davinci_pas_test_kit 0.14.0 → 0.15.0

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Files changed (461) hide show
  1. checksums.yaml +4 -4
  2. data/config/presets/pas_client_v201_run_against_pas_server.json +39 -0
  3. data/config/presets/pas_client_v221_run_against_pas_server.json +85 -0
  4. data/config/presets/pas_ri.json +2 -2
  5. data/config/presets/pas_server_v201_run_against_pas_client.json.erb +76 -0
  6. data/config/presets/pas_server_v221_run_against_pas_client.json.erb +104 -0
  7. data/lib/davinci_pas_test_kit/client/abstract_approval_submit_test.rb +75 -0
  8. data/lib/davinci_pas_test_kit/client/abstract_denial_submit_test.rb +74 -0
  9. data/lib/davinci_pas_test_kit/client/abstract_gather_must_support_test.rb +160 -0
  10. data/lib/davinci_pas_test_kit/client/abstract_modification_submit_test.rb +78 -0
  11. data/lib/davinci_pas_test_kit/client/abstract_response_attest.rb +64 -0
  12. data/lib/davinci_pas_test_kit/client/abstract_subscription_create_test.rb +57 -0
  13. data/lib/davinci_pas_test_kit/{urls.rb → client/client_urls.rb} +7 -23
  14. data/lib/davinci_pas_test_kit/client/endpoints/claim_endpoint.rb +303 -0
  15. data/lib/davinci_pas_test_kit/{endpoints → client/endpoints}/subscription_create_endpoint.rb +1 -1
  16. data/lib/davinci_pas_test_kit/{endpoints → client/endpoints}/subscription_status_endpoint.rb +1 -1
  17. data/lib/davinci_pas_test_kit/{endpoints → client/endpoints}/token_endpoint.rb +1 -2
  18. data/lib/davinci_pas_test_kit/{generated/v2.0.1/beneficiary/client_submit_request_beneficiary_must_support_test.rb → client/generated/v2.0.1/beneficiary/client_inquire_request_must_support_beneficiary_test.rb} +14 -35
  19. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_inquire_response_must_support_beneficiary_test.rb +59 -0
  20. data/lib/davinci_pas_test_kit/{generated/v2.0.1/beneficiary/client_inquire_request_beneficiary_must_support_test.rb → client/generated/v2.0.1/beneficiary/client_submit_request_must_support_beneficiary_test.rb} +14 -35
  21. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_submit_response_must_support_beneficiary_test.rb +59 -0
  22. data/lib/davinci_pas_test_kit/{generated/v2.0.1/claim_inquiry/client_inquire_request_claim_inquiry_must_support_test.rb → client/generated/v2.0.1/claim_inquiry/client_inquire_request_must_support_claim_inquiry_test.rb} +19 -35
  23. data/lib/davinci_pas_test_kit/{generated/v2.0.1/claim_update/client_submit_request_claim_update_must_support_test.rb → client/generated/v2.0.1/claim_update/client_submit_request_must_support_claim_update_test.rb} +19 -35
  24. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claiminquiryresponse/client_inquire_response_must_support_claiminquiryresponse_test.rb +57 -0
  25. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claimresponse/client_submit_response_must_support_claimresponse_test.rb +59 -0
  26. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/communication_request/client_submit_response_must_support_communication_request_test.rb +42 -0
  27. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/coverage/client_inquire_request_must_support_coverage_test.rb +39 -0
  28. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/coverage/client_submit_request_must_support_coverage_test.rb +39 -0
  29. data/lib/davinci_pas_test_kit/{generated/v2.0.1/encounter/client_submit_request_encounter_must_support_test.rb → client/generated/v2.0.1/encounter/client_submit_request_must_support_encounter_test.rb} +14 -35
  30. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_inquire_request_must_support_insurer_test.rb +44 -0
  31. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_inquire_response_must_support_insurer_test.rb +44 -0
  32. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_submit_request_must_support_insurer_test.rb +44 -0
  33. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_submit_response_must_support_insurer_test.rb +44 -0
  34. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_inquire_must_support_group.rb +48 -0
  35. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_inquire_response_must_support_group.rb +79 -0
  36. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_submit_must_support_group.rb +58 -0
  37. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_submit_response_must_support_group.rb +84 -0
  38. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_inquiry_request_bundle/client_inquire_request_must_support_pas_inquiry_request_bundle_test.rb +37 -0
  39. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_inquiry_response_bundle/client_inquire_response_must_support_pas_inquiry_response_bundle_test.rb +36 -0
  40. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_request_bundle/client_submit_request_must_support_pas_request_bundle_test.rb +37 -0
  41. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_response_bundle/client_submit_response_must_support_pas_response_bundle_test.rb +36 -0
  42. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_inquire_request_must_support_practitioner_test.rb +37 -0
  43. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_inquire_response_must_support_practitioner_test.rb +37 -0
  44. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_submit_request_must_support_practitioner_test.rb +37 -0
  45. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_submit_response_must_support_practitioner_test.rb +37 -0
  46. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_inquire_request_must_support_practitioner_role_test.rb +33 -0
  47. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_inquire_response_must_support_practitioner_role_test.rb +33 -0
  48. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_submit_request_must_support_practitioner_role_test.rb +33 -0
  49. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_submit_response_must_support_practitioner_role_test.rb +33 -0
