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Report on the Reporting Pathology Protocols for Colon and Rectum Cancers Project
Report on the Reporting Pathology Protocols for Colon and Rectum Cancers Project
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In 2001, the Centers for Disease Control and Prevention (CDC) National Program of Cancer Registries (NPCR) funded a pilot project involving two NPCR registries that partnered with two anatomical pathology (AP) laboratories. The intent of the pilot was to evaluate the use of structured data entry for cancer pathology reports for submission to cancer registries. The project included the California Cancer Registry collaborating with C/NET Solutions and the laboratory at the University of California at Irvine. Collaborating with the Ohio Cancer Incidence Surveillance System were the Rocky Mountain Cancer Data Systems (RMCDS) and the laboratory at University Hospitals of Cleveland. Additional participants included Cerner Dynamic Healthcare Technologies (DHT) and the Systematized Nomenclature of Medicine (SNOMED®) International, a division of the College of American Pathologists (CAP).
Pathology reports are typically in a text format with specific information contained in the narrative. To improve the quality and completeness of information in cancer pathology reports, CAP has developed 42 (as of 2004) site-specific cancer protocols and checklists for use by the pathology community. This project focused on implementing and improving the reporting of information from the SNOMED Clinical Terms® (SNOMED CT®) encoded CAP Colon and Rectum Cancer Checklists.
Software for the Reporting Pathology Protocols (RPP) project was developed to electronically capture the SNOMED CT encoded CAP Colorectal Cancer Checklists in participating AP laboratories. The project team established the structure of the project’s Health Level 7 (HL7) message for both the core HL7 segments and the observation segments that corresponded to the data from the CAP Checklists. The RPP team maintained an open dialogue with the CAP Cancer Committee during the process of matching the CAP Checklist data to the corresponding HL7 observation segments. The data were entered by the laboratory team and then converted into the project standard HL7 Version 2.3.1 message. Next, data were transmitted to the participating cancer registry where the traditional narrative pathology report was evaluated and compared with the checklist data.
Pathology reports are typically in a text format with specific information contained in the narrative. To improve the quality and completeness of information in cancer pathology reports, CAP has developed 42 (as of 2004) site-specific cancer protocols and checklists for use by the pathology community. This project focused on implementing and improving the reporting of information from the SNOMED Clinical Terms® (SNOMED CT®) encoded CAP Colon and Rectum Cancer Checklists.
Software for the Reporting Pathology Protocols (RPP) project was developed to electronically capture the SNOMED CT encoded CAP Colorectal Cancer Checklists in participating AP laboratories. The project team established the structure of the project’s Health Level 7 (HL7) message for both the core HL7 segments and the observation segments that corresponded to the data from the CAP Checklists. The RPP team maintained an open dialogue with the CAP Cancer Committee during the process of matching the CAP Checklist data to the corresponding HL7 observation segments. The data were entered by the laboratory team and then converted into the project standard HL7 Version 2.3.1 message. Next, data were transmitted to the participating cancer registry where the traditional narrative pathology report was evaluated and compared with the checklist data.
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