davinci_dtr_test_kit 0.14.2 → 0.15.0

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Files changed (158) hide show
  1. checksums.yaml +4 -4
  2. data/config/presets/full_ehr_postman_dinner_order_example_postman.json +19 -0
  3. data/config/presets/full_ehr_postman_respiratory_device_example.json +15 -0
  4. data/config/presets/light_ehr_ref_server_local.json +105 -0
  5. data/config/presets/light_ehr_ref_server_prod.json +85 -0
  6. data/config/presets/payer_server_adaptive_client_flow.json +37 -0
  7. data/config/presets/payer_server_adaptive_manual_flow.json +44 -0
  8. data/config/presets/payer_server_run_against_smart_app_tests.json +35 -0
  9. data/config/presets/smart_app_postman_dinner_order_example.json +44 -0
  10. data/config/presets/smart_app_postman_respiratory_device_example.json +43 -0
  11. data/lib/davinci_dtr_test_kit/auth_groups/token_validation_test.rb +1 -1
  12. data/lib/davinci_dtr_test_kit/client_groups/custom_static/dtr_custom_questionnaire_expressions_test.rb +22 -0
  13. data/lib/davinci_dtr_test_kit/client_groups/custom_static/dtr_custom_questionnaire_extensions_test.rb +19 -0
  14. data/lib/davinci_dtr_test_kit/client_groups/custom_static/dtr_custom_questionnaire_libraries_test.rb +21 -0
  15. data/lib/davinci_dtr_test_kit/client_groups/custom_static/dtr_custom_questionnaire_package_validation_test.rb +39 -0
  16. data/lib/davinci_dtr_test_kit/client_groups/custom_static/dtr_full_ehr_custom_static_workflow_group.rb +121 -0
  17. data/lib/davinci_dtr_test_kit/client_groups/custom_static/dtr_smart_app_custom_static_workflow_group.rb +91 -0
  18. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_adaptive_questionnaire_completion_group.rb → dtr_adaptive_completion_group.rb} +4 -4
  19. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_adaptive_questionnaire_followup_questions_group.rb → dtr_adaptive_followup_questions_group.rb} +4 -4
  20. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_adaptive_questionnaire_next_question_request_test.rb → dtr_adaptive_next_question_request_test.rb} +2 -2
  21. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_adaptive_questionnaire_next_question_request_validation_test.rb → dtr_adaptive_next_question_request_validation_test.rb} +2 -2
  22. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_adaptive_questionnaire_next_question_retrieval_group.rb → dtr_adaptive_next_question_retrieval_group.rb} +8 -8
  23. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_adaptive_questionnaire_response_validation_test.rb → dtr_adaptive_response_validation_test.rb} +3 -3
  24. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_full_ehr_adaptive_dinner_questionnaire_workflow_group.rb → dtr_full_ehr_adaptive_dinner_workflow_group.rb} +12 -12
  25. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_full_ehr_adaptive_questionnaire_initial_retrieval_group.rb → dtr_full_ehr_adaptive_initial_retrieval_group.rb} +10 -10
  26. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_full_ehr_adaptive_questionnaire_request_test.rb → dtr_full_ehr_adaptive_request_test.rb} +2 -2
  27. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_smart_app_questionnaire_workflow_group.rb → dtr_smart_app_adaptive_dinner_workflow_group.rb} +24 -18
  28. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/dtr_smart_app_adaptive_initial_retrieval_group.rb +24 -0
  29. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/{dtr_smart_app_adaptive_questionnaire_request_test.rb → dtr_smart_app_adaptive_request_test.rb} +2 -2
  30. data/lib/davinci_dtr_test_kit/client_groups/dinner_static/{dtr_full_ehr_questionnaire_workflow_group.rb → dtr_full_ehr_static_dinner_workflow_group.rb} +13 -13
  31. data/lib/davinci_dtr_test_kit/client_groups/dinner_static/{dtr_smart_app_questionnaire_workflow_group.rb → dtr_smart_app_static_dinner_workflow_group.rb} +18 -13
  32. data/lib/davinci_dtr_test_kit/client_groups/{full_ehr/dtr_full_ehr_rendering_enabled_questions_attestation_test.rb → dinner_static/dtr_static_dinner_enabled_questions_attestation_test.rb} +2 -2
  33. data/lib/davinci_dtr_test_kit/client_groups/full_ehr/dtr_full_ehr_launch_attestation_test.rb +8 -3
  34. data/lib/davinci_dtr_test_kit/client_groups/full_ehr/dtr_full_ehr_prepopulation_attestation_test.rb +1 -1
  35. data/lib/davinci_dtr_test_kit/client_groups/full_ehr/dtr_full_ehr_prepopulation_override_attestation_test.rb +1 -1
  36. data/lib/davinci_dtr_test_kit/client_groups/full_ehr/dtr_full_ehr_questionnaire_package_request_test.rb +1 -1
  37. data/lib/davinci_dtr_test_kit/client_groups/full_ehr/dtr_full_ehr_questionnaire_response_conformance_test.rb +6 -1
  38. data/lib/davinci_dtr_test_kit/client_groups/full_ehr/dtr_full_ehr_questionnaire_response_correctness_test.rb +10 -22
  39. data/lib/davinci_dtr_test_kit/client_groups/full_ehr/dtr_full_ehr_saving_questionnaire_response_group.rb +4 -4
  40. data/lib/davinci_dtr_test_kit/client_groups/full_ehr/dtr_full_ehr_store_attestation_test.rb +1 -1
  41. data/lib/davinci_dtr_test_kit/client_groups/light_ehr/dtr_smart_ehr_launch.rb +18 -0
  42. data/lib/davinci_dtr_test_kit/client_groups/light_ehr/fhir_context_coverage_test.rb +42 -0
  43. data/lib/davinci_dtr_test_kit/client_groups/light_ehr/fhir_context_references_test.rb +60 -0
  44. data/lib/davinci_dtr_test_kit/client_groups/light_ehr/fhir_launch_context_test.rb +23 -0
  45. data/lib/davinci_dtr_test_kit/client_groups/{resp_assist_device/dtr_questionnaire_package_group.rb → respiratory/dtr_respiratory_questionnaire_package_group.rb} +5 -5
  46. data/lib/davinci_dtr_test_kit/client_groups/{resp_assist_device/dtr_resp_questionnaire_package_request_test.rb → respiratory/dtr_respiratory_questionnaire_package_request_test.rb} +2 -2
  47. data/lib/davinci_dtr_test_kit/client_groups/{resp_assist_device/dtr_questionnaire_response_group.rb → respiratory/dtr_respiratory_questionnaire_response_group.rb} +7 -7
  48. data/lib/davinci_dtr_test_kit/client_groups/{resp_assist_device/dtr_questionnaire_response_save_test.rb → respiratory/dtr_respiratory_questionnaire_response_save_test.rb} +2 -2
  49. data/lib/davinci_dtr_test_kit/client_groups/{resp_assist_device/dtr_questionnaire_rendering_attestation_test.rb → respiratory/dtr_respiratory_rendering_attestation_test.rb} +2 -2
  50. data/lib/davinci_dtr_test_kit/client_groups/respiratory/dtr_respiratory_rendering_group.rb +14 -0
  51. data/lib/davinci_dtr_test_kit/client_groups/{resp_assist_device/dtr_smart_app_questionnaire_workflow_group.rb → respiratory/dtr_smart_app_respiratory_workflow_group.rb} +8 -8
  52. data/lib/davinci_dtr_test_kit/client_groups/shared/dtr_prepopulation_attestation_test.rb +31 -0
  53. data/lib/davinci_dtr_test_kit/client_groups/shared/dtr_prepopulation_override_attestation_test.rb +35 -0
  54. data/lib/davinci_dtr_test_kit/client_groups/shared/dtr_questionnaire_package_request_validation_test.rb +1 -1
  55. data/lib/davinci_dtr_test_kit/client_groups/shared/dtr_questionnaire_response_basic_conformance_test.rb +8 -4
  56. data/lib/davinci_dtr_test_kit/client_groups/shared/{dtr_questionnaire_response_pre_population_test.rb → dtr_questionnaire_response_prepopulation_test.rb} +2 -2
  57. data/lib/davinci_dtr_test_kit/client_groups/shared/dtr_rendering_attestation_test.rb +30 -0
  58. data/lib/davinci_dtr_test_kit/client_groups/smart_app/dtr_smart_app_prepopulation_attestation_test.rb +1 -1
  59. data/lib/davinci_dtr_test_kit/client_groups/smart_app/dtr_smart_app_prepopulation_override_attestation_test.rb +1 -1
  60. data/lib/davinci_dtr_test_kit/client_groups/{dinner_static/dtr_smart_app_dinner_questionnaire_package_request_test.rb → smart_app/dtr_smart_app_questionnaire_package_request_test.rb} +6 -6
  61. data/lib/davinci_dtr_test_kit/client_groups/smart_app/dtr_smart_app_questionnaire_response_correctness_test.rb +28 -0
  62. data/lib/davinci_dtr_test_kit/client_groups/smart_app/dtr_smart_app_questionnaire_response_save_test.rb +2 -2
  63. data/lib/davinci_dtr_test_kit/client_groups/smart_app/dtr_smart_app_saving_questionnaire_response_group.rb +3 -7
  64. data/lib/davinci_dtr_test_kit/cql_test.rb +58 -0
  65. data/lib/davinci_dtr_test_kit/docs/dtr_light_ehr_suite_description_v201.md +9 -6
  66. data/lib/davinci_dtr_test_kit/dtr_full_ehr_suite.rb +19 -6
  67. data/lib/davinci_dtr_test_kit/dtr_light_ehr_suite.rb +42 -36
  68. data/lib/davinci_dtr_test_kit/dtr_payer_server_suite.rb +0 -2
  69. data/lib/davinci_dtr_test_kit/dtr_questionnaire_response_validation.rb +50 -4
  70. data/lib/davinci_dtr_test_kit/dtr_smart_app_suite.rb +9 -9
  71. data/lib/davinci_dtr_test_kit/endpoints/mock_authorization.rb +10 -2
  72. data/lib/davinci_dtr_test_kit/endpoints/mock_ehr.rb +17 -1
  73. data/lib/davinci_dtr_test_kit/endpoints/mock_payer/questionnaire_package_endpoint.rb +7 -1
  74. data/lib/davinci_dtr_test_kit/fixtures.rb +6 -6
  75. data/lib/davinci_dtr_test_kit/igs/davinci_dtr_2.0.1.tgz +0 -0
  76. data/lib/davinci_dtr_test_kit/metadata.rb +104 -0
  77. data/lib/davinci_dtr_test_kit/payer_server_groups/adaptive_form_libraries_test.rb +1 -1
  78. data/lib/davinci_dtr_test_kit/payer_server_groups/adaptive_form_questionnaire_expressions_test.rb +1 -1
  79. data/lib/davinci_dtr_test_kit/payer_server_groups/adaptive_form_questionnaire_extensions_test.rb +1 -1
  80. data/lib/davinci_dtr_test_kit/payer_server_groups/payer_server_adaptive_response_bundles_validation_test.rb +1 -1
  81. data/lib/davinci_dtr_test_kit/payer_server_groups/payer_server_adaptive_response_search_validation_test.rb +1 -1
  82. data/lib/davinci_dtr_test_kit/payer_server_groups/payer_server_adaptive_response_validation_test.rb +4 -15
  83. data/lib/davinci_dtr_test_kit/payer_server_groups/payer_server_static_group.rb +1 -1
  84. data/lib/davinci_dtr_test_kit/payer_server_groups/static_form_libraries_test.rb +1 -1
  85. data/lib/davinci_dtr_test_kit/payer_server_groups/static_form_questionnaire_expressions_test.rb +1 -1
  86. data/lib/davinci_dtr_test_kit/payer_server_groups/static_form_questionnaire_extensions_test.rb +1 -1
  87. data/lib/davinci_dtr_test_kit/payer_server_groups/static_form_request_test.rb +1 -1
  88. data/lib/davinci_dtr_test_kit/payer_server_groups/static_form_response_validation_test.rb +4 -15
  89. data/lib/davinci_dtr_test_kit/profiles/communication_request/communication_request_must_support_test.rb +46 -0
  90. data/lib/davinci_dtr_test_kit/profiles/communication_request/communication_request_read.rb +6 -3
  91. data/lib/davinci_dtr_test_kit/profiles/communication_request/communication_request_validation.rb +9 -8
  92. data/lib/davinci_dtr_test_kit/profiles/communication_request/metadata.yml +135 -0
  93. data/lib/davinci_dtr_test_kit/profiles/communication_request_group.rb +9 -0
  94. data/lib/davinci_dtr_test_kit/profiles/coverage/coverage_must_support_test.rb +54 -0
  95. data/lib/davinci_dtr_test_kit/profiles/coverage/coverage_read.rb +5 -3
  96. data/lib/davinci_dtr_test_kit/profiles/coverage/coverage_validation.rb +9 -8
  97. data/lib/davinci_dtr_test_kit/profiles/coverage/metadata.yml +133 -0
  98. data/lib/davinci_dtr_test_kit/profiles/coverage_group.rb +8 -0
  99. data/lib/davinci_dtr_test_kit/profiles/device_request/device_request_must_support_test.rb +45 -0
  100. data/lib/davinci_dtr_test_kit/profiles/device_request/device_request_read.rb +6 -3
  101. data/lib/davinci_dtr_test_kit/profiles/device_request/device_request_validation.rb +9 -8
  102. data/lib/davinci_dtr_test_kit/profiles/device_request/metadata.yml +130 -0
  103. data/lib/davinci_dtr_test_kit/profiles/device_request_group.rb +9 -0
  104. data/lib/davinci_dtr_test_kit/profiles/encounter/encounter_must_support_test.rb +58 -0
  105. data/lib/davinci_dtr_test_kit/profiles/encounter/encounter_read.rb +6 -3
  106. data/lib/davinci_dtr_test_kit/profiles/encounter/encounter_validation.rb +9 -8
  107. data/lib/davinci_dtr_test_kit/profiles/encounter/metadata.yml +169 -0
  108. data/lib/davinci_dtr_test_kit/profiles/encounter_group.rb +9 -0
  109. data/lib/davinci_dtr_test_kit/profiles/medication_request/medication_request_must_support_test.rb +50 -0
  110. data/lib/davinci_dtr_test_kit/profiles/medication_request/medication_request_read.rb +6 -3
  111. data/lib/davinci_dtr_test_kit/profiles/medication_request/medication_request_validation.rb +9 -8
  112. data/lib/davinci_dtr_test_kit/profiles/medication_request/metadata.yml +159 -0
  113. data/lib/davinci_dtr_test_kit/profiles/medication_request_group.rb +9 -0
  114. data/lib/davinci_dtr_test_kit/profiles/nutrition_order/metadata.yml +94 -0
  115. data/lib/davinci_dtr_test_kit/profiles/nutrition_order/nutrition_order_must_support_test.rb +45 -0
  116. data/lib/davinci_dtr_test_kit/profiles/nutrition_order/nutrition_order_read.rb +6 -3
  117. data/lib/davinci_dtr_test_kit/profiles/nutrition_order/nutrition_order_validation.rb +9 -8
  118. data/lib/davinci_dtr_test_kit/profiles/nutrition_order_group.rb +9 -0
  119. data/lib/davinci_dtr_test_kit/profiles/questionnaire_response/questionnaire_response_context_search.rb +3 -1
  120. data/lib/davinci_dtr_test_kit/profiles/questionnaire_response/questionnaire_response_create.rb +1 -0
  121. data/lib/davinci_dtr_test_kit/profiles/questionnaire_response/questionnaire_response_must_support_test.rb +54 -0
  122. data/lib/davinci_dtr_test_kit/profiles/questionnaire_response/questionnaire_response_patient_search.rb +3 -1
  123. data/lib/davinci_dtr_test_kit/profiles/questionnaire_response/questionnaire_response_read.rb +2 -1
  124. data/lib/davinci_dtr_test_kit/profiles/questionnaire_response/questionnaire_response_update.rb +1 -0
  125. data/lib/davinci_dtr_test_kit/profiles/questionnaire_response/questionnaire_response_validation.rb +1 -1
  126. data/lib/davinci_dtr_test_kit/profiles/questionnaire_response_group.rb +11 -1
  127. data/lib/davinci_dtr_test_kit/profiles/service_request/metadata.yml +140 -0
  128. data/lib/davinci_dtr_test_kit/profiles/service_request/service_request_must_support_test.rb +47 -0
  129. data/lib/davinci_dtr_test_kit/profiles/service_request/service_request_read.rb +6 -3
  130. data/lib/davinci_dtr_test_kit/profiles/service_request/service_request_validation.rb +9 -8
  131. data/lib/davinci_dtr_test_kit/profiles/service_request_group.rb +9 -0
  132. data/lib/davinci_dtr_test_kit/profiles/task/metadata.yml +165 -0
  133. data/lib/davinci_dtr_test_kit/profiles/task/task_create.rb +1 -0
  134. data/lib/davinci_dtr_test_kit/profiles/task/task_must_support_test.rb +46 -0
  135. data/lib/davinci_dtr_test_kit/profiles/task/task_read.rb +6 -3
  136. data/lib/davinci_dtr_test_kit/profiles/task/task_update.rb +1 -0
  137. data/lib/davinci_dtr_test_kit/profiles/task/task_validation.rb +9 -8
  138. data/lib/davinci_dtr_test_kit/profiles/task_group.rb +11 -1
  139. data/lib/davinci_dtr_test_kit/profiles/vision_prescription/metadata.yml +107 -0
  140. data/lib/davinci_dtr_test_kit/profiles/vision_prescription/vision_prescription_must_support_test.rb +54 -0
  141. data/lib/davinci_dtr_test_kit/profiles/vision_prescription/vision_prescription_read.rb +6 -3
  142. data/lib/davinci_dtr_test_kit/profiles/vision_prescription/vision_prescription_validation.rb +9 -8
  143. data/lib/davinci_dtr_test_kit/profiles/vision_prescription_group.rb +9 -0
  144. data/lib/davinci_dtr_test_kit/read_test.rb +5 -0
