Table 1.

EHR functions

Practice Management
Automated charge entry from EHR Benchmark practices: quality and cost-effectiveness Clinical EHR and financial system integration Coding: ICD-9, CPT, J-codes Communication management: E-mail,Telephone/Fax Contacts management Cost-effectiveness analyses Differential diagnostic software integration Disease surveillance Disease/symptom-based templates and automated pick lists Document quality measures in office Documentation office visits (CMS E/M guidelines) Electronic billing & insurance Electronic claims Electronic consults Financial analysis of practice Guideline, disease management and algorithm integration Health services research Hospital admission and discharge management Image filing Insurance eligibility verifications	Lab orders, online Outcomes measurement Patient co-payments Patient demographics Patient education/handouts/Internet sites Patient satisfaction measurement Patterns of care Practice population analysis Practice Web portal Provider forms completion Provider Information Quality Assurance Quality of life measurement Referral ordering/tracking Results reporting Scheduling chemotherapy administration Scrubbed clinical and demographic data capabilities Security (audits, pw, user access hierarchy) Software interfaces with practice management, lab,imaging, hospital, payer and pharmacy systems Statistics package Timeliness of care measurement
Clinical Management
Cancer diagnosis Chemotherapy history Chief complaints Clinical guidelines Clinical pathways Clinically structured messages, customized Demographic information Document clinical rationale and service lines provided E-Mail with patients End of life tools: Health care proxies, living wills, power of attorney Flow charts Follow up Functional status Health maintenance History present illness Immunizations Immunotherapy history Internet library and searching services Medical calculators Nomograms Online textbooks and compendia integration Operative reports	Past medical history Pathology: H & E, IHC, chromosomal abnormalities, gene expression, proteomics Patient handouts Personal Health Record Personal history Physical examination Problem lists active/inactive Progress notes Radiation oncology history Recurrence Reminders and alerts Response and survival parameters Review of Systems Staging tools: TNM Surgical history Survival analyses Symptom management: physical, psychological, spiritual and social Template-based tools for Encounters and Visits (macros and expanded text) Treatment plans and instruction Toxicity and adverse reactions management (Common Toxicity Criteria) Tumor measurements Vital signs
System Management
Application Specific Program (ASP) aware Appointment scheduler Audio/Video capture Audit trail log Back up: local and remote Cellular connectivity Clinical trials and basic science research tools (CaBIG) aware Controlled clinical vocabulary: SNOMED-CT, UMLS, CaBIG(NCI) Data formats interchangeable: free text, database or flow chart Data mining tools Data warehouse Decision support: drug interactions, allergies, and ddx Dial-In Access Dictation aware Document management/scanning E/M Code and CPT Code analysis and documentation Electronic Data Repository E-mail aware Episodes of care tracking Expandability (Scalability) Fax handling Flow chart (electronic) Granularity (user hierarchy) Graphic, photos and sketch handling Handwriting recognition HIPAA compliant	HL7 interoperability standards compliant Hospital information system integration Imaging interfaces, commercial Immunization maintenance Internet connectivity Lab interfaces, commercial Multiple cancer diagnoses per patient Multiple views of data: freetext, database, flowsheet Office notes and forms, customizable Operating system neutrality PDA connectivity Personal Health Records for patients Personalized view of data: by user Physician order entry Populate compatible practice management system (mapping, import and export tools) Populate external database repositories: SEER, NCDB, Tumor Registries Referral management Remote log-on Report filer (Labs/Imaging/Procedures/Progress notes/ER visits, Discharge summaries) Report generator (customizable) Track e-mail & phone messages Transcription handling User demographics Utilization management Voice recognition Wireless connectivity
Chemotherapy/Drug Management
Allergy checking Alternative medications Chemotherapy balance sheet analyses Chemotherapy coding and reimbursement management Chemotherapy dosage calculator Chemotherapy inventory management Chemotherapy lifetime dose Chemotherapy order sets Chemotherapy regimens management Contraindication checking	Decision support: drug interactions, allergies, and ddx Drug-Drug interaction checking Electronic pharmacy system interface E-prescription and refill maintenance Flow Charts J codes compliant Medication lists, current and historical Pain management tools Payer formulary management