carin_for_blue_button_test_kit 0.16.0 → 0.16.1
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/lib/carin_for_blue_button_test_kit/carin_search_test.rb +1 -1
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_client/authentication.rb +34 -11
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_client/last_updated.rb +32 -10
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_client/must_support_absent_reason.rb +31 -10
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_client/must_support_display.rb +31 -10
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_client/must_support_missing.rb +32 -10
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/00_authorization_group/attestation_test_requirement_48.rb +40 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/00_authorization_group/attestation_test_requirement_60.rb +37 -8
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/00_authorization_group/attestation_test_requirement_97.rb +40 -11
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/01_must_support_group/attestation_test_requirement_10.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/01_must_support_group/attestation_test_requirement_2.rb +32 -9
- 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 +32 -9
- 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 +34 -9
- 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 +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_105.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_108.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_115.rb +30 -8
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_116.rb +33 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_118.rb +33 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_119.rb +33 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_120.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/03_eob_group/attestation_test_requirement_124.rb +38 -11
- 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 +32 -9
- 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 +31 -9
- 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 +34 -10
- 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 +36 -11
- 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 +36 -11
- 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 +32 -9
- 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 +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/06_eob_oral_group/attestation_test_requirement_150.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/06_eob_oral_group/attestation_test_requirement_151.rb +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/06_eob_oral_group/attestation_test_requirement_152.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/06_eob_oral_group/attestation_test_requirement_153.rb +33 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/07_eob_pharmacy_group/attestation_test_requirement_161.rb +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/07_eob_pharmacy_group/attestation_test_requirement_162.rb +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/07_eob_pharmacy_group/attestation_test_requirement_163.rb +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/07_eob_pharmacy_group/attestation_test_requirement_164.rb +29 -8
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/07_eob_pharmacy_group/attestation_test_requirement_165.rb +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/08_eob_nonclinician_group/attestation_test_requirement_168_170.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/08_eob_nonclinician_group/attestation_test_requirement_173.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/09_organization_group/attestation_test_requirement_177.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/09_organization_group/attestation_test_requirement_178.rb +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/10_practitioner_group/attestation_test_requirement_186.rb +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/11_crosscutting_group/adjudication_amount.rb +38 -14
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/11_crosscutting_group/amount_calculations.rb +62 -23
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/11_crosscutting_group/attestation_test_requirement_19.rb +33 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/11_crosscutting_group/attestation_test_requirement_28.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/11_crosscutting_group/attestation_test_requirement_99.rb +32 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/11_crosscutting_group/coverage_reference_resource.rb +30 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/11_crosscutting_group/licensing.rb +31 -9
- data/lib/carin_for_blue_button_test_kit/custom_groups/visual_inspection_and_attestation/v200_server/11_crosscutting_group/meta_lastupdated.rb +44 -17
- data/lib/carin_for_blue_button_test_kit/generated/v2.0.0/c4bb_test_suite.rb +8 -2
- data/lib/carin_for_blue_button_test_kit/generator/templates/suite.rb.erb +9 -2
- data/lib/carin_for_blue_button_test_kit/version.rb +2 -2
- metadata +20 -8
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@@ -11,20 +11,45 @@ module CarinForBlueButtonTestKit
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verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@7'
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input :carin_server_requirement_7_attestation_options,
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title: 'Includes reason for missing Must Support elements',
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description: %(
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The developer of the Health IT Module attests that when a Must Support element is missing and the
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reason for the absence is known, the Health IT Module includes a reason using either:
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- a value such as a nullFlavor from the relevant value set, or
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- the `dataAbsentReason` extension.
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),
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type: 'radio',
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default: 'false',
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options: {
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list_options: [
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{
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label: 'Yes',
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value: 'true'
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},
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{
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label: 'No',
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value: 'false'
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}
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]
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}
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input :carin_server_requirement_7_attestation_note,
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title: 'Notes, if applicable:',
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type: 'textarea',
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optional: true
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run do
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reason for the absence is known, the Health IT Module includes a reason using either:
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assert carin_server_requirement_7_attestation_options == 'true', %(
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The following was not satisfied:
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When a Must Support element is missing and the reason for the absence is known,
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the Health IT Module includes a reason using either:
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- a value such as a nullFlavor from the relevant value set, or
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- the `dataAbsentReason` extension.
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[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
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[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
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MESSAGE
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)
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pass carin_server_requirement_7_attestation_note if carin_server_requirement_7_attestation_note.present?
