Healthcare · Moraph software

Tumor Board Collaboration Platform

Prepare, present and record multidisciplinary cancer case reviews in one place

Overview

What you are buying

The Tumor Board Collaboration Platform brings each patient's pathology, imaging, clinical notes, staging and molecular results into a single case view for the multidisciplinary conference. Coordinators build the agenda, specialists prepare their part ahead of time, and the board's recommendation is recorded with who attended and what was discussed. The record supports your cancer program's accreditation reporting and goes back to the patient's chart.

The problem it solves

Tumor boards depend on many specialists preparing the same case from different systems. Coordinators chase case submissions by email, pathologists and radiologists pull up studies one by one during the meeting, and presenters build slides by copying from the chart. Recommendations end up in meeting minutes or a note that is hard to find later, and showing an accreditor which cases were discussed prospectively, who attended and whether staging and guidelines were addressed means assembling spreadsheets after the fact.

  • Case submissions and preparation are coordinated by email and spreadsheets
  • Pathology, imaging and notes are opened in separate systems during the meeting
  • Recommendations are hard to find later and are not always returned to the chart
  • Accreditation evidence on attendance and case discussion is assembled by hand

Who uses it

  • Hospital and health system cancer programs that run multidisciplinary tumor boards
  • Tumor board coordinators and oncology nurse navigators
  • Medical, surgical and radiation oncologists who present and discuss cases
  • Pathologists and radiologists who review cases before the conference
  • Cancer registrars and program leaders who report to accrediting bodies

Requirements it supports

HIPAA Privacy Rule (45 CFR Part 160 and Part 164, Subparts A and E)HIPAA Security Rule (45 CFR Part 164, Subpart C)American College of Surgeons Commission on Cancer, Optimal Resources for Cancer Care (2020 Standards)National Accreditation Program for Breast Centers (NAPBC) standardsCollege of American Pathologists cancer protocols for synoptic reporting21st Century Cures Act information blocking rule (45 CFR Part 171)

The product supports these requirements; meeting them remains your organization’s responsibility.

See how it works

A short walkthrough

Illustrative screens with fictional sample data. They show the workflow, not any client’s data or configuration, and the layout of the product itself differs. A live demonstration uses the product with sample data.

  1. Step 1

    The conference agenda

    Coordinators see each case on the next agenda and which sections are still open.

    OrderPatientQuestionPresenterPathologyImagingStatus
    1Patient 40217Surgery or chemoradiation firstDr. Sample Practitioner (fictional)Signed offSigned offReady
    2Patient 40388Next line after progressionDr. Example Oncologist (fictional)Signed offOpenPreparing
    3Patient 40409Role of adjuvant therapyDr. Sample Practitioner (fictional)OpenSigned offPreparing
    4Patient 40422Trial optionsDr. Example Oncologist (fictional)Signed offSigned offReady
    Coordinators see each case on the next agenda and which sections are still open.
  2. Step 2

    The case view

    Everything the board needs for a case sits on one screen, with images and slides opening in your existing viewers.

    Patient 40217 · Example Hospital thoracic board

    Diagnosis
    Non-small cell lung cancer (sample)
    Clinical stage
    Recorded by presenter
    Pathology
    Biopsy report and molecular panel
    Imaging
    CT chest and PET-CT, key images marked
    Question for the board
    Surgery or chemoradiation first
    Summary
    Draft approved by presenter

    Molecular results

    • Panel reported by laboratory
    • Results summarized by pathologist
    • Report link to laboratory system
    Everything the board needs for a case sits on one screen, with images and slides opening in your existing viewers.
  3. Step 3

    Preparing the pathology

    The pathologist marks what to show and signs off their section before the conference.

    Case TB-1182 · Pathology

    Specimen
    Core biopsy (sample)
    Synoptic elements
    Pulled from laboratory report
    Slides to show
    3 marked
    Reviewer
    Example Pathologist (fictional)
    Status
    Signed off

    Points for discussion

    • Histologic type confirmed
    • Molecular panel complete
    • No additional stains requested
    The pathologist marks what to show and signs off their section before the conference.
  4. Step 4

    From submission to recommendation

    Each case keeps a timeline of who prepared, discussed and confirmed what.