  50. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_inquire_request_must_support_requestor_test.rb +47 -0
  51. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_inquire_response_must_support_requestor_test.rb +47 -0
  52. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_submit_request_must_support_requestor_test.rb +47 -0
  53. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_submit_response_must_support_requestor_test.rb +47 -0
  54. data/lib/davinci_pas_test_kit/{generated/v2.0.1/subscriber/client_inquire_request_subscriber_must_support_test.rb → client/generated/v2.0.1/subscriber/client_inquire_request_must_support_subscriber_test.rb} +14 -35
  55. data/lib/davinci_pas_test_kit/{generated/v2.0.1/subscriber/client_submit_request_subscriber_must_support_test.rb → client/generated/v2.0.1/subscriber/client_submit_request_must_support_subscriber_test.rb} +14 -35
  56. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/task/client_inquire_response_must_support_task_test.rb +45 -0
  57. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/task/client_submit_response_must_support_task_test.rb +45 -0
  58. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/beneficiary/client_inquire_response_must_support_beneficiary_test.rb +53 -0
  59. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/beneficiary/client_submit_response_must_support_beneficiary_test.rb +53 -0
  60. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claim_inquiry/client_inquire_request_must_support_claim_inquiry_test.rb +123 -0
  61. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claim_update/client_submit_request_must_support_claim_update_test.rb +143 -0
  62. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claiminquiryresponse/client_inquire_response_must_support_claiminquiryresponse_test.rb +102 -0
  63. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claimresponse/client_submit_response_must_support_claimresponse_test.rb +103 -0
  64. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/communication_request/client_submit_response_must_support_communication_request_test.rb +42 -0
  65. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/insurer/client_inquire_response_must_support_insurer_test.rb +47 -0
  66. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/insurer/client_submit_response_must_support_insurer_test.rb +47 -0
  67. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_inquire_must_support_group.rb +60 -0
  68. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_inquire_response_must_support_group.rb +79 -0
  69. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_submit_must_support_group.rb +89 -0
  70. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_submit_response_must_support_group.rb +84 -0
  71. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_inquiry_response_bundle/client_inquire_response_must_support_pas_inquiry_response_bundle_test.rb +38 -0
  72. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_response_bundle/client_submit_response_must_support_pas_response_bundle_test.rb +39 -0
  73. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner/client_inquire_response_must_support_practitioner_test.rb +44 -0
  74. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner/client_submit_response_must_support_practitioner_test.rb +44 -0
  75. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner_role/client_inquire_response_must_support_practitioner_role_test.rb +40 -0
  76. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner_role/client_submit_response_must_support_practitioner_role_test.rb +40 -0
  77. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/requestor/client_inquire_response_must_support_requestor_test.rb +50 -0
  78. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/requestor/client_submit_response_must_support_requestor_test.rb +50 -0
  79. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/task/client_inquire_response_must_support_task_test.rb +55 -0
  80. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/task/client_submit_response_must_support_task_test.rb +55 -0
  81. data/lib/davinci_pas_test_kit/{jobs → client/jobs}/send_pas_subscription_notification.rb +12 -7
  82. data/lib/davinci_pas_test_kit/{jobs → client/jobs}/send_subscription_handshake.rb +1 -1
  83. data/lib/davinci_pas_test_kit/client/metadata/mock_pas_server.rb +26 -0
  84. data/lib/davinci_pas_test_kit/client/metadata/pas_server_capability_statement.json +60 -0
  85. data/lib/davinci_pas_test_kit/client/pas_client_options.rb +23 -0
  86. data/lib/davinci_pas_test_kit/client/pas_client_subscription_pas_conformance_test.rb +33 -0
  87. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_other_display_test.rb +45 -0
  88. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_smart_display_test.rb +37 -0
  89. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_udap_display_test.rb +37 -0
  90. data/lib/davinci_pas_test_kit/client/registration/abstract_other_auth_attest_test.rb +39 -0
  91. data/lib/davinci_pas_test_kit/{response_generator.rb → client/response_generator.rb} +198 -62
  92. data/lib/davinci_pas_test_kit/{session_identification.rb → client/session_identification.rb} +1 -2
  93. data/lib/davinci_pas_test_kit/client/user_input_response.rb +64 -0
  94. data/lib/davinci_pas_test_kit/{client_suite.rb → client/v2.0.1/client_suite.rb} +33 -16
  95. data/lib/davinci_pas_test_kit/client/v2.0.1/must_support/pas_client_gather_must_support_test.rb +12 -0
  96. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/must_support/pas_client_must_support_requirement_test.rb → client/v2.0.1/must_support/pas_client_must_support_request_profiles_test.rb} +12 -46
  97. data/lib/davinci_pas_test_kit/{custom_groups → client}/v2.0.1/pas_client_approval_group.rb +5 -5
  98. data/lib/davinci_pas_test_kit/{custom_groups → client}/v2.0.1/pas_client_auth_smart_group.rb +1 -2
