Title | ||
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Analysis and classification of oncology activities on the way to workflow based single source documentation in clinical information systems |
Abstract | ||
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Abstract Background Today, cancer documentation is still a tedious task involving many different information systems even within a single institution and it is rarely supported by appropriate documentation workflows. Methods In a comprehensive 14 step analysis we compiled diagnostic and therapeutic pathways for 13 cancer entities using a mixed approach of document analysis, workflow analysis, expert interviews, workflow modelling and feedback loops. These pathways were stepwise classified and categorized to create a final set of grouped pathways and workflows including electronic documentation forms. Results A total of 73 workflows for the 13 entities based on 82 paper documentation forms additionally to computer based documentation systems were compiled in a 724 page document comprising 130 figures, 94 tables and 23 tumour classifications as well as 12 follow-up tables. Stepwise classification made it possible to derive grouped diagnostic and therapeutic pathways for the three major classes - solid entities with surgical therapy - solid entities with surgical and additional therapeutic activities and - non-solid entities. For these classes it was possible to deduct common documentation workflows to support workflow-guided single-source documentation. Conclusions Clinical documentation activities within a Comprehensive Cancer Center can likely be realized in a set of three documentation workflows with conditional branching in a modern workflow supporting clinical information system. |
Year | DOI | Venue |
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2015 | 10.1186/s12911-015-0231-x | BMC Med. Inf. & Decision Making |
Field | DocType | Volume |
Information system,Clinical pathway,Data mining,Informatics,Computer science,Technical documentation,Knowledge management,Documentation,Health informatics,Workflow | Journal | 15 |
Issue | ISSN | Citations |
107 | 1472-6947 | 0 |
PageRank | References | Authors |
0.34 | 13 | 7 |
Name | Order | Citations | PageRank |
---|---|---|---|
Stefan Wagner | 1 | 0 | 0.68 |
Matthias W Beckmann | 2 | 7 | 2.57 |
Bernd Wullich | 3 | 27 | 4.97 |
Christof Seggewies | 4 | 8 | 1.68 |
Markus Ries | 5 | 6 | 1.61 |
Thomas Bürkle | 6 | 144 | 23.35 |
Prokosch Hans-Ulrich | 7 | 214 | 49.85 |