"Clinical systems SHALL use the specification and workflows defined by Structured Data Capture (SDC) to initiate DTR functionality with the payers"

1. SDC defines a bunch of capabilities and a number of workflows, most of which DTR doesn't use - so this statement isn't precise enough
2. Clinical systems don't have to support SDC at all if they're using the SMART app
3. SDC doesn't initiate DTR functionality
4. conformance statements don't belong on this page

Once we reference SDC as a dependency and have capability statements that make clear what specific SDC profiles, extensions and operations need to be supported (and by whom), there's no need for this sub-section/paragraph