  99. data/lib/davinci_pas_test_kit/{custom_groups → client}/v2.0.1/pas_client_auth_udap_group.rb +1 -2
  100. data/lib/davinci_pas_test_kit/{custom_groups → client}/v2.0.1/pas_client_denial_group.rb +7 -6
  101. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_must_support_group.rb +96 -0
  102. data/lib/davinci_pas_test_kit/{custom_groups → client}/v2.0.1/pas_client_pended_group.rb +13 -10
  103. data/lib/davinci_pas_test_kit/{custom_groups → client}/v2.0.1/pas_client_registration_group.rb +5 -6
  104. data/lib/davinci_pas_test_kit/{custom_groups → client}/v2.0.1/pas_client_subscription_setup_group.rb +6 -3
  105. data/lib/davinci_pas_test_kit/client/v2.0.1/registration/configuration_other_display_test.rb +12 -0
  106. data/lib/davinci_pas_test_kit/client/v2.0.1/registration/configuration_smart_display_test.rb +12 -0
  107. data/lib/davinci_pas_test_kit/client/v2.0.1/registration/configuration_udap_display_test.rb +12 -0
  108. data/lib/davinci_pas_test_kit/client/v2.0.1/registration/other_auth_attest_test.rb +12 -0
  109. data/lib/davinci_pas_test_kit/client/v2.0.1/subscription/pas_client_subscription_create_test.rb +15 -0
  110. data/lib/davinci_pas_test_kit/client/v2.0.1/urls.rb +15 -0
  111. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_approval_submit_test.rb +15 -0
  112. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_denial_submit_test.rb +15 -0
  113. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/client_tests → client/v2.0.1/workflows}/pas_client_inquire_request_bundle_validation_test.rb +1 -3
  114. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/client_tests → client/v2.0.1/workflows}/pas_client_inquire_response_bundle_validation_test.rb +18 -6
  115. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/client_tests → client/v2.0.1/workflows}/pas_client_pended_submit_test.rb +12 -8
  116. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/client_tests → client/v2.0.1/workflows}/pas_client_request_bundle_validation_test.rb +1 -3
  117. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_response_attest.rb +12 -0
  118. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/client_tests → client/v2.0.1/workflows}/pas_client_response_bundle_validation_test.rb +10 -5
  119. data/lib/davinci_pas_test_kit/client/v2.2.1/client_suite.rb +240 -0
  120. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_operation_failure_submit_test.rb +76 -0
  121. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_operation_outcome_validation_test.rb +38 -0
  122. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_processing_error_response_validation_test.rb +55 -0
  123. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_processing_error_submit_test.rb +67 -0
  124. data/lib/davinci_pas_test_kit/client/v2.2.1/must_support/must_support_with_attestation_option.rb +214 -0
  125. data/lib/davinci_pas_test_kit/client/v2.2.1/must_support/pas_client_gather_must_support_test.rb +12 -0
  126. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_approval_group.rb +40 -0
  127. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_auth_smart_group.rb +31 -0
  128. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_auth_udap_group.rb +30 -0
  129. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_claim_updates_group.rb +112 -0
  130. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_denial_group.rb +47 -0
  131. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_error_handling_group.rb +20 -0
  132. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_modification_group.rb +52 -0
  133. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_must_support_group.rb +96 -0
  134. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_operation_failure_group.rb +45 -0
  135. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_pended_group.rb +125 -0
  136. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_processing_error_group.rb +44 -0
  137. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_registration_group.rb +65 -0
  138. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_subscription_setup_group.rb +31 -0
  139. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_workflows_group.rb +25 -0
  140. data/lib/davinci_pas_test_kit/client/v2.2.1/registration/configuration_other_display_test.rb +12 -0
  141. data/lib/davinci_pas_test_kit/client/v2.2.1/registration/configuration_smart_display_test.rb +12 -0
  142. data/lib/davinci_pas_test_kit/client/v2.2.1/registration/configuration_udap_display_test.rb +12 -0
  143. data/lib/davinci_pas_test_kit/client/v2.2.1/registration/other_auth_attest_test.rb +12 -0
  144. data/lib/davinci_pas_test_kit/client/v2.2.1/subscription/pas_client_subscription_create_test.rb +14 -0
  145. data/lib/davinci_pas_test_kit/client/v2.2.1/urls.rb +15 -0
  146. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_approval_submit_test.rb +12 -0
  147. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_cancel_request_test.rb +33 -0
  148. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_cancelled_entries_test.rb +50 -0
  149. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_cancelled_items_certtype_test.rb +47 -0
  150. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_changed_entries_test.rb +100 -0
  151. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_entries_preserved_test.rb +51 -0
  152. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_grandparent_excluded_test.rb +52 -0
  153. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_referenced_claim_test.rb +46 -0
  154. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_referenced_resources_test.rb +43 -0
  155. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_submit_tests.rb +238 -0
  156. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_validation_utils.rb +183 -0
  157. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_denial_submit_test.rb +12 -0
  158. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_inquire_request_bundle_validation_test.rb +55 -0
