cancer_registry_reporting_test_kit 0.9.0

data/lib/cancer_registry_reporting_test_kit/hdea_generator/must_support_test_generator.rb

@@ -0,0 +1,134 @@
+# frozen_string_literal: true
+
+require_relative 'naming'
+require_relative 'special_cases'
+require 'pry'
+module CancerRegistryReportingTestKit
+  class HdeaGenerator
+    class MustSupportTestGenerator
+      class << self
+        def generate(ig_metadata, base_output_dir)
+          ig_metadata.groups
+            .reject { |group| SpecialCases::IGNORE_FOR_GENERATION.include?(group.profile_url) }
+            .each { |group| new(group, base_output_dir).generate }
+        end
+      end
+
+      attr_accessor :group_metadata, :base_output_dir
+
+      def initialize(group_metadata, base_output_dir)
+        self.group_metadata = group_metadata
+        self.base_output_dir = base_output_dir
+      end
+
+      def template
+        @template ||= File.read(File.join(__dir__, 'templates', 'must_support.rb.erb'))
+      end
+
+      def output
+        @output ||= ERB.new(template).result(binding)
+      end
+
+      def base_output_file_name
+        "#{class_name.underscore}.rb"
+      end
+
+      def output_file_directory
+        File.join(base_output_dir, profile_identifier)
+      end
+
+      def output_file_name
+        File.join(output_file_directory, base_output_file_name)
+      end
+
+      def read_interaction
+        self.class.read_interaction(group_metadata)
+      end
+
+      def profile_identifier
+        Naming.snake_case_for_profile(group_metadata)
+      end
+
+      def profile_url
+        group_metadata.profile_url
+      end
+
+      def profile_name
+        "#{group_metadata.profile_name.chomp(' Profile')} profile"
+      end
+
+      def profile_version
+        group_metadata.profile_version
+      end
+
+      def profile_link
+        "#{profile_url}|#{profile_version}"
+      end
+
+      def test_id
+        "ccrr_#{group_metadata.reformatted_version}_#{profile_identifier}_must_support_test"
+      end
+
+      def class_name
+        "#{Naming.upper_camel_case_for_profile(group_metadata)}MustSupportTest"
+      end
+
+      def module_name
+        "HDEA#{group_metadata.reformatted_version.upcase}"
+      end
+
+      def resource_type
+        group_metadata.resource
+      end
+
+      def resource_collection_string
+        'all_scratch_resources'
+      end
+
+      def must_support_list_string
+        build_must_support_list_string(false)
+      end
+
+      def uscdi_list_string
+        build_must_support_list_string(true)
+      end
+
+      def build_must_support_list_string(uscdi_only)
+        slice_names = group_metadata.must_supports[:slices]
+          .select { |slice| slice[:uscdi_only].presence == uscdi_only.presence }
+          .map { |slice| slice[:slice_id] }
+
+        element_names = group_metadata.must_supports[:elements]
+          .select { |element| element[:uscdi_only].presence == uscdi_only.presence }
+          .map { |element| "#{resource_type}.#{element[:path]}" }
+
+        extension_names = group_metadata.must_supports[:extensions]
+          .select { |extension| extension[:uscdi_only].presence == uscdi_only.presence }
+          .map { |extension| extension[:id] }
+
+        group_metadata.must_supports[:choices]&.each do |choice|
+          next unless choice[:uscdi_only].presence == uscdi_only.presence && choice.key?(:paths)
+
+          choice[:paths].each { |path| element_names.delete("#{resource_type}.#{path}") }
+          element_names << choice[:paths].map { |path| "#{resource_type}.#{path}" }.join(' or ')
+        end
+
+        (slice_names + element_names + extension_names)
+          .uniq
+          .sort
+          .map { |name| "#{' ' * 8}* #{name}" }
+          .join("\n")
+      end
+
+      def generate
+        FileUtils.mkdir_p(output_file_directory)
+        File.write(output_file_name, output)
+
+        group_metadata.add_test(
+          id: test_id,
+          file_name: base_output_file_name
+        )
+      end
+    end
+  end
+end

