davinci_pas_test_kit 0.12.2 → 0.13.0

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Files changed (106) hide show
  1. checksums.yaml +4 -4
  2. data/config/presets/pas_server_subscription_creation_against_pas_client.json +32 -0
  3. data/lib/davinci_pas_test_kit/certs/InfernoCA.key +52 -0
  4. data/lib/davinci_pas_test_kit/certs/InfernoCA.pem +35 -0
  5. data/lib/davinci_pas_test_kit/certs/TestKit.pem +32 -0
  6. data/lib/davinci_pas_test_kit/certs/TestKitPrivateKey.key +28 -0
  7. data/lib/davinci_pas_test_kit/client_suite.rb +141 -100
  8. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_registration/configuration_other_display_test.rb +46 -0
  9. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_registration/configuration_smart_display_test.rb +37 -0
  10. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_registration/configuration_udap_display_test.rb +37 -0
  11. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_registration/other_auth_attest_test.rb +36 -0
  12. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_approval_submit_test.rb +21 -10
  13. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_denial_submit_test.rb +20 -10
  14. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_inquire_must_support_test.rb +21 -9
  15. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_pended_submit_test.rb +24 -14
  16. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_response_attest.rb +4 -9
  17. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_submit_must_support_test.rb +21 -9
  18. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_subscription_create_test.rb +23 -13
  19. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_subscription_pas_conformance_test.rb +5 -24
  20. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/error_tests/pas_inquiry_error_test.rb +1 -0
  21. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/error_tests/pas_submission_error_test.rb +3 -1
  22. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/notification/pas_subscription_notification_test.rb +24 -20
  23. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_approval_group.rb +6 -4
  24. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_auth_smart_group.rb +32 -0
  25. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_auth_udap_group.rb +31 -0
  26. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_denial_group.rb +10 -4
  27. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_must_support_group.rb +29 -0
  28. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_options.rb +25 -0
  29. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_pended_group.rb +11 -4
  30. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_registration_group.rb +63 -0
  31. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_subscription_setup_group.rb +23 -0
  32. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_workflows_group.rb +21 -0
  33. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_server_subscription_input_conformance.rb +35 -0
  34. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_server_subscription_setup.rb +43 -0
  35. data/lib/davinci_pas_test_kit/descriptions.rb +10 -0
  36. data/lib/davinci_pas_test_kit/docs/client_suite_description_v201.md +203 -79
  37. data/lib/davinci_pas_test_kit/docs/demo/PAS Client Suite Demonstration.postman_collection.json +246 -0
  38. data/lib/davinci_pas_test_kit/docs/server_suite_description_v201.md +21 -10
  39. data/lib/davinci_pas_test_kit/endpoints/claim_endpoint.rb +13 -1
  40. data/lib/davinci_pas_test_kit/endpoints/subscription_create_endpoint.rb +13 -1
  41. data/lib/davinci_pas_test_kit/endpoints/subscription_status_endpoint.rb +10 -1
  42. data/lib/davinci_pas_test_kit/endpoints/token_endpoint.rb +29 -15
  43. data/lib/davinci_pas_test_kit/generated/v2.0.1/beneficiary/metadata.yml +2 -1
  44. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim/claim_operation_test.rb +1 -2
  45. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim/metadata.yml +28 -17
  46. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_inquiry/claim_inquiry_operation_test.rb +1 -2
  47. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_inquiry/client_inquire_request_claim_inquiry_must_support_test.rb +4 -1
  48. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_inquiry/metadata.yml +7 -1
  49. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_inquiry/server_inquire_request_claim_inquiry_must_support_test.rb +3 -1
  50. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_update/client_submit_request_claim_update_must_support_test.rb +9 -3
  51. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_update/metadata.yml +28 -17
  52. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_update/server_submit_request_claim_update_must_support_test.rb +9 -3
  53. data/lib/davinci_pas_test_kit/generated/v2.0.1/claiminquiryresponse/metadata.yml +6 -0
  54. data/lib/davinci_pas_test_kit/generated/v2.0.1/claiminquiryresponse/server_inquire_response_claiminquiryresponse_must_support_test.rb +1 -1
  55. data/lib/davinci_pas_test_kit/generated/v2.0.1/claimresponse/metadata.yml +8 -0
  56. data/lib/davinci_pas_test_kit/generated/v2.0.1/claimresponse/server_submit_response_claimresponse_must_support_test.rb +1 -1
  57. data/lib/davinci_pas_test_kit/generated/v2.0.1/communication_request/metadata.yml +4 -0
  58. data/lib/davinci_pas_test_kit/generated/v2.0.1/coverage/metadata.yml +11 -5
  59. data/lib/davinci_pas_test_kit/generated/v2.0.1/device_request/metadata.yml +2 -0
  60. data/lib/davinci_pas_test_kit/generated/v2.0.1/encounter/metadata.yml +6 -0
  61. data/lib/davinci_pas_test_kit/generated/v2.0.1/insurer/metadata.yml +4 -2
  62. data/lib/davinci_pas_test_kit/generated/v2.0.1/medication_request/metadata.yml +2 -0
  63. data/lib/davinci_pas_test_kit/generated/v2.0.1/metadata.yml +153 -53
  64. data/lib/davinci_pas_test_kit/generated/v2.0.1/nutrition_order/metadata.yml +2 -0
  65. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_request_bundle/metadata.yml +2 -1
  66. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_request_bundle/server_pas_inquiry_request_bundle_validation_test.rb +0 -2
  67. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_response_bundle/metadata.yml +2 -1
  68. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_response_bundle/server_pas_inquiry_response_bundle_validation_test.rb +2 -3
  69. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_request_bundle/metadata.yml +2 -1
  70. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_request_bundle/server_pas_request_bundle_validation_test.rb +0 -2
  71. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_response_bundle/metadata.yml +2 -1
  72. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_response_bundle/server_pas_response_bundle_validation_test.rb +2 -3
  73. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_server_approval_use_case_group.rb +0 -1
  74. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_server_denial_use_case_group.rb +0 -1
  75. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_server_must_support_use_case_group.rb +3 -0
