curl --request POST \
  --url 'https://prior-auth-api.claritycare.ai/v1/process/update_tree' \
  --header 'Authorization: Bearer {cognito_login_token}' \
  --form 'run_id=proc_123abc' \
  --form 'only_save_nurse_decision=true' \
  --form 'updated_criteria_tree={"decision": "approved", "criteria": {...}}' \
  --form 'updated_rationale="Updated rationale for the decision"'

{
  "case_file_presigned_url": "https://s3.amazonaws.com/bucket/case_123abc.pdf",
  "final_results": {
  "criteria": {
    "criteria_tree": {
      "criteria_id": "1",
      "description": "Procedure is indicated for ALL of the following:",
      "operator": "AND",
      "criteria": [
        {
          "criteria_id": "1.1",
          "description": "Intractable pain (eg. secondary to malignancy)",
          "parent_description": "Procedure is indicated for ALL of the following:",
          "color": "green",
          "clinical_decisioning": [
            {
              "bounding_box": [
                {
                  "x": 107.0,
                  "y": 249.6,
                  "width": 423.2,
                  "height": 11.6,
                  "page": 0
                }
              ],
              "id": "71b41cbe-3060-4aab-949c-ec05596ab1ba"
            }
          ]
        },
        {
          "criteria_id": "1.2",
          "description": "Pain believed to be amenable to percutaneous cordotomy",
          "parent_description": "Procedure is indicated for ALL of the following:",
          "color": "green",
          "clinical_decisioning": [
            {
              "exact_text_sentence_relevant_to_criteria": "Given the location and nature of the pain, the physician believes it may be amenable to percutaneous cordotomy, targeting specific pain pathways in the spinal cord for potential relief.",
              "bounding_box": [
                {
                  "x": 258.1,
                  "y": 337.9,
                  "width": 231.4,
                  "height": 11.3,
                  "page": 3
                }
              ],
              "id": "9eb3eac3-f867-4d73-bf07-22a416e64ab0"
            }
          ]
        },
        {
          "criteria_id": "1.3",
          "description": "Failure of nonoperative measures",
          "parent_description": "Procedure is indicated for ALL of the following:",
          "color": "green",
          "clinical_decisioning": [
            {
              "exact_text_sentence_relevant_to_criteria": "Standard interventions, including analgesics, neuropathic pain modulators, and percutaneous nerve blocks, have been attempted without success.",
              "bounding_box": [
                {
                  "x": 236.9,
                  "y": 410.7,
                  "width": 296.9,
                  "height": 11.7,
                  "page": 0
                }
              ],
              "id": "9fd6b7fe-fa7a-4523-9de0-b5108b16ae7d"
            }
          ]
        }
      ],
      "color": "green"
    },
    "clinical_rationale": "The procedure is certified as medically necessary based on intractable pain secondary to malignancy, amenability to percutaneous cordotomy, and failure of nonoperative measures.",
    "root_decision": "Certified",
    "ccm_trigger_detection": {
      "recent_visit_date": "11/18/2024",
      "ccm_status": "Yes",
      "trigger": "Cancer diagnosis",
      "trigger_details": [
        {
          "exact_evidence_text": "Diagnosed with metastatic pancreatic cancer, contributing to severe neuropathic pain.",
          "evidence_relevance": "Direct mention of a metastatic cancer diagnosis.",
          "page_number": 0
        }
      ],
      "reasoning": "The patient has metastatic pancreatic cancer causing severe, refractory neuropathic pain.",
      "intensity": "high"
    },
    "clinical_summary": {
      "patient_background": {
        "summary_content": "72 years old, female, metastatic pancreatic cancer, hypertension, osteoarthritis, type 2 diabetes, major depressive disorder",
        "evidence_content": [
          {
            "text": "Age: 72, Gender: Female, Diagnosed with metastatic pancreatic cancer",
            "page_index": 0
          }
        ]
      },
      "diagnosis": {
        "summary_content": "Metastatic pancreatic cancer, intractable neuropathic pain",
        "evidence_content": [
          {
            "text": "Diagnosed with metastatic pancreatic cancer, contributing to severe neuropathic pain",
            "page_index": 0
          }
        ]
      },
      "reason_for_request": {
        "summary_content": "Percutaneous cordotomy to alleviate intractable neuropathic pain",
        "evidence_content": [
          {
            "text": "Percutaneous cordotomy proposed to alleviate neuropathic pain",
            "page_index": 3
          }
        ]
      },
      "key_test_results": {
        "summary_content": "MRI and CT scans show stable pancreatic tumor with nerve involvement",
        "evidence_content": [
          {
            "text": "MRI (05/2024): Stable tumor in pancreas with nerve involvement",
            "page_index": 1
          }
        ]
      },
      "current_treatment": {
        "summary_content": "Opioid and non-opioid analgesics, neuropathic pain modulators with limited efficacy",
        "evidence_content": [
          {
            "text": "Combination of opioid and non-opioid analgesics with limited success",
            "page_index": 1
          }
        ]
      }
    }
  }
}
}