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[德国ICCR数据集的建立:以经尿道膀胱肿瘤电切术为例对SNOMED CT进行翻译与整合]

[Establishment of a German ICCR dataset : Translation and integration of SNOMED CT using the example of TUR-B].

作者信息

Dörenberg J, Schmidt C J, Berlage T, Knüchel-Clarke R

机构信息

RWTH Aachen University, Templergraben 55, 52062, Aachen, Deutschland.

Institut für Pathologie, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.

出版信息

Pathologie (Heidelb). 2025 Mar;46(2):108-114. doi: 10.1007/s00292-024-01398-3. Epub 2024 Dec 5.

DOI:10.1007/s00292-024-01398-3
PMID:39636319
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11861236/
Abstract

BACKGROUND

The structured recording of data from histopathological findings and their interoperability is critical for quality assurance in pathology.

MATERIALS AND METHODS

To harmonize the content of the reports, the International Collaboration on Cancer Reporting (ICCR) has defined standardized datasets. These datasets are not yet available in German nationwide. This gap is addressed here using the transurethral bladder resection (TUR-B) dataset as a use case.

RESULTS

We describe the process of establishing the datasets by carrying out translation, mapping on SNOMED CT codes, and using SNOMED CTs hierarchy to fill dropdown menus. Furthermore, we identified rules for checking for self-consistency of reports by using the example of the TUR bladder.

DISCUSSION

With this article, we have created an example of a German version of the ICCR TUR‑B dataset including mapping to the SNOMED CT terminology. Further activities should include the definition of overarching cancer disease models to further exploit the potential of SNOMED CT.

摘要

背景

组织病理学检查结果数据的结构化记录及其互操作性对于病理学质量保证至关重要。

材料与方法

为统一报告内容,国际癌症报告协作组织(ICCR)定义了标准化数据集。这些数据集在德国全国范围内尚未可用。本文以经尿道膀胱切除术(TUR-B)数据集为例解决这一差距。

结果

我们描述了通过进行翻译、映射到SNOMED CT代码以及使用SNOMED CT层次结构填充下拉菜单来建立数据集的过程。此外,我们以TUR膀胱为例确定了检查报告自一致性的规则。

讨论

通过本文,我们创建了一个ICCR TUR-B数据集德语版的示例,包括映射到SNOMED CT术语。进一步的活动应包括定义总体癌症疾病模型,以进一步挖掘SNOMED CT的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d1/11861236/9d426e7cb474/292_2024_1398_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d1/11861236/a4b97f9ec927/292_2024_1398_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d1/11861236/9d426e7cb474/292_2024_1398_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d1/11861236/a4b97f9ec927/292_2024_1398_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2d1/11861236/9d426e7cb474/292_2024_1398_Fig2_HTML.jpg

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本文引用的文献

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A computer synoptic operative report versus a report dictated by a surgeon in advanced ovarian cancer.计算机综述手术报告与高级卵巢癌手术医生口述报告的比较。
Int J Gynecol Cancer. 2024 Apr 1;34(4):581-585. doi: 10.1136/ijgc-2023-004947.
2
ENETS standardized (synoptic) reporting for neuroendocrine tumour pathology.神经内分泌肿瘤病理学的ENETS标准化(概要)报告
J Neuroendocrinol. 2022 Mar;34(3):e13100. doi: 10.1111/jne.13100. Epub 2022 Feb 14.
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The effects of implementing synoptic pathology reporting in cancer diagnosis: a systematic review.
实施概要病理报告在癌症诊断中的效果:一项系统评价
Virchows Arch. 2016 Jun;468(6):639-49. doi: 10.1007/s00428-016-1935-8. Epub 2016 Apr 21.
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Structured reporting ensures complete content and quick detection of essential data in pathology reports of oncological breast resection specimens.结构化报告可确保乳腺肿瘤切除标本病理报告内容完整,并能快速检测到关键数据。
Breast Cancer Res Treat. 2016 Apr;156(3):495-500. doi: 10.1007/s10549-016-3769-0. Epub 2016 Apr 8.
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Does standardised structured reporting contribute to quality in diagnostic pathology? The importance of evidence-based datasets.标准化结构化报告对诊断病理学质量有贡献吗?基于证据的数据集的重要性。
Virchows Arch. 2016 Jan;468(1):51-9. doi: 10.1007/s00428-015-1834-4. Epub 2015 Aug 28.