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Synoptic Reporting in
Anatomical Pathology:
Concept and Applications
Anil V Parwani, MD., PhD
Department of Pathology
Division of Pathology Informatics
UPMC Shadyside Hospital
University of Pittsburgh Medical Center
Pittsburgh, PA
Slide 2
Session Objectives
What is synoptic reporting, advantages to clinicians,
advantages of storing discrete data elements vs free text.
Synoptic data entry as methods of producing standardized
reports, leading to improved pathology reports for
distribution to health care teams and cancer registries.
Worksheet entry in the LIS and its incorporation into
existing pathology reports.
Experience with the implementation of CAP cancer
protocols and checklists and its impact of information
gathering in the cancer registry.
Slide 3
Processes
Outcomes
Reliability
Safety
Efficiency
Slide 5
Synoptic Reports in Pathology
• Gross and microscopic examination of surgical specimens, particularly
large resections, yields comprehensive information of immense value to
treatment decisions such as adjuvant therapy, radiation, chemotherapy
and other interventions.
• Traditionally, narrative descriptive reports have been used to convey this
valuable information to the patients and their health care teams.
Slide 6
Synoptic Reporting: Background
http://www.cap.org/apps/docs/cancer_protocols/protocols_ind
ex.html
http://www.cap.org/apps/docs/cancer_protocols/protocols_
index.html
Patient
Identification
Cancer
Identification
Outcomes
Stage of Disease
At Diagnosis
First Course
Of Treatment
Slide 14
Text Based Pathology Checklists
CoPathPlus
Synoptic Values
Synoptic Categories
Synoptic Worksheets
Slide 19 Synoptic Reporting: Dictionary Structure
Unknown or N/A
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Location in reports
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Slide 40 Synoptic Reporting
Experiences and Lessons Learnt
Slide 44
Synoptic Reporting: Leveraging Data
Data mining/searching capabilities
Usage monitoring
Research databases
Biobanks
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Quality Assurance
Usage monitoring
Research databases
Slide 50
Slide 56 SUMMARY
In this session,
•Importance of using standardized reporting in
anatomical pathology.
•Current standards and ACOS requirements
•Our experience in using synoptic tools with the
overall goal of standardizing the pathology reports.
• Promoting easy data sharing between the Anatomic
Pathology LIS, Cancer Registry and other Clinical and
Research systems in Oncology.
Slide 57
QUESTIONS???????
COMMENTS?????