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.