COE
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Projects

Breast Cancer Trials.org - BCT is a patient-centric clinical trials web-based matching system. The system was developed in collaboration with the National Cancer Institute's Center for Bioinformatics. The system has been piloted in Northern California and a nationwide implementation is underway. More information .

Integrated Survey System - Based on extensive input from Dartmouth and UCSF collaborators, DCS customized intake systems that will be adopted at Dartmouth and at our Breast Care Center, respectively, later this year. Patients will be asked to enter their demographic and medical history data into the desktop intake application when they arrive at the clinic. A summary report will be printed out and added to each patient's chart. The resulting electronic patient records will be used as tools to follow-up with patients and deliver needed follow-up care. The project is funded through an NIH Small Business Innovative Research (SBIR) grant awarded to Dynamic Clinical Systems of New Hampshire. Click on the following links to see: Survey Question; Sample Report.

Survivorship - We are piloting a comprehensive cancer survivorship program, supported by interactive web-based periodic reporting of patients’ physical and psychological symptoms related to breast cancer, which will enable us to focus on complications of treatment and adjustment to life after cancer rather than just detection of recurrence, which is an infrequent event in lower risk patients. Using the ISS software for patient self-reporting of physical and psychological symptoms, and creating summary reports, we will test whether nurse practitioners can monitor survivors remotely. We will use red flags to identify patients with depression, new family history, weight gain, smoking, etc for which we have interventions. If the program is shown to be of value to patients and providers, we will disseminate it to our eCareNet partners.

The Communication and Care Plan (CCP) - The CCP is an innovative approach to collecting critial data at the point of care by using visualization tools that integrate calendaring and care planning. The prototype tool has been developed as part of "Project Health Designs" jointly sponsored by the Robert Wood Johnson Foundation and California Health Care Foundation. Click on the following links to see: Event Calendar; Care Planning.

I-SPY Trial - A collaborative research project with the NCI to develop software tools to integrate imaging, biomarkers, and clinical data for evaluation and prediction of response to therapy in breast cancer. The primary goal of the I-SPY trial is "to identify surrogate markers of response to neoadjuvant chemotherapy that are predictive of pathologic remissions and survival in State III breast cancer."

TrialCode - A software application developed by the BCT team to capture complex eligibility rules by linking data elements with Boolean operators. The system renders the rules in a structured format usable by the NCI's caMATCH clinical trials matching system, which greatly facilitates authoring of structure eligibility criteria for the BCT matching system.

UCSF-EDRN - A system designed and developed by the Center of Excellence informatics team to allow management of clinical trial based experimental laboratory specimens and specialized testing on these samples. The goal of EDRN is to accelerate the translation of biomarker information into clinical applications. More information on EDRN.

eCareNet - A system being developed for data collection, care management, synthesis, analysis, and feedback for cancer patients and their oncologists. The system will integrate several existing systems within the COE such as the communication care plan, decision aids, structured patient surveys, and healthcare calendaring.

Intellectual Property (IP) Commons - The center has devised a creative commons to foster technology transfer without barriers. The goal of the IP commons is to disseminate technology and manage the intellectual property generated by the center. A guiding principle is to make the technology open and available to a wide audience, thus minimizing barriers to adoption.


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