data/lib/cancer_registry_reporting_test_kit/hdea_generator/naming.rb

@@ -0,0 +1,168 @@
+# frozen_string_literal: true
+
+module CancerRegistryReportingTestKit
+  class HdeaGenerator
+    module Naming
+      USCORE_ALLERGY_INTOLERANCE = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance'
+      USCORE_CARE_PLAN = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan'
+      USCORE_CARE_TEAM = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'
+      USCORE_CONDITION = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition'
+      USCORE_IMPLANTABLE_DEVICE = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device'
+      USCORE_DIAGNOSTIC_REPORT_NOTE = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note'
+      USCORE_DIAGNOSTIC_REPORT_LAB = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab'
+      USCORE_DOCUMENT_REFERENCE = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference'
+      USCORE_ENCOUNTER = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'
+      USCORE_GOAL = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'
+      USCORE_IMMUNIZATION = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization'
+      USCORE_LOCATION = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'
+      USCORE_MEDICATION = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication'
+      MCODE_MEDICATION_REQUEST = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request'
+      USCORE_SMOKINGSTATUS = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus'
+      USCORE_PEDIATRIC_WEIGHT_FOR_HEIGHT = 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height'
+      USCORE_OBSERVATION_LAB = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab'
+      USCORE_PEDIATRIC_BMI_FOR_AGE = 'http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age'
+      USCORE_PULSE_OXIMETRY = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry'
+      USCORE_HEAD_CIRCUMFERENCE = 'http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile'
+      USCORE_ORGANIZATION = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
+      USCORE_PATIENT = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
+      USCORE_PRACTITIONER = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'
+      USCORE_PRACTITIONER_ROLE = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole'
+      USCORE_PROCEDURE = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure'
+      USCORE_PROVENANCE = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance'
+      BASE_SERVICE_REQUEST = 'http://hl7.org/fhir/StructureDefinition/ServiceRequest'
+      BASE_MEDICATION_STATEMENT = 'http://hl7.org/fhir/StructureDefinition/MedicationStatement'
+
+      ## FOR HDEA
+      CCRR_COMPOSITION = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition'
+      CCRR_CONTENT_BUNDLE = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle'
+      CCRR_PRIMARY_CONDITION = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition'
+      MCODE_SECONDARY_CANCER_CONDITION = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition'
+      MCODE_TNM_STAGE_GROUP = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group'
+      MCODE_RADIOTHERAPY_COURSE_SUMMARY = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary'
+      ODH_USUAL_WORK = 'http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork'
+      BASE_OBSERVATION = 'http://hl7.org/fhir/StructureDefinition/Observation'
+      MCODE_MEDICATION_ADMINISTRATION = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-administration'
+      AUTHOR = ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole',
+                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'].freeze
+
+      ## Unused Profiles
+      CCRR_CANCER_ENCOUNTER = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-encounter'
+      CCRR_CANCER_PATIENT = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-patient'
+      CCRR_PUBLIC_HEALTH_PATIENT = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-patient'
+      CCRR_REPORTING_BUNDLE = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle'
+      CCRR_MESSAGE_HEADER = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-messageheader'
+      CCRR_PLAN_DEFINITION = 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-plandefinition'
+
+      IG_LINKS = {
+        'v3.1.1' => 'http://hl7.org/fhir/us/core/STU3.1.1',
+        'v4.0.0' => 'http://hl7.org/fhir/us/core/STU4',
+        'v5.0.1' => 'http://hl7.org/fhir/us/core/STU5.0.1',
+        'v6.1.0' => 'http://hl7.org/fhir/us/core/STU6.1',
+        'v7.0.0' => 'http://hl7.org/fhir/us/core/STU7'
+      }.freeze
+
+      PROFILE_URL_TO_SECTION_NAME_MAP = {
+        USCORE_PATIENT => '`patient` element',
+        USCORE_ENCOUNTER => '`encounter` element',