  145. data/lib/davinci_dtr_test_kit/requirements/davinci-dtr-test-kit_out_of_scope_requirements.csv +13 -0
  146. data/lib/davinci_dtr_test_kit/requirements/davinci-dtr-test-kit_requirements.csv +374 -0
  147. data/lib/davinci_dtr_test_kit/requirements/generated/davinci-dtr-test-kit_requirements_coverage.csv +372 -0
  148. data/lib/davinci_dtr_test_kit/urls.rb +1 -0
  149. data/lib/davinci_dtr_test_kit/version.rb +2 -1
  150. data/lib/davinci_dtr_test_kit.rb +2 -0
  151. data/lib/inferno_requirements_tools/ext/inferno_core/runnable.rb +22 -0
  152. data/lib/inferno_requirements_tools/rake/rakefile_template +31 -0
  153. data/lib/inferno_requirements_tools/tasks/requirements_coverage.rb +284 -0
  154. data/lib/requirements_config.yaml +25 -0
  155. metadata +88 -37
  156. data/lib/davinci_dtr_test_kit/client_groups/dinner_adaptive/dtr_smart_app_adaptive_questionnaire_initial_retrieval_group.rb +0 -24
  157. data/lib/davinci_dtr_test_kit/client_groups/resp_assist_device/dtr_questionnaire_rendering_group.rb +0 -14
  158. data/lib/davinci_dtr_test_kit/client_groups/smart_app/dtr_smart_app_rendering_enabled_questions_attestation_test.rb +0 -30
data/lib/davinci_dtr_test_kit/requirements/davinci-dtr-test-kit_requirements.csv ADDED
@@ -0,0 +1,374 @@
1
+ Req Set,ID,URL,Requirement,Conformance,Actor,Sub-Requirement(s),Conditionality
2
+ hl7.fhir.us.davinci-dtr_2.0.1,2,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,Da Vinci DTR [Light EHR] implementations **SHALL** conform to the US Core IG [Must Support](http://hl7.org/fhir/us/core/STU3.1.1/general-guidance.html#must-support) [Responder] Guidance where US Core IG resources are used.,SHALL,Light EHR,,false
3
+ hl7.fhir.us.davinci-dtr_2.0.1,3,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,Da Vinci DTR [SMART Client] implementations **SHALL** conform to the US Core IG [Must Support](http://hl7.org/fhir/us/core/STU3.1.1/general-guidance.html#must-support) [Requestor] Guidance where US Core IG resources are used.,SHALL,SMART Client,,false
4
+ hl7.fhir.us.davinci-dtr_2.0.1,4,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,DTR apps and EHRs that take on DTR app responsibility **SHALL** be able to render Questionnaires,SHALL,"Full EHR, SMART Client",,false
5
+ hl7.fhir.us.davinci-dtr_2.0.1,5,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,DTR apps and EHRs that take on DTR app responsibility **SHALL** be able to render ... QuestionnaireResponses.,SHALL,"Full EHR, SMART Client",,false
6
+ hl7.fhir.us.davinci-dtr_2.0.1,6,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: ... QuestionnaireResponse.questionnaire.questionnaireDisplay,SHALL,"Full EHR, SMART Client",,false
7
+ hl7.fhir.us.davinci-dtr_2.0.1,7,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: ... [QuestionnaireResponse.questionnaire.resolve().title],SHALL,"Full EHR, SMART Client",,false
8
+ hl7.fhir.us.davinci-dtr_2.0.1,8,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: ... QuestionnaireResponse.authored,SHALL,"Full EHR, SMART Client",,false
9
+ hl7.fhir.us.davinci-dtr_2.0.1,9,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: .. QuestionnaireResponse.author.resolve().name,SHALL,"Full EHR, SMART Client",,false
10
+ hl7.fhir.us.davinci-dtr_2.0.1,10,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: … QuestionnaireResponse.source.resolve().name,SHALL,"Full EHR, SMART Client",,false
11
+ hl7.fhir.us.davinci-dtr_2.0.1,11,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: … QuestionnaireResponse.item.text,SHALL,"Full EHR, SMART Client",,false
12
+ hl7.fhir.us.davinci-dtr_2.0.1,12,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: … QuestionnaireResponse.item.value - all data types,SHALL,"Full EHR, SMART Client",,false
13
+ hl7.fhir.us.davinci-dtr_2.0.1,13,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: … The same [item.text] for all nested items,SHALL,"Full EHR, SMART Client",,false
14
+ hl7.fhir.us.davinci-dtr_2.0.1,14,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[A]pps and EHRs acting as form fillers **SHALL** be able to display: … The same [all data types of item.value] for all nested items,SHALL,"Full EHR, SMART Client",,false
15
+ hl7.fhir.us.davinci-dtr_2.0.1,15,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[Form filling systems] **SHALL** also handle all mustSupport elements within the Questionnaire profile,SHALL,"Full EHR, SMART Client",,false
16
+ hl7.fhir.us.davinci-dtr_2.0.1,16,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,"[Form filling systems] **SHALL** … provide visual cues where those elements impact expected user action (e.g., required answers, need for signatures, etc.)",SHALL,"Full EHR, SMART Client",,false
17
+ hl7.fhir.us.davinci-dtr_2.0.1,17,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#must-support,[Form filling] systems **SHOULD** be able to display Q[uestionnaire]R[esponse].item.itemMedia,SHOULD,"Full EHR, SMART Client",,false
18
+ hl7.fhir.us.davinci-dtr_2.0.1,18,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#impact-on-payer-processes,"[Payer] assertions about coverage or prior authorization requirements … **MAY** ... be expressed conditionally. e.g., “Provided this service is billed as X, Y or Z, then prior authorization is not needed” [to account for uncertainty in their inference from clinical codes used for ordering of the billing codes that will be used on the eventual claim]",MAY,Payer Service,,false
19
+ hl7.fhir.us.davinci-dtr_2.0.1,19,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#impact-on-payer-processes,"In situations where the DTR App is aware of the likely billing codes at the time of ordering, it might send these codes as additional CodeableConcept.coding repetitions to assist in server processing.",MAY,"Full EHR, SMART Client",,false
20
+ hl7.fhir.us.davinci-dtr_2.0.1,20,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#impact-on-payer-processes,"If CPT is used , note the ability to convey CPT modifier codes via post-coordination as described in the Using CPT page on [terminology.hl7.org](https://terminology.hl7.org/).",MAY,"Full EHR, SMART Client",,true
21
+ hl7.fhir.us.davinci-dtr_2.0.1,21,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,[A]ll DTR apps **SHALL** be registered with the payer systems with which they communicate.,SHALL,"Full EHR, SMART Client",,false
22
+ hl7.fhir.us.davinci-dtr_2.0.1,22,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,"If an EHR opts to interact with the payer directly without using an app, then the EHR itself will need to register.",SHALL,Full EHR,,false
23
+ hl7.fhir.us.davinci-dtr_2.0.1,23,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,[P]ayers **SHALL** have a single endpoint (managed by themselves or a delegate) that can handle responding to all DTR service calls.,SHALL,Payer Service,,false
24
+ hl7.fhir.us.davinci-dtr_2.0.1,24,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,This registration process will ensure the that the DTR app or Full EHR: … Is ‘trusted’ by the payer to deal with patient-identifiable data.,SHALL,Payer Service,,false
25
+ hl7.fhir.us.davinci-dtr_2.0.1,25,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,This registration process will ensure the that the DTR app or Full EHR: … Knows the relevant endpoint to use for the payer to access the [`$questionnaire-package`](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html) operation,SHALL,Payer Service,,false
26
+ hl7.fhir.us.davinci-dtr_2.0.1,26,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,This registration process will ensure the that the DTR app or Full EHR: … has a shared secret allowing secure access to the payer endpoint via [SMART on FHIR Backend Services](https://www.hl7.org/fhir/smart-app-launch/backend-services.html).,SHALL,Payer Service,,false
27
+ hl7.fhir.us.davinci-dtr_2.0.1,27,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,"Even after an application has been successfully registered, payers ... **SHOULD** monitor the application behavior",SHOULD,Payer Service,,false
28
+ hl7.fhir.us.davinci-dtr_2.0.1,28,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,"Even after an application has been successfully registered, payers ... **MAY** suspend an application’s access if it is suspected of malicious behavior.",MAY,Payer Service,,false
29
+ hl7.fhir.us.davinci-dtr_2.0.1,29,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,"Even after an application has been successfully registered, … EHRs **SHOULD** monitor the application behavior",SHOULD,"Full EHR, SMART Client",,false
30
+ hl7.fhir.us.davinci-dtr_2.0.1,30,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,"Even after an application has been successfully registered, … EHRs ... **MAY** suspend an application’s access if it is suspected of malicious behavior.",MAY,"Full EHR, SMART Client",,false
31
+ hl7.fhir.us.davinci-dtr_2.0.1,31,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,"Some payers may create Questionnaires that rely on code systems that require licensing for use where there isn’t already a cross-U.S. license in place (e.g., UB, CPT). In such cases, the payer, provider, and if necessary, the SMART on FHIR app vendor will need to have the relevant licenses to display, store, and retransmit the information captured.",SHALL,"Full EHR, Light EHR, SMART Client, Payer Service",,true
32
+ hl7.fhir.us.davinci-dtr_2.0.1,32,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#configuring-appehr-to-payer-connectivity,The expectations around licensing requirements should be established as part of the configuration process between the parties.,SHOULD,"Full EHR, Light EHR, SMART Client, Payer Service",,true
33
+ hl7.fhir.us.davinci-dtr_2.0.1,33,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-use,Payers **MAY** support either [the [standard questionnaire](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-std-questionnaire.html) or [adaptive questionnaire](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt.html)] approach,MAY,Payer Service,,false
34
+ hl7.fhir.us.davinci-dtr_2.0.1,34,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-use,Payers ... **MAY** opt to provide some Questionnaires using [the [standard questionnaire](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-std-questionnaire.html) … and others using the [[adaptive questionnaire](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt.html)] ... based on the requirements of the form,MAY,Payer Service,,false
35
+ hl7.fhir.us.davinci-dtr_2.0.1,35,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-use,DTR apps and Full EHRs **SHALL** support ... [[standard](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-std-questionnaire.html) ... Questionnaires.,SHALL,"Full EHR, SMART Client",,false
36
+ hl7.fhir.us.davinci-dtr_2.0.1,36,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-use,DTR apps and Full EHRs **SHALL** support ... [adaptive](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt.html)] ... Questionnaires.,SHALL,"Full EHR, SMART Client",,false
37
+ hl7.fhir.us.davinci-dtr_2.0.1,37,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"When a payer uses an Adaptive Form, they **SHALL** return [in response to a [`$questionnaire-package`](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html) request] a questionnaire instance compliant with the [DTR AdaptiveQuestionnaire-Search] (https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt-search.html) profile.",SHALL,Payer Service,,true
38
+ hl7.fhir.us.davinci-dtr_2.0.1,38,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"If the [[`questionnaire-adaptive`](http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-questionnaireAdaptive)] extension is simply a boolean value of ‘true’, then the [[`$next-question`](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html)] operation endpoint [for the client to use] is the payer base URL. (i.e., [base]/$next-question).",SHALL,"Full EHR, SMART Client",,true
39
+ hl7.fhir.us.davinci-dtr_2.0.1,39,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"If the [[`questionnaire-adaptive`](http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-questionnaireAdaptive)] extension is a url, then that is the base for the next question [[operation](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html) endpoint for the client to use] (i.e., [url]/$next-question).",SHALL,"Full EHR, SMART Client",,true
40
+ hl7.fhir.us.davinci-dtr_2.0.1,40,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"If present, any questionnaire-adaptive url **SHALL** be a sub-url under the base for the payer",SHALL,Payer Service,,true
41
+ hl7.fhir.us.davinci-dtr_2.0.1,41,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"If present, any questionnaire-adaptive url **SHALL** be ... able to be accessed within the same SMART Backend Services connection as was established to make the [`$questionnaire-package`](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html) call.",SHALL,Payer Service,,true
42
+ hl7.fhir.us.davinci-dtr_2.0.1,42,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,The QuestionnaireResponse included in the Questionnaire package Bundle accompanying an adaptive Questionnaire will follow the convention of referencing a contained Questionnaire ‘derivedFrom’ the canonical for the Questionnaire being completed.,SHALL,Payer Service,,true
43
+ hl7.fhir.us.davinci-dtr_2.0.1,43,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"Typically, the QuestionnaireResponse and contained Questionnaire [for adaptive forms returned from the questionnaire package operation] will contain no answers (or corresponding questions)",MAY,Payer Service,,true
44
+ hl7.fhir.us.davinci-dtr_2.0.1,44,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,the payer **MAY** opt to include a few pre-populated answers [in the initial adaptive form returned from the questionnaire package operation] for user review prior to soliciting additional questions using the [`$next-question`](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html) operation.,MAY,Payer Service,,true
45
+ hl7.fhir.us.davinci-dtr_2.0.1,45,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"Payers **MAY** define pre-populatable questions to extract such [context] information [to use in adaptive form question determination], using CQL to access the Questionnaire’s launchContext or performing any necessary data retrieval.",MAY,Payer Service,,true
46
+ hl7.fhir.us.davinci-dtr_2.0.1,46,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,[When packaging an adaptive questionnaire] The payer **MAY** opt to include CQL Libraries and ValueSets in the package that are not actually referenced by any questions [currently in the returned adaptive form],MAY,Payer Service,,true
47
+ hl7.fhir.us.davinci-dtr_2.0.1,47,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,[When packaging an adaptive questionnaire] The payer **MAY** add CQL Libraries and ValueSets as ‘contained’ resources inside the QuestionnaireResponse that are relevant to the questions that are part of the Questionnaire for each [`$next-question`](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html) call,MAY,Payer Service,,true
48
+ hl7.fhir.us.davinci-dtr_2.0.1,48,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"[When packaging an adaptive questionnaire] the payer can opt to specify the CQL and codes without using Libraries or ValueSets at all – the CQL can be sent in-line within the various Expression elements, and the codes can be listed directly as answerOption Codings.",MAY,Payer Service,,true
