UICC World Cancer Congress 2006

Objective: The improvement of cancer patient care and clinical study by information technologies use. The problems are the management of diagnostic information, succession of treatment in different medical institution and public control of the results of clinical study. We developed comprehensive system for EPR. Methods: "Garbage" type of database were developed – we accept all data about patient – in any electron form and format. For analyses of individual case history data was integrated on a single time axis with normalized graphics. The system automatically detects variables that fall outside established limits and violations of protocols, and generates 'alarm signals' or 'blocking inquiries' (demanding an obligatory user's reaction). Results: EPR was incorporated into routine clinical data management at the National Center for Hematology, Moscow, Russia, for evaluation as a tool for upgrading patient management, access to therapeutic and diagnostic information, and data analysis. The system allows collection of medical information from multiple sources and builds an integrated presentation of clinical data. The system provides an effective way for detection of medical errors, administration of inappropriate medications and non-observance of their compatibility, identification of discrepancies between therapeutic and diagnostic procedures, and protocol requirements. This system presets an universal way to extract set of data for analysis and preserve possibility of repeated analysis of clinical data for full rang audit of study conclusions. Paper forms, used in majority of clinical study required unrealistic amount of efforts to be reviewed.