CQF Clinical Reasoning on FHIR for Java
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Updated
Jun 12, 2026 - Java
CQF Clinical Reasoning on FHIR for Java
Χ-Bench: Can AI Agents Automate End-to-End, Long-Horizon, Policy-Rich Healthcare Workflows?
HIPAA compliant SaaS platform for Claims Processing, CMS 057-F CMS Regulatory FHIR APIs, EDI integration platform for healthcare payers. Process X12 transactions (270/275/277/278/837), FHIR R4 APIs, and CMS-0057-F compliance. Deploy on Azure, AWS (EKS), GCP (GKE), Digital Ocean (DOKS), Kubernetes.
Production-grade Healthcare Prior Authorization framework featuring AI-driven OCR pipelines, HIPAA-compliant architecture, and secure JWT authentication.
Provider-side oncology prior-authorization copilot · 7-agent LangGraph DAG · AWS Bedrock + Claude Sonnet 4.6 · CMS-0057-F native
AI governance audit system for healthcare decision models. Evaluates fairness (DPD/EOD), calibration, and robustness with NIST AI RMF-aligned reporting.
Multi-agent AI platform that automates healthcare prior-authorization decisions. RAG-grounded, harness-engineered, observability-first.
FHIR-native prior authorization agent - turns a 5-day PA workflow into a 30-second automated clinical letter.
LLMs auto-fill regulated prior-authorization forms from patient notes — with a validation pass and an LLM-as-a-Judge eval that scores correctness on clinical knowledge, not string matching. FastAPI + Streamlit, GPT structured outputs, SSE field streaming, F1 pipeline that exposed a flawed golden dataset.
TypeScript/JavaScript SDK for the Verity API - Medicare coverage policies and prior authorization
Atomic medical clinic AI workflow skills for EHR-integrated healthcare administration automation, SMART on FHIR planning, patient intake, prior auth, referrals, scheduling, chart prep, and human-in-the-loop clinic operations.
Autonomous Prior Authorization Agent built on Google ADK and Gemini 2.5 Flash. Implements Da Vinci CRD + DTR + PAS against a live FHIR R4 store. Full pipeline.
Simulated prior auth readiness handoff agent built with LangGraph, mock cases, deterministic rules, workflow traces, and HITL review.
Candid Health APIs.json profile for API Evangelist catalog
AI Medical Clinic: agentic medical office workflow automation API with EHR/FHIR utilities, OpenAI-compatible integration, human review, audit logs, patient intake, prior authorization, referrals, and clinic admin modules.
Smile Digital Health (smile-cdr) — commercial FHIR-native clinical data repository and creators of HAPI FHIR
3-Agent Prior Authorization AI Pipeline — citation verification, hallucination detection, safety gating | $0.04/decision vs $15-25 manual
Healthcare workflow automation case study for prior authorization readiness using Python, JSON-style contracts, and rule-based validation.
Payer-side agentic prior authorization decisioning prototype, in-process LangGraph.js StateGraph, LLM-agnostic (Anthropic/Bedrock), AWS CDK. Synthetic data only, no PHI.
Primary-source dataset and infrastructure analysis of CMS-0057-F prior authorization disclosures. 10 payers, 64 dataset records, 14 documented infrastructure findings. Clinical AI governance and interoperability perspective.
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