49
+ hl7.fhir.us.davinci-dtr_2.0.1,49,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html#dtr-specific-considerations,"If a payer uses adaptive forms to gather information, the payer **SHALL NOT** persist or use the information shared as part of the `$next-question` operation for any purpose other than:
50
+
51
+ - Responding to the operation
52
+ - Retention of the fully completed QuestionnaireResponse to support a coverage determination made as part of the Questionnaire completion process
53
+ - Internal audit and metric calculation",SHALL NOT,Payer Service,,true
54
+ hl7.fhir.us.davinci-dtr_2.0.1,50,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determinations-from-adaptive-forms,"to make assertions about coverage, prior authorization, and/or any ‘additional documentation needed’ similar to what is provided by the CRD process ... the adaptive form service will place the coverage-information extension [[definition](https://hl7.org/fhir/us/davinci-crd/STU2/StructureDefinition-ext-coverage-information.html)] on the root of the [QuestionnaireResponse](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaireresponse.html), alongside the [context](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-qr-context.html) extension.",MAY,Payer Service,,true
55
+ hl7.fhir.us.davinci-dtr_2.0.1,51,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determinations-from-adaptive-forms,"[When a payer returns a coverage-information extension indicating 'additional documentation required', a client] **MAY** ... [trigger] a subsequent launch of DTR, or could result in the DTR client prompting the user as to whether they want to move on to filling out the new form(s).",MAY,"Full EHR, SMART Client",,true
56
+ hl7.fhir.us.davinci-dtr_2.0.1,52,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determinations-from-adaptive-forms,DTR payers **SHALL** ONLY use DTR adaptive forms to return a coverage-information extension when: ... CRD has already been called and a coverage-information extension is already present on the relevant order,SHALL,Payer Service,,true
57
+ hl7.fhir.us.davinci-dtr_2.0.1,53,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determinations-from-adaptive-forms,DTR payers **SHALL** ONLY use DTR adaptive forms to return a coverage-information extension when: ... Information is needed from a user that cannot be made available via the CRD process (either by pre-fetch or active query).,SHALL,Payer Service,,true
58
+ hl7.fhir.us.davinci-dtr_2.0.1,54,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determinations-from-adaptive-forms,"Payers **SHALL** return coverage-information as early in the burden reduction process as possible (i.e., use CRD in preference to DTR as much as possible).",SHALL,Payer Service,,true
59
+ hl7.fhir.us.davinci-dtr_2.0.1,55,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determinations-from-adaptive-forms,"If an adaptive questionnaire response includes an unsolicited determination that authorization requirements have been ‘satisfied’, the EHR **SHALL** allow the clinician to flag the provided determination number as “not valid”. For example, If they feel the determination was based on incorrect information.",SHALL,"Full EHR, Light EHR",,true
60
+ hl7.fhir.us.davinci-dtr_2.0.1,56,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determinations-from-adaptive-forms,"If a payer receives a new invocation of an adaptive form for the same order, they **SHALL** treat the result of the new completion as replacing any previous completion from a prior coverage determination process.",SHALL,Payer Service,,true
61
+ hl7.fhir.us.davinci-dtr_2.0.1,57,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#population,Questionnaires **SHALL** include logic that supports population from the EHR where possible.,SHALL,Payer Service,,false
62
+ hl7.fhir.us.davinci-dtr_2.0.1,58,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#population,"Such [population] logic **SHOULD** rely exclusively on data elements and search parameters defined either in US Core or HRex (including simple calculations there-on - e.g., age from birthdate).",SHOULD,Payer Service,,false
63
+ hl7.fhir.us.davinci-dtr_2.0.1,59,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#population,Translation between standard codes **SHOULD** be supported where possible.,SHOULD,Payer Service,,false
64
+ hl7.fhir.us.davinci-dtr_2.0.1,60,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#population,"Ideally, the design of questions in payer forms **SHOULD** consider what data is likely to be available for pre-population purposes, with an objective of minimizing provider data entry effort.",SHOULD,Payer Service,,false
65
+ hl7.fhir.us.davinci-dtr_2.0.1,61,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#population,payer CQL **MAY** have to examine different resources or use value sets to find patient information.,MAY,Payer Service,,false
66
+ hl7.fhir.us.davinci-dtr_2.0.1,62,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#population,"CQL **SHALL** be used when pre-populating elements using data gathered from the EHR. This will mean using the launchContext, [variable](https://hl7.org/fhir/extensions/StructureDefinition-variable.html) and the [initialExpression](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-initialExpression.html), [contextExpression](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-contextExpression.html) or [calculatedExpression](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-calculatedExpression.html) extensions together with logic in [Libraries](http://hl7.org/fhir/R4/library.html) referenced by the [cqf-library](https://hl7.org/fhir/extensions/StructureDefinition-cqf-library.html) extension to help populate the QuestionnaireResponse.",SHALL,Payer Service,,false
67
+ hl7.fhir.us.davinci-dtr_2.0.1,63,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,"Questionnaires, whether standard or adaptive, **SHOULD** also use logic that ensures that only ‘relevant’ questions and answer choices are displayed, based on what answers have already been provided/populated using elements such as enableWhen or enableWhenExpression.",SHOULD,Payer Service,,false
68
+ hl7.fhir.us.davinci-dtr_2.0.1,64,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,"When using elements with a data type of ‘Expression’ within Questionnaires to control flow or rendering, all logic **SHALL** be written in CQL.",SHALL,Payer Service,,true
69
+ hl7.fhir.us.davinci-dtr_2.0.1,65,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,Elements flagged as mustSupport [in the [Standard Questionnaire profile](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-std-questionnaire.html)] **SHALL** be supported by DTR Apps and Full EHRs.,SHALL,"Full EHR, SMART Client",,false
70
+ hl7.fhir.us.davinci-dtr_2.0.1,66,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,Elements flagged as mustSupport [in the [[Adaptive Questionnaire profile](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt.html)] **SHALL** be supported by DTR Apps and Full EHRs.,SHALL,"Full EHR, SMART Client",,false
71
+ hl7.fhir.us.davinci-dtr_2.0.1,67,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,[Questionnaire client] systems **SHOULD** also support all non mustSupport data extensions included in the differential of the DTR Questionnaire profiles as per SDC documentation for those elements and extensions,SHOULD,"Full EHR, SMART Client",,false
72
+ hl7.fhir.us.davinci-dtr_2.0.1,68,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,"[Questionnaire client] systems … **SHALL** gracefully handle the presence of these [Qestionnaire mustSupport] elements if not supported (i.e., non-support for an element **SHALL NOT** interfere with a user’s ability to complete a QuestionnaireResponse.)",SHALL,"Full EHR, SMART Client",,true
73
+ hl7.fhir.us.davinci-dtr_2.0.1,69,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,"payers **SHALL NOT** rely on support for any of these [Questionnaire MustSupport] elements in the design of their Questionnaire. i.e., a DTR client that ignores such elements cannot impact the successful collection of information acceptability of the information gathered.",SHALL NOT,Payer Service,,false
74
+ hl7.fhir.us.davinci-dtr_2.0.1,70,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,The questionnaire designer should consider the possibility that access to some data **MAY** be restricted or prohibited,SHOULD,Payer Service,,false
75
+ hl7.fhir.us.davinci-dtr_2.0.1,71,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-design,"The questionnaire designer should consider the possibility that ... access restrictions **MAY** happen silently (e.g., indistinguishable absent data).",SHOULD,Payer Service,,false
76
+ hl7.fhir.us.davinci-dtr_2.0.1,72,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#provider-attestation,Payers **SHOULD** design questionnaires to support attestation rather than discrete data where this is sufficient for the business requirements.,SHOULD,Payer Service,,false
77
+ hl7.fhir.us.davinci-dtr_2.0.1,73,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#provider-attestation,[P]ayers **MAY** require that attestations or other answers be ‘signed’ (the electronic equivalent of ‘initialing’ the answer). This would be identified by means of the signatureRequired extension on the Questionnaire item.,MAY,Payer Service,,false
78
+ hl7.fhir.us.davinci-dtr_2.0.1,74,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#provider-attestation,"Questionnaires **MAY** also support attaching reports or other supporting documentation (e.g., images, pathology reports, etc.) where providing question answers is not sufficient. The ‘attachment’ question type can be used to support this.",MAY,Payer Service,,false
79
+ hl7.fhir.us.davinci-dtr_2.0.1,75,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#provider-attestation,Attachments [for attachment type questions] might be found by searching for DiagnosticReport or Media instances [with prepopulation logic],MAY,Payer Service,,false
80
+ hl7.fhir.us.davinci-dtr_2.0.1,76,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#provider-attestation,Attachments [for attachment type questions] might be found … by the provider directly uploading something to the Questionnaire rendering tool.,MAY,"Full EHR, SMART Client",,false
81
+ hl7.fhir.us.davinci-dtr_2.0.1,77,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-expiry,Payers **SHOULD** use the Questionnaire.effectivePeriod element to describe the period over which the documentation templates and rules are valid.,SHOULD,Payer Service,,false
82
+ hl7.fhir.us.davinci-dtr_2.0.1,78,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-expiry,The DTR App or EHR can then check against that [Questionnaire.effectivePeriod] period when resuming a previously stored QuestionnaireResponse [and discard it if the period has ended].,SHOULD,"Full EHR, SMART Client",,true
83
+ hl7.fhir.us.davinci-dtr_2.0.1,79,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#value-set-and-code-system-guidance,"[The following] guidance ... **SHOULD** be used when constructing questions with coded answers: ... No value set, embed the code choices using answerOption … if there is no need to reuse the codes across multiple questions and the list of codes is ‘fixed’ and relatively small (< 40).",SHOULD,Payer Service,,false
84
+ hl7.fhir.us.davinci-dtr_2.0.1,80,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#value-set-and-code-system-guidance,"[The following] guidance ... **SHOULD** be used when constructing questions with coded answers: ... No value set, embed the code choices using answerOption … [if] The same set of codes is used for multiple answers and the set of codes is relatively small (< 40).",SHOULD,Payer Service,,false
85
+ hl7.fhir.us.davinci-dtr_2.0.1,81,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#value-set-and-code-system-guidance,"[The following] guidance ... **SHOULD** be used when constructing questions with coded answers: ... Pass a value set in the questionnaire package, but the client recipient will need to run the expansion or ask a terminology server to do the expansion … [if] The value set expansion is on the larger size (> ~40 codes)",SHOULD,Payer Service,,false
86
+ hl7.fhir.us.davinci-dtr_2.0.1,82,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#use-of-cql,"CQL [in questionnaires] **MAY** query for patient observations, conditions, or other discrete information within the EHR to use as part of the population process or logic.",MAY,Payer Service,,false
87
+ hl7.fhir.us.davinci-dtr_2.0.1,83,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#use-of-cql,All libraries needed by a questionnaire **SHALL** be referenced by the cqf-library extension,SHALL,Payer Service,,false
88
+ hl7.fhir.us.davinci-dtr_2.0.1,84,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#use-of-cql,All libraries needed by a questionnaire **SHALL** be ... included as part of the [`$questionnaire-package`](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html) operation.,SHALL,Payer Service,,false
89
+ hl7.fhir.us.davinci-dtr_2.0.1,85,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#guidance-on-structure-of-cql-logic,CQL logic **SHOULD** be partitioned to be specific to groups/questions/etc. when doing so will allow it to be more efficient,SHOULD,Payer Service,,true
90
+ hl7.fhir.us.davinci-dtr_2.0.1,86,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#guidance-on-structure-of-cql-logic,"consideration should also be given to whether performing significant data gathering at the outset (even if the data is unneeded) will produce a more positive experience than intermittent data retrieval ‘on demand’, when such retrieval **MAY** introduce user-interface delays.",SHOULD,Payer Service,,false
91
+ hl7.fhir.us.davinci-dtr_2.0.1,87,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#guidance-on-structure-of-cql-logic,Implementers could use Adaptive Forms to minimize the need for any CQL that provides conditional information retrieval.,MAY,Payer Service,,false
92
+ hl7.fhir.us.davinci-dtr_2.0.1,88,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#organizing-cql-within-questionnaires,CQL can be embedded inline in Expression elements,MAY,Payer Service,,false
93
+ hl7.fhir.us.davinci-dtr_2.0.1,89,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#organizing-cql-within-questionnaires,CQL can … be packaged in libraries.,MAY,Payer Service,,false
94
+ hl7.fhir.us.davinci-dtr_2.0.1,90,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#organizing-cql-within-questionnaires,This guide strongly recommends the practice of putting most CQL logic in libraries,SHOULD,Payer Service,,false
95
+ hl7.fhir.us.davinci-dtr_2.0.1,91,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#organizing-cql-within-questionnaires,"If a given variable evaluates to null the answer will be left empty, for the end user to complete.",SHALL,"Full EHR, SMART Client",,false
96
+ hl7.fhir.us.davinci-dtr_2.0.1,92,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,The CQL **SHALL** be version [CQL 1.5](http://cql.hl7.org/N1/).,SHALL,Payer Service,,false
