- Created by Ruby Nash, last modified by David DeRoode on Sep 14, 2022
Cancer E-Path Reporting - Connectathon Track Kick-Off-20220914_080807-Meeting Recording.mp4
Cancer Electronic Pathology Reporting & IHE SDC/eCC on FHIR
This project will use FHIR to support structured electronic exchange of cancer pathology information between a hospital or facility-based laboratory information system (LIS) and hospital or facility-based electronic health record (EHR) system to a Central Cancer Registry (CCR). The goal of this project is to create one FHIR implementation guide (US Realm) that will compliment the currently accepted and widely implemented V2 and NAACCR Standards for Cancer Registries Volume V, Laboratory Electronic Reporting Pathology Version 5, May 2020 (Revised 2020). We will be aligning with the IHE SDC/eCC on FHIR IG and their testing efforts.
This IG uses the FHIR message bundle paradigm and profile data from NAACCR Volume 5, including MessageHeader, DiagnosticReports, and Specimen. It is based on US Core profiles where possible, binding to terminologies such as SNOMED CT and the North American Association of Central Cancer Registries Volume II, Data Standards & Data Dictionary. It will also include CAP eCC Protocol CKey Identifier to SNOMED translation.
We will be testing these two implementation guides in tandem to ensure alignment, as well as implementing an app to query an EHR, compile pathology reporting data, and send it to a registry.
|Continued testing of alignment between IHE SDC/eCCs on FHIR and Cancer E-Pathology Reporting IGs, as well as use of a backend services app to facilitate reporting to a registry.|
Understanding of Message Bundles, Observations, & DiagnosticReports required
Familiarity with MedMorph (https://build.fhir.org/ig/HL7/fhir-medmorph/) a plus
Ruby Nash, Alex Goel
Track Lead Email(s)
Call for participants
Laboratory Information Systems
Backend Service Apps
|Track Kick off Call|
September 14 at 10:00 am ET
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|Clinical Input Required?|
Previously we simulated a path lab generating a completed synoptic report (through the SDC form filler) and tested turning that into FHIR observations and then wrapping it in a FHIR Bundle.The bundle included Observations, Patient, DiagnosticReport, and MessageHeader. We tested submitting this bundle to an EHR and/or CCR. We also tested the Order of the collection of the Specimen, the collection of the Specimen itself (process and procedure), and the ordering of the path lab analysis, as well as a lab system producing the results of these analysis and send it outbound either to an EHR or to a central registry via collection Bundle.
We will be further refining this testing in September, as well as testing a more complex example of Specimen collection and sending to EHR or central registry. We also will be re-testing the use of a Backend Services App to query an EHR, compile a pathology report via our bundling, and pushing it to a cancer registry.
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