<status value="active"/> <date value="2026-03-27T16:04:08+11:00"/> <publisher value="HL7 International / Clinical Decision Support"/> <contact> <name value="HL7 International / Clinical Decision Support"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/dss"/> </telecom> </contact> <description value="The Documentation Templates and Rules (DTR) Implementation Guide (IG) specifies how payer rules can be executed in a provider context to ensure that documentation requirements are met. The IG is a companion to the Coverage Requirements Discovery (CRD) IG, which uses CDS Hooks to query payers to determine if there are documentation requirements for a proposed medication, procedure or other service."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <packageId value="hl7.fhir.us.davinci-dtr"/> <license value="CC0-1.0"/> <fhirVersion value="4.0.1"/> <dependsOn id="hl7tx"> <extension url="http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment"> <valueMarkdown value="Automatically added as a dependency - all IGs depend on HL7 Terminology"/> </extension> <uri value="http://terminology.hl7.org/ImplementationGuide/hl7.terminology"/> <packageId value="hl7.terminology.r4"/> <version value="7.1.0"/> </dependsOn> <dependsOn id="uscore7"> <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImplementationGuide.dependsOn.reason"> <valueMarkdown value="Defines USCDI v4 EHR expectations on a range of resources that will be passed. 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<extension url="value"> <valueString value="template-page.html"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueString value="template-md"/> </extension> <extension url="value"> <valueString value="template-page-md.html"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueString value="apply-context"/> </extension> <extension url="value"> <valueString value="true"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueString value="apply-copyright"/> </extension> <extension url="value"> <valueString value="true"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueString value="apply-jurisdiction"/> </extension> <extension url="value"> <valueString value="true"/> 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<extension url="code"> <valueCode value="template-html"/> </extension> <extension url="value"> <valueString value="template-page.html"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueCode value="template-md"/> </extension> <extension url="value"> <valueString value="template-page-md.html"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueCode value="apply-context"/> </extension> <extension url="value"> <valueString value="true"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueCode value="apply-copyright"/> </extension> <extension url="value"> <valueString value="true"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueCode value="apply-jurisdiction"/> 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url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueCode value="i18n-default-lang"/> </extension> <extension url="value"> <valueString value="en"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueCode value="wantGen-ttl"/> </extension> <extension url="value"> <valueString value="false"/> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"> <extension url="code"> <valueCode value="wantGen-ttl-html"/> </extension> <extension url="value"> <valueString value="false"/> </extension> </extension> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Parameters"/> </extension> <reference> <reference value="Parameters/LogQuestionnaireErrorsInputParamsExample"/> </reference> <name value="$log-questionnaire-errors Input Parameters Example"/> <description value="An example instance of [Input Parameters](StructureDefinition-dtr-log-errors-input-parameters.html) that are supplied to the [Log Questionnaire Errors](OperationDefinition-log-questionnaire-errors.html) operation."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-log-errors-input-parameters|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Parameters"/> </extension> <reference> <reference value="Parameters/NextQuestionInputParamsExample"/> </reference> <name value="$next-question Input Parameters Example"/> <description value="An example instance of [input Parameters](StructureDefinition-dtr-next-question-input-parameters.html) used by the [Next Question](OperationDefinition-DTR-Questionnaire-next-question.html) operation."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-next-question-input-parameters|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Parameters"/> </extension> <reference> <reference value="Parameters/NextQuestionOutputParamsExample"/> </reference> <name value="$next-question Output Parameters Example"/> <description value="An example instance of [output Parameters](StructureDefinition-dtr-next-question-output-parameters.html) used by the [Next Question](OperationDefinition-DTR-Questionnaire-next-question.html) operation."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-next-question-output-parameters|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Parameters"/> </extension> <reference> <reference value="Parameters/QuestionnairePackageInputParamsExample"/> </reference> <name value="$questionnaire-package Input Parameters Example"/> <description value="An example instance of [Input Parameters](StructureDefinition-dtr-qpackage-input-parameters.html) for the [QuestionnairePackage](OperationDefinition-questionnaire-package.html) operation."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-qpackage-input-parameters|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Parameters"/> </extension> <reference> <reference value="Parameters/QuestionnairePackageOutputParamsExample"/> </reference> <name value="$questionnaire-package Output Parameters Example"/> <description value="An example instance of [Output Parameters](StructureDefinition-dtr-qpackage-output-parameters.html) for the [QuestionnairePackage](OperationDefinition-questionnaire-package.html) operation."