davinci_dtr_test_kit 0.16.1 → 0.16.2

data/lib/davinci_dtr_test_kit/requirements/generated/dtr_payer_server_requirements_coverage.csv

@@ -0,0 +1,147 @@
+Req Set,ID,URL,Requirement,Conformance,Actors,Conditionality,Not Tested Reason,Not Tested Details,Da Vinci DTR Payer Server Test Suite Short ID(s),Da Vinci DTR Payer Server Test Suite Full ID(s)
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,2.08,dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_adaptive_response_search_validation_test
+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,,,"",""
+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 [`$questionnaire-package`](https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-questionnaire-package.html) call.",SHALL,Payer Service,true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,42,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,The QuestionnaireResponse included in the Questionnaire package Bundle accompanying an adaptive Questionnaire will follow the convention of referencing a contained Questionnaire ‘derivedFrom’ the canonical for the Questionnaire being completed.,SHALL,Payer Service,true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,43,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"Typically, the QuestionnaireResponse and contained Questionnaire [for adaptive forms returned from the questionnaire package operation] will contain no answers (or corresponding questions)",MAY,Payer Service,true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,44,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,the payer **MAY** opt to include a few pre-populated answers [in the initial adaptive form returned from the questionnaire package operation] for user review prior to soliciting additional questions using the [`$next-question`](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html) operation.,MAY,Payer Service,true,,,"",""
+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,,,"",""
+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,,,"",""
+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  [`$next-question`](http://hl7.org/fhir/uv/sdc/STU3/OperationDefinition-Questionnaire-next-question.html) call,MAY,Payer Service,true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,48,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#adaptive-form-considerations,"[When packaging an adaptive questionnaire] the payer can opt to specify the CQL and codes without using Libraries or ValueSets at all – the CQL can be sent in-line within the various Expression elements, and the codes can be listed directly as answerOption Codings.",MAY,Payer Service,true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,49,https://hl7.org/fhir/us/davinci-dtr/STU2/security.html#dtr-specific-considerations,"If a payer uses adaptive forms to gather information, the payer **SHALL NOT** persist or use the information shared as part of the `$next-question` operation for any purpose other than:
+
+- Responding to the operation
+- Retention of the fully completed QuestionnaireResponse to support a coverage determination made as part of the Questionnaire completion process
+- Internal audit and metric calculation",SHALL NOT,Payer Service,true,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"1.05, 2.05, 2.11","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_next_question_extensions_test"
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"1.05, 2.05, 2.11","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_next_question_extensions_test"
+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,,,"",""
+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,,,"1.06, 2.06, 2.12","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_expressions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_expressions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_next_question_expressions_test"
+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 non-MustSupport data extension] 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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"1.05, 2.05, 2.11","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_next_question_extensions_test"
+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,,,"1.04, 2.04","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_libraries_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_libraries_test"
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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 …  **SHALL** be provided as [a] separate content repetition ... within the library.",SHALL,Payer Service,false,,,"1.04, 2.04","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_libraries_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_libraries_test"
+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,,,"1.04, 2.04","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_libraries_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_libraries_test"
+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,,,"",""
+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,,,"1.05, 2.05, 2.11","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_next_question_extensions_test"
+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,,,"1.04, 2.04","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_libraries_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_libraries_test"
+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,,,"",""
+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,,,"1.04, 2.04","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_libraries_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_libraries_test"
+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,,,"1.04, 2.04","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_libraries_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_libraries_test"
+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,,,"",""
+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,,,"",""
+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,,,"1.03, 2.03","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_response_test, dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_adaptive_response_validation_test"
+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,,,"",""
+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,,,"",""
+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 $next-question will result in an echo back of the QuestionnaireResponse with no further questions provided in the contained Questionnaire, and with the QuestionnaireResponse set to ‘complete’.",SHALL,Payer Service,false,,,2.13,dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_adaptive_completion_test
+hl7.fhir.us.davinci-dtr_2.0.1,220,https://hl7.org/fhir/us/davinci-dtr/STU2/specification.html#questionnaireresponse-validation,the [completed Adaptive] QuestionnaireResponse **MAY** have a coverage-information extension added reflecting the payer’s coverage assessment based on the information gathered in the QuestionnaireResponse.,MAY,Payer Service,false,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,239,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-payer-service.html#behavior,[Payer services] **SHALL** support the [`$questionnaire-package`](http://hl7.org/fhir/us/davinci-dtr/OperationDefinition/questionnaire-package) operation.,SHALL,Payer Service,false,,,"1.01, 2.01","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_request_test, dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_questionnaire_request"