97
+ hl7.fhir.us.davinci-dtr_2.0.1,93,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,CQL**SHALL** have a context of “Patient”.,SHALL,Payer Service,,false
98
+ hl7.fhir.us.davinci-dtr_2.0.1,94,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,"Within the Questionnaire, CQL **SHALL** follow SDC rules for determining context. Specifically, CQL definitions and variables defined on ancestor elements or preceding expression extensions within the same Questionnaire item are in scope for referencing in descendant/following expressions.",SHALL,Payer Service,,false
99
+ hl7.fhir.us.davinci-dtr_2.0.1,95,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,"Within Libraries, ... raw CQL ... (in JSON syntax – i.e., application/elm+json) **SHALL** be provided as [a] separate content repetition ... within the library.",SHALL,Payer Service,,false
100
+ hl7.fhir.us.davinci-dtr_2.0.1,96,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,"Within Libraries, ... compiled ELM (in JSON syntax – i.e., application/elm+json) **SHALL** be provided as [a] separate content repetition ... within the library.",SHALL,Payer Service,,false
101
+ hl7.fhir.us.davinci-dtr_2.0.1,97,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,"Within Expression elements, the base expression CQL **SHALL** be accompanied by a [US Public Health Alternative Expression Extension](http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-alternative-expression-extension) containing the compiled JSON ELM for the expression.",SHALL,Payer Service,,false
102
+ hl7.fhir.us.davinci-dtr_2.0.1,98,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,"If the Questionnaire depends on multiple Libraries (has multiple cqf-library elements), then any valueExpression referring to defined variables **SHALL** specify the library name as well as the statement name as follows: “LibraryName”.statementName.",SHALL,Payer Service,,true
103
+ hl7.fhir.us.davinci-dtr_2.0.1,99,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,Library names **SHALL** be unique within a Questionnaire package,SHALL,Payer Service,,false
104
+ hl7.fhir.us.davinci-dtr_2.0.1,100,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,Library names ... **SHOULD** be unique across all Libraries made available by the payer.,SHOULD,Payer Service,,false
105
+ hl7.fhir.us.davinci-dtr_2.0.1,101,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,FHIR Libraries **SHALL** send CQL ... using the `content.data` element.,SHALL,Payer Service,,false
106
+ hl7.fhir.us.davinci-dtr_2.0.1,102,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#cql-constraints,FHIR Libraries **SHALL** send ... ELM using the `content.data` element.,SHALL,Payer Service,,false
107
+ hl7.fhir.us.davinci-dtr_2.0.1,103,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,The developer of SMART on FHIR DTR apps **SHALL** define an endpoint maintaining a list of payers currently supported by that app.,SHALL,SMART Client,,false
108
+ hl7.fhir.us.davinci-dtr_2.0.1,104,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,EHRs using external DTR apps **SHALL** support accessing the [app's supported payers] endpoint.,SHALL,Light EHR,,false
109
+ hl7.fhir.us.davinci-dtr_2.0.1,105,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,The EHR will be configured with knowledge of which endpoint to hit for a given app as part of the process of configuring support for that app within the EHR.,SHALL,Light EHR,,false
110
+ hl7.fhir.us.davinci-dtr_2.0.1,106,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,Different endpoints **SHALL** be defined for different versions of the application in situations where support for payers varies by application version.,SHALL,SMART Client,,false
111
+ hl7.fhir.us.davinci-dtr_2.0.1,107,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,Accessing the [supported payers] endpoint will be by a simple GET,SHALL,Light EHR,,false
112
+ hl7.fhir.us.davinci-dtr_2.0.1,108,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,[Requests] Accessing the [supported payers] endpoint will … [include] an Accept header of application/json,SHALL,Light EHR,,false
113
+ hl7.fhir.us.davinci-dtr_2.0.1,109,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,Accessing the [supported payers] endpoint … **SHALL** be performed over TLS.,SHALL,SMART Client,,false
114
+ hl7.fhir.us.davinci-dtr_2.0.1,110,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,The returned JSON object will contain a “payers” property referring to an array of objects.,SHALL,SMART Client,,false
115
+ hl7.fhir.us.davinci-dtr_2.0.1,111,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,"Each [""payers""] object will have an id … property … with string values.",SHALL,SMART Client,,false
116
+ hl7.fhir.us.davinci-dtr_2.0.1,112,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,"Each [""payers""] object will have … [a] name property ... with string values.",SHALL,SMART Client,,false
117
+ hl7.fhir.us.davinci-dtr_2.0.1,113,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,It is possible that additional properties [in the object returned from the supported payers endpoint] **MAY** be supported in the future.,MAY,SMART Client,,false
118
+ hl7.fhir.us.davinci-dtr_2.0.1,114,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,EHRs will typically retrieve the list of supported payers for the app once per day,SHOULD,Light EHR,,false
119
+ hl7.fhir.us.davinci-dtr_2.0.1,115,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#determination-of-payers-supported-by-a-dtr-app,EHRs will use this information [from the supported payers endpoint] to determine whether to expose the ability to launch DTR for orders associated with coverages for that payer.,SHALL,Light EHR,,false
120
+ hl7.fhir.us.davinci-dtr_2.0.1,117,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"When the DTR process is being launched, the Electronic Health Record (EHR) system ... **SHALL** follow the procedures established by the SMART App Launch Framework - specifically the [SMART App Launch Framework’s EHR launch sequence](https://www.hl7.org/fhir/smart-app-launch/app-launch.html#launch-app-ehr-launch).",SHALL,Light EHR,,false
121
+ hl7.fhir.us.davinci-dtr_2.0.1,118,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"When the DTR process is being launched, the ... DTR process **SHALL** follow the procedures established by the SMART App Launch Framework - specifically the [SMART App Launch Framework’s EHR launch sequence](https://www.hl7.org/fhir/smart-app-launch/app-launch.html#launch-app-ehr-launch).",SHALL,SMART Client,,false
122
+ hl7.fhir.us.davinci-dtr_2.0.1,119,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"Like any SMART app, DTR is passed a context when launched.",SHALL,Light EHR,,false
123
+ hl7.fhir.us.davinci-dtr_2.0.1,120,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The ... patient launch context **SHALL** be requested,SHALL,SMART Client,,false
124
+ hl7.fhir.us.davinci-dtr_2.0.1,121,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The openId ... launch context **SHALL** be requested,SHALL,SMART Client,,false
125
+ hl7.fhir.us.davinci-dtr_2.0.1,122,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The ... User... launch context **SHALL** be requested,SHALL,SMART Client,,false
126
+ hl7.fhir.us.davinci-dtr_2.0.1,123,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The ... patient launch context **SHALL** be … provided.,SHALL,Light EHR,,false
127
+ hl7.fhir.us.davinci-dtr_2.0.1,124,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The openId ... launch context **SHALL** be … provided.,SHALL,Light EHR,,false
128
+ hl7.fhir.us.davinci-dtr_2.0.1,125,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The ... User... launch context **SHALL** be … provided.,SHALL,Light EHR,,false
129
+ hl7.fhir.us.davinci-dtr_2.0.1,126,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The launchContext **SHOULD** include fhirContext references … [for] One active Coverage resource indicating the coverage(s) associated with the documentation to be captured (unless Coverage is already conveyed in the coverage-information extensions of the Request or Encounter passed below),SHOULD,Light EHR,,false
130
+ hl7.fhir.us.davinci-dtr_2.0.1,127,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The launchContext **SHOULD** include fhirContext references … [for] A CRD-type Request or Encounter resource ([CRD profiles](https://build.fhir.org/ig/HL7/davinci-crd/artifacts.html#structures-resource-profiles))... when launching based on recommendations from CRD or for stand-alone launch without CRD.,SHOULD,Light EHR,,false
131
+ hl7.fhir.us.davinci-dtr_2.0.1,128,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,The launchContext **SHOULD** include fhirContext references … [for] An existing incomplete QuestionnaireResponse previously created with DTR … when re-launching DTR to continue a previous session,SHOULD,Light EHR,,false
132
+ hl7.fhir.us.davinci-dtr_2.0.1,129,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"The launchContext **SHOULD** include fhirContext references … [for] A Questionnaire [Task](https://hl7.org/fhir/us/davinci-cdex/StructureDefinition-cdex-task-attachment-request.html) ... when launching based on a request from [CDex](https://hl7.org/fhir/us/davinci-cdex/index.html), possibly prompted by instructions in PAS.",SHOULD,Light EHR,,false
133
+ hl7.fhir.us.davinci-dtr_2.0.1,130,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"If these [Coverage and request, QuestionnaireResponse, or Task instances] are not passed in as part of context, then the app **MAY** ... raise an error",MAY,SMART Client,,true
134
+ hl7.fhir.us.davinci-dtr_2.0.1,131,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"If these [Coverage and request, QuestionnaireResponse, or Task instances] are not passed in as part of context, then the app **MAY** ... guide the user to select the needed records.",MAY,SMART Client,,true
135
+ hl7.fhir.us.davinci-dtr_2.0.1,132,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"In addition to launch contexts, the SMART app will need to request scopes for the type of information it needs to access and manipulate.",SHALL,SMART Client,,false
136
+ hl7.fhir.us.davinci-dtr_2.0.1,133,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,Payer-provided Questionnaires **MAY** require access to a wide range of resources,MAY,Payer Service,,false
137
+ hl7.fhir.us.davinci-dtr_2.0.1,134,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … Patient,SHALL,SMART Client,,false
138
+ hl7.fhir.us.davinci-dtr_2.0.1,135,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … Coverage,SHALL,SMART Client,,false
139
+ hl7.fhir.us.davinci-dtr_2.0.1,136,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … QuestionnaireResponse,SHALL,SMART Client,,false
140
+ hl7.fhir.us.davinci-dtr_2.0.1,137,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … Encounter,SHALL,SMART Client,,false
141
+ hl7.fhir.us.davinci-dtr_2.0.1,138,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … ServiceRequest,SHALL,SMART Client,,false
142
+ hl7.fhir.us.davinci-dtr_2.0.1,139,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … MedicationRequest,SHALL,SMART Client,,false
143
+ hl7.fhir.us.davinci-dtr_2.0.1,140,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … DeviceRequest,SHALL,SMART Client,,false
144
+ hl7.fhir.us.davinci-dtr_2.0.1,141,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … Appointment,SHALL,SMART Client,,false
145
+ hl7.fhir.us.davinci-dtr_2.0.1,142,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … NutritionOrder,SHALL,SMART Client,,false
146
+ hl7.fhir.us.davinci-dtr_2.0.1,143,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following resources: … VisionPrescription,SHALL,SMART Client,,false
147
+ hl7.fhir.us.davinci-dtr_2.0.1,144,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following … [referenced] resources: … Practitioner,SHALL,SMART Client,,false
148
+ hl7.fhir.us.davinci-dtr_2.0.1,145,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following … [referenced] resources: … PractitionerRole,SHALL,SMART Client,,false
149
+ hl7.fhir.us.davinci-dtr_2.0.1,146,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following … [referenced] resources: … Organization,SHALL,SMART Client,,false
150
+ hl7.fhir.us.davinci-dtr_2.0.1,147,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,the app will require [and request] read access to the following … [referenced] resources: … Location,SHALL,SMART Client,,false
151
+ hl7.fhir.us.davinci-dtr_2.0.1,148,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"However, typically CQL in Questionnaires will also need access to Observation, Condition, Procedure, DocumentReference and potentially others. Therefore, in most cases, apps will simply request patient/*.rs and patient/questionnaireresponse.cu.",SHOULD,SMART Client,,false
152
+ hl7.fhir.us.davinci-dtr_2.0.1,149,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"However, apps **MAY** opt to be more restrictive in their access requests if they are confident that they can do so while meeting payer CQL needs and EHRs indicate this is desirable.",MAY,SMART Client,,false
153
+ hl7.fhir.us.davinci-dtr_2.0.1,150,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#launching-a-dtr-smart-app,"Regardless of the scopes asked for and granted by the user, the EHR **SHALL** limit access to only that data they deem appropriate for use in automatically populating payer forms, in particular restricting sensitive data. (Refer to the [Privacy and Security section](https://hl7.org/fhir/us/davinci-dtr/STU2/security.html) for more details)",SHALL,Light EHR,,false
154
+ hl7.fhir.us.davinci-dtr_2.0.1,151,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#authenticating-dtr-client-to-payer-api,Payers SHALL require DTR apps and EHRs connecting to their endpoint to authenticate ... using SMART on FHIR Backend Services,SHALL,Payer Service,,false
155
+ hl7.fhir.us.davinci-dtr_2.0.1,152,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#authenticating-dtr-client-to-payer-api,"The scopes necessary [for a DTR client to request from the payer] are:
156
+
157
+ - system/questionnaire.rs
158
+ - system/valueset.rs
159
+ - system/library.rs",SHALL,"Full EHR, SMART Client",,false
160
+ hl7.fhir.us.davinci-dtr_2.0.1,153,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"If the launch context did not include Coverages, a QuestionnaireResponse or a Request or Encounter, the DTR app **MAY** error",MAY,SMART Client,,true
161
+ hl7.fhir.us.davinci-dtr_2.0.1,154,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"If the launch context did not include Coverages, a QuestionnaireResponse or a Request or Encounter, the DTR app ... **SHOULD** allow the user to search to find one to use as context for the DTR session",SHOULD,SMART Client,,true
162
+ hl7.fhir.us.davinci-dtr_2.0.1,155,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"[If the client allows the user to search for launch context] QuestionnaireResponses would be filtered by patient, a status of in-progress, and a context that is not empty",SHOULD,SMART Client,,true
163
+ hl7.fhir.us.davinci-dtr_2.0.1,156,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"[If the client allows the user to search for launch context] requests and encounters would be filtered by patient, active status, and any other standard search parameters the DTR client chooses to offer.",SHOULD,SMART Client,,true
