carin_for_blue_button_test_kit 0.15.1 → 0.15.3

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/01_must_support_group/attestation_test_requirement_5.rb

@@ -0,0 +1,29 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement5 < Inferno::Test
+    title 'Does not include absent data with unknown reason'
+    description <<~DESCRIPTION
+      In situations where information for a particular data element is not present and
+      the reason for its absence is unknown, the Health IT Module does not include the data element in
+      the resource instance returned as part of the query results.
+    DESCRIPTION
+    id :carin_server_requirement_5_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@5'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that in situations where information for a particular data element is not present and
+          the reason for its absence is unknown, the Health IT Module does not include the data element in
+          the resource instance returned as part of the query results.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/01_must_support_group/attestation_test_requirement_7.rb

@@ -0,0 +1,30 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement7 < Inferno::Test
+    title 'Includes reason for missing Must Support elements'
+    description <<~DESCRIPTION
+      When a Must Support element is missing and the reason for the absence is known,
+      the Health IT Module includes a reason using either:
+      - a value such as a nullFlavor from the relevant value set, or  
+      - the `dataAbsentReason` extension.
+    DESCRIPTION
+    id :carin_server_requirement_7_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@7'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          The developer of the Health IT Module attests that when a Must Support element is missing and the
+          reason for the absence is known, the Health IT Module includes a reason using either:
+          - a value such as a nullFlavor from the relevant value set, or  
+          - the `dataAbsentReason` extension.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.  
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/01_must_support_group/attestation_test_requirement_9.rb

@@ -0,0 +1,26 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement9 < Inferno::Test
+    title 'Omits Must Support elements with cardinality >= 0 if data is not present'
+    description <<~DESCRIPTION
+      The Health IT Module omits `Must Support` data elements from the resource if the element's minimum
+      cardinality is 0 and no data is available from the source system.
+    DESCRIPTION
+    id :carin_server_requirement_9_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@9'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module omits `Must Support` elements with minimum cardinality = 0
+          when the source system has no data available for them.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/01_must_support_group.rb

@@ -0,0 +1,19 @@
+require_relative '01_must_support_group/attestation_test_requirement_2'
+require_relative '01_must_support_group/attestation_test_requirement_5'
+require_relative '01_must_support_group/attestation_test_requirement_7'
+require_relative '01_must_support_group/attestation_test_requirement_9'
+require_relative '01_must_support_group/attestation_test_requirement_10'
+
+module CarinForBlueButtonTestKit
+  class CarinMustSupportAttestationGroup < Inferno::TestGroup
+    id :c4bb_must_support
+    title 'Must Support'
+    short_title 'Must Support'
+
+    test from: :carin_server_requirement_2_attestation
+    test from: :carin_server_requirement_5_attestation
+    test from: :carin_server_requirement_7_attestation
+    test from: :carin_server_requirement_9_attestation
+    test from: :carin_server_requirement_10_attestation
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_105.rb

@@ -0,0 +1,29 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement105 < Inferno::Test
+    title 'Uses versioned references when point-in-time data is maintained'
+    description <<~DESCRIPTION
+      The Health IT Module uses versioned references when an ExplanationOfBenefit
+      references another resource whenever point-in-time data is maintained, reflecting the data
+      effective as of the date of service or admission on the claim.
+    DESCRIPTION
+    id :carin_server_requirement_105_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@105'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module uses versioned references when an ExplanationOfBenefit
+          references another resource whenever point-in-time data is maintained, reflecting the data
+          effective as of the date of service or admission on the claim.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_108.rb

@@ -0,0 +1,29 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement108 < Inferno::Test
+    title 'Supports versioned and unversioned references'
+    description <<~DESCRIPTION
+      The Health IT Module supports both versioned and non-versioned ExplanationOfBenefit
+      reference approaches when referencing another resource,
+      and returns the same content for referenced resources in either case.
+    DESCRIPTION
+    id :carin_server_requirement_108_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@108'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module supports both versioned and non-versioned ExplanationOfBenefit
+          reference approaches when referencing another resource,
+          and returns the same content for referenced resources in either case.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_115.rb

@@ -0,0 +1,24 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement115 < Inferno::Test
+    title 'Does not use a data absent reason for EOB.type'
+    description <<~DESCRIPTION
+      The Health IT Module does not assign a data absent reason to the `ExplanationOfBenefit.type` element.
+    DESCRIPTION
+    id :carin_server_requirement_115_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@115'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module does **not** assign a data absent reason to `ExplanationOfBenefit.type`.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_116.rb

