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Pathology compliance checker

Skill patolojiAI/pathology-skills-collection/pathology-skills/pathology-compliance-checker

Comprehensive clinical pathology toolkit for Claude - skills for CAP/ICCR compliance, TNM staging, synoptic templates, SNOMED coding, tumor board summaries, scientific similarity checking, and reference verification.

Install
npx -y skills add patolojiAI/pathology-skills-collection --skill pathology-compliance-checker

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Validates surgical pathology cancer reports against CAP (College of American Pathologists) and ICCR (International Collaboration on Cancer Reporting) guidelines with severity-based compliance scoring (0-100) and automatic pT/pN/margin cross-validation. Use whenever the user pastes or uploads a pathology report (.pdf, .docx, .txt) and asks to "check compliance", "validate against CAP", "score this report", "audit this synoptic", "find missing elements", or "verify pT/pN consistency". Supports breast, colorectal, pancreas, and gastric carcinoma in English and Turkish.

The file declares its own license as MIT. That is the author’s claim about this one file, and it is not the same thing as the license GitHub reports for the repository, which is listed with the other numbers below.

SKILL.md

3.0 KB, 568 tokens by cl100k_base, as published. Nobody here has run it

Compliance Checker

Validate pathology reports against CAP/ICCR protocols with comprehensive scoring and cross-validation.

When to Use This Skill

Use this skill for:

  • Quality assurance of pathology reports
  • Department compliance monitoring
  • CAP accreditation preparation
  • Report validation before sign-out
  • Trainee report review

Supported Tumor Types

  • Breast invasive carcinoma (CAP Breast.Invasive, ICCR Invasive Carcinoma of the Breast)
  • Colorectal resection (CAP ColoRectal, ICCR Colorectal Cancer)
  • Exocrine pancreas carcinoma (CAP Panc.Exo, ICCR Carcinoma of the Exocrine Pancreas)
  • Gastric carcinoma (CAP Stomach, ICCR Gastric Carcinoma)

Key Features

  1. Element Completeness Check: Validates all required, conditional, and recommended elements
  2. Severity-Based Scoring: Critical (-15), Major (-5), Minor (-2) point deductions
  3. Cross-Validation: pT vs tumor size, pN vs node count, stage group consistency
  4. Threshold Grading: 90-100 (Compliant), 70-89 (Minor), 50-69 (Major), <50 (Critical)

Reference Files

Reference on-demand (DO NOT load at startup):

  • Tumor-specific: references/diagnosis/{tumor}_*.md
  • Tumor-specific macroscopy: references/macroscopy/{tumor}_macroscopy.md
  • Cross-validation: ../../shared-references/staging/tnm_stage_calculator.md

Usage Examples

# Check report compliance
claude "Check this report using compliance-checker" < report.txt

# QA batch of reports
claude "Validate compliance using compliance-checker" < batch_report.txt

Processing Instructions

  1. Auto-detect tumor type from report content
  2. Load appropriate protocol (CAP/ICCR for that tumor type)
  3. Check element presence: Required, conditional, recommended
  4. Calculate score using severity weights
  5. Cross-validate: pT/pN/stage consistency
  6. Output: Score, missing elements, inconsistencies, recommendations

Compliance Scoring Formula

Starting score: 100

  • Critical elements missing/incorrect: -15 each (tumor size, grade, margins, nodes, biomarkers)
  • Major elements missing/incorrect: -5 each (LVI, PNI, special features)
  • Minor elements missing/incorrect: -2 each (optional fields, tumor location)

Language Support

Auto-detects English or Turkish from report content.

Note: Minimal skill definition. References loaded on-demand during processing only.

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