164
+ hl7.fhir.us.davinci-dtr_2.0.1,157,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"[DTR SMART Clients should] retrieve the referenced fhirUser, patient, and fhirContext resources referenced in the SMART authorization response by performing read or search operations",SHOULD,SMART Client,,false
165
+ hl7.fhir.us.davinci-dtr_2.0.1,158,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"Search operations allow _including the requester, performer and location resources for encounters and request resources, which [should be used since the instances] will be needed later.",SHOULD,SMART Client,,false
166
+ hl7.fhir.us.davinci-dtr_2.0.1,159,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"For any Request resources or Encounter resources passed in context, [DTR SMART Clients **SHOULD**] perform a search to see if there are any QuestionnaireResponses associated with those orders using the [dtr-context](https://hl7.org/fhir/us/davinci-dtr/STU2/SearchParameter-dtr-context.html) search parameter",SHOULD,SMART Client,,false
167
+ hl7.fhir.us.davinci-dtr_2.0.1,160,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"If no Request or Encounter resource was passed as context, [DTR SMART Clients should] check any provided QuestionnaireResponse for a ‘context’ extension identifying any associated requests or encounters",SHOULD,SMART Client,,true
168
+ hl7.fhir.us.davinci-dtr_2.0.1,161,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"[if requests or encounters were identified in the QustionnaireResponse 'context' extension, DTR SMART Clients **SHOULD**] perform searches to retrieve them with _includes for requester, performer, etc.",SHOULD,SMART Client,,false
169
+ hl7.fhir.us.davinci-dtr_2.0.1,162,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,[DTR SMART Clients should] Look in the Request or Encounter resources (if any) passed from context or referenced by a QuestionnaireResponse (if any) to see if there is an existing [coverage-information}(https://build.fhir.org/ig/HL7/davinci-crd/StructureDefinition-ext-coverage-information.html) extension,SHOULD,SMART Client,,false
170
+ hl7.fhir.us.davinci-dtr_2.0.1,163,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"If [coverage information is] found, [DTR SMART Clients should] look at the Coverages as well as the coverage-assertion-id in such extensions.",SHOULD,SMART Client,,true
171
+ hl7.fhir.us.davinci-dtr_2.0.1,164,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-launch-context-information,"[DTR SMART Clients should] Determine which payers are associated with the coverages found, and then retrieve Questionnaire packages from each payer using the context information found.",SHOULD,SMART Client,,false
172
+ hl7.fhir.us.davinci-dtr_2.0.1,165,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-questionnaire-packages,The [[`$questionnaire-package`](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html)] operation will be invoked with a ‘POST’,SHALL,"Full EHR, SMART Client",,false
173
+ hl7.fhir.us.davinci-dtr_2.0.1,166,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-questionnaire-packages,The [[`$questionnaire-package`](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html)] operation will … [target] the base endpoint associated with the coverages provided based on payer configuration.,SHALL,"Full EHR, SMART Client",,false
174
+ hl7.fhir.us.davinci-dtr_2.0.1,167,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-questionnaire-packages,"If multiple Coverages are provided that are associated with payers having different endpoints, then the operation will be invoked once per payer endpoint. e.g., POST [base]/$questionnaire-package",SHALL,"Full EHR, SMART Client",,true
175
+ hl7.fhir.us.davinci-dtr_2.0.1,168,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-questionnaire-packages,The operation will be invoked passing a [DTR Questionnaire Package Input Parameters](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-qpackage-input-parameters.html),SHALL,"Full EHR, SMART Client",,false
176
+ hl7.fhir.us.davinci-dtr_2.0.1,169,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-questionnaire-packages,The result [of the [`$questionnaire-package`](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html) operation] will be a response with one or more Questionnaire package Bundles,SHALL,Payer Service,,false
177
+ hl7.fhir.us.davinci-dtr_2.0.1,170,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-questionnaire-packages,"If any of the retrieved Questionnaires have an effectivePeriod that ends prior to the current date, then the DTR client **SHALL** change the status of any retrieved work-in-progress QuestionnaireResponses for the expired Questionnaires to ‘stopped’",SHALL,"Full EHR, SMART Client",,true
178
+ hl7.fhir.us.davinci-dtr_2.0.1,171,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-questionnaire-packages,"If any of the retrieved Questionnaires have an effectivePeriod that ends prior to the current date, then the DTR client **SHALL** ... notify the user that the previously recorded content has expired.",SHALL,"Full EHR, SMART Client",,true
179
+ hl7.fhir.us.davinci-dtr_2.0.1,172,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieving-questionnaire-packages,"If an expired Questionnaire is retrieved when it wasn’t explicitly requested by referring to a canonical version, but instead by passing in the relevant order(s) and/or context id, the DTR client **SHOULD** report an error to the payer.",SHOULD,"Full EHR, SMART Client",,true
180
+ hl7.fhir.us.davinci-dtr_2.0.1,173,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#pre-populating-questionnaireresponses,"Prior to exposing the draft QuestionnaireResponse to the user for completion and/or review, the DTR client **SHALL** execute all CQL necessary to resolve the initialExpression, candidateExpression and calculatedExpression extensions found in the Questionnaire for any enabled elements.",SHALL,"Full EHR, SMART Client",,false
181
+ hl7.fhir.us.davinci-dtr_2.0.1,174,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#pre-populating-questionnaireresponses,All items that are pre-populated … from data retrieved from the EHR ... **SHALL** have their origin.source set to ‘auto’.,SHALL,"Full EHR, SMART Client",,false
182
+ hl7.fhir.us.davinci-dtr_2.0.1,175,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#pre-populating-questionnaireresponses,All items that are pre-populated ... by the payer in the initial QuestionnaireResponse provided in the questionnaire package ... **SHALL** have their origin.source set to ‘auto’.,SHALL,Payer Service,,false
183
+ hl7.fhir.us.davinci-dtr_2.0.1,176,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#execution-sequence,"The client will proceed through the Questionnaire, and for any question that is associated with the result of a CQL expression, that specific CQL statement will be executed.",SHALL,"Full EHR, SMART Client",,false
184
+ hl7.fhir.us.davinci-dtr_2.0.1,177,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#execution-sequence,The DTR client **SHALL** use result caching so that [CQL execution] results that are already available will be reused without requesting them again.,SHALL,"Full EHR, SMART Client",,false
185
+ hl7.fhir.us.davinci-dtr_2.0.1,178,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#execution-sequence,DTR clients **SHALL** iterate as necessary [executing CQL to prepopulate a enabled elements] until a steady state is reached.,SHALL,"Full EHR, SMART Client",,false
186
+ hl7.fhir.us.davinci-dtr_2.0.1,179,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#execution-sequence,"If dependencies are such that a steady state cannot be reached (e.g., an item that is enabled causes a value to be set which causes a different item to be enabled, that then disables the first item…), then the Questionnaire **SHALL** be treated as erroneous and attempts at automatic population **SHALL** end, with the user being informed of that.",SHALL,"Full EHR, SMART Client",,true
187
+ hl7.fhir.us.davinci-dtr_2.0.1,180,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieval-of-patient-fhir-resources-to-supply-to-cql-execution-engine,The DTR client **SHALL** retrieve the FHIR resources specified in the dataRequirement section of a Library.,SHALL,"Full EHR, SMART Client",,false
188
+ hl7.fhir.us.davinci-dtr_2.0.1,181,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieval-of-patient-fhir-resources-to-supply-to-cql-execution-engine,SMART apps will … [retrieve resources in the dataRequiements section of Library] using the access token provided [by the Light EHR] on launch.,SHALL,SMART Client,,false
189
+ hl7.fhir.us.davinci-dtr_2.0.1,182,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieval-of-patient-fhir-resources-to-supply-to-cql-execution-engine,"The app’s CQL execution engine **SHOULD** constrain queries to reduce data retrieval overhead. (For example, if the CQL logic filters for medications meeting certain conditions, it is acceptable if the engine retrieves all medications for the patient, even if a more constrained query was possible).",SHOULD,"Full EHR, SMART Client",,false
190
+ hl7.fhir.us.davinci-dtr_2.0.1,183,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieval-of-patient-fhir-resources-to-supply-to-cql-execution-engine,"To reduce data transfers and increase overall speed, data **MAY** be fetched [by clients] as needed.",MAY,"Full EHR, SMART Client",,false
191
+ hl7.fhir.us.davinci-dtr_2.0.1,184,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#retrieval-of-patient-fhir-resources-to-supply-to-cql-execution-engine,the app’s execution engine **MAY** be implemented using a different strategy (for example by doing bulk fetches before starting execution).,MAY,"Full EHR, SMART Client",,false
192
+ hl7.fhir.us.davinci-dtr_2.0.1,185,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#populating-adaptive-questionnaires,"The population process must ... happen after each call to [`$next-question`](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html), populating any newly available questions. DTR clients **SHALL** support such an incremental population of adaptive QuestionnaireResponses.",SHALL,"Full EHR, SMART Client",,false
193
+ hl7.fhir.us.davinci-dtr_2.0.1,186,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#populating-adaptive-questionnaires,"For performance, the DTR application **SHOULD** save the results of execution of CQL prior to the [`$next-question`](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html) call.",SHOULD,"Full EHR, SMART Client",,false
194
+ hl7.fhir.us.davinci-dtr_2.0.1,187,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#populating-resumed-questionnairesresponses,"If DTR is launched using a previously saved QuestionnaireResponse, the DTR client SHOULD re-execute CQL to populate all empty elements, as well as those with an `origin.source` of ‘auto’.",SHOULD,"Full EHR, SMART Client",,true
195
+ hl7.fhir.us.davinci-dtr_2.0.1,188,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#populating-resumed-questionnairesresponses,[When re-running CQL prepopulation logic on resumed Questionnaires] Any answers with an `origin.source` of ‘override’ or ‘manual’ **SHALL NOT** be changed.,SHALL NOT,"Full EHR, SMART Client",,true
196
+ hl7.fhir.us.davinci-dtr_2.0.1,189,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#populating-resumed-questionnairesresponses,"if pre-population would have asserted a value for an answer with an `origin.source` of ‘manual’ [when running on a previously completed form], the `origin.source` SHALL be changed to ‘override’.",SHALL,"Full EHR, SMART Client",,true
197
+ hl7.fhir.us.davinci-dtr_2.0.1,190,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#library-dependencies,The engine **SHALL** make available to the execution context all ... referenced CQL libraries using the relatedArtifact element].,SHALL,"Full EHR, SMART Client",,false
198
+ hl7.fhir.us.davinci-dtr_2.0.1,191,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-receiving-malformed-cql,"If the CQL is malformed (is not syntactically correct) in any way, the app’s execution engine **SHALL NOT** attempt any execution of the malformed CQL",SHALL NOT,"Full EHR, SMART Client",,true
199
+ hl7.fhir.us.davinci-dtr_2.0.1,192,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-receiving-malformed-cql,If the CQL is malformed (is not syntactically correct) in any way ... the client **SHALL** log the error,SHALL,"Full EHR, SMART Client",,true
200
+ hl7.fhir.us.davinci-dtr_2.0.1,193,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-receiving-malformed-cql,If the CQL is malformed (is not syntactically correct) in any way ... the user **SHALL** be notified with an appropriate message indicating that population did not occur,SHALL,"Full EHR, SMART Client",,true
201
+ hl7.fhir.us.davinci-dtr_2.0.1,194,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-receiving-malformed-cql,"If the CQL is malformed (is not syntactically correct) in any way, ... the user … **SHALL** be allowed to enter the information manually either now or at a later time.",SHALL,"Full EHR, SMART Client",,true
202
+ hl7.fhir.us.davinci-dtr_2.0.1,195,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-receiving-malformed-cql,The app **SHOULD** log failures and ensure the maintainer of the CQL/Questionnaire package is notified (see the [DTR Log Questionnaire Errors](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html) operation for details),SHOULD,"Full EHR, SMART Client",,true
203
+ hl7.fhir.us.davinci-dtr_2.0.1,196,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-receiving-malformed-cql,[When logging a malformed CQL error using the [DTR Log Questionnaire Errors](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html) operation] the details property of the OperationOutcome **SHOULD** use MSG_BAD_SYNTAX to indicate syntactical errors.,SHOULD,"Full EHR, SMART Client",,true
204
+ hl7.fhir.us.davinci-dtr_2.0.1,197,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-receiving-malformed-cql,[When logging a malformed CQL error using the [DTR Log Questionnaire Errors](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html) operation] The destination of the OperationOutcome will be the endpoint the malformed CQL/Questionnaire was retrieved from.,SHALL,"Full EHR, SMART Client",,true
205
+ hl7.fhir.us.davinci-dtr_2.0.1,198,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-encountering-execution-errors,"If any errors are encountered during [CQL] execution, the app’s engine **SHALL NOT** attempt any further execution",SHALL NOT,"Full EHR, SMART Client",,true
206
+ hl7.fhir.us.davinci-dtr_2.0.1,199,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-encountering-execution-errors,If any errors are encountered during [CQL] execution … the user **SHALL** be notified with an appropriate on-screen error message,SHALL,"Full EHR, SMART Client",,true
207
+ hl7.fhir.us.davinci-dtr_2.0.1,200,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-encountering-execution-errors,"If any errors are encountered during [CQL] execution … The user should have the option to complete the Questionnaire if possible, despite the error.",SHOULD,"Full EHR, SMART Client",,true
