In 2009, the National Cancer Institute (NCI) Center for Biomedical Informatics and Information Technology (CBIIT), the American Society of Clinical Oncology (ASCO), and the National Community Cancer Centers Program (NCCCP) produced the Clinical Oncology Requirements for the EHR (CORE) document. The goal of CORE is to identify EHR solutions that match the specific needs of practicing oncologists.

Clinical oncology involves many complex care processes, such as chemotherapy administration, that are unique in medicine. Currently, no existing EHR system can provide the kind of detailed, consensus driven reference that oncologists require. Consequently, many oncologists are reluctant to commit to an HER system without the reassurance that a minimum standard has been met. CORE helps to define the EHR needs of oncologists.

Three CORE Work Groups

The CORE project provides a clear understanding of the EHR functions needed to support oncologists in clinical practice, paving the way for adoption of oncology-specific products. The project consisted of three work groups:

  • Functional Requirements Work Group: Described the required oncology specific EHR functions
  • Data Elements Work Group: Provided the structured data elements needed for oncology EHRs
  • Interoperability and Security Standards Work Group: Provided a common set of interoperability and security standards that will allow oncology-specific data to be shared between EHRs

These groups met regularly to come to consensus on the detailed functionality, data elements, and interoperability standards for an oncology-specific EHR.

The CORE document has been used by the NCI to form their reference implementation for an open source EHR. In addition, the Oncology Nursing Society has used the CORE paper in their work.

List of CORE Work Group Volunteers

The American Society of Clinical Oncology extends its sincere gratitude to the many volunteers who spent hundreds of hours working on the CORE project

Data Elements Work Group 

  • Edward P. Ambinder, MD – Clinical Professor of Medicine, Mount Sinai School of Medicine; practicing oncologist
  • Dianne Reeves, RN, BSN – Associate Director for Biomedical Data Standards, NCI Center for Biomedical Informatics and Information Technology
  • Amar Das, MD – Physician and Associate Professor of Bioinformatics, Stanford University
  • Wei-Nchih Lee, MD – Internist; Stanford PhD student in Biomedical Informatics

Functional Requirements Work Group 

  • Peter Yu, MD – ASCO HIT Work Group Chair; ASCO Board of Directors member; Director of Oncology Research and practicing oncologist at the Palo Alto Medical Foundation
  • Brenda Duggan, RN, BSN – National Community Cancer Center Program Information Technology Program Manager, NCI Center for Biomedical Informatics and Information Technology
  • Amar Das, MD, PhD – Physician; Assistant Professor of Medicine (Medical Informatics), Stanford University
  • Herb Kaizer, MD – Oncologist; collaborating domain expert
  • Mia Levy, MD – Assistant Professor, Biomedical Informatics and Medicine, Cancer Clinical Informatics Officer, Vanderbilt University
  • Nancy Sklarin, MD – Oncologist and Director of Chemotherapy Practice, Memorial Sloan-Kettering Cancer Center
  • Mary Parker – NCCCP Lead/Coordinator, Ascension Health - National
  • Saundra Sheets – NCCCP IT Contact, Ascension Health - St. Vincent’s
  • Andrea Gaudiosa – Director, IT Operations, Columbia St. Mary’s
  • Valerie Griffin – ASIS Architect, Seton
  • Sarah Osen – NCCCP Coordinator, Billings Clinic Cancer Center
  • Deb Hood – NCCCP Project Director, Catholic Health Initiatives (CHI)
  • Debbi Honey – VP Clinical Operations, CHI National
  • Lance Groves – Data Manager, CHI - St Joseph/Towson Hospital
  • Jeanne Barnes – Director, Information Technology, CHI - Good Samaritan Hospital
  • Mary Kielma – Director, Pathology Laboratory, CHI-Penrose Hospital
  • Rajiv Haravu – NCCCP IT Coordinator, Helen F. Graham Cancer Center at Christiana Care
  • Pat Montanaro – Director, EHR Information Services, Helen and Harry Gray Cancer Center
  • Maegan Dunn – NCCCP IT Coordinator, Our Lady of the Lake Cancer Center
  • Erdal Sipahi – Director, Mission Information Technology, Mary Bird Perkins Cancer Center
  • Holly Johnson, PMP – NCCCP IT Coordinator; Sanford Research IT Project Manager, Sanford USD Medical Center
  • Lucy Gansaur – NCCCP Services Director, Gibbs Cancer Center
  • Beverly Albury – Manager, Information Technology, Lewis Cancer & Research Pavilion at St. Joseph's-Candler
  • Nancy Johnson – Executive Director, Nancy N. and J.C. Lewis Cancer & Research Pavilion at St. Joseph's-Candler
  • Nancy Harris – Administrator Cancer Services, St. Joseph Hospital of Orange
  • Joshua Mann – NCCCP IT Specialist, The Center for Cancer Prevention and Treatment 

Interoperability Specifications Work Group 

  • Kevin Coonan, MD – Clinical Research Informatics and Knowledge Management, Dana-Farber Cancer Center
  • George Komatsoulis, PhD – Director, Quality Assurance and Compliance at the National Cancer Institute Center for Biomedical Informatics and Information Technology
  • Mia Levy, MD, PhD – Assistant Professor, Biomedical Informatics and Medicine, Cancer Clinical Informatics Officer, Vanderbilt University
  • Philip Strong, MD – Palo Alto Medical Foundation