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Platform for a cancer registry

Project duration: 2 years, 1 month

Brief description

As part of this project, the PTA was involved in the development of a cancer registry platform in an interdisciplinary team. The platform is used for the comprehensive recording, management and processing of patient data in the context of cancer and fulfills several central functions: – Recording and management: structured documentation of patient data and their cancer cases. – Classification: Application of international standards such as ICD, TNM and Charlson Index to classify cases and their treatment. – Storage of medical findings: Secure storage of diagnostic and therapeutic reports. – Data processing: Provision of relevant information for the Federal Statistical Office. – Data anonymization: Ensuring privacy and confidentiality by anonymizing data records. – Interface communication: Integration and exchange with external systems and partners.

Supplement

The system consists of two central applications that are supported by a series of microservices in the background. The architecture and deployment in a private cloud enables scalable, secure processing of patient data and ensures high stability and quality through comprehensive test and deployment systems. The front-end applications were developed with Angular, the microservices with .NET Core/C#. Several PostgreSQL databases are supported by ECS as storage. Numerous CI/CD processes were implemented to ensure the high quality and stability of the solution. Automated unit tests, integration tests, Cypress tests and manual tests accompany a smooth deployment at all stages from dev to prod.

Subject description

The Cancer Registration Act (KRG) regulates, among other things, the collection, reporting and registration of cancer cases as well as the transmission of the corresponding data between the institutions subject to the reporting obligation and the cantonal and national enforcement authorities. According to the KRG, patients have the right to object to registration (i.e. this is effective from cancer registry level). In order to ensure the correct and efficient merging and supplementing of data from different sources over long periods of time, the cancer registries use the AHVN13 insurance number as a personal identifier (legal basis in the KRG). To clean up the data at national level (allocation of secondary tumours, exclusion of duplicate registrations), the insurance number is pseudonymized by a web service operated by the federal government.

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