208
+ hl7.fhir.us.davinci-dtr_2.0.1,201,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-encountering-execution-errors,The app **SHALL** log failures and ensure the maintainer of the CQL/Questionnaire package is notified using the [DTR Log Questionnaire Errors](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html) operation.,SHALL,"Full EHR, SMART Client",,true
209
+ hl7.fhir.us.davinci-dtr_2.0.1,202,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#behavior-when-encountering-execution-errors,A query for data that returns no results **SHALL NOT** be considered a failure.,SHALL NOT,"Full EHR, SMART Client",,false
210
+ hl7.fhir.us.davinci-dtr_2.0.1,203,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#user-interaction-with-questionnaires,"Therefore, the system acting as a form filler is responsible for displaying all ‘enabled’ questions, groups, and display items to the end user for completion and/or review",SHALL,"Full EHR, SMART Client",,false
211
+ hl7.fhir.us.davinci-dtr_2.0.1,204,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#user-interaction-with-questionnaires,"In some cases, the population process **MAY** populate all answers to the Questionnaire. The DTR client **SHALL** provide the ability, but NOT a requirement, for providers to review pre-populated answers prior to saving the resulting response for subsequent use within the EHR.",SHALL,"Full EHR, SMART Client",,false
212
+ hl7.fhir.us.davinci-dtr_2.0.1,205,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-rendering,[Client] Conformance with DTR requires conformance with the relevant portions of the SDC implementation guide [related to Questionnaire rendering].,SHALL,"Full EHR, SMART Client",,false
213
+ hl7.fhir.us.davinci-dtr_2.0.1,206,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-rendering,All DTR applications **SHALL** support rendering according to the mustSupport elements in the DTR Questionnaire profile,SHALL,"Full EHR, SMART Client",,false
214
+ hl7.fhir.us.davinci-dtr_2.0.1,207,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-rendering,All DTR applications **SHALL** support … executing all CQL found within Questionnaire extensions.,SHALL,"Full EHR, SMART Client",,false
215
+ hl7.fhir.us.davinci-dtr_2.0.1,208,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaire-rendering,CQL and FHIR Questionnaires **SHALL** be required even when DTR is implemented within a DTR Native App as opposed to a DTR SMART App.,SHALL,Full EHR,,false
216
+ hl7.fhir.us.davinci-dtr_2.0.1,209,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#separating-user-provided-information-from-cql-retrieved-information,"When a user fills in a value or changes an answer in a QuestionnaireResponse, the DTR client **SHALL** populate the InformationOrigin extension, setting the ‘author’ property to the current user",SHALL,"Full EHR, SMART Client",,false
217
+ hl7.fhir.us.davinci-dtr_2.0.1,210,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#separating-user-provided-information-from-cql-retrieved-information,"When a user fills in a value or changes an answer in a QuestionnaireResponse, the DTR client **SHALL** populate the InformationOrigin extension, … setting ‘source’ to ‘override’ if the source was already ‘override’ or ‘auto’, or ‘manual’ otherwise.",SHALL,"Full EHR, SMART Client",,false
218
+ hl7.fhir.us.davinci-dtr_2.0.1,211,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#separating-user-provided-information-from-cql-retrieved-information,DTR clients **SHALL** either provide a PractitionerRole in the SMART App launch of DTR or support transmitting the role by means of the [Active Role](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-activeRole.html) extension within the Practitioner resource.,SHALL,"Full EHR, SMART Client",,false
219
+ hl7.fhir.us.davinci-dtr_2.0.1,212,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,The DTR client **SHALL** validate the QuestionnaireResponse on an ongoing basis as the user is reviewing and entering data.,SHALL,"Full EHR, SMART Client",,false
220
+ hl7.fhir.us.davinci-dtr_2.0.1,213,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,The client **SHALL** visually flag any elements that require adjustment to meet validation rules.,SHALL,"Full EHR, SMART Client",,false
221
+ hl7.fhir.us.davinci-dtr_2.0.1,214,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,"For Standard Questionnaires, when the QuestionnaireResponse is valid, the DTR client **SHALL** indicate that to the user and allow them to mark the QuestionnaireResponse as complete",SHALL,"Full EHR, SMART Client",,false
222
+ hl7.fhir.us.davinci-dtr_2.0.1,215,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,"For Standard Questionnaires, when the QuestionnaireResponse is valid [and complete], the user **MAY** opt to continue making changes or save the QuestionnaireResponse in draft form.",MAY,"Full EHR, SMART Client",,false
223
+ hl7.fhir.us.davinci-dtr_2.0.1,216,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,The DTR app **SHALL NOT** mark a Standard QuestionnaireResponse as ‘complete’ automatically.,SHALL NOT,"Full EHR, SMART Client",,false
224
+ hl7.fhir.us.davinci-dtr_2.0.1,217,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,The DTR client **SHALL NOT** allow the user to indicate they are ready for the next question/set of questions until the answers to the current QuestionnaireResponse pass validation rules.,SHALL NOT,"Full EHR, SMART Client",,false
225
+ hl7.fhir.us.davinci-dtr_2.0.1,218,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,"If [`$next-question`](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html) is invoked with a QuestionnaireResponse the payer determines is invalid based on the rules in the contained Questionnaire, it **SHOULD** return an HTTP 400 error with an OperationOutcome indicating the circumstances where the QuestionnaireResponse is invalid.",SHOULD,Payer Service,,true
226
+ hl7.fhir.us.davinci-dtr_2.0.1,219,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,"The final call to $next-question will result in an echo back of the QuestionnaireResponse with no further questions provided in the contained Questionnaire, and with the QuestionnaireResponse set to ‘complete’.",SHALL,Payer Service,,false
227
+ hl7.fhir.us.davinci-dtr_2.0.1,220,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,the [completed Adaptive] QuestionnaireResponse **MAY** have a coverage-information extension added reflecting the payer’s coverage assessment based on the information gathered in the QuestionnaireResponse.,MAY,Payer Service,,false
228
+ hl7.fhir.us.davinci-dtr_2.0.1,221,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#additional-considerations,"If a questionnaire or question is marked as ‘signatureRequired’, then the DTR client will need to add a ‘signature’ extension element to the appropriate location in the QuestionnaireResponse. The signature would attest to the QuestionnaireResponse as a whole, or to the specific item the signature appears on – excluding any signature extensions themselves.",SHALL,"Full EHR, SMART Client",,true
229
+ hl7.fhir.us.davinci-dtr_2.0.1,222,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#additional-considerations,"[When the answer to a question modified by a user ... [is] input to an expression driving other logic within the questionnaire ... DTR clients **SHALL** monitor for changes to dependent questionnaire answers and re-execute logic, adjusting calculatedValues, enabling elements, adjusting validation rules, etc. based on changes made by the user.",SHALL,"Full EHR, SMART Client",,true
230
+ hl7.fhir.us.davinci-dtr_2.0.1,223,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#storing-questionnaireresponses,"If an EHR system performs DTR functionality internally, it **MAY** save session information however it likes. The guidance below does NOT apply in this scenario.",MAY,Full EHR,,true
231
+ hl7.fhir.us.davinci-dtr_2.0.1,224,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#storing-questionnaireresponses,"At any point prior to completion the DTR client **SHALL** be able to save the ‘in-progress’ QuestionnaireResponse, either to ensure that work-in-progress is not lost, or to allow the user to close the session and then relaunch it later.",SHALL,SMART Client,,false
232
+ hl7.fhir.us.davinci-dtr_2.0.1,225,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#storing-questionnaireresponses,"When the QuestionnaireResponse has been marked as ‘complete’, the DTR client **SHALL** save the QuestionnaireResponse to the EHR using a create (POST) if the record had not previously been stored",SHALL,SMART Client,,false
233
+ hl7.fhir.us.davinci-dtr_2.0.1,226,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#storing-questionnaireresponses,"When the QuestionnaireResponse has been marked as ‘complete’, the DTR client **SHALL** save the QuestionnaireResponse to the EHR using … an update (PUT) if the record had already been saved at least once.",SHALL,SMART Client,,false
234
+ hl7.fhir.us.davinci-dtr_2.0.1,227,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#storing-questionnaireresponses,[The completed QuestionnaireResponse] resource **SHOULD** be saved to the patient record in the EHR system of the healthcare provider if supported.,SHOULD,SMART Client,,false
235
+ hl7.fhir.us.davinci-dtr_2.0.1,228,,[The completed QuestionnaireResponse resource] **MAY** also be transmitted to the payer IT system.,MAY,SMART Client,,false
236
+ hl7.fhir.us.davinci-dtr_2.0.1,229,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,"Upon storing a completed QuestionnaireResponse with a coverage-information extension, the EHR **SHALL** propagate the coverage-information extension to all non-Coverage resources included on the ‘context’ extension on the QuestionnaireResponse.",SHALL,"Full EHR, Light EHR",,true
237
+ hl7.fhir.us.davinci-dtr_2.0.1,230,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,"[When propagating coverage-information extensions] If a coverage-information already exists on the target resource with the same coverage-information.coverage, it **SHALL** be overridden.",SHALL,"Full EHR, Light EHR",,true
238
+ hl7.fhir.us.davinci-dtr_2.0.1,231,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,"In those cases where a QuestionnaireResponse is to be used to convey information either to the payer or to downstream service providers, the DTR Client **SHALL** ‘wrap’ the QuestionnaireResponse in a ‘collection’ Bundle complying with the [questionnaireResponseBundle](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-DTR-QRBundle.html) profile.",SHALL,"Full EHR, SMART Client",,true
239
+ hl7.fhir.us.davinci-dtr_2.0.1,232,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,This [packaged [QuestionnaireResponse](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-DTR-QRBundle.html)] Bundle will include the QuestionnaireResponse entry as its initial entry,SHALL,"Full EHR, SMART Client",,true
240
+ hl7.fhir.us.davinci-dtr_2.0.1,233,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,This [packaged [QuestionnaireResponse](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-DTR-QRBundle.html)] Bundle ... will then also include any resources that are referenced by the QuestionnaireResponse as answerReference that are not already contained within the QuestionnaireResponse.,SHALL,"Full EHR, SMART Client",,true
241
+ hl7.fhir.us.davinci-dtr_2.0.1,234,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,"NOTE: Only those resources directly referenced in the QuestionnaireResponse are included. If further references from a referenced resource are desired, the designer of the Questionnaire must ensure that these are also included as answers (possibly as hidden answers automatically populated by CQL within the Questionnaire).",SHALL,"Full EHR, SMART Client",,true
242
+ hl7.fhir.us.davinci-dtr_2.0.1,235,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,"While multiple purposes are possible, the expectation is that all information in the QuestionnaireResponse will be used for that purpose - e.g., If a QuestionnaireResponse had a purpose of ‘prior authorization’ and ‘order transmission’, then the full QuestionnaireResponse bundle would be sent as a prior authorization attachment and as an attachment when the order is sent to the performer.",SHALL,"Full EHR, SMART Client",,true
243
+ hl7.fhir.us.davinci-dtr_2.0.1,236,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,"If there is a desire to send different content to different recipients, then distinct QuestionnaireResponses **SHALL** be used.",SHALL,"Full EHR, SMART Client",,true
244
+ hl7.fhir.us.davinci-dtr_2.0.1,237,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,"the process by which attachments to prior auth requests, claims or orders are assembled ... could be done automatically",MAY,"Full EHR, SMART Client",,true
245
+ hl7.fhir.us.davinci-dtr_2.0.1,238,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#passing-dtr-questionnaire-responses-to-downstream-processes,"the process by which attachments to prior auth requests, claims or orders are assembled ... could be done ... with human review.",MAY,"Full EHR, SMART Client",,true
246
+ hl7.fhir.us.davinci-dtr_2.0.1,239,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-payer-service.html#behavior,[Payer services] **SHALL** support the [`$questionnaire-package`](http://hl7.org/fhir/us/davinci-dtr/OperationDefinition/questionnaire-package) operation.,SHALL,Payer Service,,false
247
+ hl7.fhir.us.davinci-dtr_2.0.1,240,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-payer-service.html#behavior,[Payer services] **SHALL** support the [`$expand`]http://hl7.org/fhir/OperationDefinition/ValueSet-expand) operation.,SHALL,Payer Service,,false
248
+ hl7.fhir.us.davinci-dtr_2.0.1,241,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-payer-service.html#behavior,[Payer services] **SHOULD** support the [`$next-question`](http://hl7.org/fhir/uv/sdc/OperationDefinition/Questionnaire-next-question) operation.,SHOULD,Payer Service,,false
249
+ hl7.fhir.us.davinci-dtr_2.0.1,242,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html#behavior,[SMART Clients] **SHALL** support the [`$questionnaire-package`](http://hl7.org/fhir/us/davinci-dtr/OperationDefinition/questionnaire-package) operation.,SHALL,SMART Client,,false
250
+ hl7.fhir.us.davinci-dtr_2.0.1,243,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html#behavior,[SMART Clients] **SHALL** support the [`$expand`]http://hl7.org/fhir/OperationDefinition/ValueSet-expand) operation.,SHALL,SMART Client,,false
251
+ hl7.fhir.us.davinci-dtr_2.0.1,244,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html#behavior,[SMART Clients] **SHALL** support the [`$next-question`](http://hl7.org/fhir/uv/sdc/OperationDefinition/Questionnaire-next-question) operation.,SHALL,SMART Client,,false
252
+ hl7.fhir.us.davinci-dtr_2.0.1,245,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for Coverage resources,SHALL,SMART Client,,false
253
+ hl7.fhir.us.davinci-dtr_2.0.1,246,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the create interaction for Coverage resources,SHALL,SMART Client,,false
254
