Histology - Cytology Information System
Histology – Cytology Information System
Histology – Cytology Information System ‘H-C LIS’ comes with advanced features, providing the Histopathologists and Cytopathologists a powerful software tool to manage the daily tasks related to Histological and Cytological tests. The ‘H-C LIS’ eliminates the manual system of audit trails and paper files.
Overview
As we move to value-based medicine, the end report is critical. But all that data that goes with it, needs to be in a format that is usable throughout the health care system. The way to do that is to make sure your data is usable, readable, and interoperable.
Discrete data allows for communication between disparate health care IT systems much more efficiently. In addition an Anatomic Pathology – Cytology system should also have a rules engine and really well-thought-out logic. That’s essential to any system moving forward. ‘H C LIS’ of CCS, is a dynamic application. The diagnosis library is very flexible. The pathologists can modify, and update it at any time. So it can always capture new requirements and new classifications.
Supporting templates
Histology – Cytology Information System ‘H-C LIS’ includes a synoptic resulting mechanism. This is in addition to all the free text the pathologist wishes to enter. This codification, if you will, is something that users build and create on their own. We integrate with the synoptic reporting templates so they are fully automated. The anatomic pathologists can update the templates, to continually support current requirements. In addition all the diagnoses are also searchable, even using free text. ‘H-C LIS’ supports categorisation of all entries in the diagnosis library, using either user-defined diagnosis codes or ICD codes, or both. This ensures an easy retrieval.
Specimen classes
The unique workflow that occurs in labs oftentimes includes the transformation of a specimen into additional specimen classes. A surgical specimen may become a surgical, molecular, cytology, and flow specimen, a distinct class with distinct tests. Each of those test results gives the diagnostician more data to accurately provide an interpretation, classification, and diagnosis. These concurrent specimen classes are traceable with our products. We can match every patient asset across a continuum and assure that each asset is retrievable, viewable, traceable, searchable and reportable.
Cytology LIS
Cytology test order starts with the accessioning of the case. The cytology ‘H-C LIS’ software assigns a unique case number to each sample. In addition, based on the specific tests ordered, assigns the exact number of slides and other materials needed to perform them. Subsequently, it prints labels with all necessary information for running of the tests, tracking and storage purposes.
Cytology LIS includes features such as range checking and reflex testing. There are specimen storage manager to keep track of where and when specimens are stored. It also supports the workflow status monitoring, and offers additional management tools that will enhance a laboratory’s ability to perform competitively. That is client services and of course regulatory compliance ensuring that users comply with relevant regulations. In addition it enforces requirements such as slide read limits, screen mandates, and user access controls.
Healthcare informatics platform of CCS, has a proven record of continual development for more than 40 years in the domain of medical software.
Histology - Cytology Information System
Workflow Management
HISTOLOGY WORKFLOW MANAGEMENT
Fixation, Processing, Embedding, Microtomy, Staining, Coverslipping, Instrument Integration.
Tissue Processing Management
- Management of the complete histological tissue processing workflow.
- The system record all specimen processing stages.
- Assignment of specimens to tissue processors is supported.
- The status of each specimen is monitored in real time.
- Multiple processing protocols supported.
- Deviations from defined protocols is recorded.
- Rescheduling of processing cycles is supported.
- Embedding Management
Embedding workflow tracking.
- Recording of the embedding operator.
- Recording of date and time.
- Block completeness verification.
- Work backlog monitoring.
Microtomy Management
- Recording of section cutting.
- Generation of new slide barcodes.
- Recut management.
- Deeper section management.
- Serial section management.
- Unstained slide management.
Staining Management
- Support for H&E staining.
- Support for special stains.
- Support for immunohistochemistry.
- Recording of reagent lots.
- Recording of staining instruments.
- Recording of failed staining procedures.
- Management of repeat staining procedures.
CYTOLOGY MANAGEMENT
PAP Smear, Bethesda System, FNA, Urine Cytology, Respiratory Cytology, Digital Cytology Platforms, Synoptic Reporting, CAP Protocols, Cancer Checklists
Gynecological Cytology
- Management of Pap smear tests.
