@nexalink/coding-contracts 0.2.0 → 0.4.0
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/README.md +48 -8
- package/dist/cjs/index.cjs +4756 -76
- package/dist/index.d.ts +1090 -3
- package/dist/index.js +4728 -75
- package/package.json +8 -2
- package/schemas/coding-batch.schema.json +63 -0
- package/schemas/coding-case-clinical.schema.json +428 -0
- package/schemas/coding-case-context.schema.json +128 -0
- package/schemas/coding-case-payer.schema.json +126 -0
- package/schemas/coding-case.schema.json +97 -0
- package/schemas/coding-decision-line.schema.json +172 -0
- package/schemas/coding-decision.schema.json +430 -0
- package/schemas/coding-evidence.schema.json +100 -0
- package/schemas/coding-extension.schema.json +36 -0
- package/schemas/coding-reviewer-action.schema.json +64 -0
- package/schemas/coding-rule-result.schema.json +90 -0
- package/schemas/coding-service-line.schema.json +120 -0
- package/schemas/rcm-reviewer-event.schema.json +160 -0
- package/schemas/rcm-workflow-catalog.schema.json +62 -5
- package/versions.json +67 -2
- package/workflow-constants.json +2 -1
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{
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"$schema": "https://json-schema.org/draft/2020-12/schema",
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"$id": "https://nexalink.care/contracts/coding-rule-result.schema.json",
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"title": "CodingRuleResult",
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"description": "One deterministic rule execution trace attached to a decision. Rules never rely on the model for validity, bundling, sequencing, modifiers, units, or time calculations; each trace records the rule identity, version, inputs, outcome, and explanation needed to replay the decision.",
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"version": "1.0.0",
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"x-wire-version": "coding-rule-result-v1",
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"x-wire-constant": "CODING_RULE_RESULT_SCHEMA_VERSION",
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"x-code": "rule_result",
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"x-keys-code": "rule_result_keys",
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"type": "object",
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"additionalProperties": false,
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"required": ["ruleId", "ruleVersion", "outcome"],
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"properties": {
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"ruleId": {
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"type": "string",
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"minLength": 1,
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"maxLength": 120,
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"x-code": "rule_result_id"
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},
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"ruleVersion": {
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"type": "string",
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"minLength": 1,
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"maxLength": 40,
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"x-code": "rule_result_version"
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},
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"outcome": {
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"type": "string",
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"enum": [
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"satisfied",
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"failed",
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"rejected",
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"escalated",
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"conflicted",
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"warning"
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],
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"x-code": "rule_result_outcome"
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},
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"severity": {
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"type": "string",
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"enum": ["info", "warning", "blocking"],
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"x-code": "rule_result_severity"
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},
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"inputs": {
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"type": "array",
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"maxItems": 30,
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"x-code": "rule_result_inputs",
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"items": {
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"type": "object",
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"additionalProperties": false,
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"required": ["name", "value"],
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"x-code": "rule_result_input",
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"x-keys-code": "rule_result_input_keys",
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"properties": {
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"name": {
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"type": "string",
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"minLength": 1,
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"maxLength": 80,
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"x-code": "rule_result_input_name"
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},
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"value": {
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"type": "string",
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"minLength": 1,