+ hl7.fhir.us.davinci-dtr_2.0.1,247,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the update interaction for Coverage resources,SHALL,SMART Client,,false
255
+ hl7.fhir.us.davinci-dtr_2.0.1,248,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the search-type interaction for Coverage resources,SHALL,SMART Client,,false
256
+ hl7.fhir.us.davinci-dtr_2.0.1,249,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support searching for the Coverage using context,SHALL,SMART Client,,false
257
+ hl7.fhir.us.davinci-dtr_2.0.1,250,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support searching for the Coverage using patient,SHALL,SMART Client,,false
258
+ hl7.fhir.us.davinci-dtr_2.0.1,251,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for Encounter resources,SHALL,SMART Client,,false
259
+ hl7.fhir.us.davinci-dtr_2.0.1,252,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for DeviceRequest resources,SHALL,SMART Client,,false
260
+ hl7.fhir.us.davinci-dtr_2.0.1,253,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for MedicationRequest resources,SHALL,SMART Client,,false
261
+ hl7.fhir.us.davinci-dtr_2.0.1,254,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for NutritionOrder resources,SHALL,SMART Client,,false
262
+ hl7.fhir.us.davinci-dtr_2.0.1,255,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for CommunicationRequest resources,SHALL,SMART Client,,false
263
+ hl7.fhir.us.davinci-dtr_2.0.1,256,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for ServiceRequest resources,SHALL,SMART Client,,false
264
+ hl7.fhir.us.davinci-dtr_2.0.1,257,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for VisionPrescription resources,SHALL,SMART Client,,false
265
+ hl7.fhir.us.davinci-dtr_2.0.1,258,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the read interaction for Task resources,SHALL,SMART Client,,false
266
+ hl7.fhir.us.davinci-dtr_2.0.1,259,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the create interaction for Task resources,SHALL,SMART Client,,false
267
+ hl7.fhir.us.davinci-dtr_2.0.1,260,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** support the update interaction for Task resources,SHALL,SMART Client,,false
268
+ hl7.fhir.us.davinci-dtr_2.0.1,261,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html,[SMART Clients] **SHALL** comply with requirements in http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client [[version 3.1.1](https://hl7.org/fhir/us/core/STU3.1.1/CapabilityStatement-us-core-client.html)],SHALL,SMART Client,,false
269
+ hl7.fhir.us.davinci-dtr_2.0.1,262,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-full-dtr-ehr.html#behavior,[Full EHRs] **SHALL** support the [`$questionnaire-package`](http://hl7.org/fhir/us/davinci-dtr/OperationDefinition/questionnaire-package) operation.,SHALL,Full EHR,,false
270
+ hl7.fhir.us.davinci-dtr_2.0.1,263,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-full-dtr-ehr.html#behavior,[Full EHRs] **SHALL** support the [`$expand`]http://hl7.org/fhir/OperationDefinition/ValueSet-expand) operation.,SHALL,Full EHR,,false
271
+ hl7.fhir.us.davinci-dtr_2.0.1,264,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-full-dtr-ehr.html#behavior,[Full EHRs] **SHALL** support the [`$next-question`](http://hl7.org/fhir/uv/sdc/OperationDefinition/Questionnaire-next-question) operation.,SHALL,Full EHR,,false
272
+ hl7.fhir.us.davinci-dtr_2.0.1,265,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHALL** support the read interaction for … [QuestionnaireResponse] resources,SHALL,Light EHR,,false
273
+ hl7.fhir.us.davinci-dtr_2.0.1,266,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHALL** support the create interaction for … [QuestionnaireResponse] resources,SHALL,Light EHR,,false
274
+ hl7.fhir.us.davinci-dtr_2.0.1,267,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHALL** support the update interaction for … [QuestionnaireResponse] resources,SHALL,Light EHR,,false
275
+ hl7.fhir.us.davinci-dtr_2.0.1,268,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHALL** support the search-type interaction for … [QuestionnaireResponse] resources,SHALL,Light EHR,,false
276
+ hl7.fhir.us.davinci-dtr_2.0.1,269,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHALL** support searching for the … [QuestionnaireResponse] using context,SHALL,Light EHR,,false
277
+ hl7.fhir.us.davinci-dtr_2.0.1,270,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHALL** support searching for the … [QuestionnaireResponse] using patient,SHALL,Light EHR,,false
278
+ hl7.fhir.us.davinci-dtr_2.0.1,271,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the read interaction for Encounter resources,SHOULD,Light EHR,,false
279
+ hl7.fhir.us.davinci-dtr_2.0.1,272,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the read interaction for DeviceRequest resources,SHOULD,Light EHR,,false
280
+ hl7.fhir.us.davinci-dtr_2.0.1,273,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the read interaction for MedicationRequest resources,SHOULD,Light EHR,,false
281
+ hl7.fhir.us.davinci-dtr_2.0.1,274,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the read interaction for NutritionOrder resources,SHOULD,Light EHR,,false
282
+ hl7.fhir.us.davinci-dtr_2.0.1,275,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the read interaction for CommunicationRequest resources,SHOULD,Light EHR,,false
283
+ hl7.fhir.us.davinci-dtr_2.0.1,276,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the read interaction for ServiceRequest resources,SHOULD,Light EHR,,false
284
+ hl7.fhir.us.davinci-dtr_2.0.1,277,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the read interaction for VisionPrescription resources,SHOULD,Light EHR,,false
285
+ hl7.fhir.us.davinci-dtr_2.0.1,278,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the read interaction for Task resources,SHOULD,Light EHR,,false
286
+ hl7.fhir.us.davinci-dtr_2.0.1,279,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the create interaction for Task resources,SHOULD,Light EHR,,false
287
+ hl7.fhir.us.davinci-dtr_2.0.1,280,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHOULD** support the update interaction for Task resources,SHOULD,Light EHR,,false
288
+ hl7.fhir.us.davinci-dtr_2.0.1,281,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html,[Light EHRs] **SHALL** comply with requirements in http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server [[version 3.1.1](https://hl7.org/fhir/us/core/STU3.1.1/CapabilityStatement-us-core-server.html)],SHALL,Light EHR,,false
289
+ hl7.fhir.us.davinci-dtr_2.0.1,282,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,[The `$log-questionnaire-errors`] operation **SHOULD** be supported by payers,SHOULD,Payer Service,,false
290
+ hl7.fhir.us.davinci-dtr_2.0.1,283,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,[The `$log-questionnaire-errors`] operation **SHOULD** be supported by … DTR applications,SHOULD,"Full EHR, SMART Client",,false
291
+ hl7.fhir.us.davinci-dtr_2.0.1,284,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,Payers **SHALL** expose the log errors operation at url: [base]/Questionnaire/$log-questionnaire-errors,SHALL,Payer Service,,false
292
+ hl7.fhir.us.davinci-dtr_2.0.1,285,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,DTR Applications **SHALL** submit to the log errors operation a body conforming to the [DTR Log Questionnaire Errors Input Parameters](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-log-errors-input-parameters.html) Profile,SHALL,"Full EHR, SMART Client",,false
293
+ hl7.fhir.us.davinci-dtr_2.0.1,286,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,The input OperationOutcome resource [to the `$log-questionnaire-errors` operation] **SHOULD** include information on the DTR application identity,SHOULD,"Full EHR, SMART Client",,false
294
+ hl7.fhir.us.davinci-dtr_2.0.1,287,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,The input OperationOutcome resource [to the `$log-questionnaire-errors` operation] **SHOULD** include information on the DTR application … version,SHOULD,"Full EHR, SMART Client",,false
295
+ hl7.fhir.us.davinci-dtr_2.0.1,288,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,The input OperationOutcome resource [to the `$log-questionnaire-errors` operation] **SHOULD** include … [the] date-time with time-zone offset,SHOULD,"Full EHR, SMART Client",,false
296
+ hl7.fhir.us.davinci-dtr_2.0.1,289,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,The input OperationOutcome resource [to the `$log-questionnaire-errors` operation] **SHOULD** include … the provider endpoint during which the error occurred,SHOULD,"Full EHR, SMART Client",,false
297
+ hl7.fhir.us.davinci-dtr_2.0.1,290,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,The input OperationOutcome resource [to the `$log-questionnaire-errors` operation] ... **SHALL NOT** contain information about the response or information retrieved from FHIR APIs that could potentially include PHI,SHALL NOT,"Full EHR, SMART Client",,false
298
+ hl7.fhir.us.davinci-dtr_2.0.1,291,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,The [input] Questionnaire reference [to the `$log-questionnaire-errors` operation] **SHOULD** be version-specific,SHOULD,"Full EHR, SMART Client",,false
299
+ hl7.fhir.us.davinci-dtr_2.0.1,292,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,Payers **SHALL** expose the questionnaire package operation at url: [base]/Questionnaire/$questionnaire-package,SHALL,Payer Service,,false
300
+ hl7.fhir.us.davinci-dtr_2.0.1,293,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,DTR Applications **SHALL** submit to the questionnaire package operation inputs conforming to the [DTR Questionnaire Package Input Parameters](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-qpackage-input-parameters.html) Profile,SHALL,"Full EHR, SMART Client",,false
301
+ hl7.fhir.us.davinci-dtr_2.0.1,294,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"Payers **SHALL** return in response to the questionnaire package operation outputs conforming to the [DTR Questionnaire Package Output Parameters
302
+ ](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-qpackage-output-parameters.html) Profile",SHALL,Payer Service,,false
303
+ hl7.fhir.us.davinci-dtr_2.0.1,295,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,The [DTR questionnaire package] operation **SHALL** take as input the Coverage resource(s) identifying the member and the type(s) of Coverage for which additional information is needed,SHALL,"Full EHR, SMART Client",,false
304
+ hl7.fhir.us.davinci-dtr_2.0.1,296,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"The [DTR questionnaire package] operation **SHALL** take as input … at least one of:
305
+
306
+ - Zero or more canonicals specifying the URL and, (optionally) the version of the Questionnaire(s) to retrieve;
307
+ - A CRD/PAS context ID, and/or
308
+ - One or more Request or Encounter resources",SHALL,"Full EHR, SMART Client",,false
309
+ hl7.fhir.us.davinci-dtr_2.0.1,297,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If specific Questionnaires are specified [as input to the DTR questionnaire package operation, the operation will return the specified versions of the respective Questionnaires (or current version if no version is indicated)",SHALL,Payer Service,,false
310
+ hl7.fhir.us.davinci-dtr_2.0.1,298,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"For the other parameters (context id or resources) the payer will determine, all Questionnaires relevant to determining coverage, prior authorization, claims acceptability, documentation requirements, etc. that are relevant to the specified context [to return as a result of the questionnaire package operation].",SHALL,Payer Service,,false
311
+ hl7.fhir.us.davinci-dtr_2.0.1,299,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"The list of questionnaires returned will be the union of those determined by evaluating each of the provided parameters, with each Questionnaire version only being returned once",SHALL,Payer Service,,false
312
+ hl7.fhir.us.davinci-dtr_2.0.1,300,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If multiple versions of a questionnaire are returned, each SHALL be associated with distinct orders or coverages in the associated QuestionnaireResponses",SHALL,Payer Service,,true
313
+ hl7.fhir.us.davinci-dtr_2.0.1,301,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If [in response to a questionnaire package request] any of the explicitly requested questionnaires [in the questionnaire parameter] cannot be found, a warning **SHALL** be provided in the ‘outcome’ element of the outer Bundle.",SHALL,Payer Service,,true
314
+ hl7.fhir.us.davinci-dtr_2.0.1,302,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"if there is an issue understanding any of the orders or coverages [submitted to the questionnaire pacakge operation] and determining appropriate Questionnaires, a warning will be provided [in the 'outcome' output parameter].",SHALL,Payer Service,,true
315
+ hl7.fhir.us.davinci-dtr_2.0.1,303,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,Each Questionnaire [returned by a questionnaire package call] will be packaged into a distinct Bundle.,SHALL,Payer Service,,false
316
+ hl7.fhir.us.davinci-dtr_2.0.1,304,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If there is only one Questionnaire and there are no warnings [returned from a questionnaire package call], then the QuestionnaireBundle can be returned as the sole payload of the operation response.",MAY,Payer Service,,true
317
+ hl7.fhir.us.davinci-dtr_2.0.1,305,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If … there is a need to convey an OperationOutcome alongside Questionnaires [returned from a questionnaire package call], the response will be a Parameters resource.",SHALL,Payer Service,,true
318
+ hl7.fhir.us.davinci-dtr_2.0.1,306,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If there are multiple Questionnaires … [returned from a questionnaire package call], the response will be a Parameters resource.",SHALL,Payer Service,,true
319
+ hl7.fhir.us.davinci-dtr_2.0.1,307,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If the [questionnaire package] operation fails, the response payload **SHOULD** be an OperationOutcome.",SHOULD,Payer Service,,true
320
+ hl7.fhir.us.davinci-dtr_2.0.1,308,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,[Each questionnaire] Bundle [returned by the questionnaire package operation] **SHALL** include the Questionnaire as the first entry,SHALL,Payer Service,,false
321
+ hl7.fhir.us.davinci-dtr_2.0.1,309,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,[Each questionnaire] Bundle [returned by the questionnaire package operation] **SHALL** include … all external Libraries referenced by the Questionnaire using the cqf-library extension,SHALL,Payer Service,,false
322
+ hl7.fhir.us.davinci-dtr_2.0.1,310,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,[Each questionnaire] Bundle [returned by the questionnaire package operation] **SHALL** include … the recursive retrieval of all ‘related-artifact’ references of type ‘depends-on’ [within included Libraries].,SHALL,Payer Service,,false
323
+ hl7.fhir.us.davinci-dtr_2.0.1,311,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,[Each questionnaire] Bundle [returned by the questionnaire package operation] **SHALL** all external ValueSet instances referenced by the Questionnaire.,SHALL,Payer Service,,false
