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Table 3 Process steps in electronic documentation suitable for a unified documentation in diagnostics

From: Analysis and classification of oncology activities on the way to workflow based single source documentation in clinical information systems

Process steps in documentation suitable for a unified documentation in diagnostics

Urology

Surgery

Gynecology

Pulmonology/gastroenterology/thoracic surgery

Radiotherapy

Hematology/oncology

History

S/F

P

P

P/S

P

P

Examination

S/F

P

P

P/S

P

P

Biopsy

M/S/P

M

P

M/S

-

S

x-raying

W/F

W

W

W

W/P

W

Ultrasound

S/P/F

Plaza

V

V

-

-

CT

W/F

W

W

W

P

W

MRT

W

W

W

W

P

W

FDG-PET/SPECT

W

W

W

W

-

W

Laboratory examination

L

L

L

L

L

L

  1. S clinical information system, P paper based documentation
  2. L laboratory information system, W web-based radiology application
  3. V application for storing ultrasound pictures
  4. M program for surgery reports
  5. F own clinical information system of the Waldkrankenhaus St.Marien Erlangen
  6. “-” = not used, Plaza part of our radiology information system