2025-04-08 - Cancer Synoptic Reporting Project Group Meeting

1

Introductions

@Scott Campbell 

2

Open concept items

@Scott Campbell 

1. TNM modifiers (Prefixes: y, r, a; suffixes: sn, m, f)

2. ICCR "dangling" data elements

3. Anatomic concepts (lymph node definitions, histologies, anatomic sites of invasion)

4. Optional items in CAP/ICCR data sets

3

Clinical findings resolution?

@Scott Campbell

This recommendation needs to be solidified by this group

1. Need to determine the scope/extent of use of current content used in each organization/community of practice.
   
   

   1. Content at issue

   2. Recommended plan

   3. Rationale to do change

   4. ID deficiency of existing content

   5. Define implausibility of editing existing

   6. How are you using existing content?

   7. How are you overcoming deficiencies with current content?
      
      
      

2. Impact of change on your organization?
   
   
   

3. What is the process for transition?  Needs to be articulated in the briefing note/consultative note
   
   
   

4. What to do with legacy content...how to handle it?  How convert old content to new representation needs to be articulated...implementation question.
   
   
   

5. How does this group engage with adoption/transition/implementation?
   
   
   

6. Make sure that link to implementation guide included.
   
   
   

7. Discuss approach vs. pre-coordination

4

Ongoing maintenance

@Scott Campbell

1. How will changes, updates, and improvements be managed?

   1. Define the proposed process

5

Cancer synoptic tooling/maintenance approaches?

@Scott Campbell 

Continue discussion from last year's meeting in London

Is there a need/desire for a "centralized", or common, environment where terminology and data sets can be created, versioned, managed across and within national bodies of pathology?

1. Ji Eun Hwang (SDC/FHIR)

2. College of American Pathologist approach

6

Items to pass to Pathology/Laboratory Medicine CRG

@Scott Campbell 

1. Pathology/Laboratory Management CRG

   1. Anatomic pathology/histopathology track

   2. Clinical pathology/laboratory track

   3. Molecular track?