davinci_crd_test_kit 0.13.0 → 0.14.0

data/lib/davinci_crd_test_kit/server/v2.2.1/server_order_select_group.rb

@@ -0,0 +1,219 @@
+require_relative '../../cross_suite/tags'
+require_relative 'interaction/server_invoke_hook_test'
+require_relative 'verify_request/service_request_required_fields_validation_test'
+require_relative 'verify_request/service_request_optional_fields_validation_test'
+require_relative 'verify_request/service_request_context_validation_test'
+require_relative 'verify_response/service_response_validation_test'
+require_relative 'verify_response/card_optional_fields_validation_test'
+require_relative 'verify_response/external_reference_card_validation_test'
+require_relative 'verify_response/launch_smart_app_card_validation_test'
+require_relative 'verify_response/instructions_card_received_test'
+require_relative 'verify_response/propose_alternate_request_card_validation_test'
+require_relative 'verify_response/additional_orders_validation_test'
+require_relative 'verify_response/form_completion_response_validation_test'
+require_relative 'verify_response/create_or_update_coverage_info_response_validation_test'
+require_relative 'verify_response/coverage_info_configuration_test'
+require_relative 'verify_response/unknown_configuration_test'
+require_relative 'verify_response/unknown_context_test'
+require_relative 'verify_response/unknown_cds_hooks_elements_test'
+
+module DaVinciCRDTestKit
+  module V221
+    class ServerOrderSelectGroup < Inferno::TestGroup
+      title 'order-select'
+      id :crd_v221_server_order_select
+      description %(
+        This group of tests invokes the order-select hook and ensures that
+        the user-provided requests are valid as per the requirements described
+        in the [CRD IG section on order-select hook](https://hl7.org/fhir/us/davinci-crd/STU2/hooks.html#order-select)
+        and the [CDS Hooks specification section on order-select context](https://cds-hooks.hl7.org/hooks/order-select/2023SepSTU1Ballot/order-select/).
+        It also ensures that the contents of the server's response are valid as per the requirements described in
+        the [CRD IG section on order-select hook](https://hl7.org/fhir/us/davinci-crd/STU2/hooks.html#order-select)
+        and the [CDS Hooks section on CDS Service Response](https://cds-hooks.hl7.org/2.0/#cds-service-response).
+
+        This group includes tests to validate the following CRD response types:
+        - [additional orders as companions/prerequisites](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#identify-additional-orders-as-companionsprerequisites-for-current-order)\
+        - optional
+        - [Coverage Information](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#coverage-information) - optional
+        - [Create or update coverage information](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#create-or-update-coverage-information)\
+        - optional
+        - [External Reference](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#external-reference) - optional
+        - [Instructions](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#instructions) - optional
+        - [Launch SMART application](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#launch-smart-application) -
+        optional
+        - [Propose alternate request](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#propose-alternate-request) -
+        optional
+        - [Request form completion](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#request-form-completion) -
+        optional
+      )
+      # verifies_requirements 'hl7.fhir.us.davinci-crd_2.0.1@168', 'hl7.fhir.us.davinci-crd_2.0.1@208'
+
+      config options: { hook_name: ORDER_SELECT_TAG }
+      run_as_group
+
+      group do
+        title 'Interaction'
+
+        test from: :crd_v221_server_invoke_hook_test,
+             config: {
+               inputs: {
+                 service_ids: {
+                   name: :order_select_service_ids,
+                   title: 'Service id for the service that implements the `order-select` hook'
+                 },
+                 service_request_bodies: {
+                   name: :order_select_request_bodies,
+                   title: 'Request body or bodies for invoking the `order-select` hook'
+                 }
+               }
+             }
+      end
+
+      group do
+        title 'Requests'
+
+        test from: :crd_v221_service_request_required_fields_validation,
+             config: {
+               outputs: {
+                 contexts: {
+                   name: :order_select_contexts
+                 }
+               }