    Case TB-1182 · Patient 40217

    1. Case submitted with question for the boardPresenting physician
    2. Accepted onto thoracic board agendaCoordinator
    3. Pathology section signed offPathologist
    4. Imaging section signed offRadiologist
    5. Case presented, attendance recordedCoordinator
    6. Recommendation confirmedBoard chair
    7. Recommendation note sent to chartSystem
    Each case keeps a timeline of who prepared, discussed and confirmed what.
  5. Step 5

    The recommendation

    The board's recommendation is recorded with stage, guideline reference and trial discussion, then confirmed and sent to the chart.

    Recommendation · Case TB-1182

    Stage discussed
    Recorded
    Guideline referenced
    Named by the board
    Clinical trial discussed
    Yes, one candidate trial
    Discussion
    Prospective
    Status
    Confirmed by chair

    Recommendation

    • Recommended approach recorded by the board
    • Refer for trial eligibility screening
    • Re-present after restaging
    The board's recommendation is recorded with stage, guideline reference and trial discussion, then confirmed and sent to the chart.
  6. Step 6

    Accreditation evidence

    Registrars and chairs see case activity and attendance by board for cancer committee reporting.

    BoardConferencesCasesProspectiveStage recordedRequired specialties present
    Thoracic1258545712 of 12
    Breast2413112612423 of 24
    Gastrointestinal1264606412 of 12
    Registrars and chairs see case activity and attendance by board for cancer committee reporting.

Workflows

The principal workflows

  1. Submit

    A clinician or navigator submits a case for a specific board, with the clinical question they want answered. The coordinator accepts it onto an agenda.

    • Case submitted from a worklist or the EHR, with the question for the board
    • Required information checked: diagnosis, pathology, imaging and stage where known
    • Coordinator assigns the case to a conference date and board
    • Presenter, pathologist and radiologist assigned to the case
    • Missing information requested from the submitting team
  2. Prepare

    The platform gathers the case's pathology reports, imaging studies, notes, labs and molecular results. Each specialist prepares and signs off their section before the meeting.

    • Pathology, radiology, notes, labs and molecular reports pulled from source systems
    • Draft case summary proposed for the presenter to edit and approve
    • Pathologist marks slides and findings to show
    • Radiologist marks key images to show from your PACS
    • Presenter confirms the case is ready, and the agenda is circulated
  3. Present

    During the conference, the case view is shared on screen and in person or online, and attendance is recorded for each case.

    • Coordinator runs the agenda case by case
    • Pathology and imaging opened from the case view in your viewers
    • Staging, guideline references and clinical trial options discussed
    • Attendance recorded by specialty for each case
    • Discussion notes captured by the coordinator or scribe
  4. Record

    The board's recommendation is written, confirmed by the chair and sent to the treating team and the patient's chart. Follow-up and registry data are tracked.

    • Recommendation drafted with stage, treatment options and trial consideration
    • Chair or designee confirms the recommendation
    • Recommendation note sent to the EHR and to the treating team
    • Cases needing re-presentation scheduled
    • Conference data available to the cancer registry and quality reports

Roles and permissions

Who does what in the product

Each role below is a starting point. During implementation we set them up to match your teams, and every action anyone takes is recorded in the audit trail.

Tumor board coordinator

Tumor board coordinator, oncology nurse navigator, cancer program coordinator

Makes each conference happen: gets cases submitted and prepared, runs the agenda and records the outcome.

Sees

  • All submitted and scheduled cases for their boards
  • Readiness of each case and which sections are still open
  • Attendance and recommendation status for past conferences

Does

  • Accepts or returns case submissions
  • Builds and circulates agendas
  • Assigns presenters, pathologists and radiologists
  • Records attendance and discussion notes
  • Drafts recommendations for the chair to confirm
  • Schedules re-presentations

Cannot

  • Confirm a recommendation
  • Sign off a pathology or radiology section
  • Edit a confirmed recommendation
Approvals
Recommendations they draft are confirmed by the board chair or designee.
Notified about
New case submissions, cases not ready close to the conference, and recommendations waiting for confirmation.

Presenting physician

Medical oncologist, surgical oncologist, radiation oncologist, treating physician

Brings a patient's case to the board with a clear question and acts on the recommendation.

