SEER*DMS Development Defining Road Maps and Setting Priorities
SEER*DMS CCB April 13, 2017 Moderators: Linda Coyle Marina Matatova SEER*DMS Registries IMS NCI SCG 2005 Metropolitan Detroit CSS
2006 Connecticut Tumor Registry 2007 Hawaii Tumor Registry New Mexico Tumor Registry 2008 Alaska Native Tumor Registry Cherokee Nation Cancer Program State Health Registry of Iowa 2009
Louisiana Tumor Registry 2010 Seattle Cancer Surveillance System 2011 Utah Cancer Registry 2012 Georgia Center for Cancer Statistics 2013
New Jersey State Cancer Registry 2016 New York State Cancer Registry 2017 Minnesota Cancer Surveillance System 2018 Kentucky Cancer Registry Updates - CCB Workgroups
MU2 Workgroup Group Leader: Brent Mumphrey (LTR) 2006 Connecticut Tumor Registry 2007 Hawaii Tumor Registry New Mexico Tumor Registry 2008
State Health Registry of Iowa 2009 Louisiana Tumor Registry 2011 Utah Cancer Registry 2012 Georgia Center for Cancer Statistics 2013
New Jersey State Cancer Registry 2016 New York State Cancer System Status Report MU2 IMS staff have been making changes to DMS to load MU2 data into the pre_record table. Add the CDA import Load into pre_record table Use queries to identify patients in MU2 data that are not Patient Sets Use queries to identify new cases for existing patient sets.
Registries will review the data in DMS when IMS completes this task. Next meeting: Thursday, April 27th Claims Workgroup Group Leader: Kevin Ward (GA) 2007 New Mexico Tumor Registry 2011
Utah Cancer Registry 2012 Georgia Center for Cancer Statistics 2013 New Jersey State Cancer Registry 2018 Kentucky Cancer Registry Data Sources SEER*DMS Registries Standard sources of medical data:
New data streams for SEER*DMS registries are expected to include: SEER*DMS Customer #1 Production Application Server Testing Application Server Testing Postgres Database Server Production Postgres Database Server SEER*Stat Server
CDAP Server Registry enclaves in the data center can be expanded to support additional applications. Other Applications Data Transmissions to SEER*DMS Standard method: Organization sends data to registrys local environment Registry transmits data to SEER*DMS autoloader; or staff upload data via the SEER*DMS application This is the recommended method for local and regional data sources (hospitals, path labs, etc).
Hospital, Path Lab Registry SEER*DMS Making National Data Available to Registries National organizations can stream data to a single, dedicated island in an IMS computer center This island is stand alone; cordoned off from everything else by a firewall An IMS-maintained service
transfers data from the data feed island to the appropriate registry island Making National Data Available to Registries Unlimited Systems is now transmitting data for 5 registries (as of March 2017). Requirements: A single agreement between IMS and Unlimited Systems. A similar agreement would need to be made with each national organization. An amendment to the Connection Agreement between IMS and the
registry. The intent is for this to cover all national data sources. Benefits: Saves time and effort for each registry in terms of infrastructure to receive and transmit data. National organizations are more likely to onboard less hassle dealing with one entity (IMS) instead of 4 to 15 registries. Workflow for High Volume Data This workflow is currently being used for claims in
GA. The same principles will be used to evaluate other data sources JSON Data Structure Advantages: Adding a field is much easier. JSON object is one column in the pre_record table Same table can be used for different data types; the JSON column differs by type Disadvantage:
It is harder for typical users to query using SQL. IMS will provide viewers and data searches. This claim indicates chemo was administered on 03-30-2015. J9310 = Rituximab injection. SEER*DMS Claims Viewer JSON viewer is available primarily for IMS staff to resolve issues. Registrars see the Claims Viewer in the right panel of the Patient Set editor. Claims Workgroup Registries receiving claims data: Georgia
Kentucky New Jersey New Mexico Utah IMS will import claims on the registrys DEV servers. (Excluding GA claims are live in GA) Next step - schedule a kickoff meeting Auto-linking Workgroup 2007 Hawaii Tumor Registry 2008
Alaska Native Tumor Registry 2011 Utah Cancer Registry 2012 Georgia Center for Cancer Statistics 2016 New York State Cancer Registry Group Leader: Linda Coyle (IMS)
Auto-linking Workgroup IMS changed workflow for the participating registries on their DEV servers. Dev servers were reloaded because of server maintenance; these are being re-deployed today. Recommend Review data for next few weeks Meet in May Auto-cons Workgroup Group Leaders: Bobbi Matt (IA) Frances Ross (KY)
2005 Metropolitan Detroit CSS 2008 State Health Registry of Iowa 2009 Louisiana Tumor Registry 2011 Utah Cancer Registry
2013 New Jersey State Cancer Registry 2018 Kentucky Cancer Registry Auto-cons Workgroup - Update 1st meeting is scheduled for May 9, 2017 In the meantime, IMS staff have been meeting to review technical implementation. Productivity Reports Reminder: Team registries were asked to define use cases for
productivity reports. Please update Squish 5241. Seattle and Georgia presented reports in the March meeting. Other registries will discuss their productivity measures in the next meeting. IMS staff implemented a new productivity report for managers to review. RPT-153. Changes were made based on the March meeting. We will review it again in April. Next meeting: April 20th SEER*DMS Meeting The SEER*DMS in-person meeting will be held July 1214, 2017. Save the date Agenda and hotel recommendations coming soon
Physician Addresses Physicians work at multiple locations. Physicians are stored in the SEER*DMS Contact list. In 2015: CCB considered adding multiple addresses to the Contact list for physicians. It was decided that registries would try using the facility list. One facility for each of the physicians practices. For each physician, create a list of facility affiliations in the Contact Editor. Is this solution working? Physician Addresses If a change is needed to the way that physician addresses are stored, we should review the business
rules. Are these addresses used for follow-back? What other reasons do you use physician addresses/ How do you select an address when a doctor has multiple addresses? Do you consider a facility coded in the record or CTC? What other questions should we consider? Please update Squish 5262 with your registrys information. Census Block See Squish 5111 Census block field was changed from 1 char to 4 char in 2012. Data were not updated at that time.
In 2017, IMS added ability to update missing or incomplete geocoding fields. Therefore, a system task can be run to convert from 1 char to 4 char block. Each registry should review issue 5111 and indicate if you want IMS help to run the geocoding task; and review changes with your staff. CCB Meeting Topics May 2017 Site-specific factors DMS configurations for displaying SSFs for different years of diagnosis Registry discussion related to processing that registries do before loading data into SEER*DMS. Please submit other CCB topics via Squish or email!
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