davinci_pas_test_kit 0.13.2 → 0.13.3
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/davinci_pas_test_kit/client_suite.rb +13 -0
- data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_inquiry/client_inquire_request_claim_inquiry_must_support_test.rb +0 -1
- data/lib/davinci_pas_test_kit/generated/v2.0.1/server_suite.rb +13 -0
- data/lib/davinci_pas_test_kit/generator/must_support_test_generator.rb +1 -3
- data/lib/davinci_pas_test_kit/generator/templates/suite.rb.erb +13 -0
- data/lib/davinci_pas_test_kit/requirements/{davinci-pas-test-kit_requirements.csv → davinci_pas_test_kit_requirements.csv} +227 -211
- data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v201_requirements_coverage.csv +123 -0
- data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_server_suite_v201_requirements_coverage.csv +240 -0
- data/lib/davinci_pas_test_kit/requirements/hl7.fhir.us.davinci-pas_2.0.1_requirements.xlsx +0 -0
- data/lib/davinci_pas_test_kit/version.rb +2 -2
- data/lib/davinci_pas_test_kit.rb +0 -1
- metadata +14 -16
- data/lib/davinci_pas_test_kit/requirements/davinci-pas-test-kit_out_of_scope_requirements.csv +0 -11
- data/lib/davinci_pas_test_kit/requirements/generated/davinci-pas-test-kit_requirements_coverage.csv +0 -214
- data/lib/inferno_requirements_tools/ext/inferno_core/runnable.rb +0 -22
- data/lib/inferno_requirements_tools/tasks/requirements_coverage.rb +0 -284
- data/lib/requirements_config.yaml +0 -17
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Req Set,ID,URL,Requirement,Conformance,Actors,Conditionality,Not Tested Reason,Not Tested Details,Da Vinci PAS Client Suite v2.0.1 Short ID(s),Da Vinci PAS Client Suite v2.0.1 Full ID(s)
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hl7.fhir.us.davinci-pas_2.0.1,4,https://hl7.org/fhir/us/davinci-pas/STU2/usecases.html#scope-of-work-flow,[The processes described in this IG] **SHOULD** not be used for any Medication that is covered under a prescription drug program benefit where PA is provided by another electronic exchange process (e.g. NCPCP SCRIPT),SHOULD NOT,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,9,https://hl7.org/fhir/us/davinci-pas/STU2/usecases.html#gather-prior-authorization-information,Information gathered to support prior authorization is expected to be stored in the EHR in addition to being used as part of the prior authorization request process.,SHOULD,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,10,https://hl7.org/fhir/us/davinci-pas/STU2/usecases.html#gather-prior-authorization-information,"As well, EHRs **SHOULD** annotate their orders with the decisions contained in the PAS Response.",SHOULD,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,11,https://hl7.org/fhir/us/davinci-pas/STU2/usecases.html#submit-prior-authorization,"Prior to sending clinical data as part of the PAS exchange, the provider (or their designated agent) **SHALL** have the ability, but not an obligation, to review patient information and where appropriate amend or withhold submission to comply with current regulations and relevant provider policies.",SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,21,https://hl7.org/fhir/us/davinci-pas/STU2/additionalinfo.html,"For guidance when the provider is not able to complete the Task, refer to the [When The Task Cannot Be Completed CDex section](http://hl7.org/fhir/us/davinci-cdex/STU2/task-based-approach.html#when-the-task-cannot-be-completed).",SHOULD,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,22,https://hl7.org/fhir/us/davinci-pas/STU2/additionalinfo.html,"[When responding to requests for additional information i]f the Task.code is “attachment-request-code”, the provider system returns attachment(s) identified by the LOINC attachment code(s) or the PWK01 cod(s) [sic] in the “attachments-needed” input parameter.",SHALL,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,23,https://hl7.org/fhir/us/davinci-pas/STU2/additionalinfo.html,"[When responding to requests for additional information i]f the code is “attachment-request-questionnaire”, the provider system uses Documentation Templates and Rules (DTR) to complete the Questionnaire referenced in the “questionnaires-needed” input parameter.",SHALL,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,24,https://hl7.org/fhir/us/davinci-pas/STU2/additionalinfo.html,[To provide gathered additional information to the payer] the provider system uses the $submit-attachment operation to return the information to the endpoint provided in “payer-url” input parameter.,SHALL,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,34,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,The HRex IG defines some [conformance expectations](http://hl7.org/fhir/us/davinci-hrex/conformance.html) that all Da Vinci IGs are expected to follow.,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,39,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems **SHALL** be capable of receiving all data elements that are marked as Must Support on the Claim Response,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,40,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems **SHALL** be capable of receiving all data elements that are marked as Must Support on the … Claim Inquiry Response,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,41,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems … **SHALL** not generate an error or cause the application to fail when receiving any data element that is marked as Must Support.,SHALL NOT,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,42,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems **SHOULD NOT** send any data elements that are not marked as Must Support,SHOULD NOT,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,45,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,[Clients] **SHALL** also