Sees

  • Cases they submitted or were assigned to present
  • The full case view for those cases
  • Recommendations for their patients

Does

  • Submits cases with the clinical question
  • Edits and approves the case summary
  • Confirms the case is ready to present
  • Presents the case and answers questions
  • Records whether the recommendation was accepted for treatment planning

Cannot

  • Confirm the board's recommendation on their own case
  • Change another specialist's signed-off section
  • Delete a case once it has been presented
Approvals
The recommendation on their case is confirmed by the chair or designee.
Notified about
Case accepted or returned, case scheduled, sections signed off, and recommendation confirmed.

Pathologist

Surgical pathologist, hematopathologist, cytopathologist

Reviews the pathology for each case and prepares what the board needs to see.

Sees

  • Cases assigned to them for review
  • Pathology and molecular reports, and links to digital slides
  • The clinical question and the case summary

Does

  • Reviews reports and slides before the meeting
  • Marks findings and slides to show
  • Adds a pathology summary, including synoptic elements where relevant
  • Signs off the pathology section

Cannot

  • Amend the pathology report itself, which stays in your laboratory system
  • Confirm the recommendation
  • Edit other sections
Approvals
None required for their section; their sign-off is needed before the case is marked ready.
Notified about
Cases assigned for review and cases where their section is still open close to the conference.

Radiologist

Diagnostic radiologist, nuclear medicine physician

Reviews imaging for each case and prepares the key images and findings for the board.

Sees

  • Cases assigned to them for review
  • Imaging reports and links to studies in your PACS
  • The clinical question and the case summary

Does

  • Reviews studies before the meeting
  • Marks key images and series to show
  • Adds an imaging summary
  • Signs off the imaging section

Cannot

  • Amend the imaging report itself, which stays in your radiology system
  • Confirm the recommendation
  • Edit other sections
Approvals
None required for their section; their sign-off is needed before the case is marked ready.
Notified about
Cases assigned for review and cases where their section is still open close to the conference.

Board chair

Tumor board chair, cancer conference coordinator (physician), cancer liaison physician

Leads the conference and confirms the board's recommendations.

Sees

  • All cases, agendas and recommendations for their board
  • Attendance by specialty
  • Accreditation reporting for their board

Does

  • Confirms or returns draft recommendations
  • Approves the agenda
  • Names a designee to confirm when they are absent
  • Reviews attendance and case mix against your program's requirements

Cannot

  • Confirm a recommendation on a case they presented; a designee confirms it
  • Edit a confirmed recommendation without creating a recorded amendment
  • Edit or delete audit trail entries
Approvals
Confirms recommendations; amendments to a confirmed recommendation are recorded as a new version with a reason.
Notified about
Recommendations waiting for confirmation and agendas ready for approval.

Board member

Oncologists, surgeons, nurses, genetic counselors, social workers, research staff

Takes part in the discussion with the information prepared for each case.

Sees

  • Agenda cases for conferences they are invited to
  • Case views for those cases during the preparation window
  • Confirmed recommendations for cases they attended

Does

  • Reviews cases before the meeting
  • Adds discussion comments, such as trial eligibility or supportive care needs
  • Records their attendance

Cannot

  • See cases outside the conferences they are invited to
  • Edit the case summary or specialist sections
  • Confirm recommendations
Approvals
None required.
Notified about
Agendas for conferences they are invited to.

Cancer registrar

Certified tumor registrar, cancer registry staff, cancer program quality coordinator

Uses conference data for registry abstraction and the cancer program's accreditation reporting.

Sees

  • Cases presented, with stage, guideline references and recommendations
  • Attendance by conference and specialty
  • Accreditation and quality reports

Does

  • Reviews conference data for registry abstraction
  • Flags cases where stage or guideline documentation is missing
  • Prepares reports for the cancer committee
  • Exports evidence for accreditation surveys

Cannot

  • Change case content or recommendations
  • Record attendance
  • Submit cases
Approvals
None required; flags they raise go to the coordinator and chair.
Notified about
Conferences completed and cases with missing stage or guideline documentation.

Administrator

Application administrator, clinical systems analyst

Manages users, boards, roles and integrations without working cases.

