6th European Conference - Academic Conferences

Shada Alsalamah et al.
control over shared patient medical information in the future. This would be hard to achieve without
the identification of the IS issues and emerging needs in this dynamic environment through the study
of a real-life scenario.
6. Conclusion
There is a shift today towards collaboration among different healthcare organisations for a common
goal of better patient treatment through moving to a patient centric control. In achieving this, an IS is
essential to the effectiveness, dynamism, and potential of collaborative working if the full potential is
to be realised. The provision of an SCE for multiple organisations has proved to be a challenge. This
paper presents the results of a study into the inter-professional communication needs of a secure
cross organisation’s information-sharing system in the healthcare domain. The findings in this paper
provide the initial results from the first stage of the project and they will be used to inform further
investigation in the ensuing stages to identify the key IS issues affecting inter-professional
communication, as well as the IS needs in this environment which facilitate the sharing of information
throughout the distributed domain.
7. Appendix A
The following table contains redundancy due to the information type appearing in more than one
record type. This is indicated by [-] with numbers inside were the number refers to the other HIS
record type containing this information. This redundancy has two causes, either the information is
copied from another record to this system in which case the original should be the accurate
information, or it can be due to separate readings being taken and the results being stored in these
different systems. All records hold administrative/demographic data for each patient and Table 1 only
lists non-administrative information.
Table 1: HISs used in treating patients with breast cancer in Wales, UK
HIS Health Record Type Information Stored
1. GP-System GP-records Clinical presentation report
Clinical assessment report
Clinical history report-[2]
Physical examination report-[2]
Filled referral form (include patient details, referring doctor
details, medical context, and referral information)-[2]
Information about referred patients’ diagnosis (by the end of
Triple Assessment path way)-[2]
MDT recommendations and treatment plans-[2,6,7]
Given treatment plan-[2]
Given medication-[2]
Follow-up plan-[2]
2. Secondary-
Care-System
Follow-up visits report-[2]
Secondary-care-records Referral form-[1]
Clinical history report-[1]
Clinical examination code-[1]
Tests requests (e.g. blood, ultrasound, X-ray test)-[3,4]
Blood test results report-[3]
X-ray and Ultrasound results report-[4]
Pathologists reports-[5]
Radiologists and oncologists results reports-[6]
Surgeons reports-[7]
General patient case notes including: (BC diagnostic, staging,
pathology information, histology reports, and tests’ result
reports)-[1,3,4,5,6,7]
General information addressing the patient’s specific situation
(in leaflets, audio or video CDs format)
MDT recommendations and treatment plans-[1,6,7]
Given treatment plan
Follow-up plan
Follow-up visits report
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