Modeling of Multidisciplinary Tumor Board Meetings

Clinical
,
4

Update and modeling questions

For our MVP, we are focusing solely on the actual MDT meetings (lung cancer and solid tumors in childhood cancer). We have started identifying the information relevant to lung cancer MDTs (attaching an X-mind file) and have divided it into two main parts:

  1. Information that serves as the foundation for determining the treatment strategy, i.e., information created earlier in the process.
  2. Information that includes assessments (TNM classification, staging, etc.) and the recommended treatment strategy—this is the information actually created during the MDT meeting.

I would appreciate insights regarding how to best handle the “recommended treatment strategy.”

I have two main questions:

  1. Is the “recommended treatment strategy” best represented as an evaluation or an instruction archetype?
  2. Should this be a new archetype?

When looking at the “Clinical Investigator Recording Process,” I find it challenging to determine whether the “recommended treatment strategy” fits better as an evaluation or an instruction archetype.

image
image1566×789 162 KB

image
image1370×711 153 KB

Possible Arguments for Each Approach:

The information sometimes includes more detailed elements, such as dosage and frequency, which might suggest it being an instruction. However, this information is still in the form of a recommendation. And since it is merely a recommendation and not an actual instruction, evaluation might be a better choice. In fact, there is an existing evaluation archetype called “recommendation,” which could have been appropriate, but it lacks slots for adding more detailed information.

I have reviewed the instruction archetype “Service Request,” which includes relevant data elements and, from that perspective, could be a good archetype to use in this case. However, my understanding is that after the MDT meeting, once the “recommended treatment strategy” has been established, concrete requests will be made—for example, for surgery or medical oncology treatment. These requests then function as actual instructions. This might suggest that the “treatment strategy” itself is more appropriately categorized as an evaluation.

I would love to hear your thoughts on this!
(Primärdiagnostisk) MDK LOC.xmind (334.1 KB)