{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:24:34Z","timestamp":1768004674514,"version":"3.49.0"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006058","name":"St. Baldrick's Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background\/Purpose<\/jats:title><jats:p>A customized Electronic Health Record (EHR)\u2010embedded database for a childhood cancer survivorship program has the potential to capture detailed patient, treatment, and late effects information to facilitate both clinical and research applications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Epic EHR SmartForm fields were utilized to create and incorporate data points identified by stakeholders at a single institution. Along with demographic and clinical variables already captured through the EHR, additional data fields include cancer diagnosis, cancer stage\/risk group, treatment information, and organ system\u2010based late effects. Patients with central nervous system (CNS) malignancies were not included due to institutional follow\u2010up structure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinical applications of the clinical database include: (1) promoting timely follow\u2010up care, (2) identifying patients eligible for multi\u2010disciplinary comprehensive visits (e.g., Cardio\u2010Oncology Clinic), (3) facilitating the transition to adult providers, and (4) building auto\u2010populated cancer treatment summaries available to patients via the patient\u2010facing portal (MyChart) and other providers (CareEverywhere). Research applications include: (1) identifying and screening patients for consortium and investigator\u2010initiated studies and (2) providing resources for retrospective research studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An Epic EHR\u2010embedded database is both a feasible and effective repository of clinical information that can be used for survivorship care management, personalized cancer treatment summaries, and a robust resource for research.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.31882","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T12:54:25Z","timestamp":1752065665000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Development of a Dynamic Electronic Health Records Database for Childhood Cancer Survivors at a Single Institution: 30 Years of Data for Clinical and Research Applications"],"prefix":"10.1002","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0158-5488","authenticated-orcid":false,"given":"Ksenya","family":"Shliakhtsitsava","sequence":"first","affiliation":[{"name":"Department of Pediatric Hematology &amp; Oncology Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Eary","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Hughes","sequence":"additional","affiliation":[{"name":"Peter O'Donnell Jr. School of Public Health University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0884-6513","authenticated-orcid":false,"given":"Andrea C.","family":"Betts","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences University of Texas Health Science Center at Houston  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy","family":"Cochran","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hematology &amp; Oncology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra","family":"Eshelman\u2010Kent","sequence":"additional","affiliation":[{"name":"Long School of Medicine Department of Pediatrics Director Cancer Survivorship Mays Cancer Center UT Health San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Harold C. Simmons Comprehensive Cancer Center University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terri","family":"McCaskill","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children's Health  Dallas Texas USA"},{"name":"Center For Cancer and Blood Disorders Children's Health  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassie","family":"Packard","sequence":"additional","affiliation":[{"name":"Department of Healthcare Informatics Children's Health  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3947-2481","authenticated-orcid":false,"given":"Daniel C.","family":"Bowers","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hematology &amp; Oncology Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Childhood Cancer and Functional Impacts across the Care Continuum","author":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee on Childhood Cancers and Disability","year":"2020"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrc3634"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.12.1583"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncimonographs\/lgi020"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2016\u20103723"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006\u20100020"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.21.1920"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.76.3920"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055\u20109965.EPI\u201014\u20101418"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2014.57.7528"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41409\u2010021\u201001509\u20101"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000495698"},{"key":"e_1_2_8_14_1","unstructured":"Institute of Medicine and National Research Council.From Cancer Patient to Cancer Survivor: Lost in Transition(National Academies Press 2006)."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/jop.2015.006841"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.29014"},{"key":"e_1_2_8_17_1","unstructured":"\u201cNational Standards for Cancer Survivorship Care \u201dNational Cancer Institute accessed May 29 2025 https:\/\/cancercontrol.cancer.gov\/ocs\/special\u2010focus\u2010areas\/national\u2010standards\u2010cancer\u2010survivorship\u2010care."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010011\u20100192\u20108"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010021\u201001157\u2010w"},{"key":"e_1_2_8_20_1","unstructured":"\u201cLong\u2010Term Follow\u2010Up Guidelines for Survivors of Childhood Adolescent and Young Adult Cancers \u201dChildren's Oncology Group accessed May 29 2025 www.survivorshipguidelines.org."},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2020.39.28_suppl.337"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40959\u2010024\u201000211\u20107"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2020-141497"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2018.77.7482"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28884"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010011\u20100199\u20101"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0452"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010018\u20100688\u20106"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010019\u201000740\u20106"},{"key":"e_1_2_8_30_1","unstructured":"\u201cSEER Registries \u201dNCI accessed May 29 2025 https:\/\/seer.cancer.gov\/registries\/."},{"key":"e_1_2_8_31_1","unstructured":"\u201cNational Program of Cancer Registries \u201d CDC accessed May 29 2025 https:\/\/www.cdc.gov\/national\u2010program\u2010cancer\u2010registries\/about\/index.html."},{"key":"e_1_2_8_32_1","unstructured":"\u201cChildhood Cancer STAR Act \u201dCongress accessed May 29 2025 https:\/\/www.congress.gov\/bill\/115th\u2010congress\/house\u2010bill\/820."},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.0934405"},{"key":"e_1_2_8_34_1","unstructured":"\u201cPassport for Care \u201d Children's Oncology Group accessed May 29 2025 https:\/\/www.passportforcare.org\/en\/."},{"key":"e_1_2_8_35_1","unstructured":"\u201cCancer SurvivorLink \u201dSurvivorLink accessed May 29 2025 https:\/\/www.cancersurvivorlink.org\/."},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.872830"}],"container-title":["Pediatric Blood &amp; 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