support the US Core R4 profiles for Condition,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,47,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,[Clients] **SHALL** also support the US Core R4 profiles for … Observation,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,49,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,[Clients] **SHALL** also support the US Core R4 profiles for … Procedure,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,51,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,[Clients] **SHOULD** support any other [US Core] profiles relevant to the types of prior authorizations they process.,SHOULD,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,52,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,Clients ... supporting this implementation guide **SHOULD** also comply with the Da Vinci [Coverage Requirements Discovery (CRD)](http://www.hl7.org/fhir/us/davinci-crd) implementation guide,SHOULD,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,54,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,Clients supporting this implementation guide **SHOULD** also comply with the Da Vinci ... [Documentation Templates and Rules (DTR)](http://www.hl7.org/fhir/us/davinci-dtr) implementation guide,SHOULD,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,57,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,[Clients] claiming conformance to this IG **SHALL** comply with the [Security and Privacy page in the Da Vinci HRex guide](http://hl7.org/fhir/us/davinci-hrex/security.html).,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,58,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,The primary interaction supported by [clients in] this implementation guide is submitting a prior authorization request and receiving back a response.,SHALL,Client,false,,,"3.1.01, 3.1.02, 3.2.01, 3.2.02, 3.3.1.01, 3.3.2.01, 4.1.01, 6.1.01, 6.1.02, 6.2.01, 6.2.02, 6.3.1.01, 6.3.2.01, 7.1.01, 9.1.01, 9.1.02, 9.2.01, 9.2.02, 9.3.1.01, 9.3.2.01, 10.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test"
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hl7.fhir.us.davinci-pas_2.0.1,59,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,"To perform this [prior authorization request submission], a [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) resource is constructed by the client (EHR) system.",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,60,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,That [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [constructed by the client for prior authorization submission] will contain a [Claim](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-claim.html) resource (which FHIR uses to submit prior authorization requests),SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,61,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,That [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [constructed by the client for prior authorization submission] will contain … various referenced resources needed to support the population of the 5010 version of the ASC X12N 278 prior authorization request and the 6020 version of the ASC X12N 275 additional documentation transactions.,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,62,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,This [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [constructed by the client for prior authorization submission] will then be sent as the sole payload of a [Claim submit](https://hl7.org/fhir/us/davinci-pas/STU2/OperationDefinition-Claim-submit.html) operation.,SHALL,Client,false,,,"3.1.01, 3.2.01, 3.3.1.01, 4.1.01, 6.1.01, 6.2.01, 6.3.1.01, 7.1.01, 9.1.01, 9.2.01, 9.3.1.01, 10.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test"
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hl7.fhir.us.davinci-pas_2.0.1,67,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,A subscription-based mechanism can then be used by the client to be informed of updates to the authorization.,SHALL,Client,true,,,"3.3.1.01, 6.3.1.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
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hl7.fhir.us.davinci-pas_2.0.1,68,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,"As well, the client (or other interested systems - e.g. patient, caregiver or performing provider systems) can use the [Claim inquire operation](https://hl7.org/fhir/us/davinci-pas/STU2/OperationDefinition-Claim-inquiry.html) to query for the final results.",MAY,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,69,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,"During this period of time, the same Claim submit operation can be used [by clients] to request cancellation or modification of the prior authorization.",MAY,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,70,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The Claim submit operation is executed by POSTing a FHIR Bundle to the [base url]/Claim/$submit endpoint.,SHALL,Client,false,,,"3.1.01, 3.2.01, 3.3.1.01, 4.1.01, 6.1.01, 6.2.01, 6.3.1.01, 7.1.01, 9.1.01, 9.2.01, 9.3.1.01, 10.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test"