+        USCORE_PRACTITIONER => '`author` element',
+        USCORE_PRACTITIONER_ROLE => '`author` element',
+        USCORE_ORGANIZATION => '`author` element',
+        CCRR_PRIMARY_CONDITION => 'Primary Cancer Condition section',
+        MCODE_SECONDARY_CANCER_CONDITION => 'Secondary Cancer Condition section',
+        MCODE_TNM_STAGE_GROUP => 'Cancer Stage Group section',
+        MCODE_RADIOTHERAPY_COURSE_SUMMARY => 'Radiotherapy Course Summary section',
+        USCORE_CONDITION => 'Problems section',
+        USCORE_ALLERGY_INTOLERANCE => 'Allergies section',
+        MCODE_MEDICATION_ADMINISTRATION => 'Medications and Medications Administered sections',
+        USCORE_MEDICATION => 'Medications and Medications Administered sections',
+        BASE_MEDICATION_STATEMENT => 'Medications and Medications Administered sections',
+        ODH_USUAL_WORK => 'Occupational Data section',
+        USCORE_OBSERVATION_LAB => 'Results section',
+        USCORE_DIAGNOSTIC_REPORT_LAB => 'Results section',
+        USCORE_DIAGNOSTIC_REPORT_NOTE => 'Notes section',
+        USCORE_DOCUMENT_REFERENCE => 'Notes section',
+        MCODE_MEDICATION_REQUEST => 'Plan of Treatment section',
+        BASE_SERVICE_REQUEST => 'Plan of Treatment section',
+        USCORE_CARE_PLAN => 'Plan of Treatment section',
+        USCORE_PROCEDURE => 'Procedures section',
+        BASE_OBSERVATION => 'Vital Signs section',
+        USCORE_SMOKINGSTATUS => 'Social History section'
+      }
+
+    PROFILE_TO_RESOURCE_KEY_MAP = {
+      USCORE_ALLERGY_INTOLERANCE => :allergy_intolerance_resources,
+      USCORE_CARE_PLAN => :care_plan_resources,
+      CCRR_PRIMARY_CONDITION => :central_cancer_registry_primary_cancer_condition_resources,
+      USCORE_DOCUMENT_REFERENCE => :document_reference_resources,
+      USCORE_ENCOUNTER => :encounter_resources,
+      MCODE_RADIOTHERAPY_COURSE_SUMMARY => :mcode_radiotherapy_course_summary_resources,
+      MCODE_SECONDARY_CANCER_CONDITION => :mcode_secondary_cancer_condition_resources,
+      MCODE_TNM_STAGE_GROUP => :mcode_tnm_stage_group_resources,
+      MCODE_MEDICATION_ADMINISTRATION => :medication_administration_resources,
+      USCORE_MEDICATION => :medication_resources,
+      ODH_USUAL_WORK => :odh_usual_work_resources,
+      USCORE_ORGANIZATION => :organization_resources,
+      USCORE_PATIENT => :patient_resources,
+      USCORE_PRACTITIONER_ROLE => :practitioner_role_resources,
+      USCORE_PRACTITIONER => :practitioner_resources,
+      USCORE_PROCEDURE => :procedure_resources,
+      USCORE_SMOKINGSTATUS => :smokingstatus_resources,
+      BASE_SERVICE_REQUEST => :service_request_resources,
+      USCORE_CONDITION => :condition_resources,
+      BASE_MEDICATION_STATEMENT => :medication_statement_resources,
+      USCORE_OBSERVATION_LAB => :observation_lab_resources,
+      USCORE_DIAGNOSTIC_REPORT_NOTE => :diagnostic_report_note_resources,
+      USCORE_DIAGNOSTIC_REPORT_LAB => :diagnostic_report_lab_resources,
+      CCRR_COMPOSITION => :composition_resources,
+      MCODE_MEDICATION_REQUEST => :medication_request_resources,
+      BASE_OBSERVATION => :observation_resources,
+      CCRR_CONTENT_BUNDLE => :ccrr_content_bundle_resources
+    }.freeze
+
+      class << self
+        def section_for_profile_url(profile_url)
+          PROFILE_URL_TO_SECTION_NAME_MAP[profile_url]
+        end
+        
+        def resources_with_multiple_profiles
+          # ['Condition', 'DiagnosticReport', 'Observation']
+          %w[Patient Encounter Bundle Observation DiagnosticReport Condition Procedure]
+        end
+
+        def resource_has_multiple_profiles?(resource)
+          resources_with_multiple_profiles.include? resource
+        end
+
+        def snake_case_for_profile(group_metadata)
+          resource = group_metadata.resource
+          return resource.underscore unless resource_has_multiple_profiles?(resource)
+
+          if group_metadata.profile_url == USCORE_HEAD_CIRCUMFERENCE
+            return group_metadata.reformatted_version == 'v311' ? 'head_circumference' : 'head_circumference_percentile'
+          end
+
+          group_metadata.name
+            .delete_prefix('us_core_')
+            .gsub('diagnosticreport', 'diagnostic_report')
+            .underscore
+        end
+
+        ## HDEA QUICK PATCH
+        def snake_case_for_url(url)
+          # special case for author
+          return 'author_resources' if url.is_a?(Array)
+
+          PROFILE_TO_RESOURCE_KEY_MAP[url]
+        end
+
+        def upper_camel_case_for_profile(group_metadata)
+          snake_case_for_profile(group_metadata).camelize
+        end
+
+        def ig_link(version)
+          IG_LINKS[version]
+        end
+      end
+    end
+  end
+end

