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 coordinatorObservability:
- 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 completeObservability:
- 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