A total of 73 workflows for the 13 entities based on 82 paper documentation forms additionally to computer based documentation systems were compiled in a 724 page document comprising 130 figures, 94 tables and 23 tumour classifications as well as 12 follow-up tables.
In particular, many interface terminologies have been developed for structured computer based documentation systems.
Simple: We do research, we count, we do accounting, baseline data, evidence based documentation.
There is currently no possibility to reuse captured routine data in electronic study documentation systems and therefore the advantages of HIS based documentation are limited.
Registry based documentation systems such as GTDS or other center focused cancer documentation systems rarely support guidelines or workflows and demand extra documentation activities outside the regular hospital CIS for cancer cases, which limits their usability [ 16, 31, 52, 53].
The completeness of the electronic forms in the HIS (retrospective and current documentation) was only 60.2% so we assume that there are still patients with missing or paper based documentation.
Within these interviews the typical paper based documentation forms were collected for later analysis: at our departments still 82 paper forms additional to the computer-based documentation systems (4).
Though textbooks refer to the long history of safe use and no known negative reports regarding the use of cranberry during pregnancy, it is also stated that there is a need for evidence based documentation [ 29- 31].
The measured data quality, especially the completeness of documented items per form, was high but most of information was transferred from retrospective data collections (paper based documentation and spreadsheets).
Only 40% of respondents indicated that they always had information available at the point-of-care, the majority of whom came from a facility using paper based documentation systems, suggesting that if electronic information systems are to be implemented, they need to be designed so that they are readily accessible at the point-of-care for information retrieval.
