#296: breast cancer stage, receptor status, treatment from EMR
-------------------------+---------------------------
 Reporter:  dconnolly    |       Owner:  tmcmahon
     Type:  enhancement  |      Status:  assigned
 Priority:  major        |   Milestone:  cohort-char1
Component:  data-stds    |  Resolution:
 Keywords:               |  Blocked By:
 Blocking:  295          |
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Changes (by dconnolly):

 * owner:  preeder => tmcmahon


Comment:

 Tamara, Russ, Betsy,

 Some of these seem to be available as ICD9 or CPT or HCPCS procedure
 codes, which all sites more or less have in i2b2. The rest of the info
 (e.g. stage) seems to be just in text notes, which isn't feasible to
 collect in the coming few months.


 Following our 30 June discussion (notes excerpted below), Prakash made an
 i2b2 query for breast reconstruction surgeries on babel:
  - Augmentation ma at 12:12:51 [6-30-2015] [prakash-nadkarni at uiowa.edu]

 Notes from 30 June meeting (ticket:12#comment:69)

 #296 Dan: there was discussion about how to use breast cancer data;
 characterizing various sources, like tumor and EHR, will require
 additional data elements
 Russ and Betsy would like to compare stage, receptor status and treatment
 Dan: Does anyone know of a reliable place to get Stage from the EHR
 Justin: the Epic module Beacon has this information
 Other sites with Beacon: Iowa, UNMC, WISC
 Dan: does anyone have this in i2b2?
 Dan: Sounds like it may be a stretch to get this.

 Alex: What’s the prefix for Beacon?
 STG... (Supreet), STG_INFO (from Glenn via chat), also a view:
 V_CANCER_STAGING

 Dan: Does anyone have Receptor Status?
 Prakash: there’s no field for this; tumor registrars abstract it from
 notes
 Treatment

 Dan: there are HCPCs/jcodes for some of the treatments (chemo)

 Prakash: would need to look for ICD9 procedure codes; single category of
 code for breast reconstruction surgery; Prakash will check on code ranges;
 will build a query on babel with as much as he can find.

--
Ticket URL: 
<http://informatics.gpcnetwork.org/trac/Project/ticket/296#comment:2>
gpc-informatics <http://informatics.gpcnetwork.org/>
Greater Plains Network - Informatics
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