Abstract

Abstract
A cancer registry is a standardized tool to produce population-based data on cancer incidence and survival. Cancer registries can retrieve and store information on all cancer cases occurring in a defined population. The main sources of data on cancer cases usually include: treatment and diagnostic facilities (oncology centres or hospital departments, pathology laboratories, or imaging facilities etc.) and the official territorial death registry. The aim of this paper is to evaluate the north regional cancer registry (RORENO) of Portugal using a qualitative research. We want to characterize: the main functionalities and core processes, team involved, different healthcare institutions in the regional network and an identification of issues and potential improvements. RORENO links data of thirteen-two healthcare institutions and is responsible for the production of cancer incidence and survival report for this region. In our semi-structure interviews and observation of RORENO we identified a serious problem due to a lack of an automatic integration of data from the different sources. Most of the data are inserted manually in the system and this implies an extra effort from the RORENO team. At this moment RORENO team are still collecting data from 2011. In a near future it is crucial to automatize the integration of data linking the different healthcare institutions in the region. However, it is important to think which functionalities this system should give to the institutions in the network to maximize the engagement with the project. More than a database this should be a source of knowledge available to all the collaborative oncologic network.

Abstract

Abstract
Kolmogorov complexity (K) is an incomputable function. It can be approximated from above but not to arbitrary given precision and it cannot be approximated from below. By restricting the source of the data to a specific model class, we can construct a computable function (kappa) over bar to approximate K in a probabilistic sense: the probability that the error is greater than kappa decays exponentially with kappa. We apply the same method to the normalized information distance (NID) and discuss conditions that affect the safety of the approximation.

Abstract
Abiding to the law is, in some cases, a delicate balance between the rights of different players. Re-using health records is such a case. While the law grants reuse rights to public administration documents, in which health records produced in public health institutions are included, it also grants privacy to personal records. To safeguard a correct usage of data, public hospitals in Portugal employ jurists that are responsible for allowing or withholding access rights to health records. To help decision making, these jurists can consult the legal opinions issued by the national committee on public administration documents usage. While these legal opinions are of undeniable value, due to their doctrine contribution, they are only available in a format best suited from printing, forcing individual consultation of each document, with no option, whatsoever of clustered search, filtering or indexing, which are standard operations nowadays in a document management system. When having to decide on tens of data requests a day, it becomes unfeasible to consult the hundreds of legal opinions already available. With the objective to create a modern document management system, we devised an open, platform agnostic system that extracts and compiles the legal opinions, ex-tracts its contents and produces metadata, allowing for a fast searching and filtering of said legal opinions.

Abstract
Introduction The new General Data Protection Regulation (GDPR) compels health care institutions and their software providers to properly document all personal data processing and provide clear evidence that their systems are inline with the GDPR. All applications involved in personal data processing should therefore produce meaningful event logs that can later be used for the effective auditing of complex processes. Aim This paper aims to describe and evaluate HS.Register, a system created to collect and securely manage at scale audit logs and data produced by a large number of systems. Methods HS.Register creates a single audit log by collecting and aggregating all kinds of meaningful event logs and data (e.g. ActiveDirectory, syslog, log4j, web server logs, REST, SOAP and HL7 messages). It also includes specially built dashboards for easy auditing and monitoring of complex processes, crossing different systems in an integrated way, as well as providing tools for helping on the auditing and on the diagnostics of difficult problems, using a simple web application. HS.Register is currently installed at five large Portuguese Hospitals and is composed of the following open-source components: HAproxy, RabbitMQ, Elasticsearch, Logstash and Kibana. Results HS.Register currently collects and analyses an average of 93 million events per week and it is being used to document and audit HL7 communications. Discussion Auditing tools like HS.Register are likely to become mandatory in the near future to allow for traceability and detailed auditing for GDPR compliance. © 2018 European Federation for Medical Informatics (EFMI) and IOS Press.