CARROLTON, Ga., March 4, 2021 (SEND2PRESS NEWSWIRE) — Across Healthcare announces the eDocSS app, an EHR integrated application that allows surgeons and institutions to comply with new Commission on Cancer Synoptic Operative Report Standards. Evidence-based research indicates that surgical outcomes related to cancer patients such as quality of life and survival can be improved by adhering to specific operative techniques. In addition, replacing narrative operative dictations with synoptic operative reports can improve the capture of vital cancer surgery information. With these facts in mind, the 2020 Commission on Cancer (CoC) standards for accreditation now require synoptic operative reports (SORs) for four new operative standards that span colon, breast, and melanoma surgery.

To facilitate implementation of these operative standards, Across Healthcare co-developed the electronic Documentation of Surgery Standards (eDocSS) app with the American College of Surgeons (ACS). This app, which is embedded into electronic health records (EHRs), provides surgeons with ACS-developed Synoptic Operative Reports (SORs) that include evidence-based data fields, linkages to appropriate coding standards, and detailed explanatory notes to facilitate accurate completion of the report. Across Healthcare is working closely with EHR vendors to embed the app using a standards-based SMART on FHIR framework, that aligns with the 21st Century Cures Act final rule, to speed implementation and adoption.

“As one of the most advanced cancer centers in the country, Helen F. Graham Cancer Center within the Christiana Care Health System, was honored to be the initial site for the eDocSS app,” said Dr. Karen Louie, Breast Surgeon. “With the app embedded into our Cerner PowerChart, this makes completing a synoptic operative report very efficient for our surgeons.”

The eDocSS application includes the following:

  • Auto-population — Pre-existing fields are pulled from the patient record, and the surgeon needs only to verify the information or edit as needed.
  • CoC Standards — Fulfills the synoptic operative reporting requirements for the Commission on Cancer 2020 operative standards 5.3 through 5.6.
  • American Joint Committee on Cancer (AJCC) TNM Staging System — TNM categories are incorporated into any data fields related to staging.
  • National Cancer Database (NCDB) Codes — Select NCDB codes and definitions from the Standards for Oncology Registry Entry (STORE) manual that are relevant to the data fields in the app.
  • EHR Integration — eDocSS uses SMART on FHIR and will be integrated with top EHR vendors. This application is not a standalone app, but rather uses Single Sign On (SSO) and embeds inside the workflow of the EHR.

“We were blessed to work closely with the experts at ACS as well as many surgeons across the country to develop the eDocSS app,” said Jason Colquitt, CEO of Across Healthcare. “Our focus will now shift to supporting the more than 1,500 CoC accredited cancer programs that need to comply with the new CoC operative standards.”

Currently, there are three SORs available in the eDocSS app. The ACS CSSP (Cancer Surgery Standards Program) team is planning to develop over 45 SORs that will all be available within eDocSS as they are released. Additional management and maintenance of the SORs within eDocSS will be handled by Across Healthcare. The eDocSS app is available to both CoC and non-CoC surgeons and institutions.

To learn more about eDocSS visit or contact us at

About Across Healthcare

Across Healthcare was formed in 2012 and has been a trusted partner to many clients by helping them envision, design, and deliver innovative healthcare technology solutions. The mission of Across Healthcare is to help clients deliver software solutions successfully by imparting our 20+ years of healthcare experience to accelerate the process and produce a quality product. The core company philosophy is the principle of reciprocity: “Do unto others as you would have them do unto you.”

To learn more about Across Healthcare visit

Laura Colquitt
Across Healthcare

News Source: Across Healthcare