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Registry Plus™ eMaRC Plus Features and Future Plans

Version 4.0.1 — New Features

Version 4.0.1 offers new and improved filtering of non-reportable pathology reports, notably in the identification and filtering of non-melanoma skin cancers. After you have installed this version, please verify that “Make non-melanoma skin cancers non-reportable” is selected by opening the Administration menu and selecting System Configuration, then Reports Filtering and Autocoding.

  1. New and improved autocoding of histology, behavior, and site during import, and improved coding suggestion suggestions for these data items during manual review. You should enable auto-coding before importing by opening the Administration menu and selecting System Configuration, then Reports Filtering and Autocoding and check “Autocode histology and site during import”.
  2. Highlighting (in purple color) of site terms during manual review.
  3. More efficient processing of reports during manual review, requiring fewer mouse clicks.
  4. Improved searching of pathology reports across batches to find terms in text fields.
  5. New status codes to indicate which reports were autocoded for histology, site, and behavior during import. Also a new status code identifies reports that contain no cancer terms; previously, such reports would have been included in non-reportables.
  6. Granular access to functions by roles. Three system-defined roles exist: registrar, system administrator, and registry administrator.

    a. The registrar has access to all functions under the File menu.

    b. The system administrator has access to database and PHINMS settings in System Configuration.

    c. The registry administrator has access to all functions except the database and PHINMS settings.

    In addition to the above system-defined roles, new custom roles can be created and functions can be assigned to the user-created roles. Also, multiple roles can be assigned to one user. This functionality is available under the Administration menu, Manage Roles.
  7. Support for two versions of HL7 ORU message: 2.3.1 and 2.5.1.
  8. Support for 2.5.1 HL7 messages with eCC-encoded synoptic reports, with special display formatting of such reports in the manual review window. Autocoding of such reports will be implemented in a later version.
  9. Capability to add custom data validation on individual HL7 data elements. This function is available under the Administration menu, Manage Data Validation.

Future Plans

  • Add capability to suggest site and histology codes in the workbench screen.
  • Add support for Sybase® and Oracle® databases.

The eMaRC Plus Development Priority List is a list of development tasks prioritized by the NPCR Registry Plus development team. Each task is the direct result of meetings with the Registry Plus User Group (RPUG) as well as requests from individual cancer registries and leaders in the cancer registry field. For more information on Registry Plus or RPUG, please contact cancerinfo@cdc.gov.

eMaRC Plus Development Priority List (updated June 10, 2009)
Completed Tasks (pending release of eMaRC Plus v. 3.0.4)
Autocoding: Autocoding histology, tested use of SNOMED tables and a State Data Cancer System Database; we will develop an expanded lexicon for further testing. Have two different terms tables – one for use in filtering reports and the other for autocoding of site and histology.
Enhanced tracking of files read off the PHINMS queue. Administrator should know which files were imported successfully and which ones aborted because of errors by looking at the PHINMS queue.
Autocoded histology and primary site and flagged reports that have been autocoded with a special status code. Currently, autocoding does not happen at import time; the application suggests codes to use while users are reviewing reports.
Added the ability to send e-mail notification when files are received from the PHINMS queue.
Sent e-mail notification as each batch of files is imported. The e-mail notification contains a summary (time of import, message count, etc.) of imports.
Created a global search to find a particular pathology report. Discussion: Currently, eMaRC Plus can search only one batch at a time.
Autocoding: Autocoding site; used ICD-9 coding list.
Provided a capability to install updates to NAACCR standards as needed, and to convert old data to the most recent version on NAACCR.
Enabled ability to preserve or append addenda and consults that are related to cancer reports that have been coded. Duplicate pathology reports received from laboratory.
Remaining Tasks
Add a sort function by ICD-9-CM code to allow more efficient review and coding by grouping like cases together.
Add the ability to receive and store synoptic pathology reports in a discrete data field format according to CAP standard, Snomed CT-encoded checklists; all 70 (according to updated standard). Will provide support to handle RPP2 HL7 message specification; autocode Collaborative Stage data.
Add the ability to receive and store multiple specimen discrete synoptic patholgy reports and other requirements included in NAACCR ePath standard
Add the ability to mark reports for quality assurance.
Identify cases that have a reportable term in the final diagnosis section and a negated term in the addenda. This will identify cases where the registry received a prior report that diagnosed a cancer, but later, the pathologist changed the diagnosis to not cancer.
Modify autocoding to give priority to an addendum histology.
Identify duplicate pathology report submissions.
Develop a service module (without user interface) that runs on a server to import HL7 messages from the PHINMS queue and autocode site and histology without manual intervention.
Add the ability to map breast and cervical data to the NAACCR record layout.
Identify cytology pathology reports so suspicious malignancies can be coded accruately with a /1 behavior.
 
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