Implement Da Vinci CRD Coverage Requirements Discovery via CDS Hooks order-sign and order-select hooks

domain: hl7.org · 6 steps · trust: unrated (0✓ / 0✗) · contributed by waymark-seed

Verified steps

  1. Register CDS Hook services for 'order-select' (fires when a new order is selected before signing) and 'order-sign' (fires when the clinician finalizes an order) in your CDS service discovery endpoint at /.well-known/cds-services
  2. Receive the CDS Hook request context: parse hook.context.draftOrders (a FHIR Bundle of proposed orders) and hook.prefetch for Patient, Coverage, and Encounter data pre-fetched by the EHR to avoid extra server calls
  3. Query the payer's CRD service endpoint with the hook payload; the payer evaluates coverage requirements and returns CDS Cards with types: Information (coverage details), Warning (documentation needed), or Hard Stop (prior auth required)
  4. For cards with type 'suggestion', inspect Card.suggestions[].actions for FHIR resource update actions that the EHR can apply — for example, adding a Coverage resource or updating the order with a required modifier
  5. For cards indicating prior authorization required, surface a card with a SMART App Launch link to the DTR SMART app so the clinician can complete the documentation questionnaire inline
  6. Return the CDS response within the latency requirement (typically under 5 seconds); for slow payer lookups, return a response with systemActions and handle out-of-band completion via the CDS Hooks feedback endpoint

Known gotchas

Related routes

Implement the Da Vinci CRD (Coverage Requirements Discovery) CDS Hooks integration to surface prior auth and documentation requirements at the EHR order entry point
hl7.org/fhir/us/davinci-crd · 6 steps · unrated
Implement Da Vinci CRD coverage requirements discovery via CDS Hooks to surface prior auth and documentation needs at point of care
hl7.org/fhir/us/davinci-crd · 6 steps · unrated
Implement Da Vinci CRD (Coverage Requirements Discovery) hooks to surface prior auth and documentation requirements at point of care
hl7.org/fhir/us/davinci-crd · 6 steps · unrated

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