Regional oncological service informatization: work support system of the oncological service DOI: 10.29188/2542-2413-2020-6-3-31-35

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Requirements to the modern information systems become more complicated. Nowadays it is not enough just to collect data and to ascertain the result. Work support system of the oncological service (WSSO) allows to prevent defects in patient diagnostic and treatment management in real time mode. Regional oncological information system ONCOR performs this role in Sverdlovsk region. ONCOR is a part of State information system. It aggregates data from different sources: medical organizations, primary oncology offices, healthcare department, compulsory health insurance fund, insurance companies etc. The results of WSSO introduction in Sverdlovsk region are presented in this issue. First it led to the shortening the term of routing the patients with malignant tumors from the first visit to the medical organization at the place of residence to the specialized organization. Mean time from the first visit of doctor till the referral to the regional oncology dispensary grew from 20 to 32 days as the electronic entry throughout ViPNet was introduced. It was reduced from 32 to 18 days thanks to WSSO. The time from referral till actual doctor’s appointment is under the responsibility of regional oncology center. WSSO allows to control this index, to reveal the problem key points and to affect them. This time was reduced from 14 to 5 days. The second part of the issue is devoted to the veracity of WSSO data which are controlled throughout the integration and coordination with different information systems. As an example, the dynamic of early detection of malignant tumors is presented. The share of I-II stages has changed from 53% to 57%.