> ## Documentation Index
> Fetch the complete documentation index at: https://docs.claritycare.ai/llms.txt
> Use this file to discover all available pages before exploring further.
# Update Process Tree
> Update the criteria tree and rationale for a processing request
# Update Process Tree
Update the criteria tree and rationale for a processing request.
## API Request
The unique identifier for the processing request
If true, only the input criteria tree and rationale will be saved and new tree coloring or rationale will not be generated.
JSON string representing the updated criteria tree
Updated rationale for the decision
## Response
Presigned URL for the case file
Final results of the processing
```bash Request theme={null}
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"'
```
```json Response theme={null}
{
"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
}
]
}
}
}
}
}
```