Existing Wording: If the resulting information is to be sent to a third party (e.g. payer). The DTR / SMART on FHIR App should include a step requiring the provider to grant permission to send along the information gathered in the form before sending. However, this should be configurable on a site or provider basis.

Comment:

Should the provider also manually approve the release of information as part of the CDS Hooks trigger, or the exchange of contextual information or access of the SMART app? Doesn't this entire IG assume a business relationship between the payer and provider? If not, why not? Is the "Oxygen Therapy Ordering Example" section the appropriate place in the IG to mention this?

Summary:

Doesn't this entire IG assume a business relationship between the payer and provider?