Analysis and classification of oncology activities on the way to workflow based single source documentation in clinical information systems

Wagner S, Beckmann M, Wullich B, Seggewies C, Ries M, Buerkle T, Prokosch HU (2015)

Publication Type: Journal article

Publication year: 2015

Journal

Book Volume: 15

Pages Range: 107

Journal Issue: 1

DOI: 10.1186/s12911-015-0231-x

Abstract

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.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.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.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.

Authors with CRIS profile

Involved external institutions

Universität Bern Switzerland (CH) Klinikum Nürnberg Germany (DE)

How to cite

APA:

Wagner, S., Beckmann, M., Wullich, B., Seggewies, C., Ries, M., Buerkle, T., & Prokosch, H.-U. (2015). Analysis and classification of oncology activities on the way to workflow based single source documentation in clinical information systems. BMC Medical Informatics and Decision Making, 15(1), 107. https://doi.org/10.1186/s12911-015-0231-x

MLA:

Wagner, Stefan, et al. "Analysis and classification of oncology activities on the way to workflow based single source documentation in clinical information systems." BMC Medical Informatics and Decision Making 15.1 (2015): 107.

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