Integrated Tumor Register

Design, implementation and maintenance of the connection system to oncological sources


The Integrated Tumor Registry (R.T.I.) was established in 2003 and has its operational headquarters at the Department of Public Health of the University of Catania. The project aims to provide data to health institutions for a more appropriate planning of prevention and treatment interventions, as well as for the study of phenomena related to the causes. This project has made it possible to create one of the most extensive and efficient registers in Italy, which monitors a population of over 2,200,000 inhabitants of eastern Sicily and which has produced oncological data already accredited by the Italian Association of Cancer Registries (AIRTUM) and the International Agency for Research on Cancer (IARC).



The main difficulty encountered by the project was to recover information from the Sources in good time. In the absence of an interconnection system, it was necessary to search for individual names of potential cases of accidents at the facilities, increasing management costs and significantly slowing down research. In addition, many facilities did not have computerized databases or had obsolete storage systems.



We designed and implemented a Middleware interface between the management SWs of the nosocomial structures and the management software of the R.T.I. We also produced a complex IPSEC network between interconnected health facilities, providing hardware and internet connection, to enable data processing through a single portal. At the sources that still used the paper for the management of clinical flows we installed S.W.A.P.RTI, our software for the reporting of centers of pathological anatomy. In particular, the project envisaged the installation of servers in the nosocome data processing centers, connected to the local network of the structure, protected by appropriate equipment and firewall procedures. Access to data is via Smart Cards on which Authentication Certificates are installed. The project can be exported to any structure and any health database management, using standardized HL7 interface procedures.



More efficient control of protected seabeds thanks to:


Our intervention has enabled, not only the computerization of sources without software, but also the interoperability with existing software;
The solutions allowed a veritable synthesis of the supra-provincial information system, including the provinces of Catania, Messina and Syracuse;
Statistics updated in real time on the cancer cases present in the three Provinces considered are published;
The security and confidentiality of data is guaranteed by access through the Digital Certificate of authentication and can be done via any PC and device, being realized in web-based mode. The validation of the data and the creation of the tumor case is then only done through the Certificate of Authentication of the members of the CTS.