Potential interoperability problems facing multi-site radiation oncology centers in The Netherlands

17th International Conference on the Use of Computers in Radiation Therapy

物理学;计算机科学

Scheurleer, J.^1 ; Koken, Ph^2 ; Wessel, R.^2

Inholland University of Applied Sciences, Bijdorplaan 15, 2015 CE Haarlem, Netherlands^1

Department of Radiation Oncology, VU University Medical Center (VUmc), Amsterdam, Netherlands^2

关键词: In-depth interviews;    Integrating the healthcare enterprise;    Problems and Solutions;    Questionnaire surveys;    Radiation oncology;    Semantic levels;    Treatment planning;    Verification systems;   

Others  :  https://iopscience.iop.org/article/10.1088/1742-6596/489/1/012080/pdf
DOI  :  10.1088/1742-6596/489/1/012080

学科分类：计算机科学（综合）

来源: IOP

【 摘 要 】

Aim: To identify potential interoperability problems facing multi-site Radiation Oncology (RO) departments in the Netherlands and solutions for unambiguous multi-system workflows. Specific challenges confronting the RO department of VUmc (RO-VUmc), which is soon to open a satellite department, were characterized. Methods: A nationwide questionnaire survey was conducted to identify possible interoperability problems and solutions. Further detailed information was obtained by in-depth interviews at 3 Dutch RO institutes that already operate in more than one site. Results: The survey had a 100% response rate (n=21). Altogether 95 interoperability problems were described. Most reported problems were on a strategic and semantic level. The majority were DICOM(-RT) and HL7 related (n=65), primarily between treatment planning and verification systems or between departmental and hospital systems. Seven were identified as being relevant for RO-VUmc. Departments have overcome interoperability problems with their own, or with tailor-made vendor solutions. There was little knowledge about or utilization of solutions developed by Integrating the Healthcare Enterprise Radiation Oncology (IHE-RO). Conclusions: Although interoperability problems are still common, solutions have been identified. Awareness of IHE-RO needs to be raised. No major new interoperability problems are predicted as RO-VUmc develops into a multi-site department.