Search This Document
Search All Documents
Standardized, synoptic cancer reporting can be implemented in several ways ranging from a paper-based system to electronic health system integration to central reporting registriesThree approaches for cancer synoptic data recording are described in this section: paper-based forms, distributed electronic forms, and a centralized reporting platform. Each of these approaches has benefits and drawbacks which are described below. In addition, the emerging Fast Healthcare Interoperability Resources (FHIR) model is an elegant hybrid of central registry reporting and electronic health system integration. Although FHIR implementations for cancer synoptic reporting are in pilot phases only, the approach is also described.
...
Structured, synoptic cancer reporting can be realized using a paper-based system. Simply put, reporting pro forma templates are readily available for download and use from:
Multiple organizations release paper-based forms for cancer synoptic reporting.
Pathologists can manually record their observations using these pro forma templates. This approach does provide structure and enhances the completeness of data records. However, it does not directly render cancer pathology data into computable form. That can only happen with a transcription or abstraction of the paper form into an electronic system that is encoded using SNOMED CT.
Gliffy Diagram | ||||||
---|---|---|---|---|---|---|
|
The limitations of this approach are readily apparent. Yet, in an environment where electronic health record systems are not readily available, this approach to pathology cancer reporting can be effective for completeness of reports for immediate use by clinical care teams, and these forms can be used by public health authorities to populate central cancer registries for surveillance and disease management efforts.
...
This approach requires that publishers of cancer pathology data sets render their protocols (pro forma templates) into a format that can be ingested and used by EHR and LIS software platforms. The EHR/LIS vendor software then use these electronic representations to create an electronic version of the paper form for the user to complete as part of their usual reporting workflow. <Show images/examples>
Gliffy Diagram macroId edb5c31f-a350-423c-a1be-e1d4215dc011 displayName technical application name technical application pagePin 1
Benefits of this approach:
Limitations of this approach:
...
In this approach, pathologists interact with a centralized application rendering the specific reporting form. Upon completion of the form, the data is fully encoded and stored within the central cancer registry. A pdf or other electronic form of the report is sent back to that pathologist for incorporation into the patient medical record.
Gliffy Diagram | ||||||
---|---|---|---|---|---|---|
|
Benefits of this approach:
Limitations of this approach:
...