Sees

  • Users, roles and board membership
  • Integration status and message errors
  • The record of permission changes

Does

  • Adds and removes users, or maps them from single sign-on groups
  • Sets up boards, conference series and submission forms
  • Monitors integration errors
  • Runs access review reports

Cannot

  • Open case views
  • Grant themselves a clinical role without a second approver
  • Change recommendations
Approvals
New board setups and clinical role grants are approved by the cancer program leader or board chair.
Notified about
Integration failures, access reviews due, and accounts unused for a period your policy sets.

Permissions at a glance

ActionCoordinatorPresenterPathologistRadiologistChairMemberRegistrarAdmin
Submit a caseFullFullNo accessNo accessFullNo accessNo accessNo access
Accept cases and build agendasFullNo accessNo accessNo accessApprovesNo accessNo accessNo access
View the case viewFullOwn work onlyOwn work onlyOwn work onlyFullOwn work onlyView onlyNo access
Edit the case summaryFullOwn work onlyNo accessNo accessNo accessNo accessNo accessNo access
Sign off pathology sectionNo accessNo accessOwn work onlyNo accessNo accessNo accessNo accessNo access
Sign off imaging sectionNo accessNo accessNo accessOwn work onlyNo accessNo accessNo accessNo access
Record attendance and notesFullOwn work onlyOwn work onlyOwn work onlyFullOwn work onlyView onlyNo access
Draft a recommendationFullNo accessNo accessNo accessFullNo accessNo accessNo access
Confirm a recommendationNo accessNo accessNo accessNo accessApprovesNo accessNo accessNo access
Run accreditation reportsView onlyNo accessNo accessNo accessFullNo accessFullNo access
View audit trailNo accessNo accessNo accessNo accessView onlyNo accessView onlyView only
Manage users and boardsNo accessNo accessNo accessNo accessApprovesNo accessNo accessFull
  • Full
  • Own work only
  • Approves
  • View only
  • No access

How access is controlled

  • Board members see a case only when it is on the agenda of a conference they are invited to, and only for the preparation window you set, applying the minimum necessary standard.
  • Nobody confirms a recommendation on a case they presented; the chair names a designee, and every amendment to a confirmed recommendation is kept as a new version with its reason.
  • Roles are configured with you during implementation. You can rename them, add roles such as genetic counselor or research coordinator, and limit them by board, site or disease group.
  • Staff sign in through your identity provider, and roles can follow its groups. Every permission change is logged, and access review reports support periodic certification.

Features

What it does

Single case view

Pathology, imaging, notes, labs, molecular results, staging and treatment history for the case on one screen.

Case submission

A structured request with the clinical question, so cases arrive with the information the board needs.

Agenda builder

Conference agendas by board and date, with case order, presenters and readiness status for each case.

Specialist preparation

Pathologists and radiologists mark the findings, slides and images to show, and sign off their section before the meeting.

Draft case summaries

The platform proposes a case summary from the record, which the presenter edits and approves before it is shown.

Imaging and slide launch

Key studies and digital slides open in your existing PACS and pathology viewers directly from the case.

Staging and guidelines

Fields for clinical and pathologic stage and for the guideline your board referenced, recorded with each case.

Clinical trial consideration

Records whether trials were discussed and which ones, and can pass candidates to Moraph's Clinical Trial Patient Recruitment App.

Recommendation record

The board's recommendation written, confirmed by the chair and sent to the chart as a note.

Attendance tracking

Attendance by person and specialty for each conference and case, in person or online.

Accreditation reporting

Cases presented, prospective discussion, stage and guideline documentation and attendance, for your cancer committee's reports.

Audit trail

Every view, edit, sign-off and recommendation is logged with the person and time.

Integrations

How it connects to your systems

Connects toHowWhat flows
Electronic health recordNotes, problem lists, medications, labs and treatment history read from your EHR by FHIR or HL7 v2, and recommendations returned as a note.In: clinical documents, labs, medications and encounters. Out: recommendation note.
Laboratory and pathology systemPathology reports, including synoptic data where your laboratory produces it, and molecular results.In: pathology reports, synoptic elements and molecular reports.
PACS and imagingImaging reports and study lists, with key studies opened in your PACS or enterprise viewer by link from the case.In: imaging reports and study references. Images stay in your PACS.
Digital pathology viewerWhere you have whole-slide imaging, slides open in your digital pathology viewer from the case.In: slide references. Slides stay in your pathology image system.
Cancer registryConference data made available to your registry software for abstraction and reporting.Out: cases presented, dates, stage, guideline references and recommendations.
Video conferencingConferences held online through the meeting service you already use, with the meeting link on the agenda.Out: meeting links. Attendance recorded in the platform.
Single sign-onStaff sign in through your identity provider (SAML or OpenID Connect).In: user identity and group membership for role assignment.
Work APIConference, case and recommendation data available to your data warehouse and to Moraph's Clinical Trial Patient Recruitment App.Out: cases, agendas, attendance and recommendations.

