Cancer registry enrichment via linkage with hospital-based electronic medical records: a pilot investigation.

Monique N. Hernandez, Lydia Voti, Jason D. Feldman, Stacey L. Tannenbaum, Wendy Scharber, Jill A. Mackinnon, David J Lee, Youjie X. Huang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Hospital electronic medical record (EMR) systems are becoming increasingly integrated for management of patient data, especially given recent policy changes issued by the Centers for Medicaid and Medicare Services. In addition to data management, these data provide evidence for patient-centered outcomes research for a range of diseases, including cancer. Integrating EMR patient data with existing disease registries strengthens all essential components for assuring optimal health outcomes. To identify the mechanisms for extracting, linking, and processing hospital EMR data with the Florida Cancer Data System (FCDS); and to assess the completeness of existing registry treatment data as well as the potential for data enhancement. A partnership among the Florida Department of Health, FCDS, and a large Florida hospital system was established to develop methods for hospital EMR extraction and transmission. Records for admission years between 2007 and 2010 were extracted using ICD-9-CM codes as the trigger and were linked with the cancer registry for patients with invasive cancers of the breast. Results: A total of 11,506 unique patients were linked with a total of 12,804 unique breast tumors. Evaluation of existing registry treatment data against the hospital EMR produced a total of 5 percent of registry records with updated surgery information, 1 percent of records with updated radiation information, and 7 percent of records updated with chemotherapy information. Enhancement of registry treatment information was particularly affected by the availability of chemotherapy medications data. Hospital EMR linkages to cancer disease registries is feasible but challenged by lack of standards for data collection, coding and transmission, comprehensive description of available data, and the exclusion of certain hospital datasets. The FCDS standard treatment data variables are highly robust and complete but can be enhanced by the addition of detailed chemotherapy regimens that are commonly used in patient centered outcomes research.

Original languageEnglish
Pages (from-to)40-47
Number of pages8
JournalJournal of registry management
Volume40
Issue number1
StatePublished - Mar 1 2013
Externally publishedYes

Fingerprint

Electronic Health Records
Registries
Patient Outcome Assessment
Neoplasms
Information Systems
Drug Therapy
Medical Record Linkage
Breast Neoplasms
Centers for Medicare and Medicaid Services (U.S.)
Health
International Classification of Diseases
Therapeutics
Radiation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hernandez, M. N., Voti, L., Feldman, J. D., Tannenbaum, S. L., Scharber, W., Mackinnon, J. A., ... Huang, Y. X. (2013). Cancer registry enrichment via linkage with hospital-based electronic medical records: a pilot investigation. Journal of registry management, 40(1), 40-47.

Cancer registry enrichment via linkage with hospital-based electronic medical records : a pilot investigation. / Hernandez, Monique N.; Voti, Lydia; Feldman, Jason D.; Tannenbaum, Stacey L.; Scharber, Wendy; Mackinnon, Jill A.; Lee, David J; Huang, Youjie X.

In: Journal of registry management, Vol. 40, No. 1, 01.03.2013, p. 40-47.

Research output: Contribution to journalArticle

Hernandez, MN, Voti, L, Feldman, JD, Tannenbaum, SL, Scharber, W, Mackinnon, JA, Lee, DJ & Huang, YX 2013, 'Cancer registry enrichment via linkage with hospital-based electronic medical records: a pilot investigation.', Journal of registry management, vol. 40, no. 1, pp. 40-47.
Hernandez MN, Voti L, Feldman JD, Tannenbaum SL, Scharber W, Mackinnon JA et al. Cancer registry enrichment via linkage with hospital-based electronic medical records: a pilot investigation. Journal of registry management. 2013 Mar 1;40(1):40-47.
Hernandez, Monique N. ; Voti, Lydia ; Feldman, Jason D. ; Tannenbaum, Stacey L. ; Scharber, Wendy ; Mackinnon, Jill A. ; Lee, David J ; Huang, Youjie X. / Cancer registry enrichment via linkage with hospital-based electronic medical records : a pilot investigation. In: Journal of registry management. 2013 ; Vol. 40, No. 1. pp. 40-47.
@article{a66b526eb00a4ef691fb249e973bbe6c,
title = "Cancer registry enrichment via linkage with hospital-based electronic medical records: a pilot investigation.",
abstract = "Hospital electronic medical record (EMR) systems are becoming increasingly integrated for management of patient data, especially given recent policy changes issued by the Centers for Medicaid and Medicare Services. In addition to data management, these data provide evidence for patient-centered outcomes research for a range of diseases, including cancer. Integrating EMR patient data with existing disease registries strengthens all essential components for assuring optimal health outcomes. To identify the mechanisms for extracting, linking, and processing hospital EMR data with the Florida Cancer Data System (FCDS); and to assess the completeness of existing registry treatment data as well as the potential for data enhancement. A partnership among the Florida Department of Health, FCDS, and a large Florida hospital system was established to develop methods for hospital EMR extraction and transmission. Records for admission years between 2007 and 2010 were extracted using ICD-9-CM codes as the trigger and were linked with the cancer registry for patients with invasive cancers of the breast. Results: A total of 11,506 unique patients were linked with a total of 12,804 unique breast tumors. Evaluation of existing registry treatment data against the hospital EMR produced a total of 5 percent of registry records with updated surgery information, 1 percent of records with updated radiation information, and 7 percent of records updated with chemotherapy information. Enhancement of registry treatment information was particularly affected by the availability of chemotherapy medications data. Hospital EMR linkages to cancer disease registries is feasible but challenged by lack of standards for data collection, coding and transmission, comprehensive description of available data, and the exclusion of certain hospital datasets. The FCDS standard treatment data variables are highly robust and complete but can be enhanced by the addition of detailed chemotherapy regimens that are commonly used in patient centered outcomes research.",
author = "Hernandez, {Monique N.} and Lydia Voti and Feldman, {Jason D.} and Tannenbaum, {Stacey L.} and Wendy Scharber and Mackinnon, {Jill A.} and Lee, {David J} and Huang, {Youjie X.}",
year = "2013",
month = "3",
day = "1",
language = "English",
volume = "40",
pages = "40--47",
journal = "Journal of registry management",
issn = "1945-6123",
publisher = "National Cancer Registrars Association",
number = "1",

