nci-cidc-api-modules 1.2.23__py3-none-any.whl → 1.2.24__py3-none-any.whl

cidc_api/models/pydantic/stage2/radiotherapy_dose.py

@@ -0,0 +1,79 @@
+from typing import Self
+
+from pydantic import NonNegativeInt, NonNegativeFloat, model_validator
+
+from .base import Base
+from cidc_api.models.types import (
+    YNU,
+    RadiotherapyProcedure,
+    UberonAnatomicalTerm,
+    RadiotherapyDoseUnits,
+    RadiationExtent,
+)
+
+
+class RadiotherapyDose(Base):
+    __data_category__ = "radiotherapy_dose"
+    __cardinality__ = "many"
+
+    # The unique internal identifier for the radiotherapy dose record
+    therapy_agent_dose_id: int | None = None
+
+    # The unique internal identifier for the associated treatment record
+    treatment_id: int | None = None
+
+    # Number of days from enrollment date to the start of the radiotherapy dose.
+    days_to_start: NonNegativeInt
+
+    # Number of days from enrollment date to the end of the radiotherapy dose.
+    days_to_end: NonNegativeInt
+
+    # The term that describes the kind of radiotherapy procedure administered.
+    procedure: RadiotherapyProcedure
+
+    # The Uberon anatomical term for the site of surgery.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=14461856%20and%20ver_nr=1
+    anatomical_location: UberonAnatomicalTerm | None = None
+
+    # Indicates whether the record represents the total dose for a radiotherapy treatment course (which may be either
+    # a multi-fractionated or a single-fraction dose).
+    is_total_dose: bool
+
+    # The number of fractions a participant received to deliver the radiation dose.
+    number_of_fractions: NonNegativeInt | None = None
+
+    # The dose amount received by the participant.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=13433490%20and%20ver_nr=1
+    received_dose: NonNegativeFloat
+
+    # Unit of measure for the dose of the radiotherapy to be received by the participant.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=13383458%20and%20ver_nr=1
+    received_dose_units: RadiotherapyDoseUnits
+
+    # The planned dose amount for the participant.
+    planned_dose: NonNegativeFloat | None = None
+
+    # Unit of measure for the planned total dose of the radiotherapy to be received by the participant.
+    planned_dose_units: RadiotherapyDoseUnits | None = None
+
+    # Indicates if the radiotherapy dose was changed, missed, or delayed.
+    dose_changes_delays: YNU
+
+    # Description of the radiotherapy dose changes, misses, or delays.
+    changes_delays_description: str | None = None
+
+    # The extent of radiation exposure administered to the patient's body during radiation therapy.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=7063755%20and%20ver_nr=1
+    radiation_extent: RadiationExtent
+
+    @model_validator(mode="after")
+    def validate_changes_delays_description_cr(self) -> Self:
+        if self.dose_changes_delays == "Yes" and not self.changes_delays_description:
+            raise ValueError('If dose_changes_delays is "Yes", please provide changes_delays_description.')
+        return self
+
+    @model_validator(mode="after")
+    def validate_planned_dose_units_cr(self) -> Self:
+        if self.planned_dose and not self.planned_dose_units:
+            raise ValueError("If planned_dose is provided, please provide planned_dose_units.")
+        return self