  76. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_server_pended_use_case_group.rb +10 -3
  77. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner/metadata.yml +2 -1
  78. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner_role/metadata.yml +4 -0
  79. data/lib/davinci_pas_test_kit/generated/v2.0.1/requestor/metadata.yml +4 -2
  80. data/lib/davinci_pas_test_kit/generated/v2.0.1/server_suite.rb +8 -5
  81. data/lib/davinci_pas_test_kit/generated/v2.0.1/service_request/metadata.yml +2 -0
  82. data/lib/davinci_pas_test_kit/generated/v2.0.1/task/metadata.yml +4 -0
  83. data/lib/davinci_pas_test_kit/generator/group_generator.rb +20 -4
  84. data/lib/davinci_pas_test_kit/generator/group_metadata_extractor.rb +2 -2
  85. data/lib/davinci_pas_test_kit/generator/ig_resources.rb +4 -0
  86. data/lib/davinci_pas_test_kit/generator/must_support_test_generator.rb +14 -3
  87. data/lib/davinci_pas_test_kit/generator/operation_test_generator.rb +16 -3
  88. data/lib/davinci_pas_test_kit/generator/templates/group.rb.erb +10 -3
  89. data/lib/davinci_pas_test_kit/generator/templates/must_support.rb.erb +3 -0
  90. data/lib/davinci_pas_test_kit/generator/templates/operation.rb.erb +4 -1
  91. data/lib/davinci_pas_test_kit/generator/templates/suite.rb.erb +8 -5
  92. data/lib/davinci_pas_test_kit/generator/templates/validation.rb.erb +5 -4
  93. data/lib/davinci_pas_test_kit/generator/validation_test_generator.rb +12 -1
  94. data/lib/davinci_pas_test_kit/must_support_test.rb +2 -202
  95. data/lib/davinci_pas_test_kit/pas_subscription_verification.rb +30 -0
  96. data/lib/davinci_pas_test_kit/requirements/generated/davinci-pas-test-kit_requirements_coverage.csv +58 -58
  97. data/lib/davinci_pas_test_kit/session_identification.rb +45 -0
  98. data/lib/davinci_pas_test_kit/tags.rb +1 -0
  99. data/lib/davinci_pas_test_kit/urls.rb +61 -9
  100. data/lib/davinci_pas_test_kit/version.rb +2 -2
  101. data/lib/requirements_config.yaml +1 -1
  102. metadata +54 -8
  103. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_token_request_test.rb +0 -31
  104. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_token_validation_test.rb +0 -18
  105. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_authentication_group.rb +0 -49
  106. data/lib/davinci_pas_test_kit/generator/must_support_metadata_extractor.rb +0 -327
@@ -0,0 +1,246 @@
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+ {
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+ "info": {
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+ "_postman_id": "060a6bb3-0909-4735-98b3-b1eac864fc43",
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+ "name": "PAS Client Suite Demonstration",
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+ "description": "Details on Variables:\n\n- base_url: points to a running instance of inferno. Typical values will be\n \n - Inferno production: [https://inferno.healthit.gov/suites](https://inferno.healthit.gov/suites)\n \n - Inferno QA: [https://inferno-qa.healthit.gov/suites](https://inferno-qa.healthit.gov/suites)\n \n - Local docker: [http://localhost](http://localhost)\n \n - Local development: [http://localhost:4567](http://localhost:4567)\n \n- session_url_path: used when the client suite is configured to use dedicated session endpoints. This will be the **Session-specific URL path extension** input surrounded by '/' (e.g., if the input is 'xyz', then this variable will be '/xyz/'. If dedicated session endpoints are not in use, this this value must be '/'.\n \n- access_token: used when the client suite is configured to use standards-based auth. Obtain the token using other means, e.g., the UDAP Security Server or SMART App Launch Servers tests, and then copy the resulting token into this variable.",
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+ "schema": "https://schema.getpostman.com/json/collection/v2.1.0/collection.json",
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+ "_exporter_id": "32597978"
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+ },
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+ "item": [
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+ {
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+ "name": "Subscription Setup",
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+ "item": [
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+ {
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+ "name": "Create Subscription Request",
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+ "request": {
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+ "method": "POST",
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+ "header": [],
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+ "body": {
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+ "mode": "raw",
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+ "raw": "{\n \"resourceType\" : \"Subscription\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription\"]\n },\n \"status\" : \"requested\",\n \"reason\" : \"Prior Authorization Update Notification Subscription\",\n \"criteria\" : \"http://hl7.org/fhir/us/davinci-pas/SubscriptionTopic/PASSubscriptionTopic\",\n \"_criteria\" : {\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria\",\n \"valueString\" : \"identifier=8189991234\"\n }]\n },\n \"channel\" : {\n \"type\" : \"rest-hook\",\n \"endpoint\" : \"https://subscriptions.argo.run/fhir/r4/$subscription-hook\",\n \"payload\" : \"application/json\",\n \"_payload\" : {\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content\",\n \"valueCode\" : \"id-only\"\n }]\n } \n }\n}",
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+ "options": {
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+ "raw": {
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+ "language": "json"
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+ }
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+ }
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+ },
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+ "url": {
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+ "raw": "{{base_url}}/custom/davinci_pas_client_suite_v201{{session_url_path}}fhir/Subscription",
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+ "host": [
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+ "{{base_url}}"
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+ ],
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+ "path": [
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+ "custom",
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+ "davinci_pas_client_suite_v201{{session_url_path}}fhir",
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+ "Subscription"
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+ ]
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+ }
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+ },
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+ "response": []
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+ }
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+ ]
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+ },
