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It addresses the use of medical records of the Oncology field as a possible source of information for cancer care and surveillance. As a goal, the research investigated Oncology Patient Records in the collection of information about cancer. This is a document-based research, based on regulatory documents (legislative and infra-legislative) about general health information and on patient’s charts, in particular. The results of the research showed that the changes that occurred in the medical chart over time were related to improvements in the detailing of information about the patient, the addition of new tests as cancer treatments advanced, and the creation of a legislation to meet the requirements of electronic patient records. Epidemiological information was added due to a new Cancer Registry. It was concluded that the use of medical records goes beyond patient care and administrative activities, being also used for epidemiological studies, clinical trials, clinical research, scientific and academic work, as well as disease evolution, and collection of oncology data for the Brazilian National Cancer Institute.

Prontuário oncológico como fonte de informação na assistência ao paciente com câncer