cidc_api/models/pydantic/stage2/response.py

@@ -0,0 +1,71 @@
+from typing import Self
+
+from pydantic import NonNegativeInt, model_validator
+
+from .base import Base
+from cidc_api.models.types import SurvivalStatus, YNUNA, CauseOfDeath
+
+
+class Response(Base):
+    __data_category__ = "response"
+    __cardinality__ = "one"
+
+    # The unique internal identifier for the response record
+    response_id: int | None = None
+
+    # The unique internal identifier for the associated participant
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=12220014%20and%20ver_nr=1
+    participant_id: int | None = None
+
+    # The response to a question that describes a participant's survival status.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=2847330%20and%20ver_nr=1
+    survival_status: SurvivalStatus
+
+    # Number of days from enrollment date to death date.
+    overall_survival: NonNegativeInt | None = None
+
+    # Indicator for whether there was an abscopal effect on disease after local therapy.
+    abscopal_response: YNUNA | None = None
+
+    # Indicates if pathological complete response (pCR) occurred.
+    pathological_complete_response: YNUNA | None = None
+
+    # Number of days between enrollment date and date of death, if applicable.
+    days_to_death: NonNegativeInt | None = None
+
+    # The circumstance or condition of greatest rank or importance that results in the death of the participant
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=4783274%20and%20ver_nr=1
+    cause_of_death: CauseOfDeath | None = None
+
+    # Indicates whether participant was evaluable for toxicity (adverse events, DLT, etc.) overall.
+    evaluable_for_toxicity: bool
+
+    # Indicates whether participant was evaluable for efficacy (for example, response, PFS, OS, etc.) overall.
+    evaluable_for_efficacy: bool
+
+    # Days from enrollment date to the last time patient had follow-up.
+    days_to_last_follow_up: NonNegativeInt | None = None
+
+    @model_validator(mode="after")
+    def validate_overall_survival_cr(self) -> Self:
+        if self.survival_status != "Unknown" and not self.overall_survival:
+            raise ValueError('If survival_status is not "Unknown" then overall_survival is required.')
+        return self
+
+    @model_validator(mode="after")
+    def validate_cause_of_death_cr(self) -> Self:
+        if self.survival_status == "Dead" and not self.cause_of_death:
+            raise ValueError('If survival_status is "Dead" then cause_of_death is required.')
+        return self
+
+    @model_validator(mode="after")
+    def validate_cause_of_death_cr2(self) -> Self:
+        if self.survival_status == "Alive" and self.cause_of_death:
+            raise ValueError('If survival_status is "Alive", please leave cause_of_death blank.')
+        return self
+
+    @model_validator(mode="after")
+    def validate_days_to_death_cr(self) -> Self:
+        if self.survival_status in ["Alive", "Unknown"] and self.days_to_death:
+            raise ValueError("If survival_status does not indicate death, please leave days_to_death blank.")
+        return self