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+ {
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+ "name": "Approval Workflow",
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+ "item": [
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+ {
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+ "name": "Prior Auth Request For Approval",
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+ "request": {
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+ "method": "POST",
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+ "header": [
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+ {
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+ "key": "Authorization",
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+ "value": "Bearer: {{access_token}}",
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+ "type": "text"
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+ }
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+ ],
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+ "body": {
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+ "mode": "raw",
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+ "raw": "{\n \"resourceType\": \"Bundle\",\n \"id\": \"ReferralAuthorizationBundleExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle\"\n ]\n },\n \"identifier\": {\n \"system\": \"http://notreal.com/SUBMITTER_TRANSACTION_IDENTIFIER\",\n \"value\": \"A12345\"\n },\n \"type\": \"collection\",\n \"timestamp\": \"2005-05-02T11:01:00+05:00\",\n \"entry\": [\n {\n \"fullUrl\": \"http://notreal.com/fhir/Claim/ReferralAuthorizationExample\",\n \"resource\": {\n \"resourceType\": \"Claim\",\n \"id\": \"ReferralAuthorizationExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim\"\n ]\n },\n \"text\": {\n \"status\": \"extensions\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Claim</b><a name=\\\"ReferralAuthorizationExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Claim &quot;ReferralAuthorizationExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-claim.html\\\">PAS Claim</a></p></div><p><b>LevelOfServiceCode</b>: Urgent <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1338#U)</span></p><p><b>identifier</b>: id:\\u00a0111099</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html\\\">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: Patient/SubscriberExample</p><p><b>created</b>: 2005-05-02 11:01:00+0500</p><p><b>insurer</b>: Organization/InsurerExample</p><p><b>provider</b>: Organization/UMOExample</p><p><b>priority</b>: Normal <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html\\\">Process Priority Codes</a>#normal)</span></p><h3>CareTeams</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td/><td>1</td><td>PractitionerRole/ReferralPractitionerRoleExample</td></tr></table><h3>Diagnoses</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td/><td>1</td><td>G89.4 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10CM.html\\\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#G89.4)</span></td></tr></table><h3>Insurances</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td>1</td><td>true</td><td>Coverage/InsuranceExample</td></tr></table><h3>Items</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>CareTeamSequence</b></td><td><b>DiagnosisSequence</b></td><td><b>Category</b></td><td><b>ProductOrService</b></td><td><b>Location[x]</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td>, , , , , , , , , </td><td>1</td><td>1</td><td>1</td><td>Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></td><td>Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></td><td>11 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-CMSPlaceofServiceCodes.html\\\">CMS Place of Service Codes (POS)</a>#11)</span></td></tr></table></div>\"\n },\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1338\",\n \"code\": \"U\",\n \"display\": \"Urgent\"\n }\n ]\n }\n }\n ],\n \"identifier\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierJurisdiction\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://www.usps.com/\",\n \"code\": \"MA\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierSubDepartment\",\n \"valueString\": \"223412\"\n }\n ],\n \"system\": \"http://notreal.com/PATIENT_EVENT_TRACE_NUMBER\",\n \"value\": \"111099\",\n \"assigner\": {\n \"identifier\": {\n \"system\": \"http://notreal.com/USER_ASSIGNED\",\n \"value\": \"9012345678\"\n }\n }\n }\n ],\n \"status\": \"active\",\n \"type\": {\n \"coding\": [\n {\n \"system\": \"http://terminology.hl7.org/CodeSystem/claim-type\",\n \"code\": \"professional\"\n }\n ]\n },\n \"use\": \"preauthorization\",\n \"patient\": {\n \"reference\": \"Patient/SubscriberExample\"\n },\n \"created\": \"2005-05-02T11:01:00+05:00\",\n \"insurer\": {\n \"reference\": \"Organization/InsurerExample\"\n },\n \"provider\": {\n \"reference\": \"Organization/UMOExample\"\n },\n \"priority\": {\n \"coding\": [\n {\n \"system\": \"http://terminology.hl7.org/CodeSystem/processpriority\",\n \"code\": \"normal\"\n }\n ]\n },\n \"careTeam\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope\",\n \"valueBoolean\": true\n }\n ],\n \"sequence\": 1,\n \"provider\": {\n \"reference\": \"PractitionerRole/ReferralPractitionerRoleExample\"\n }\n }\n ],\n \"diagnosis\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate\",\n \"valueDate\": \"2021-05-10\"\n }\n ],\n \"sequence\": 1,\n \"diagnosisCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/icd-10-cm\",\n \"code\": \"G89.4\"\n }\n ]\n }\n }\n ],\n \"insurance\": [\n {\n \"sequence\": 1,\n \"focal\": true,\n \"coverage\": {\n \"reference\": \"Coverage/InsuranceExample\"\n }\n }\n ],\n \"item\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber\",\n \"valueIdentifier\": {\n \"system\": \"http://notreal.com/ITEM_TRACE_NUMBER\",\n \"value\": \"1122334\"\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber\",\n \"valueString\": \"1122445\"\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber\",\n \"valueString\": \"9988311\"\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1525\",\n \"code\": \"SC\",\n \"display\": \"Specialty Care Review\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1322\",\n \"code\": \"I\",\n \"display\": \"Initial\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService\",\n \"valueReference\": {\n \"reference\": \"ServiceRequest/ReferralRequestExample\"\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator\",\n \"valueBoolean\": false\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1345\",\n \"code\": \"2\",\n \"display\": \"Newly Admitted\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1337\",\n \"code\": \"2\",\n \"display\": \"Intermediate Care Facility (ICF)\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit\",\n \"valueDecimal\": 100\n }\n ],\n \"sequence\": 1,\n \"careTeamSequence\": [\n 1\n ],\n \"diagnosisSequence\": [\n 1\n ],\n \"category\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"productOrService\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"locationCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set\",\n \"code\": \"11\"\n }\n ]\n }\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Organization/UMOExample\",\n \"resource\": {\n \"resourceType\": \"Organization\",\n \"id\": \"UMOExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Organization</b><a name=\\\"UMOExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Organization &quot;UMOExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-requestor.html\\\">PAS Requestor Organization</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#8189991234</p><p><b>active</b>: true</p><p><b>type</b>: X3 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (98#X3)</span></p><p><b>name</b>: DR. JOE SMITH CORPORATION</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"8189991234\"\n }\n ],\n \"active\": true,\n \"type\": [\n {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/98\",\n \"code\": \"X3\"\n }\n ]\n }\n ],\n \"name\": \"DR. JOE SMITH CORPORATION\",\n \"address\": [\n {\n \"line\": [\n \"111 1ST STREET\"\n ],\n \"city\": \"SAN DIEGO\",\n \"state\": \"CA\",\n \"postalCode\": \"92101\",\n \"country\": \"US\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Organization/InsurerExample\",\n \"resource\": {\n \"resourceType\": \"Organization\",\n \"id\": \"InsurerExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Organization</b><a name=\\\"InsurerExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Organization &quot;InsurerExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-insurer.html\\\">PAS Insurer Organization</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#789312</p><p><b>active</b>: true</p><p><b>type</b>: PR <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (98#PR)</span></p><p><b>name</b>: MARYLAND CAPITAL INSURANCE COMPANY</p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"789312\"\n }\n ],\n \"active\": true,\n \"type\": [\n {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/98\",\n \"code\": \"PR\"\n }\n ]\n }\n ],\n \"name\": \"MARYLAND CAPITAL INSURANCE COMPANY\"\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Coverage/InsuranceExample\",\n \"resource\": {\n \"resourceType\": \"Coverage\",\n \"id\": \"InsuranceExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Coverage</b><a name=\\\"InsuranceExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Coverage &quot;InsuranceExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-coverage.html\\\">PAS Coverage</a></p></div><p><b>status</b>: active</p><p><b>beneficiary</b>: Patient/SubscriberExample</p><p><b>payor</b>: Organization/InsurerExample</p></div>\"\n },\n \"status\": \"active\",\n \"beneficiary\": {\n \"reference\": \"Patient/SubscriberExample\"\n },\n \"payor\": [\n {\n \"reference\": \"Organization/InsurerExample\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Patient/SubscriberExample\",\n \"resource\": {\n \"resourceType\": \"Patient\",\n \"id\": \"SubscriberExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber\"\n ]\n },\n \"text\": {\n \"status\": \"extensions\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Patient</b><a name=\\\"SubscriberExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Patient &quot;SubscriberExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-subscriber.html\\\">PAS Subscriber Patient</a></p></div><p><b>MilitaryStatus</b>: RU <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (584#RU)</span></p><p><b>identifier</b>: id:\\u00a012345678901</p><p><b>name</b>: JOE SMITH </p><p><b>gender</b>: male</p></div>\"\n },\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/584\",\n \"code\": \"RU\"\n }\n ]\n }\n }\n ],\n \"identifier\": [\n {\n \"system\": \"http://notreal.com/MIN\",\n \"value\": \"12345678901\"\n }\n ],\n \"name\": [\n {\n \"family\": \"SMITH\",\n \"given\": [\n \"JOE\"\n ]\n }\n ],\n \"gender\": \"male\"\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/ServiceRequest/ReferralRequestExample\",\n \"resource\": {\n \"resourceType\": \"ServiceRequest\",\n \"id\": \"ReferralRequestExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: ServiceRequest</b><a name=\\\"ReferralRequestExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource ServiceRequest &quot;ReferralRequestExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-servicerequest.html\\\">PAS Service Request</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>code</b>: Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></p><p><b>quantity</b>: 1 visit<span style=\\\"background: LightGoldenRodYellow\\\"> (Details: UCUM code 1 = '1')</span></p><p><b>subject</b>: Patient/SubscriberExample</p></div>\"\n },\n \"status\": \"active\",\n \"intent\": \"order\",\n \"code\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"quantityQuantity\": {\n \"value\": 1,\n \"unit\": \"visit\",\n \"system\": \"http://unitsofmeasure.org\",\n \"code\": \"1\"\n },\n \"subject\": {\n \"reference\": \"Patient/SubscriberExample\"\n }\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/PractitionerRole/ReferralPractitionerRoleExample\",\n \"resource\": {\n \"resourceType\": \"PractitionerRole\",\n \"id\": \"ReferralPractitionerRoleExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: PractitionerRole</b><a name=\\\"ReferralPractitionerRoleExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource PractitionerRole &quot;ReferralPractitionerRoleExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-practitionerrole.html\\\">PAS PractitionerRole</a></p></div><p><b>practitioner</b>: Practitioner/ReferralPractitionerExample</p><p><b>location</b>: Location/ReferralLocationExample</p></div>\"\n },\n \"practitioner\": {\n \"reference\": \"Practitioner/ReferralPractitionerExample\"\n },\n \"location\": [\n {\n \"reference\": \"Location/ReferralLocationExample\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Practitioner/ReferralPractitionerExample\",\n \"resource\": {\n \"resourceType\": \"Practitioner\",\n \"id\": \"ReferralPractitionerExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Practitioner</b><a name=\\\"ReferralPractitionerExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Practitioner &quot;ReferralPractitionerExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-practitioner.html\\\">PAS Practitioner</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#987654321</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"987654321\"\n }\n ],\n \"name\": [\n {\n \"family\": \"WATSON\",\n \"given\": [\n \"SUSAN\"\n ]\n }\n ],\n \"telecom\": [\n {\n \"system\": \"phone\",\n \"value\": \"4029993456\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Location/ReferralLocationExample\",\n \"resource\": {\n \"resourceType\": \"Location\",\n \"id\": \"ReferralLocationExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-location\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Location</b><a name=\\\"ReferralLocationExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Location &quot;ReferralLocationExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-location.html\\\">PAS Location Profile</a></p></div><p><b>name</b>: REFERRAL CLINIC</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>\"\n },\n \"name\": \"REFERRAL CLINIC\",\n \"address\": {\n \"line\": [\n \"111 1ST STREET\"\n ],\n \"city\": \"SAN DIEGO\",\n \"state\": \"CA\",\n \"postalCode\": \"92101\",\n \"country\": \"US\"\n }\n }\n }\n ]\n }",
