API Example Coverage Requirement Discover
{
"hook": "order-sign",
"hookInstance": "550e8400-e29b-41d4-a716-446655440001",
"context": {
"userId": "Practitioner/123",
"patientId": "Patient/456",
"selections": ["ServiceRequest/sr-001"],
"draftOrders": {
"resourceType": "Bundle",
"type": "collection",
"entry": [
{
"fullUrl": "urn:uuid:sr-001",
"resource": {
"resourceType": "ServiceRequest",
"id": "sr-001"
}
}
]
}}}
{
"cards": [
{
"summary": "Coverage requirements found",
"detail": "The requested MRI Brain with and without contrast may require prior authorization. Review payer-specific requirements before submitting the order.",
"indicator": "warning",
"source": {
"label": "Medical Network FHIR Coverage Requirement Discovery API"
}
}
]
}
{
"hook": "order-sign",
"hookInstance": "550e8400-e29b-41d4-a716-446655440000",
"fhirServer": "https://fhir.exampleehr.com/fhir",
"fhirAuthorization": {
"access_token": "eyJhbGciOiJSUzI1NiIs...",
"token_type": "Bearer",
"expires_in": 3600,
"scope": "patient/*.read",
"subject": "Practitioner/12345"
},
"context": {
"userId": "Practitioner/12345",
"patientId": "Patient/67890",
"encounterId": "Encounter/ABC123",
"draftOrders": {
"resourceType": "Bundle",
"type": "collection",
"entry": [
{
"fullUrl": "urn:uuid:sr-001",
"resource": {
"resourceType": "ServiceRequest",
"id": "sr-001",
"status": "draft",
"intent": "order",
"code": {
"coding": [
{
"system": "http://www.ama-assn.org/go/cpt",
"code": "70553",
"display": "MRI Brain with and without contrast"
}
]
},
"subject": {
"reference": "Patient/67890"
}
}
}
]
},
"selections": [
"ServiceRequest/sr-001"
]
}
}
Updated about 2 hours ago
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