layout.fixed.naaccr.doc.naaccr23.ehrReporting.html Maven / Gradle / Ivy

Go to download

Show more of this group Show more artifacts with this name
Show all versions of layout Show documentation

Framework that allows defining file formats (layouts) and use them to read and write data files.

There is a newer version: 6.0


  
    Item #
    Length
    Source of Standard
    Year Implemented
    Version Implemented
    Year Retired
    Version Retired
  
  
    2508
    4000
    NAACCR
    2018
    18
    
    
  



NAACCR XML: Tumor.ehrReporting




Description
Cancer case reports transmitted from electronic health records (EHR) in the HL7 CDA (Clinical Document Architecture) format must adhere to specifications and requirements as defined by the Implementation Guide (IG) which has been adopted by the Office of the National Coordinator of for Health Information Technology. The IG specifies collection and transmission of cancer diagnosis fields including (but not limited to) primary site, histology, behavior, diagnosis date, and staging elements. The IG also specifies transmission of other data documented in the EHR as part of the care of the patient which are also standardized, but are not routinely collected by cancer registries in the same way or as discrete items. Examples of these are procedures, medications, smoking, and vital signs (i.e., height, weight, BMI). Currently, software tools such as CDC’s eMaRC Plus parse some EHR elements and map or translate these fields to NAACCR items. However, some data are not able to be mapped to discrete items. This new proposed field will allow central cancer registries to collect information from the EHR and map these data in the NAACCR record layout so that they can be included in the central registry database and be available to enhance surveillance data.
Rationale
Central cancer registries may wish to integrate EHR data, which are not already in the NAACCR record layout, into their databases. The EHR Reporting Field will allow central cancer registries to capture data that are received from EHR systems as discrete items. Collection of these data in this field will allow central cancer registries to assess ways in which the EHR data can be standardized in the NAACCR record layout in the future.
Examples of data to be collected in this field:
Family history
Practice OID
Smoking Status
Tobacco Use
Vital sign: height
Vital sign: weight
Vital sign: BMI
Provider First Name
Provider Last Name
Provider Specialty
Medication name, code
Cancer-direct Procedures name, code, code system, date of procedure
Care Plan: planned encounter
EHR Vendor name, software and version