Onco-Dash Implementation Backlog¶

Last Updated: 2025-12-25
Legend: ✅ Done | 🟡 Partial/UI Only | ❌ Not Started

📋 Priority 1: NER Modules (From PDF Specs - Not Yet Implemented)¶

These are new modules from the NER specifications that need to be built from scratch.

#	Module	PDF Spec	Status	Priority
1	Multi-Disciplinary Tumor Board (MDTB)	`ner-multi-disciplinary-tumor-board-module-2.0.pdf`	❌ Not Started	🔴 High
2	Palliative Medicine Assessment	`ner-palliative-medicine-assessment-module-2.0.pdf`	❌ Not Started	🔴 High
3	Pre-Anesthesia Checkup (PAC)	`ner-preanesthesia-checkup-template-2.0.pdf`	❌ Not Started	🔴 High
4	Preventive Oncology	`ner-preventive-oncology-template-2.0.pdf`	❌ Not Started	🟡 Medium
5	Surgical Oncology	`ner-surgical-oncology-module-2.0.pdf`	❌ Not Started	🔴 High

NER Module Details¶

1. Multi-Disciplinary Tumor Board (MDTB)¶

Purpose: Facilitate tumor board meetings with multi-specialty review
Key Features Needed:
[ ] Case presentation workflow
[ ] Multi-specialty attendee tracking
[ ] Treatment recommendation capture
[ ] Decision documentation
[ ] Follow-up scheduling

2. Palliative Medicine Assessment¶

Purpose: Palliative care evaluation and symptom management
Key Features Needed:
[ ] Symptom assessment forms (pain, nausea, fatigue, etc.)
[ ] Quality of life scoring
[ ] Goals of care documentation
[ ] Advance directive tracking
[ ] Family/caregiver communication logs

3. Pre-Anesthesia Checkup (PAC)¶

Purpose: Pre-operative anesthesia evaluation
Key Features Needed:
[ ] Medical history review
[ ] Physical examination checklist
[ ] Airway assessment
[ ] Lab/ECG review integration
[ ] ASA classification
[ ] Anesthesia plan documentation
[ ] Consent workflow

4. Preventive Oncology¶

Purpose: Cancer screening and risk assessment
Key Features Needed:
[ ] Risk factor questionnaire
[ ] Family history (pedigree) capture
[ ] Screening schedule generator
[ ] Genetic counseling referral
[ ] Lifestyle recommendations

5. Surgical Oncology¶

Purpose: Surgical planning and documentation
PDF Spec: ner-surgical-oncology-module-2.0.pdf

Gap Analysis (9 Components):

NER Part	Use Case Mapping	Status
A: OT Booking	UC-APPT-010	✅ Partial
B: OT Worklist	UC-OT-009	❌ Not Started
C: Surgical Checklist	UC-OT-002, UC-OT-003	✅ Partial
D: Surgical Management	UC-OT-004	✅ Partial
E: Anesthesia Mgmt	UC-OT-002 + PAC spec	✅ Partial
F: Post-Op Complications	UC-OT-010	❌ Not Started
G: Diagrammatic Template	UC-OT-011	❌ Not Started
H: Log Book	UC-OT-012	❌ Not Started
I: Reports	UC-OT-008	✅ Partial

Summary: 5/9 partially covered, 4 new use cases added (OT-009 to OT-012)

📋 Priority 2: Missing PAS Use Cases¶

#	Use Case	Status	Notes
1	UC-APPT-010: Schedule Surgery	❌ Not Started	OT/Surgery scheduling module

📋 Priority 3: Frontend Complete - Backend Pending¶

These modules have complete frontend UI but need backend integration.

Patient Administration System (PAS)¶

Use Case	Frontend	Backend Needed
UC-APPT-001: Register New Patient	✅	ABDM/ABHA API, PostgreSQL, S3 Photo Storage
UC-APPT-002: Book OPD Appointment	✅	Real-time concurrency, Dynamic fees, SMS/Email
UC-APPT-003: Doctor Availability	✅	Schedule storage, Approval workflows
UC-APPT-004: Check-In Patient	✅	QR Scan, Biometric verification
UC-APPT-005: OPD Queue Management	✅	WebSocket real-time, Audio announcements
UC-APPT-006: Reschedule Appointment	✅	Policy checks, Conflict detection
UC-APPT-007: Cancel Appointment	✅	Refund logic, Notification triggers
UC-APPT-008: Follow-Up Booking	✅	Reminder sequence linkage
UC-APPT-009: Telemedicine	✅	Video conferencing (Jitsi/Zoom)

Clinical Dashboard¶

Use Case	Frontend	Backend Needed
UC-08: Medications & Allergies	✅	FHIR ingestion, HL7 integration
UC-04: Imaging (PACS)	✅	DICOM Web (Orthanc/DCM4CHEE)
UC-09: Clinical Notes	✅	OCR pipeline, Full-text search

Data Pipelines (Not Implemented)¶

Use Case	Status	Description
UC-ING-018: HL7 Med Orders	🟡 Mocked	No Mirth/HL7 connection
UC-PHRM-002: Drug-Drug Interactions	❌	Edges exist but not displayed
UC-NLP-102a: Extract Medications	❌	No NLP extraction from notes

📋 Priority 4: Existing Components to Enhance¶

Component	Location	Enhancement Needed
`CausalFlowView`	`src/components/causal/`	Enhanced node interactions
`AlertsAndGaps`	`src/components/insights/`	More alert types
`DiagnosticsPanel`	`src/components/diagnostics/`	Lab trends visualization

🎯 Recommended Implementation Order¶

Phase 1: Critical Clinical Modules (NER)¶

Pre-Anesthesia Checkup (PAC) - Required before any surgery
Surgical Oncology - Core oncology workflow
Multi-Disciplinary Tumor Board - Key decision-making module

Phase 2: Supportive Care¶

Palliative Medicine Assessment - Patient QoL focus
Preventive Oncology - Screening workflows

Phase 3: Backend Integration¶

Backend services for all PAS modules
Real-time features (WebSocket, notifications)
External integrations (ABDM, PACS, Video)

📁 Current Component Structure¶

src/components/
├── pas/           # Patient Administration (6 files) ✅
├── causal/        # Causal Flow View (2 files) ✅
├── decisions/     # Decision Support (1 file) ✅
├── diagnostics/   # Lab & Genomics (4 files) ✅
├── graph/         # Knowledge Graph (2 files) ✅
├── icons/         # Icon Components (1 file) ✅
├── imaging/       # PACS Viewer (1 file) ✅
├── ingest/        # Data Ingestion (1 file) ✅
├── insights/      # Alerts & Gaps (1 file) ✅
├── labs/          # Lab Results (1 file) ✅
├── notes/         # Clinical Notes (2 files) ✅
├── research/      # Research Panel (1 file) ✅
├── timeline/      # Patient Timeline (1 file) ✅
├── ui/            # UI Components (6 files) ✅
└── widgets/       # Dashboard Widgets (6 files) ✅

📊 Summary¶

Category	Total	Done	Partial	Not Started
NER Modules	5	0	0	5
PAS Use Cases	10	9 (UI)	0	1
Clinical Dashboard	3	3 (UI)	0	0
Data Pipelines	3	0	1	2
Backend Integration	12+	0	0	12+

Key Insight: The frontend UI is largely complete. The primary backlog consists of: 1. 5 NER modules that need full implementation 2. Backend services for all existing UI modules

Document Owner: Product Manager
Related Documents: - MVP Scope - UI Implementation Status - Developer Use Cases Index