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  • Radiotherapy
  • Initial presentation
  • Discharge
  • Readmission
  • Sites of Patient Care
  • Referral
  • Diagnostic testing Diagnosis
  • Diagnostic testing Diagnosis
  • Remission
  • An Essex GP Practice
  • Breast Unit of Colchester Hospital, North Essex
  • Cancer Services at Broomfield Hospital, Mid Essex
  • Order of tests
  • Discharge
  • Tertiary Referral
  • Check-up
  • Surgery
  • A 62 year old female with suspected breast cancer
  • 18 month timeline
  • Patient Demographics Appointment Record Prescriptions Discharge Summaries Vaccinations Family History Secondary care episodes
  • GP: Interaction with EHR
  • GP makes urgent referral to breast Unit of acute trust Referral contains: Patient demographics Reason for referral
  • Patient demographics Suspected cancer type Reason for referral
  • Breast Unit: Interaction with EHR
  • Diagnostic tests/dates/results  MDT meetings make recommendations for treatment Tertiary referral sent to Broomfield Hospital for Primary Treatment
  • Tertiary Referral Reason Patient Demographics Dates and details of referrals /diagnostics /appointments
  • Cancer services at Broomfield Hospital: Interaction with EHR
  • Date Time of surgery; Type of Surgery; Operating consultant Discharge Summary when surgery complete
  • A shared EHR
  • Parts of EHR can be shared across the system All organisations involved in the care of a patient have access to details Treating organisations have access to diagnostic results, diagnosis made, MDT comments Discharge summaries can be sent with ease, without the use of paper All details sent with referrals. No patient referrals with no details attached If remission occurs, all details of patient previous diagnosis and treatment made available
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