Glossary

The pathology reporting vocabulary, defined.

Definitions for the terms that come up in pathology reporting, speech recognition, digital pathology, and security/compliance — for anyone evaluating Voicebrook or working through an enterprise pathology project.

A C D E F G H P R S V

Anatomic Pathology (AP) (AP): The branch of pathology concerned with the diagnosis of disease through the examination of organs, tissues, cells, and bodily fluids — typically using microscopic examination of histology slides. Distinct from clinical pathology, which deals with lab tests on blood and body fluids.
AP/LIS (Anatomic Pathology / Laboratory Information System): The information system that manages anatomic pathology cases — accessioning, gross descriptions, microscopic findings, sign-out, and reporting. Common AP/LIS systems include Epic Beaker, Cerner CoPathPlus, Sunquest/Clinisys PowerPath, SCC SoftPath, and Meditech.

CAP eCC (legacy term) (Now CAP eCP): Electronic Cancer Checklist — the legacy term for CAP's electronic cancer reporting content. The College of American Pathologists has since updated the naming to CAP eCP (electronic Cancer Protocol). Voicebrook holds a long-standing agreement with CAP to distribute this content as part of VoiceOver PRO and SynoptIQ. See CAP eCP for current terminology.
CAP eCP (CAP electronic Cancer Protocol): The College of American Pathologists' electronic Cancer Protocols. Standardized cancer reporting checklists covering staging, grading, and required data elements for each cancer type. Updated multiple times per year. Required by accreditation for cancer reporting.
Cancer Registry: A database that captures information about cancer cases — diagnosis, treatment, outcomes. Cancer registries (state, federal, hospital-based) require pathologists to submit structured data on cancer diagnoses. VoiceOver PRO and SynoptIQ output HL7 data that flows directly to registries.
Cerner CoPathPlus: An anatomic pathology information system from Cerner (now Oracle Health). One of the major AP/LIS platforms in the U.S. market. VoiceOver PRO integrates deeply with Cerner CoPathPlus, with case context flowing in and structured reports flowing back.
Cerner Millennium PathNet: Cerner's broader laboratory information system for anatomic and clinical pathology. VoiceOver PRO integrates with Millennium PathNet for AP reporting workflows.
Clinisys PowerPath (Formerly Sunquest PowerPath): A widely-used anatomic pathology information system. Was Sunquest PowerPath until rebrand. VoiceOver PRO deeply integrates with Clinisys PowerPath.

Delegated Workflow: VoiceOver PRO's mechanism for letting per-diem pathologists, residents, fellows, and non-speech users sign cases through PRO without each requiring their own enterprise speech recognition license. Delegated Medical Editing supports transcription-assisted users on the same platform as everyone else.
Digital Pathology (DP): The use of digitized whole-slide images (WSI) instead of traditional glass slides for diagnostic interpretation. Major DP platforms include Proscia Concentriq, PathAI, TechCyte Fusion, Fujifilm Synapse, Indica Labs HALO, Gestalt PathFlow, Corista DP3, and Lumea. VoiceOver PRO integrates with each.
Digital Slide / Whole Slide Image (WSI) (WSI): A high-resolution digital scan of an entire pathology glass slide. Enables remote interpretation, AI-assisted diagnosis, and integration with digital pathology platforms. The pathology equivalent of a radiology DICOM image.
Dragon Medical One (DMO): Nuance/Microsoft's enterprise speech recognition platform for clinical documentation. Many health systems standardize on DMO across all clinical departments. VoiceOver PRO sits above DMO and applies the pathology workflow layer — DMO continues to be the underlying speech engine.

Epic Beaker: Epic Systems' anatomic pathology module within the Epic EHR. Beaker handles AP case routing, sign-out, and report storage. Voicebrook is listed in the Epic Showroom for Pathology Speech Recognition & Reporting, meaning Epic has validated the integration meets their standards.
Epic Showroom: Epic's curated marketplace of certified third-party applications. Being listed in the Epic Showroom means Epic has validated the application's integration with their platform. Voicebrook is listed for Pathology Speech Recognition & Reporting.

Fellow: A physician who has completed residency and is pursuing additional sub-specialty training in pathology (dermpath, hemepath, neuropath, cytopath, surgical pathology, etc.). Often participate in case sign-out under attending supervision. VoiceOver PRO's delegated workflow supports fellows without requiring individual speech licenses.

