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2 WHAT IS GESTPATH? GestPath is a complete solution to manage Anatomic Pathology laboratories, designed by a technical engineering team in collaboration with a team of pathologists with more than 20 years experiences. It is a versatile platform conceived to provide total workflow coverage associated to anatomic pathology analysis and to integrate with all the elements of the laboratory. GestPath is a multi language system, developed according to the recommendations of the Anatomic Pathology White Blood and in accordance with patient data safety legislation.

3 SAMPLE EXTRACTION AND ELECTRONIC REQUEST Electronic Request of the A/P analysis from eitherthelisorthehis. Automatically receives relevant information from LIS or HIS: Patient Demos, clinical information, urgency, number of containers, type of analysis, etc. Paper-free circuit, totally digital. Possibility to use barcoded container labels for rapid reading later in GestPath. Petición Registro Macro + Inclusión Tareas técnicas Micro + Diagnóstico Elaboración y firma de informe Envío informe

4 RECEPTION AND REGISTRY OF SAMPLES Asociation between the sample containers and the data received, thus guaranteeing maximum security. Validation of the information received by electronic request. Independent and configurable numeration of: biopsies, cytologies, IHC tests Labelling of the containers with barcodes to guarantee traceability inside the center Petición Registro Macro + inclusión Tareas técnicas Micro + Diagnóstico Elaboración y firma de informe Envío informe

5 MACROSCOPIC ANALYSIS : Integration with Hardware Computer and Touchscreen: Optimized interface for touchscreen, with moveable arm. Silicone Keyboard: Specific for medical-use environments. Voice-recording kit: Dictation system totally integrated (automatic link of the audio to the case). Barcode Reader: two dimensional barcode system to store more than sufficient data about the sample. Macro image: Image capture system is versatile enough to work with any type of image hardware, bymeansofadirectusbconnection. Printing of cassettes: Printing sysetm for the cassettes integrated into the software. Petición electrónic@ Registro Macro + Inclusión Tareas técnicas Micro + Diagnóstico Elaboración y firma de informe Envío informe

6 MACROSCOPIC ANALYSIS Identification of the case by means of barcodes scanning. Introduction of the sample material by means of templates predefined and configurable by pathologists. When the material is received the following information is loaded on the screen automatically: Requested language of the report Number and type of cassettes necessary. Text of the macroscopic report generated by parameters. Technical tasks to be performed. SNOMED/ SNOMED-CT codes. Realization of the macro analysis by template or dictation. Cassette label printing to assure traceability of the sample. Definition of the detail of the technical tasks (type of dye, orientation, number of cuts.) Petición electrónica Registro Macro + inclusión Tareas técnicas Micro + Diagnóstico Elaboración y firma de informes Envío informe

7 TECHNICAL TASKS Possibility to work in lots or on-demand. Identification of the work to be performed by scanning barcode of the cassette, to create blocks, microtome, dyeing and loading slides. Identification by colors according to the analysis. Print slide labels to guarantee traceability. Validation of technical tasks made by barcode scanner. Petición Registro Macro + Inclusión Tareas técnicas Micro + Diagnóstico Elaboración y firma de informes Envío informe

8 MICROSCOPE + DIAGNOSIS Cassettes identified by barcode scan. Manage pending tasks list which are specific to each pathologist. Rapidly consult the patient s history. Introduce microscopic analysis based on predefined and configurable templates, based on pathologists criteria. Possibility to include microscopic images. From microscopic analysis the following data are automatically loaded on the screen: Text of the microscopic analysis generated by parameters. Text of the diagnosis. SNOMED/ SNOMED-CT codes. Totally integrated dictation system. Possibility to: Request additional histopathology studies: automatically sends tasks to be performed. Request IHQ study: automatic sends IHQ technical tasks to be performed. Petición electrónic@ Registro Macro + Inclusión Tareas técnicas Micro + Diagnóstico Elaboración y firma de informe Envío informe

9 REPORT ELABORATION AND SIGN-OFF Automatically builds the report: Recovers the texts introduced in each phase of the process, grouped by samples. Allows the user to make reports for multiple cases. Multi-language spell-check with technical vocabulary specific to Anatomic Pathology. Signature of the reports by means of certified professional (electronic signature with PIN protection). Validation of the report prior to sending. Petición Registro Macro + Inclusión Tareas técnicas Micro + Diagnóstico Elaboración y firma de informe Envío informe

10 SENDING REPORTS Automatically sends the report to the center or entity of origin (LIS, HIS, external medical center ) Storage of a history of report versions delivered by the laboratory. Possibility to send reports by . Petición electrónic@ Registro Macro + Inclusión Tareas técnicas Micro + Diagnóstico Elaboración y firma de informe Envío informe

11 STATISTICAL REPORTS Group of predefined statistical reports covering the activity of the lab, as well as administrative and technical tasks. Search for personalized statistics: By origin of service By material received By diagnostic code By SNOMED code Malignant cases Dates(of entry, of diagnosis, of exit, etc.,

12 ADDITIONAL MODULES: INVOICING A/P lab invoicing management includes: Pricing tables for each customer. Special prices, services discounts, etc., Automatic system to generate delivery notes and invoices. Collection and payments management. Invoicing and payment incidence system.

13 ADDITIONAL MODULES: UNIVERSAL MIGRATION TOOL Previous Database Intermediate Database GestPath Database The necessity to migrate historical data Complex structure, that the lab IT department knows. Temporary and empty database. Simple structure (biopsies tables, cytologist, doctors, patients, etc.) Complex structure, that the GestPath technical's know.

14 PLATFORM S TECHNOLOGY.NET Windows O/S GestPath Management SW Workstation specific HW GestPath client J2EE MySQL(portable) Database Linux O/S GestPath Server (virtualizable) Database License Server Communications Server Backups SW Maintenance SW Monitoring & Control SW

15 BENEFITS OF A GESTPATH IMPLEMENTATION Administrative Substantial time reduction in the specimens registry and dictated transcription reports. Pathologist Incorporation of elements/tools (on-line dictaphone, touchscreen, barcode scanners, electronic signature ) for the management of macroscopic and microscopic analysis and diagnosis. Technician Incorporation of elements/tools (touchscreens, barcode scanners ) to guarantee the control over the work sheet and the security in the specimens traceability. Head of Lab / Head of Service Control the process, work in progress and performed tasks such as workloads, delays, error minimization, management and analysis of the lab or department. Hospital Saves on resources, increases security, turnover, electronic request, compliance with patient data safety legislation and GMP s and international standards. IT Systems Department HL7 communications with LIS/ HIS, virtual system server, universal migration tool, maintenance, automatic updates and automatic security data backup.

16 POST-IMPLEMENTATION SERVICE Maintenance: cleaning service, table indexes optimization, compress historical data, etc. Automatic Updates: Automatic distribution of updates and new releases. GestPath client Server 1 GestPath Development and Support Center GestPath client Server 2

17 AFTER-SALES SERVICE Technical support: Dedicated call center from 9 to 19h. Remote desktop services for support. Infrastructure remote monitoring. Automatic notifications & alarms system. Lab Technical department

18 INSTALLATIONS GestPath is running on: Clínica Girona, operating since July Clínica Delfos de Barcelona, operating since September Instituto de Citología e Histopatología Diagonal, operating since Fundació Althaia de Manresa, operating since Histolab, operating since November In installation: Hospital Universitario Marqués de Valdecilla de Santander, next March 2011.