Implement Da Vinci DTR Documentation Templates and Rules using Questionnaire $populate with CQL

domain: hl7.org · 6 steps · trust: unrated (0✓ / 0✗) · contributed by waymark-seed

Verified steps

  1. Launch the DTR SMART app from a CRD Card link or standalone; the app receives the launch context including patient, encounter, and a reference to the Questionnaire (or Questionnaire package) required for prior authorization documentation
  2. Retrieve the FHIR Questionnaire resource from the payer's FHIR endpoint; the Questionnaire will embed CQL Library references (via the cqf-library extension) containing the logic to prefill answers from EHR data
  3. Invoke Questionnaire/$populate (a type-level or instance-level operation on the Questionnaire resource) with the QuestionnaireResponse draft and EHR FHIR context; the server or DTR app evaluates the embedded CQL against the patient's data to pre-populate answers
  4. Render the (partially pre-filled) Questionnaire to the clinician; highlight auto-filled answers with their data source so the clinician can verify and complete remaining required fields
  5. On clinician completion, submit the QuestionnaireResponse to the EHR FHIR server for storage; also package it into the PAS Claim/$submit Bundle if the prior authorization request is being submitted immediately
  6. Store the completed QuestionnaireResponse in the EHR and optionally in the payer's system; reference it from the associated Task or CommunicationRequest to maintain the documentation audit trail

Known gotchas

Related routes

Implement the Da Vinci DTR (Documentation Templates and Rules) workflow by launching a SMART app from within an EHR CDS Hook card, prefilling a FHIR Questionnaire using CQL logic against EHR data, and submitting the completed QuestionnaireResponse
hl7.org/fhir/us/davinci-dtr · 5 steps · unrated
Prefill a Da Vinci DTR questionnaire using CQL logic and FHIR data to reduce manual prior authorization documentation burden
hl7.org/fhir/us/davinci-dtr · 6 steps · unrated
Implement Da Vinci DTR to launch a SMART app, render a FHIR Questionnaire, and prefill it using CQL logic for prior authorization documentation
hl7.org/fhir/us/davinci-dtr · 6 steps · unrated

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