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end
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end
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end
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@@ -9,18 +9,41 @@ module CarinForBlueButtonTestKit
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verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@9'
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input :carin_server_requirement_9_attestation_options,
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title: 'Omits Must Support elements with cardinality >= 0 if data is not present',
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description: %(
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I attest that the Health IT Module omits `Must Support` elements with minimum cardinality = 0
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when the source system has no data available for them.
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),
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type: 'radio',
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default: 'false',
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options: {
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list_options: [
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{
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label: 'Yes',
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value: 'true'
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},
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{
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label: 'No',
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value: 'false'
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}
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]
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}
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input :carin_server_requirement_9_attestation_note,
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title: 'Notes, if applicable:',
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type: 'textarea',
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optional: true
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run do
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when the source system has no data available for them.
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assert carin_server_requirement_9_attestation_options == 'true', %(
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The following was not satisfied:
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The Health IT Module omits `Must Support` data elements from the resource if the element's minimum
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cardinality is 0 and no data is available from the source system.
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[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
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pass carin_server_requirement_9_attestation_note if carin_server_requirement_9_attestation_note.present?
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end
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end
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end
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verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@105'
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input :carin_server_requirement_105_attestation_options,
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title: 'Uses versioned references when point-in-time data is maintained',
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description: %(
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I attest that the Health IT Module uses versioned references when an ExplanationOfBenefit
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references another resource whenever point-in-time data is maintained, reflecting the data
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effective as of the date of service or admission on the claim.
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),
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type: 'radio',
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default: 'false',
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options: {
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list_options: [
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{
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label: 'Yes',
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value: 'true'
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{
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value: 'false'
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}
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input :carin_server_requirement_105_attestation_note,
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title: 'Notes, if applicable:',
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type: 'textarea',
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optional: true
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run do
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The Health IT Module uses versioned references when an ExplanationOfBenefit
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references another resource whenever point-in-time data is maintained, reflecting the data
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effective as of the date of service or admission on the claim.
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[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
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pass carin_server_requirement_105_attestation_note if carin_server_requirement_105_attestation_note.present?
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end
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end
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verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@108'
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input :carin_server_requirement_108_attestation_options,
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title: 'Supports versioned and unversioned references',
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description: %(
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reference approaches when referencing another resource,
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and returns the same content for referenced resources in either case.
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options: {
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{
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value: 'true'
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input :carin_server_requirement_108_attestation_note,
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The Health IT Module supports both versioned and non-versioned ExplanationOfBenefit
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reference approaches when referencing another resource,
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and returns the same content for referenced resources in either case.
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[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
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48
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+
pass carin_server_requirement_108_attestation_note if carin_server_requirement_108_attestation_note.present?
|
|
27
49
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end
|
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50
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+
|
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28
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end
|
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29
52
|
end
|
|
@@ -8,17 +8,39 @@ module CarinForBlueButtonTestKit
|
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8
8
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9
9
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verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@115'
|
|
10
10
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11
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+
input :carin_server_requirement_115_attestation_options,
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12
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+
title: 'Does not use a data absent reason for EOB.type',
|
|
13
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+
description: %(
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14
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+
I attest that the Health IT Module does **not** assign a data absent reason to `ExplanationOfBenefit.type`.
|
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15
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+
),
|
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16
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+
type: 'radio',
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+
default: 'false',
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options: {
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+
list_options: [
|
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+
{
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+
label: 'Yes',
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+
value: 'true'
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+
},
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+
{
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+
label: 'No',
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+
value: 'false'
|
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+
}
|
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28
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+
]
|
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+
}
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+
input :carin_server_requirement_115_attestation_note,
|
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+
title: 'Notes, if applicable:',
|
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+
type: 'textarea',
|
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+
optional: true
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+
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11
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run do
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-
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-
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14
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-
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15
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-
|
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16
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-
I attest that the Health IT Module does **not** assign a data absent reason to `ExplanationOfBenefit.type`.
|
|
36
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+
assert carin_server_requirement_115_attestation_options == 'true', %(
|
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37
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+
The following was not satisfied:
|
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38
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+
|
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39
|
+
The Health IT Module does not assign a data absent reason to the `ExplanationOfBenefit.type` element.
|
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17
40
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|
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18
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-
[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
|
|
19
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-
[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
|
|
20
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-
MESSAGE
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21
41
|
)
|
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42
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+
pass carin_server_requirement_115_attestation_note if carin_server_requirement_115_attestation_note.present?