+             }
+        test from: :crd_v221_service_request_context_validation,
+             config: {
+               inputs: {
+                 contexts: {
+                   name: :order_select_contexts
+                 }
+               }
+             }
+        test from: :crd_v221_service_request_optional_fields_validation
+      end
+
+      group do
+        title 'Responses'
+
+        test from: :crd_v221_service_response_validation,
+             config: {
+               outputs: {
+                 valid_cards: {
+                   name: :order_select_valid_cards
+                 },
+                 valid_system_actions: {
+                   name: :order_select_valid_system_actions
+                 }
+               }
+             }
+        test from: :crd_v221_card_optional_fields_validation,
+             config: {
+               inputs: {
+                 valid_cards: {
+                   name: :order_select_valid_cards
+                 }
+               },
+               outputs: {
+                 valid_cards_with_links: {
+                   name: :order_select_valid_cards_with_links
+                 },
+                 valid_cards_with_suggestions: {
+                   name: :order_select_valid_cards_with_suggestions
+                 }
+               }
+             }
+        test from: :crd_v221_external_reference_card_validation,
+             config: {
+               inputs: {
+                 valid_cards_with_links: {
+                   name: :order_select_valid_cards_with_links
+                 }
+               }
+             }
+        test from: :crd_v221_launch_smart_app_card_validation,
+             config: {
+               inputs: {
+                 valid_cards_with_links: {
+                   name: :order_select_valid_cards_with_links
+                 }
+               }
+             }
+        test from: :crd_v221_valid_instructions_card_received,
+             config: {
+               inputs: {
+                 valid_cards: {
+                   name: :order_select_valid_cards
+                 }
+               }
+             }
+        test from: :crd_v221_coverage_info_system_action_received,
+             optional: true,
+             config: {
+               inputs: {
+                 valid_system_actions: {
+                   name: :order_select_valid_system_actions
+                 }
+               },
+               outputs: {
+                 coverage_info: {
+                   name: :order_select_coverage_info
+                 }
+               }
+             }
+        test from: :crd_v221_coverage_info_system_action_validation,
+             optional: true,
+             config: {
+               inputs: {
+                 coverage_info: {
+                   name: :order_select_coverage_info
+                 }
+               }
+             }
+        test from: :crd_v221_propose_alternate_request_card_validation,
+             config: {
+               inputs: {
+                 valid_cards_with_suggestions: {
+                   name: :order_select_valid_cards_with_suggestions
+                 },
+                 contexts: {
+                   name: :order_select_contexts
+                 }
+               }
+             }
+        test from: :crd_v221_additional_orders_card_validation,
+             config: {
+               inputs: {
+                 valid_cards_with_suggestions: {
+                   name: :order_select_valid_cards_with_suggestions
+                 }
+               }
+             }
+        test from: :crd_v221_request_form_completion_response_validation,
+             config: {
+               inputs: {
+                 valid_system_actions: {
+                   name: :order_select_valid_system_actions
+                 },
+                 valid_cards_with_suggestions: {
+                   name: :order_select_valid_cards_with_suggestions
+                 }
+               }
+             }
+        test from: :crd_v221_create_or_update_coverage_info_response_validation,
+             config: {
+               inputs: {
+                 valid_system_actions: {
+                   name: :order_select_valid_system_actions
+                 },
+                 valid_cards_with_suggestions: {
+                   name: :order_select_valid_cards_with_suggestions
+                 }
+               }
+             }
+        test from: :crd_v221_coverage_info_configuration
+        test from: :crd_v221_unknown_configuration
+        test from: :crd_v221_unknown_context
+        test from: :crd_v221_unknown_cds_hooks_elements
+      end
+    end
+  end
+end

