MOPA — Medical Oncology Prior Authorization
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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

: Example: CDS Hooks order-sign draftOrders Bundle (TH regimen)

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ExampleOrderSignBundle"/>
  <language value="en"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://hl7.org/fhir/us/codex-mopa/RequestGroup/THRegimenOrder"/>
    <resource>
      <RequestGroup>
        <id value="THRegimenOrder"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/codex-mopa/StructureDefinition/anticancer-regimen-requestgroup"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-request-category">
          <valueCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="373846009"/>
              <display value="Adjuvant - intent"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-request-category">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/codex-mopa/CodeSystem/treatment-line-cs"/>
              <code value="1L"/>
              <display value="First-line"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <instantiatesCanonical
                               value="http://hl7.org/fhir/us/codex-mopa/PlanDefinition/RegimenTH"/>
        <status value="draft"/>
        <intent value="order"/>
        <subject>🔗 
          <reference value="Patient/MOPAPatientExample"/>
        </subject>
        <action id="paclitaxel-th-action">
          <title
                 value="Paclitaxel 80 mg/m² IV — days 1, 8, 15 of 21-day cycle"/>
          <timingTiming>
            <extension
                       url="http://hl7.org/fhir/us/codex-mopa/StructureDefinition/regimen-days-of-cycle">
              <extension url="day">
                <valueInteger value="1"/>
              </extension>
              <extension url="day">
                <valueInteger value="8"/>
              </extension>
              <extension url="day">
                <valueInteger value="15"/>
              </extension>
            </extension>
            <repeat>
              <period value="21"/>
              <periodUnit value="d"/>
            </repeat>
          </timingTiming>
          <resource>🔗 
            <reference value="MedicationRequest/PaclitaxelMedRequestTH"/>
          </resource>
        </action>
        <action id="trastuzumab-th-action">
          <title value="Trastuzumab IV — days 1, 8, 15 of 21-day cycle"/>
          <timingTiming>
            <extension
                       url="http://hl7.org/fhir/us/codex-mopa/StructureDefinition/regimen-days-of-cycle">
              <extension url="day">
                <valueInteger value="1"/>
              </extension>
              <extension url="day">
                <valueInteger value="8"/>
              </extension>
              <extension url="day">
                <valueInteger value="15"/>
              </extension>
            </extension>
            <repeat>
              <period value="21"/>
              <periodUnit value="d"/>
            </repeat>
          </timingTiming>
          <resource>🔗 
            <reference value="MedicationRequest/TrastuzumabMedRequestTH"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://hl7.org/fhir/us/codex-mopa/MedicationRequest/PaclitaxelMedRequestTH"/>
    <resource>
      <MedicationRequest>
        <id value="PaclitaxelMedRequestTH"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="draft"/>
        <intent value="order"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="56946"/>
            <display value="paclitaxel"/>
          </coding>
        </medicationCodeableConcept>
        <subject>🔗 
          <reference value="Patient/MOPAPatientExample"/>
        </subject>
        <requester>🔗 
          <reference value="Practitioner/MOPAOncologistExample"/>
        </requester>
        <reasonReference>🔗 
          <reference value="Condition/MOPABreastCancerConditionExample"/>
        </reasonReference>
        <dosageInstruction>
          <text value="80 mg/m² IV over 1 hour, weekly"/>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://hl7.org/fhir/us/codex-mopa/MedicationRequest/TrastuzumabMedRequestTH"/>
    <resource>
      <MedicationRequest>
        <id value="TrastuzumabMedRequestTH"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="draft"/>
        <intent value="order"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="224905"/>
            <display value="trastuzumab"/>
          </coding>
        </medicationCodeableConcept>
        <subject>🔗 
          <reference value="Patient/MOPAPatientExample"/>
        </subject>
        <requester>🔗 
          <reference value="Practitioner/MOPAOncologistExample"/>
        </requester>
        <reasonReference>🔗 
          <reference value="Condition/MOPABreastCancerConditionExample"/>
        </reasonReference>
        <dosageInstruction>
          <text
                value="4 mg/kg IV loading dose week 1, then 2 mg/kg IV weekly"/>
        </dosageInstruction>
      </MedicationRequest>
    </resource>
  </entry>
</Bundle>