synoptic report


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synoptic report

A concise, standardised surgical pathology report which includes all the data necessary for accurate staging, treatment and prognosis.
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Since August 2016, our synoptic reports for breast, lung, prostate, and melanoma resections have included a question that asks the pathologist to report both the ICD10 and the billing code for that specimen.
To test the accuracy and speed of identification of specific data elements in a synoptic report, a Python script was written that provided instructions and a test platform for these quizzes.
Is there an alternative method to derive some of these data (such as fixation methods, results of controls, etc) from the report in a way that may not require the same risk of error as including it in a synoptic report? For example, could some of these elements be in a separate fixed note?
The scope of the panel was to develop a series of evidence-based recommendations to standardize the basic components of a synoptic report template for bone marrow samples that would address the following domains: bone marrow morphologic descriptors, possible tests (by category) to be performed on the primary sample, relevant clinical and laboratory information, necessary components (regulatory, legal, financial, among others), and layout.
Several studies have established the advantages of the synoptic report format.
The issue of multifocality is important and should be included in the synoptic report. (1-5) Patients with multiple paragangliomas should be evaluated for the possibility of underlying genetic susceptibility and thus genetic testing for RET, NF1, VHL, SHDx, TMEM127 (transmembrane protein 127), MAX (MYC-associated factor-X), and KIFlB[beta] (kinesin family member 1B) mutations should be considered.
Following adoption of the synoptic report, there was also an increase in the detection rates of LVI, EMVI, and PNI (all P < .001) (Table 2).
Central nervous system tumors are difficult to report with a universal synoptic report designed for another organ system for which the TNM classification system is used.
Electronic synoptic operative reporting: assessing the reliability and completeness of synoptic reports for pancreatic resection.J Am Coll Surg.2010;211:308-15.
(2,3) Prior to these customizations, 2.1% (32 of 1043) of cases with synoptic reports had addendums with additional clinical information requested by the clinicians.
Gross and microscopic templates are automatically formatted to laboratory standards and allow for easy capture of discrete data in synoptic reports. The solution also features the PRO Assistant[R], a second set of eyes to aid Pathologists in accurately reporting the correct diagnosis and its supporting information.
Other new features include fully integrated Microsoft Word Synoptic reports, which allow unlimited formats, import of lab results, and graphic images for enhanced appearance and detail, tools to streamline regulatory review processes of CLIA, CAP and ASCP with statistical analysis and comprehensive QA reporting; and creation of criteria for auto-assigning cases.