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hl7.fhir.us.davinci-pas_2.0.1,71,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"When an EHR configures itself to support a payer’s PAS service, it will need to identify which Payer(s) the service supports such that it can ensure that the EHR only sends service calls to PAS services that the patient has current coverage for.",SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,73,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,Provider and EHR Vendor organizations MAY leverage the [payer registry] developed by PDex (which will eventually fold into the national directory under FAST) as a means of determining which endpoints exist for which payers as candidates for configuration.,MAY,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,74,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The Bundle **SHALL** be encoded in JSON,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,75,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The first entry in the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [for prior authorization submission] **SHALL** be a Claim resource complying with the [profile](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-claim.html) defined in this IG to ensure the content is sufficient to appropriately populate an X12N 278 message.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 3.3.4.01, 6.1.02, 6.2.02, 6.3.2.01, 6.3.4.01, 9.1.02, 9.2.02, 9.3.2.01, 9.3.4.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,76,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Additional [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle entries [for prior authorization submission] **SHALL** be populated with any resources referenced by the Claim resource (and any resources referenced by those resources, fully traversing all references and complying with all identified profiles).",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,77,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Note that even if a given resource instance is referenced multiple times [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission], it **SHALL** only appear in the Bundle once. E.g., if the same Practitioner information is referenced in multiple places, only one Practitioner instance should be created - referenced from multiple places as appropriate.",SHALL,Client,true,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,78,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Bundle.entry.fullUrl values [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission] **SHALL** be:
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- the URL at which the resource is available from the EHR if exposed via the client’s REST interface; or
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- the form “urn:uuid:[some guid]”",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,79,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"All GUIDs used [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) Bundle.entry.fullUrl element for prior authorization submission] **SHALL** be unique, including across independent prior authorization submissions - with the exception that the same resource instance being referenced in distinct prior authorization request Bundles can have the same GUID.",SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,80,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,[A]ny “supporting information” resources needed to process the prior authorization request (whether determined by DTR processes or by other means) must also be included in the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,81,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,Relevant resources referenced by those “supporting information” resources **SHALL** also be included (e.g. prescriber Practitioner and Medication for a MedicationRequest) [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) Bundle.entry.fullUrl element for prior authorization submission].,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,82,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Any such [""supporting information""] resource [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) Bundle.entry.fullUrl element for prior authorization submission] that has a US Core profile SHALL comply with the relevant US Core profiles.",SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,83,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,All “supporting information” resources included in the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [for prior authorization submission] **SHALL** be pointed to by the Claim resource using the Claim.supportingInfo.valueReference element.,SHALL,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,84,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"To attach PDFs, CDAs, JPGs, a DocumentReference instance should be used.",SHOULD,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,85,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The Claim.supportingInfo.sequence for each entry **SHALL** be unique within the Claim.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,86,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,All resources [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission] **SHALL** comply with their respective profiles.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 6.1.02, 6.2.02, 6.3.2.01, 9.1.02, 9.2.02, 9.3.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test"
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hl7.fhir.us.davinci-pas_2.0.1,87,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,FHIR elements not marked as ‘must support’ MAY be included in resources within the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [for prior authorization submission],MAY,Client,false,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,88,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,[C]lient systems should have no expectation of such [non-must support] elements [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission] being processed by the payer unless prior arrangements have been made,SHOULD,Client,true,,,"",""
