Integration of Multiple Radiation Oncology and Health Information Systems to Implement Computerization of Medical Records

• Main Authors: Shih-Ting Lin, 林思廷
• Other Authors: Tzeng-Ji Chen
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/att2nb

碩士 === 國立陽明大學 === 醫務管理研究所 === 106 === Purpose： To replace paper medical records, we constructed an integrated Radiation Therapy Electronic Medical Record (RTEMR) system, and connected it to heterogeneous Radiation Oncology Information Systems (ROIS) from three independent vendors in our department—ARIA/VARiS, MOSAIQ and Tomotherapy—to acquire real-time treatment records. In addition, data exchange between RTEMR and Health Information System (HIS) allowed RTEMR to get patients’ basic data and inpatient/outpatient status from HIS, and medical personnel in other departments can access the most updated information about radiotherapy progress, regardless of treatment unit. Materials and Methods：After analyzing the database structure of ROIS, and meeting with multidisciplinary staff in our department, RTEMR underwent development, as a successor of our original single-user standalone management software. The web-based interface of RTEMR has several advantages: installation-free, ease-of-update and cross-platform. The system provides the real-time treatment progress in terms of cumulative dose and fractions to plans’ reference points or physician prescribed target volume. Results：RTEMR can display different functions according to user’s login identity. Self-serve check-in system can help our staff to keep track of patients’ current state. Patient lists for doctors and treatment machine can show check-in status, treatment status, and special notes. Other important applications of RTEMR are auto-generation of radiation therapy treatment summary and several routine reports for administrative purpose.   Conclusion：RTEMR can increase the efficiency and decrease the risk of near miss in clinical work. Further integration with health information system and cancer information system will improve the quality of radiation therapy.