An Approach for Software-Driven and Standard-Based Support of Cross-Enterprise Tumor Boards.

Studies in health technology and informatics

PubMedID: 26063280

Mangesius P, Fischer B, Schabetsberger T. An Approach for Software-Driven and Standard-Based Support of Cross-Enterprise Tumor Boards. Stud Health Technol Inform. 2015;212219-24.
INTRODUCTION
For tumor boards, the networking of different medical disciplines' expertise continues to gain importance. However, interdisciplinary tumor boards spread across several institutions are rarely supported by information technology tools today. The aim of this paper is to point out an approach for a tumor board management system prototype.

METHODS
For analyzing the requirements, an incremental process was used. The requirements were surveyed using Informal Conversational Interview and documented with Use Case Diagrams defined by the Unified Modeling Language (UML). Analyses of current EHR standards were conducted to evaluate technical requirements.

RESULT
Functional and technical requirements of clinical conference applications were evaluated and documented. In several steps, workflows were derived and application mockups were created.

CONCLUSION
Although there is a vast amount of common understanding concerning how clinical conferences should be conducted and how their workflows should be structured, these are hardly standardized, neither on a functional nor on a technical level. This results in drawbacks for participants and patients. Using modern EHR technologies based on profiles such as IHE Cross Enterprise document sharing (XDS), these deficits could be overcome.