Wie können elektronische Akten die Versorgung onkologischer Patienten über Sektorengrenzen hinweg unterstützen?

BACKGROUND: Oncology patients require an interdisciplinary approach to diagnosis and treatment. Therefore, communication structures should be established in order to prevent information gaps between medical partners, particularly in case of larger geographical distances. OBJECTIVE: The article describes different kinds of electronic record systems and emphasizes the differences between electronic case records, managed by medical doctors, and electronic health records (EHR), which will be introduced on January 1, 2021. Some useful applications and experiences in the use of intersectoral health records are presented MATERIALS AND METHODS: Communication via EHR must follow current guidelines and approved concepts. As application scenarios in oncologic care or advisory services for COVID-19 patients requiring intensive care or nephrology patients, some experiences of the EHR provider RZV are presented. Finally, a forecast for the period beginning January 1, 2021, describes the linkage of electronic case records with the EHR. RESULTS AND DISCUSSION: The electronic case record has proven its usefulness in several intersectoral settings. In addition to direct integration into primary systems, it enables an entirely digital communication processes. Additional services, e.g., provision of image data or online forms, can increase the acceptance of electronic case records. In the future, it will be important to link electronic case records directly with the EHR, to avoid placing an increased burden on physicians during communication with other service providers and patients.