data/lib/davinci_crd_test_kit/server/v2.2.1/server_order_sign_group.rb

@@ -0,0 +1,241 @@
+require_relative '../../cross_suite/tags'
+require_relative 'interaction/server_invoke_hook_test'
+require_relative 'verify_request/service_request_required_fields_validation_test'
+require_relative 'verify_request/service_request_optional_fields_validation_test'
+require_relative 'verify_request/service_request_context_validation_test'
+require_relative 'verify_response/service_response_validation_test'
+require_relative 'verify_response/card_optional_fields_validation_test'
+require_relative 'verify_response/external_reference_card_validation_test'
+require_relative 'verify_response/launch_smart_app_card_validation_test'
+require_relative 'verify_response/instructions_card_received_test'
+require_relative 'verify_response/coverage_information_system_action_received_test'
+require_relative 'verify_response/coverage_information_system_action_validation_test'
+require_relative 'verify_response/coverage_info_configuration_test'
+require_relative 'verify_response/propose_alternate_request_card_validation_test'
+require_relative 'verify_response/additional_orders_validation_test'
+require_relative 'verify_response/form_completion_response_validation_test'
+require_relative 'verify_response/create_or_update_coverage_info_response_validation_test'
+require_relative 'verify_response/all_responses_include_coverage_information_test'
+require_relative 'verify_response/unknown_configuration_test'
+require_relative 'verify_response/unknown_context_test'
+require_relative 'verify_response/unknown_cds_hooks_elements_test'
+
+module DaVinciCRDTestKit
+  module V221
+    class ServerOrderSignGroup < Inferno::TestGroup
+      title 'order-sign'
+      id :crd_v221_server_order_sign
+      description %(
+        This group of tests invokes the order-sign hook and ensures that
+        the user-provided requests are valid as per the requirements described
+        in the [CRD IG section on order-sign hook](https://hl7.org/fhir/us/davinci-crd/STU2/hooks.html#order-sign)
+        and the [CDS Hooks specification section on order-sign context](https://cds-hooks.hl7.org/hooks/order-sign/2023SepSTU1Ballot/order-sign/).
+        It also ensures that the contents of the server's response are valid as per the requirements described in
+        the [CRD IG section on order-sign hook](https://hl7.org/fhir/us/davinci-crd/STU2/hooks.html#order-sign)
+        and the [CDS Hooks section on CDS Service Response](https://cds-hooks.hl7.org/2.0/#cds-service-response).
+
+        The [CRD IG section on order-sign hook](https://hl7.org/fhir/us/davinci-crd/STU2/hooks.html#order-sign)
+        states that "servers SHALL, at minimum, support returning and processing the Coverage Information
+        system action for all invocations of this hook."
+
+        This group includes tests to validate the following CRD response types:
+        - [additional orders as companions/prerequisites](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#identify-additional-orders-as-companionsprerequisites-for-current-order)\
+        - optional
+        - [Coverage Information](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#coverage-information)
+        - [Create or update coverage information](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#create-or-update-coverage-information)\
+        - optional
+        - [External Reference](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#external-reference) - optional
+        - [Instructions](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#instructions) - optional
+        - [Launch SMART application](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#launch-smart-application) -
+        optional
+        - [Propose alternate request](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#propose-alternate-request) -
+        optional
+        - [Request form completion](https://hl7.org/fhir/us/davinci-crd/STU2/cards.html#request-form-completion) -
+        optional
+      )
+      # verifies_requirements 'hl7.fhir.us.davinci-crd_2.0.1@164', 'hl7.fhir.us.davinci-crd_2.0.1@168',
+      #                       'hl7.fhir.us.davinci-crd_2.0.1@217', 'hl7.fhir.us.davinci-crd_2.0.1@226'
+
+      config options: { hook_name: ORDER_SIGN_TAG }
+      run_as_group
+
+      group do
+        title 'Interaction'
+
+        test from: :crd_v221_server_invoke_hook_test,
+             config: {
+               inputs: {
+                 service_ids: {
+                   name: :order_sign_service_ids,
+                   title: 'Service id for the service that implements the `order-sign` hook'
+                 },
+                 service_request_bodies: {
+                   name: :order_sign_request_bodies,
+                   title: 'Request body or bodies for invoking the `order-sign` hook'
+                 }
+               }
+             }
+      end
+
+      group do
+        title 'Requests'
+
+        test from: :crd_v221_service_request_required_fields_validation,
+             config: {
+               outputs: {
+                 contexts: {
+                   name: :order_sign_contexts
+                 }
+               }
+             }
+        test from: :crd_v221_service_request_context_validation,
+             config: {