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-qpackage-output-parameters|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/activeRole"/> </reference> <name value="Active Role"/> <description value="An extension to indicate the active role(s) a practitioner is currently functioning in."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/AdaptiveSearchExample"/> </reference> <name value="AdaptiveSearchExample"/> <description value="An example [Adaptive Form](StructureDefinition-dtr-questionnaire-adapt-search.html) search instance."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaire-adapt-search|2.2.0"/> </resource> <resource> <extension 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(NOTE: The expectation is that this extension will transition to the core extensions pack)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/questionnaireAudience"/> </reference> <name value="Audience Value Set"/> <description value="Codes defining audience of additional documentation to be captured"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/cs-categories"/> </reference> <name value="Conformance Statement Categories"/> <description value="Categories for conformance statements found in the DTR Implementation Guide"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/containedReference"/> </reference> <name value="Contained Reference"/> <description value="Indicates that when filling a QuestionnaireResponse and selecting a reference, that the referenced resource should be included as a 'contained' resource within the QuestionnaireResponse"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Coverage"/> </extension> <reference> <reference value="Coverage/CoverageExample"/> </reference> <name value="CoverageExample"/> <description value="An instance of CRD Coverage"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource:abstract"/> </extension> <reference> <reference value="StructureDefinition/dtr-base-questionnaire"/> </reference> <name value="DTR Base Questionnaire"/> <description value="Takes a subset of extensions and constraints from the SDC [rendering](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-render.html), [behavior](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-behave.html), and [population](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-pop-exp.html) profiles, reflecting agreed expectations around which data elements might be relevant as well as which must be supported for DTR purposes."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ActorDefinition"/> </extension> <reference> <reference value="ActorDefinition/dtr-client"/> </reference> <name value="DTR Client"/> <description value="An app that communicates with a Payer's DTR Server."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/dtr-completionTime-codes"/> </reference> <name value="DTR Completion Time Codes"/> <description value="Codes used within the Competion Time valueset."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/dtr-conformance-statement-categories"/> </reference> <name value="DTR Conformance Statement Categories"/> <description value="Codes that help to categorize requirements statements"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/dtr-informationorigin-codes"/> </reference> <name value="DTR Information Origin Codes"/> <description value="Codes used within the Information Origin valueset."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/dtr-intendedaudience-codes"/> </reference> <name value="DTR Intended Audience Codes"/> <description value="Codes defining audience of additional documentation to be captured."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="OperationDefinition"/> </extension> <reference> <reference value="OperationDefinition/log-questionnaire-errors"/> </reference> <name value="DTR Log Questionnaire Errors"/> <description value="The operation will pass a Questionnaire reference and an OperationOutcome detailing the issue(s) including where the error occurred back to the originating Payer."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-log-errors-input-parameters"/> </reference> <name value="DTR Log Questionnaire Errors Input Parameters"/> <description value="The Parameters profile used to define the inputs to the [$log-questionnaire-errors](OperationDefinition-log-questionnaire-errors.html) operation."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/dtr-metric-codes"/> </reference> <name value="DTR Metric Codes"/> <description value="Codes used within 'code' elements in the DTR Metric logical model."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:logical"/> </extension> <reference> <reference value="StructureDefinition/DTRMetricData"/> </reference> <name value="DTR Metric Data"/> <description value="A logical model describing the information that should be captured by DTR implementers about every DTR invocation to support measures evaluating DTR implementation."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-next-question-input-parameters"/> </reference> <name value="DTR Next Question Input Parameters"/> <description value="Profile used to validate the parameters that are the input of the 'next question' adaptive questionnaire operation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="OperationDefinition"/> </extension> <reference> <reference value="OperationDefinition/DTR-Questionnaire-next-question"/> </reference> <name value="DTR Next Question Operation"/> <description value="The Next Question operation is used for *adaptive questionnaires*. For specific details, see the [SDC Next Question operation](http://hl7.org/fhir/uv/sdc/OperationDefinition/Questionnaire-next-question)."