Introduction Non Hospital Data Sources Hospital Data Sources Registrar Hospital Cancer Registry Software by undul855

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									           Introduction    Non-Hospital Data Sources      Hospital Data Sources                    Registrar                                                 Hospital Cancer Registry Software                                    Business Rules

                          Non-Hospital                   Hospital Data                        Registrar                                                           Hospital Cancer
NPCR-MERP Hospital        Data sources                   sources                                                                                                  Registry Software
Casefinding Data Flow
(Process) Diagram
                                                       Send Event Report to                                                                                                                                                   BR01 BR04
                                                             registry                                                                                      Receive Event Report (To-Be-Processed                              BR02 BR05
Version 1.0                 Send Event Report
                                to registry                                                                                                                       Database table; TBP DB)                                     BR03 BR06
Revised: 02-22-07




                                                                                                                                                                                                                              BR07
                                                                                                                                                                        Set Patient               Set Cancer
                                                                                                                                                                           Flag                  Relevance Flag



                                                                                                                                                                                                      Is there a pt match or
                                                                                                 Review the                                                                       Yes                 cancer relevance problem?
                                                                                                Event Report
                                                                                                                                                                                                 No

                                                                                                               Is additional                                                                             Is this a non-pt
                                                                                                               information needed?                                                                       match and            BR08
                                                                                              No                                                                        Yes                              non-relevant         BR09
                                                                                                                                                                                                         cancer event
                                                                                                          Yes                            Delete Event Report                                     No      report?
                                                                                                                                        from the TBP DB table
                                                                                         Requests for additional
                                                                                              Information                                             Stop


                            Send additional            Send additional
                              Information                Information


                                                                                           Compile information to
                                                                                            resolve the problem                                    Is it a new cancer?                                                        BR08
                                                                                                                                Don't know                                                             Is it a non-pt match   BR09
                                                                                                Review the                                                                  Yes                        & relevant cancer      BR10
                                                                                                Event Report                                                                                           event report?          BR12
                                                                                                                                            Yes       No
                                                                                  Is it a reportable                                                                                             No
                                                                                  cancer?                                                     Update the abstract in the RDB
                                                                                                                Yes                             (Registry DataBase) Table
                                                                                                         No

                                                                                                                                       Create new                  Includes edit
                                                                                                                                         abstract                  function


                                                                                                                                      Archive old event report in
                                                                                                                                     ADB (Archive DataBase) table


                                                                                                                                      Delete the event report
                                                                                                                                      from the TBP DB table

                                                                                                                                                       Stop
                                                                                                                                                                                                 Is it a pt match and a
                                                                                                                                                                                                 relevant cancer event
                                                                                                                                             is it a reportable                                  report ?                     BR08
                                                                                                                                             cancer?                          Yes
                                                                                               Review the                                                                                                                     BR09
                                                                                              Event Report                           Don't know                                                                               BR11
                                                                                                                                                                                                                              BR12

                                                                                  Is it a reportable                                                       Yes
                                                                                                                                       No
                                                                                  cancer?                             Yes                                                                         No
                                                                                                                                                             Is it a new cancer?
                                                                                                   No
                                                                                                                                                    Yes
                                                                                                                                                                                                  Includes edit
                                                                                                                                              Create new                                          function
                                                                                                                                                abstract

                                                                                                                                          Update the existing
                                                                                                                                         abstract in RDB table


                                                                                                                                           Archive the event
                                                                                                                                          report in ADB table

                                                                                                                                         Delete the event report
                                                                                                                                         from the TBP DB table

                                                                                                                                                           Stop
                                                                                                                                                                                                                              BR07
TBP - To Be Processed                                                                                                                                                                                 Is it a pt match and    BR08
DataBase Table                                                                                                                                        Is it an automatic                              non-relevant cancer
ADB - Archive DataBase                                                                                                                                update?                                         event report ?
Table                                                                                                                                         No                                    Yes
RDB - Registry
DataBase Table                                                                                                                                             Yes                                   No
                                                                                              Review the
                                                                                             Event Report
                                                                                                                                         Update the Registry Database
                                                                                                                                         (RDB) table & display message
                                                                                  update needed?
                                                                                                                Yes                                                                       Pop error
                                                                                                                                                                                            'KH'
                                                                                                 No                                  Delete event report from TBP
                                                                                                                                                 table

                                                                                                                                                           Stop
There are four actors: non-hospital data                event report from the to-be-processed database
sources, hospital data sources, the registrar,          table, and the processing stops. These steps
and the hospital cancer registry software.              include an edit function.