60
+ "options": {
61
+ "raw": {
62
+ "language": "json"
63
+ }
64
+ }
65
+ },
66
+ "url": {
67
+ "raw": "{{base_url}}/custom/davinci_pas_client_suite_v201{{session_url_path}}fhir/Claim/$submit",
68
+ "host": [
69
+ "{{base_url}}"
70
+ ],
71
+ "path": [
72
+ "custom",
73
+ "davinci_pas_client_suite_v201{{session_url_path}}fhir",
74
+ "Claim",
75
+ "$submit"
76
+ ]
77
+ }
78
+ },
79
+ "response": []
80
+ }
81
+ ]
82
+ },
83
+ {
84
+ "name": "Denial Workflow",
85
+ "item": [
86
+ {
87
+ "name": "Prior Auth Request For Denial",
88
+ "request": {
89
+ "method": "POST",
90
+ "header": [
91
+ {
92
+ "key": "Authorization",
93
+ "value": "Bearer: {{access_token}}",
94
+ "type": "text"
95
+ }
96
+ ],
97
+ "body": {
98
+ "mode": "raw",
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174
+ "raw": "{\n \"resourceType\" : \"Bundle\",\n \"id\" : \"60815928-c69f-4503-b0ce-e24d3c2a0591\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle\"]\n },\n \"identifier\" : {\n \"system\" : \"http://notreal.com/SUBMITTER_TRANSACTION_IDENTIFIER\",\n \"value\" : \"902834\"\n },\n \"type\" : \"collection\",\n \"timestamp\" : \"2005-05-02T11:01:00+05:00\",\n \"entry\" : [{\n \"fullUrl\" : \"urn:uuid:2d84327e-1baf-4f68-ac42-41e5c8ad8803\",\n \"resource\" : {\n \"resourceType\" : \"Claim\",\n \"id\" : \"2d84327e-1baf-4f68-ac42-41e5c8ad8803\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://notreal.com/PATIENT_EVENT_TRACE_NUMBER\",\n \"value\" : \"1263291\",\n \"assigner\" : {\n \"identifier\" : {\n \"system\" : \"http://notreal.com/USER_ASSIGNED\",\n \"value\" : \"99102388213\"\n }\n }\n }],\n \"status\" : \"active\",\n \"type\" : {\n \"coding\" : [{\n \"system\" : \"http://terminology.hl7.org/CodeSystem/claim-type\",\n \"code\" : \"professional\"\n }]\n },\n \"use\" : \"preauthorization\",\n \"patient\" : {\n \"reference\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\"\n },\n \"created\" : \"2005-05-02T11:01:00+05:00\",\n \"insurer\" : {\n \"reference\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\"\n },\n \"provider\" : {\n \"reference\" : \"urn:uuid:b0881003-0d22-499d-840b-91dc7f6f4479\"\n },\n \"priority\" : {\n \"coding\" : [{\n \"system\" : \"http://terminology.hl7.org/CodeSystem/processpriority\",\n \"code\" : \"normal\"\n }]\n },\n \"insurance\" : [{\n \"sequence\" : 1,\n \"focal\" : true,\n \"coverage\" : {\n \"reference\" : \"urn:uuid:39f01aed-5a64-4301-8449-82b3d60f330c\"\n }\n }],\n \"item\" : [{\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1525\",\n \"code\" : \"IN\",\n \"display\" : \"Initial Medical Services Reservation\"\n }]\n }\n },\n {\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1322\",\n \"code\" : \"I\",\n \"display\" : \"Initial\"\n }]\n }\n },\n {\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber\",\n \"valueString\" : \"2389983\"\n },\n {\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber\",\n \"valueString\" : \"12385668734\"\n }],\n \"sequence\" : 1,\n \"category\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1365\",\n \"code\" : \"1\",\n \"display\" : \"Medical Care\"\n }]\n },\n \"productOrService\" : {\n \"coding\" : [{\n \"system\" : \"http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets\",\n \"code\" : \"99212\",\n \"display\" : \"Established Office Visit\"\n }]\n },\n \"servicedDate\" : \"2005-05-10\",\n \"locationCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set\",\n \"code\" : \"11\"\n }]\n }\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:b0881003-0d22-499d-840b-91dc7f6f4479\",\n \"resource\" : {\n \"resourceType\" : \"Organization\",\n \"id\" : \"b0881003-0d22-499d-840b-91dc7f6f4479\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://hl7.org/fhir/sid/us-npi\",\n \"value\" : \"8189991234\"\n }],\n \"active\" : true,\n \"type\" : [{\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/98\",\n \"code\" : \"X3\"\n }]\n }],\n \"name\" : \"DR. JOE SMITH CORPORATION\",\n \"address\" : [{\n \"line\" : [\"111 1ST STREET\"],\n \"city\" : \"SAN DIEGO\",\n \"state\" : \"CA\",\n \"postalCode\" : \"92101\",\n \"country\" : \"US\"\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\",\n \"resource\" : {\n \"resourceType\" : \"Organization\",\n \"id\" : \"ff7adc9d-8854-4947-874a-8b61bca953c1\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://hl7.org/fhir/sid/us-npi\",\n \"value\" : \"789312\"\n }],\n \"active\" : true,\n \"type\" : [{\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/98\",\n \"code\" : \"PR\"\n }]\n }],\n \"name\" : \"MARYLAND CAPITAL INSURANCE COMPANY\"\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:39f01aed-5a64-4301-8449-82b3d60f330c\",\n \"resource\" : {\n \"resourceType\" : \"Coverage\",\n \"id\" : \"39f01aed-5a64-4301-8449-82b3d60f330c\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage\"]\n },\n \"status\" : \"active\",\n \"beneficiary\" : {\n \"reference\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\"\n },\n \"payor\" : [{\n \"reference\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\"\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\",\n \"resource\" : {\n \"resourceType\" : \"Patient\",\n \"id\" : \"0b321e9e-571b-4f83-8cea-fa23424383bb\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber\"]\n },\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/584\",\n \"code\" : \"RU\"\n }]\n }\n }],\n \"identifier\" : [{\n \"system\" : \"http://notreal.com/MIN\",\n \"value\" : \"12345678901\"\n }],\n \"name\" : [{\n \"family\" : \"SMITH\",\n \"given\" : [\"JOE\"]\n }],\n \"gender\" : \"male\"\n }\n }]\n}",
175
+ "options": {
176
+ "raw": {
177
+ "language": "json"
178
+ }
179
+ }
180
+ },
181
+ "url": {
182
+ "raw": "{{base_url}}/custom/davinci_pas_client_suite_v201{{session_url_path}}fhir/Claim/$inquire",
183
+ "host": [
184
+ "{{base_url}}"
185
+ ],
186
+ "path": [
187
+ "custom",
188
+ "davinci_pas_client_suite_v201{{session_url_path}}fhir",
189
+ "Claim",
190
+ "$inquire"
191
+ ]
192
+ }
193
+ },
194
+ "response": []
195
+ }
196
+ ]
197
+ }
198
+ ],
199
+ "auth": {
200
+ "type": "bearer",
201
+ "bearer": [
202
+ {
203
+ "key": "token",
204
+ "value": "{{access_token}}",
205
+ "type": "string"
206
+ }
207
+ ]
208
+ },
209
+ "event": [
210
+ {
211
+ "listen": "prerequest",
212
+ "script": {
213
+ "type": "text/javascript",
214
+ "exec": [
215
+ ""
216
+ ]
217
+ }
218
+ },
219
+ {
220
+ "listen": "test",
221
+ "script": {
222
+ "type": "text/javascript",
223
+ "exec": [
224
+ ""
225
+ ]
226
+ }
227
+ }
228
+ ],
229
+ "variable": [
230
+ {
231
+ "key": "base_url",
232
+ "value": "https://inferno.healthit.gov/suites",
233
+ "type": "string"
234
+ },
235
+ {
236
+ "key": "session_url_path",
237
+ "value": "/",
238
+ "type": "string"
239
+ },
240
+ {
241
+ "key": "access_token",
242
+ "value": "tbd",
243
+ "type": "string"
244
+ }
245
+ ]
246
+ }
@@ -87,6 +87,27 @@ For single-request fields (e.g., “PAS Submit Request Payload for Approval Resp
87
87
 
