Existing Wording: The information that is collected (via the Questionnaire interaction with the user) SHOULD be written to the EHR via the available FHIR API if possible. The results of the QuestionnaireResponse SHALL be saved as the FHIR resource and/or as a human readable format that is supported by the EHR.

The DTR application SHOULD support transforming a DTRQuestionnaireResponse resource into a Portable Document Format (PDF) representation. DTR applications SHOULD ensure that the document indicates whether data was entered by the provider in response to the questionnaire or retrieved from the EHR directly.

Comment:

I think providers will NOT want PDFs stored in the EHR with all of these prior auth info. This would most naturally belong in the details of an order. E.g., for the O2 order example, the prior auth info should be linked to that order, instead of bloating up the Notes section or the other Media (i.e., scanned PDF) section. This may take some work to get some agreement on how this will be done across EHRs, but the current recommended approach of adding this to notes seems like it would be problematic to users. At the very least input should be obtained from a representative sample of practicing physicians.

Summary:

Don't clutter the Notes section with PDFs of prior auth requests.