|
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22
43
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end
|
|
44
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+
|
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23
45
|
end
|
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24
46
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end
|
|
@@ -11,20 +11,44 @@ module CarinForBlueButtonTestKit
|
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11
11
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verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@116',
|
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12
12
|
'hl7.fhir.us.carin-bb_2.0.0@117'
|
|
13
13
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|
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14
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+
input :carin_server_requirement_116_117_attestation_options,
|
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15
|
+
title: 'Correctly populates EOB.insurer and EOB.outcome',
|
|
16
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+
description: %(
|
|
17
|
+
I attest that the Health IT Module:
|
|
18
|
+
|
|
19
|
+
- Sets `ExplanationOfBenefit.outcome` to "complete",
|
|
20
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+
- Populates `ExplanationOfBenefit.insurer` with the same value as `insurance.coverage.organization`.
|
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21
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+
),
|
|
22
|
+
type: 'radio',
|
|
23
|
+
default: 'false',
|
|
24
|
+
options: {
|
|
25
|
+
list_options: [
|
|
26
|
+
{
|
|
27
|
+
label: 'Yes',
|
|
28
|
+
value: 'true'
|
|
29
|
+
},
|
|
30
|
+
{
|
|
31
|
+
label: 'No',
|
|
32
|
+
value: 'false'
|
|
33
|
+
}
|
|
34
|
+
]
|
|
35
|
+
}
|
|
36
|
+
input :carin_server_requirement_116_117_attestation_note,
|
|
37
|
+
title: 'Notes, if applicable:',
|
|
38
|
+
type: 'textarea',
|
|
39
|
+
optional: true
|
|
40
|
+
|
|
14
41
|
run do
|
|
15
|
-
|
|
16
|
-
|
|
17
|
-
identifier:,
|
|
18
|
-
message: <<~MESSAGE
|
|
19
|
-
I attest that the Health IT Module:
|
|
42
|
+
assert carin_server_requirement_116_117_attestation_options == 'true', %(
|
|
43
|
+
The following was not satisfied:
|
|
20
44
|
|
|
45
|
+
The Health IT Module:
|
|
21
46
|
- Sets `ExplanationOfBenefit.outcome` to "complete",
|
|
22
|
-
-
|
|
47
|
+
- Sets `ExplanationOfBenefit.insurer` equal to `insurance.coverage.organization`.
|
|
23
48
|
|
|
24
|
-
[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** these requirements.
|
|
25
|
-
[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** these requirements.
|
|
26
|
-
MESSAGE
|
|
27
49
|
)
|
|
50
|
+
pass carin_server_requirement_116_117_attestation_note if carin_server_requirement_116_117_attestation_note.present?
|
|
28
51
|
end
|
|
52
|
+
|
|
29
53
|
end
|
|
30
54
|
end
|
|
@@ -11,21 +11,45 @@ module CarinForBlueButtonTestKit
|
|
|
11
11
|
|
|
12
12
|
verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@118'
|
|
13
13
|
|
|
14
|
+
input :carin_server_requirement_118_attestation_options,
|
|
15
|
+
title: 'Updates reference when the reference adjusts another reference',
|
|
16
|
+
description: %(
|
|
17
|
+
I attest that when an ExplanationOfBenefit resource returned by the Health IT Module
|
|
18
|
+
adjusts a prior ExplanationOfBenefit, the `.related.reference`
|
|
19
|
+
field is populated with the identifier of the prior ExplanationOfBenefit, and the `.related.relationship` field
|
|
20
|
+
is assigned the value `prior`.
|
|
21
|
+
),
|
|
22
|
+
type: 'radio',
|
|
23
|
+
default: 'false',
|
|
24
|
+
options: {
|
|
25
|
+
list_options: [
|
|
26
|
+
{
|
|
27
|
+
label: 'Yes',
|
|
28
|
+
value: 'true'
|
|
29
|
+
},
|
|
30
|
+
{
|
|
31
|
+
label: 'No',
|
|
32
|
+
value: 'false'
|
|
33
|
+
}
|
|
34
|
+
]
|
|
35
|
+
}
|
|
36
|
+
input :carin_server_requirement_118_attestation_note,
|
|
37
|
+
title: 'Notes, if applicable:',
|
|
38
|
+
type: 'textarea',
|
|
39
|
+
optional: true
|
|
40
|
+
|
|
14
41
|
run do
|
|
15
|
-
|
|
16
|
-
|
|
17
|
-
|
|
18
|
-
|
|
19
|
-
I attest that when an ExplanationOfBenefit resource returned by the Health IT Module
|
|
42
|
+
assert carin_server_requirement_118_attestation_options == 'true', %(
|
|
43
|
+
The following was not satisfied:
|
|
44
|
+
|
|
45
|
+
When an ExplanationOfBenefit resource returned by the Health IT Module
|
|
20
46
|
adjusts a prior ExplanationOfBenefit, the `.related.reference`
|
|
21
47
|
field is populated with the identifier of the prior ExplanationOfBenefit, and the `.related.relationship` field
|
|
22
48
|
is assigned the value `prior`.