}

TY - JOUR

T1 - Cancer registry enrichment via linkage with hospital-based electronic medical records

T2 - a pilot investigation.

AU - Hernandez, Monique N.

AU - Voti, Lydia

AU - Feldman, Jason D.

AU - Tannenbaum, Stacey L.

AU - Scharber, Wendy

AU - Mackinnon, Jill A.

AU - Lee, David J

AU - Huang, Youjie X.

PY - 2013/3/1

Y1 - 2013/3/1

N2 - Hospital electronic medical record (EMR) systems are becoming increasingly integrated for management of patient data, especially given recent policy changes issued by the Centers for Medicaid and Medicare Services. In addition to data management, these data provide evidence for patient-centered outcomes research for a range of diseases, including cancer. Integrating EMR patient data with existing disease registries strengthens all essential components for assuring optimal health outcomes. To identify the mechanisms for extracting, linking, and processing hospital EMR data with the Florida Cancer Data System (FCDS); and to assess the completeness of existing registry treatment data as well as the potential for data enhancement. A partnership among the Florida Department of Health, FCDS, and a large Florida hospital system was established to develop methods for hospital EMR extraction and transmission. Records for admission years between 2007 and 2010 were extracted using ICD-9-CM codes as the trigger and were linked with the cancer registry for patients with invasive cancers of the breast. Results: A total of 11,506 unique patients were linked with a total of 12,804 unique breast tumors. Evaluation of existing registry treatment data against the hospital EMR produced a total of 5 percent of registry records with updated surgery information, 1 percent of records with updated radiation information, and 7 percent of records updated with chemotherapy information. Enhancement of registry treatment information was particularly affected by the availability of chemotherapy medications data. Hospital EMR linkages to cancer disease registries is feasible but challenged by lack of standards for data collection, coding and transmission, comprehensive description of available data, and the exclusion of certain hospital datasets. The FCDS standard treatment data variables are highly robust and complete but can be enhanced by the addition of detailed chemotherapy regimens that are commonly used in patient centered outcomes research.

AB - Hospital electronic medical record (EMR) systems are becoming increasingly integrated for management of patient data, especially given recent policy changes issued by the Centers for Medicaid and Medicare Services. In addition to data management, these data provide evidence for patient-centered outcomes research for a range of diseases, including cancer. Integrating EMR patient data with existing disease registries strengthens all essential components for assuring optimal health outcomes. To identify the mechanisms for extracting, linking, and processing hospital EMR data with the Florida Cancer Data System (FCDS); and to assess the completeness of existing registry treatment data as well as the potential for data enhancement. A partnership among the Florida Department of Health, FCDS, and a large Florida hospital system was established to develop methods for hospital EMR extraction and transmission. Records for admission years between 2007 and 2010 were extracted using ICD-9-CM codes as the trigger and were linked with the cancer registry for patients with invasive cancers of the breast. Results: A total of 11,506 unique patients were linked with a total of 12,804 unique breast tumors. Evaluation of existing registry treatment data against the hospital EMR produced a total of 5 percent of registry records with updated surgery information, 1 percent of records with updated radiation information, and 7 percent of records updated with chemotherapy information. Enhancement of registry treatment information was particularly affected by the availability of chemotherapy medications data. Hospital EMR linkages to cancer disease registries is feasible but challenged by lack of standards for data collection, coding and transmission, comprehensive description of available data, and the exclusion of certain hospital datasets. The FCDS standard treatment data variables are highly robust and complete but can be enhanced by the addition of detailed chemotherapy regimens that are commonly used in patient centered outcomes research.

UR - http://www.scopus.com/inward/record.url?scp=84893146710&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84893146710&partnerID=8YFLogxK

M3 - Article

C2 - 23778697

AN - SCOPUS:84893146710

VL - 40

SP - 40

EP - 47

JO - Journal of registry management

JF - Journal of registry management

SN - 1945-6123

IS - 1

ER -