Each integration is confirmed in discovery and specified in the design. See how an engagement progresses.

Security and privacy

How your data is protected

Single sign-on

Staff sign in through your identity provider, so your password and multi-factor policies apply.

Role-based access

Access follows role and board membership, so people see only the cases they are preparing or discussing.

Business associate agreement

Moraph signs a business associate agreement with you, because the platform handles protected health information.

Encryption and keys

Client data is encrypted, with keys Moraph staff cannot use without explicit, time-bound authorization.

Complete audit trail

Every view, edit, sign-off, recommendation and export is logged with the person and time, and cannot be edited.

Data residency

Data stays in the hosting region you choose: the United States, the United Kingdom or Australia.

Company-wide controls, independent audits (SOC 2 Type II and ISO/IEC 27001) and data residency are described in our Trust Center, where you can request the evidence pack.

Reporting

What you can report on

10 standard reports, grouped by who uses them. Each shows who it is for, how it can be broken down, how it is delivered and what it is used for. The data behind them is also available to your own reporting tools.

Operational

Conference readiness

For coordinators and board chairs

Cases on upcoming agendas with the status of the summary, pathology and imaging sections.

Break down by
Board, Conference date, Section, Assigned specialist
Delivered as
Live dashboard; scheduled email
Used for
Chasing open sections before the meeting rather than during it.

Submission queue

For coordinators

Cases submitted and not yet scheduled, with the clinical question and any missing information.

Break down by
Board, Submitting physician, Disease site, Age
Delivered as
Live view
Used for
Making sure every submitted case is scheduled or returned with a reason.

Recommendations awaiting confirmation

For board chairs and coordinators

Recommendations drafted but not yet confirmed or sent to the chart.

Break down by
Board, Conference date, Chair or designee
Delivered as
Live view; scheduled email
Used for
Getting recommendations to the treating team promptly.

Accreditation

Cases presented

For cancer registrars, cancer committee and board chairs

Cases presented by board and period, whether each was discussed prospectively, and the disease sites covered.

Break down by
Board, Disease site, Prospective or retrospective, Period
Delivered as
Live dashboard; PDF; CSV export
Used for
Reporting case conference activity to the cancer committee and accreditors.

Attendance by specialty

For cancer committee and board chairs

Who attended each conference, by person and required specialty.

Break down by
Board, Specialty, Conference date, Person
Delivered as
Live dashboard; PDF; CSV export
Used for
Showing multidisciplinary attendance as your program's standards require.

Stage and guideline documentation

For cancer registrars and board chairs

Cases with and without recorded stage, guideline references and clinical trial discussion.

Break down by
Board, Disease site, Missing element, Period
Delivered as
Live view; CSV export
Used for
Finding documentation gaps before an accreditation survey.

Clinical

Clinical trial consideration

For research staff and cancer program leaders

Cases where trials were discussed, the trials named, and cases passed on for eligibility screening.

Break down by
Disease site, Trial, Board, Period
Delivered as
Live dashboard; CSV export
Used for
Understanding how often trials are considered and where referrals go.

Recommendation follow-through

For cancer program leaders and navigators

Recommendations and whether the treating team recorded the recommendation as accepted, modified or not followed, with reasons.

Break down by
Board, Disease site, Treating physician, Outcome
Delivered as
Live dashboard; CSV export
Used for
Quality review of how board recommendations shape care.

Re-presentations

For coordinators and board chairs

Cases scheduled to come back to the board and why.

Break down by
Board, Reason, Due conference
Delivered as
Live view
Used for
Making sure cases needing a second discussion return when planned.

Audit

Access and audit trail extract

For privacy officer and internal audit

Who viewed or changed a case, section or recommendation, and when.

Break down by
Case, User, Action, Date range
Delivered as
On request in the product; CSV and PDF export
Used for
Answering privacy investigations and audit requests.