|
|
23
49
|
|
|
24
|
-
[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
|
|
25
|
-
|
|
26
|
-
[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
|
|
27
|
-
MESSAGE
|
|
28
50
|
)
|
|
51
|
+
pass carin_server_requirement_118_attestation_note if carin_server_requirement_118_attestation_note.present?
|
|
29
52
|
end
|
|
53
|
+
|
|
30
54
|
end
|
|
31
55
|
end
|
|
@@ -11,21 +11,45 @@ module CarinForBlueButtonTestKit
|
|
|
11
11
|
|
|
12
12
|
verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@119'
|
|
13
13
|
|
|
14
|
+
input :carin_server_requirement_119_attestation_options,
|
|
15
|
+
title: 'Updates reference when the reference is adjusted by another reference',
|
|
16
|
+
description: %(
|
|
17
|
+
I attest that when an ExplanationOfBenefit resource returned by the Health IT Module
|
|
18
|
+
has been adjusted by another ExplanationOfBenefit,
|
|
19
|
+
the `.related.reference` field is populated with the identifier of the adjusting ExplanationOfBenefit,
|
|
20
|
+
and the `.related.relationship` field is assigned the value `replacedby`.
|
|
21
|
+
),
|
|
22
|
+
type: 'radio',
|
|
23
|
+
default: 'false',
|
|
24
|
+
options: {
|
|
25
|
+
list_options: [
|
|
26
|
+
{
|
|
27
|
+
label: 'Yes',
|
|
28
|
+
value: 'true'
|
|
29
|
+
},
|
|
30
|
+
{
|
|
31
|
+
label: 'No',
|
|
32
|
+
value: 'false'
|
|
33
|
+
}
|
|
34
|
+
]
|
|
35
|
+
}
|
|
36
|
+
input :carin_server_requirement_119_attestation_note,
|
|
37
|
+
title: 'Notes, if applicable:',
|
|
38
|
+
type: 'textarea',
|
|
39
|
+
optional: true
|
|
40
|
+
|
|
14
41
|
run do
|
|
15
|
-
|
|
16
|
-
|
|
17
|
-
|
|
18
|
-
|
|
19
|
-
I attest that when an ExplanationOfBenefit resource returned by the Health IT Module
|
|
42
|
+
assert carin_server_requirement_119_attestation_options == 'true', %(
|
|
43
|
+
The following was not satisfied:
|
|
44
|
+
|
|
45
|
+
When an ExplanationOfBenefit resource returned by the Health IT Module
|
|
20
46
|
has been adjusted by another ExplanationOfBenefit,
|
|
21
47
|
the `.related.reference` field is populated with the identifier of the adjusting ExplanationOfBenefit,
|
|
22
48
|
and the `.related.relationship` field is assigned the value `replacedby`.
|
|
23
49
|
|
|
24
|
-
[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
|
|
25
|
-
|
|
26
|
-
[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
|
|
27
|
-
MESSAGE
|
|
28
50
|
)
|
|
51
|
+
pass carin_server_requirement_119_attestation_note if carin_server_requirement_119_attestation_note.present?
|
|
29
52
|
end
|
|
53
|
+
|
|
30
54
|
end
|
|
31
55
|
end
|
|
@@ -10,20 +10,43 @@ module CarinForBlueButtonTestKit
|
|
|
10
10
|
|
|
11
11
|
verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@120'
|
|
12
12
|
|
|
13
|
+
input :carin_server_requirement_120_attestation_options,
|
|
14
|
+
title: 'Reference contains identifier of immediately preceding or following ExplanationOfBenefit',
|
|
15
|
+
description: %(
|
|
16
|
+
I attest that the `.related.reference` field in an ExplanationOfBenefit resource
|
|
17
|
+
returned by the Health IT Module contains the identifier
|
|
18
|
+
of the immediately preceding or following ExplanationOfBenefit, and not the first or last in a sequence.
