Yutaka Ando MD, Presenter: Nothing to Disclose

Masato Tanaka, Abstract Co-Author: Nothing to Disclose

Nobuhide Kitora, Abstract Co-Author: Nothing to Disclose

Nobuhiro Tsukamoto MD, Abstract Co-Author: Nothing to Disclose

Osamu Kawaguchi, Abstract Co-Author: Nothing to Disclose

Yutaka Emoto MD, PhD, Abstract Co-Author: Nothing to Disclose

Masami Mukai, Abstract Co-Author: Nothing to Disclose

Takumi Tanikawa, Abstract Co-Author: Nothing to Disclose

et al, Abstract Co-Author: Nothing to Disclose

et al, Abstract Co-Author: Nothing to Disclose

In Japan, EMR systems become popular in the large- and middle-scaled hospitals. The workflow in the Radiation Oncology section was not studied sufficiently. This is a barrier when we implement an EMR. Same situation was pointed out in the other department for example ophthalmology and dentistry departments. It is hard to customize an EMR/CPOE according to each workflow because of a huge resource and cost. The aim of this paper is to define the user-interface framework that leads us to easy customization and suitable display/ordering of examinations. This framework is expected to contribute to the medical safety.

We defined actors to generate a user interface that enables to place orders. These actors gather necessary information from multiple systems (EMR, CPOE, PACS and RIS) and display to a physician. Next, radiation oncologist issues orders (laboratory examinations, radiology examinations and radiation therapy prescriptions). In ordinary EMR/CPOEs, this process needs several cascaded screen changes. But our framework provides the highly integrated console that enable to refer results and issue orders simultaneously. In the compliant to the IHE-Japan RO workflow, we defined the 4 phases of radiation oncology workflow. At first, we analyzed the function of the beginning of the radiation. We expand the concept of the CCOW (Clinical Context Object Workgroup) used in the EUA (Enterprise User Authentication) and PSA (Patient Synchronized Application) of the IHE ITI.

After our analysis, we propose five kinds of actors; (1) Display Manager, (2) Result Tracker, (3) Order Composer, (4) Order Placer, (5) Database Updater. By using these actors, we can improve the function of EMR/CPOEs. We are easily able to reform information systems and get the safety.

We developed prototype of the integrated navigation console and evaluated the functions. Our method that we proposed is a powerful tool that realizes patient oriented EMR/CPOSs. By using our method, physicians are able to develop own information systems according to their clinical workflows.

Our framework is generic method and applicable to other departmental information systems such as ophthalmology and dental department.

Ando, Y, Tanaka, M, Kitora, N, Tsukamoto, N, Kawaguchi, O, Emoto, Y, Mukai, M, Tanikawa, T, et al, , et al, , Development of Integrated Navigation Console (INC) Designed for Radiation Oncology EMR/CPOE, RIS, and PACS in Conformity to IHE-Japan Radiation Oncology Study Group Workflow.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5007642.html