  159. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_inquire_response_bundle_validation_test.rb +78 -0
  160. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_modification_submit_test.rb +12 -0
  161. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_modification_verification_test.rb +101 -0
  162. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_pended_submit_test.rb +148 -0
  163. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_request_bundle_validation_test.rb +56 -0
  164. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_response_attest.rb +12 -0
  165. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_response_bundle_validation_test.rb +84 -0
  166. data/lib/davinci_pas_test_kit/cross_suite/base_urls.rb +27 -0
  167. data/lib/davinci_pas_test_kit/cross_suite/fhirpath_utils.rb +55 -0
  168. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/beneficiary/metadata.yml +19 -13
  169. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/claim_inquiry/metadata.yml +59 -22
  170. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/claim_update/metadata.yml +60 -22
  171. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/claiminquiryresponse/metadata.yml +17 -10
  172. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/claimresponse/metadata.yml +17 -13
  173. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/communication_request/metadata.yml +7 -13
  174. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/coverage/metadata.yml +8 -12
  175. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/device_request/metadata.yml +1 -6
  176. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/encounter/metadata.yml +6 -5
  177. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/insurer/metadata.yml +16 -13
  178. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/medication_request/metadata.yml +1 -6
  179. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/metadata.yml +276 -135
  180. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/nutrition_order/metadata.yml +1 -6
  181. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/pas_inquiry_request_bundle/metadata.yml +5 -7
  182. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/pas_inquiry_response_bundle/metadata.yml +5 -5
  183. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/pas_request_bundle/metadata.yml +5 -7
  184. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/pas_response_bundle/metadata.yml +5 -5
  185. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/practitioner/metadata.yml +16 -13
  186. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/practitioner_role/metadata.yml +16 -19
  187. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/requestor/metadata.yml +16 -13
  188. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/service_request/metadata.yml +2 -6
  189. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/subscriber/metadata.yml +11 -9
  190. data/lib/davinci_pas_test_kit/{generated → cross_suite/generated}/v2.0.1/task/metadata.yml +8 -5
  191. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/beneficiary/metadata.yml +150 -0
  192. data/lib/davinci_pas_test_kit/{generated/v2.0.1/claim → cross_suite/generated/v2.2.1/claim_inquiry}/metadata.yml +199 -192
  193. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claim_update/metadata.yml +733 -0
  194. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claiminquiryresponse/metadata.yml +456 -0
  195. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claimresponse/metadata.yml +461 -0
  196. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/communication_request/metadata.yml +120 -0
  197. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/coverage/metadata.yml +163 -0
  198. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/must_support/device_request_metadata.yml → cross_suite/generated/v2.2.1/device_request/metadata.yml} +32 -33
  199. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/encounter/metadata.yml +237 -0
  200. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/insurer/metadata.yml +111 -0
  201. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/must_support/medication_request_metadata.yml → cross_suite/generated/v2.2.1/medication_request/metadata.yml} +59 -26
  202. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/metadata.yml +6544 -0
  203. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/must_support/nutrition_order_metadata.yml → cross_suite/generated/v2.2.1/nutrition_order/metadata.yml} +13 -14
  204. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_inquiry_request_bundle/metadata.yml +74 -0
  205. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_inquiry_response_bundle/metadata.yml +70 -0
  206. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_request_bundle/metadata.yml +74 -0
  207. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_response_bundle/metadata.yml +72 -0
  208. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/practitioner/metadata.yml +101 -0
  209. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/practitioner_role/metadata.yml +101 -0
  210. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/requestor/metadata.yml +114 -0
  211. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/must_support/service_request_metadata.yml → cross_suite/generated/v2.2.1/service_request/metadata.yml} +39 -45
  212. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/subscriber/metadata.yml +136 -0
  213. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/task/metadata.yml +237 -0
  214. data/lib/davinci_pas_test_kit/cross_suite/must_support/must_support_data_gathering.rb +111 -0
  215. data/lib/davinci_pas_test_kit/cross_suite/must_support/must_support_request_type_test.rb +75 -0
  216. data/lib/davinci_pas_test_kit/cross_suite/must_support/must_support_test.rb +67 -0
