The Caisis Project: integrating patient care, research systems and workflows
Vora, Kinjal and Fearn, Paul (2007) The Caisis Project: integrating patient care, research systems and workflows. In: IAMI 2007, 16-17 Nov 2007, Kochi, India.
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We have developed a scalable, open source, web-based system to integrate research data collection with clinical practice workflows. To promote innovation and foster inter-institutional and international collaboration, we freely distribute the system from a public website (http://caisis.org) and we have helped other sites through the process of evaluating, setting up and adopting it. Caisis was designed around structured chronological patient histories which can be displayed to clinicians and processed by computer algorithms. Algorithms process data to generate predictive models for recurrence of disease. Over 300 research datasets have been generated for publication using this system. Caisis is built using the Microsoft SQL Server and C#/ASP.NET platform. It has been adopted by 15 sites in 4 countries with over 400 users and is currently used to manage data for over 165,000 patients with prostate, bladder, kidney, testis, breast, pancreas, gastric, thyroid and colorectal cancers. In 2006 we implemented web-based clinic and surgery forms which are used to display and collect data for patient care, enter data for research and generate billing compliant medical documentation, replacing dictation. This provides virtual and real time access to clinical data without having to rely on paper medical charts restricted to a physical location. Our operational goals are to increase clinical and research productivity and efficiency, to improve data quality and completeness and become paperless by 2010. The project is supported by National Cancer Institute grant R01-CA119947 for improvements to extensibility, scalability, portability, ease of use and compatibility with the caBIGTM standard for application interoperability.
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