NewSenior Test Engineer JobotSenior Test EngineerTulsa, OK$100,000–$135,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. With a supportive team environment, meaningful autonomy, and clear paths for growth, we offer the stability of an established organization combined with the energy and impact of a close-knit engineering culture.
NewSupplier Quality Engineer JobotSupplier Quality EngineerTulsa, OK$95,000–$135,000 / yearWith a rich heritage spanning over a century, our comprehensive portfolio of thermal management technologies powers critical applications across diverse sectors, including data centers, hydrogen production, marine operations, HVAC systems, refrigeration, and food and beverage processing. Backed by an extensive international network of production, sales, and service facilities, we deliver reliable, high-performance solutions that optimize efficiency, reduce environmental impact, and help our customers achieve their most ambitious goals.
Chief Project Engineer System OneChief Project EngineerClaremore, OKSupervise Engineering and Construction contractors to ensure that all plant replacements, modifications, and additions are performed in strict conformity with design specifications and applicable code requirements. 5+ years of experience in project execution in a nitrogen fertilizer manufacturing plant, chemical manufacturing facility or refinery (preferred).
Manufacturing Engineer System OneManufacturing EngineerTulsa, OKSystem One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. Identify issues and manage corrective actions to drive world-class quality; lead process audits and suggest engineering changes.
PSM Compliance Engineer ONEOK, IncPSM Compliance EngineerTulsa, OK$90,000–$136,000 / yearPerforms intermediate level engineering and/or project management duties related to Process Safety Management (PSM) and Risk Management Plan (RMP) programs supporting one or more functional areas that may include: refined products and crude oil terminal facilities; processing and/or storage facility operations; and/or estimating, designing, and coordinating projects. Through our approximately 60,000-mile pipeline network, we transport the natural gas, natural gas liquids (NGLs), refined products and crude oil that help meet domestic and international energy demand, contribute to energy security and provide safe, reliable and responsible energy solutions needed today and into the future.
Security & Compliance Engineer MaximusSecurity & Compliance EngineerTulsa, OKRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Monitor and operate network security tools, supporting alert triage, threat detection, and initial response actions across network and communications infrastructure.
Engineer II – Integrity Management Compliance ONEOKEngineer II – Integrity Management ComplianceTulsa, OklahomaSedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. This role will serve as a technical resource for IM compliance related initiatives, audits, inspections, and regulatory reporting activities while partnering with stakeholders and operational groups to identify, assess, and mitigate compliance risks.
Engineer II - Integrity Management Compliance ONEOK, Inc.Engineer II - Integrity Management ComplianceTulsa, OK$90,000–$136,000 / yearSedentary Work- Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. This role will serve as a technical resource for IM compliance related initiatives, audits, inspections, and regulatory reporting activities while partnering with stakeholders and operational groups to identify, assess, and mitigate compliance risks.
Engineer III, Sr - Pipeline Safety The Williams Companies IncEngineer III, Sr - Pipeline SafetyTulsa, OKAbout Tulsa: Our corporate headquarters is located in downtown Tulsa, Oklahoma, the 2nd largest city in Oklahoma and the 47th most populous in the U.S. Tulsa is known as the Mother of "The Mother Road" - Route 66, and boasts impressive art deco architecture, the #1 city park in the U.S. (The Gathering Place) and is a great venue for live music. Education/Years of Experience: Required: Bachelor's Degree in relevant Engineering field from an accredited college or university, OR Bachelor's Degree in Engineering Technology in a relevant field with Professional Engineer (P.E.) license; A minimum eight (8) years of multifaceted engineering experience in the natural gas or petrochemical industry.
Process Safety Engineer (Sr or Staff) The Williams Companies IncProcess Safety Engineer (Sr or Staff)Tulsa, OKEducation/Years of Experience: Engineer Sr: Required: Bachelor's Degree in relevant Engineering field from an accredited college or university, OR Bachelor's Degree in Engineering Technology in a relevant field with Professional Engineer (P.E.) license; A minimum eight (8) years of multifaceted engineering experience in the natural gas or petrochemical industry. Engineer Staff: Required: Bachelor's Degree in relevant Engineering field from an accredited college or university, OR Bachelor's Degree in Engineering Technology in a relevant field with Professional Engineer (P.E.) license; A minimum fifteen (15) years of progressive engineering experience in the natural gas or petrochemical industry.
