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Related Experiment Videos

OCIS: 15 years' experience with patient-centered computing

J P Enterline1, R E Lenhard, B I Blum

  • 1Oncology Center, Johns Hopkins School of Medicine, Baltimore, MD 21287.

M.D. Computing : Computers in Medical Practice
|March 1, 1994
PubMed
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Johns Hopkins developed the Oncology Clinical Information System (OCIS) to manage complex cancer patient data across the care continuum. This system integrates patient information, administrative services, and research for improved clinical decision support.

Area of Science:

  • Oncology
  • Medical Informatics
  • Health Information Systems

Background:

  • Cancer patient care generates vast, complex data over long treatment periods.
  • Existing systems often organized data by specific events, not the continuous care pathway.
  • A need existed for a unified system to manage comprehensive oncology patient information.

Purpose of the Study:

  • To develop a computer-based clinical decision-support system for oncology patients.
  • To organize patient data along the care continuum, not just event-specific data.
  • To integrate administrative, research, and clinical functions into a single system.

Main Methods:

  • Recognized the need for a patient-oriented database in the mid-1970s.
  • Developed the Oncology Clinical Information System (OCIS) with a structured approach.

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  • Integrated administrative services, research systems, ancillary functions, and financial processes.
  • Migrated the system to a modern network environment with client-server capabilities.

    • Main Results:

    • Created a system organizing patient information across the care continuum.
    • Successfully integrated diverse functions including ordering and financial processes.
    • The system evolved through modular additions based on identified needs.
    • The OCIS was updated to a modern network environment.

    Conclusions:

    • A comprehensive, integrated information system is crucial for managing complex cancer patient care.
    • Organizing data along the care continuum enhances clinical decision support.
    • The Oncology Clinical Information System (OCIS) demonstrated the value of integrated health informatics in oncology.