  217. data/lib/davinci_pas_test_kit/{pas_bundle_validation.rb → cross_suite/pas_bundle_validation.rb} +383 -56
  218. data/lib/davinci_pas_test_kit/cross_suite/pas_constants.rb +31 -0
  219. data/lib/davinci_pas_test_kit/cross_suite/pas_notification_verification.rb +120 -0
  220. data/lib/davinci_pas_test_kit/cross_suite/pas_subscription_verification.rb +72 -0
  221. data/lib/davinci_pas_test_kit/cross_suite/response_selection_utils.rb +88 -0
  222. data/lib/davinci_pas_test_kit/cross_suite/tags.rb +35 -0
  223. data/lib/davinci_pas_test_kit/cross_suite/validation_test.rb +25 -0
  224. data/lib/davinci_pas_test_kit/{validator_suppressions.rb → cross_suite/validator_suppressions.rb} +23 -1
  225. data/lib/davinci_pas_test_kit/ext/inferno_core/runnable.rb +22 -0
  226. data/lib/davinci_pas_test_kit/generator/client_must_support_group_generator.rb +230 -0
  227. data/lib/davinci_pas_test_kit/generator/descriptions.rb +95 -0
  228. data/lib/davinci_pas_test_kit/generator/ig_metadata.rb +45 -38
  229. data/lib/davinci_pas_test_kit/generator/ig_metadata_extractor.rb +3 -5
  230. data/lib/davinci_pas_test_kit/generator/{must_support_check_profiles.rb → must_support_target_profiles.rb} +12 -12
  231. data/lib/davinci_pas_test_kit/generator/must_support_test_generator.rb +63 -83
  232. data/lib/davinci_pas_test_kit/generator/pas_must_support_metadata_extractor.rb +129 -0
  233. data/lib/davinci_pas_test_kit/generator/profile_metadata.rb +86 -0
  234. data/lib/davinci_pas_test_kit/generator/{group_metadata_extractor.rb → profile_metadata_extractor.rb} +11 -78
  235. data/lib/davinci_pas_test_kit/generator/server_must_support_group_generator.rb +166 -0
  236. data/lib/davinci_pas_test_kit/generator/{suite_generator.rb → server_suite_generator.rb} +32 -5
  237. data/lib/davinci_pas_test_kit/generator/templates/client_must_support_group.rb.erb +80 -0
  238. data/lib/davinci_pas_test_kit/generator/templates/client_must_support_response_group.rb.erb +43 -0
  239. data/lib/davinci_pas_test_kit/generator/templates/must_support.rb.erb +14 -35
  240. data/lib/davinci_pas_test_kit/generator/templates/server_must_support_group.rb.erb +121 -0
  241. data/lib/davinci_pas_test_kit/generator/templates/{suite.rb.erb → server_suite.rb.erb} +19 -23
  242. data/lib/davinci_pas_test_kit/generator/templates/use_case_group.rb.erb +181 -0
  243. data/lib/davinci_pas_test_kit/generator/use_case_group_generator.rb +227 -0
  244. data/lib/davinci_pas_test_kit/generator.rb +46 -26
  245. data/lib/davinci_pas_test_kit/igs/davinci_pas_2.2.1.tgz +0 -0
  246. data/lib/davinci_pas_test_kit/metadata.rb +21 -55
  247. data/lib/davinci_pas_test_kit/parameters_helper.rb +18 -0
  248. data/lib/davinci_pas_test_kit/pas_notification_conformance_test.rb +40 -0
  249. data/lib/davinci_pas_test_kit/requirements/davinci_pas_test_kit_requirements.csv +121 -0
  250. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v201_requirements_coverage.csv +22 -22
  251. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v221_requirements_coverage.csv +66 -0
  252. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_server_suite_v201_requirements_coverage.csv +42 -42
  253. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_server_suite_v221_requirements_coverage.csv +212 -0
  254. data/lib/davinci_pas_test_kit/requirements/hl7.fhir.us.davinci-pas_2.2.1_requirements.xlsx +0 -0
  255. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/notification/pas_subscription_notification_test.rb → server/abstract_pas_subscription_notification_wait_test.rb} +13 -20
  256. data/lib/davinci_pas_test_kit/server/claim_inquire_operation_test.rb +31 -0
  257. data/lib/davinci_pas_test_kit/server/claim_operation_logic.rb +67 -0
  258. data/lib/davinci_pas_test_kit/server/claim_submit_operation_test.rb +32 -0
  259. data/lib/davinci_pas_test_kit/{generated/v2.0.1/beneficiary/server_submit_request_beneficiary_must_support_test.rb → server/generated/v2.0.1/beneficiary/server_inquire_request_must_support_beneficiary_test.rb} +14 -35
  260. data/lib/davinci_pas_test_kit/{generated/v2.0.1/beneficiary/server_submit_response_beneficiary_must_support_test.rb → server/generated/v2.0.1/beneficiary/server_inquire_response_must_support_beneficiary_test.rb} +16 -36
  261. data/lib/davinci_pas_test_kit/{generated/v2.0.1/beneficiary/server_inquire_request_beneficiary_must_support_test.rb → server/generated/v2.0.1/beneficiary/server_submit_request_must_support_beneficiary_test.rb} +14 -35
  262. data/lib/davinci_pas_test_kit/{generated/v2.0.1/beneficiary/server_inquire_response_beneficiary_must_support_test.rb → server/generated/v2.0.1/beneficiary/server_submit_response_must_support_beneficiary_test.rb} +16 -36
  263. data/lib/davinci_pas_test_kit/{generated/v2.0.1/claim_inquiry/server_inquire_request_claim_inquiry_must_support_test.rb → server/generated/v2.0.1/claim_inquiry/server_inquire_request_must_support_claim_inquiry_test.rb} +19 -35
  264. data/lib/davinci_pas_test_kit/{generated/v2.0.1/claim_update/server_submit_request_claim_update_must_support_test.rb → server/generated/v2.0.1/claim_update/server_submit_request_must_support_claim_update_test.rb} +19 -35
  265. data/lib/davinci_pas_test_kit/{generated/v2.0.1/claiminquiryresponse/server_inquire_response_claiminquiryresponse_must_support_test.rb → server/generated/v2.0.1/claiminquiryresponse/server_inquire_response_must_support_claiminquiryresponse_test.rb} +14 -35
  266. data/lib/davinci_pas_test_kit/{generated/v2.0.1/claimresponse/server_submit_response_claimresponse_must_support_test.rb → server/generated/v2.0.1/claimresponse/server_submit_response_must_support_claimresponse_test.rb} +14 -35
  267. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/communication_request/server_submit_response_must_support_communication_request_test.rb +43 -0
  268. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/coverage/server_inquire_request_must_support_coverage_test.rb +41 -0