88
88
  For multiple-request fields (e.g., “Additional PAS Submit Request Payloads”), the input must be a json array of json-encoded FHIR bundles (e.g., [fhir-bundle-1, fhir-bundle-2, …] where each fhir-bundle-n is a full bundle).
89
89
 
90
+ ### Subscription
91
+
92
+ To provide updates on prior authorization requests that have been pended because a final answer will take longer than
93
+ the allowed response window, servers need to support FHIR Subscriptions. Subscriptions are made at the level of the
94
+ Organization submitting the prior authorization requests and so is expected to be performed once when a provider
95
+ system registers with a specific payer.
96
+
97
+ Inferno supports that workflow by splitting out Subscription setup tests into a group that can be run before the
98
+ pended workflow group. Inferno assumes that the Subscriptions API is located under the same FHIR base URL as
99
+ the `Claim/$submit` operation and that it uses the same authentication. Testers will provide the following inputs:
100
+ - **Pended Prior Authorization Subscription**: A Subscription body for Inferno to submit to the server under test.
101
+ When submitted to the server under test, it should cause notifications to be generated when pended prior
102
+ authorization requests submitted by Inferno are updated. Inferno will modify it to ensure that it points to
103
+ the correct Inferno notification endpoint.
104
+ - **Notification Access Token**: An access token that the server under test will send to Inferno on notifications
105
+ so that the request gets associated with this test session. The token must be provided as a Bearer token in the
106
+ Authorization header of HTTP requests sent to Inferno.
107
+
108
+ During the pended workflow test, testers will demonstrate that an update to the submitted and pended prior authorization
109
+ request causes the Subscription to trigger and send a notification to Inferno.
110
+
90
111
  ## Testing Limitations
91
112
 