+               inputs: {
+                 contexts: {
+                   name: :order_sign_contexts
+                 }
+               }
+             }
+        test from: :crd_v221_service_request_optional_fields_validation
+      end
+
+      group do
+        title 'Responses'
+
+        test from: :crd_v221_service_response_validation,
+             config: {
+               outputs: {
+                 valid_cards: {
+                   name: :order_sign_valid_cards
+                 },
+                 valid_system_actions: {
+                   name: :order_sign_valid_system_actions
+                 }
+               }
+             }
+        test from: :crd_v221_card_optional_fields_validation,
+             config: {
+               inputs: {
+                 valid_cards: {
+                   name: :order_sign_valid_cards
+                 }
+               },
+               outputs: {
+                 valid_cards_with_links: {
+                   name: :order_sign_valid_cards_with_links
+                 },
+                 valid_cards_with_suggestions: {
+                   name: :order_sign_valid_cards_with_suggestions
+                 }
+               }
+             }
+        test from: :crd_v221_external_reference_card_validation,
+             config: {
+               inputs: {
+                 valid_cards_with_links: {
+                   name: :order_sign_valid_cards_with_links
+                 }
+               }
+             }
+        test from: :crd_v221_launch_smart_app_card_validation,
+             config: {
+               inputs: {
+                 valid_cards_with_links: {
+                   name: :order_sign_valid_cards_with_links
+                 }
+               }
+             }
+        test from: :crd_v221_valid_instructions_card_received,
+             config: {
+               inputs: {
+                 valid_cards: {
+                   name: :order_sign_valid_cards
+                 }
+               }
+             }
+        test from: :crd_v221_coverage_info_system_action_received,
+             config: {
+               inputs: {
+                 valid_system_actions: {
+                   name: :order_sign_valid_system_actions
+                 }
+               },
+               outputs: {
+                 coverage_info: {
+                   name: :order_sign_coverage_info
+                 }
+               }
+             },
+             verifies_requirements: [
+               'hl7.fhir.us.davinci-crd_2.2.1@resp-26'
+             ]
+        test from: :crd_v221_coverage_info_system_action_validation,
+             config: {
+               inputs: {
+                 coverage_info: {
+                   name: :order_sign_coverage_info
+                 }
+               }
+             },
+             verifies_requirements: [
+               'hl7.fhir.us.davinci-crd_2.2.1@resp-25'
+             ]
+        test from: :crd_v221_all_responses_include_coverage_information,
+             verifies_requirements: [
+               'hl7.fhir.us.davinci-crd_2.2.1@hook-16',
+               'hl7.fhir.us.davinci-crd_2.2.1@resp-28',
+               # This requirement has a typo. It says 'order-select' but it
+               # should be 'order-sign'.
+               # https://jira.hl7.org/browse/FHIR-56985
+               'hl7.fhir.us.davinci-crd_2.2.1@hook-39',
+               'hl7.fhir.us.davinci-crd_2.2.1@resp-29'
+             ]
+        test from: :crd_v221_propose_alternate_request_card_validation,
+             config: {
+               inputs: {
+                 valid_cards_with_suggestions: {
+                   name: :order_sign_valid_cards_with_suggestions
+                 },
+                 contexts: {
+                   name: :order_sign_contexts
+                 }
+               }
+             }
+        test from: :crd_v221_additional_orders_card_validation,
+             config: {
+               inputs: {
+                 valid_cards_with_suggestions: {
+                   name: :order_sign_valid_cards_with_suggestions
+                 }
+               }
+             }
+        test from: :crd_v221_request_form_completion_response_validation,
+             config: {
+               inputs: {
+                 valid_system_actions: {
+                   name: :order_sign_valid_system_actions
+                 },
+                 valid_cards_with_suggestions: {
+                   name: :order_sign_valid_cards_with_suggestions
+                 }
+               }
+             }
+        test from: :crd_v221_create_or_update_coverage_info_response_validation,
+             config: {
+               inputs: {
+                 valid_system_actions: {
+                   name: :order_sign_valid_system_actions
+                 },
+                 valid_cards_with_suggestions: {
+                   name: :order_sign_valid_cards_with_suggestions
+                 }
+               }
+             }
+        test from: :crd_v221_coverage_info_configuration
+        test from: :crd_v221_unknown_configuration
+        test from: :crd_v221_unknown_context
+        test from: :crd_v221_unknown_cds_hooks_elements
+      end
+    end
+  end
+end

data/lib/davinci_crd_test_kit/server/v2.2.1/server_required_card_response_validation_group.rb