  269. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/coverage/server_submit_request_must_support_coverage_test.rb +41 -0
  270. data/lib/davinci_pas_test_kit/{generated/v2.0.1/encounter/server_submit_request_encounter_must_support_test.rb → server/generated/v2.0.1/encounter/server_submit_request_must_support_encounter_test.rb} +14 -35
  271. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_inquire_request_must_support_insurer_test.rb +46 -0
  272. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_inquire_response_must_support_insurer_test.rb +45 -0
  273. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_submit_request_must_support_insurer_test.rb +46 -0
  274. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_submit_response_must_support_insurer_test.rb +45 -0
  275. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_inquiry_request_bundle/server_inquire_request_must_support_pas_inquiry_request_bundle_test.rb +39 -0
  276. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_inquiry_response_bundle/server_inquire_response_must_support_pas_inquiry_response_bundle_test.rb +37 -0
  277. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_request_bundle/server_submit_request_must_support_pas_request_bundle_test.rb +39 -0
  278. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_response_bundle/server_submit_response_must_support_pas_response_bundle_test.rb +37 -0
  279. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_approval_use_case_group.rb +145 -0
  280. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_denial_use_case_group.rb +145 -0
  281. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_must_support_group.rb +442 -0
  282. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_pended_use_case_group.rb +280 -0
  283. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_inquire_request_must_support_practitioner_test.rb +39 -0
  284. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_inquire_response_must_support_practitioner_test.rb +38 -0
  285. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_submit_request_must_support_practitioner_test.rb +39 -0
  286. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_submit_response_must_support_practitioner_test.rb +38 -0
  287. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_inquire_request_must_support_practitioner_role_test.rb +35 -0
  288. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_inquire_response_must_support_practitioner_role_test.rb +34 -0
  289. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_submit_request_must_support_practitioner_role_test.rb +35 -0
  290. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_submit_response_must_support_practitioner_role_test.rb +34 -0
  291. data/lib/davinci_pas_test_kit/{generated/v2.0.1/requestor/server_submit_request_requestor_must_support_test.rb → server/generated/v2.0.1/requestor/server_inquire_request_must_support_requestor_test.rb} +14 -35
  292. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_inquire_response_must_support_requestor_test.rb +48 -0
  293. data/lib/davinci_pas_test_kit/{generated/v2.0.1/requestor/server_inquire_request_requestor_must_support_test.rb → server/generated/v2.0.1/requestor/server_submit_request_must_support_requestor_test.rb} +14 -35
  294. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_submit_response_must_support_requestor_test.rb +48 -0
  295. data/lib/davinci_pas_test_kit/{generated → server/generated}/v2.0.1/server_suite.rb +14 -20
  296. data/lib/davinci_pas_test_kit/{generated/v2.0.1/subscriber/server_inquire_request_subscriber_must_support_test.rb → server/generated/v2.0.1/subscriber/server_inquire_request_must_support_subscriber_test.rb} +14 -35
  297. data/lib/davinci_pas_test_kit/{generated/v2.0.1/subscriber/server_submit_request_subscriber_must_support_test.rb → server/generated/v2.0.1/subscriber/server_submit_request_must_support_subscriber_test.rb} +14 -35
  298. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/task/server_inquire_response_must_support_task_test.rb +46 -0
  299. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/task/server_submit_response_must_support_task_test.rb +46 -0
  300. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_inquire_request_must_support_beneficiary_test.rb +55 -0
  301. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_inquire_response_must_support_beneficiary_test.rb +53 -0
  302. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_submit_request_must_support_beneficiary_test.rb +55 -0
  303. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_submit_response_must_support_beneficiary_test.rb +53 -0
  304. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claim_inquiry/server_inquire_request_must_support_claim_inquiry_test.rb +125 -0
  305. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claim_update/server_submit_request_must_support_claim_update_test.rb +145 -0
  306. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claiminquiryresponse/server_inquire_response_must_support_claiminquiryresponse_test.rb +102 -0
  307. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claimresponse/server_submit_response_must_support_claimresponse_test.rb +103 -0
  308. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/communication_request/server_submit_response_must_support_communication_request_test.rb +42 -0
  309. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/coverage/server_inquire_request_must_support_coverage_test.rb +52 -0
  310. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/coverage/server_submit_request_must_support_coverage_test.rb +52 -0
  311. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/encounter/server_submit_request_must_support_encounter_test.rb +58 -0
  312. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_inquire_request_must_support_insurer_test.rb +49 -0
  313. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_inquire_response_must_support_insurer_test.rb +47 -0