Exports, access and evidence

  • Every report can be exported to CSV, and summary reports to PDF for cancer committee packs. Reports can be scheduled by email to people entitled to see them.
  • Filters can be saved, so each coordinator, chair or registrar keeps their own views by board and period.
  • Conference, attendance and recommendation data is available through the Moraph Work API and can feed your registry software and data warehouse.
  • Reports respect each viewer's role; patient-level detail is shown only to roles that can see the cases.
  • Accreditation reports can be run for a past period and give the same result each time. Running and exporting a report is recorded in the audit trail.

Deployment

Where and how it runs

Moraph cloud

Hosted and operated by Moraph in the United States region. United Kingdom and Australia regions are available for organizations outside the US.

Dedicated environment

A single-tenant environment for organizations whose policies require isolation, scoped in the proposal.

With a managed service

Optionally run alongside Moraph managed services for clinical collaboration, single sign-on or integration engine support.

Security controls, independent audits and data residency are set out in our Trust Center. Engagement models and what drives a quotation are on Working with Moraph.

Implementation

What a rollout involves

The general phases are on Working with Moraph. For this product, they involve the following.

Program and boards

We set up each board, its disease sites, required specialties, meeting schedule and submission form with your cancer program leaders.

Clinical interfaces

We connect to your EHR, laboratory and pathology systems and PACS, and agree what data each case view pulls in. We need interface specifications and contacts from each system's team.

Viewer launch

Imaging and digital slide links are tested with your radiologists and pathologists in the rooms and online tools used for conferences.

Recommendation note

The recommendation template and where it lands in the chart are agreed with your clinical documentation team.

Registry and reporting

We map conference data to your registry and accreditation reports with your cancer registrars.

Pilot board and rollout

We start with one board, review a few conferences with the coordinator and chair, and then add further boards.

Limitations

What it does not do

Worth knowing before you evaluate it.

  • It does not make treatment decisions. Recommendations are made by your board and the treating physician remains responsible for the patient's care.
  • Draft case summaries are proposals. The presenter must review and approve each summary, and the source record remains authoritative.
  • It is not a PACS or a diagnostic viewer. Images and digital slides stay in and open from your existing systems.
  • Pathology and imaging reports are not amended in the platform; corrections are made in the laboratory or radiology system.
  • It is not cancer registry software. It provides conference data to your registry; abstraction and submission are done by your registrars.
  • Accreditation reports present your data; meeting accreditation standards is your cancer program's responsibility.
  • The case view is only as complete as the source systems connected during implementation.
  • Online conferences use the meeting service you already have; the platform does not host video.

Evaluation checklist

What to test in a demonstration or pilot

Questions worth putting to us, and to any other vendor you are considering.

  1. Prepare a past conference's agenda in a test environment and compare the effort with your current process
  2. Check that the case view pulls in the pathology, imaging and notes your board actually uses
  3. Open key images and slides from the case in the room and online tools you use for conferences
  4. Review a draft case summary against the chart and see how the presenter edits and approves it
  5. Run the cases presented and attendance reports and compare them with what your registrars prepare today
  6. Confirm who can see a case before and after the conference

Questions

Frequently asked questions

Does the platform store our images and slides?

No. Imaging stays in your PACS and digital slides in your pathology image system. The platform links to them and opens them in your existing viewers.

Who writes the case summary?

The platform proposes a draft from the record, and the presenting physician edits and approves it. Nothing is shown to the board without that approval.

Can boards meet online?

Yes. Conferences can be in person, online through the meeting service you already use, or both, and attendance is recorded either way.

Will you sign a business associate agreement?

Yes. Moraph signs a business associate agreement with each healthcare client, because the platform handles protected health information.

How is it priced?

As a subscription, usually based on the number of boards or sites, with implementation charged separately. See Working with Moraph for what drives a quotation.

Is there an accessibility conformance report?

Ask for one through the procurement request form at /how-to-buy/request, naming the version you are evaluating.

Next steps

Evaluate Tumor Board Collaboration Platform

Buying through a formal procurement? See How to buy for purchasing routes, accessibility conformance reports and company information. Documentation: Tumor Board Collaboration Platform guides on docs.moraph.com (getting started and security guides are public; setup, administration and integration guides are for client accounts). Support: Tumor Board Collaboration Platform support guide.