Mechincal Engineer Stand-By PersonnelMechincal EngineerBroken Arrow, OKThis position works closely with engineering, manufacturing, sales, and purchasing teams to design, document, and support mechanical systems for manufacturing and certification purposes. The ideal candidate will have experience with mechanical design, CAD drafting, and pressure vessel design software.
OE Transmission Line Engineers GFT Infrastructure IncOE Transmission Line EngineersTulsa, OKRemote$100,000–$140,000 / yearWhat you'll be challenged to do: As an OE Transmission Line Engineer, you will lead and oversee transmission line project designs, serving as an Owner's Engineer in transmission line engineering for one of our major utility clients. Our team excels in providing solutions for power transmission, distribution, and renewable energy, utilizing advanced technologies and creative problem-solving to meet today's diverse energy needs.
Civil Engineer Trinity Employment SpecialistsCivil EngineerTulsa, OK$55,000–$65,000 / yearThe Civil Engineer will assist in design development, project planning, field quality control testing, and technical documentation , while working alongside senior engineers in a collaborative, quality-driven environment. This role is ideal for candidates with 03 years of civil engineering experience who are looking to gain hands-on project exposure in environmental and construction-related projects.
Mechanical Engineer Stand-By PersonnelMechanical EngineerBroken Arrow, OKThis position works closely with engineering, manufacturing, sales, and purchasing teams to design, document, and support mechanical systems for manufacturing and certification purposes. The ideal candidate will have experience with mechanical design, CAD drafting, and pressure vessel design software.
NewPrincipal Controls Engineer Nesco Resource, LLCPrincipal Controls EngineerTulsa, OK$120,000–$130,000 / yearYou'll work across Engineering, Applications, Estimating, Quality, Project Management, Manufacturing, and Operations to evaluate technical requirements, review complex designs, solve problems, and ensure control systems are engineered to the appropriate codes and customer specifications. We're partnering with an established industrial manufacturer seeking a Principal Controls Engineer to serve as a senior technical authority for electrical control systems used in custom-engineered equipment.
Electrical Engineer III/Senior-Power Innovation Project Development The Williams Companies IncElectrical Engineer III/Senior-Power Innovation Project DevelopmentTulsa, OKDemonstrates excellent organizational/interpersonal skills and safety as a main priority • Proficiency in Microsoft Office Application and PC skills • Proficiency in reviewing arc flash studies and implementing improvements • Working knowledge of electrical design codes (NEC, NEMA, API, IEEE, etc.) • Preferred: Experience with PLCs • Preferred: Project Management experience • Preferred: Experience working in Preliminary-Front End Engineering and Design (Pre-FEED), Front End Engineering Design (FEED), or Engineering, Procurement, Construction (EPC) of small to medium facility projects • Preferred: Proficiency in designing, and implementing, Instrumentation systems, including Programmable Logic Controllers (PLC) and Human Machine Interface (HMI) systems. Required: Bachelor's Degree in Electrical Engineering field from an ABET accredited college or university, OR Bachelors Degree in Engineering Technology from an ABET accredited college or university in a relevant field with Professional Engineer (P.E.) license and eight (8) years engineering experience in natural gas, data centers or related industry Preferred: PE License Preferred: Master's degree in electrical engineering.
Engineer Sr or Tech Specialist Sr/Staff The Williams Companies IncEngineer Sr or Tech Specialist Sr/StaffTulsa, OKEducation/Years of Experience: Required: Bachelor's Degree in relevant Engineering field from an accredited college or university, OR Bachelor's Degree in Engineering Technology in a relevant field with Professional Engineer (P.E.) license; A minimum eight (8) years of multifaceted engineering experience in the natural gas or petrochemical industry. In this role, you will lead the design and integration of plant-wide control systems, including BOP, generator and turbine controls, Power Management Systems (PMS), and Battery Energy Storage Systems (BESS).