  314. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_submit_request_must_support_insurer_test.rb +49 -0
  315. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_submit_response_must_support_insurer_test.rb +47 -0
  316. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_inquiry_request_bundle/server_inquire_request_must_support_pas_inquiry_request_bundle_test.rb +41 -0
  317. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_inquiry_response_bundle/server_inquire_response_must_support_pas_inquiry_response_bundle_test.rb +38 -0
  318. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_request_bundle/server_submit_request_must_support_pas_request_bundle_test.rb +41 -0
  319. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_response_bundle/server_submit_response_must_support_pas_response_bundle_test.rb +39 -0
  320. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_approval_use_case_group.rb +125 -0
  321. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_denial_use_case_group.rb +125 -0
  322. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_must_support_group.rb +403 -0
  323. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_pended_use_case_group.rb +150 -0
  324. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_inquire_request_must_support_practitioner_test.rb +46 -0
  325. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_inquire_response_must_support_practitioner_test.rb +44 -0
  326. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_submit_request_must_support_practitioner_test.rb +46 -0
  327. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_submit_response_must_support_practitioner_test.rb +44 -0
  328. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_inquire_request_must_support_practitioner_role_test.rb +42 -0
  329. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_inquire_response_must_support_practitioner_role_test.rb +40 -0
  330. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_submit_request_must_support_practitioner_role_test.rb +42 -0
  331. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_submit_response_must_support_practitioner_role_test.rb +40 -0
  332. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_inquire_request_must_support_requestor_test.rb +52 -0
  333. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_inquire_response_must_support_requestor_test.rb +50 -0
  334. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_submit_request_must_support_requestor_test.rb +52 -0
  335. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_submit_response_must_support_requestor_test.rb +50 -0
  336. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/server_suite.rb +148 -0
  337. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/subscriber/server_inquire_request_must_support_subscriber_test.rb +54 -0
  338. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/subscriber/server_submit_request_must_support_subscriber_test.rb +54 -0
  339. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/task/server_inquire_response_must_support_task_test.rb +55 -0
  340. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/task/server_submit_response_must_support_task_test.rb +55 -0
  341. data/lib/davinci_pas_test_kit/server/pas_claim_response_decision_test.rb +73 -0
  342. data/lib/davinci_pas_test_kit/server/server_request_bundle_validation_test.rb +64 -0
  343. data/lib/davinci_pas_test_kit/server/server_response_bundle_validation_test.rb +76 -0
  344. data/lib/davinci_pas_test_kit/{custom_groups → server}/v2.0.1/error_tests/pas_inquiry_error_test.rb +2 -2
  345. data/lib/davinci_pas_test_kit/{custom_groups → server}/v2.0.1/error_tests/pas_submission_error_test.rb +2 -2
  346. data/lib/davinci_pas_test_kit/{custom_groups/v2.0.1/must_support/pas_server_must_support_requirement_test.rb → server/v2.0.1/must_support/pas_server_must_support_request_profiles_test.rb} +12 -45
  347. data/lib/davinci_pas_test_kit/{custom_groups → server}/v2.0.1/pas_error_group.rb +3 -3
  348. data/lib/davinci_pas_test_kit/{custom_groups → server}/v2.0.1/pas_server_subscription_input_conformance.rb +5 -3
  349. data/lib/davinci_pas_test_kit/server/v2.0.1/pas_server_subscription_notification_wait_test.rb +12 -0
  350. data/lib/davinci_pas_test_kit/{custom_groups → server}/v2.0.1/pas_server_subscription_setup.rb +5 -3
  351. data/lib/davinci_pas_test_kit/server/v2.0.1/server_urls.rb +13 -0
  352. data/lib/davinci_pas_test_kit/server/v2.2.1/claim_updates/server_claim_update_response_tests.rb +143 -0
  353. data/lib/davinci_pas_test_kit/server/v2.2.1/error_tests/nonconformant_pas_bundle.json +16 -0
  354. data/lib/davinci_pas_test_kit/server/v2.2.1/error_tests/pas_inquiry_error_test.rb +38 -0
  355. data/lib/davinci_pas_test_kit/server/v2.2.1/error_tests/pas_submission_error_test.rb +56 -0
  356. data/lib/davinci_pas_test_kit/server/v2.2.1/must_support/pas_server_must_support_request_profiles_test.rb +86 -0
  357. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_error_group.rb +20 -0
  358. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_claim_updates_group.rb +104 -0
  359. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_subscription_input_conformance.rb +48 -0
  360. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_subscription_notification_wait_test.rb +12 -0
  361. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_subscription_setup.rb +42 -0
  362. data/lib/davinci_pas_test_kit/server/v2.2.1/server_urls.rb +13 -0
  363. data/lib/davinci_pas_test_kit/version.rb +2 -2
  364. data/lib/davinci_pas_test_kit.rb +5 -2
  365. metadata +386 -190
  366. data/config/presets/pas_server_subscription_creation_against_pas_client.json +0 -32
  367. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/claim_response_decision/pas_claim_response_decision_test.rb +0 -43