92
113
  ### Private X12 details
@@ -125,16 +146,6 @@ These limitations may be removed in future versions of these tests. In the meant
125
146
  requirements to be verified through attestation and should not represent their systems to have passed these tests
126
147
  if these requirements are not met.
127
148
 
128
- ### Underspecified Subscription Details
129
-
130
- The current PAS specification around subscriptions and notifications
131
- is not detailed enough to support testing. Notably,
132
- - There are no examples of what a notification payload looks like
133
- - There is no instruction on how to turn the notification payload into an inquiry
134
-
135
- Once these details have been clarified, validation of the notification workflows
136
- will be added to these tests.
137
-
138
149
  ### Future Details
139
150
 
140
151
  The PAS IG places additional requirements on servers that are not currently tested by this test kit, including
@@ -3,6 +3,7 @@ require_relative '../response_generator'
3
3
  require_relative '../urls'
4
4
  require_relative '../jobs/send_pas_subscription_notification'
5
5
  require 'subscriptions_test_kit'
6
+ require 'udap_security_test_kit'
6
7
 
7
8
  module DaVinciPASTestKit
8
9
  class ClaimEndpoint < Inferno::DSL::SuiteEndpoint
@@ -16,7 +17,11 @@ module DaVinciPASTestKit
16
17
  end
17
18
 
18
19
  def test_run_identifier
19
- request.headers['authorization']&.delete_prefix('Bearer ')
20
+ return request.params[:session_path] if request.params[:session_path].present?
21
+
22
+ UDAPSecurityTestKit::MockUDAPServer.issued_token_to_client_id(
23
+ request.headers['authorization']&.delete_prefix('Bearer ')
24
+ )
20
25
  end
21
26
 
22
27
  def tags
@@ -46,6 +51,8 @@ module DaVinciPASTestKit
46
51
  }.freeze
47
52
 
48
53
  def make_response
54
+ return if response.status == 401 # set in update_result (expired token handling there)
55
+
49
56
  response.status = 200
50
57
  response.format = :json
51
58
 
@@ -80,6 +87,11 @@ module DaVinciPASTestKit
80
87
  end
81
88
 
82
89
  def update_result
90
+ if UDAPSecurityTestKit::MockUDAPServer.request_has_expired_token?(request)
91
+ UDAPSecurityTestKit::MockUDAPServer.update_response_for_expired_token(response)
92
+ return
93
+ end
94
+
83
95
  results_repo.update_result(result.id, 'pass') unless test.config.options[:accepts_multiple_requests]
84
96
  end
85
97
 
@@ -7,10 +7,19 @@ module DaVinciPASTestKit
7
7
  include SubscriptionsTestKit::SubscriptionsR5BackportR4Client::SubscriptionSimulationUtils
8
8
 
9
9
  def test_run_identifier
10
- request.headers['authorization']&.delete_prefix('Bearer ')
10
+ return request.params[:session_path] if request.params[:session_path].present?
11
+
12
+ UDAPSecurityTestKit::MockUDAPServer.issued_token_to_client_id(
13
+ request.headers['authorization']&.delete_prefix('Bearer ')
14
+ )
11
15
  end
12
16
 
