The release of 5.8 in June 2018 brought the following highlighted enhancements and updates to the TIES software. These enhancements included support for new document types, beyond pathology reports, incremental loading of structured data, as well as custom display ordering/grouping. These new features provide the ability to import structured data from various data sources, such as Cancer Registry or other EHR data. With these changes to the Structured Data Service, it is possible to leverage the highly structured longitudinal data from the Cancer Registry (CR). This data can then be organized into multiple dataset groups, and displayed in specific logical ordering, then associated with existing patient or report level data processed by the NLP pipeline. In addition, several reported bug fixes were implemented related to saving queries and exporting data, which will provide general overall improvements to TIES.
The biggest feature comes from the enhancement of HL7 importing. This includes a validation tool and support for new document types and sections. The HL7 validation tool is used as a way to pre-validate any HL7 files to ensure that it will load using the HL7 importer pipeline. The validation process provides a list of error messages to understand the problem(s) associated with a document upload. Other enhancements to the HL7 importer, allow organizations wanting to load and display other documents (e.g., Discharge Summary) to define new these new types along with any associated section headers and upload these into TIES. These changes allow for a much broader number of document types and a better way to increase the overall number of reports that can go into TIES.
Group Sections for Display Order
Another great feature added to TIES now provides the ability to group and order fields within the displayed structured data in the Data tab panel. This will provides an enhanced way of viewing logical data groupings and preferred ordering of most relevant fields. Therefore, a system admin can predefine the display order of each field by using a new attribute for display_order within the attribute and dataset tables. This modification will require changes to be made in the structured data loader configuration file (i.e, .cfg), prior to loading the structured data. This feature makes ordering, changing, and finding the exact data users are looking for much more accessible, and provides a significant feature for loading/displaying structured data especially Cancer Registry Data or other EMR data.
A few known errors that TIES worked to rectify included charts counting documents instead of patients, tags for specific reports not working, duplicate entry errors when loading reports, and saving queries under certain conditions not saving. The most important bug fix comes from the installation bug, which would crash version 5.7’s install due to conflicting jar files included in the installation bundle.
What Comes Next
All of the TCRN member sites will have version 5.8, but that does not mean that TIES is done making enhancements or changes. In fact, the TIES team are beginning to explore major architectural changes from improving overall user interface experience, enhanced document searching, to the integration of tools from the ITCR programs for advanced whole slide imaging (WSI) features from QuIP and THRIVE. These are just a few of the ideas we are considering, you can read a bit more about some of these exciting changes that are coming to the TIES system by viewing more information under the Publications/Presentation section.
What would you like to see changed or enhanced in the next version of TIES?