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-next-question-output-parameters"/> </reference> <name value="DTR Next Question Output Parameters"/> <description value="Profile used to validate the parameters that are the output of the 'next question' adaptive questionnaire operation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CapabilityStatement"/> </extension> <reference> <reference value="CapabilityStatement/dtr-payer-service"/> </reference> <name value="DTR Payer Service"/> <description value="This capability statement defines the expected capabilities of payer systems that provide questionnaires to DTR clients. Such systems need only support server capabilities for the Questionnaire Package, ValueSet Expand, and Next Question operations."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-questionnaire-adapt"/> </reference> <name value="DTR Questionnaire for adaptive form"/> <description value="The DTR Adaptive Questionnaire is used to represent an adaptive Questionnaire when actually filling out a QuestionnaireResponse. NOTE: This profile does not realistically need the `questionnaireAdaptive` extension, but will remain intact due to potential impacts on Structured Data Capture (SDC) requirements. (Efforts will be made in an attempt to get the SDC requirements on this extension loosened in a future release)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-questionnaire-adapt-search"/> </reference> <name value="DTR Questionnaire for adaptive form Search"/> <description value="The DTR adaptive Questionnaire is used to represent an adaptive Questionnaire when returning the empty Questionnaire in a Questionnaire package."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="OperationDefinition"/> </extension> <reference> <reference value="OperationDefinition/questionnaire-package"/> </reference> <name value="DTR Questionnaire Package"/> <description value="This operation returns a collection Bundle containing one or more Questionnaire-specific collection Bundles each consisting of a single Questionnaire resource as well as any dependency Library and ValueSet instances needed to allow a renderer to fully render and otherwise process the Questionnaire."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/DTR-QPackageBundle"/> </reference> <name value="DTR Questionnaire Package Bundle"/> <description value="This profile represents the Bundle of Questionnaires and Libraries returned in a [$questionnaire-package](OperationDefinition-questionnaire-package.html) response."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-qpackage-input-parameters"/> </reference> <name value="DTR Questionnaire Package Input Parameters"/> <description value="The Parameters profile used to define the inputs of the [$questionnaire-package](OperationDefinition-questionnaire-package.html) operation (also see ['Retrieving Questionnaire Packages'](specification.html#retrieving-questionnaire-packages)). If both orders and a context id are present, then the context id can be used to link to additional information retrieved during CRD and to expedite re-processing of which Questionnaires are needed. §prof-1^dtr-server^exchange:However, the system should check that the passed orders are the same as was processed at CRD time before presuming that the questionnaires needed will be the same and if the orders have changed, or there's a possibility that the rules governing which Questionnaires are needed might have changed, the system **SHOULD** re-check to determine the needed Questionnaires.§ If specific Questionnaires are requested as part of the DTR invocation, such additional checking is not expected."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-qpackage-output-parameters"/> </reference> <name value="DTR Questionnaire Package Output Parameters"/> <description value="A profile on Parameters indicating the expected response content of a [$questionnaire-package](OperationDefinition-questionnaire-package.html) operation."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-questionnaireresponse"/> </reference> <name value="DTR Questionnaire Response"/> <description value="Enforces DTR requirements on a completed or partially completed QuestionnaireResponse, including allowing the response to be linked to the relevant order, coverage, etc. and enforcing constraints applicable to the DTR context."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/DTR-QRBundle"/> </reference> <name value="DTR Questionnaire Response Bundle"/> <description value="This profile represents the Bundle created by EHRs for transmission of a QuestionnaireResponse and associated resources to PAS, for claim submission, etc.."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-questionnaireresponse-adapt"/> </reference> <name value="DTR Questionnaire Response for adaptive form"/> <description value="Enforces DTR requirements on a completed or partially completed Adaptive QuestionnaireResponse, including allowing the response to be linked to the relevant order, coverage, etc. and enforcing constraints applicable to the DTR context."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ActorDefinition"/> </extension> <reference> <reference value="ActorDefinition/dtr-server"/> </reference> <name value="DTR Server"/> <description value="A Payer server that provides DTR services to a client."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-std-questionnaire"/> </reference> <name value="DTR Standard Questionnaire"/> <description value="Takes a subset of extensions and constraints from the SDC [rendering](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-render.html), [behavior](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-behave.html), and [population](http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire-pop-exp.html) profiles, reflecting agreed expectations around which data elements might be relevant as well as which must be supported for DTR purposes."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/dtr-supported-Payers"/> </reference> <name value="DTR Supported Payers"/> <description value="A listing of payer organizations currently supported by the DTR app. §prof-2^dtr-client^exchange:The Payer Identifier used **SHALL** be the same as the ones that are returned by the [endpoint discovery mechanism](https://build.fhir.org/ig/HL7/davinci-ehrx/endpoint-discovery.html) defined in HRex.