In the image below, we can see the CAP Explanatory Note for the kidney biopsy protocol, as viewed on an iPad:Įmbedding CAP Explanatory Notes within CAP Cancer Protocols keeps expert resources close at hand, streamlining your workflows while reinforcing your best practices. This means that you can quickly access these expert resources without losing your place in the reporting process. With a single click or touch, you can open the relevant section of a CAP note in a new browser tab.
The best pathology EMRs go beyond automatic updates, and can automatically embed CAP Explanatory Notes within CAP Cancer Protocols. In the image below we can see how one pathology EMR uses a convenient button to embed explanatory notes in the CAP Kidney Protocol:
#Cap pathology update
This is why some pathology EMRs can be configured to automatically update your library of cancer protocols and explanatory notes. Like the CAP templates, the CAP notes are regularly updated. However, this means that it can be challenging to maintain an up-to-date database of CAP resources. For the procedures pathologists perform less often, CAP Explanatory Notes are valuable guides, aiding healthcare knowledge transfer and helping pathologists to become experts in a larger number of protocols. Many pathologists spend the majority of their time working on similar sets of cases, and they becomes experts on those reporting protocols. The best pathology labs keep the CAP notes close at hand to aid in continuing medical education. In addition to their pathology reporting protocols, CAP’s expert working groups also produce accompanying explanatory notes to reinforce your lab’s workflows. The CAP Explanatory Notes clarify terminology and provide thorough details on procedures, including the clinical research that shapes pathology reporting best practices. In this post, we’ll focus on how the best pathology EMRs integrate CAP Explanatory Notes into the CAP Cancer Protocols. However, not every pathology EMR applies synoptic reporting in the same way. Not only are synoptic reports more likely to contain all of data necessary for clinical decision making, the synoptic format also makes it easier for fellow clinicians to locate and interpret your critical pathology findings . As a form of synoptic reporting, the CAP protocols apply standardized checklists to improve the consistency and actionability of pathology reports.Ĭlinical research continually finds that electronically generated synoptic reports are more complete and accurate than narrative or dictated pathology reports. 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.The CAP Cancer Protocols are a pathology reporting best practice.
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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