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"maxLength": 2000,
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"x-code": "rule_result_input_value"
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}
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}
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}
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},
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"reason": {
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"type": "string",
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"minLength": 1,
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"maxLength": 120,
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"x-code": "rule_result_reason"
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},
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"explanation": {
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"type": "string",
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"minLength": 1,
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"maxLength": 1000,
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"x-strip-nonempty": true,
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"x-code": "rule_result_explanation"
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},
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"evidence": {
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"type": "string",
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"minLength": 1,
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"maxLength": 2000,
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"x-code": "rule_result_evidence"
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}
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}
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}
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{
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"$schema": "https://json-schema.org/draft/2020-12/schema",
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"$id": "https://nexalink.care/contracts/coding-service-line.schema.json",
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"title": "CodingServiceLine",
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"description": "One existing (submitted) claim line on a CodingCase. Decisions reference these lines by lineId; the line action is chosen by the decision, never stored here.",
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"version": "1.0.0",
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"x-wire-version": "coding-service-line-v1",
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"x-wire-constant": "CODING_SERVICE_LINE_SCHEMA_VERSION",
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"x-code": "service_line",
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"x-keys-code": "service_line_keys",
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"type": "object",
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"additionalProperties": false,
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"required": ["lineId", "submittedCode"],
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"properties": {
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"lineId": {
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"type": "string",
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"minLength": 1,
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"maxLength": 60,
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"x-code": "service_line_id"
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},
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"submittedCode": {
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"type": "object",
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"additionalProperties": false,
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"required": ["code", "codeSystem"],
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"x-code": "service_line_submitted_code",
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"x-keys-code": "service_line_submitted_code_keys",
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"properties": {
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"code": {
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"type": "string",
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"minLength": 1,
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"maxLength": 64,
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"x-strip-nonempty": true,
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"x-code": "service_line_code"
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},
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"codeSystem": {
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"type": "string",
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"enum": [
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"ICD-10-CM",
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"ICD-10-PCS",
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"CPT",
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"HCPCS",
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"NDC",
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"CDT",
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"OTHER"
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],
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"x-code": "service_line_code_system"
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},
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"codeVersion": {
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"type": "string",
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"minLength": 1,
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"maxLength": 40,
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"x-code": "service_line_code_version"
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}
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}
