About CAP electronic Cancer Checklists (CAP eCC)


Updated July 31, 2011

The CAP eCC is a tool used to enhance and advance cancer reporting. Learn more about the CAP eCC or read the press release. The latest CAP eCC release (January 2010) contains all of the new and updated content in the CAP Cancer protocols posted October 2009 on the CAP Website. The CAP eCC facilitate uniform cancer description and reporting, including elements from the AJCC Cancer Staging Manual 7th Edition. Content is also partially encoded with SNOMED Clinical Terms® (SNOMED CT®)—a globally recognized controlled medical vocabulary.

The amount of information pathologists provide in their reports on cancer specimens has increased in recent years, due to the expansion of scientific knowledge about cancer and continued advances in healthcare, such as molecular diagnostics and personalized medicine.

The CAP Cancer Protocols and Checklists, developed by the CAP Cancer Committee, aid pathologists in cancer reporting and are recognized as a “gold standard” in cancer case summary reporting worldwide. The synoptic, or standardized, checklist format provides consistent and meaningful information that enable healthcare professionals to manage and study clinical data necessary to help improve patient care.

The CAP eCC advance the management and interoperability of health information through its XML format that can be integrated easily into existing pathology and cancer registry systems. Health data coded with SNOMED CT allows multiple interdisciplinary providers to accurately communicate and share patient information within an electronic health record system (EHR). Data can also be transmitted in real time, improving timeliness and accuracy of cancer reporting. In addition, the CAP eCC, focusing directly on real-world medical content standards from physician-experts on the CAP’s Cancer Committee, can illustrate how technology directly supports meaningful use of patient data in the cancer-care setting.

CAP eCC Features

  • Content includes elements from AJCC Cancer Staging Manual 7th Edition
  • XML format broadly adopted by HIT and endorsed by main standards organizations such as Health Level 7 (HL7), Integrating the Healthcare Enterprise (IHE), International Health Terminology Standards Development Organization (IHTSDO), etc.
  • Regularly scheduled content releases and updates
  • Mappings encoded with SNOMED Clinical Terms® (SNOMED CT®)
  • Ease of integration into existing pathology and cancer registry systems
  • Customizable for individual lab practices

The CAP eCC have been developed in collaboration with many other organizations, including: Centers for Disease Control and Prevention (CDC), American Joint Committee on Cancer (AJCC) Collaborative Staging initiative (CS), and the North American Association of Central Cancer Registries (NAACCR). In July 2009, the Canadian Association of Pathologists endorsed the use of the CAP cancer checklists which support compliance with Cancer Care Ontario’s (CCO) reporting requirements.

CAP eCC Content Update

The January 2010 CAP eCC release contains elements from the AJCC Cancer Staging Manual 7th edition and the new and updated content posted in October 2009 on the CAP Website. Additional CAP Cancer Checklists are expected to be released and posted later in 2010. Future releases of the CAP eCC will then be distributed to licensees to reflect new content.

CAP eCC Licensing

The CAP eCC downloadable file set is available with a CAP eCC license. The CAP customizes licensing to meet the needs of the individual customer and their operational environment. Vendor integration licensing options are also available. For more information, please contact CAP SNOMED Terminology Solutions™(STS) at (847) 832-7700 or via e-mail.

CAP eCC Implementation

CAP offers a wide spectrum of technical, consultative, and education services for the optimal implementation, customization, and integration of the CAP eCC into your workflow. Our consultants can also provide guidance on how standardized reporting and XML technology can be used for healthcare applications outside of pathology, such as cardiology, radiology, and tissue banking. For more information, please contact CAP STS™ at (847) 832-7700 or via e-mail.


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