Amin Milon, Dhir Rajiv
Affiliated Pathologists Medical Group, 19951 Mariner Avenue Suite 155, Torrance, CA 90503, USA.
Department of Pathology, University of Pittsburgh Medical Center Shadyside Hospital, 5230 Centre Avenue, Room WG 02.6, Pittsburgh, PA 15232, USA.
Surg Pathol Clin. 2015 Jun;8(2):109-21. doi: 10.1016/j.path.2015.02.001.
The immense volume of cases signed out by surgical pathologists on a daily basis gives little time to think about exactly how data are stored. An understanding of the basics of data representation has implications that affect a pathologist's daily practice. This article covers the basics of data representation and its importance in the design of electronic medical record systems. Coding in surgical pathology is also discussed. Finally, a summary of communication standards in surgical pathology is presented, including suggested resources that establish standards for select aspects of pathology reporting.
外科病理学家每天要签署大量病例,几乎没有时间去思考数据究竟是如何存储的。了解数据表示的基础知识会对病理学家的日常工作产生影响。本文涵盖了数据表示的基础知识及其在电子病历系统设计中的重要性。还讨论了外科病理学中的编码问题。最后,介绍了外科病理学中的通信标准总结,包括为病理报告的某些方面制定标准的推荐资源。