§"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="OperationDefinition"/> </extension> <reference> <reference value="OperationDefinition/DTR-ValueSet-expand"/> </reference> <name value="DTR Value Set Expansion"/> <description value="The definition of a value set is used to create a simple collection of codes suitable for use for data entry or validation. §oper-4^dtr-client^exchange:The operation is called at the resource level and a url **SHALL** be provided.§ §oper-5^dtr-server^exchange:Additionally, the valueset **SHALL** use the current date as the expansion date and **SHALL** include only active codes.§ An expanded value set will be returned, or an OperationOutcome with an error message. For more details regarding this operation, see the FHIR R4 [`$expand`](https://hl7.org/fhir/R4/operation-valueset-expand.html) operation definition."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/estimated-completion-time"/> </reference> <name value="Estimated Completion Time"/> <description value="Provides information about the typical completion time for the form. (Refer to the [Guidelines for estimated time to complete a DTR questionnaire](operational.html#guidelines-for-estimated-time-to-complete-a-dtr-questionnaire))"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CapabilityStatement"/> </extension> <reference> <reference value="CapabilityStatement/full-dtr-ehr-311"/> </reference> <name value="Full DTR EHR - USCDI 1"/> <description value="This statement defines the expected capabilities of EHRs that manage the form filling functions of DTR internally for USCDI 1 (US-Core 3.1.1). Such EHRs need only support client capabilities for the Questionnaire Package, ValueSet Expand, and Next Question operations."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CapabilityStatement"/> </extension> <reference> <reference value="CapabilityStatement/full-dtr-ehr-700"/> </reference> <name value="Full DTR EHR - USCDI 3 & 4"/> <description value="This statement defines the expected capabilities of EHRs that manage the form filling functions of DTR internally for USCDI 3 (US-Core 6.1) and USCDI 4 (US-Core 7.0). Such EHRs need only support client capabilities for the Questionnaire Package, ValueSet Expand, and Next Question operations."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/home-o2-std-questionnaire"/> </reference> <name value="Home Oxygen Therapy Order Template"/> <description value="An example [Standard questionnaire](StructureDefinition-dtr-std-questionnaire.html) for Home Oxygen Therapy."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-std-questionnaire|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/home-o2-adaptive-questionnaireresponse"/> </reference> <name value="home-o2-adaptive-questionnaireresponse"/> <description value="An example [QuestionnaireResponse](StructureDefinition-dtr-questionnaireresponse.html) for Adaptive Questionnaire."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse-adapt"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/home-o2-questionnairepackage-bundle"/> </reference> <name value="home-o2-questionnairepackage-bundle"/> <description value="An example [QuestionnaireResponseBundle](StructureDefinition-DTR-QPackageBundle.html) for Home Oxygen Therapy."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/DTR-QPackageBundle|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/home-o2-questionnairepackage-bundle-2"/> </reference> <name value="home-o2-questionnairepackage-bundle-2"/> <description value="An example [QuestionnaireResponseBundle](StructureDefinition-DTR-QPackageBundle.html) for Home Oxygen Therapy."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/DTR-QPackageBundle|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/home-o2-questionnaireresponse"/> </reference> <name value="home-o2-questionnaireresponse"/> <description value="An example [QuestionnaireResponse](StructureDefinition-dtr-questionnaireresponse.html) for Home Oxygen Therapy."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaireresponse|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/home-o2-questionnaireresponse-bundle"/> </reference> <name value="home-o2-questionnaireresponse-bundle"/> <description value="An example [QuestionnaireResponseBundle](StructureDefinition-DTR-QRBundle.html) for Home Oxygen Therapy."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/DTR-QRBundle|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/MetricsinformationOrigins"/> </reference> <name value="Information Human Origins Value Set"/> <description value="Questionnaire actions taken by human actors."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/information-origin"/> </reference> <name value="Information Origin"/> <description value="Identifies the origin of the information in the answer and how it came to exist."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/informationOrigins"/> </reference> <name value="Information Origins Value Set"/> <description value="Codes describing the possible origination of information."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/intendedUse"/> </reference> <name value="Intended Use"/> <description value="Indicates how the EHR is to use the information with respect to the associated orders/records. If the Adaptive QuestionnaireResponse includes a prior authorization number the `intendedUse` element should be set to 'retain-doc' and/or 'withorder'."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CapabilityStatement"/> </extension> <reference> <reference value="CapabilityStatement/light-dtr-ehr-311"/> </reference> <name value="Light DTR EHR - USCDI 1"/> <description value="This statement defines the expected capabilities of EHRs that rely on a SMART on FHIR application for USCDI 1 (US-Core 3.1.1) to handle the form filling function of DTR. This requires the server to provide access to the specified resources to allow such an app to retrieve and edit QuestionnaireResponses and related resources."