- Support for Bethesda Classification.
- Recording of adequacy assessment.
- Recording of HPV correlations.
- Tracking of follow-up recommendations.
Non-Gynecological Cytology
- Management of FNA cases.
- Management of body fluids.
- Management of respiratory specimens.
- Management of urological specimens.
- Correlation with histological findings.
Bar Coded Labelling
- Bar coding of specimens, tissue cassettes, and slides allows pathologists and technicians to confidently move cases through the analytical process with greater speed and accuracy.
- The built-in ability of ‘H-C LIS’ to design the barcode labels as needed by the lab, offers flexibility and adaptability to lab workflow.
Specimen Tracking
- ‘H-C LIS’ has a dedicated and most accurate sample tracking module which radically reduces time in locating specimens.
- Using bar code labels and scanners, a sample/specimen/slide can be easily tracked through the laboratory technical areas, through review, for storage, and disposal.
- Slides in storage can be instantly located through multiple departments.
Reporting
- Synoptic reporting (for tumors, etc.)
- Generation of reports depending on the needs of each individual laboratory.
- Dynamic report templates supporting Microsoft Word or other embedded text processing systems.
- Pre-formatted report templates can be created and edited by the user.
- Options to search and generate reports by specimen, diagnosis, test result, doctor, clinic.
- Reports generation based on ICD-O and SNOMED Coding.
Other features
- Patient history look-up with a single click.
- Support for unlimited number of users, each with a different level of access and different responsibilities.
- Access privileges per user, role based authority, digital signatures and user activity log files.
- Images or scanned documents can be attached to the exam record.
- Supports ICD-O, SNOMED and/or other user specific coding system.
- Signed out reports can be sent to the patient or physician via fax, e-mail, HL7, web or become available in the patient’s medical record through an EMR system.
Staining instruments interconnection
H-C LIS supports the HL7 or proprietary protocol connections to available staining instruments, which also support such interconnection. The laboratory user reads the barcodes of the created slides by a reader and can automatically view eventual comments which have been entered during sectioning on the H-C LIS screen. For these slides, the user prepares the worklist of the staining instrument, in accordance with the laboratory policy and/or the relevant staining instructions, as per the internal operation stage. Quick ordering with default stains (pre-fixed list) is supported. The slides are inserted in the staining instrument and upon completion of the staining process the instrument notifies automatically H-C LIS (date /time stamp).
Digital pathology applications (digital scanning) interconnection
H-C LIS supports the HL7/FHIR connection with digital pathology applications. H-C LIS communicates with the digital pathology app transmits the relevant details and orders the scanning when the laboratory user places the barcoded slides in the digital scanner. The communication manager handles the required information which has to be exchanged. The interconnection with the digital pathology applications ensures:
- completeness, accuracy and integrity of the automatically exchanged messages between the digital pathology application and H-C LIS
- transmission of certain related data stored in the MediLab platform to the digital pathology application.
- Whole Slide Imaging support: Brightfield WSI, Flu, rescence WSI, Multi-layer Images, Z-Stack Imaging
Benefits of Digital Pathology
Today’s pathology needs new approaches.Digital pathology offers benefits not easily achieved with glass slides alone. Take a look at the many advantages of digital pathology versus microscopy alone. Pathology starts with a collected tissue. Glass slides are necessary, even if they are later transferred to a digital scan. But today’s pathology goes beyond tissue or scans.
Consider the way today’s Digital technology has increased in adoption, delivering improved quality and innovation. Pathology is changing. Digital pathology can improve quality by :
- Analyzing slides using algorithms, accurate and quicker than microscopy
- Rapid access to prior cases
- Data Storage for long-term predictive analytics
- Offers multiple angle views and zoom
- Ability to measure multiple AOI
- Team annotation of slides
- Dashboard of data and annotations
- Fosters collaboration
- Easy access in streamlined workflow
- Curbs trend toward outsourcing
- Flex work schedules and remote access
- Reduce Errors
- Reduced Turnaround Times
Digital pathology can transform an organization. So, it is important to know that your APLIS information system have no Barriers to Adoption of Digital Pathology.