+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 [`$expand`](http://hl7.org/fhir/OperationDefinition/ValueSet-expand) operation.,SHALL,Payer Service,false,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,241,https://hl7.org/fhir/us/davinci-dtr/STU2/CapabilityStatement-dtr-payer-service.html#behavior,[Payer services] **SHOULD** support the [`$next-question`](http://hl7.org/fhir/uv/sdc/OperationDefinition/Questionnaire-next-question) operation.,SHOULD,Payer Service,false,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,282,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,[The `$log-questionnaire-errors`] operation **SHOULD** be supported by payers,SHOULD,Payer Service,false,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,284,https://hl7.org/fhir/us/davinci-dtr/STU2/OperationDefinition-log-questionnaire-errors.html,Payers **SHALL** expose the log errors operation at url: [base]/Questionnaire/$log-questionnaire-errors,SHALL,Payer Service,false,,,"",""
+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,,,"1.01, 2.01","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_request_test, dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_questionnaire_request"
+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
+](https://hl7.org/fhir/us/davinci-dtr/STU2/StructureDefinition-dtr-qpackage-output-parameters.html) Profile",SHALL,Payer Service,false,,,"1.03, 2.03","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_response_test, dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_adaptive_response_validation_test"
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"1.03, 2.03, 2.07","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_response_test, dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_adaptive_response_validation_test, dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_adaptive_response_bundles_validation_test"
+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,,,"",""
+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,,,"",""
+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,,,"1.03, 2.03","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_response_test, dtr_payer_server-payer_server_adaptive_questionnaire-payer_server_adaptive_response_validation_test"
+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,,,"",""
+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,,,"",""
+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,,,"1.05, 2.05","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_extensions_test"
+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,,,"",""
+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** include all external ValueSet instances referenced by the Questionnaire.,SHALL,Payer Service,false,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"1.05, 2.05","dtr_payer_server-payer_server_static_package-dtr_v201_payer_static_form_extensions_test, dtr_payer_server-payer_server_adaptive_questionnaire-dtr_v201_payer_adaptive_form_extensions_test"
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,Not Tested,metrics are optional at this time,NA,NA
+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,Not Tested,metrics are optional at this time,NA,NA
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+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:
+
+- Responding to the operation
+- Retention of the fully completed QuestionnaireResponse to support a coverage determination made as part of the Questionnaire completion process
+- Internal audit and metric calculation",SHALL NOT,Payer Service,true,,,"",""
+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,,,"",""
+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,,,"",""
+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,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,361,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"In the context of an HRex compliant IG, mustSupport on any data element **SHALL** be interpreted [to mean that] … Data Sources **SHALL** be capable of populating the data element when sharing resources compliant with the profile. I.e. the system must be able to demonstrate the population and sharing of the element",SHALL,"Light EHR,SMART Client,Payer Service",false,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,362,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"In the context of an HRex compliant IG, mustSupport on any data element **SHALL** be interpreted [to mean that] … it is acceptable to omit the [must support] element if the [data source] system doesn't have values in a particular instance.",MAY,"Light EHR,SMART Client,Payer Service",true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,364,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"In the context of an HRex compliant IG, mustSupport on any data element **SHALL** be interpreted [to mean that] … [i]f the minimum cardinality of an element is greater than 0 – i.e. the element is ‘required’, then the element **SHALL** be present in the instance",SHALL,"Light EHR,SMART Client,Payer Service",true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,365,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"In the context of an HRex compliant IG, mustSupport on any data element **SHALL** be interpreted [to mean that] …  [i]f the minimum cardinality of an element is greater than 0 – i.e. the element is ‘required’, then the element ... **SHALL** have a value unless:
+
+- The profile explicitly declares the dataAbsentReason extension or other extension for the element, in which case an extension can be present in place of the value. [or]
+- The profile is inherited from U.S. Core, in which case a dataAbsentReason extension may be sent in place of the value even where dataAbsentReason is not explicitly declared in the profile.",SHALL,"Light EHR,SMART Client,Payer Service",true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,367,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"In the context of an HRex compliant IG, mustSupport on any data element **SHALL** be interpreted [to mean that] … [w]here the value set for an element includes concepts such as “unknown”, “refused to answer”, “not available” or where dataAbsentReason is explicitly referenced in a profile, then Data Sources **SHALL** use these values/that extension to communicate the reason for missing data.",SHALL,"Light EHR,SMART Client,Payer Service",true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,369,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,[Data sources] are free to include additional data [beyond the must support elements],MAY,"Light EHR,SMART Client,Payer Service",false,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,371,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"[Data Sources] should be aware that they can't count on receivers storing, processing or doing anything other than ignoring data that is not marked as mustSupport.",SHOULD,"Light EHR,SMART Client,Payer Service",true,,,"",""
+hl7.fhir.us.davinci-dtr_2.0.1,372,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"Many of the profiles in this guide reference other FHIR resources that are US Core profiles. This is defined in the formal profile definitions. For example, US Core Patient. For any other references not formally defined in a US Core profiles, the referenced resource **SHOULD** be a US Core profile if a US Core profile exists for the resource type.",SHOULD,"Light EHR,SMART Client,Payer Service",true,,,"",""