How to Extend a CAP Checklist for Increased Research Capabilities

November 7, 2014
133 Views

CAP checklistSynoptic reporting offers benefits that reach beyond simple accuracy and compliance with the College of American Pathologists (CAP) checklist.

CAP checklistSynoptic reporting offers benefits that reach beyond simple accuracy and compliance with the College of American Pathologists (CAP) checklist. The synoptic format’s structured data also provides a simple way to analyze individual diagnostic and prognostic elements for a variety of research and administrative purposes. If your software allows, you can extend a CAP checklist in synoptic template to include parameters that aid individual and shared clinical research.

Extending CAP Checklists to Facilitate Research

Pathology is a critical component of collaborative oncology stage data collection, particularly in regards to lung cancer. With software that allows you to extend synoptic reporting templates according to your clinical research needs, you can easily add extra fields that facilitate current and future outcome studies.

The following screenshot shows how parameters may be added to the CAP checklist for non–small cell carcinoma of the lung to evaluate correlations between tumor size and basic patient characteristics.

cap checklist

The parameters added to the synoptic checklist in the example include:

  • Gender: Radial buttons allow you to indicate if a patient is male or female.
  • Birth date: Date picker allows dates to be accurately selected from a multi-year calendar.
  • Age at diagnosis: Derived from the birth date by a simple formula placed into the extended template
  • Body mass index (BMI): In this instance, the system asks the pathologist if they have sufficient data to calculate a patient’s BMI. If the pathologist selects the “No” radial button, they simply move on to the next question. If they have the information—in either metric or imperial—the values for height and weight become available for entry. 
  • BMI status: The template is extended with a formula for calculating the BMI raw value and status score based on the height and weight entered. The status indicates if the BMI falls into the normal, underweight, overweight or obese ranges, and provides the numerical values for each range.

In this example, the additional research values are organized into a separate heading—”Research Criteria”—to distinguish them from the content of the base CAP template. 

Synoptic reporting and the CAP checklist support not only excellent reporting quality, but also outcome research to improve clinical decision making. In a future post, we will discuss how you can further analyze synoptic report data.

You may be interested

Care On The Road: How Telemedicine Can Reach Truck Drivers
Mobile Health
10 views
Mobile Health
10 views

Care On The Road: How Telemedicine Can Reach Truck Drivers

Larry Alton - August 21, 2017

Telemedicine is considered a powerful tool for individuals living in rural areas, far from adequate services or in need of…

Where Is The Balance? Pushing Back Against Consumer Health Tech
eHealth
3 views
eHealth
3 views

Where Is The Balance? Pushing Back Against Consumer Health Tech

Larry Alton - August 18, 2017

When Republican Congressman Jason Chaffetz glibly remarked that Americans struggling to afford insurance should choose between that and their smartphones,…

What to Look for in Patient Solutions Software
eHealth
365 views
eHealth
365 views

What to Look for in Patient Solutions Software

Robert Cordray - August 17, 2017

The medical sector is one area where technology has had a significant impact, largely by providing tools that simplify many…