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20 th February 2003 – Novotel, Sheffield. NCRS – TUMOUR MATCHING WORKSHOP. The SWCIS Method Presented By Tina Ball & Gill Christmas. Tumour Matching Workshop – The SWCIS Method. Overview of Tumour Match. CLEARNET data only – no morphology Matching ONLY on same icd family group.
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20th February 2003 – Novotel, Sheffield NCRS – TUMOUR MATCHING WORKSHOP The SWCIS Method Presented By Tina Ball & Gill Christmas
Tumour Matching Workshop – The SWCIS Method Overview of Tumour Match CLEARNET data only – no morphology Matching ONLY on same icd family group Therefore: Multiple primary rules only come into play when processing pathology and specialist databases FUTURE …. Snomed from path labs – gives morphology Basal cells and CIN III auto processing
Tumour Matching Workshop – The SWCIS Method Flow Chart of the Tumour Match Process PATIENT MATCH? NO YES UNSURE NEW PATIENT ENTER TUMOUR MATCH RECYCLE PATIENT SAME ICD FAMILY GROUP?
Tumour Matching Workshop – The SWCIS Method CodeICD_Family_DescriptionRev’nICD_Code ICD Family Link Group 01 Lip & Oral Cavity 09 1400 01 Lip & Oral Cavity 09 1401 01 Lip & Oral Cavity 09 1404 01 Lip & Oral Cavity 10 C069 01 Lip & Oral Cavity 10 C148 01 Lip & Oral Cavity 10 C471 16 Thyroid & Other Endocrine Glands 09 1941 16 Thyroid & Other Endocrine Glands 09 1943 16 Thyroid & Other Endocrine Glands 09 1944 16 Thyroid & Other Endocrine Glands 10 C740 16 Thyroid & Other Endocrine Glands 10 C750 16 Thyroid & Other Endocrine Glands 10 C751 ICD_Family_Code ICD_Family_Description --------------- ------------------------------------------ 01 Lip & Oral Cavity 02 Pharynx 03 Digestive Organs 04 Respiratory & Intrathoracic 05 Bone & Articular Cartilage 06 Skin - Melanoma 07 Skin - Other 08 Mesothelial Tissue 09 Soft & Connective Tissue 10 Breast 11 Female Genital Organs 12 Male Genital Organs 13 Urinary Tract 14 Eye 15 Brain & Other CNS 16 Thyroid & Other Endocrine 17 Lymphoma 18 Leukaemia 19 Ovarian 20 Kidney
Tumour Matching Workshop – The SWCIS Method Flow Chart of the Tumour Match Process - contd 13 Urinary Tract 10 C66 13 Urinary Tract 10 C479 13 Urinary Tract 10 C678 13 Urinary Tract 10 C679 13 Urinary Tract 10 C689 SAME ICD FAMILY GROUP? CREATE NEW TUMOUR YES NO 1 MATCHING TUMOUR MORE THAN 1 MATCHING TUMOUR Clearnet = C689. Matches to Db Records C679 and C66 – both in Same ICD Family Group. Indefinate match – therefore, recycle. Confirmation from path. required. ENTER BUSINESS RULES RECYCLE TUMOUR
Tumour Matching Workshop – The SWCIS Method Tumour Data Item The Cascade Update Process No. of Rules ANN. DATE & BASIS WHERE I/C SITE <> C34* or C50* Database scenarios, ie. where database field is NULL 10 RULES 2 ANN. DATE & BASIS WHERE I/C SITE = C34* or C50* 10 RULES 3 4 CHARACTER SITE CODES 5 RULES 4 3 CHARACTER SITE CODES 6 RULES 3 SOURCE CODE 6 RULES 2 GP CODE 4 RULES 2 HOSPITAL, UNIT NUMBER & CONSULTANT 6 RULES 3
Tumour Matching Workshop – The SWCIS Method Tumour Match Rates On our last batch run of 39,378 Clearnet records: 11,500 records (29%) failed the patient match - ie. did not reach the Tumour Match - recycled Of the 27,878 records that did reach the tumour match: 21,230 records (77%) - were successfully auto.processed 6,377 records (22%) - were discarded 204 records (0.8%) - failed the Business Rules 67 records (0.2%) - were recycled
Tumour Matching Workshop – The SWCIS Method Lessons Learned Overcomplicated Rules – result of too many cooks, each batch run takes 17 hours to run Little documentation – maintenance a nightmare No ICD8 Family Groups Lack of testing – led to too many secondaries recorded and C80’s
20th February 2003 – Novotel, Sheffield Thankyou For Listening
