1. Cellular Pathology Minimum Cancer Data Set Reporting Program Greg Rayner BSc BSc MSc FIBMS Pathology IT Specialist SRFT

2. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist2 Pathology Minimum Cancer Data Set Data required for a careful assessment of a cancer specimen. Manual for Cancer Services 2004 (DoH) Pathology references include topics: –3D-104 Reports for national minimum dataset should include required items = 1* (essential) –3D-105 Electronic collection of national minimum dataset items = 2 (lower rating) Dataset proformas issued by RCPATH

3. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist3 MCDS

4. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist4

5. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist5 Minimum Cancer Data Set Problems for reporting cancer specimens:  How to ensure capture all required data items  How to store in separate database Not every proforma is the same Simple (20 data items) vs Complex (40+ di) SRFT solution: develop in house program to capture data items at point of data entry Basal Cell Carcinoma (~ 20 di) Colorectal (~ 40 di)

6. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist6 Key points Program sits on top of Telepath LIMS Imports Patient demographic data from Telepath into Windows form Single point of entry for MCDS data On completion - writes cancer data into Telepath as a structured report Writes MCDS and demographic data into Database other functionality – MDT list

7. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist7 Overview of MCDS program

8. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist8 Basal Cell carcinoma

9. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist9 Colorectal Cancer

10. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist10

11. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist11

12. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist12 Click on form to start

13. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist13 MDT list On click OK -Add patient details to text file. Creates new list or appends to existing list Easy identification Patients for MDT meetings New Patient: 14/01/2009 Surname: FALSE1, Forename: False, HospNo is: XX, LabNo:H,08.0099995.L New Patient: 15/01/2009 Surname: FALSE1, Forename: False, HospNo is: XX, LabNo:H,08.0099995.L New Patient: 15/01/2009 Surname: TEST, Forename: Telepath, HospNo is: TEST, LabNo:H,08.0099993.B New Patient: 15/01/2009 Surname: TESTPATIENT, Forename: Dummy, HospNo is: DIS123456, LabNo:H,08.0099992.J New Patient: 15/01/2009 Surname: DUMMY, Forename: Test, HospNo is: ZP0823867, LabNo:H,08.0099994.X

14. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist14 Future Developments More data sets in development Extracts for other systems / databases –Extracts from database –Write extracts: |XXXX|FALSE1|False|M|19/01/1966|H,08.0099995.L|A|upper rectum|24|11|below|Y||N||Y|N|||||||||pT1|pN0|pMx||A112/01/2009|Bashir| |ZC12345|TEST|Dummy|F|20/04/1972|H,08.0099992.L|A|colon|17|15|astride |N|YN||Y||||||Y|Y|||pT3|pN1|pMx||B1|12/01/2009|Armstrong|

15. Pathology Minimum Cancer Data Sets 17/1/2008Greg Rayner: Pathology IT Specialist15 Conclusion Good response from SRFT staff Basal Cell now used Colorectal being tested / assessed Any questions ??