Clinical Decision Support systemSynoptic reporting / LogicnetsPALGA Protocol Module modular(PPMm) - Cervix RegistrationInformation System version 4 (CRIS4)

The new functionality developed by ICT Healthcare is based

on the in 2013 delivered PALGA Protocol Module (PPM).

The CRIS4 protocol is used for the new Dutch National

Cervical Screening Program as well. It is build according to

the multidisciplinary guideline “Cervixcytologie”, formally

approved by the Dutch Society of Pathology.

Main drivers for this projectThe first driver for this project was to support the complete

chain of parties involved in the Cervical screening proces

with electronical data exchange, also called Medical Data

Exchange (MDE). With this new functionality, patient

information (clinical information) obtained at the start of

the chain, when participating in the national screenings

program on cervical cancer, is directly imported into the

Cervical Screening protocol CRIS4. The second driver was

to support all demands to import outsourced protocoldata

(for instance molecular diagnosis “DNA testing”).

Since 2013, Palga uses the PALGA Protocol Module (PPM) for synoptic reporting, developed by ICT Group using Logicnets software. The PALGA Protocol Module is primarily developed for Synoptic Reporting, including Standardized Structural Reporting. This reduces the registration burden on these parties, while improving the quality of the recorded data. The PALGA Protocol Module consists of a generic medical framework and multiple histological protocols. Currently more than twenty protocols are used by the laboratories. All such protocols are formally approved by the Dutch Society of Pathology before being implemented. This new project is about the enhancement of the framework of the PALGA Protocol Module to make it modulair (PPMm) and about the development of an improved Cervix Registration Information System protocol (called CRIS4).

smarter solutions

PROJECT REFERENCE

smarter solutions

Kopenhagen 9

2993 LL Barendrecht

The Netherlands

T +31 (0)88 908 2000

F +31 (0)88 908 2500

info@ict.nl

www.ict.nl

April 2017

CustomerPALGA’s motto: The best treatment begins with the

best diagnosis.

The Dutch National Pathology Registry (PALGA) was

established in 1971 as an independent foundation.

PALGA operates as a national database containing

information on all histological, cytological, and autopsy

examinations in the Netherlands. They provide data for

the Dutch Cancer Registry and national cancer screening

programs. Although being an independent foundation,

PALGA is government-funded. All pathology laboratories

in the Netherlands are electronically linked to PALGA.

In 2007, PALGA started working on electronic synoptic

histopathology reporting. This initiative was based on

already established national cancer guidelines outlining

“minimum datasets” on various cancers to be reported

on by pathologists. The aim was to improve the quality

of the histopathology reports by introducing an electronic

checklist (Clinical Decision Support System) and to facilitate

the electronic transfer of such data to the national registry.

All 55 pathology departments in the Netherlands are

using electronic laboratory information systems. PALGA’s

electronic synoptic reporting system is fully integrated

with all vendor systems being used. Synoptic reporting

is also used for the national screening programs on

colorectal and cervical cancer. In these instances, discrete

data field information is sent directly to the National

Institute for Public Health and the Environment. For more

information, visit www.palga.nl

Role ICT Healthcare within the projectICT Healthcare was both responsible for the enhancement

of the framework of the PALGA Protocol Module (making

it modular), and to develop the new Cervix Registration

Information System protocol (called CRIS4). The framework

part of the project consisted of gather requirements,

develop the PPMm within Logicnets and test the new

functionality. This part of the project is developed in

close cooperation with our partner Logicnets. For more

information, visit www.logicnets.com

The new CRIS4 protocol is developed by the ICT Healthcare

PALGA-team in close cooperation of PALGA. The protocol

is based on the specification of the multidisciplinary

guideline “Cervixcytologie”.

The PPMm and CRIS4 is delivered in November

2016. With this latest development the PPM

has become modular. This means that protocol

data can be imported from other parties and

from other laboratories. This functionality

was crucial for the new Dutch National Cervical

Screening Program. The PALGA CRIS4 protocol

performs an important step in a large chain

of parties supporting the screening program.

With this functionality the customer once

again performs a leading and crucial role in

the pathology domain. In the near future the

PPMm functionality will be used for molecular

pathology, gathering Next-Generation

Sequencing (NGS) information.

PROJECT RESULT

KeywordsCRIS4, JIRA, Logicnets, Lua, MDE, Nationaal ICT Instituut in de Zorg (NICTIZ), Nederlandse Vereniging Voor Pathologie (NVVP), NGS, PALGA, PPMm, SVN (with external access by customer).