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"
    ]
  }
}

Did this page help you?