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hl7.fhir.us.davinci-pas_2.0.1,109,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-transaction-error-handling,[S]enders of the transaction should look for the following responses and then take appropriate actions.,SHOULD,Client,false,Not Verifiable,The specification does not provide clear details on the indicated responses (unclear diagram),NA,NA
|
52
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+
hl7.fhir.us.davinci-pas_2.0.1,117,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#http-responses,These errors [from a payer indicating non-fatal issues to be addressed in the future] should not be returned to the provider but should be reviewed and addressed by technical staff.,SHOULD,Client,true,,,"",""
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53
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+
hl7.fhir.us.davinci-pas_2.0.1,119,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The [prior authorization inquiry operation](https://hl7.org/fhir/us/davinci-pas/STU2/OperationDefinition-Claim-inquiry.html) allows for [clients to make] inquiries about prior authorization submissions.,SHALL,Client,false,,,"3.3.1.01, 6.3.1.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
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54
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+
hl7.fhir.us.davinci-pas_2.0.1,120,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,Providers are expected to perform the same query-by-example inquiry even under the CMS exception. This Implementation Guide does not specify a different way of searching for prior authorizations in the exception case.,SHALL,Client,true,,,"3.3.1.01, 6.3.1.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
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55
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+
hl7.fhir.us.davinci-pas_2.0.1,121,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The parameter to the inquiry operation is a [PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html),SHALL,Client,false,,,"3.3.4.01, 6.3.4.01, 9.3.4.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test"
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56
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+
hl7.fhir.us.davinci-pas_2.0.1,122,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The [[PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html)] parameter to the inquiry operation ... has a Claim Inquiry profile instance,SHALL,Client,false,,,"3.3.4.01, 6.3.4.01, 9.3.4.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test"
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57
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+
hl7.fhir.us.davinci-pas_2.0.1,123,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The [[PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html)] parameter to the inquiry operation ... has ... any referenced resources [from the claim],SHALL,Client,false,,,"3.3.4.01, 6.3.4.01, 9.3.4.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test"
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58
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+
hl7.fhir.us.davinci-pas_2.0.1,125,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain a requesting provider organization,SHALL,Client,false,,,"3.3.4.01, 6.3.4.01, 9.3.4.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test"
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59
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+
hl7.fhir.us.davinci-pas_2.0.1,126,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain ... a payer organization,SHALL,Client,false,,,"3.3.4.01, 6.3.4.01, 9.3.4.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test"
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60
|
+
hl7.fhir.us.davinci-pas_2.0.1,127,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain ... a patient for the inquiry,SHALL,Client,false,,,"3.3.4.01, 6.3.4.01, 9.3.4.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test"
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61
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+
hl7.fhir.us.davinci-pas_2.0.1,128,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,"The operation does not allow inquiries that do not identify a specific patient, such as an inquiry for all prior authorization requests submitted on a specific date.",SHALL NOT,Client,false,,,"3.3.4.01, 6.3.4.01, 9.3.4.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test"
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62
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+
hl7.fhir.us.davinci-pas_2.0.1,137,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#pended-authorization-responses,"To retrieve the [prior authorization decision] response at a later point, [Client] implementers **SHALL** support subscriptions.",SHALL,Client,false,,,"2.01, 5.01, 8.01","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-pas_client_v201_subscription_create_test"
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63
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+
hl7.fhir.us.davinci-pas_2.0.1,140,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#subscription,[Clients] SHALL support the R4 Subscriptions referenced in the [Subscriptions for R5 Backport Implementation Guide](http://hl7.org/fhir/uv/subscriptions-backport/).,SHALL,Client,false,,,"2.01, 5.01, 8.01","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-pas_client_v201_subscription_create_test"
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64
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+
hl7.fhir.us.davinci-pas_2.0.1,142,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#subscription,"When using the subscription retrieval mechanism, the Client will POST a new Subscription instance to the Server’s [base]/Subscription endpoint.",SHALL,Client,false,,,"2.01, 5.01, 8.01","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-pas_client_v201_subscription_create_test"
