Pathologiebefund und Krebsregisterdownload.hl7.de/veranstaltungen/jahrestagungen/... · 27.10.2016...
Transcript of Pathologiebefund und Krebsregisterdownload.hl7.de/veranstaltungen/jahrestagungen/... · 27.10.2016...
PathologiebefundundKrebsregister
Synergiennutzen,mehrdennje
GunterHaroske,DresdenTobiasHartz,Hannover
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IHE PaLM TF rev. 7.0 2016
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IHE PaLM Suppl. APSR 2.0Aims
• Anatomic pathology structured reports document the findings on specimens removed from patients for diagnostic or therapeutic reasons.
• Information for • patient care, • clinical research • epidemiology.
• improve the quality of reporting • facilitate the exchange and reuse of the content of these reports.
• digital anatomic pathology report• human-readable format• may include images• contains findings and observations in a machine-readable format, to facilitate the integration of these into
the database of a consumer system, and to enable the application of automated reasoning to this content.
• Scope• all fields of anatomic pathology (cancers, benign neoplasms as well as non-neoplastic conditions) as well
as cytopathology.
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IHE APSR 2.0
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- 1DocumentModule
- 6SectionModules
- 2primäreEntryModules(ProblemOrganizer,SpecimenProcedureSteps)
- 14ChildElementModules
darunterneu:
- XSpecimenIdentified
(gemeinsammitXD-LAB)
- UICC/AJCCTNM
- ICD-O-3TypingandGrading
- AssessmentScalesforScoringSystems
(APconstrainseinerCDAObservation)27.10.2016
Contentmodules
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Struktur(i)
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Struktur(ii)
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Valuesets
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IHE PaLM Suppl. Anatomic Pathology Reporting to Public Health (ARPH)
• TransactionPAT-10
• Usecase3.1.2„Sendingnarrativeorsemi-structuredorstructuredreports“
• Usecase3.1.5„SendingthewholeAPreportoronlyasubsetofrelevantitems“This
alternativeonlyoccurswhenpathologistsareusinglevel2orlevel3APreporttemplates
toproducestructuredorsemi-structuredreports.
• CommonMessageSegments(HL7v2.7)ausIHE-PATTFAPW
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Was nun?
• nutzenwirdasIHE-Profil!• AblaufundVariantenderMeldungausdemPat-LIS
• Usecase3.1.2„Sendingnarrativeorsemi-structuredorstructuredreports“
• Usecase3.1.5„SendingthewholeAPreportoronlyasubsetofrelevantitems“This
alternativeonlyoccurswhenpathologistsareusinglevel2orlevel3APreporttemplates
toproducestructuredorsemi-structuredreports.
• CommonMessageSegments(HL7v2.7)ausIHE-PATTFAPW
• nutzenwirdieCDA-Entwicklungen?
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