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},
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"modifiers": {
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"type": "array",
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"maxItems": 8,
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"x-code": "service_line_modifiers",
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"items": {
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"type": "string",
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"minLength": 1,
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"maxLength": 8,
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"x-code": "service_line_modifiers"
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}
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},
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"units": {
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"type": "object",
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"additionalProperties": false,
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"x-code": "service_line_units",
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"x-keys-code": "service_line_units_keys",
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"properties": {
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"count": {
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"type": "integer",
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"minimum": 0,
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"maximum": 999999,
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"x-code": "service_line_units_count"
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},
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"unitOfMeasure": {
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"type": "string",
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"minLength": 1,
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"maxLength": 20,
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"x-code": "service_line_units_measure"
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}
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}
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},
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"linkedDiagnoses": {
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"type": "array",
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"maxItems": 20,
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"x-code": "service_line_linked_diagnoses",
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"items": {
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"type": "object",
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"additionalProperties": false,
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"required": ["diagnosisRef"],
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"x-code": "service_line_linked_diagnosis",
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"x-keys-code": "service_line_linked_diagnosis_keys",
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"properties": {
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"diagnosisRef": {
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"type": "string",
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"minLength": 1,
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"maxLength": 60,
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"x-code": "service_line_diagnosis_ref"
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},
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"sequence": {
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"type": "integer",
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"minimum": 1,
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"maximum": 99,
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"x-code": "service_line_diagnosis_sequence"
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}
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}
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}
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},
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"serviceDate": {
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"type": "string",
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"pattern": "^\\d{4}-\\d{2}-\\d{2}$",
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"format": "date",
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"x-code": "service_line_service_date"
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}
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}
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}
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{
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"$schema": "https://json-schema.org/draft/2020-12/schema",
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"$id": "https://nexalink.care/contracts/rcm-reviewer-event.schema.json",
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"title": "RcmReviewerEvent",
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"description": "Tenant-scoped, PHI-free reviewer engagement event for CareCompass RCM workflows. Events carry only an opaque case reference, categorical engagement facts, and aggregate durations. They never carry prompts, model responses, document contents, patient or member identifiers, claim identifiers, or free text.",
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"version": "1.0.0",
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"x-wire-version": "rcm-reviewer-event-v1",
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"x-wire-constant": "RCM_REVIEWER_EVENT_SCHEMA_VERSION",
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"x-code": "reviewer_event",
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"x-keys-code": "reviewer_event_keys",
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"x-semantic": [
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{