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65
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+
hl7.fhir.us.davinci-pas_2.0.1,143,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#subscription,The subscription topic is created at the level of the requesting provider organization and not at the level of each individual prior authorization request. The Subscription parameters SHALL be identifier = [requesting provider organization id].,SHALL,Client,false,,,"2.03, 5.03, 8.03","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-pas_client_v201_subscription_pas_conformance_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-pas_client_v201_subscription_pas_conformance_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-pas_client_v201_subscription_pas_conformance_test"
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66
|
+
hl7.fhir.us.davinci-pas_2.0.1,144,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#subscription,PAS Clients ... **SHALL** support subscriptions with content=’id-only’,SHALL,Client,false,,,"",""
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67
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+
hl7.fhir.us.davinci-pas_2.0.1,146,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#subscription,PAS Clients ... **MAY** by mutual agreement [with Server partners] and with appropriate security arrangements in place for push notifications containing PHI also support content=’full-resource’.,MAY,Client,false,,,"",""
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68
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+
hl7.fhir.us.davinci-pas_2.0.1,153,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#subscription,"Upon receiving a notification, the Client **SHALL** - when convenient and if necessary - execute a query.",SHALL,Client,false,,,"3.3.1.01, 6.3.1.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
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69
|
+
hl7.fhir.us.davinci-pas_2.0.1,154,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#checking-status,Systems other than the requesting system may choose not to subscribe to the prior authorization response but instead to check the status at the request of a user,MAY,Client,false,,,"",""
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70
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+
hl7.fhir.us.davinci-pas_2.0.1,156,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,"Since submitting an update for a new authorization is frequently player/plan-specific, this IG recommends that an update is attempted first. If that is rejected or the provider knows in advance that an update will not succeed, the a new authorization request should be made.",SHOULD,Client,false,,,"",""
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71
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+
hl7.fhir.us.davinci-pas_2.0.1,157,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,There are four types of changes possible [by clients]: … [including c]anceling the entire prior authorization (including all contained items),MAY,Client,true,,,"",""
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72
|
+
hl7.fhir.us.davinci-pas_2.0.1,158,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,There are four types of changes possible [by clients]: … [including i]tems within the request can be canceled.,MAY,Client,true,,,"",""
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73
|
+
hl7.fhir.us.davinci-pas_2.0.1,159,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,Systems **SHALL** communicate a cancellation of an item if the corresponding order is canceled and a final authorization determination has not yet been received for that item.,SHALL,Client,true,,,"",""
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74
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+
hl7.fhir.us.davinci-pas_2.0.1,160,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,"There are four types of changes possible [by clients]: … [including c]ertain elements can be revised within a previously submitted item. Specifically, the Claim.billablePeriod",MAY,Client,true,,,"",""
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75
|
+
hl7.fhir.us.davinci-pas_2.0.1,161,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,"There are four types of changes possible [by clients]: … [including c]ertain elements can be revised within a previously submitted item. Specifically, ... Claim.item.serviced[x]",MAY,Client,true,,,"",""
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76
|
+
hl7.fhir.us.davinci-pas_2.0.1,162,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,"There are four types of changes possible [by clients]: … [including c]ertain elements can be revised within a previously submitted item. Specifically, ... Claim.item.quantity",MAY,Client,true,,,"",""
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77
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+
hl7.fhir.us.davinci-pas_2.0.1,163,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,"There are four types of changes possible [by clients]: … [including c]ertain elements can be revised within a previously submitted item. Specifically, ... Claim.item.net.",MAY,Client,true,,,"",""
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78
|
+
hl7.fhir.us.davinci-pas_2.0.1,164,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,Other types of changes [to elements where updates are not allowed] are accomplished by canceling an existing item and adding a new item.,SHALL,Client,true,,,"",""
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79
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+
