Abstract
The definition of common system semantics is an explicit and generally accepted
precondition for comparability and exchangeability of data from different systems.
We have looked back on 15 years of experience with a data model that was developed
in a co-operative effort by experts from various hospital cancer registries as the
foundation of a new tumour documentation system (GTDS). The data model is based on
the definition of a common basic data set for hospital cancer registries which is
agreed by the German Association of Comprehensive Cancer Centres (ADT). This paper
presents an "entity relationship" view of this model. Since data exchange among
registries and with hospital or practice information systems is becoming
increasingly important we describe our method to import data from such systems. We
discuss the requirements that systems have to have for a most effective way of
exchanging data with a hospital cancer registry. The most important feature is the
possibility to associate disease phenomena and therapies with each other and with
an entity that represents the tumour across encounters. The reference model we
present respectively the requirements we propose for other communicating systems
might also fit for other chronic diseases.