The complaint
"We waited six weeks for an appointment." Sometimes true. Often what actually happened is that the file sat in an inbox for four of those weeks, incomplete in a way nobody told the family about.
Three failure modes
- Missing pathology material. A report is not a slide. Many departments will not commit to a plan without the block.
- Imaging in the wrong container. DICOM exported as JPEG is not a study; it is a picture of one.
- Translation without structure. A 40-page literal translation with no section headers is worse than a 6-page structured summary with the key findings up front.
What we do differently
We treat packaging as a gate, not a formality. If the file is not package-complete, we say so in writing, name what is missing, and do not open a hospital thread until it is. It is slower for two days and faster for four weeks.
常听到的抱怨
「我们等一个号等了六周。」有时是真的。但更常见的情况是：这份病历在其中四周里躺在某个收件箱里，缺件，而且没人告诉家属缺什么。
三种典型失败
- 病理材料不全。 报告不等于切片。很多科室在没有蜡块的情况下不会给出方案。
- 影像装错容器。 把 DICOM 导成 JPEG 不是「影像资料」，那只是其中一张的图片。
- 翻译没有结构。 40 页逐字直译、不带章节标题，比 6 页把关键发现放在最前的结构化摘要要差。
我们的不同做法
我们把「成包」当作闸门而不是手续。如果文件不完整，我们书面说明缺什么，并且在补齐之前不开启医院线程。这样做前两天更慢，但后面四周更快。