By John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum
A scientific details approach for Oncology describes a scientific details procedure designed and carried out in a melanoma heart yet with wide applicability to scientific perform past the melanoma heart setting in either inpatient and outpatient settings. considered as ahead having a look in 1978, the approach has the excellence of nonetheless being in construction. certainly, its performance has endured to develop and its technical implementation to adapt with the altering know-how during the last decade. The authors aspect the capabilities supported through this designated procedure, illustrate the way it assists within the care strategy, evaluation its improvement background, and evaluation its effect at the supply of care by way of fee, person pride, and efficacy. not like a lot details know-how, the procedure is an energetic player in scientific determination making: it contains finished instruments for coping with and showing medical information; instantly produces care plans from protocols; and lines particular instruments which aid the powerful use of blood items. execs in scientific informatics, health center directors, and physicians will locate this booklet a invaluable addition to their expert library.
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Additional info for A Clinical Information System for Oncology
Physicians caring for patients with cancer face common medical problems that are not specific to patients with cancer. Conversely, physicians in other medical specialties are concerned with the same data management and decision-making issues that confront oncologists. Decisions in medicine should be based on information that is not only reliable, complete, and timely, but also presented in a way that leads to the correct decision. Many models of computer-assisted decision support have been explored over the last several decades.
Figure 6 shows the M-protein measured over a 'six-month period and demonstrates a gradual worsening of the disease that takes place in weekly or monthly intervals rather than the hourly or daily dramatic changes illustrated previously in the inpatient setting. Ifearly intervention is important in reversing a disease process before symptoms appear or serious organ dysfunction occurs, then long-term trend analysis by either graphic or mathematical means requires an information system that takes into consideration outpatient events and integrates inpatient and outpatient data.
Treatments also are shown in the abstract. Radiation therapy is described by site, total dose, and the duration of treatment, but not in such detail as specific field size, dose fractions, or treatment machine source. A typical radiation therapy statement is shown in Figure 2, recording that 5000 rads were given to the right chest wall and 4500 rads to the right supraclavicular area and showing the associated dates of treatment. Chemotherapy and hormone administration are similarly collected, showing what drug »,as given, the dose fraction, and duration, but not cumulative dose.
A Clinical Information System for Oncology by John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum