CN101425109A

CN101425109A - Pathology department standard operation management and diagnosis counseling system software

Info

Publication number: CN101425109A
Application number: CNA2007100476569A
Authority: CN
Inventors: 陶祥
Original assignee: Individual
Current assignee: Individual
Priority date: 2007-10-31
Filing date: 2007-10-31
Publication date: 2009-05-06

Abstract

The invention relates to a software for daily concerns management in pathology department of a hospital and for assisting a doctor to made a fast and regularized diagnosis. The software is characterized in that tasks in the pathology department are systematically managed and various report databases on conventional pathology, cytology, liquid-based cytology and intraoperative freezing, and the like are integrated. An input mode for filling a small number of data and taking selection primarily facilitates the input operation. The software underscores providing various formative available templates and table templates for endoscopic biopsy and standard tumor reports; past examination documents of a patient are also provided; a database for disease diagnosis key points and pictures provides a diagnosis reference and fast-paste diagnosis description; tumor ICD-0 codes and corresponding standard diagnosis names are systematically provided so as to facilitate data organization; real-time diagnosis prompt after the diagnosis is made prevents diagnosis faults to a certain extent; and the programs are designed to assisting the doctor to made a fast and regularized pathology report.

Description

Pathology department's standardization work management and diagnosis consulting system software

1. technical field

This software is a kind of routine work management and diagnosis consulting system software for the hospital pathology department use, comprise to collect sample, draw materials substantially, the accurate standard of film-making (comprising technical operations such as conventional H E dyeing, specific stain and immunohistochemical staining), pathological replacement (comprise freezing in routine paraffin wax, cytology, liquid based cytology, the art, special examined etc.) sends and signs for, and the backup of pathological data, manage, borrow, the management of a series of flow processs such as consultation of doctors, Query Information.

2. background technology

The daily work of pathology department is numerous and diverse, comprised from collect sample, draw materials substantially, film-making (comprising operations such as normal dyeing, specific stain and immunohistochemical staining), pathological replacement sends and sign for, the management of pathological data, borrow, a plurality of operations such as freezing inspection the consultation of doctors, data check and associated cytolgical examination, liquid based cytology inspection, the art, but separate closely continuous between these operations, wherein any small mistake may cause tremendous loss.Be the criminal's of preventing careless omission, detailed record is absolutely necessary.Most of in the past pathology departments adopt the mode of copying of transcribing, this mode efficient low, write lack of standardization, randomness greatly, make mistakes easily, historical summary searches many shortcomings such as inconvenience, though present most of pathology department uses picture and text report software, but its only part solved pathological replacement and sent this step work, most other work are still at write by hand.

This work of pathological diagnosis is the most important thing of pathology department work, and its quality involves just that the clinician takes to exchange between appropriate treatment, hospital and the value of reference.Pathological data in the past is again the material of well teaching and scientific research, need transfer easily and accurately.Yet pathological diagnosis has extremely strong subjectivity: every diagnostician's description all is not quite similar; The diagnosis term is owing to historical reasons and translator's difference, and there are a plurality of different titles in same disease, and some has been passed into disuse; Add existing reporting software correcting errors of identifying and diagnosing title automatically, even have wrongly written or mispronounced characters on crucial noun, this all will cause losing of capsule information.Therefore, a high-quality pathological replacement is very important.

Moreover, the diagnosis of pathology at present tends to a kind of normalized requirement, as the diagnosis of gastroscopic biopsy: for the second time national gastroscopic biopsy diagnostic work group discuss diagnostic criteria that opinions and suggestions unify gastroscope with the reporting format (see figure 5) so that exchange between assessment curative effect and hospital; During as various diagnosing tumor, not only need diagnosis person simply to provide the title (though this is often so not simple) of disease, also some pathological parameters that will be just relevant with prognosis and successive treatment (as tumour size, nuclear atypia degree, nuclear disintegration as number, neoplasm necrosis, capsule invasion, nervus vasculairs infringement etc.) are done with detail record, and recommend to use tabular report to be beneficial to clinician's reference; When specimen sampling is described, the normalized description of some specific samples, not only help section office unified, through back summary case the time, this record will become unique governed evidence because of former sample no longer exists, the standardization of description helps carrying out of comparative study between the case; The keeper also can finish writing task quickly.Above-mentioned these features all fail to embody in existing software.

The related management software that present pathology department on the market uses mainly contains what is called " standalone version " and " network edition " two classes, and the former promptly refers to above-mentioned picture and text report software, and it has only been realized reporting printing, has taken the function of microphoto and file maintenance and inquiry.The latter emerges in the recent period, it has comprised pathology department's routine service management part, its Work Process Management still can move, but the deviser of these softwares is in default of the pathology knowledge of specialty, does not solve well with program specification draw materials record and these subjective steps of pathological diagnosis; Do not have really to assist the doctor to make the design of diagnosis effectively.The software that has has used the way of realization of text masterplate in design, because masterplate is that diagnosis person sets up voluntarily, itself lacks standard; Masterplate is made amendment to content by pasting the back, and this kind operation is inconvenience very, and the additions and deletions operation time very easily makes mistakes.More than allly caused this a bulk of content of pathological diagnosis relative vacuum on software design, so total system is become a mere formality, really do not given play to the effectiveness that stores data as scientific research and teaching yet.Therefore, demand designing and developing a kind of software systems that are applied to pathology department's Work Process Management and lay particular emphasis on the standardization diagnosis urgently.

3. summary of the invention

The routine work workflow management software that the object of the present invention is to provide a kind of suitable hospital pathology department to use.

Being of second project of the present invention makes diagnosis report reach correct and normalized requirement by the multiple setting in this software.