Gross Description (Gross): The pathologist's or PA's documented examination of a specimen with the naked eye, before microscopic examination. Captures size, color, consistency, distinctive features, and sampling. Typically dictated at the grossing bench. VoiceOver PRO supports hands-free dictation at grossing workstations.
Grossing: The process of examining, describing, and sampling tissue specimens before submitting them for histologic processing. Typically performed by Pathologists' Assistants (PAs) at a grossing bench, requiring hands-free workflow and water-resistant equipment.

HiTrust (HiTrust CSF): The Health Information Trust Alliance Common Security Framework — the de facto standard for healthcare information security certification in the U.S. Voicebrook is HiTrust certified, meaning our security controls have been independently assessed against HiTrust CSF requirements.
HIPAA (Health Insurance Portability and Accountability Act): U.S. federal law that sets the standard for sensitive patient health data protection. Voicebrook's products are designed for HIPAA-compliant handling of protected health information (PHI).
HL7 (Health Level Seven): International standards for the exchange of electronic health information. SynoptIQ outputs structured CAP eCP cancer protocol data in HL7 format for cancer registry submission. HL7 is also used between many healthcare information systems.

Pathologist: A physician specialized in the diagnosis of disease through laboratory analysis — typically histology, cytology, and molecular testing. Pathologists author the reports that direct treatment decisions. VoiceOver PRO is designed to give pathologists 1–2 hours of their day back from reporting workflow.
Pathologist's Assistant (PA): An allied health professional who works alongside pathologists, primarily performing grossing of surgical specimens, autopsy assistance, and case preparation. PAs work at the grossing bench where hands-free dictation matters most. VoiceOver PRO includes hands-free workflow for grossing.
PHI (Protected Health Information): Individually identifiable health information protected under HIPAA. Includes diagnosis, treatment, demographics linked to health data, and more. Voicebrook is designed for HIPAA-compliant PHI handling with encryption in transit (TLS 1.2) and at rest (AES-256).

Resident: A physician training in pathology after medical school. Resident pathologists rotate through subspecialties under attending supervision and require a way to participate in reporting workflows. VoiceOver PRO's delegated workflow supports residents without each one needing a separate speech license.

Sign-out: The point where a pathologist finalizes a case report after review of the gross description, microscopic findings, ancillary studies, and CAP synoptic data. Sign-out is the critical bottleneck VoiceOver PRO is designed to accelerate.
SOC Report (Service Organization Control): Independent audit reports (SOC 1, SOC 2, SOC 3) that validate a service organization's controls over data security and operations. Voicebrook provides SOC reports under NDA as part of vendor evaluation.
Solventum Fluency (Formerly 3M Fluency): Solventum (formerly 3M) Fluency for Imaging and Fluency for Transcription — enterprise speech recognition platforms for clinical documentation. VoiceOver PRO supports Solventum Fluency as the underlying speech engine alternative to Dragon Medical One.
Speech Recognition (Dictation, SR): The conversion of spoken language to text. In healthcare, enterprise speech recognition platforms (Dragon Medical One, Solventum Fluency) are deployed by hospital IT across all clinical departments. VoiceOver PRO is NOT a speech engine — it's the pathology-specific reporting layer that sits above whichever enterprise speech engine you use.
Synoptic Reporting: A structured reporting format for cancer cases where required data elements (tumor type, size, grade, margins, lymph node status, staging) are captured in a standardized checklist format. Required by CAP for cancer accreditation. SynoptIQ is Voicebrook's standalone synoptic cancer reporting tool.
SynoptIQ: Voicebrook's standalone synoptic cancer reporting tool. Provides automatic CAP eCP updates, auto-staging, structured data capture, and HL7 output to cancer registries. Deploys alongside any AP/LIS system or VoiceOver PRO.

VoiceOver PRO (PRO): Voicebrook's flagship pathology reporting workflow platform. Sits above whatever speech engine your IT team picked (Dragon Medical One, Solventum Fluency, etc.) and integrates with 20+ AP/LIS systems and 10+ digital pathology platforms. Recovers approximately 1–2 hours per pathologist per day by improving the reporting workflow itself, not just the dictation.
Voicebrook: Privately held New York company founded in 2002, exclusively focused on anatomic pathology since 2009. Builds VoiceOver PRO and SynoptIQ. Trusted by 630 pathology labs (3,556 active users producing nearly 3.9 million reports per year), average customer relationship 9+ years.

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