Cancer Patient Management System - User Cases

Role-Based User Cases and Responsibilities

1. DOCTOR (Oncologist / Attending Physician)

Primary Responsibilities:

• Diagnose cancer type and stage

• Create and manage treatment plans and chemotherapy protocols

• Prescribe medications with correct dosing and schedules

• Review lab results and molecular markers

• Review and acknowledge critical clinical alerts

• Monitor treatment response and adjust protocols

• Order diagnostic tests and imaging

• Review symptom reports from nurses and patients

• Document clinical decisions and treatment rationale

• Coordinate with the care team (nurses, pharmacists, specialists)

• Conduct treatment cycle assessments (toxicity grading per CTCAE)

• Prescribe supportive care (antiemetics, growth factors, pain management)

• Review cumulative drug exposure limits (e.g., anthracyclines, bleomycin)

• Approve or modify nursing orders

User Cases:

Typical Workflow (Daily):

1. Log in → View Dashboard → Check critical/high alerts

1. Review patient list → Click patient → Review labs and vitals

1. Check treatment cycle status → Review toxicity grades

1. Acknowledge/clear alerts → Document decisions

1. Prescribe or adjust medications → Review nurse reports

1. Log out

2. NURSE (Oncology Nurse / Clinical Nurse)

Primary Responsibilities:

• Record and monitor vital signs (temperature, HR, BP, SpO2, pain score)

• Administer medications per schedule and verify orders

• Document patient-reported symptoms

• Monitor for and report adverse reactions

• Perform nursing assessments (skin, mucous membranes, neurological)

• Educate patients on medication side effects and self-care

• Escalate critical findings to the physician

• Maintain accurate nursing documentation

• Check medication schedules before administration

• Verify patient identity before treatment

• Monitor IV site and infusion reactions

• Provide emotional support and patient education

• Coordinate discharge planning and home care instructions

User Cases:

Typical Workflow (Shift):

1. Log in → View Dashboard → Check alerts for assigned patients

1. Review assignments → Check medication schedule for shift

1. Visit patients → Record vitals → Document symptoms

1. Administer medications → Verify identity → Monitor reactions

1. Report findings to physician → Escalate if critical

1. Update nursing notes → Hand off to next shift

3. PATIENT (Cancer Patient Receiving Treatment)

Primary Responsibilities:

• Report symptoms honestly and promptly

• Take medications as prescribed

• Attend scheduled appointments and treatments

• Report side effects and adverse reactions

• Ask questions about treatment and care plan

• Maintain personal health journal

• Follow dietary and activity recommendations

• Report emergency symptoms immediately (fever, severe pain, breathing difficulty)

• Keep contact information updated

• Bring medication list to all appointments

User Cases:

Typical Workflow (Daily):

1. Log in → Check medication schedule for today

1. Rate any symptoms → Report new symptoms

1. Check next appointment → Review care instructions

1. Log out

4. CAREGIVER (Family Member / Home Care Provider)

Primary Responsibilities:

• Assist patient with medication management

• Monitor patient condition and report changes

• Help patient report symptoms accurately

• Attend medical appointments with patient

• Understand medication side effects and when to seek help

• Provide emotional and physical support

• Manage medication logistics (pickup, storage, reminders)

• Know emergency procedures and contacts

• Document patient's home condition and functioning

• Communicate with care team on patient's behalf when authorized

• Support nutrition and hydration

• Help with activities of daily living

• Monitor for and report falls, confusion, or decline

• Understand infection prevention measures

User Cases:

Typical Workflow (Daily):

1. Log in → Check medication schedule for patient

1. Review any alerts or reminders

1. Report patient's condition and any symptoms

1. Check next appointment → Review home care instructions

1. Log out

Cross-Role Scenarios

Emergency Escalation Path

1. Patient/Caregiver reports fever >38.3°C → System creates critical alert

1. Nurse sees alert → Takes vitals → Documents findings

1. Nurse escalates to Doctor → Doctor reviews and orders labs/treatment

1. System logs all actions in audit trail

Treatment Cycle Workflow

1. Doctor prescribes protocol (e.g., TCHP cycle 3/6)

1. Nurse verifies order → Checks pre-medications

1. Patient arrives → Nurse verifies identity → Records pre-infusion vitals

1. Nurse administers medications → Monitors for reactions

1. Post-infusion vitals recorded → Patient discharged with instructions

1. Caregiver monitors at home → Reports any symptoms

1. System tracks cumulative doses and alerts if limits approached

Lab Review Workflow

1. Lab results uploaded → System flags abnormal values

1. Doctor reviews → Adjusts treatment if needed

1. Nurse notified of changes → Updates patient education

1. Patient/Caregiver can view results and trends

Application Integration

Each user case above is linked to specific features in the application: