The research team will evaluate the effectiveness of an auto-pended bot liver ultrasound order that will prompt providers at the time of encounter to place appropriate imaging orders for hepatocellular carcinoma (HCC) screening in patients with cirrhosis.

Inclusion Criteria:

• cirrhosis diagnosis,
• 6 months or more after since most recent imaging.

Exclusion Criteria:

• previous liver transplant,
• HCC diagnosis,
• receiving hospice care,
• completed external imaging in the past 6 months.

Patients presenting with a cirrhosis diagnosis, and at the date of their appointment had been 6 months or more after their most recent imaging.

This is a quality improvement (QI) project and individual participant data (IPD) will not be shared with other researchers.