hl7.fhir.us.davinci-pas_2.0.1,165,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,There are four types of changes possible [by clients]: … [including a]dditional items and/or supporting documentation can be added to the prior authorization request.,MAY,Client,true,,,"",""
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80
|
+
hl7.fhir.us.davinci-pas_2.0.1,166,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,[A submitted claim] update is requested by creating a new Bundle containing a new Claim resource with its own unique Claim.identifier and posting it using the $submit operation.,SHALL,Client,true,,,"",""
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81
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+
hl7.fhir.us.davinci-pas_2.0.1,167,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,That [new Claim] resource will point to the previous [replaced] Claim using the Claim.related element.,SHALL,Client,true,,,"",""
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82
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+
hl7.fhir.us.davinci-pas_2.0.1,168,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,The relationship type [of the updated Claim] will be ‘replaces’.,SHALL,Client,true,,,"",""
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83
|
+
hl7.fhir.us.davinci-pas_2.0.1,169,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,The new claim resource instance [for the updated Claim] will comply with the [Revised Prior Authorization](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-claim-update.html) profile.,SHALL,Client,true,,,"",""
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84
|
+
hl7.fhir.us.davinci-pas_2.0.1,170,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,**All** items and supporting information is included in the Bundle - including items that have not changed at all.,SHALL,Client,true,,,"",""
|
85
|
+
hl7.fhir.us.davinci-pas_2.0.1,171,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,"Any items within the Claim that have been canceled (where the cancellation is at the item level, not at the whole prior authorization level) will be flagged with the [cancelled](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-modifierextension-infoCancelled.html) modifierExtension. This indicates that the item is no longer actually part of the prior authorization request and is included only to distinguish it as ‘canceled’.",SHALL,Client,true,,,"",""
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86
|
+
hl7.fhir.us.davinci-pas_2.0.1,172,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,"[When submitting an update,] if an item was canceled previously, it will still have a ‘canceled’ modifier extension, even though the cancellation is not new.",SHALL,Client,true,,,"",""
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87
|
+
hl7.fhir.us.davinci-pas_2.0.1,173,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,The [Certification Type extension](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-extension-certificationType.html) with the appropriate code is used to indicate that each item previously requested is being canceled (using the code ‘3’ - Cancel).,SHALL,Client,true,,,"",""
|
88
|
+
hl7.fhir.us.davinci-pas_2.0.1,174,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,All items and supportingInfo elements that have been added or changed (including flagging them as cancelled) must be marked with a [changed](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-extension-infoChanged.html) extension that indicates that the element was changed and what type of change has happened. (Newly marking an item as canceled is considered a ‘change’.),SHALL,Client,true,,,"",""
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89
|
+
hl7.fhir.us.davinci-pas_2.0.1,175,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#updating-authorization-requests,"Only the items that have changed in this submission will be marked with the ‘changed’ extension. Elements that were previously added, modified or canceled will not be marked as changes unless they have been further changed in this version of the prior authorization.",SHALL,Client,true,,,"",""
|
90
|
+
hl7.fhir.us.davinci-pas_2.0.1,184,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#responses-to-changed-prior-authorization-requests,"If the prior authorization response is a denial, it is not permitted to send an ‘update’ to the request. Instead, a new request must be initiated.",SHALL,Client,false,,,"",""
|
91
|
+
hl7.fhir.us.davinci-pas_2.0.1,186,https://hl7.org/fhir/us/davinci-pas/STU2/privacy.html,"[Clients] submitting prior authorization requests using PAS must be aware of (and adhere to) their responsibilities with respect to data sharing imposed by regulations such as HIPAA’s “minimum necessary” rule, patient consent rules, etc.",SHALL,Client,false,,,"",""
|
92
|
+
hl7.fhir.us.davinci-pas_2.0.1,187,https://hl7.org/fhir/us/davinci-pas/STU2/privacy.html,[Clients] **SHALL** permit provider review of [prior authorization submission] data prior to transmission,SHALL,Client,false,,,"",""
|
93
|
+
hl7.fhir.us.davinci-pas_2.0.1,188,https://hl7.org/fhir/us/davinci-pas/STU2/privacy.html,[Clients] **SHALL NOT** require such review [by providers before prior authorization submission].,SHALL NOT,Client,false,,,"",""
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94
|
+
hl7.fhir.us.davinci-pas_2.0.1,190,https://hl7.org/fhir/us/davinci-pas/STU2/privacy.html,[Under HIPAA’s “minimum necessary” regulations] providers are responsible for ensuring that only data that is reasonably relevant to the prior authorization decision is transmitted.,SHALL,Client,false,,,"",""
|
95
|
+