@@ -0,0 +1,30 @@
+require_relative 'must_support/coverage_information_system_action_across_hooks_validation_test'
+require_relative 'must_support/coverage_information_must_support_test'
+require_relative 'verify_response/verify_response_without_billing_options_test'
+require_relative 'must_support/supported_us_core_versions_test'
+require_relative 'verify_response/verify_response_without_configuration_test'
+require_relative 'verify_request/service_request_no_custom_extensions_test'
+
+module DaVinciCRDTestKit
+  module V221
+    class ServerRequiredCardResponseValidationGroup < Inferno::TestGroup
+      title 'Cross-Hook Response Validation'
+      description %(
+        This group contains tests to verify the behavior of the server responses
+        across all hooks.
+      )
+      # verifies_requirements 'hl7.fhir.us.davinci-crd_2.0.1@247', 'hl7.fhir.us.davinci-crd_2.0.1@248',
+      #                       'hl7.fhir.us.davinci-crd_2.0.1@249'
+
+      id :crd_v221_server_required_card_response_validation
+      run_as_group
+
+      test from: :crd_v221_coverage_info_system_action_across_hooks_validation
+      test from: :crd_v221_coverage_information_must_support
+      test from: :verify_response_without_billing_options
+      test from: :verify_response_without_configuration
+      test from: :crd_v221_supported_us_core_versions
+      test from: :crd_v221_service_request_no_custom_extensions
+    end
+  end
+end

data/lib/davinci_crd_test_kit/server/v2.2.1/server_urls.rb

@@ -0,0 +1,13 @@
+require_relative '../server_base_urls'
+
+module DaVinciCRDTestKit
+  module V221
+    module ServerURLs
+      include ServerBaseURLs
+
+      def suite_id
+        DaVinciCRDTestKit::V221::CRDServerSuite.id
+      end
+    end
+  end
+end

data/lib/davinci_crd_test_kit/server/v2.2.1/verify_request/service_request_context_validation_test.rb

@@ -0,0 +1,30 @@
+require_relative '../../server_hook_request_validation'
+require_relative '../../server_test_helper'
+require_relative '../../server_hook_helper'
+
+module DaVinciCRDTestKit
+  module V221
+    class ServiceRequestContextValidationTest < Inferno::Test
+      include DaVinciCRDTestKit::ServerHookRequestValidation
+      include DaVinciCRDTestKit::ServerTestHelper
+      include DaVinciCRDTestKit::ServerHookHelper
+
+      title 'Service request contexts are valid'
+      id :crd_v221_service_request_context_validation
+      description %(
+        This test verifies that all service requests `context` field is valid and contains all the
+        required fields.
+      )
+      input :contexts, :invoked_hook
+
+      run do
+        parsed_contexts = parse_json(contexts)
+        parsed_contexts.each do |context|
+          hook_request_context_check(context, invoked_hook, ig_version: 'v221')
+        end
+
+        no_error_validation('Some contexts are not valid.')
+      end
+    end
+  end
+end

data/lib/davinci_crd_test_kit/server/v2.2.1/verify_request/service_request_no_custom_extensions_test.rb

