57.112    OpenID Connect (OIDC) 57.114    Prior Authorization Documentation Templates and Requirements   

57.141.1Prior Authorization Coverage Requirement Discovery

 

The Prior Authorization Coverage Requirement Discovery configuration category includes the following configurable options:

  • CDS Hook

  • Coverage identifier system

  • DTR application URL

  • Payer source label

  • Payer source URL

57.141.2Property: CDS Hook

 
Property Name CDS Hook
Property Key
Property Type JSON
Description The CDS Service JSON including prefetch keys required. The service id provided will be ignored.
Applies to Modules
  • Prior Auth CRD
Default Value { "hook": "order-sign", "title": "Order sign request", "description": "CDS Hook for order sign", "prefetch": { "patient": "Patient/{{context.patientId}}" } }
Example Property
module.[MODULE_ID].config.cds_hook = {
"hook": "order-sign",
"title": "Order sign request",
"description": "CDS Hook for order sign",
"prefetch": {
"patient": "Patient/{{context.patientId}}"
}
}

57.141.3Property: Coverage identifier system

 
Property Name Coverage identifier system
Property Key
Property Type STRING
Description The system that is used to determine the member identifier on a Coverage resource.
Applies to Modules
  • Prior Auth CRD
Default Value http://terminology.hl7.org/CodeSystem/v2-0203
Example Property
module.[MODULE_ID].config.coverage_identifier_system = http://terminology.hl7.org/CodeSystem/v2-0203

57.141.4Property: DTR application URL

 
Property Name DTR application URL
Property Key
Property Type STRING
Description URL for DTR application
Applies to Modules
  • Prior Auth CRD
Default Value http://dtr.app
Example Property
module.[MODULE_ID].config.dtr_app_url = http://dtr.app

57.141.5Property: Payer source label

 
Property Name Payer source label
Property Key
Property Type STRING
Description The name of the Payer as displayed in the CDS Hook response card
Applies to Modules
  • Prior Auth CRD
Default Value Health Level Seven International
Example Property
module.[MODULE_ID].config.payer_source_label = Health Level Seven International

57.141.6Property: Payer source URL

 
Property Name Payer source URL
Property Key
Property Type STRING
Description The URL of the Payer as returned in the CDS Hook response card
Applies to Modules
  • Prior Auth CRD
Default Value https://www.hl7.org/
Example Property
module.[MODULE_ID].config.payer_source_url = https://www.hl7.org/
   57.112    OpenID Connect (OIDC) 57.114    Prior Authorization Documentation Templates and Requirements