningful step toward diagnostic networks that can be managed, audited, and trusted at the national level.


SystemOne's UDI solution is available for deployment across all Aspect-connected programs and will be rolled out globally in partnership with national TB programs and implementing organizations.


About SystemOne

SystemOne develops and deploys diagnostic connectivity platforms, including Aspect and GxAlert, that support national infectious disease programs across the globe. The company's mission is to close the gap between diagnosis and treatment, while ensuring sustainable data systems for infectious disease programs worldwide.


Contact: Nicolas Boillot, CEO nboillot@systemone.co +1 413-268-4117 www.systemone.id


 
 
 

115 Comments


Bruce W
a day ago

Thanks for sharing this write-up on persistent device identification across TB diagnostic networks. The point about reconciling device signals across labs and regions is the hard part for most teams.

We have been working on the operations side of that problem with track dash and the pattern that keeps coming up is that consistency of identifiers matters more than the raw sensitivity of any single test.

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Bruce W
3 days ago

Thanks for the detailed write-up on persistent device identification across TB diagnostic networks. Keeping device identity stable across labs and remote sites is exactly the kind of unglamorous plumbing that makes diagnostic data trustworthy. When I was organizing notes from similar deployments, I used markdown to text to strip formatting and get clean, readable text for our internal docs. Appreciate you sharing the specifics.

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Ramos Grace
Ramos Grace
3 days ago

The article gave me a broader view of the subject and helped me understand how different factors can influence it. Bubble Shooter Game

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Bruce W
5 days ago

Great breakdown of the persistent device identification challenge across global TB diagnostic networks. Keeping a consistent device identity is exactly the kind of infrastructure detail that quietly decides whether a rollout works at scale, and the same coordination problem shows up in distributed systems more broadly, including the ones behind noomiclone game. Thanks for sharing the practical perspective here.

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Anna Favorskaya
Anna Favorskaya
5 days ago

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