Appendix A

Statement of Task

A planning committee of the National Academies of Sciences, Engineering, and Medicine will plan and host a 1.5-day public workshop that will examine opportunities to improve patient care and outcomes through collaborations to enhance innovation in the development, implementation, and use of electronic health records (EHRs) in oncology care, research, and surveillance. The workshop will feature invited presentations and panel discussions on topics that may include:

• Challenges and opportunities to optimize the functionality and usability of EHRs in oncology care, such as efforts to standardize essential data, data presentation, and decision support, as well as the need to address governance structures and processes to prioritize and implement these improvements.
• Standardization of oncology EHR documentation to facilitate care and communication among clinicians and patients.
• Capture of data on social determinants of health.
• Opportunities to collect and integrate patient reported outcomes measures into EHRs and produce real-time or more timely data to guide cancer care and facilitate cancer research and surveillance.
• Ongoing initiatives to enhance EHR structure, data standardization, and interoperability with the goal of improving care and real-world clinical data collection for research, surveillance, and improvement of care quality. This may include essential data to be collected, and methods for doing so, as well as integration of genomics data.

• Use of computing technologies such as artificial intelligence to enhance EHRs and facilitate the use of EHRs to improve clinical care and enhance oncology research.
• Opportunities to better align incentives to ensure that EHRs offered by vendors meet the needs of the various users in oncology (e.g., patients, clinicians, payers, researchers).
• Past and ongoing examples of collaborations to conceptualize and implement innovations in EHRs for cancer care, research, and surveillance.
• Policies to foster redesign of EHRs to serve as a functional component of surveillance systems to advance oncology care.

The planning committee will develop the agenda for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. A proceedings of the presentations and discussions at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.