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Care Coordination

UC-ONC-050: Build Tumor Board Packet

Purpose: Compile all relevant data for tumor board review.

Property Value
Actor Tumor Board Compiler
Trigger Tumor board scheduled
Priority P0

Main Success Scenario: 

1. Gather: diagnosis, staging, imaging, treatment history
2. Add genomics summary if available
3. Compile into standardized packet
4. Distribute to tumor board participants

Alternative Flows:

Alt-1: Missing Data - Key section incomplete (e.g., genomics not done yet) - Mark packet as "Preliminary" - Notify tumor board coordinator

Observability:

  • Metric: onc_tumor_board_packet_generated, onc_packet_completeness
  • Log: {"event": "tb_packet_generated", "patient_id": "P1234", "sections": ["diagnosis", "staging", "imaging"], "complete": false}

Acceptance Criteria:

  1. [ ] Packet complete and accurate
  2. [ ] Delivered 24h before tumor board
  3. [ ] Standardized format

UC-ONC-051: Route Cases to Boards

Purpose: Route cases to appropriate tumor board (Breast, GI, Lung, GU, Hemato).

Property Value
Actor Case Router
Trigger Tumor board submission requested
Priority P1

Main Success Scenario: 

1. Identify cancer type
2. Route to appropriate board (Breast, GI, Lung, etc.)
3. Schedule on next available slot

Acceptance Criteria:

  1. [ ] Routing rules configurable
  2. [ ] Multi-site boards supported
  3. [ ] Calendar integration

UC-ONC-052: Track Recommendations

Purpose: Capture tumor board recommendations.

Property Value
Actor Recommendation Tracker
Trigger Tumor board concludes
Priority P0

Main Success Scenario: 

1. Document tumor board recommendations
2. Assign follow-up tasks
3. Track implementation status

Alternative Flows:

Alt-1: Recommendation Not Documented - Tumor board discussion occurred but no formal recommendation - Create placeholder recommendation - Alert attending oncologist to complete

Observability:

  • Metric: onc_tb_recommendation_captured, onc_tb_task_created
  • Log: {"event": "tb_recommendation", "patient_id": "P1234", "recommendation": "Start FOLFOX", "tasks_created": 3}

Acceptance Criteria:

  1. [ ] Recommendations structured
  2. [ ] Task assignment automated
  3. [ ] Implementation tracked

UC-ONC-053: Follow-up Compliance Check

Purpose: Ensure tumor board recommendations are followed.

Property Value
Actor Compliance Checker
Trigger Weekly batch job
Priority P1

Main Success Scenario: 

1. Check if recommended actions completed
2. Flag overdue tasks
3. Alert care coordinator

Acceptance Criteria:

  1. [ ] Compliance rate tracked
  2. [ ] Alerts for overdue items
  3. [ ] Dashboard reporting