Title
Analysis and classification of oncology activities on the way to workflow based single source documentation in clinical information systems
Abstract
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
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 Wagner100.68
Matthias W Beckmann272.57
Bernd Wullich3274.97
Christof Seggewies481.68
Markus Ries561.61
Thomas Bürkle614423.35
Prokosch Hans-Ulrich721449.85