Section 1c: FHIR®
HL7 FHIR® Implementation Guide: Documentation Templates and Rules (DTR), Edition 2 - US Realm
DESCRIPTION
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.
See the specification at http://hl7.org/fhir/us/davinci-dtr/STU2
ALTERNATIVE NAMES
HL7 FHIR® Implementation Guide: Documentation Templates and Rules (DTR), Edition 2 - US Realm may also go by the following names or acronyms:
BENEFITS
- Enables reduction of provider burden because of reduced manual data entry.
IMPLEMENTATIONS/CASE STUDIES
- Lantana Consulting Group
- MITRE
- Mettle Solutions
- MCG
DEVELOPMENT BACKGROUND
The Documentation Templates and Rules (DTR) Implementation Guide (IG) specifies how payer documentation rules can be executed in a provider context to ensure that documentation requirements are met. In turn provider burden will be reduced because of reduced manual data entry. This IG is a companion to the Coverage Requirements Discovery (CRD) IG, which uses Clinical Decision Support (CDS) Hooks to query payers to determine if there are documentation requirements for a proposed item, certain medications, procedures, or other service. When documentation requirements exist, Information will be returned and saved via system actions that define the canonical questionnaire or questionnaireResponse that DTR will use to assemble the required documentation. This IG leverages the ability of the EHR to pass context to a SMART on FHIR app (application) or native EHR DTR app to retrieve the appropriate questionnaire and utilize the defined CQL to prepopulate questions from the patient’s record via the EHR APIs. This IG specifies the interactions between the app and the payer IT system to retrieve documentation requirements, as a static questionnaire or adaptive form along with the CQL and terminology requirements as a Questionnaire bundle. In addition, the payer may, when using an adaptive form, return a unique ID to indicate that authorization requirements are satisfied. Multiple launch modes are described to support initial launch, relaunch, standalone launch, and launch from CDex. Finally, the IG provides the ability to indicate the intended use of the final questionnaireResponse package, for prior authorization, exchange with a preforming provider, support of claims documentation, or other purposes.
RELATED DOCUMENTS
HL7 FHIR® Implementation Guide: Documentation Templates and Rules (DTR), Edition 2 - US Realm |
STU DOCUMENTS
HL7 FHIR® Implementation Guide: Documentation Templates and Payer Rules (DTR), Edition 2- US Realm See the standard at http://hl7.org/fhir/us/davinci-dtr/STU2. | (Submit Feedback on STU) | ||
HL7 FHIR® Implementation Guide: Documentation Templates and Payer Rules (DTR), Release 1- US Realm http://hl7.org/fhir/us/davinci-dtr/STU1/index.html | Expiration Dec 2023 |
TOPIC
- Decision Support
BALLOT TYPE
- STU
STATUS DATE
2023-11-07RESPONSIBLE WORK GROUP
PRODUCT TYPE
- Implementation Guide
STAKEHOLDERS
- EHR, PHR Vendors
- Healthcare Institutions
- Payors
FAMILY
- FHIR
CURRENT STATE
- Active
REALM
- US Realm