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AP-007

Mantle cell, 65 to 74, urban, commercial, under 25 miles

CAR-T · Phase 5, Treatment · 8 days in stage · 1 barriers, 0 blocking

On track

Delivery

Navigation plan

3 tasks are on this plan, 0 still open. The engine suggests 3 in total from this patient's barriers, so 0 have no owner yet. Statuses persist here.

Completion criteria, in order

Three things that each have to be true before treatment can happen. Work here unblocks everything downstream, which is why it sits above the rest of the plan rather than inside it.

Step 1 · Reach a center

Clear

referred and accepted for evaluation

Nothing on the plan clears this criterion yet.

Step 2 · Be accepted as a candidate

Clear

the center recommends treatment

Nothing on the plan clears this criterion yet.

Step 3 · Secure approval to proceed

Clear

authorization and coverage in place

Nothing on the plan clears this criterion yet.

Feasibility and support

Work that makes treatment possible and bearable rather than permitted. Regroup it along whichever axis matches how you are working today.

Prepare for treatment & recovery

3 tasks

  • Plan bridging early with a standardized protocol; avoid bendamustine before apheresis

    Treatment-center teamReach: Treatment center11 days overdue
    Done

  • Ask about early leukapheresis + cryopreservation to protect T-cell fitness

    Treatment-center teamReach: Treatment center11 days overdue
    Done

  • Ask whether a rapid-manufacturing or allogeneic option is available

    Treatment-center teamReach: Treatment center11 days overdue
    Done

Handoffs

An explicit transfer of responsibility, tracked separately from tasks because the failure mode is different: nobody is late and nobody is idle, the work simply has no owner until somebody acknowledges it.

Referring / community oncNurse navigator

Referral received and accepted for work-up.

Acknowledged

Every task traces back to a barrier that actually fired for this patient.

  • The plan is not separate authoring. It is the assessment projected forward.
  • That is what makes it maintainable at all.