@@ -0,0 +1,120 @@
+require_relative '../../resource_extractor'
+require_relative '../../server_hook_helper'
+
+module DaVinciCRDTestKit
+  module V221
+    class ServiceRequestNoCustomExtensionsTest < Inferno::Test
+      include DaVinciCRDTestKit::ResourceExtractor
+      include DaVinciCRDTestKit::ServerHookHelper
+
+      US_CORE_EXTENSION_URLS = [
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-direct',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race',
+        'http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-extension-questionnaire-uri',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation',
+        'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence',
+        'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'
+      ].freeze
+
+      CRD_EXTENSION_URLS = [
+        'http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information',
+        'http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options',
+        'http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-request-category',
+        'http://hl7.org/fhir/StructureDefinition/codeOptions',
+        'http://hl7.org/fhir/StructureDefinition/alternate-reference',
+        'http://hl7.org/fhir/5.0/StructureDefinition/extension-CommunicationRequest.payload.content',
+        'http://hl7.org/fhir/5.0/StructureDefinition/extension-Task.requestedPeriod',
+        'http://hl7.org/fhir/5.0/StructureDefinition/extension-Task.requestedPerformer',
+        'http://hl7.org/fhir/5.0/StructureDefinition/extension-Task.performer',
+        'http://hl7.org/fhir/StructureDefinition/request-doNotPerform',
+        'http://hl7.org/fhir/5.0/StructureDefinition/extension-Task.input.value',
+        'http://hl7.org/fhir/5.0/StructureDefinition/extension-Task.output.value',
+        'http://hl7.org/fhir/5.0/StructureDefinition/extension-Task.statusReason'
+      ].freeze
+
+      HREX_EXTENSION_URLS = [
+        'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/extension-CoverageDavinciWellknownLocation'
+      ].freeze
+
+      VALID_EXTENSION_URLS = (US_CORE_EXTENSION_URLS + CRD_EXTENSION_URLS + HREX_EXTENSION_URLS).freeze
+
+      title 'Server does not require custom extensions'
+      id :crd_v221_service_request_no_custom_extensions
+      description %(
+        This test verifies that the server is capable of responding to a client
+        without the use of any custom extensions. It inspects each successful
+        hook call, and if it finds one which doesn't use any extensions not
+        defined by US Core, CRD, or HREX it passes.
+      )
+
+      verifies_requirements 'hl7.fhir.us.davinci-crd_2.2.1@conf-7',
+                            'hl7.fhir.us.davinci-crd_2.2.1@hook-22'
+
+      run do
+        ALL_HOOK_TAGS.each do |tag|
+          load_tagged_requests(tag)
+        end
+
+        skip_if requests.blank?, 'No requests were made in a previous test as expected.'
+
+        successful_requests = requests.select { |request| request.status == 200 }
+
+        skip_if successful_requests.empty?, 'All service requests were unsuccessful.'
+
+        embedded_resources =
+          successful_requests
+            .map { |request| resources_from_request(request) }
+            .reject(&:blank?)
+
+        skip_if embedded_resources.blank?,
+                'No embedded FHIR resources were found in successful hook requests.'
+
+        request_with_no_custom_extensions =
+          embedded_resources.any? { |resources| resources.all? { |resource| no_custom_extensions? resource } }
+
+        pass_if request_with_no_custom_extensions
+
+        custom_extensions_string =
+          embedded_resources
+            .flatten
+            .flat_map { |resource| custom_extensions(resource) }
+            .uniq
+            .map { |extension| "\n- `#{extension}`" }
+            .join
+
+        skip 'No requests were made without custom extensions. The following custom extensions were found: ' \
+             "#{custom_extensions_string}"
+      end
+
+      def no_custom_extensions?(resource)
+        resource.each_element do |value, _metadata, path|
+          next unless value.is_a? FHIR::Extension
+
+          next if path.scan('extension').length > 1
+
+          return false unless VALID_EXTENSION_URLS.include? value.url
+        end
+
+        true
+      end
+
+      def custom_extensions(resource)
+        [].tap do |custom_extensions|
+          resource.each_element do |value, _metadata, path|
+            next unless value.is_a? FHIR::Extension
+
+            next if path.scan('extension').length > 1
+
+            custom_extensions << value.url unless VALID_EXTENSION_URLS.include? value.url
+          end
+        end
+      end
+    end
+  end
+end