Development of Standardized Electronic Treatment Plan Builds for NCI-Supported Clinical Trials at the University of Iowa Holden Comprehensive Cancer Center

摘要： 该项目的总体目标没有改变。霍尔顿综合癌症中心（HCCC） 与十大电子健康记录联盟（BT-EHRC）合作，加强电子健康 通过标准化流程记录（EHR）调查研究计划， EHR治疗计划模块，为试点系列试验构建此类模块，并确定其有效性 这些模块将被广泛应用。最初的全面申请的具体目标包括： 目标1.回顾性分析EHR治疗计划设计的异同， 在BT-EHRC的成员机构中实施。 目标2.开发新的工具包，促进国家临床试验网络的优化激活 （NCTN）的临床试验，促进和加快EHR实施的治疗计划。 目标3。为了前瞻性地验证这些EHR治疗计划在BT-EHRC中的实施， 其他机构。 过去一年的大部分进展都集中在目标1上。综合试点评价内容，构建 格式和机构的工作流程进行了两个NCTN协议，内置于各种 机构EHR。这表明部分但不完全基于EHR的机构之间存在很大差异 使用供应商（Cerner、Epic或其他）。根据这一经验，工作组设立了两个小组委员会， 侧重于协议的分析和将内容电子传输到EHR的技术方面， 这两个问题都是试验阶段的问题。 在本补编的第二年，人道主义协调委员会将重点合作，建立一个框架， 标准化的治疗计划可以在不同的站点之间共享，以便实施和验证新的 框架.

Abstract: The overall goal of this project is unchanged. It is for the Holden Comprehensive Cancer Center (HCCC) to collaborate with the Big Ten Electronic Health Record Consortium (BT-EHRC) to enhance Electronic Health Record (EHR) investigational research plans by standardizing processes, developing a master assessment of EHR treatment plan modules, building such modules for a pilot series of trials, and determining how effective such modules will be as applied broadly. The specific aims of the original overall application included: Aim 1. To retrospectively analyze similarities and differences of EHR treatment plans design and implementations across the member institutions in the BT-EHRC. Aim 2. To develop novel tool kits that promote optimized activation of National Clinical Trials Network (NCTN) clinical trials by facilitating and expediting EHR implementation of treatment plans. Aim 3. To prospectively validate these EHR treatment plan implementations across BT-EHRC and other institutions. Most progress over the past year has focused on Aim 1. A comprehensive pilot evaluation of content, build format and institutional workflows was performed on two NCTN protocols that were built into various institutional EHRs. This revealed high variability between institutions based partially, but not fully on the EHR vendor (Cerner, Epic or other) used. Based on this experience, the group developed two subcommittees to focus on analysis of the protocols and on technical aspects of electronically transmitting content into EHRs, both of which were issues during the pilot phase. For the second year of this supplement, HCCC will focus on collaborating to construct a framework in which standardized treatment plans can be shared across different sites for implementation and validating the new framework.