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Cogniqa

A developmental diagnosis triggers an administrative cascade that healthcare has never automated.

Core trick

Takes a FHIR R4 diagnosis bundle and runs six agents that generate referral, prior-authorization, and school-notification tasks with deadlines.

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Description

A developmental diagnosis triggers an administrative cascade that healthcare has never automated. 47 days. I waited for my son's first therapy appointment after his ASD diagnosis. Early intervention referral. Prior authorization request. School district notification. Documentation gap review. Each with its own form, its own deadline, and its own way of quietly failing if nobody follows through. That work falls on a clinician with three minutes before their next patient — or disappears entirely. Families of neurodivergent children routinely wait months for care that should begin this week. Not because the therapists aren't there. Because nobody handles what comes next. PostDx handles what comes next. What it does PostDx takes a FHIR R4 Bundle from the diagnosing encounter and runs six agents over it
Meerisha/post-dx-agent★ 00 forksHTMLCreated Jul 18, 2026 · last push Jul 19, 2026

README excerpt

# PostDx — Post-Diagnosis Autonomous Agent

> The agent that activates the moment a diagnosis is confirmed.

**Abridge × Anthropic × Lightspeed Hackathon · July 18 2026 · Meerim Samakova**

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## The problem

A developmental diagnosis triggers an administrative cascade that healthcare has never automated.

Early intervention referral. Prior authorization request. School district notification. Documentation gap review. Each with its own form, its own deadline, and its own way of quietly failing if nobody follows through.

That work falls on a clinician with three minutes before their next patient — or disappears entirely. Families of neurodivergent children routinely wait months for care that should begin this week. Not because the therapists aren't there. Because nobody handles what comes next.

PostDx handles what comes next.

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## What it does

PostDx takes a FHIR R4 Bundle from the diagnosing encounter and runs six agents over it — producing both halves of what has to happen in the 72 hours after diagnosis:

**Clinician package** — everything the care team needs to sign and send:
- Prior authorization request with clinical justification mapped from FHIR assessment scores
- Early Intervention referral (IDEA Part C)
- Developmental pediatrician follow-up referral
- ABA therapy referral
- School district notification (IDEA Part B)
- Documentation gap report — what is missing, why it matters, estimated delay per item

**Family action plan** — plain-English guide written f

Team