cidc_api/models/pydantic/stage2/response_by_system.py

@@ -0,0 +1,109 @@
+from typing import Self
+
+from pydantic import PositiveInt, model_validator
+
+from .base import Base
+from cidc_api.models.types import ResponseSystem, ResponseSystemVersion, BestOverallResponse, YNUNA
+
+
+negative_response_values = [
+    "Progressive Disease",
+    "Stable Disease",
+    "immune Unconfirmed Progressive Disease",
+    "immune Confirmed Progressive Disease",
+    "immune Stable Disease",
+    "Not available",
+    "Not assessed",
+]
+
+
+class ResponseBySystem(Base):
+    __data_category__ = "response_by_system"
+    __cardinality__ = "many"
+
+    # The unique internal identifier for this ResponseBySystem record
+    response_by_system_id: int | None = None
+
+    # The unique internal identifier for the associated participant
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=12220014%20and%20ver_nr=1
+    participant_id: int | None = None
+
+    # A standardized method used to evaluate and categorize the participant’s clinical response to treatment based on predefined criteria.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=13381490%20and%20ver_nr=1
+    response_system: ResponseSystem
+
+    # The release version of the clinical assessment system used to evaluate a participant’s response to treatment.
+    response_system_version: ResponseSystemVersion
+
+    # Confirmed best overall response to study treatment by the corresponding response system.
+    best_overall_response: BestOverallResponse
+
+    # Days from first response to progression.
+    response_duration: PositiveInt | None = None
+
+    # Indicates whether a patient achieved a durable clinical benefit.
+    durable_clinical_benefit: bool | None = None
+
+    # Number of days between enrollment date and the date of first response to trial treatment.
+    days_to_first_response: PositiveInt | None = None
+
+    # Number of days between enrollment date and the date of the best response to trial treatment.
+    days_to_best_response: PositiveInt | None = None
+
+    # Indicates whether a participant's disease progressed.
+    progression: YNUNA
+
+    # Number of days between enrollment date and date of disease progression.
+    days_to_disease_progression: PositiveInt | None = None
+
+    # Indicator to identify whether a patient had a Progression-Free Survival (PFS) event.
+    progression_free_survival_event: YNUNA
+
+    # The number of days from the date the patient was enrolled in the study to the date the patient was last verified to be free of progression.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=5143957%20and%20ver_nr=1
+    progression_free_survival: PositiveInt | None = None
+
+    @model_validator(mode="after")
+    def validate_response_duration_cr(self) -> Self:
+        if self.best_overall_response in negative_response_values and self.response_duration:
+            raise ValueError(
+                "If best_overall_response does not indicate a positive response, \
+                please leave response_duration blank."
+            )
+        return self
+
+    @model_validator(mode="after")
+    def validate_days_to_first_response_cr(self) -> Self:
+        if self.best_overall_response in negative_response_values and self.days_to_first_response:
+            raise ValueError(
+                "If best_overall_response does not indicate a positive response, \
+                please leave days_to_first_response blank."
+            )
+        return self
+
+    @model_validator(mode="after")
+    def validate_days_to_best_response_cr(self) -> Self:
+        if self.best_overall_response in negative_response_values and self.days_to_best_response:
+            raise ValueError(
+                "If best_overall_response does not indicate a positive response, \
+                please leave days_to_best_response blank."
+            )
+        return self
+
+    @model_validator(mode="after")
+    def validate_days_to_disease_progression_cr(self) -> Self:
+        if self.progression in ["No", "Unknown", "Not Applicable"] and self.days_to_disease_progression:
+            raise ValueError(
+                "If progression does not indicate confirmed progression of the disease, \
+                please leave days_to_disease_progress blank."
+            )
+        return self
+
+    @model_validator(mode="after")
+    def validate_progression_free_survival_cr(self) -> Self:
+        if self.progression_free_survival_event in ["Unknown", "Not Applicable"] and self.progression_free_survival:
+            raise ValueError(
+                "If progression_free_survival_event is not known, \
+                please leave progression_free_survival blank."
+            )
+        return self

cidc_api/models/pydantic/stage2/shipment.py

@@ -0,0 +1,48 @@
+from datetime import datetime
+
+from .base import Base
+from cidc_api.models.types import AssayPriority, AssayType, Courier, ShipmentCondition, ShipmentQuality
+
+
+class Shipment(Base):
+    # The unique internal identifier for the shipment record.
+    shipment_id: int | None = None
+
+    # The unique internal identifier for the associated institution.
+    institution_id: int | None = None
+
+    # The unique internal identifier for the associated trial.
+    trial_id: int | None = None
+
+    # The version number of the trial dataset
+    version: str | None = None
+
+    # The identifier of the manifest used to ship this sample. e.g. "E4412_PBMC"
+    manifest_id: str
+
+    # Priority of the assay as it appears on the intake form. e.g. "10"
+    assay_priority: AssayPriority | None = None
+
+    # The type of assay used. e.g. "Olink"
+    assay_type: AssayType | None = None
+
+    # Courier utilized for shipment. e.g. "FedEx"
+    courier: Courier | None = None
+
+    # Air bill number assigned to shipment. e.g. "4567788343"
+    tracking_number: str | None = None
+
+    # The environmental conditions of the shipment. e.g. "Frozen Dry Ice"
+    condition: ShipmentCondition | None = None
+
+    # Details of shipping condition when condition is "Other"
+    condition_other: str | None = None
+
+    # Date the shipment was posted
+    date_shipped: datetime | None = None
+
+    # Date the shipment was received
+    date_received: datetime | None = None
+
+    # Indication of the quality/condition of the specimens after receipt. e.g. "Damaged"
+    quality: ShipmentQuality | None = None

