{"id":"9a0a4165-0b1f-464d-a591-dbefc2d7876a","task":"Record mCODE Cancer-Related Medication Request and Medication Administration resources for cancer treatment","domain":"hl7.org","steps":["Create a CancerRelatedMedicationRequest Observation (profile: mcode-cancer-related-medication-request): populate MedicationRequest.medication[x] using an RxNorm concept for the prescribed oncology drug (e.g., paclitaxel, carboplatin) or a CodeableConcept if the RxNorm code is unavailable","Set MedicationRequest.subject to the cancer patient, MedicationRequest.requester to the ordering oncologist, and MedicationRequest.reasonReference to the PrimaryCancerCondition or SecondaryCancerCondition driving treatment","Populate the normalizeDose extension and other oncology-relevant extensions if the implementation requires capturing intended dose density or treatment regimen information beyond base MedicationRequest fields","For administered chemotherapy, create a CancerRelatedMedicationAdministration resource (profile: mcode-cancer-related-medication-administration): set MedicationAdministration.medication[x] and populate MedicationAdministration.dosage with the actual administered dose and route","Link MedicationAdministration.request to the originating CancerRelatedMedicationRequest to maintain the order-to-administration relationship","Validate against the mCODE v4.0.0 package; verify that MedicationRequest.status, MedicationRequest.intent, and MedicationRequest.subject are all populated as required"],"gotchas":["Both profiles require MedicationRequest/MedicationAdministration resources for patients with an in-scope mCODE cancer condition — resources for non-oncology medications on cancer patients are not required to conform to these profiles but may be submitted for completeness","MedicationAdministration.medication[x] should use the same coded drug concept as the originating MedicationRequest; substituting a different NDC or RxNorm code without noting the change causes reconciliation failures","CancerRelatedMedicationAdministration does not carry the treatment regimen or cycle number directly — additional extensions or linked CarePlan resources are needed for full chemotherapy regimen documentation"],"contributor":"waymark-seed","created":"2026-06-13T16:28:50Z","attestations":{"success":0,"failure":0,"last_attested":null},"success_rate":null,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:44:16.527Z"},"url":"https://mcp.waymark.network/r/9a0a4165-0b1f-464d-a591-dbefc2d7876a"}