Now Hiring: Engineers CF Industries, Inc.Now Hiring: EngineersClaremore, OK$90,000–$190,000 / yearThey serve as a technical resource across Operations, Maintenance, Engineering, Process Safety, Environmental, Health & Safety (EHS), and other functional teams to drive operational excellence, equipment reliability, capital project execution, continuous improvement, and regulatory compliance. As part of our recruitment process, CF Industries may use automated tools, including artificial intelligence ("AI") and machine learning technologies, to assist recruiters in identifying and prioritizing candidates whose qualifications align with job-related criteria, including information provided during the application process such as resumes, work history, education, qualifications, and responses to application questions.
Wastewater Treatment Engineer Harrison Consulting SolutionsWastewater Treatment EngineerTulsa, OklahomaAs the subject matter expert on wastewater treatment, provide firm-wide direction, internal consultation, and services to clients. Maintain reputation as technical expert by writing papers, giving technical presentations, and/or regularly represent the firm in professional/technical societies.
Sr. Project Engineer - Data Centers Thermal Engineering InternationalSr. Project Engineer - Data CentersTulsa, OK$130,000–$160,000To provide greater transparency to candidates, we include base pay ranges for all US-based job postings that encompass all potential locations and levels for the open positions. In this critical role, you will be responsible for maintaining the overall design responsibility for specific projects to which he/she has been assigned, and is the primary contact for the project manager, workshops, vendors, and the client.
MRB Engineer - Multiple Openings The Structures Company, LLCMRB Engineer - Multiple OpeningsTulsa, OKAs trusted partners to major aerospace OEMs and Tier 1 suppliers, we connect professionals with opportunities to grow and excel in the aviation and aerospace industries. Coordinate with cross-functional teams (design, stress, manufacturing) to ensure cost-effective and timely repair solutions.
Manufacturing Engineer II AAONManufacturing Engineer IITulsa, OklahomaRequires a four-year ABET-accredited degree in engineering or an equivalent technical degree in applied sciences; 3+ years of experience in a manufacturing or process engineering role within the HVAC or a similar industry; or any combination of education and experience, which would provide an equivalent background. The position contributes to departmental and organizational goals by driving process improvements, supporting cross-functional initiatives, and mentoring junior engineers.
Supervising Engineer - Transmission Line Quanta Infrastructure Solutions Group, LLCSupervising Engineer - Transmission LineTulsa, OklahomaFull timeThe QISG team brings together Engineering, Safety, Quality, Material Procurement, QA/QC, Right-of-Way Acquisition, Scheduling, Environmental Planning, Permitting, Title and Land Management expertise that ensure outstanding results for our clients. What You'll Bring: Minimum of 7 years’ experience in the electric utility industry performing engineering related duties and/or management for high voltage projects.
Project Mechanical Engineer – HVAC Design OlssonProject Mechanical Engineer – HVAC DesignTulsa, OKOlsson's Facility Engineering and Design Team leads the way in delivering innovative solutions for high-profile, technically complex projects. Pursuant to the California Consumer Privacy Act, as amended by the California Privacy Rights Act (collectively, the "CCPA"), this notice explains Olsson's practices regarding the collection, use, and disclosure of personal information for job applicants residing in California.
NewMechanical Engineer – Fort Hood Accura EngineeringMechanical Engineer – Fort HoodTulsa, OklahomaMechanical Engineer- Fort Hood ***Work Location: Fort Hood, TX*** Salary: Based on experience and will be discussed with manager in interview REQUIREMENT- Must be a US Citizen and must pass a federal background review and drug screen Position Summary The Mechanical Engineer will provide engineering and commissioning support for federal construction projects at Fort Hood, Texas. The selected candidate will be responsible for reviewing technical aspects of design and construction activities, evaluating mechanical systems, supporting commissioning efforts, reviewing project documentation, and ensuring compliance with contract requirements, codes, and project objectives throughout all phases of construction.