|
|
19
|
+
),
|
|
20
|
+
type: 'radio',
|
|
21
|
+
default: 'false',
|
|
22
|
+
options: {
|
|
23
|
+
list_options: [
|
|
24
|
+
{
|
|
25
|
+
label: 'Yes',
|
|
26
|
+
value: 'true'
|
|
27
|
+
},
|
|
28
|
+
{
|
|
29
|
+
label: 'No',
|
|
30
|
+
value: 'false'
|
|
31
|
+
}
|
|
32
|
+
]
|
|
33
|
+
}
|
|
34
|
+
input :carin_server_requirement_120_attestation_note,
|
|
35
|
+
title: 'Notes, if applicable:',
|
|
36
|
+
type: 'textarea',
|
|
37
|
+
optional: true
|
|
38
|
+
|
|
13
39
|
run do
|
|
14
|
-
|
|
15
|
-
|
|
16
|
-
|
|
17
|
-
|
|
18
|
-
I attest that the `.related.reference` field in an ExplanationOfBenefit resource
|
|
40
|
+
assert carin_server_requirement_120_attestation_options == 'true', %(
|
|
41
|
+
The following was not satisfied:
|
|
42
|
+
|
|
43
|
+
The `.related.reference` field in an ExplanationOfBenefit resource
|
|
19
44
|
returned by the Health IT Module contains the identifier
|
|
20
45
|
of the immediately preceding or following ExplanationOfBenefit, and not the first or last in a sequence.
|
|
21
46
|
|
|
22
|
-
[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
|
|
23
|
-
|
|
24
|
-
[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
|
|
25
|
-
MESSAGE
|
|
26
47
|
)
|
|
48
|
+
pass carin_server_requirement_120_attestation_note if carin_server_requirement_120_attestation_note.present?
|
|
27
49
|
end
|
|
50
|
+
|
|
28
51
|
end
|
|
29
52
|
end
|
|
@@ -17,22 +17,49 @@ module CarinForBlueButtonTestKit
|
|
|
17
17
|
'hl7.fhir.us.carin-bb_2.0.0@128',
|
|
18
18
|
'hl7.fhir.us.carin-bb_2.0.0@129'
|
|
19
19
|
|
|
20
|
+
input :carin_server_requirement_124_125_127_128_129_attestation_options,
|
|
21
|
+
title: 'Correctly populates EOB.insurance',
|
|
22
|
+
description: %(
|
|
23
|
+
I attest that the Health IT Module:
|
|
24
|
+
|
|
25
|
+
- Assigns `.insurance.focal = true` only for entries that match `ExplanationOfBenefit.insurer`,
|
|
26
|
+
- When `focal = true`, `Coverage.payor` equals `EOB.insurer` and is represented by an Organization identifier,
|
|
27
|
+
- When `focal = false`, `insurance.coverage.display` is set to the name of the other carrier,
|
|
28
|
+
- Populates `insurance.coverage` the same as `insurance.coverage.organization`.
|
|
29
|
+
),
|
|
30
|
+
type: 'radio',
|
|
31
|
+
default: 'false',
|
|
32
|
+
options: {
|
|
33
|
+
list_options: [
|
|
34
|
+
{
|
|
35
|
+
label: 'Yes',
|
|
36
|
+
value: 'true'
|
|
37
|
+
},
|
|
38
|
+
{
|
|
39
|
+
label: 'No',
|
|
40
|
+
value: 'false'
|
|
41
|
+
}
|
|
42
|
+
]
|
|
43
|
+
}
|
|
44
|
+
input :carin_server_requirement_124_125_127_128_129_attestation_note,
|
|
45
|
+
title: 'Notes, if applicable:',
|
|
46
|
+
type: 'textarea',
|
|
47
|
+
optional: true
|
|
48
|
+
|
|
20
49
|
run do
|
|
21
|
-
|
|
22
|
-
|
|
23
|
-
identifier:,
|
|
24
|
-
message: <<~MESSAGE
|
|
25
|
-
I attest that the Health IT Module:
|
|
50
|
+
assert carin_server_requirement_124_125_127_128_129_attestation_options == 'true', %(
|
|
51
|
+
The following was not satisfied:
|
|
26
52
|
|
|
27
|
-
|
|
28
|
-
-
|
|
29
|
-
-
|
|
53
|
+
The Health IT Module:
|
|
54
|
+
- Only assigns `True` to `.insurance.focal` when the insurance matches the `ExplanationOfBenefit.insurer`,
|
|
55
|
+
- Ensures that when `focal = true`, `Coverage.payor` is the same as `EOB.insurer`,
|
|
56
|
+
- When `focal = true`, sets `Coverage.payor` to an Organization identifier,
|
|
57
|
+
- When `focal = false`, sets `insurance.coverage.display` to the name of the other carrier,
|
|
30
58
|
- Populates `insurance.coverage` the same as `insurance.coverage.organization`.