data/lib/cancer_registry_reporting_test_kit/hdea_generator/special_cases.rb

@@ -0,0 +1,43 @@
+# frozen_string_literal: true
+
+module CancerRegistryReportingTestKit
+  class HdeaGenerator
+    module SpecialCases
+      class << self
+        # def move_ms_and_validation(ig_metadata)
+        #   ms_group_metadata = CancerRegistryReportingTestKit::HdeaGenerator::GroupMetadata.new({name: "must_support", class_name: "MustSupportSequence", resource: "MustSupport", reformatted_version: "v100", version: "v1.0.0", title: 'Must Support'})
+        #   validation_group_metadata = CancerRegistryReportingTestKit::HdeaGenerator::GroupMetadata.new({name: "must_support", class_name: "MustSupportSequence", resource: "Validation", reformatted_version: "v100", version: "v1.0.0", title: 'Validation'})
+        #   ig_metadata.groups.each do |group|
+        #     tests_to_delete = []
+        #     group.tests.each do |test|
+        #       if test[:id].include?('must_support')
+        #         ms_group_metadata.add_test(id: test[:id], file_name: test[:file_name])
+        #         tests_to_delete << test
+        #       elsif test[:id].include?('validation')
+        #         validation_group_metadata.add_test(id: test[:id], file_name: test[:file_name])
+        #         tests_to_delete << test
+        #       end
+        #     end
+        #     tests_to_delete.each { |test| group.tests.delete(test) }
+        #   end
+        #   ig_metadata.groups << ms_group_metadata
+        #   ig_metadata.groups << validation_group_metadata
+        # end
+      end
+
+      IGNORE_FOR_GENERATION = ['http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-messageheader',
+                               'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-reporting-bundle',
+                               'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-patient',
+                               'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-encounter',
+                               'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-tribal-affiliation-extension',
+                               'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition',
+                               'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category',
+                               'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category',
+                               'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category',
+                               'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-plandefinition',
+                               'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-patient'
+                              ].freeze
+      IGNORE_FOR_VALIDATION = ['http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle'].freeze
+    end
+  end
+end

data/lib/cancer_registry_reporting_test_kit/hdea_generator/templates/must_support.rb.erb

@@ -0,0 +1,41 @@
+# frozen_string_literal: true
+
+require_relative '../../../../must_support_test'
+require_relative '../../../../hdea_generator/group_metadata'
+
+module CancerRegistryReportingTestKit
+  module <%= module_name %>
+    class <%= class_name %> < Inferno::Test
+      include CancerRegistryReportingTestKit::MustSupportTest
+
+      title '<%= profile_name %> must support element coverage'
+      description %(
+        This test looks across all instances
+        associated with the [<%= profile_name %>](<%= profile_link %>)
+        found in the provided report Bundles and verifies that they
+        contain populated examples of the following must support elements
+        defined in the profile:
+
+<%= must_support_list_string %>
+      )
+
+      id :<%= test_id %>
+
+      def resource_type
+        '<%= resource_type %>'
+      end
+
+      def self.metadata
+        @metadata ||= HdeaGenerator::GroupMetadata.new(YAML.load_file(File.join(__dir__, 'metadata.yml'), aliases: true))
+      end
+
+      def scratch_resources
+        scratch[:<%= profile_identifier %>_resources] ||= {}
+      end
+
+      run do
+        perform_must_support_test(<%= resource_collection_string %>)
+      end
+    end
+  end
+end

data/lib/cancer_registry_reporting_test_kit/hdea_generator/templates/validation.rb.erb