Deputy City Engineer City of Glenpool, OKDeputy City EngineerGlenpool, OK$71,219.20–$113,942.40 / yearPhysical requirements: Stand or sit for prolonged periods of time; occasionally stoop, bend, kneel, crouch, reach, and twist; to lift carry, push, and/or pull to moderate amounts of weight; operate office equipment requiring repetitive hand movement and fine coordination. An employee in this position may be called upon to do any, or all, of the following essential duties: Oversees, directs, and evaluates the work of departmental staff, providing guidance, support, and performance feedback to ensure effective operations and achievement of organizational goals.
Transmission Line Engineer Actalent IncTransmission Line EngineerTulsa, OKRemote$40–$50 / hourWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
NewTransmission Line Engineer (PE) Actalent IncTransmission Line Engineer (PE)Tulsa, OK$40–$50 / hourWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Quality Engineer Kelvion Holding GmbHQuality EngineerCatoosa, OKTracking key metrics, conducting inspections, and analyzing data to identify areas for improvement in manufacturing processes and product quality. Problem Solving and Analytical Skills: Identifying and resolving issues related to product quality, manufacturing processes, and regulatory compliance.
MedTech Field Service Engineer - Dialysis Hydraulics IQVIA Holdings IncMedTech Field Service Engineer - Dialysis HydraulicsTulsa, OK$27–$32 / hourIQVIA MedTech is seeking Mechanical Field Service Engineers to support a nationwide medical device project involving dialysis equipment at healthcare facilities across the U.S. In this field-based role, you will complete hands-on service work, including hydraulic assembly replacement, rinse and flush activities, testing, calibration, and documentation. Selected individuals may need to complete credentialing and meet facility-specific requirements, including immunizations, screenings, training, background checks, drug testing, and other customer requirements.
Staff Engineer - Power Generation (Turbines) The Williams Companies IncStaff Engineer - Power Generation (Turbines)Tulsa, OKAs a Staff Engineer - Power Generation (Turbines), you will serve as a senior technical authority in rotating equipment, driving strategy, performance optimization, and reliability across critical power generation assets. This role is designed for a recognized expert who thrives on solving complex challenges, influencing engineering direction, and advancing best-in-class turbine and generator practices.
Midstream Project Engineer HF Sinclair CorpMidstream Project EngineerTulsa, OKHF Sinclair owns and operates refineries located in Kansas, Oklahoma, New Mexico, Wyoming, Washington and Utah and markets its refined products principally in the Southwest U.S., the Rocky Mountains extending into the Pacific Northwest and in other neighboring Plains states. HF Sinclair Corporation, headquartered in Dallas, Texas, is an independent energy company that produces and markets high-value light products such as gasoline, diesel fuel, jet fuel, renewable diesel and other specialty products.
Quality Engineer SonacaQuality EngineerTulsa, OklahomaBachelor's degree from four-year College or University with major course work in engineering, quality, or science preferred along with 3-5 years Quality Engineering experience in the aerospace industry. The QE responsible for interpreting Customer contract requirements, engineering drawings & data sets, specifications, and other technical information to ensure compliance and proper implementation in the Sonaca North America Quality Management System (QMS).
Structural Engineer Cyntergy (US)Structural EngineerTulsa, OKWe strive to offer flexible employee work schedules to accommodate in such a way that established work hours and locations will give you the best opportunity to succeed while still balancing life outside the office with family and friends. At Cyntergy, we''re committed to building relationships - investing in and serving our people, community and clients through building strong, capable teams is at the heart at who we are!
Design Engineer - Transmission Line Quanta Infrastructure Solutions Group, LLCDesign Engineer - Transmission LineTulsa, OklahomaFull timeThe QISG team brings together Engineering, Safety, Quality, Material Procurement, QA/QC, Right-of-Way Acquisition, Scheduling, Environmental Planning, Permitting, Title and Land Management expertise that ensure outstanding results for our clients. This includes PLS-CADD modeling, line routing, structure analysis and loading trees, developing design criteria, sag-tension calculations, wire blowout, swing angle, damper.