Input mode is reported in the simplification that is intended to of the 3rd project of the present invention.

4. description of drawings

Fig. 1 pathology department LAN (Local Area Network) connection diagram

Fig. 2 pathology department workflow diagram

Fig. 3 diagnosis consulting is realized synoptic diagram

Fig. 4 gastroscopic biopsy reporting format input window exemplary plot

Fig. 5 gastroscopic biopsy diagnostic norms report exemplary plot

5. embodiment

The LAN (Local Area Network) (see figure 1) is laid in being achieved in that in pathology department of first project of the present invention, by report registration work station, the workstation of drawing materials, studio's workstation, diagnostic work station, the server of data on file and the software that on each workstation computer, moves, manage the corresponding working procedures (see figure 2) respectively.

Second project of the present invention be the (see figure 3) that realizes like this:

1) by integrating various report form (comprising freezing report and specific stain report in routine paraffin wax report, cytology report, liquid based cytology report, the art), reaches the mutual query function between the report;

2) for patient to be diagnosed, system will generate all previous every check result of same patient automatically, and the malignant change among the result is carried out necessary prompting;

3) diagnostic point and the picture information of various pathologies are provided in the system, the reference when being beneficial to diagnose;

4) during diagnosing malignant tumor, system will carry out standard with the ICD-0 coding, prevent the synon use of diagnosing the term mistake and abrogating;

5) make diagnosis after, system will automatically generate the disease name of associated antidiastole according to available data, point out the pathology doctor to have the diagnosis that still reckons without with this;

6) for existing standardization report kind, will use the sheet format report, pathology doctor just prompting fills in item by item, can finish the pathological replacement of a complete and standard.This class report comprises: gastroscopic biopsy report, diagnosing tumor report, placenta diagnosis report etc.

Being achieved in that of the 3rd project of the present invention

1) system adopts the form of LAN (Local Area Network), after patient's data is finished registration, does not need to repeat to import (see figure 4);

When 2) drawing materials substantially, most species of samples has corresponding standardization form, only need fill in a small amount of numeral, uses the selection mode input as far as possible in selectable part;

3) in the medical diagnosis on disease main points that native system provided, can conveniently paste.

Claims

1. a routine work management and diagnosis consulting system software that uses for hospital pathology department, it is characterized in that LAN (Local Area Network) being set in pathology department, convenient by software, finish to standard pathology department from collecting sample, draw materials substantially and take pictures, film-making (comprises normal dyeing, technical operation such as specific stain and immunohistochemical staining), pathological replacement (comprises the routine paraffin wax report, the cytology report, the liquid based cytology report, freezing report in the art, special examined report etc.) accurately, send and sign for to standard, and the backup of pathological data, management, borrow, the consultation of doctors, the management of a series of flow processs such as information inquiry.

2. method as claimed in claim 1 is being collected the sample workstation, and the step of checking sample, confirming patient information and coding pathological number is arranged.

3. method as claimed in claim 1, when drawing materials substantially, can be according to species of samples, the record selects corresponding formative sample to describe in system, only need fill in a few digits, or uses combo box to select method such as vocabulary can finish the record of drawing materials.And, use wax stone box printer prints pathological number, wax stone number and bar code according to wax stone quantity.

4. method as claimed in claim 1 in the film-making process, is finished the cycle and taking corresponding operation affirmation work of (comprising dehydration, embedding, section, dyeing, mounting, special examined etc.).The label printing step can be as required, merges the wax stone number on the same slide automatically, and print the corresponding information two-dimension code of (comprising pathological number, wax stone number, dyeing kind, producer etc.).

5. method as claimed in claim 1 in diagnosis report, is used the unified standardization of International or National surgical pathology diagnosis form as far as possible, and the input of report adopts form to fill in form, reduces the chance of typewriting, and the omission of important information can prevent to diagnose the time.Reporting format is conformed to the standard.

6. method as claimed in claim 5 in the gastroscopic biopsy diagnosis, adopts for the second time national gastroscopic biopsy diagnostic work group that the diagnostic criteria and the reporting format of suggestion defined is discussed.

7. method as claimed in claim 6, report is carried out classification to the chronic inflammation of each biopsy site sample, acute activity, intestinesization, atrophy, dysplasia and HP.Use keyboard shortcut during input, simplify input operation.

8. for satisfying the requirement of right 6, the pathological diagnosis part in the report need not extra typewriting substantially according to the diagnosis term of above-mentioned grading automatical generation standard.

9. method as claimed in claim 5 in diagnosing tumor, adopts the international ICD-0 of staging system coding that the tumour of being diagnosed is sorted out, and helps standard diagnosis vocabulary and the convenient summary of data from now on.

10. method as claimed in claim 5, the diagnostic point written historical materials storehouse of the multiple disease of system disposition and picture information storehouse, and link to diagnosed SARS case in the past, pathology books related Sections commonly used, be beneficial to reference in the diagnostic procedure, and the diagnosis term of shearing reproducing standards during the report input.And can when making diagnostic comments, generate associated antidiastole suggestion automatically, with for referencial use.

11. method as claimed in claim 5, in diagnosis, the pathological diagnosis data in the past (comprising: routine paraffin wax, cytology, liquid based cytology, immunohistochemistry etc.) that can list this patient automatically for reference and is warned for pernicious case, reference when being beneficial to the doctor and making diagnosis.

12. method as claimed in claim 5, when immunohistochemical staining is diagnosed, the using value of the classification of antibody, operation instruction, antidiastole etc. will be listed, reference when judging to make antibody selection and result.

13. as claim 9,10,12 method, for ease of the renewal of reference, this software will be equipped with special-purpose AKU and regularly publish.