hl7.fhir.us.davinci-pas_2.0.1,195,https://hl7.org/fhir/us/davinci-pas/STU2/privacy.html,Every [client] system implementing the Prior Authorization guide will need to be aware of and follow the guidance in the FHIR Core Specification on [Clinical Safety](http://hl7.org/fhir/safety.html),SHALL,Client,false,,,"",""
|
96
|
+
hl7.fhir.us.davinci-pas_2.0.1,197,https://hl7.org/fhir/us/davinci-pas/STU2/privacy.html,Every [client] system implementing the Prior Authorization guide will need to be aware of and follow the guidance in ... the [Security and Privacy page in the Da Vinci HRex guide](http://hl7.org/fhir/us/davinci-hrex/security.html).,SHALL,Client,false,,,"",""
|
97
|
+
hl7.fhir.us.davinci-pas_2.0.1,200,https://hl7.org/fhir/us/davinci-pas/STU2/epaWorkflow.html#pas-epa-coordinator-information,[T]he exchanges between the provider HIT (including any ePA) and the payer HIT (including any ePA) SHALL replicate all of the defined exchanges between provider and intermediary or the intermediary and payer,SHALL,Client,false,,,"",""
|
98
|
+
hl7.fhir.us.davinci-pas_2.0.1,201,https://hl7.org/fhir/us/davinci-pas/STU2/metrics.html#metric-data-model,PAS implementers **SHOULD** store [Metric] information for each PAS call in a manner that would allow them to respond to measures based on this logical model.,SHOULD,"Client,Server",false,,,"",""
|
99
|
+
hl7.fhir.us.davinci-pas_2.0.1,202,https://hl7.org/fhir/us/davinci-pas/STU2/CapabilityStatement-EHRCapabilities.html,[Clients **SHALL** support the Claim Submit Operation],SHALL,Client,false,,,"3.1.01, 3.2.01, 3.3.1.01, 4.1.01, 6.1.01, 6.2.01, 6.3.1.01, 7.1.01, 9.1.01, 9.2.01, 9.3.1.01, 10.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_submit_must_support_use_case-pas_client_submit_v201_must_support_test"
|
100
|
+
hl7.fhir.us.davinci-pas_2.0.1,203,https://hl7.org/fhir/us/davinci-pas/STU2/CapabilityStatement-EHRCapabilities.html,[Clients **SHALL** support the Claim Inquiry Operation],SHALL,Client,false,,,"3.3.1.01, 6.3.1.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
|
101
|
+
hl7.fhir.us.davinci-pas_2.0.1,204,https://hl7.org/fhir/us/davinci-pas/STU2/CapabilityStatement-EHRCapabilities.html,[Clients **SHALL** support the Subscription Read interaction],SHALL,Client,false,,,"",""
|
102
|
+
hl7.fhir.us.davinci-pas_2.0.1,205,https://hl7.org/fhir/us/davinci-pas/STU2/CapabilityStatement-EHRCapabilities.html,[Clients **SHALL** support the Subscription Update interaction],SHALL,Client,false,,,"",""
|
103
|
+
hl7.fhir.us.davinci-pas_2.0.1,206,https://hl7.org/fhir/us/davinci-pas/STU2/CapabilityStatement-EHRCapabilities.html,[Clients **SHALL** support the Subscription Delete interaction],SHALL,Client,false,,,"",""
|
104
|
+
hl7.fhir.us.davinci-pas_2.0.1,214,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"In the context of an HRex compliant IG, mustSupport on any data element **SHALL** be interpreted [to mean that] … Data Consumers **SHALL** be capable of processing resource instances containing the data elements without generating an error or causing the application to fail.",SHALL,Client,false,,,"",""
|
105
|
+
hl7.fhir.us.davinci-pas_2.0.1,217,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"In the context of an HRex compliant IG, mustSupport on any data element **SHALL** be interpreted [to mean that] … Data Consumers **SHALL** interpret missing data elements within resource instances as data not being present in the Data Source’s systems or was not deemed to be shareable with the Data Consumer for privacy or other business reasons.",SHALL,Client,true,,,"",""
|
106
|
+
hl7.fhir.us.davinci-pas_2.0.1,219,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,"In the context of an HRex compliant IG, mustSupport on any data element **SHALL** be interpreted [to mean that] … Data Consumers **SHALL** be able to process resource instances containing data elements that have extensions in place of a value where such extensions are declared as part of the profile.",SHALL,Client,true,,,"",""
|
107
|
+
hl7.fhir.us.davinci-pas_2.0.1,221,https://hl7.org/fhir/us/davinci-hrex/STU1/conformance.html,[R]eceivers **SHOULD NOT** reject instances that contain unexpected [non-must support] data elements if those elements are not [modifier elements](http://hl7.org/fhir/R4/conformance-rules.html#isModifier).,SHOULD NOT,Client,true,,,"",""
|
108
|
+
hl7.fhir.uv.subscriptions_1.1.0,17,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#scoping-responsibilities,"Therefore, clients SHOULD be aware of some limitations regarding delivery. In particular: - Some notifications might not be delivered. Some notifications might be delivered multiple times",SHOULD,Client,,,,"",""
|
109
|
+
hl7.fhir.uv.subscriptions_1.1.0,23,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,"To receive notifications via HTTP/S POST, a client should request a subscription with the channel type of rest-hook and set the endpoint to the appropriate client URL.",SHALL,Client,,,,"",""
|
110
|
+
hl7.fhir.uv.subscriptions_1.1.0,24,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,This URL [for the subscription notification endpoint] must be accessible by the hosting server.,SHALL,Client,,,,"3.3.3.03, 6.3.3.03, 9.3.3.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group03-subscriptions_r4_client_event_notification_verification"
|
111
|
+
hl7.fhir.uv.subscriptions_1.1.0,61,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#backport-channel-type-1,"Clients supporting this guide MAY support this [backport-channel-type extension - https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-channel-type.html] extension, as necessary for their use case.",MAY,Client,,Not Verifiable,"In the context of this implementation guide, details on how to receive notifications over a custom channel do not exist.",NA,NA
|
112
|
+
