Define a Decision Matrix to Determine Coverage Information Extensions
To determine additional coverage information for a coverage requirement discovery
request, such as the required documentation and relevant URLs, create a decision matrix and then
configure an expression set with the decision matrix.
Required Editions
Available in: Lightning Experience
Available in: Enterprise and Unlimited Editions
User Permissions Needed
To create, update, and delete expression sets:
Rule Engine Designer
To use decision tables in Business Rules Engine:
Rule Engine Runtime
From the App Launcher, find and select Lookup Tables.
Click New.
Select Decision
Matrix,
and click Next.
Provide a name for the decision matrix.
Select Standard as the type.
Save your work.
On the Related tab on the decision matrix record page, click version 1 of the matrix.
Add input and output columns for the decision matrix. Based on your unique business
requirements, include all the parameters required to determine coverage extensions. Set the
value for each column following FHIR specifications.
For
instance, your decision matrix can look something like this:
After you create the decision matrix, reference it from the CDS_DetermineCoverageExtensions
expression set template. The HlsCdsValidateCoverageExtension integration procedure calls the
expression set to determine the coverage extensions for a coverage requirement discovery
request.
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