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"rule": "reviewer_event_shape",
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"code": "reviewer_event_shape",
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"on": "eventName"
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}
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],
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"type": "object",
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"additionalProperties": false,
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"required": [
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"eventName",
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"occurredAt",
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"tenantRef",
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"caseRef",
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"workflowId",
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"source"
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],
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"properties": {
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"eventName": {
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"type": "string",
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"enum": [
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"review_opened",
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"decision_shown",
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"evidence_opened",
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"evidence_copied",
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"review_active_time"
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],
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"x-code": "reviewer_event_name"
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},
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"occurredAt": {
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"type": "string",
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"pattern": "^\\d{4}-\\d{2}-\\d{2}T(?:[01]\\d|2[0-3]):[0-5]\\d:[0-5]\\d(?:\\.\\d+)?(?:Z|[+-](?:[01]\\d|2[0-3]):[0-5]\\d)$",
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"format": "date-time",
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"maxLength": 64,
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"x-code": "reviewer_event_occurred_at"
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},
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"tenantRef": {
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"type": "string",
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"minLength": 1,
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"maxLength": 128,
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"pattern": "^[A-Za-z0-9_.:-]+$",
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"x-code": "reviewer_event_tenant_ref"
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},
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"caseRef": {
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"type": "string",
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"minLength": 1,
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"maxLength": 128,
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"pattern": "^[A-Za-z0-9_.:-]+$",
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"x-code": "reviewer_event_case_ref"
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},
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"reviewId": {
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"type": "string",
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"minLength": 1,
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"maxLength": 128,
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"pattern": "^[A-Za-z0-9_.:-]+$",
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"x-code": "reviewer_event_review_id"
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},
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"workflowId": {
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"type": "string",
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"enum": ["rcm-coding-assistance", "monthly-pin-time-aggregation"],
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"x-code": "reviewer_event_workflow_id"
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},
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"packId": {
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"type": "string",
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"minLength": 1,
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"maxLength": 80,
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"pattern": "^[A-Za-z0-9_.:-]+$",
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"x-code": "reviewer_event_pack_id"
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},
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"packVersion": {
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"type": "string",
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"minLength": 1,
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"maxLength": 80,
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"pattern": "^[A-Za-z0-9_.:-]+$",
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"x-code": "reviewer_event_pack_version"
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},
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"environment": {
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"type": "string",
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"enum": ["development", "staging", "production"],
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"x-code": "reviewer_event_environment"
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},
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"source": {
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"type": "string",
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"enum": ["portal", "embed"],
