Pathology: Histology and cytology workflows with specimen and slide tracking

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Laboratory

Pathology in the Bridge HMS Suite: Histology and cytology workflows with specimen and slide tracking

What's inside

Everything in Pathology

74 items in 12 areas, every one shipping with the app today.

Specimen Accession & Records
- Surgical Specimen AccessioningRegisters every surgical specimen as a tracked record with patient, ordering clinician and facility captured at receipt.
- Auto Accession NumberingAssigns a gap-free AP-YYYY-000001 accession number per specimen from a dedicated yearly sequence.
- 10 Specimen TypesClassifies each case as gross tissue, needle/core biopsy, excisional biopsy, frozen section, three cytology types, autopsy, placenta or bone marrow.
- Standardized Anatomic Site CodingRecords the organ site from a 20-value standardized dropdown plus a free-text site field for precision.
- Laterality CaptureFlags left, right, bilateral, midline or not-applicable side on every specimen.
- Fixative & Container TrackingDocuments fixative (formalin, alcohol, fresh, glutaraldehyde), container type and preservation status for pre-analytic quality.
Grossing, Blocks & Slides
- Gross Examination RecordsCaptures gross description, measurements, weight, color, consistency and surface features per examination event.
- Sectioning Protocol & Block SummaryDocuments how the specimen was sub-divided and a per-block summary (e.g. A: tumour periphery; B: deep margin).
- Photograph & Dictation FlagsMarks whether gross photographs and dictation audio were attached to the examination.
- Paraffin Block TrackingCreates lettered paraffin blocks (A, B, C...) per accession, each with tissue description and unique-per-specimen enforcement.
- Processing Protocol SelectionAssigns each block a processing protocol: overnight standard, rapid 2h/4h, decalcification or extended fatty-tissue.
- Block Lifecycle StatesMoves blocks through queued, embedded, sectioned, archived and discarded states with one-click action buttons.
Immunohistochemistry (IHC)
- IHC Antibody MasterMaintains an antibody catalog with target antigen, clone, vendor and default dilution, seeded with 50+ antibodies.
- Pre-seeded IHC PanelsShips 8 ready-made panels (Breast, Lymphoma, GI, Lung, Prostate, Soft Tissue, Melanoma, Triage) each with a clinical indication.
- Control Tissue RequirementsRecords the required control tissue and expected positive-control pattern per antibody (e.g. tonsil for CD20).
- Lot Expiration Tracking FlagFlags antibodies whose reagent lot expiration must be tracked.
- IHC Result ScoringCaptures percent positive cells, 0/1+/2+/3+ intensity and membranous/cytoplasmic/nuclear/mixed distribution per antibody.
- Control-Satisfactory GateRecords whether the run control was satisfactory before a result is interpreted.
Synoptic Cancer Reporting
- CAP/RCPath Synoptic ReportStructures the final report into gross summary, microscopic description, special-studies summary and synoptic final diagnosis.
- Report VersioningDistinguishes initial, addendum and amended report types with dedicated states.
- Draft-to-Signed WorkflowEnforces a draft, pending sign-out, signed lifecycle requiring a final diagnosis before submission and signature.
- Electronic Sign-out SignatureCaptures a clinician electronic-signature token (name plus timestamp) at the moment of signing.
- Addendum CreationClones a signed report into a fresh addendum draft and flags the specimen as addendum-added.
- Amended Report CreationClones a signed report into an amended draft and flags the specimen amended for corrections.
TNM Staging Engine
- TNM Staging LookupMaintains reusable T/N/M staging records across 17 cancer sites with full AJCC sub-stage granularity.
- Auto AJCC 8th Stage GroupingComputes the AJCC 8th-edition stage group from T, N and M values, with tuned logic for breast, lung and colon.
- M1-and-Tis ShortcutsAutomatically resolves stage IV for any M1 case and stage 0 for Tis N0 M0 in-situ disease.
- Heuristic Fallback StagingApplies a T/N/M heuristic to compute a stage group for sites without a site-specific rule set.
Tumour Board
- Tumour Board MeetingsSchedules multidisciplinary meetings by subtype (breast, GI, lung, head & neck, gyn, hematology, general) with chair and attendees.
- Meeting Lifecycle
- Case Agenda ManagementAdds specimen-linked cases to a meeting agenda and counts the agenda automatically.
- Minutes AttachmentAttaches the signed meeting minutes document to each meeting record.
- Tumour Board Case RecordsTracks each presented case with presenter, panel attendees and a rich discussion summary.
- Multidisciplinary Decision CaptureRecords the board decision across eight options from surgery and chemo to palliative care, second opinion and referral.
Turnaround, Retention & Automation
- Days-in-Lab MetricComputes turnaround days from receipt to sign-out (or now) on every specimen for TAT monitoring.
- Overdue Sign-out FlagAutomatically flags specimens received over five days ago that remain unsigned.
- Pending Sign-out Escalation Cron
- Weekly TAT Digest CronCompiles a rolling seven-day signed-case count and average turnaround, posting a digest to managers.
- 10-Year Retention DatesAuto-computes a CAP-recommended 10-year retention date on every block and slide.
- Retention-Aware Discard GuardRefuses to discard a block still within its retention window without a manager override.
Dashboards, Views & Reports
- Specimen Kanban BoardShows specimens as cards grouped by workflow state with urgency badges and days-in-lab.
- Color-coded Specimen ListHighlights urgent, STAT, overdue, signed and canceled cases with row decorations at a glance.
- Pivot AnalysisCross-tabs specimen volume by anatomic site, specimen type and month.
- TAT Trend GraphPlots turnaround days over receipt date as a line chart for performance monitoring.
- Sign-out CalendarDisplays specimens on a month calendar colored by urgency for due-date planning.
- Activity ViewPresents specimens in an activity-planner layout for scheduled follow-up tasks.
Clinical
- Specimens In Progress
- Blocks
- IHC Worklist
- All Reports
- IHC Panels
- Pending Sign-out
- Slides
- IHC Results
- Cancer Registry
- Antibodies
- Signed Today
- Gross Examinations
- TNM Templates
- All Specimens
- Special Studies
- Tumour Board
- Storage Locations
- Tumour Board Cases
Documents it prints
- Pathology Synoptic Report
- IHC Panel Report
- Pathology TAT Report
It runs by itself
- Pathology - Escalate Pending Sign-out >5 daysRuns daily
- Pathology - Daily Block Retention ReviewRuns daily
- Pathology - Weekly TAT Report CompileRuns every 7 days
Roles it ships
- Pathology Technician
- Pathology Resident
- Pathologist (Sign-out)
- Pathology Manager

Works with

What Pathology works with

Pathology shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.