Oncology practises confront numerous hurdles in designing and implementing an informatics strategy, whether it is shifting from paper to electronic records or attempting to harness data from existing systems for outcome studies. With the rising costs of oncology treatments and anticipated changes in reimbursement laws, such as the necessity for evidence to back physician judgments, collecting data on treatment decisions and treatment efficacy will become critical to running a successful programme. This study assesses the current state of oncology informatics systems and focuses on building an informatics strategy to address the problems posed by anticipated changes in reimbursement rules as well as medical and information technology.