MOPA — Medical Oncology Prior Authorization
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: Example Regimen Order: ddAC→T (Jane Smith, Adjuvant) — Sequential Phases

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{
  "resourceType" : "RequestGroup",
  "id" : "DDACTRegimenOrder",
  "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 DDACTRegimenOrder</b></p><a name=\"DDACTRegimenOrder\"> </a><a name=\"hcDDACTRegimenOrder\"> </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-RegimenDdACT.html\">ddAC→T: Dose-Dense Doxorubicin/Cyclophosphamide then Paclitaxel — 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>ac-phase-order</blockquote><p><b>title</b>: AC Phase (Cycles 1–4, q14d)</p><p><b>timing</b>: Count 4  times, Once per 14 days</p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>doxorubicin-action</blockquote><p><b>title</b>: Doxorubicin 60 mg/m² IV day 1</p><p><b>timing</b>: Once per 14 days</p><p><b>resource</b>: <a href=\"MedicationRequest-DoxorubicinMedRequestDDACT.html\">MedicationRequest: status = draft; intent = order; medication[x] = doxorubicin</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>cyclophosphamide-action</blockquote><p><b>title</b>: Cyclophosphamide 600 mg/m² IV day 1</p><p><b>timing</b>: Once per 14 days</p><p><b>resource</b>: <a href=\"MedicationRequest-CyclophosphamideMedRequestDDACT.html\">MedicationRequest: status = draft; intent = order; medication[x] = cyclophosphamide</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>pegfilgrastim-action</blockquote><p><b>title</b>: Pegfilgrastim 6 mg subcutaneous day 2</p><p><b>timing</b>: Once per 14 days</p><p><b>resource</b>: <a href=\"MedicationRequest-PegfilgrastimMedRequestDDACT.html\">MedicationRequest: status = draft; intent = order; medication[x] = pegfilgrastim</a></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>t-phase-order</blockquote><p><b>title</b>: T Phase — Paclitaxel (Cycles 5–8, q14d)</p><h3>RelatedActions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style=\"display: none\">*</td><td>ac-phase-order</td><td>After End</td></tr></table><p><b>timing</b>: Count 4  times, Once per 14 days</p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>paclitaxel-t-action</blockquote><p><b>title</b>: Paclitaxel 175 mg/m² IV day 1</p><p><b>timing</b>: Once per 14 days</p><p><b>resource</b>: <a href=\"MedicationRequest-PaclitaxelMedRequestTPHase.html\">MedicationRequest: status = draft; intent = order; medication[x] = paclitaxel</a></p></blockquote></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/RegimenDdACT"
  ],
  "status" : "draft",
  "intent" : "order",
  "subject" : {
    🔗 "reference" : "Patient/MOPAPatientExample"
  },
  "action" : [
    {
      "id" : "ac-phase-order",
      "title" : "AC Phase (Cycles 1–4, q14d)",
      "timingTiming" : {
        "repeat" : {
          "count" : 4,
          "period" : 14,
          "periodUnit" : "d"
        }
      },
      "action" : [
        {
          "id" : "doxorubicin-action",
          "title" : "Doxorubicin 60 mg/m² IV day 1",
          "timingTiming" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "day",
                    "valueInteger" : 1
                  }
                ],
                "url" : "http://hl7.org/fhir/us/codex-mopa/StructureDefinition/regimen-days-of-cycle"
              }
            ],
            "repeat" : {
              "period" : 14,
              "periodUnit" : "d"
            }
          },
          "resource" : {
            🔗 "reference" : "MedicationRequest/DoxorubicinMedRequestDDACT"
          }
        },
        {
          "id" : "cyclophosphamide-action",
          "title" : "Cyclophosphamide 600 mg/m² IV day 1",
          "timingTiming" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "day",
                    "valueInteger" : 1
                  }
                ],
                "url" : "http://hl7.org/fhir/us/codex-mopa/StructureDefinition/regimen-days-of-cycle"
              }
            ],
            "repeat" : {
              "period" : 14,
              "periodUnit" : "d"
            }
          },
          "resource" : {
            🔗 "reference" : "MedicationRequest/CyclophosphamideMedRequestDDACT"
          }
        },
        {
          "id" : "pegfilgrastim-action",
          "title" : "Pegfilgrastim 6 mg subcutaneous day 2",
          "timingTiming" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "day",
                    "valueInteger" : 2
                  }
                ],
                "url" : "http://hl7.org/fhir/us/codex-mopa/StructureDefinition/regimen-days-of-cycle"
              }
            ],
            "repeat" : {
              "period" : 14,
              "periodUnit" : "d"
            }
          },
          "resource" : {
            🔗 "reference" : "MedicationRequest/PegfilgrastimMedRequestDDACT"
          }
        }
      ]
    },
    {
      "id" : "t-phase-order",
      "title" : "T Phase — Paclitaxel (Cycles 5–8, q14d)",
      "relatedAction" : [
        {
          "actionId" : "ac-phase-order",
          "relationship" : "after-end"
        }
      ],
      "timingTiming" : {
        "repeat" : {
          "count" : 4,
          "period" : 14,
          "periodUnit" : "d"
        }
      },
      "action" : [
        {
          "id" : "paclitaxel-t-action",
          "title" : "Paclitaxel 175 mg/m² IV day 1",
          "timingTiming" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "day",
                    "valueInteger" : 1
                  }
                ],
                "url" : "http://hl7.org/fhir/us/codex-mopa/StructureDefinition/regimen-days-of-cycle"
              }
            ],
            "repeat" : {
              "period" : 14,
              "periodUnit" : "d"
            }
          },
          "resource" : {
            🔗 "reference" : "MedicationRequest/PaclitaxelMedRequestTPHase"
          }
        }
      ]
    }
  ]
}