13
17
  def make_response
18
+ if UDAPSecurityTestKit::MockUDAPServer.request_has_expired_token?(request)
19
+ update_response_for_expired_token(response)
20
+ return
21
+ end
22
+
14
23
  response.format = :json
15
24
  response.status = 400
16
25
 
@@ -52,6 +61,9 @@ module DaVinciPASTestKit
52
61
  client_endpoint = subscription.channel.endpoint
53
62
  bearer_token = client_access_token_input(result)
54
63
  test_suite_base_url = request.url.chomp('/').chomp(FHIR_SUBSCRIPTION_PATH)
64
+ if request.params[:session_path].present?
65
+ test_suite_base_url = test_suite_base_url.chomp(request.params[:session_path]).chomp('/')
66
+ end
55
67
  Inferno::Jobs.perform(Jobs::SendSubscriptionHandshake, test_run.id, test_run.test_session_id, result.id,
56
68
  subscription_id, subscription_url, client_endpoint, bearer_token, notification_json,
57
69
  test_run_identifier, test_suite_base_url)
@@ -7,10 +7,19 @@ module DaVinciPASTestKit
7
7
  include ResponseGenerator
8
8
 
9
9
  def test_run_identifier
10
- request.headers['authorization']&.delete_prefix('Bearer ')
10
+ return request.params[:session_path] if request.params[:session_path].present?
11
+
12
+ UDAPSecurityTestKit::MockUDAPServer.issued_token_to_client_id(
13
+ request.headers['authorization']&.delete_prefix('Bearer ')
14
+ )
11
15
  end
12
16
 
13
17
  def make_response
18
+ if UDAPSecurityTestKit::MockUDAPServer.request_has_expired_token?(request)
19
+ update_response_for_expired_token(response)
20
+ return
21
+ end
22
+
14
23
  response.format = :json
15
24
  subscription = find_subscription(test_run.test_session_id)
16
25
 
@@ -1,22 +1,36 @@
1
+ # frozen_string_literal: true
2
+
3
+ require 'udap_security_test_kit'
4
+ require 'smart_app_launch_test_kit'
5
+ require_relative '../urls'
6
+ require_relative '../tags'
7
+
1
8
  module DaVinciPASTestKit
2
- class TokenEndpoint < Inferno::DSL::SuiteEndpoint
3
- def test_run_identifier
4
- URI.decode_www_form(request.body.string).to_h['client_id']
5
- end
9
+ module MockUdapSmartServer
10
+ class TokenEndpoint < Inferno::DSL::SuiteEndpoint
11
+ include SMARTAppLaunch::MockSMARTServer::SMARTTokenResponseCreation
12
+ include UDAPSecurityTestKit::MockUDAPServer::UDAPTokenResponseCreation
6
13
 
7
- def tags
8
- [AUTH_TAG]
9
- end
14
+ def test_run_identifier
15
+ UDAPSecurityTestKit::MockUDAPServer.client_id_from_client_assertion(request.params[:client_assertion])
16
+ end
10
17
 
11
- def make_response
12
- # Placeholder for a more complete mock token endpoint
13
- response.status = 200
14
- response.format = :json
15
- response.body = { access_token: SecureRandom.hex, token_type: 'bearer', expires_in: 300 }.to_json
16
- end
18
+ def make_response
19
+ if request.params[:udap].present?
20
+ make_udap_client_credential_token_response
21
+ else
22
+ make_smart_client_credential_token_response
23
+ end
24
+ end
25
+
26
+ def update_result
27
+ nil # never update for now
28
+ end
17
29
 
18
- def update_result
19
- results_repo.update_result(result.id, 'pass')
30
+ def tags
31
+ type_tag = request.params[:udap].present? ? UDAPSecurityTestKit::UDAP_TAG : SMARTAppLaunch::SMART_TAG
32
+ [UDAPSecurityTestKit::TOKEN_TAG, UDAPSecurityTestKit::CLIENT_CREDENTIALS_TAG, type_tag]
33
+ end
20
34
  end
21
35
  end
22
36
  end
@@ -25,7 +25,8 @@
25
25
  :path: extension
26
26
  :url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
27
27
  :slices:
28
- - :name: Patient.multipleBirth[x]:multipleBirthInteger
28
+ - :slice_id: Patient.multipleBirth[x]:multipleBirthInteger
29
+ :slice_name: multipleBirthInteger
29
30
  :path: multipleBirth[x]
30
31
  :discriminator:
31
32
  :type: type
@@ -10,9 +10,8 @@ module DaVinciPASTestKit
10
10
  This test submits a Prior Authorization Submit request to the server and verifies that a
11
11
  response is returned with HTTP status 2XX.
12
12
  The server SHOULD respond within 15 seconds.
13
-
14
13
  )
15
-
14
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.0.1@5', 'hl7.fhir.us.davinci-pas_2.0.1@66', 'hl7.fhir.us.davinci-pas_2.0.1@111', 'hl7.fhir.us.davinci-pas_2.0.1@136', 'hl7.fhir.us.davinci-pas_2.0.1@207'
16
15
 
17
16
  input :pa_submit_request_payload,
18
17
  title: 'PAS Submit Request Payload',