Effective and rapid use of cytological data are issue in Japan. We addressed
this problem by development of an ordering system for cytological examinations
at Osaka National Hospital. This system is located in the department of
pathology and is a client-server system that consisted of 1 server and
6 clients. Five of the 6 clients are related to cytology and there are
connections to microscopes with digital cameras. One client is for acceptance
of cytological specimens at the department of pathology. Through a local
area network, 100Mbps, this system is connected to the hospital information
system, which is of the order-entry type. After a clinician orders a cytological
examination, these data are sent to both the Accounts and Pathology departments.
A small bar-code label is simultaneously printed out, which is stuck on
the form. By checking this label at the department of pathology by using
a label reader, relevant clinical information is sent to the pathology
server. After the cytological diagnosis has been made by senior cytotechnologist
and cytopathologist, data on the diagnosis and microscopic images are sent
to the hospital information system. Thus, clinicians can review the cytological
diagnosis together with the photomicrographs. This new cytology system
has brought great benefits to both cytotechnologist and clinicians with
regard to the rapid transfer of cytological examination, and it seems to
contribute to more advanced and efficient medical care.
[Rinsho Byori 50 : 630〜634, 2002]
*1Department of Pathology, Osaka National Hospital, Osaka 540-0006
【Key Words】cytological examination(細胞診検査)，ordering system(オーダリングシステム)，hospital information system(病院情報システム)
受付2001年12月21日・受理2002年4月12日
*1,2,4〜7,9国立大阪病院臨床検査科病理，*3同 産婦人科，*8同 総合内科，
*10同 臨床研究部(〒540-0006 大阪市中央区法円坂2-1-14)
E-mail :kawahara@onh.go.jp