Pathology: Histology and cytology workflows with specimen and slide tracking

Anatomic pathology from accession to sign-out: specimens with chain of custody, grossing, blocks and slides, immunohistochemistry panels, frozen sections, CAP-style synoptic cancer reports with TNM staging, the tumour board, and turnaround and retention watched for you.

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Laboratory

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

From accession to sign-out, nothing lost

Specimens in progress with their chain of custody, cases pending sign-out, those signed today and all specimens with turnaround.

Grossing, blocks, slides and stains

Gross examinations with cassettes, blocks and slides labelled and tracked, and the IHC worklist with its results per antibody.

Synoptic reports and the cancer registry

All reports, the cancer registry, and specimens, blocks, slides, grossing and IHC in pivot and graph.

Panels, antibodies and TNM templates

IHC panels, antibodies, CAP-style TNM templates, special studies and block and slide storage locations.

What's inside

Everything in Pathology

75 items in 13 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 (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.
- Automatic pending Sign-out Escalation
- Automatic weekly TAT DigestCompiles 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
More in this app
- Pathology at the tumour boardTumour-board meetings and the cases presented, with the synoptic report on screen.

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.