The accuracy and completeness of electronically encoded data appears largely comparable to text-based data, but subject to the degree of synchrony between the formats of text-based and electronic reports. Workflow, productivity, and timeliness of reporting are areas where electronically encoded reports may enhance cancer registry processes. We uncovered opportunities to improve Checklists and the information systems that incorporate them. We noted shortcomings in the electronically encoded CAP Checklists as opposed to text-based reports, particularly for breast cancers. The College of American Pathologists (CAP) publishes cancer protocols, or checklists that pathologists can use to convey necessary prognostic factor and. As part of Sonic Healthcare USAs strategic vision, we are pleased to announce the appointment of Mark Silberman, MD. Successful electronic transfer and capture of pertinent data elements for numerous examples of each tumor type was accomplished in each participating cancer registry/reporting laboratory/information system combination. Welcome to Clinical Pathology Laboratories. Updated to reflect LAP Committee 2015 Checklist changes 6.0 November, 2015 1. Through rigorous review and vetting, CAP Publications produces high-quality books written and edited by recognized experts in pathology and laboratory medicine. ![]() Table of contents added 5.0 : September, 2015. Updated references CAP Checklists: ANP, COM, GEN, 4-21-2014 2. ![]() Collaborating pathology laboratories and state cancer registries in California, Maine, and Pennsylvania identified key questions (queries) to address in the course of the project, developed and tested standardized HL7 messaging specifications to link senders and recipients, and then assessed the actual process results using either parallel reporting or retrospective-prospective cases for each tumor type. Revised per comments received from CAP Chair review 4.0. The RPP2 project was a multi-year, "proof of concept" demonstration that assessed pathology report-generated data for 3 CAP Cancer Checklists (breast, prostate, and melanoma) in several different cancer registry-pathology laboratory combinations in 3 states. To assess the challenge of employing the CAP Cancer Checklists in pathology laboratories and transmitting that information to cancer registries, we conducted a pilot project: the Reporting Pathology Protocols project (RPP2). ![]() The College of American Pathologists (CAP) Cancer Checklists present pathology reports in synoptic form and allow registries to be updated electronically. Initially, the panel compared the existing structured pathology reporting protocols for cutaneous melanoma developed by the RCPA, RCPath, and CAP. The Pathology use case, situated in the midrange of complexity of medical report types, provided a superb paradigmatic case for the investigation of these inherent limitations.Pathology reports represent a rich data source for cancer registries. The Pathology use case, situated in the midrange of the complexity of medical reports. Rather, they were in many cases inherent limitations of any computer-processable representation of complex medical reports. ![]() These limitations seemed to be more than transient barriers that might be overcome by incremental technological enhancements to existing frameworks. During Discussions, it became obvious to participants that current frameworks for implementing structured reporting had distinct limitations, and that in particular problems of cross-terminology mapping and context representation posed serious hurdles for any possible implementation that aimed to support downstream use cases as complex as clinical decision support. Under contract support from the Centers for Disease Control (CDC), the PERT was tasked to propose electronic implementations of the CAP Cancer Committee's reporting templates. This white paper originated in the fall of 2008 from work carried out by the Pathology Electronic Reporting Taskforce (PERT) of the College of American Pathologists (CAP).
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