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CapabilityStatement"/> </extension> <reference> <reference value="CapabilityStatement/light-dtr-ehr-700"/> </reference> <name value="Light DTR EHR - USCDI 3 & 4"/> <description value="This statement defines the expected capabilities of EHRs that rely on a SMART on FHIR application for USCDI 3 (US-Core 6.1) and USCDI 4 (US-Core 7.0) to handle the form filling function of DTR. This requires the server to provide access to the specified resources to allow such an app to retrieve and edit QuestionnaireResponses and related resources."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/metric-Action"/> </reference> <name value="Metric Action"/> <description value="A list of codes indicating the DTR action performed by a system."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/metric-launchmode"/> </reference> <name value="Metric Launch Mode"/> <description value="A list of codes indicating how DTR was launched."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/metric-Source"/> </reference> <name value="Metric Source"/> <description value="A list of codes indicating the perspective from which metric data was captured."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Requirements"/> </extension> <reference> <reference value="Requirements/fromNarrative"/> </reference> <name value="Narrative Conformance Statements"/> <description value="Conformance statements found throughout the narrative of the IG consolidated into this computable resource for traceability purposes"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Parameters"/> </extension> <reference> <reference value="Parameters/expansion-parameters-us-dtr"/> </reference> <name value="Parameters - SNOMED US Version"/> <description value="Parameters - SNOMED US Version"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Patient"/> </extension> <reference> <reference value="Patient/examplepatient"/> </reference> <name value="PatientExample"/> <description value="An example patient used in the example resources."/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Practitioner"/> </extension> <reference> <reference value="Practitioner/PractitionerExample"/> </reference> <name value="PractitionerExample"/> <description value="An example practitioner referred to by the example resources."/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/qr-context"/> </reference> <name value="qr-context"/> <description value="Allows finding QuestionnaireResponses that contain information relevant to a particular appointment, encounter or order."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/questionnaireAudience"/> </reference> <name value="Questionnaire Audience"/> <description value="Provides a code to express the intended audience for the Questionnaire form."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/completionTimes"/> </reference> <name value="Questionnaire Completion Time Value Set"/> <description value="Codes defining estimated completion times for a Questionnaire"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/DTRQuestionnairePackageOperationResultComplex"/> </reference> <name value="Questionnaire Package Operation Results - Complex"/> <description value="An example of [DTRQuestionnairePackageOperation](OperationDefinition-questionnaire-package.html) returning a Bundle with only a multiple questionnaires, with references to other Library and ValueSet resources"/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/DTR-QPackageBundle|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/DTRQuestionnairePackageOperationResultSimple"/> </reference> <name value="Questionnaire Package Operation Results - Simple"/> <description value="An example of [DTRQuestionnairePackageOperation](OperationDefinition-questionnaire-package.html) returning a Parameters instance containing multiple Questionnaire bundles, each with references to other Library and ValueSet resources."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/DTR-QPackageBundle|2.2.0"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/qr-context"/> </reference> <name value="Questionnaire Response Context"/> <description value="Identifies the orders and/or other resources associated with the specified QuestionnaireResponse. Allows finding the DTR responses associated with a particular Order/Encounter/Appointment for a particular insurance coverage."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/qr-coverage"/> </reference> <name value="Questionnaire Response Coverage"/> <description value="Identifies the coverages associated with the specified QuestionnaireResponse."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Library"/> </extension> <reference> <reference value="Library/library-quick-model-definition"/> </reference> <name value="QUICK Model Definition"/> <description value="A sample library from the FHIR core spec to include in other examples in this IG to demonstrate the use of Library resources"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/referred-questionnaire"/> </reference> <name value="Referred Questionnaire for QuestionnaireResponse"/> <description value="Inline Questionnaire for QuestionnaireResponse"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/request-specific"/> </reference> <name value="Request Specific Flag"/> <description value="If this flag is 'true' then a distinct QuestionnaireResponse is needed for each request where that Questionnaire is solicited. If false, then a single QuestionnaireResponse can be used across all requests where the specified Questionnaire url and version was solicited. (i.e., You can fill out the form once and re-use rather than completing multiple times. Typically, re-use of a form is limited to the scope of a single encounter)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ServiceRequest"/> </extension> <reference> <reference value="ServiceRequest/ServiceRequestExample"/> </reference> <name value="ServiceRequestExample"/> <description value="Example of ServiceRequest used in the Home Oxygen Therapy (home-o2-questionnaireresponse) example"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/dtr-questionnaire"/> </reference> <name value="Simple Questionnaire"/> <description value="An example base questionnaire."