hl7.fhir.uv.subscriptions_1.1.0,64,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#backport-filter-criteria-1,Clients supporting this guide SHALL be able to write values in this [backport-filter-criteria - https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-filter-criteria.html] extension.,SHALL,Client,,,,"",""
|
113
|
+
hl7.fhir.uv.subscriptions_1.1.0,68,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#backport-payload-content-1,Clients supporting this guide SHALL be able to write values in this [backport-payload-content - https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-payload-content.html] extension.,SHALL,Client,,,,"2.02, 5.02, 8.02","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-subscriptions_r4_client_subscription_verification, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-subscriptions_r4_client_subscription_verification, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-subscriptions_r4_client_subscription_verification"
|
114
|
+
hl7.fhir.uv.subscriptions_1.1.0,71,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#notification-entry-subscriptionstatus-1,Clients supporting this guide SHALL be able to process a valid R4 Backported R5 SubscriptionStatus resource without errors.,SHALL,Client,,,,"2.04, 3.3.3.03, 5.04, 6.3.3.03, 8.04, 9.3.3.03","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-subscriptions_r4_client_handshake_notification_verification, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-subscriptions_r4_client_handshake_notification_verification, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-subscriptions_r4_client_handshake_notification_verification, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group03-subscriptions_r4_client_event_notification_verification"
|
115
|
+
hl7.fhir.uv.subscriptions_1.1.0,76,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#subscriptioncriteria-1,Clients supporting this guide SHALL be able to write subscription topic URLs into this [Subscription.criteria] element.,SHALL,Client,,,,"2.02, 5.02, 8.02","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-subscriptions_r4_client_subscription_verification, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-subscriptions_r4_client_subscription_verification, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-subscriptions_r4_client_subscription_verification"
|
116
|
+
hl7.fhir.uv.subscriptions_1.1.0,81,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/errors.html#handling-errors-as-a-server,"Discovering the error state and recovering from it are responsibilities of the subscriber. This includes resetting the Subscription to an active or requested status - a client is responsible for requesting re-activation of a subscription. Note: this is important because a subscriber must make the determination of how to recover from an error state; if a server arbitrarily resets a subscription, a subscriber may not be aware of missing notifications.",SHALL,Client,,,,"",""
|
117
|
+
hl7.fhir.uv.subscriptions_1.1.0,82,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/errors.html#recovering-from-errors,"Once an application has returned to a functional state, it should request the subscription is reactivated by updating the status to either requested or active as appropriate.",SHALL,Client,,,,"",""
|
118
|
+
hl7.fhir.uv.subscriptions_1.1.0,85,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/errors.html#using-the-events-operation,"During a recovery process, clients MAY try to retrieve missing events via the $events operation, which should allow processing to continue as normal.",MAY,Client,,,,"",""
|
119
|
+
hl7.fhir.uv.subscriptions_1.1.0,86,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#subscriptions,"In order to promote widespread compatibility, cross version extensions SHOULD NOT be used [clients should not put into Subscriptions they create] on R4 subscriptions to describe any elements also described by this guide",SHOULD NOT,Client,,,,"2.02, 5.02, 8.02","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-subscriptions_r4_client_subscription_verification, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-subscriptions_r4_client_subscription_verification, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-subscriptions_r4_client_subscription_verification"
|
120
|
+
hl7.fhir.uv.subscriptions_1.1.0,88,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#subscriptions-and-fhir-versions,"Note that subscription notifications, by default, are made using the same FHIR version as the server. The Subscription.channel.payload element can be used [by clients] to specify a different FHIR version, using syntax and values defined by the MIME Type Parameter.",MAY,Client,,Not Tested,"MAY requirement, support for which doesn't imply other requirements. Additionally, Inferno won't be able to accept non-R4 subscriptions.",NA,NA
|
121
|
+
hl7.fhir.uv.subscriptions_1.1.0,96,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-subscription-definitions.html#root,Subscription.criteria.extension:filterCriteria: Keys can be either search parameters appropriate to the filtering resource or keys defined within the subscription topic.,SHALL,Client,,,,"",""
|
122
|
+
hl7.fhir.uv.subscriptions_1.1.0,116,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/OperationDefinition-backport-subscription-events.html,"[the content input indicates the] Requested content style of returned data. Codes from backport-content-value-set (e.g., empty, id-only, full-resource).",SHALL,Client,,,,"",""
|
123
|
+
hl7.fhir.uv.subscriptions_1.1.0,132,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-subscription-status-r4.html,[several SubscriptionStatus profile elements are flagged as must support],MAY,Client,,Not Verifiable,IG doesn't indicate what must support requirements are for the SubscriptionStatus profile (in contrast to the Subscription profile where they are provided),NA,NA
|