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"x-code": "reviewer_event_source"
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},
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"evidenceId": {
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"type": "string",
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"minLength": 1,
|
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"pattern": "^[A-Za-z0-9_.:-]{1,64}$",
|
|
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|
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"maxLength": 64,
|
|
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|
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"x-code": "reviewer_event_evidence_id"
|
|
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},
|
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+
"activeSeconds": {
|
|
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+
"type": "integer",
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|
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"minimum": 0,
|
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"maximum": 86400,
|
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|
+
"x-code": "reviewer_event_active_seconds"
|
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|
+
},
|
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|
+
"idlePaused": {
|
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"type": "boolean",
|
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"x-code": "reviewer_event_idle_paused"
|
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}
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},
|
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|
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"allOf": [
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{
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"if": {
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"properties": {
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"eventName": {
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+
"enum": ["evidence_opened", "evidence_copied"]
|
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}
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"required": ["eventName"]
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},
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"then": {
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"required": ["evidenceId"]
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},
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"else": {
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"not": {
|
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"required": ["evidenceId"]
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}
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}
|
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},
|
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{
|
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"if": {
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"properties": {
|
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+
"eventName": {
|
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|
+
"const": "review_active_time"
|
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}
|
|
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|
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},
|
|
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|
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"required": ["eventName"]
|
|
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|
+
},
|
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"then": {
|
|
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|
+
"required": ["activeSeconds"]
|
|
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|
+
},
|
|
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|
+
"else": {
|
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"not": {
|
|
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|
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"anyOf": [
|
|
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|
+
{
|
|
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|
+
"required": ["activeSeconds"]
|
|
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|
+
},
|
|
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|
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{
|
|
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|
+
"required": ["idlePaused"]
|
|
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|
+
}
|
|
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]
|
|
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}
|
|
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|
+
}
|
|
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|
+
}
|
|
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|
+
]
|
|
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|
+
}
|
|
@@ -2,11 +2,18 @@
|
|
|
2
2
|
"$schema": "https://json-schema.org/draft/2020-12/schema",
|
|
3
3
|
"$id": "https://nexalink.care/contracts/rcm-workflow-catalog.schema.json",
|
|
4
4
|
"title": "RcmWorkflowCatalog",
|
|
5
|
-
"description": "A single authorized workflow entry. The catalog pins the workflow identifier, model policy, human-review policy, and output schema version that the runtime and portal may offer for
|
|
6
|
-
"version": "1.
|
|
5
|
+
"description": "A single authorized workflow entry. The catalog pins the workflow identifier, model policy, human-review policy, and output schema version that the runtime and portal may offer for registered coding workflows (currently rcm-coding-assistance and monthly-pin-time-aggregation). Customer configuration can never redefine these immutable server-side values.",
|
|
6
|
+
"version": "1.1.0",
|
|
7
7
|
"x-wire-version": "rcm-workflow-catalog-v1",
|
|
8
8
|
"x-code": "workflow_catalog",
|
|
9
9
|
"x-keys-code": "workflow_catalog_keys",
|
|
10
|
+
"x-semantic": [
|
|
11
|
+
{
|
|
12
|
+