/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CapabilityStatement"/> </extension> <reference> <reference value="CapabilityStatement/smart-dtr-client"/> </reference> <name value="SMART DTR Client"/> <description value="This statement defines the expected capabilities of DTR SMART on FHIR applications. Such apps require client support for retrieving and editing QuestionnaireResponse resources and related resources, as well as client support for the Questionnaire Package, ValueSet Expand, and Next Question operations."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="List"/> </extension> <reference> <reference value="List/SupportedPayers"/> </reference> <name value="SupportedPayers"/> <description value="An instance of Supported Payers list used in the example resources."/> <exampleCanonical value="http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-supported-Payers"/> </resource> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="toc.html"/> </extension> <nameUrl value="toc.html"/> <title value="Table of Contents"/> <generation value="html"/> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="index.html"/> </extension> <nameUrl value="index.html"/> <title value="Documentation Templates and Rules Implementation Guide Home Page"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="usecases.html"/> </extension> <nameUrl value="usecases.html"/> <title value="Use Cases"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="burden.html"/> </extension> <nameUrl value="burden.html"/> <title value="Burden Reduction"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="credits.html"/> </extension> <nameUrl value="credits.html"/> <title value="Project and Participants"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="changehistory.html"/> </extension> <nameUrl value="changehistory.html"/> <title value="Change History"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="background.html"/> </extension> <nameUrl value="background.html"/> <title value="Reading this IG"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="epa.html"/> </extension> <nameUrl value="epa.html"/> <title value="Electronic Prior Authorization (ePA) Coordinators"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="operational.html"/> </extension> <nameUrl value="operational.html"/> <title value="Operational Considerations"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="confexpectations.html"/> </extension> <nameUrl value="confexpectations.html"/> <title value="Conformance Expectations"/> <generation value="markdown"/> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="confdetails.html"/> </extension> <nameUrl value="confdetails.html"/> <title value="Conformance Details"/> <generation value="markdown"/> </page> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="specification.html"/> </extension> <nameUrl value="specification.html"/> <title value="Formal Specification"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="security.html"/> </extension> <nameUrl value="security.html"/> <title value="Privacy, Security, and Safety"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="metrics.html"/> </extension> <nameUrl value="metrics.html"/> <title value="DTR Metrics"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="allartifacts.html"/> </extension> <nameUrl value="allartifacts.html"/> <title value="FHIR Artifacts"/> <generation value="markdown"/> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="artifacts.html"/> </extension> <nameUrl value="artifacts.html"/> <title value="Artifact List"/> <generation value="html"/> </page> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="downloads.html"/> </extension> <nameUrl value="downloads.html"/> <title value="Downloads"/> <generation value="markdown"/> </page> <page> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="informative"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name"> <valueUrl value="issues.html"/> </extension> <nameUrl value="issues.html"/> <title value="Open Issues"/> <generation value="markdown"/> </page> </page> <parameter> <code value="path-resource"/> <value value="input/capabilities"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/examples"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/extensions"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/models"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/operations"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/profiles"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/resources"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/vocabulary"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/maps"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/testing"/> </parameter> <parameter> <code value="path-resource"/> <value value="input/history"/> </parameter> <parameter> <code value="path-resource"/> <value value="fsh-generated/resources"/> </parameter> <parameter> <code value="path-pages"/> <value value="template/config"/> </parameter> <parameter> <code value="path-pages"/> <value value="input/assets"/> </parameter> <parameter> <code value="path-pages"/> <value value="input/images"/> </parameter> <parameter> <code value="path-tx-cache"/> <value value="input-cache/txcache"/> </parameter> </definition> </ImplementationGuide>

Generated Narrative: ImplementationGuide hl7.fhir.us.davinci-dtr

Language: en

DocumentationTemplatesRules

The official URL for this implementation guide is:

http://hl7.org/fhir/us/davinci-dtr/ImplementationGuide/hl7.fhir.us.davinci-dtr

The Documentation Templates and Rules (DTR) Implementation Guide (IG) specifies how payer rules can be executed in a provider context to ensure that documentation requirements are met. The IG is a companion to the Coverage Requirements Discovery (CRD) IG, which uses CDS Hooks to query payers to determine if there are documentation requirements for a proposed medication, procedure or other service.