Engineer (Sr or Staff) The Williams Companies IncEngineer (Sr or Staff)Tulsa, OKEducation/Years of Experience: Engineer Sr: Required: Bachelor's Degree in relevant Engineering field from an accredited college or university, OR Bachelor's Degree in Engineering Technology in a relevant field with Professional Engineer (P.E.) license; A minimum eight (8) years of multifaceted engineering experience in the natural gas or petrochemical industry. Engineer Staff: Required: Bachelor's Degree in relevant Engineering field from an accredited college or university, OR Bachelor's Degree in Engineering Technology in a relevant field with Professional Engineer (P.E.) license; A minimum fifteen (15) years of progressive engineering experience in the natural gas or petrochemical industry.
Chief Project Engineer CF Industries, Inc.Chief Project EngineerClaremore, OKBy joining CF, you will be part of a team that brings their varied experiences, wide-ranging knowledge and diverse talents together to deliver important work and you'll be able to pursue complex, exciting opportunities that help you continue to grow and achieve your potential in different areas. As part of our recruitment process, CF Industries may use automated tools, including artificial intelligence ("AI") and machine learning technologies, to assist recruiters in identifying and prioritizing candidates whose qualifications align with job-related criteria, including information provided during the application process such as resumes, work history, education, qualifications, and responses to application questions.
Project Engineer Phillips and Jordan IncProject EngineerTulsa, OKWorking closely with internal teams and external partners, the Project Engineer plays a critical role in optimizing processes, ensuring regulatory compliance, and maintaining alignment between project plans and on-site execution. The examination includes a series of tests and evaluations conducted by a certified medical professional to assess overall physical health, identify any potential medical conditions that could interfere with job performance, and verify that the candidate is capable of safely performing the essential duties of the position.
Electrical & Control Systems Engineer, Senior Helmerich & Payne IncElectrical & Control Systems Engineer, SeniorTulsa, OKAt a Glance: An Electrical Engineer, Senior is responsible for work including, but not limited to, general electrical, power, cable/wiring management, sensors, wiring devices, control system implementation, motors/drives, API/NEC/NFPA/IEEE and other similar regulatory implementation and compliance as well as some troubleshooting/diagnostics/signal analysis for oil & gas drilling equipment and processes. We believe that doing the right thing means creating a more diverse, equitable, and inclusive workplace that empowers our people to bring their authentic selves to work every day.
NewElectrical Engineer Power Distribution Nesco Resource, LLCElectrical Engineer Power DistributionTulsa, OK$100,000–$130,000 / yearA growing organization is seeking an experienced Lead Electrical Engineer to support multiple electric utility customers by developing plans, specifications, and engineering analyses for new construction, system improvements, and maintenance of existing electrical facilities. The Lead Electrical Engineer will support multiple electric utility customers by developing plans, specifications, and engineering analyses for new construction, system improvements, and maintenance of existing electrical facilities.
NewMechanical Engineer Industrial Equipment & Structural Design Nesco Resource, LLCMechanical Engineer Industrial Equipment & Structural DesignTulsa, OK$100,000–$110,000 / yearThe right person will enjoy working on real equipment—not just theoretical designs —and will be comfortable solving engineering challenges involving structural loads, lifting, transportation, fabrication, and environmental conditions. You'll create 3D models and manufacturing drawings, perform structural and engineering calculations, and work directly with production teams to make sure designs can be built correctly and efficiently.
Senior Welding & Materials Engineer (Technical Manager) Zeeco, IncSenior Welding & Materials Engineer (Technical Manager)Broken Arrow, OKZeeco is seeking an experienced Senior Welding & Materials Engineer to serve as a Technical Manager responsible for global oversight of welding engineering and materials performance across all Zeeco product lines and fabrication locations. Zeeco fosters a robust work environment where employees, from engineering teams to support groups, benefit from a strong culture, trained leadership, and opportunities for growth.