"rule": "workflow_policy_binding",
|
|
13
|
+
"code": "workflow_policy_binding",
|
|
14
|
+
"on": "modelPolicy"
|
|
15
|
+
}
|
|
16
|
+
],
|
|
10
17
|
"type": "object",
|
|
11
18
|
"additionalProperties": false,
|
|
12
19
|
"required": [
|
|
@@ -21,7 +28,7 @@
|
|
|
21
28
|
"properties": {
|
|
22
29
|
"id": {
|
|
23
30
|
"type": "string",
|
|
24
|
-
"enum": ["rcm-coding-assistance"],
|
|
31
|
+
"enum": ["rcm-coding-assistance", "monthly-pin-time-aggregation"],
|
|
25
32
|
"x-code": "workflow_id"
|
|
26
33
|
},
|
|
27
34
|
"name": {
|
|
@@ -62,8 +69,11 @@
|
|
|
62
69
|
"properties": {
|
|
63
70
|
"policyId": {
|
|
64
71
|
"type": "string",
|
|
65
|
-
"
|
|
66
|
-
"
|
|
72
|
+
"x-code": "model_policy_id",
|
|
73
|
+
"enum": [
|
|
74
|
+
"carecompass-rcm-review-v1",
|
|
75
|
+
"carecompass-pin-time-policy-v1"
|
|
76
|
+
]
|
|
67
77
|
},
|
|
68
78
|
"inferencePath": {
|
|
69
79
|
"type": "string",
|
|
@@ -119,5 +129,52 @@
|
|
|
119
129
|
"x-code": "workflow_output_schema_version"
|
|
120
130
|
}
|
|
121
131
|
},
|
|
132
|
+
"allOf": [
|
|
133
|
+
{
|
|
134
|
+
"if": {
|
|
135
|
+
"properties": {
|
|
136
|
+
"id": {
|
|
137
|
+
"const": "rcm-coding-assistance"
|
|
138
|
+
}
|
|
139
|
+
}
|
|
140
|
+
},
|
|
141
|
+
"then": {
|
|
142
|
+
"properties": {
|
|
143
|
+
"modelPolicy": {
|
|
144
|
+
"properties": {
|
|
145
|
+
"policyId": {
|
|
146
|
+
"const": "carecompass-rcm-review-v1"
|
|
147
|
+
}
|
|
148
|
+
}
|
|
149
|
+
}
|
|
150
|
+
}
|
|
151
|
+
}
|
|
152
|
+
},
|
|
153
|
+
{
|
|
154
|
+
"if": {
|
|
155
|
+
"properties": {
|
|
156
|
+
"id": {
|
|
157
|
+
"const": "monthly-pin-time-aggregation"
|
|
158
|
+
}
|
|
159
|
+
}
|
|
160
|
+
},
|
|
161
|
+
"then": {
|
|
162
|
+
"properties": {
|
|
163
|
+
"modelPolicy": {
|
|
164
|
+
"properties": {
|
|
165
|
+
"policyId": {
|
|
166
|
+
"const": "carecompass-pin-time-policy-v1"
|
|
167
|
+
}
|
|
168
|
+
}
|
|
169
|
+
},
|
|
170
|
+
"environments": {
|
|
171
|
+
"items": {
|
|
172
|
+
"const": "development"
|
|
173
|
+
}
|
|
174
|
+
}
|
|
175
|
+
}
|
|
176
|
+
}
|
|
177
|
+
}
|
|
178
|
+
],
|
|
122
179
|
"x-wire-constant": "RCM_WORKFLOW_CATALOG_SCHEMA_VERSION"
|
|
123
180
|
}
|
package/versions.json
CHANGED
|
@@ -1,8 +1,68 @@
|
|
|
1
1
|
{
|
|
2
2
|
"$comment": "GENERATED FILE. Schema registry derived from schemas/*.schema.json.",
|
|
3
3
|
"packageName": "@nexalink/coding-contracts",
|
|
4
|
-
"packageVersion": "0.
|
|
4
|
+
"packageVersion": "0.4.0",
|
|
5
5
|
"schemas": {
|
|
6
|
+
"coding-case-context": {
|
|
7
|
+
"file": "coding-case-context.schema.json",
|
|
8
|
+
"semver": "1.0.0",
|
|
9
|
+
"wireVersion": "coding-case-context-v1"
|
|
10
|
+
},
|
|
11
|
+
"coding-case-payer": {
|
|
12
|
+
"file": "coding-case-payer.schema.json",
|
|
13
|
+
"semver": "1.0.0",
|
|
14
|
+
"wireVersion": "coding-case-payer-v1"
|
|
15
|
+
},
|
|
16
|
+
"coding-case-clinical": {
|
|
17
|
+
"file": "coding-case-clinical.schema.json",
|
|
18
|
+
"semver": "1.0.0",
|
|
19
|
+
"wireVersion": "coding-case-clinical-v1"
|
|
20
|
+
},
|
|
21
|
+
"coding-service-line": {
|
|
22
|
+
"file": "coding-service-line.schema.json",
|
|
23
|
+
"semver": "1.0.0",
|
|
24
|
+
"wireVersion": "coding-service-line-v1"
|
|
25
|
+
},
|
|
26
|
+
"coding-extension": {
|
|
27
|
+
"file": "coding-extension.schema.json",
|
|
28
|
+
"semver": "1.0.0",
|
|
29
|
+
"wireVersion": "coding-extension-v1"
|
|
30
|
+
},
|
|
31
|
+
"coding-case": {
|
|
32
|
+
"file": "coding-case.schema.json",
|
|
33
|
+
"semver": "1.0.0",
|
|
34
|
+
"wireVersion": "coding-case-v1"
|
|
35
|
+
},
|
|
36
|
+
"coding-batch": {
|
|
37
|
+
"file": "coding-batch.schema.json",
|
|
38
|
+
"semver": "1.0.0",
|
|
39
|
+
"wireVersion": "coding-batch-v1"
|
|
40
|
+
},
|
|
41
|
+
"coding-decision-line": {
|
|
42
|
+
"file": "coding-decision-line.schema.json",
|
|
43
|
+
"semver": "1.0.0",
|
|
44
|
+
"wireVersion": "coding-decision-line-v1"
|
|
45
|
+
},
|
|
46
|
+
"coding-evidence": {
|
|
47
|
+
"file": "coding-evidence.schema.json",
|
|
48
|
+
"semver": "1.0.0",
|
|
49
|
+
"wireVersion": "coding-evidence-v1"
|
|
50
|
+
},
|
|
51
|
+
"coding-rule-result": {
|
|
52
|
+
"file": "coding-rule-result.schema.json",
|
|
53
|
+
"semver": "1.0.0",
|
|
54
|
+
"wireVersion": "coding-rule-result-v1"
|
|
55
|
+
},
|
|
56
|
+
"coding-reviewer-action": {
|
|
57
|
+
"file": "coding-reviewer-action.schema.json",
|
|
58
|
+
"semver": "1.1.0",
|
|
59
|
+
"wireVersion": "coding-reviewer-action-v1"
|
|
60
|
+
},
|
|
61
|
+
"coding-decision": {
|
|
62
|
+
"file": "coding-decision.schema.json",
|
|
63
|
+
"semver": "1.0.0",
|
|
64
|
+
"wireVersion": "coding-decision-v1"
|
|
65
|
+
},
|
|
6
66
|
"rcm-supporting-reference": {
|
|
7
67
|
"file": "rcm-supporting-reference.schema.json",
|
|
8
68
|
"semver": "1.0.0",
|
|
@@ -28,6 +88,11 @@
|
|
|
28
88
|
"semver": "1.0.0",
|
|
29
89
|
"wireVersion": "rcm-retrieval-metadata-v1"
|
|
30
90
|
},
|
|
91
|
+
"rcm-reviewer-event": {
|
|
92
|
+
"file": "rcm-reviewer-event.schema.json",
|
|
93
|
+
"semver": "1.0.0",
|
|
94
|
+
"wireVersion": "rcm-reviewer-event-v1"
|
|
95
|
+
},
|
|
31
96
|
"rcm-runtime-event": {
|
|
32
97
|
"file": "rcm-runtime-event.schema.json",
|
|
33
98
|
"semver": "1.0.0",
|
|
@@ -35,7 +100,7 @@
|
|
|
35
100
|
},
|
|
36
101
|
"rcm-workflow-catalog": {
|
|
37
102
|
"file": "rcm-workflow-catalog.schema.json",
|
|
38
|
-
"semver": "1.
|
|
103
|
+
"semver": "1.1.0",
|
|
39
104
|
"wireVersion": "rcm-workflow-catalog-v1"
|
|
40
105
|
}
|
|
41
106
|
}
|
package/workflow-constants.json
CHANGED
|
@@ -5,6 +5,7 @@
|
|
|
5
5
|
"rcmModelPolicyId": "carecompass-rcm-review-v1",
|
|
6
6
|
"rcmHumanReviewPolicyId": "qualified-coder-review-v1",
|
|
7
7
|
"rcmOutputSchemaName": "carecompass_rcm_grounded_review",
|
|
8
|
-
"rcmHumanReviewInstruction": "Qualified human coder review is required before billing, coding, or claim submission."
|
|
8
|
+
"rcmHumanReviewInstruction": "Qualified human coder review is required before billing, coding, or claim submission.",
|
|
9
|
+
"pinTimeWorkflowId": "monthly-pin-time-aggregation"
|
|
9
10
|
}
|
|
10
11
|
}
|