@@ -0,0 +1,35 @@
+# frozen_string_literal: true
+
+require_relative '../../../../validation_test'
+
+module CancerRegistryReportingTestKit
+  module <%= module_name %>
+    class <%= class_name %> < Inferno::Test
+      include CancerRegistryReportingTestKit::ValidationTest
+
+      id :<%= test_id %>
+      title '<%= profile_name %> conformance'
+      description %(
+        This test verifies that <%= resource_type %> instances
+        <%= section_name %> of the provided reports conform to the
+        [<%= profile_name %>](<%= profile_link %>).
+      )
+      
+
+      def resource_type
+        '<%= resource_type %>'
+      end
+
+      def scratch_resources
+        scratch[:<%= profile_identifier %>_resources] ||= {}
+      end
+
+      run do
+        perform_validation_test(scratch_resources[:all] || [],
+                                '<%= profile_url %>',
+                                '<%= profile_version %>',
+                                skip_if_empty: <%= skip_if_empty %>)
+      end
+    end
+  end
+end

data/lib/cancer_registry_reporting_test_kit/hdea_generator/terminology_binding_metadata_extractor.rb

@@ -0,0 +1,118 @@
+# frozen_string_literal: true
+
+module CancerRegistryReportingTestKit
+  class HdeaGenerator
+    class TerminologyBindingMetadataExtractor
+      attr_accessor :profile_elements, :ig_resources, :resource
+
+      def initialize(profile_elements, ig_resources, resource)
+        self.profile_elements = profile_elements
+        self.ig_resources = ig_resources
+        self.resource = resource
+      end
+
+      def terminology_bindings
+        (element_terminology_bindings + extension_terminology_bindings).compact
+        # add_terminology_bindings_from_extensions
+        # profile_elements.select { |element| element.type&.first&.code == 'Extension' }
+        #   .each { |extension| add_terminology_bindings_from_extension(extension) }
+      end
+
+      def element_has_fixed_value?(element)
+        case element.type.first.code
+        when 'Quantity'
+          code = profile_elements.find { |e| e.path == "#{element.path}.code" }
+          system = profile_elements.find { |e| e.path == "#{element.path}.system" }
+          code&.fixedCode || system&.fixedUri
+        when 'code'
+          element.fixedCode.present?
+        end
+      end
+
+      def element_has_optional_binding_slice?(element)
+        element.sliceName.present? && element.min.zero?
+      end
+
+      def profile_elements_with_bindings
+        profile_elements
+          .select { |element| element.binding.present? && element.binding.strength == 'required' }
+          .reject { |element| element_has_fixed_value?(element) || element_has_optional_binding_slice?(element) }
+      end
+
+      def element_terminology_bindings
+        profile_elements_with_bindings.map do |element|
+          binding = {
+            type: element.type.first.code,
+            strength: element.binding.strength,
+            # Goal.target.detail has an unbound binding
+            system: element.binding.valueSet&.split('|')&.first,
+            path: element.path.gsub('[x]', '').gsub("#{resource}.", '')
+          }
+
+          binding[:required_binding_slice] = true if element.sliceName.present? && element.min.positive?
+
+          binding
+        end
+      end
+
+      def extension_profile_elements
+        profile_elements
+          .select { |element| element.type&.first&.code == 'Extension' }
+          .select { |element| extension_profile_url(element).present? }
+      end
+
+      def extension_profile_url(extension)
+        extension.type.first.profile&.first
+      end
+
+      def extension_terminology_bindings
+        extension_profile_elements
+          .flat_map do |extension_profile_element|
+            url = extension_profile_url(extension_profile_element)
+            extension = ig_resources.profile_by_url(url)
+
+            # TODO: Temporaray fix for extension defined out of US Core. FI-1623
+            next if extension.nil?
+
+            elements = extension.snapshot.element
+            elements_with_bindings = elements.select do |element|
+              element.binding.present? && !element.id.include?('Extension.extension')
+            end
+
+            elements_with_bindings.map do |element|
+              {
+                type: element.type.first.code,
+                strength: element.binding.strength,
+                system: element.binding.valueSet&.split('|')&.first,
+                path: element.path.gsub('[x]', '').gsub('Extension.', ''),
+                extensions: [url]
+              }
+            end + nested_extension_terminology_bindings(elements, url)
+          end
+      end
+
+      def nested_extension_terminology_bindings(elements, extension_url)
+        nested_extensions = elements.select { |element| element.path == 'Extension.extension' }
+        nested_extensions.flat_map do |nested_extension|
+          nested_extension_element = elements.find { |element| element.id == "#{nested_extension.id}.url" }
+          next unless nested_extension_element.present?
+
+          nested_extension_url = nested_extension_element.fixedUri
+          nested_elements_with_bindings = elements.select do |element|
+            element.id.include?(nested_extension.id) && element.binding.present?
+          end
+
+          nested_elements_with_bindings.map do |element|
+            {
+              type: element.type.first.code,
+              strength: element.binding.strength,
+              system: element.binding.valueSet&.split('|')&.first,
+              path: element.path.gsub('[x]', '').gsub('Extension.extension.', ''),
+              extensions: [extension_url, nested_extension_url]
+            }
+          end
+        end
+      end
+    end
+  end
+end