cidc_api/models/pydantic/stage2/shipment_specimen.py

@@ -0,0 +1,15 @@
+from .base import Base
+
+
+class ShipmentSpecimen(Base):
+    # The unique internal identifier of the associated specimen
+    specimen_id: int | None = None
+
+    # The unique internal identifier of the associated shipment
+    shipment_id: int | None = None
+
+    # Identifier if sample shipment container includes multiple boxes for each assay. e.g. "1", "X"
+    box_number: str
+
+    # Sample location within the shipping container. e.g. "A1"
+    sample_location: str

cidc_api/models/pydantic/stage2/specimen.py

@@ -0,0 +1,211 @@
+from datetime import datetime
+
+from .base import Base
+from cidc_api.models.types import (
+    UberonAnatomicalTerm,
+    ICDO3MorphologicalCode,
+    SpecimenType,
+    SpecimenDescription,
+    TumorType,
+    CollectionProcedure,
+    FixationStabilizationType,
+    PrimaryContainerType,
+    VolumeUnits,
+    ProcessedType,
+    ConcentrationUnits,
+    DerivativeType,
+    PBMCRestingPeriodUsed,
+    MaterialUnits,
+    MaterialStorageCondition,
+    QCCondition,
+    ReplacementRequested,
+    ResidualUse,
+    DiagnosisVerification,
+    AssayType,
+)
+
+
+class Specimen(Base):
+    __data_category__ = "specimen"
+    __cardinality__ = "many"
+
+    # The unique internal identifier for the specimen record
+    specimen_id: int | None = None
+
+    # The unique internal identifier for the associated participant
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=12220014%20and%20ver_nr=1
+    participant_id: int | None = None
+
+    # The unique specimen identifier assigned by the CIMAC-CIDC Network.
+    # Formatted as CTTTPPPSS.AA for trial code TTT, participant PPP, sample SS, and aliquot AA.
+    cimac_id: str
+
+    # The external identifier for the pathology report
+    surgical_pathology_report_id: str | None = None
+
+    # The external identifier for the clinical report
+    clinical_report_id: str | None = None
+
+    # The unique identifier for the specimen from which this specimen was derived
+    parent_specimen_id: str | None = None
+
+    # The unique identifier for the specimen after undergoing processing
+    processed_specimen_id: str | None = None
+
+    # The location within the body from which a specimen was originally obtained as captured in the Uberon anatomical term.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=12083894%20and%20ver_nr=1
+    organ_site_of_collection: UberonAnatomicalTerm | None = None
+
+    # ICD-O-3 code for histology and behavior. e.g. 9665/3"
+    # CDE: TBD
+    histology_behavior: ICDO3MorphologicalCode | None = None
+
+    # Histology description. e.g. Hodgkin lymphoma, nod. scler., grade 1",
+    histology_behavior_description: str | None = None
+
+    # Categorical description of timepoint at which the sample was taken.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=5899851%20and%20ver_nr=1
+    # Note: CIDC doesn't conform to this CDE's PVs
+    collection_event_name: str | None = None
+
+    # The type of the specimen
+    specimen_type: SpecimenType | None = None
+
+    # The type of the specimen, if not captured by specimen_type
+    specimen_type_other: str | None = None
+
+    # A general description of the specimen
+    specimen_description: SpecimenDescription | None = None
+
+    # The type of the tumor present in the specimen
+    tumor_type: TumorType | None = None
+
+    # Description of the procedure used to collect the specimen from the participant
+    collection_procedure: CollectionProcedure | None = None
+
+    # Description of the procedure used to collect the specimen from the participant, if not captured by collection_procedure
+    collection_procedure_other: str | None = None
+
+    # The biopsy core number from which the sample was taken.
+    core_number: str | None = None
+
+    # Type of specimen fixation or stabilization that was employed by the site directly after collection.
+    fixation_stabilization_type: FixationStabilizationType | None = None
+
+    # The type of container in which the specimen was shipped
+    primary_container_type: PrimaryContainerType | None = None
+
+    # The type of container in which the specimen was shipped, if not captured by primary_container_type
+    primary_container_type_other: str | None = None
+
+    # Volume of the specimen
+    volume: float | None = None
+
+    # The unit of measure of the volume of the specimen
+    volume_units: VolumeUnits | None = None
+
