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This is the draft RFC for Da Vinci CRD/DTR/PAS implementation

@jenniferjiangkells
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jenniferjiangkells commented Jan 15, 2026

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This RFC is really comprehensive, I appreciate the detailed linking for those of us that are less familiar with many acronyms and organisations involved.

Some thoughts on this:

  • I agree with the separation of goals and non-goals. The scale of this shift shouldn't be underestimated and I appreciate that you highlight the power of open-source community in directing the incremental growth.
  • In your notes you call out CRD > PAS > DTR as the implementation priority, can you give more details or reasoning on this ordering?
  • I think actioning this plan is the right direction for HealthChain as it will increase the modularity by refactoring CDS Hooks into a dedicated module. This feels like a clean solution.
  • I'm keen to discuss architecture and prioritisation in more detail to see how we can divide up this work.

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Da Vinci Prior Authorization Profile Implementation (CMS-0057-F compliance)

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