data/lib/cancer_registry_reporting_test_kit/hdea_generator/validation_test_generator.rb

@@ -0,0 +1,125 @@
+# frozen_string_literal: true
+
+require_relative 'naming'
+require_relative 'special_cases'
+
+module CancerRegistryReportingTestKit
+  class HdeaGenerator
+    class ValidationTestGenerator
+      class << self
+        def generate(ig_metadata, base_output_dir)
+          ig_metadata.groups
+            .reject { |group| SpecialCases::IGNORE_FOR_GENERATION.include?(group.profile_url) }
+            .reject { |group| SpecialCases::IGNORE_FOR_VALIDATION.include?(group.profile_url) }
+            .each do |group|
+            new(group, base_output_dir: base_output_dir).generate
+          end
+        end
+      end
+
+      attr_accessor :group_metadata, :medication_request_metadata, :base_output_dir
+
+      def initialize(group_metadata, medication_request_metadata = nil, base_output_dir:)
+        self.group_metadata = group_metadata
+        self.medication_request_metadata = medication_request_metadata
+        self.base_output_dir = base_output_dir
+      end
+
+      def template
+        @template ||= File.read(File.join(__dir__, 'templates', 'validation.rb.erb'))
+      end
+
+      def output
+        @output ||= ERB.new(template).result(binding)
+      end
+
+      def base_output_file_name
+        "#{class_name.underscore}.rb"
+      end
+
+      def output_file_directory
+        File.join(base_output_dir, profile_identifier)
+      end
+
+      def output_file_name
+        File.join(output_file_directory, base_output_file_name)
+      end
+
+      def directory_name
+        Naming.snake_case_for_profile(medication_request_metadata || group_metadata)
+      end
+
+      def profile_identifier
+        Naming.snake_case_for_profile(group_metadata)
+      end
+
+      def section_name
+        raw = Naming.section_for_profile_url(profile_url)&.chomp('s')
+        return unless raw.present?
+
+        if raw.include?('element')
+          "referenced in the #{raw}s"
+        else
+          "found in the #{raw}s"
+        end
+      end
+
+      def profile_url
+        group_metadata.profile_url
+      end
+
+      def profile_name
+        "#{group_metadata.profile_name.chomp(' Profile')} profile"
+      end
+
+      def profile_version
+        group_metadata.profile_version
+      end
+
+      def profile_link
+        "#{profile_url}|#{profile_version}"
+      end
+
+      def test_id
+        "ccrr_#{group_metadata.reformatted_version}_#{profile_identifier}_validation_test"
+      end
+
+      def class_name
+        "#{Naming.upper_camel_case_for_profile(group_metadata)}ValidationTest"
+      end
+
+      def module_name
+        "HDEA#{group_metadata.reformatted_version.upcase}"
+      end
+
+      def resource_type
+        group_metadata.resource
+      end
+
+      def conformance_expectation
+        read_interaction[:expectation]
+      end
+
+      def skip_if_empty
+        # Return true if a system must demonstrate at least one example of the resource type.
+        # This drives omit vs. skip result statuses in this test.
+        resource_type != 'Medication'
+      end
+
+      def generate
+        File.write(output_file_name, output)
+
+        test_metadata = {
+          id: test_id,
+          file_name: base_output_file_name
+        }
+
+        # if resource_type == 'Medication'
+        #   medication_request_metadata.add_test(**test_metadata)
+        # else
+        group_metadata.add_test(**test_metadata)
+        # end
+      end
+    end
+  end
+end