New life for old cellular pathology: a transformational approach to the upcycling of historic e-pathology records for contemporary clinical uses
| Autor: | Adrian C Bateman, David A. Rew, David Cable, Keith Burrill, Alan Hales |
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| Rok vydání: | 2021 |
| Předmět: |
Cellular pathology
SQL business.industry Computer science Information technology Timeline General Medicine Health informatics Pathology and Forensic Medicine World Wide Web Resource (project management) Data quality Immediacy Electronic Health Records Humans business computer computer.programming_language |
| Zdroj: | Journal of clinical pathology. 75(4) |
| ISSN: | 1472-4146 |
| Popis: | AimsCellular pathology (‘e-pathology’) record sets are a rich data resource with which to populate the electronic patient record (EPR). Accessible reports, even decades old, can be of great value in contemporary clinical decision making and as a resource for longitudinal clinical research. The aim of this short paper is to describe a solution in a major UK University Hospital which gives immediate visibility and clinical utility to 30 years of e-pathology recordsMethodsOver the past decade, we have created a timeline structured and iconographic data framework for the ‘whole-of-life’ visualisation of the entirety of an EPR. We have enhanced this interface with the sequential extraction of 373 342 e-pathology reports from legacy Ferranti (1990–1997) and Masterlab (1997–2004) files. They have been uploaded into our SQL file servers, following appropriate data quality and patient identity reconciliation checks.ResultsWe have restored a large repository of previously inaccessible e-pathology records to clinical use and to immediacy of access as a foundation element of our timeline structured EPR. This process has also allowed us to populate and validate an EPR-integral breast cancer data system of 20 000 cases with e-pathology records dating back to 1990.ConclusionsThe revitalisation of old e-pathology reports into a timeline structured EPR creates preserves and upcycles the investment in pathology reporting which is otherwise progressively lost to clinical use. E-pathology records provide reliable, life-long evidence of critical transition points in individual lives and disease progression for clinical and research use, when they can be instantly accessed. |
| Databáze: | OpenAIRE |
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