Industrial/Warehouse Engineer SonacaIndustrial/Warehouse EngineerTulsa, OklahomaSonaca North America does not ask for any financial commitments from candidates as a pre-employment requirement and will always require candidates to formally apply for positions via the Careers Page or job postings. Sonaca North America d oes not ask for any financial commitments from candidates as a pre-employment requirement and will always require candidates to formally apply for positions via the Careers Page or job postings.
Engineer III ONEOKEngineer IIITulsa, Oklahoma$110,000–$166,000 / yearAs a member of the Online Hydraulics team, the CPM (Computational Pipeline Modeling)/Leak Detection Engineer contributes to ONEOK's commitment to safe, efficient, 24/7 operations by maintaining a state-of-the-art computer-based transient model leak detection and CPM systems and pipeline simulation systems for liquid petroleum pipelines. Job Profile Summary Maintains and implements state-of-the-art computer-based transient model leak detection and computational pipeline monitoring (CPM) systems and pipeline simulation systems for Natural Gas Liquids pipelines.
Electrical Engineer Actalent IncElectrical EngineerTulsa, OK$80,000–$120,000 / yearIn this role, you serve as a key technical contributor and project leader within multidisciplinary teams, driving innovation in electrical system architecture, power electronics, and motor drive systems to improve reliability, safety, and product competitiveness. Lead and support electrical system architecture development for Artificial Lift products, including power electronics, motor drives (VFD/VSD), embedded systems, and surface/downhole interfaces.
Quality Assurance Engineer I TEL Staffing & HRQuality Assurance Engineer ITulsa, OKThe QAE will work to determine Root cause and corrective action for known Quality issues using the 8D methodology and validated by the audit group. An Airframe & Powerplant (A&P) License can be used in combination with 4 years of related experience (in addition to the experience requirements below) in lieu of the degree requirement.2.
Engineer III The Williams Companies IncEngineer IIITulsa, OKYou will develop permitting and access strategies; coordinate across engineering, environmental, construction management, legal, and external consultants; negotiate Road Use Management Agreements (RUMAs), Rights of Entry (ROEs), and Railroad Crossing Agreements; and track permit conditions through construction closeout and roadway restoration. Education/Years of Experience: Required: Bachelor's Degree in relevant Engineering field from an accredited college or university, OR Bachelor's Degree in Engineering Technology in a relevant field with Professional Engineer (P.E.) license; A minimum four (4) years of multifaceted engineering experience in the natural gas or petrochemical industry.
Project Engineer (Senior / Staff) - Power & Automation The Williams Companies IncProject Engineer (Senior / Staff) - Power & AutomationTulsa, OKAbout Tulsa: Our corporate headquarters is located in downtown Tulsa, Oklahoma, the 2nd largest city in Oklahoma and the 47th most populous in the U.S. Tulsa is known as the Mother of "The Mother Road" - Route 66, and boasts impressive art deco architecture, the #1 city park in the U.S. (The Gathering Place) and is a great venue for live music. You will work independently while leading projects of increasing scope and complexity, driving operational reliability, and contributing to innovation across power, automation, and facility systems.
Principal Engineer - Site Design OlssonPrincipal Engineer - Site DesignTulsa, OKOlsson provides multidisciplinary, preliminary, and construction design services for mixed-use, commercial, and residential land development projects, along with industrial, sports, schools, and other site development types. Pursuant to the California Consumer Privacy Act, as amended by the California Privacy Rights Act (collectively, the "CCPA"), this notice explains Olsson's practices regarding the collection, use, and disclosure of personal information for job applicants residing in California.
NewField Service Engineer II- Tulsa, OK AbbottField Service Engineer II- Tulsa, OKTulsa, OklahomaRemoteTroubleshoot and Resolve Issues: Diagnose technical problems across multiple complex instruments, document resolutions accurately, and close service calls within defined timelines. The crucial information derived from our tests, instruments and informatics systems are often the first step in patient care decision making for hundreds of health conditions from heart attacks to blood disorders to infectious diseases and cancers.