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Registry Plus™ eMaRC Plus

Electronic Mapping, Reporting, and Coding (eMaRC) Plus was initially developed to receive and process Health Level Seven (HL7) files from anatomic pathology laboratories. The eMaRC Plus Electronic Pathology (ePath) module is developed collaboratively by participants in the NPCR- Advancing E-cancer Reporting and Registry Operations' ePath Pilot Project and programmed by the Registry Plus Development Team. In 2010, NPCR-AERRO began to expand the functionality of eMaRC Plus to receive and process reports from physician offices in an HL7 Clinical Document Architecture (CDA) format. This functionality has been developed as a separate Physician Reporting module within eMaRC Plus.

eMaRC Plus—

  • Builds a pathology laboratory database and stores various HL7 data elements as discrete field values in tables in the database.
  • Creates NAACCR-formatted abstract records from pathology reports during import into the pathology laboratory database.
  • Searches a terms table to find potential reports of cancer, using the negation terms finder algorithm (NegEx) to enhance its text mining capabilities.
  • Shows the pathology text report and a generated abstract side by side, allowing the user to complete any missing information in the abstract.
  • Maps and autopopulates the abstract with data received in the pathology report.
  • Uses text mining functionality to identify the histology, primary site, and behavior.
  • Allows users to override any automated decisions about reportability and coding.
  • Stores all data elements extracted from the CDA document into relational tables.
  • Merges multiple reports for the same patient and tumor from the same facility.

ePath Reporting Module

The ePath Reporting module imports HL7 2.3.1, HL7 2.5.1 (narrative or synoptic reports), and North American Association of Central Cancer Registries (NAACCR) pipe-delimited files manually or directly from the Public Health Information Network Messaging System (PHINMS) queue, makes sure the files contain the required data items, parses HL7 messages, and maps HL7 data elements to NAACCR data elements. A new release of the eMaRC Plus ePath Reporting module is distributed each fall.

ePath Project Participants Using eMaRC Plus as of August 13, 2013

United States map showing eMaRC Plus in state cancer registries
Color on Map Status States
Dark green Currently use eMaRC Plus Alabama, Alaska, Arizona, Arkansas, California, Colorado, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Missouri, Mississippi, Montana, Nebraska, Nevada, New Hampshire, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington, and Wisconsin
Lime Green Planning to Use eMaRC Plus Maryland, Michigan, South Dakota, and West Virginia
Peach Evaluating Use of eMaRC Plus New York
Dark Gray No Plans to Use eMaRC Plus Louisiana, Minnesota, and New Jersey

Physician Reporting Module

The Physician Reporting module imports HL7 CDA files manually or directly from a folder or the PHINMS queue, makes sure the files contain the required data items, parses HL7 documents, maps and, if needed, translates the HL7 data elements to NAACCR data elements. A beta version was released on September 30, 2013, and a production release is scheduled for distribution in early 2014.

To obtain a copy of eMaRC Plus version 5.0, send a request.

 
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