|
|
31
59
|
|
|
32
|
-
[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** these requirements.
|
|
33
|
-
[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** these requirements.
|
|
34
|
-
MESSAGE
|
|
35
60
|
)
|
|
61
|
+
pass carin_server_requirement_124_125_127_128_129_attestation_note if carin_server_requirement_124_125_127_128_129_attestation_note.present?
|
|
36
62
|
end
|
|
63
|
+
|
|
37
64
|
end
|
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38
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end
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@@ -10,20 +10,43 @@ module CarinForBlueButtonTestKit
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verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@130'
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input :carin_server_requirement_130_attestation_options,
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title: 'Provides claim amounts if line item amounts unavailable',
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description: %(
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I attest that if line item amounts are not available, the Health IT Module provides the claim amounts
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and corresponding amount types in the ExplanationOfBenefit (EOB) header data elements, as specified
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by the CPCDS data elements.
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),
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type: 'radio',
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default: 'false',
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options: {
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list_options: [
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{
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label: 'Yes',
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value: 'true'
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},
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{
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label: 'No',
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value: 'false'
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}
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]
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}
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input :carin_server_requirement_130_attestation_note,
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title: 'Notes, if applicable:',
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type: 'textarea',
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optional: true
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run do
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-
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-
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-
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-
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I attest that if line item amounts are not available, the Health IT Module provides the claim amounts
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40
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assert carin_server_requirement_130_attestation_options == 'true', %(
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The following was not satisfied:
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+
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43
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If line item amounts are not available, the Health IT Module provides the claim amounts
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and corresponding amount types in the ExplanationOfBenefit (EOB) header data elements, as specified
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by the CPCDS data elements.
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-
[Click here](#{resume_pass_url}?token=#{identifier}) if the system **meets** this requirement.
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-
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-
[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
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-
MESSAGE
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)
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48
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pass carin_server_requirement_130_attestation_note if carin_server_requirement_130_attestation_note.present?
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end
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+
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end
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end
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@@ -9,19 +9,41 @@ module CarinForBlueButtonTestKit
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9
9
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10
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verifies_requirements 'hl7.fhir.us.carin-bb_2.0.0@132'
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11
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12
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input :carin_server_requirement_132_attestation_options,
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title: 'Includes in-network or out-of-network payment status',
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description: %(
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I attest that the Health IT Module includes the in-network or out-of-network payment status of the
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claim within the `EOB.supportingInfo` element, as specified by the CPCDS data elements.
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),
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type: 'radio',
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default: 'false',
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options: {
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21
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list_options: [
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{
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label: 'Yes',
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value: 'true'
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},
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{
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label: 'No',
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value: 'false'
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}
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]
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}
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32
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input :carin_server_requirement_132_attestation_note,
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33
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title: 'Notes, if applicable:',
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34
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type: 'textarea',
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35
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optional: true
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+
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run do
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-
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-
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identifier:,
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message: <<~MESSAGE
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I attest that the Health IT Module includes the in-network or out-of-network payment status of the
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-
claim within the `EOB.supportingInfo` element, as specified by the CPCDS data elements.
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38
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+
assert carin_server_requirement_132_attestation_options == 'true', %(
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39
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The following was not satisfied:
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19
40
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20
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-
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41
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+
The Health IT Module includes the in-network or out-of-network payment status of the
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42
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claim within the `EOB.supportingInfo` element, as specified by the CPCDS data elements.
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21
43
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22
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-
[Click here](#{resume_fail_url}?token=#{identifier}) if the system **does not meet** this requirement.
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23
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-
MESSAGE
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24
44
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)
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45
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+
pass carin_server_requirement_132_attestation_note if carin_server_requirement_132_attestation_note.present?
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25
46
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end
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47
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+
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26
48
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end
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27
49
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end
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