Expansion Research Capability to Study Comparative Effectiveness in Complex Pati*

描述(由申请人提供)：佛罗里达州卫生部(DOH)，流行病学局建议将佛罗里达州癌症登记数据与医院电子医疗记录联系起来。具体地说，卫生部将与佛罗里达州卫生保健管理局(AHCA)、两个医院系统(Broward Health和BayCare Health)以及佛罗里达农业和机械大学(FAMU)和迈阿密大学(UM)合作，加强数据采集，以扩大研究范围，降低癌症和其他并存疾病的发病率和死亡率。 佛罗里达州癌症数据系统(FCDS)是全州范围的癌症登记系统，根据州法律的规定，从医院和门诊设施收集患者人口统计数据、肿瘤诊断和初始疗程。FCDS和两个医院系统将使用健康信息交换(HIE)系统的AHCA计划的临床报文服务作为交换癌症患者临床和实验室数据的工具。每个参与组织(FCDS和医院系统)将开发自己与HIE的数据系统连接之间的接口。此外，医院系统将开发计算机程序，以识别被诊断为癌症或接受癌症治疗的合格患者，并处理编码和非编码(文本和图像)医疗记录。FCDS将开发软件，使用概率匹配算法将传入的医疗记录数据与当前的癌症报告联系起来。链接的数据将被记录下来。在整个项目中，将强制保护患者的机密性。研究人员将使用增强的数据对乳腺癌患者进行试点研究，并提供有关共同发病率和治疗的详细信息。将制定一项计划，将数据传播给其他研究人员。从该项目中吸取的经验和教训将有助于AHCA在全州范围内实施HIE系统。另一方面，将FCDS和医院系统之间的数据交换纳入全州HIE系统将是可持续发展的最终计划。 公共卫生相关性：这项研究将把癌症登记数据与癌症患者的医疗电子记录联系起来。一项试点研究将使用增强的数据比较治疗结果。扩展的数据将对癌症治疗的比较有效性研究具有无价的价值。从这项研究中获得的知识将有助于佛罗里达州实施全州范围的HIE系统，并有助于其他州的癌症登记机构建立数据联系。

DESCRIPTION (provided by applicant): The Florida Department of Health (DOH), Bureau of Epidemiology's proposes Linking Florida Cancer Registry Data with Hospital Electronic Medical Records. Specifically, DOH will collaborate with the Florida Agency for Health Care Administration (AHCA), two hospital systems (Broward Health and Baycare Health), and the Florida Agriculture and Mechanical University (FAMU) and the University of Miami (UM) to enhance data capture to increase the scope of research to reduce the morbidity and mortality due to cancer and other co-morbidities. The Florida Cancer Data System (FCDS), statewide cancer registry, collects patient demographics, tumor diagnostics, and the initial course of treatment from hospitals and outpatient facilities as mandated by state laws. The FCDS and two hospital systems will use the AHCA planned clinical messaging service of Health Information Exchange (HIE) system as the vehicle to exchange cancer patient's clinical and laboratory data. Each participating organization (FCDS and hospital systems) will develop an interface between its own data system connection with the HIE. In addition, hospital systems will develop computer programs to identify eligible patients who are either diagnosed with cancer or treated for cancer, and to process coded and noncoded (texts and images) medical records. FCDS will develop software to link the incoming medical record data with current cancer reports using probabilistic matching algorithms. The linked data will be documented. Protection of patient's confidentiality will be enforced throughout the project. Researchers will conduct a pilot study on breast cancer patients using the enhanced data with detailed information on co-morbidity and treatment. A plan will be developed for disseminating data to other researchers. The experience and lessons learned from this project will assist AHCA with implementing its statewide HIE system. On the other hand, incorporating the data exchange between FCDS and the hospitals systems in the statewide HIE system will be an ultimate plan of sustainability. PUBLIC HEALTH RELEVANCE: This study will link cancer registry data with medical electronic records for cancer patients. A pilot study will compare treatment outcomes using enhanced data. The expanded data will be invaluable to comparative effectiveness research on cancer treatments. The knowledge obtained from this study will assist Florida to implement statewide HIE system and useful other state cancer registries for their data linkage.