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

Change Log

Version 0.1.1-snapshot-080926 (snapshot-080926)

Dated snapshot aligning the implementation guide and reference application.

• Reused the Da Vinci CRD Request Category extension on the anti-cancer regimen RequestGroup as an open category 0..* slice
• Added profiled treatment-intent and line-of-therapy category semantics with required bindings to RegimenIntentVS and TreatmentLineVS
• Removed the separate line-of-therapy Observation model and corresponding reference-app queries, fixtures, and data requirements
• Aligned regimen canonical identities, order-select/order-sign payloads, supportive-medication content, policy evaluation, examples, and implementation guidance

Version 0.1.0 (ci-build)

Initial draft release.

• Defined Medical Oncology Prior Authorization (MOPA) framework: Da Vinci CRD/DTR/PAS with two-stage CDS Hooks (order-select informational, order-sign final)
• Defined AntiCancerRegimenPlanDefinition profile
• Defined AntiCancerRegimenRequestGroup profile with cycle-day timing and sequential phase ordering
• Defined CRD workflow: payer CRD service uses fhirAuthorization to query EHR FHIR server directly for required oncology context
• Defined "Authorization Satisfied" as the computable CRD success outcome
• Documented oncology data categories for CRD evaluation (no Library-driven discovery pattern — the CRD service queries the EHR FHIR server directly)
• Added breast cancer PA data requirements matrix with mCODE gap analysis
• Added conformance statements for Oncology CRD Client and Service
• Documented must-have Da Vinci gaps: CRD-001 (outcome semantics), CRD-002 (RequestGroup as PA unit in hooks), DTR-001 (RequestGroup as order subject in DTR), PAS-001 (regimen-level submission)