Tumours of Haematopoietic & Lymphoid Tissue - Pathology Reporting database

Structured Reporting of Haematopoietic & Lymphoid Tissue tumoursusing a standard protocol re-constructed in FileMaker database. The database Lymphoma Protocol records data for 82 questions in 6 groups. Data is recorded for patient identification, observations about the clinical specimen, macroscopic and microscopic findings of the specimen and ancillary test findings for Immunohistochemistry, Flow Cytometry and Other Tests. The completed data is reported as print or PDF output.

Patient Identification data

Family Name, Given Name, Gender, Date Of Birth, Patient Identifiers, Date of Request, Path Accession No., Requesting doctor name, Requesting doctor phone, Requesting doctor contacted.

Clinical details data

Relevant clinical information, Principal clinician, Lymph node, Other, Laterality, Reason for biopsy, Clinical or differential diagnosis, Involved sites or pattern of disease spread, Stage or clinical extent of disease, Constitutional symptoms, Relevant laboratory test results, Previous lymphoma or leukaemia diagnosis, Date of biopsy, Site of biopsy, Type of biopsy, Laboratory, Lab reference nbr, Previous treatment, Predisposing factors: Immuno-compromised states and auto immune conditions, Predisposing factors: Infective agents, Further clinical information.

Macroscopic findings data

Fluid in which specimen delivered to the laboratory, Specimen handling or triage, Specimen type, Specify resection, Other details, Biopsies, Fluid, Spleen, Narrative or macroscopic description.

Microscopic findings data

Abnormal cells patterns of infiltration or architecture, Abnormal cell size, Abnormal cell cytomorphology, Abnormal cell proliferative indicators, Grade (follicular lymphoma), Host cells and tissue reactions, Narrative or microscopic description.

Ancillary Test findings data

Immunohistochemistry, Positive Abs, Negative Abs, Equivocal Abs, Narrative interpretive comment, Flow cytometry studies, Positive Abs, Negative Abs, Equivocal Abs, Narrative interpretive comment, Test result type, Result, Narrative interpretive comment, Test result type, Result, Narrative interpretive comment, Test result type, Result, Narrative interpretive comment, Test result type, Result, Narrative interpretive comment, Test result type, Result, Narrative interpretive comment, Test result type, Result, Test result type.

Synthesis and Overview data

Lineage, Clonality, WHO disease subtype, ICD-O-3 code, Diagnostic summary, Stage (AJCC/UICC 7th edition), Overarching comment.