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 RequestGroup: Example Regimen Order: ddAC→T (Jane Smith, Adjuvant) — Sequential Phases

Request Category: Adjuvant - intent

Request Category: First-line

instantiatesCanonical: ddAC→T: Dose-Dense Doxorubicin/Cyclophosphamide then Paclitaxel — Breast Cancer

status: Draft

intent: Order

subject: Jane Smith (official) Female, DoB: 1968-04-15 ( http://hospital.example.org/patients#MRN-78432)

action

id

ac-phase-order

title: AC Phase (Cycles 1–4, q14d)

timing: Count 4 times, Once per 14 days

action

id

doxorubicin-action

title: Doxorubicin 60 mg/m² IV day 1

timing: Once per 14 days

resource: MedicationRequest: status = draft; intent = order; medication[x] = doxorubicin

action

id

cyclophosphamide-action

title: Cyclophosphamide 600 mg/m² IV day 1

timing: Once per 14 days

resource: MedicationRequest: status = draft; intent = order; medication[x] = cyclophosphamide

action

id

pegfilgrastim-action

title: Pegfilgrastim 6 mg subcutaneous day 2

timing: Once per 14 days

resource: MedicationRequest: status = draft; intent = order; medication[x] = pegfilgrastim

action

id

t-phase-order

title: T Phase — Paclitaxel (Cycles 5–8, q14d)

RelatedActions

-ActionIdRelationship
*ac-phase-orderAfter End

timing: Count 4 times, Once per 14 days

action

id

paclitaxel-t-action

title: Paclitaxel 175 mg/m² IV day 1

timing: Once per 14 days

resource: MedicationRequest: status = draft; intent = order; medication[x] = paclitaxel