MOPA — Medical Oncology Prior Authorization - Local Development build (v0.1.1-snapshot-080926) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "ExampleOrderSignBundle",
"language" : "en",
"type" : "collection",
"entry" : [
{
"fullUrl" : "http://hl7.org/fhir/us/codex-mopa/RequestGroup/THRegimenOrder",
"resource" : {
"resourceType" : "RequestGroup",
"id" : "THRegimenOrder",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/codex-mopa/StructureDefinition/anticancer-regimen-requestgroup"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup THRegimenOrder</b></p><a name=\"THRegimenOrder\"> </a><a name=\"hcTHRegimenOrder\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-anticancer-regimen-requestgroup.html\">Anti-Cancer Regimen RequestGroup</a></p></div><p><b>Request Category</b>: <span title=\"Codes:{http://snomed.info/sct 373846009}\">Adjuvant - intent</span></p><p><b>Request Category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/codex-mopa/CodeSystem/treatment-line-cs 1L}\">First-line</span></p><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-RegimenTH.html\">TH: Paclitaxel + Trastuzumab (Weekly) — HER2+ Breast Cancer</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href=\"Patient-MOPAPatientExample.html\">Jane Smith (official) Female, DoB: 1968-04-15 ( http://hospital.example.org/patients#MRN-78432)</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>paclitaxel-th-action</blockquote><p><b>title</b>: Paclitaxel 80 mg/m² IV — days 1, 8, 15 of 21-day cycle</p><p><b>timing</b>: Once per 21 days</p><p><b>resource</b>: <a href=\"MedicationRequest-PaclitaxelMedRequestTH.html\">MedicationRequest: status = draft; intent = order; medication[x] = paclitaxel</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>trastuzumab-th-action</blockquote><p><b>title</b>: Trastuzumab IV — days 1, 8, 15 of 21-day cycle</p><p><b>timing</b>: Once per 21 days</p><p><b>resource</b>: <a href=\"MedicationRequest-TrastuzumabMedRequestTH.html\">MedicationRequest: status = draft; intent = order; medication[x] = trastuzumab</a></p></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-request-category",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373846009",
"display" : "Adjuvant - intent"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-request-category",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/codex-mopa/CodeSystem/treatment-line-cs",
"code" : "1L",
"display" : "First-line"
}
]
}
}
],
"instantiatesCanonical" : [
🔗 "http://hl7.org/fhir/us/codex-mopa/PlanDefinition/RegimenTH"
],
"status" : "draft",
"intent" : "order",
"subject" : {
🔗 "reference" : "Patient/MOPAPatientExample"
},
"action" : [
{
"id" : "paclitaxel-th-action",
"title" : "Paclitaxel 80 mg/m² IV — days 1, 8, 15 of 21-day cycle",
"timingTiming" : {
"extension" : [
{
"extension" : [
{
"url" : "day",
"valueInteger" : 1
},
{
"url" : "day",
"valueInteger" : 8
},
{
"url" : "day",
"valueInteger" : 15
}
],
"url" : "http://hl7.org/fhir/us/codex-mopa/StructureDefinition/regimen-days-of-cycle"
}
],
"repeat" : {
"period" : 21,
"periodUnit" : "d"
}
},
"resource" : {
🔗 "reference" : "MedicationRequest/PaclitaxelMedRequestTH"
}
},
{
"id" : "trastuzumab-th-action",
"title" : "Trastuzumab IV — days 1, 8, 15 of 21-day cycle",
"timingTiming" : {
"extension" : [
{
"extension" : [
{
"url" : "day",
"valueInteger" : 1
},
{
"url" : "day",
"valueInteger" : 8
},
{
"url" : "day",
"valueInteger" : 15
}
],
"url" : "http://hl7.org/fhir/us/codex-mopa/StructureDefinition/regimen-days-of-cycle"
}
],
"repeat" : {
"period" : 21,
"periodUnit" : "d"
}
},
"resource" : {
🔗 "reference" : "MedicationRequest/TrastuzumabMedRequestTH"
}
}
]
}
},
{
"fullUrl" : "http://hl7.org/fhir/us/codex-mopa/MedicationRequest/PaclitaxelMedRequestTH",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "PaclitaxelMedRequestTH",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest PaclitaxelMedRequestTH</b></p><a name=\"PaclitaxelMedRequestTH\"> </a><a name=\"hcPaclitaxelMedRequestTH\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/mcode/STU4/StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>status</b>: Draft</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 56946}\">paclitaxel</span></p><p><b>subject</b>: <a href=\"Patient-MOPAPatientExample.html\">Jane Smith (official) Female, DoB: 1968-04-15 ( http://hospital.example.org/patients#MRN-78432)</a></p><p><b>requester</b>: <a href=\"Practitioner-MOPAOncologistExample.html\">Practitioner Maria Lopez (official)</a></p><p><b>reasonReference</b>: <a href=\"Condition-MOPABreastCancerConditionExample.html\">Condition Malignant neoplasm of breast</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>80 mg/m² IV over 1 hour, weekly</td></tr></table></div>"
},
"status" : "draft",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "56946",
"display" : "paclitaxel"
}
]
},
"subject" : {
🔗 "reference" : "Patient/MOPAPatientExample"
},
"requester" : {
🔗 "reference" : "Practitioner/MOPAOncologistExample"
},
"reasonReference" : [
{
🔗 "reference" : "Condition/MOPABreastCancerConditionExample"
}
],
"dosageInstruction" : [
{
"text" : "80 mg/m² IV over 1 hour, weekly"
}
]
}
},
{
"fullUrl" : "http://hl7.org/fhir/us/codex-mopa/MedicationRequest/TrastuzumabMedRequestTH",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "TrastuzumabMedRequestTH",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest TrastuzumabMedRequestTH</b></p><a name=\"TrastuzumabMedRequestTH\"> </a><a name=\"hcTrastuzumabMedRequestTH\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/mcode/STU4/StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>status</b>: Draft</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 224905}\">trastuzumab</span></p><p><b>subject</b>: <a href=\"Patient-MOPAPatientExample.html\">Jane Smith (official) Female, DoB: 1968-04-15 ( http://hospital.example.org/patients#MRN-78432)</a></p><p><b>requester</b>: <a href=\"Practitioner-MOPAOncologistExample.html\">Practitioner Maria Lopez (official)</a></p><p><b>reasonReference</b>: <a href=\"Condition-MOPABreastCancerConditionExample.html\">Condition Malignant neoplasm of breast</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>4 mg/kg IV loading dose week 1, then 2 mg/kg IV weekly</td></tr></table></div>"
},
"status" : "draft",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "224905",
"display" : "trastuzumab"
}
]
},
"subject" : {
🔗 "reference" : "Patient/MOPAPatientExample"
},
"requester" : {
🔗 "reference" : "Practitioner/MOPAOncologistExample"
},
"reasonReference" : [
{
🔗 "reference" : "Condition/MOPABreastCancerConditionExample"
}
],
"dosageInstruction" : [
{
"text" : "4 mg/kg IV loading dose week 1, then 2 mg/kg IV weekly"
}
]
}
}
]
}