+    # The type of processing that was performed on the collected specimen by the biobank
+    processed_type: ProcessedType | None = None
+
+    # The volume of the specimen after being processed by the biobank
+    processed_volume: float | None = None
+
+    # The unit of measure of the volume of the specimen after being processed by the biobank
+    processed_volume_units: VolumeUnits | None = None
+
+    # The concentration of the sample after being processed by the biobank
+    processed_concentration: float | None = None
+
+    # The unit of measure of the concentration of the sample after being processed by the biobank
+    processed_concentration_units: ConcentrationUnits | None = None
+
+    # The quantity of the sample after being processed by the biobank
+    processed_quantity: float | None = None
+
+    # The type of the sample derivative
+    derivative_type: DerivativeType | None = None
+
+    # The volume of the sample derivative
+    derivative_volume: float | None = None
+
+    # The unit of measure of the volume of the sample derivative
+    derivative_volume_units: VolumeUnits | None = None
+
+    # The concentration of the sample derivative
+    derivative_concentration: float | None = None
+
+    # The unit of measure of the concentration of the sample derivative
+    derivative_concentration_units: ConcentrationUnits | None = None
+
+    # Score the percentage of tumor (including tumor bed) tissue area of the slide (e.g. vs non-malignant or normal tissue) (0-100)
+    tumor_tissue_total_area_percentage: float | None = None
+
+    # Score the percentage of viable tumor cells comprising the tumor bed area
+    viable_tumor_area_percentage: float | None = None
+
+    # Score the evaluation of stromal elements (this indicates the % area of tumor bed occupied by non-tumor cells,
+    # including inflammatory cells [lymphocytes, histiocytes, etc], endothelial cells, fibroblasts, etc)
+    viable_stroma_area_percentage: float | None = None
+
+    # Score the percentage area of necrosis
+    necrosis_area_percentage: float | None = None
+
+    # Score the percentage area of Fibrosis
+    fibrosis_area_percentage: float | None = None
+
+    # Provides a DNA Integrity Number as an indication of extraction quality (values of 1-10)
+    din: float | None = None
+
+    # Provides an absorbance percentage ratio indicating purity of DNA (values of 0 to 2)
+    a260_a280: float | None = None
+
+    # Provides an absorbance percentage ratio indicating presence of contaminants (values of 0 to 3)
+    a260_a230: float | None = None
+
+    # Receiving site determines the percent recovered cells that are viable after thawing.
+    pbmc_viability: float | None = None
+
+    # Receiving site determines number for PBMCs per vial recovered upon receipt.
+    pbmc_recovery: float | None = None
+
+    # Receiving site indicates if a resting period was used after PBMC recovery.
+    pbmc_resting_period_used: PBMCRestingPeriodUsed | None = None
+
+    # Receiving site indicates how much material was used for assay purposes.
+    material_used: float | None = None
+
+    # Unit of measure for the amount of material used
+    material_used_units: MaterialUnits | None = None
+
+    # Receiving site indicates how much material remains after assay use.
+    material_remaining: float | None = None
+
+    # Unit of measure for the amount of material remaining.
+    material_remaining_units: MaterialUnits | None = None
+
+    # Storage condition of the material once it was received.
+    material_storage_condition: MaterialStorageCondition | None = None
+
+    # Final status of sample after QC and pathology review.
+    qc_condition: QCCondition | None = None
+
+    # Indication if sample replacement is/was requested.
+    replacement_requested: ReplacementRequested | None = None
+
+    # Indication if sample was sent to another location or returned back to biorepository.
+    residual_use: ResidualUse | None = None
+
+    # Additional comments on sample testing
+    comments: str | None = None
+
+    # Indicates whether the local pathology review was consistent with the diagnostic pathology report.
+    diagnosis_verification: DiagnosisVerification | None = None
+
+    # The assay that this sample is expected to be used as input for.
+    intended_assay: AssayType | None = None
+
+    # The datetime that CIDC ingested the sample/manifest
+    date_ingested: datetime | None = None
+
+    # Days from enrollment date to date specimen was collected.
+    days_to_specimen_collection: int | None = None