The process starts when the hospital data               Patient Match
source and the non-hospital data source send
an event report to the hospital cancer registry         If it is a patient match and relevant event report,
software, which receives the event report in the        the software determines if it is a reportable
to-be-processed database table. The patient flag        cancer. If it is a reportable cancer and a new
and cancer relevance flag are set based on              cancer, the software creates a new abstract,
different conditions. The software checks to see        archives the old event report in the archive
if there is a patient match or cancer relevance         database, deletes the event report from the to-
problem.                                                be-processed database table, and processing
                                                        stops.
If there is a problem, the registrar reviews the
event report, requests additional information           If it is not a reportable cancer, the software
from hospital or non-hospital data sources, if          updates the event report in the registry database
needed, and compiles information to resolve the         table, deletes the event report from the to-be-
problem. When resolved, the report is returned          processed database table, and processing
to the software, and the patient flag and cancer        stops.
relevance flag are set.
                                                        If the software cannot determine if it is a
Non-Patient Match                                       reportable cancer, the registrar reviews the
                                                        event report and determines if it is a reportable
The software checks to see if this is a non-            cancer; if it is reportable and a new cancer, the
patient match and a non-relevant cancer event           software creates a new abstract, archives the
report; if so, the software deletes the event           old event report in the archive database table,
report from the to-be-processed database table          and deletes the event report from the to-be-
and processing stops.                                   processed database table, and processing
                                                        stops.
If it is a non-patient match and relevant event
report, and not a new cancer, the software              If it is not a new cancer, the software updates
updates the abstract in the registry database           the existing event report in the registry database
table. The software then deletes the event report       table, archives the event report in the archive
from the to-be-processed database table, and            database table, deletes the event report from the
the processing stops. If it is a new cancer, the        to-be-processed database table, and processing
software creates a new abstract, archives the           stops.
old event report in the archive database table,
deletes the event report from the to-be-                If it is a patient match and a non-relevant cancer
processed database table, and processing                event report, and it is an automatic update, the
stops. These steps include an edit function.            software updates the registry database table
                                                        and display message, and processing stops. If it
If the software cannot determine if it is a new         is not an automatic update, the registrar reviews
cancer, the registrar reviews the event report          the event report. If an update is needed, the
and determines if it is a reportable cancer. If it is   software updates the registry database table
not reportable, the software deletes the event          and displays message, and processing stops. If
report from the to-be-processed database table,         an update is not needed, the software deletes
and processing stops.                                   the non-relevant event report from the to-be-
                                                        processed database table and processing stops.
If it is a reportable cancer, the software
determines if it is a new cancer. If it is a new        If it is not a patient match and a non-relevant
cancer, the software creates a new abstract,            event report, the Pop error 'KH' message is
archives the old event report in the archive            displayed and processing stops.
database table, and deletes the event report
from the to-be-processed database, and
processing stops. If it is not a new cancer, the
software updates the event report, deletes the
Business Rules

BR01, BR02, BR03, BR04, BR05, and BR06
apply to registries sending and hospital cancer
registries receiving event reports.

BR07 applies to setting patient and cancer
relevance flags.

BR08 and BR09 apply to processing non-patient
match and non-relevant event reports.

BR08, BR09, BR10, BR11, and BR12 apply to
processing non-patient match and relevant
event reports.

BR08, BR09, BR10, BR11, and BR12 apply to
processing patient match and relevant event
reports.

BR07 and BR08 apply to processing event
reports that are not a patient match and a
relevant cancer.

								
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