@@ -0,0 +1,30 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement116_117 < Inferno::Test
+    title 'Correctly populates EOB.insurer and EOB.outcome'
+    description <<~DESCRIPTION
+      The Health IT Module:
+      - Sets `ExplanationOfBenefit.outcome` to "complete",
+      - Sets `ExplanationOfBenefit.insurer` equal to `insurance.coverage.organization`.
+    DESCRIPTION
+    id :carin_server_requirement_116_117_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@116',
+                          'hl7.fhir.us.carin-bb_2.0.0@117'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module:
+
+          - Sets `ExplanationOfBenefit.outcome` to "complete",
+          - Populates `ExplanationOfBenefit.insurer` with the same value as `insurance.coverage.organization`.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** these requirements.
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** these requirements.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_118.rb

@@ -0,0 +1,31 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement118 < Inferno::Test
+    title 'Updates reference when the reference adjusts another reference'
+    description <<~DESCRIPTION
+      When an ExplanationOfBenefit resource returned by the Health IT Module
+      adjusts a prior ExplanationOfBenefit, the `.related.reference`
+      field is populated with the identifier of the prior ExplanationOfBenefit, and the `.related.relationship` field
+      is assigned the value `prior`.
+    DESCRIPTION
+    id :carin_server_requirement_118_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@118'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that when an ExplanationOfBenefit resource returned by the Health IT Module
+          adjusts a prior ExplanationOfBenefit, the `.related.reference`
+          field is populated with the identifier of the prior ExplanationOfBenefit, and the `.related.relationship` field
+          is assigned the value `prior`.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_119.rb

@@ -0,0 +1,31 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement119 < Inferno::Test
+    title 'Updates reference when the reference is adjusted by another reference'
+    description <<~DESCRIPTION
+      When an ExplanationOfBenefit resource returned by the Health IT Module
+      has been adjusted by another ExplanationOfBenefit,
+      the `.related.reference` field is populated with the identifier of the adjusting ExplanationOfBenefit,
+      and the `.related.relationship` field is assigned the value `replacedby`.
+    DESCRIPTION
+    id :carin_server_requirement_119_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@119'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that when an ExplanationOfBenefit resource returned by the Health IT Module
+          has been adjusted by another ExplanationOfBenefit,
+          the `.related.reference` field is populated with the identifier of the adjusting ExplanationOfBenefit,
+          and the `.related.relationship` field is assigned the value `replacedby`.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_120.rb

@@ -0,0 +1,29 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement120 < Inferno::Test
+    title 'Reference contains identifier of immediately preceding or following ExplanationOfBenefit'
+    description <<~DESCRIPTION
+      The `.related.reference` field in an ExplanationOfBenefit resource
+      returned by the Health IT Module contains the identifier
+      of the immediately preceding or following ExplanationOfBenefit, and not the first or last in a sequence.
+    DESCRIPTION
+    id :carin_server_requirement_120_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@120'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the `.related.reference` field in an ExplanationOfBenefit resource
+          returned by the Health IT Module contains the identifier
+          of the immediately preceding or following ExplanationOfBenefit, and not the first or last in a sequence.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_124.rb

@@ -0,0 +1,38 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement124_125_127_128_129 < Inferno::Test
+    title 'Correctly populates EOB.insurance'
+    description <<~DESCRIPTION
+      The Health IT Module:
+      - Only assigns `True` to `.insurance.focal` when the insurance matches the `ExplanationOfBenefit.insurer`,
+      - Ensures that when `focal = true`, `Coverage.payor` is the same as `EOB.insurer`,
+      - When `focal = true`, sets `Coverage.payor` to an Organization identifier,
+      - When `focal = false`, sets `insurance.coverage.display` to the name of the other carrier,
+      - Populates `insurance.coverage` the same as `insurance.coverage.organization`.
+    DESCRIPTION
+    id :carin_server_requirement_124_125_127_128_129_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@124',
+                          'hl7.fhir.us.carin-bb_2.0.0@125',
+                          'hl7.fhir.us.carin-bb_2.0.0@127',
+                          'hl7.fhir.us.carin-bb_2.0.0@128',
+                          'hl7.fhir.us.carin-bb_2.0.0@129'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module:
+
+          - Assigns `.insurance.focal = true` only for entries that match `ExplanationOfBenefit.insurer`,
+          - When `focal = true`, `Coverage.payor` equals `EOB.insurer` and is represented by an Organization identifier,
+          - When `focal = false`, `insurance.coverage.display` is set to the name of the other carrier,
+          - Populates `insurance.coverage` the same as `insurance.coverage.organization`.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** these requirements.
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** these requirements.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group.rb

