TABLE I.

Regional systems that supported patient care in the ambulatory oncology setting

Site	Systems in use	Key issues
A	Electronic system for radiation treatment planning and operation of radiotherapy equipment	System features not used to full capacity
	Practice administration	Out of date, no longer supported by supplier
	Clinic functions	Paper charts in clinics
	Chemotherapy system	Computerized prescriber order entry (cpoe) as a separate system
	Integration with hospital information system (his)	Nonexistent
B	Practice administration	Electronic medical record (emr) used was several versions out of date; not supported by supplier or hospital information technology department
	Clinic functions	Paper charts supporting operations and many paper-based embedded functions
	Chemotherapy system	Electronic cpoe (same system as practice administration)
	Integration With Hospital his	None; registration of admission, discharge, and transfer (a/d/t) in his was a separate function from the oncology information system (ois)
C	Practice administration	Used site A’s system; used his scheduling system
	Clinic functions	Paper charts in clinics
	Chemotherapy system	Used site A’s electronic cpoe as a separate system
	Integration with his	None; registration of a/d/t in his was a separate function from ois; used his for scheduling
D	Practice administration	Used site A’s system; used his scheduling system
	Clinic functions	Paper charts in clinics
	Chemotherapy system	Used site A’s electronic cpoe as a separate system
	Integration with his	Registration of a/d/t in his was a separate function from ois; used his for scheduling