cidc_api/models/pydantic/stage2/stem_cell_transplant.py

@@ -0,0 +1,35 @@
+from pydantic import NonNegativeInt
+from .base import Base
+from cidc_api.models.types import (
+    StemCellDonorType,
+    AllogeneicDonorType,
+    StemCellSource,
+    ConditioningRegimenType,
+)
+
+
+class StemCellTransplant(Base):
+    __data_category__ = "stem_cell_transplant"
+    __cardinality__ = "many"
+
+    # The unique internal identifier for the stem cell transplant record
+    stem_cell_transplant_id: int | None = None
+
+    # The unique internal identifier for the associated Treatment record
+    treatment_id: int | None = None
+
+    # Indicates the stem cell donor type.
+    stem_cell_donor_type: StemCellDonorType
+
+    # If "stem_cell_donor_type" is "Allogeneic", specifies the relationship and
+    # compatibility of the donor relative to the receipient
+    allogeneic_donor_type: AllogeneicDonorType | None = None
+
+    # Source of the stem cells used for transplant.
+    stem_cells_source: StemCellSource
+
+    # Days from the enrollment date to the date of the stem cell transplant.
+    days_to_transplant: NonNegativeInt
+
+    # Specifies what type of conditioning regimen was used for the stem cell transplant if applicable.
+    conditioning_regimen_type: ConditioningRegimenType | None = None

cidc_api/models/pydantic/stage2/surgery.py

@@ -0,0 +1,49 @@
+from typing import Self
+
+from pydantic import NonNegativeInt, model_validator
+
+from .base import Base
+from cidc_api.models.types import SurgicalProcedure, UberonAnatomicalTerm, YNU
+
+
+class Surgery(Base):
+    __data_category__ = "surgery"
+    __cardinality__ = "many"
+
+    # The unique internal identifier for the surgery record
+    surgery_id: int | None = None
+
+    # The unique internal identifier for the associated treatment record
+    treatment_id: int | None = None
+
+    # The term that describes the kind of surgical procedure administered.
+    procedure: SurgicalProcedure
+
+    # The name of surgical procedure if the value provided for procedure is "Other, specify".
+    procedure_other: str | None = None
+
+    # Number of days from enrollment date to surgical procedure date.
+    days_to_procedure: NonNegativeInt
+
+    # The Uberon identifier for the location within the body targeted by a procedure that
+    # is intended to alter or stop a pathologic process.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=14980609%20and%20ver_nr=1
+    anatomical_location: UberonAnatomicalTerm
+
+    # An indication as to whether the surgical procedure in question was performed with therapeutic intent.
+    therapeutic: YNU
+
+    # A narrative description of any significant findings observed during the surgical procedure in question.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=14918773%20and%20ver_nr=1
+    findings: str | None = None
+
+    # A textual description of evidence for remaining tumor following primary treatment that is only
+    # apparent using highly sensitive techniques.
+    # CDE: https://cadsr.cancer.gov/onedata/dmdirect/NIH/NCI/CO/CDEDD?filter=CDEDD.ITEM_ID=13362284%20and%20ver_nr=1
+    extent_of_residual_disease: str | None = None
+
+    @model_validator(mode="after")
+    def validate_procedure_other_cr(self) -> Self:
+        if self.procedure == "Other, specify" and not self.procedure_other:
+            raise ValueError('If procedure is "Other, specify", please provide procedure_other.')
+        return self