@@ -0,0 +1,25 @@
+require_relative '03_eob_group/attestation_test_requirement_105'
+require_relative '03_eob_group/attestation_test_requirement_108'
+require_relative '03_eob_group/attestation_test_requirement_115'
+require_relative '03_eob_group/attestation_test_requirement_116'
+require_relative '03_eob_group/attestation_test_requirement_118'
+require_relative '03_eob_group/attestation_test_requirement_119'
+require_relative '03_eob_group/attestation_test_requirement_120'
+require_relative '03_eob_group/attestation_test_requirement_124'
+
+module CarinForBlueButtonTestKit
+  class CarinEOBAttestationGroup < Inferno::TestGroup
+    id :c4bb_eob
+    title 'Explanation of Benefit'
+    short_title 'Explanation of Benefit (EOB)'
+
+    test from: :carin_server_requirement_105_attestation
+    test from: :carin_server_requirement_108_attestation
+    test from: :carin_server_requirement_115_attestation
+    test from: :carin_server_requirement_116_117_attestation
+    test from: :carin_server_requirement_118_attestation
+    test from: :carin_server_requirement_119_attestation
+    test from: :carin_server_requirement_120_attestation
+    test from: :carin_server_requirement_124_125_127_128_129_attestation
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/04_eob_inpatient_group/attestation_test_requirement_130.rb

@@ -0,0 +1,29 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement130 < Inferno::Test
+    title 'Provides claim amounts if line item amounts unavailable'
+    description <<~DESCRIPTION
+      If line item amounts are not available, the Health IT Module provides the claim amounts
+      and corresponding amount types in the ExplanationOfBenefit (EOB) header data elements, as specified
+      by the CPCDS data elements.
+    DESCRIPTION
+    id :carin_server_requirement_130_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@130'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that if line item amounts are not available, the Health IT Module provides the claim amounts
+          and corresponding amount types in the ExplanationOfBenefit (EOB) header data elements, as specified
+          by the CPCDS data elements.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/04_eob_inpatient_group/attestation_test_requirement_132.rb

@@ -0,0 +1,27 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement132 < Inferno::Test
+    title 'Includes in-network or out-of-network payment status'
+    description <<~DESCRIPTION
+      The Health IT Module includes the in-network or out-of-network payment status of the
+      claim within the `EOB.supportingInfo` element, as specified by the CPCDS data elements.
+    DESCRIPTION
+    id :carin_server_requirement_132_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@132'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module includes the in-network or out-of-network payment status of the
+          claim within the `EOB.supportingInfo` element, as specified by the CPCDS data elements.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/04_eob_inpatient_group.rb

@@ -0,0 +1,13 @@
+require_relative '04_eob_inpatient_group/attestation_test_requirement_130'
+require_relative '04_eob_inpatient_group/attestation_test_requirement_132'
+
+module CarinForBlueButtonTestKit
+  class CarinEOBInpatientAttestationGroup < Inferno::TestGroup
+    id :c4bb_eob_inpatient
+    title 'Explanation of Benefit - Inpatient Institutional'
+    short_title 'EOB Inpatient Institutional'
+
+    test from: :carin_server_requirement_130_attestation
+    test from: :carin_server_requirement_132_attestation
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/05_eob_outpatient_group/attestation_test_requirement_156.rb

@@ -0,0 +1,28 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement156 < Inferno::Test
+    title 'Maps CPCDS data when line item data is unavailable'
+    description <<~DESCRIPTION
+      The Health IT Module maps CPCDS data to either `EOB.item` or `EOB.header` as appropriate:
+          - When line item amounts are available, they are provided in `EOB.item`.
+          - When line item amounts are not available, claim-level amounts and amount types are provided in `EOB.header`.
+    DESCRIPTION
+    id :carin_server_requirement_156_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@156'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module maps CPCDS data to either `EOB.item` or `EOB.header` as appropriate:
+          - When line item amounts are available, they are provided in `EOB.item`.
+          - When line item amounts are not available, claim-level amounts and amount types are provided in `EOB.header`.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/05_eob_outpatient_group/attestation_test_requirement_157.rb

