FIG 5.

Process flow for eSyM. Automated (Epic-based) functionality occupies the center swim lane, with adjacent swim lanes indicating tasks accomplished by the patients, the program nurses who provide supportive care, the MD, NP, and PA staff who oversee care, and the programmatic staff who support the eSyM program. Medical oncology patients are considered active on eSyM until their chemotherapy treatment plan is discontinued or 180 days later, whichever comes first. Surgery patients are considered active on eSyM for 60 days. eSyM assignments can be manually removed at any time by study staff. Red dashed lines indicate processes that may be site specified (ie, may only be used on some sites). DAR, department appointment report; eSyM, electronic symptom management; MD, medical doctor; NP, nurse practitioner; PA, physician assistant; RN, registered nurse; RWB, reporting workbench.