324
+ hl7.fhir.us.davinci-dtr_2.0.1,312,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,All value sets [returned by the questionnaire package operation] **SHALL** be expanded as of the current date and using expansion parameters (such as SNOMED release) as deemed appropriate by the payer.,SHALL,Payer Service,,false
325
+ hl7.fhir.us.davinci-dtr_2.0.1,313,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"All references to Questionnaires, Libraries, and ValueSets within the Bundle [returned by the questionnaire package operation] **SHALL** be version specific",SHALL,Payer Service,,false
326
+ hl7.fhir.us.davinci-dtr_2.0.1,314,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"Note that the same Libraries and/or ValueSets may appear in more than one Questionnaire Bundle [returned by the questionnaire package operation], possibly with a different version.",MAY,Payer Service,,false
327
+ hl7.fhir.us.davinci-dtr_2.0.1,315,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If any of the dependencies cannot be retrieved ..., a warning will be included in the ‘outcome’.",SHALL,Payer Service,,true
328
+ hl7.fhir.us.davinci-dtr_2.0.1,316,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"If any of the ... value sets [cannot be] expanded, a warning will be included in the ‘outcome’.",SHALL,Payer Service,,true
329
+ hl7.fhir.us.davinci-dtr_2.0.1,317,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"Each Library … will only appear once in the Bundle [returned by the questionnaire package operation], even if it is referenced multiple places.",SHALL,Payer Service,,false
330
+ hl7.fhir.us.davinci-dtr_2.0.1,318,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,Multiple versions [to be returned by the questionnaire package operation] of a Library **MAY** be treated as an error,MAY,Payer Service,,false
331
+ hl7.fhir.us.davinci-dtr_2.0.1,319,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,Multiple versions of a Library [to be returned by the questionnaire package operation] … **MAY** be handled by returning the ‘most recent’ version of the referenced versions.,MAY,Payer Service,,false
332
+ hl7.fhir.us.davinci-dtr_2.0.1,320,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"Each ... [version of a] ValueSet will only appear once in the Bundle [returned by the questionnaire package operation], even if it is referenced multiple places.",SHALL,Payer Service,,false
333
+ hl7.fhir.us.davinci-dtr_2.0.1,321,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,[Each] Questionnaire Bundle **SHALL** contain one or more initial draft QuestionnaireResponses that reference the Questionnaire for that Bundle,SHALL,Payer Service,,false
334
+ hl7.fhir.us.davinci-dtr_2.0.1,322,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,[Each] Questionnaire Bundle **SHALL** contain one or more initial draft QuestionnaireResponses that … populate[s] the subject,SHALL,Payer Service,,false
335
+ hl7.fhir.us.davinci-dtr_2.0.1,323,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,[Each] Questionnaire Bundle **SHALL** contain one or more initial draft QuestionnaireResponses that … populate[s] … repetitions of the Context extension that identify the Coverage(s) and Request or Encounter resources the Questionnaire is to be completed for.,SHALL,Payer Service,,false
336
+ hl7.fhir.us.davinci-dtr_2.0.1,324,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,The same QuestionnaireResponse [returned from the package questionnaire operation] might be associated with multiple Request resources or may need to be filled out separately for different Requests.,MAY,Payer Service,,false
337
+ hl7.fhir.us.davinci-dtr_2.0.1,325,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,The payer **MAY** opt to pre-populate some answers in the provided QuestionnaireResponses [returned from the questionnaire package operation] based on information the payer has in its own records or has from context from CRD or from other prior auth or claims submissions.,MAY,Payer Service,,false
338
+ hl7.fhir.us.davinci-dtr_2.0.1,326,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"Payers must be cautious about prepopulating Questionnaires [returned from the questionnaire package operation] with sensitive information, because there are rare situations where a malicious application could attempt to access information that was not authorized by the EHR.",SHOULD,Payer Service,,false
339
+ hl7.fhir.us.davinci-dtr_2.0.1,327,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html,"When resuming a work in progress questionnaire response the DTR client **SHALL** invoke the [qquestionnaire package] operation with the timestamp to see if the questionnaire package has changed since it was last retrieved, presuming that the QuestionnaireResponse.meta.lastUpdated element corresponds to the last package retrieval time.",SHALL,"Full EHR, SMART Client",,true
340
+ hl7.fhir.us.davinci-dtr_2.0.1,328,https://hl7.org/fhir/us/davinci-dtr/STU2/metrics.html,each implementation should [capture the defined metrics],SHOULD,"Full EHR, Light EHR, SMART Client, Payer Service",,false
341
+ hl7.fhir.us.davinci-dtr_2.0.1,329,https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-DTRMetricData.html,[DTR Metric Data] **SHOULD** be collected and maintained for each DTR system action.,SHOULD,"Full EHR, Light EHR, SMART Client, Payer Service",,false
342
+ hl7.fhir.us.davinci-dtr_2.0.1,330,https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-std-questionnaire.html,"Elements that are not mustSupport [in the DTR Standard Questionnaire Profile] are presented here as elements that may be of interest to certain payers, but can only be used if the payer is aware that the invoking EHR or SMART App can support them.",SHOULD,Payer Service,,false
343
+ hl7.fhir.us.davinci-dtr_2.0.1,331,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Implementers SHALL be familiar with and adhere primarily to any security and privacy rules defined by Da Vinci HRex Privacy and Security,SHALL,"Full EHR, Light EHR, SMART Client, Payer Service",,false
344
+ hl7.fhir.us.davinci-dtr_2.0.1,332,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Implementers SHALL also adhere to the security guidelines defined in: … FHIR core: … [Security & Privacy module](http://hl7.org/fhir/R4/secpriv-module.html),SHALL,"Full EHR, Light EHR, SMART Client, Payer Service",,false
345
+ hl7.fhir.us.davinci-dtr_2.0.1,333,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Implementers SHALL also adhere to the security guidelines defined in: … FHIR core: … [Security Principles](http://hl7.org/fhir/R4/security.html),SHALL,"Full EHR, Light EHR, SMART Client, Payer Service",,false
346
+ hl7.fhir.us.davinci-dtr_2.0.1,334,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Implementers SHALL also adhere to the security guidelines defined in: … FHIR core: … [Implementer’s Checklist](http://hl7.org/fhir/R4/safety.html),SHALL,"Full EHR, Light EHR, SMART Client, Payer Service",,false
347
+ hl7.fhir.us.davinci-dtr_2.0.1,335,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Implementers SHALL also adhere to the security guidelines defined in: … [HRex: [Privacy & Security](http://hl7.org/fhir/us/davinci-hrex/STU1/security.html)],SHALL,"Full EHR, Light EHR, SMART Client, Payer Service",,false
348
+ hl7.fhir.us.davinci-dtr_2.0.1,336,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Implementers SHALL also adhere to the security guidelines defined in: … SMART on FHIR: [SMART App Launch Framework](https://www.hl7.org/fhir/smart-app-launch/),SHALL,"Full EHR, Light EHR, SMART Client, Payer Service",,false
349
+ hl7.fhir.us.davinci-dtr_2.0.1,337,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,"For compliance with HIPAA Minimum Necessary, the CQL included in payer-defined Questionnaires **SHALL** limit requests for information from the EHR’s API to only items that are relevant to the documentation requirements for which DTR was launched (e.g., documentation requirements for a service that requires prior authorization) [e.g., not search of Observations outside of the scope of what is needed to make prior authorization determinations].",SHALL,Payer Service,,false
350
+ hl7.fhir.us.davinci-dtr_2.0.1,338,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Compliant Questionnaires **SHALL NOT** include hidden or read-only questions where the data is populated from the EHR.,SHALL NOT,Payer Service,,false
351
+ hl7.fhir.us.davinci-dtr_2.0.1,339,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,"If information is privacy restricted, the information **SHOULD** be treated by the EHR FHIR API as if it does not exist when executing queries in payer-defined CQL.",SHOULD,Light EHR,,false
352
+ hl7.fhir.us.davinci-dtr_2.0.1,340,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Providers **SHOULD** ask the patient if they want to share the information with the payer prior to manually populating it in any QuestionnaireResponses.,SHOULD,"Full EHR, SMART Client",,false
353
+ hl7.fhir.us.davinci-dtr_2.0.1,341,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,Any EHR with SMART on FHIR support **SHOULD** be prepared to deal with the implications of providing a client with the scopes they request.,SHOULD,Light EHR,,false
354
+ hl7.fhir.us.davinci-dtr_2.0.1,342,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,"EHRs **SHALL** limit FHIR search capabilities for clients, requiring a patient ID in any search query to ensure the client can only access resources related to that patient",SHALL,Light EHR,,false
355
+ hl7.fhir.us.davinci-dtr_2.0.1,343,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,"Payer systems **SHALL** use information received during execution of DTR `$questionnaire-package` solely for the purpose of satisfying the operation invoked, for audit, and to satisfy metric reporting needs.",SHALL,Payer Service,,false
356
+ hl7.fhir.us.davinci-dtr_2.0.1,344,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,It is important for implementers to be aware that data is going to be auto-populated that could be considered sensitive - so there will likely be a need for a human to review and confirm that the information is appropriate to be shared (and be able to remove it without risk of it being put back if they wish).,SHOULD,"Full EHR, SMART Client",,false
357
+ hl7.fhir.us.davinci-dtr_2.0.1,345,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,[T]he app MAY not have access to certain data for retrieval because of security considerations.,MAY,"Full EHR, SMART Client",,false
358
+ hl7.fhir.us.davinci-dtr_2.0.1,346,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html,"If a payer uses adaptive forms to gather information, the payer **SHALL NOT** persist or use the information shared as part of the $next-question operation for any purpose other than:
359
+
360
+ - Responding to the operation
361
+ - Retention of the fully completed QuestionnaireResponse to support a coverage determination made as part of the Questionnaire completion process
362
+ - Internal audit and metric calculation",SHALL NOT,Payer Service,,true
363
+ hl7.fhir.us.davinci-dtr_2.0.1,347,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [for consumers that apply to DTR clients that receive [DTR Questionnaire for adaptive form](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt.html)],SHALL,"Full EHR, SMART Client",,false
364
+ hl7.fhir.us.davinci-dtr_2.0.1,348,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [for data sources that apply to Payer Services that return [DTR Questionnaire for adaptive form](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt.html)],SHALL,Payer Service,,false
365
+ hl7.fhir.us.davinci-dtr_2.0.1,349,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [for consumers that apply to DTR clients that receive [DTR Questionnaire for adaptive form Search](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt-search.html)],SHALL,"Full EHR, SMART Client",,false
366
+ hl7.fhir.us.davinci-dtr_2.0.1,350,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [for data sources that apply to Payer Services that return [DTR Questionnaire for adaptive form Search](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaire-adapt-search.html)],SHALL,Payer Service,,false
367
+ hl7.fhir.us.davinci-dtr_2.0.1,351,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [for consumers that apply to DTR clients that receive [DTR Standard Questionnaire](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-std-questionnaire.html)],SHALL,"Full EHR, SMART Client",,false
368
+ hl7.fhir.us.davinci-dtr_2.0.1,352,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [for data sources that apply to Payer Services that return [DTR Standard Questionnaire](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-std-questionnaire.html)],SHALL,Payer Service,,false
369
+ hl7.fhir.us.davinci-dtr_2.0.1,353,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [for data sources that apply to DTR clients and Light EHRs that create [DTR Questionnaire Responses](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaireresponse.html)],DEPRECATED,"Full EHR, SMART Client, Light EHR",,false
370
+ hl7.fhir.us.davinci-dtr_2.0.1,354,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [for consumers that apply to Light EHRs that accept and serve [DTR Questionnaire Responses](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-questionnaireresponse.html)],DEPRECATED,Light EHR,,false
371
+ hl7.fhir.us.davinci-dtr_2.0.1,355,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [element population for data sources that apply to Light EHRs when serving instances of Da Vinci-defined profiles explicitly listed in the [Light DTR EHR Capability Statement](https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html).],SHALL,Light EHR,,false
372
+ hl7.fhir.us.davinci-dtr_2.0.1,356,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [element processing for consumers that apply to Light EHRs when creating or updating instances of Da Vinci-defined profiles explicitly listed in the [Light DTR EHR Capability Statement](https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-light-dtr-ehr.html).],SHALL,Light EHR,,false
373
+ hl7.fhir.us.davinci-dtr_2.0.1,357,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [element population for data sources that apply to SMART Clients when creating or updating instances of Da Vinci-defined profiles explicitly listed in the [DTR SMART Client Capability Statement](https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html).],SHALL,SMART Client,,false
374
+ hl7.fhir.us.davinci-dtr_2.0.1,358,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#general-considerations,This implementation guide adopts by reference ... HRex Conformance Requirements [([*Conformance Expectations*](https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html))] which describe ... rules around mustSupport [element processing for consumers that apply to SMART Clients when reading or searching for instances of Da Vinci-defined profiles explicitly listed in the [DTR SMART Client Capability Statement](https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-smart-client.html).],SHALL,SMART Client,,false