@@ -0,0 +1,33 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement157_158_159 < Inferno::Test
+    title 'Correctly populates EOB.item.productOrService'
+    description <<~DESCRIPTION
+      The Health IT Module:
+      - Defines CPT, HCPCS, or HIPPS codes in `item.productOrService` as CodeableConcepts,
+      - Ensures `item.productOrService` is populated whenever `.item` is present,
+      - Enforces a cardinality of 1..1 for `item.productOrService`.
+    DESCRIPTION
+    id :carin_server_requirement_157_158_159_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@157',
+                          'hl7.fhir.us.carin-bb_2.0.0@158',
+                          'hl7.fhir.us.carin-bb_2.0.0@159'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module:
+
+          - Defines CPT, HCPCS, or HIPPS codes in `item.productOrService` and represents them as CodeableConcepts,
+          - Populates `item.productOrService` whenever `EOB.item` is present,
+          - Enforces that `item.productOrService` has a cardinality of 1..1.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** these requirements.
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** these requirements.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/05_eob_outpatient_group.rb

@@ -0,0 +1,13 @@
+require_relative '05_eob_outpatient_group/attestation_test_requirement_157'
+require_relative '05_eob_outpatient_group/attestation_test_requirement_156'
+
+module CarinForBlueButtonTestKit
+  class CarinEOBOutpatientAttestationGroup < Inferno::TestGroup
+    id :c4bb_eob_outpatient
+    title 'Explanation of Benefit - Outpatient Institutional'
+    short_title 'EOB Outpatient Institutional'
+
+    test from: :carin_server_requirement_156_attestation
+    test from: :carin_server_requirement_157_158_159_attestation
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/06_eob_oral_group/attestation_test_requirement_144.rb

@@ -0,0 +1,33 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement144_145_146 < Inferno::Test
+    title 'Correctly maps CPCDS data to EOB.item and EOB.total fields'
+    description <<~DESCRIPTION
+      The Health IT Module maps CPCDS data elements to:
+      - `EOB.item` for line item amounts, amount types, and network status,
+      - `EOB.total` for claim-level totals,
+      - `C4BB Payer Benefit Payment Status` is set to 'Other' when lines are both in-network and out-of-network.
+    DESCRIPTION
+    id :carin_server_requirement_144_145_146_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@144',
+                          'hl7.fhir.us.carin-bb_2.0.0@145',
+                          'hl7.fhir.us.carin-bb_2.0.0@146'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health IT Module maps CPCDS data elements as follows:
+
+          - Line-level data (amounts, types, network status) are provided in `EOB.item`,
+          - Claim-level totals are in `EOB.total`,
+          - Mixed network claims set `C4BB Payer Benefit Payment Status` to 'Other'.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** these requirements.
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** these requirements.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/06_eob_oral_group/attestation_test_requirement_148.rb

@@ -0,0 +1,29 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement148 < Inferno::Test
+    title 'Populates facility information when differs from billing'
+    description <<~DESCRIPTION
+      The Health Plan API populates `supportingInfo[service`facility`] with the name, full address,
+      and identifier of the facility where services were rendered, when that facility differs from the Billing or
+      Rendering Provider.
+    DESCRIPTION
+    id :carin_server_requirement_148_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@148'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the Health Plan API populates `supportingInfo[service`facility`] with the name, full address,
+          and identifier of the facility where services were rendered, when that facility differs from the Billing or
+          Rendering Provider.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end

data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/06_eob_oral_group/attestation_test_requirement_149.rb

@@ -0,0 +1,27 @@
+module CarinForBlueButtonTestKit
+  class AttestationTestCarinV2Requirement149 < Inferno::Test
+    title 'References sequence number of associated diagnosis'
+    description <<~DESCRIPTION
+      The `item.diagnosisSequence` element references the sequence number of the associated
+      diagnosis listed in the ExplanationOfBenefit resource.
+    DESCRIPTION
+    id :carin_server_requirement_149_attestation
+
+    verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@149'
+
+    run do
+      identifier = SecureRandom.hex(32)
+      wait(
+        identifier:,
+        message: <<~MESSAGE
+          I attest that the `item.diagnosisSequence` element references the sequence number of the associated
+          diagnosis listed in the ExplanationOfBenefit resource.
+
+          [Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
+
+          [Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
+        MESSAGE
+      )
+    end
+  end
+end