Stream: Da Vinci DTR
Topic: is CQL a requirement for payers?
Isaac Vetter (Mar 07 2022 at 18:44):
Is the publishing of CQL by the payer no longer a requirement in DTR as part of the current ballot? I can't find normative language in the spec that requires the payer to represent auth-required logic, and I believe that this parenthetical was introduced here: http://hl7.org/fhir/us/davinci-dtr/2022May/OperationDefinition-Questionnaire-for-Order.html
(Note: This could be a searchable Adaptive Questionnaire that just provides the next-question operation URL.)
Isaac Vetter (Mar 07 2022 at 18:52):
Is the more recent intent in DTR that payers can use adaptive questionnaires so that they don't have to figure out how to expose their auth-required logic?
Lloyd McKenzie (Mar 07 2022 at 19:59):
Authorization is granted to the app, not the payer. So even if using an adaptive form, there still needs to be CQL in or linked to by the Questionnaire to support population.
Lloyd McKenzie (Mar 07 2022 at 20:00):
The operation grabs the Questionnaire. The associated Library(ies) and ValueSet(s) are then retrieved per normal RESTful search.
Isaac Vetter (Mar 07 2022 at 20:31):
Ah, okay, thank you Lloyd. And the normative requirement in the spec is here: http://hl7.org/fhir/us/davinci-dtr/2022May/specification__profiles.html#cqf-questionnaire
Payers will describe their information needs through the FHIR Questionnaire resource. These resources SHALL conform to the CQF Questionnaire Profile
Isaac Vetter (Mar 07 2022 at 20:31):
Where CQF Questionnaire Profile is in the base spec, but DTR also profiles Questionnaire, http://hl7.org/fhir/us/davinci-dtr/2022May/StructureDefinition-dtr-questionnaire-r4.html, which makes a few elements mandatory, but adds no MSs.
Isaac Vetter (Mar 07 2022 at 20:31):
Is it just an oversight that the current DTR requires the base spec's CQF questionnaire, instead of the DTR questionnaire? (If so, happy to write a jira).
Lloyd McKenzie (Mar 07 2022 at 22:46):
A Jira would be appreciated
Isaac Vetter (Mar 08 2022 at 14:57):
https://jira.hl7.org/browse/FHIR-36227
Last updated: Apr 12 2022 at 19:14 UTC
