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Problem and Target Outcome

Problem:

Radiation therapy treatment details – critical for care coordination – are not readily available in systems other than radiation oncology EHR modules. Treatment data is generally manually entered into radiation therapy treatment summary documents, creating clinician burden and potential patient safety issues. In addition, providers are unable to leverage these data to meet reporting requirements (e.g. quality reporting, registry reporting) or support comparative effectiveness research.


Target Outcome:

To develop, test and deploy open data standards that enable interoperable, multi-purpose exchange of radiation treatment summary data for care coordination and data reuse.


Use Case Details

Actor(s)

Radiation oncology providers, radiation oncology EHR/EHR module, other EHRs/EHR modules

Description

Radiation oncology provider is able to access data captured in radiation oncology EHR in the EHR/EHR module used to generate a treatment summary.

Trigger

Radiation oncologist initiates the generation of a treatment summary upon completion on radiation oncology therapy.

Preconditions

Treatment data is available in a structured format in the radiation oncology EHR/module

Postconditions

Radiation therapy treatment data is available in the EHR used to generate the treatment summary.

Extensions
Assumptions

Radiation therapy treatment data is available in the radiation oncology EHR/EHR module

Scope

In scope:

  • Extraction of radiation oncology treatment summary data elements from Radiation Oncology EHR modules

Out of scope:

  • Treatment summary document generation, elements of treatment summary generated by the clinician as part of care coordination (e.g. treatment tolerance, follow-up plan), radiation therapy plan details.
Notes

mCODE elements:

  • Radiation therapy modality
  • Radiation therapy start and end dates
  • Radiation therapy target body sites

New candidate elements:

  • Technique
  • Number of fractions administered (by body site)
  • Total dose delivered (by body site)

Conference Call Information


Important Dates

EventDate/Time






Use Case Team

RoleName OrganizationEmail 
ChampionRandi KundnerASTROrandi.kudner@astro.org
ChampionSamantha DawesASTROsamantha.dawes@astro.org
Use Case LeadGeorge NeyarapallyMITRE

gneyarapally@mitre.org

Use Case Deputy LeadSharon SebastianMITRE

ssebastian@mitre.org

Clinical SMEJim HaymanMichigan Medicinehayman@med.umich.edu


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