Cross-enterprise Tumor Board Workflow Definition

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Screening, diagnosis, treatment and aftercare of oncological patients require cooperation of a multidisciplinary team of healthcare professionals. Typically, an oncological care pathway is both multidisciplinary and often cross-enterprise, including participants from different specialisms and different hospitals. In order to be able to work together and study the different patient cases, the participating specialists, radiologists, pathologists, nurses and paramedics must have access to the relevant medical information. They also need an overview of the current status of the process to see whether the required information is available.

XTB-WD profile defines an XDW based workflow aimed to manage the creation and the execution of a tumor board.

Summary

The Cross-enterprise Tumor Board Workflow Definition (XTB-WD) describes the different Tasks of a Tumor Board Review process, and the accompanying information in the form of input- and output documents that are linked to the different Tasks in the process. The XTB-WD describes a relatively small part of a larger workflow definition, in this case an oncological care pathway. Other parts of the oncological pathway can be defined in a later stage, in other Workflow Definitions. The different Workflow Definitions can be seen as ‘building blocks’ that describe the actual care pathway of an individual patient. Below is a schematic overview of the place of the XTB Workflow Definition (XTB-WD) in an oncological pathway:

Xtb-wd.jpg

During a care episode, different Workflow Definition documents describe the actual steps of the care pathway. The unpredictability of the different steps or tasks in a care episode requires a flexible method that allows the total process to be divided into smaller Workflow Definitions. The XTB-Workflow Definition is one of those building blocks. By linking different WD documents, the relation between the different XDW documents can be created. For the correct management of a Tumor Board Review, each of the participants of the Tumor Board must have the possibility to share all relevant medical information. Currently, this is not possible, as there are no standardized means of monitoring and managing the different stages of the workflow, or of the documents that are created and attached in these different Tasks. The key elements for improvement of the current processes are:

  • Managing the TBR workflow
  • Tracking the relevant events and related documents
  • Tracking the status of each subtask in the workflow
  • Access to all relevant images, reports and other documents created in (or used in) the process
  • Linking the created documents to the different Tasks in the process, thereby defining the context of these documents.


Benefits

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Details

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Systems Affected

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Actors & Transactions:

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Specification

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Documents:

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Underlying Standards:


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See Also

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Related Profiles

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Consumer Information

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Implementer Information

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Reference Articles

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