  368. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_registration/configuration_other_display_test.rb +0 -46
  369. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_registration/configuration_smart_display_test.rb +0 -37
  370. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_registration/configuration_udap_display_test.rb +0 -37
  371. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_registration/other_auth_attest_test.rb +0 -36
  372. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_approval_submit_test.rb +0 -80
  373. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_denial_submit_test.rb +0 -79
  374. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_inquire_must_support_test.rb +0 -63
  375. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_response_attest.rb +0 -52
  376. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_submit_must_support_test.rb +0 -72
  377. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_subscription_create_test.rb +0 -62
  378. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/client_tests/pas_client_subscription_pas_conformance_test.rb +0 -30
  379. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_must_support_group.rb +0 -29
  380. data/lib/davinci_pas_test_kit/custom_groups/v2.0.1/pas_client_options.rb +0 -25
  381. data/lib/davinci_pas_test_kit/endpoints/claim_endpoint.rb +0 -157
  382. data/lib/davinci_pas_test_kit/fhir_resource_navigation.rb +0 -72
  383. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim/claim_operation_test.rb +0 -67
  384. data/lib/davinci_pas_test_kit/generated/v2.0.1/claim_inquiry/claim_inquiry_operation_test.rb +0 -56
  385. data/lib/davinci_pas_test_kit/generated/v2.0.1/communication_request/server_submit_response_communication_request_must_support_test.rb +0 -63
  386. data/lib/davinci_pas_test_kit/generated/v2.0.1/coverage/client_inquire_request_coverage_must_support_test.rb +0 -60
  387. data/lib/davinci_pas_test_kit/generated/v2.0.1/coverage/client_submit_request_coverage_must_support_test.rb +0 -60
  388. data/lib/davinci_pas_test_kit/generated/v2.0.1/coverage/server_inquire_request_coverage_must_support_test.rb +0 -62
  389. data/lib/davinci_pas_test_kit/generated/v2.0.1/coverage/server_submit_request_coverage_must_support_test.rb +0 -62
  390. data/lib/davinci_pas_test_kit/generated/v2.0.1/device_request/client_submit_request_device_request_must_support_test.rb +0 -56
  391. data/lib/davinci_pas_test_kit/generated/v2.0.1/device_request/server_submit_request_device_request_must_support_test.rb +0 -58
  392. data/lib/davinci_pas_test_kit/generated/v2.0.1/insurer/client_inquire_request_insurer_must_support_test.rb +0 -65
  393. data/lib/davinci_pas_test_kit/generated/v2.0.1/insurer/client_submit_request_insurer_must_support_test.rb +0 -65
  394. data/lib/davinci_pas_test_kit/generated/v2.0.1/insurer/server_inquire_request_insurer_must_support_test.rb +0 -67
  395. data/lib/davinci_pas_test_kit/generated/v2.0.1/insurer/server_inquire_response_insurer_must_support_test.rb +0 -65
  396. data/lib/davinci_pas_test_kit/generated/v2.0.1/insurer/server_submit_request_insurer_must_support_test.rb +0 -67
  397. data/lib/davinci_pas_test_kit/generated/v2.0.1/insurer/server_submit_response_insurer_must_support_test.rb +0 -65
  398. data/lib/davinci_pas_test_kit/generated/v2.0.1/medication_request/client_submit_request_medication_request_must_support_test.rb +0 -66
  399. data/lib/davinci_pas_test_kit/generated/v2.0.1/medication_request/server_submit_request_medication_request_must_support_test.rb +0 -68
  400. data/lib/davinci_pas_test_kit/generated/v2.0.1/nutrition_order/client_submit_request_nutrition_order_must_support_test.rb +0 -58
  401. data/lib/davinci_pas_test_kit/generated/v2.0.1/nutrition_order/server_submit_request_nutrition_order_must_support_test.rb +0 -60
  402. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_client_inquiry_must_support_use_case_group.rb +0 -51
  403. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_client_submit_must_support_use_case_group.rb +0 -61
  404. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_request_bundle/client_inquire_request_pas_inquiry_request_bundle_must_support_test.rb +0 -58
  405. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_request_bundle/server_inquire_request_pas_inquiry_request_bundle_must_support_test.rb +0 -60
  406. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_request_bundle/server_pas_inquiry_request_bundle_validation_test.rb +0 -95
  407. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_response_bundle/server_inquire_response_pas_inquiry_response_bundle_must_support_test.rb +0 -57
  408. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_inquiry_response_bundle/server_pas_inquiry_response_bundle_validation_test.rb +0 -89
  409. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_request_bundle/client_submit_request_pas_request_bundle_must_support_test.rb +0 -58
  410. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_request_bundle/server_pas_request_bundle_validation_test.rb +0 -95
  411. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_request_bundle/server_submit_request_pas_request_bundle_must_support_test.rb +0 -60
  412. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_response_bundle/server_pas_response_bundle_validation_test.rb +0 -89
  413. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_response_bundle/server_submit_response_pas_response_bundle_must_support_test.rb +0 -57
  414. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_server_approval_use_case_group.rb +0 -54
  415. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_server_denial_use_case_group.rb +0 -54
  416. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_server_must_support_use_case_group.rb +0 -268
  417. data/lib/davinci_pas_test_kit/generated/v2.0.1/pas_server_pended_use_case_group.rb +0 -90
  418. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner/client_inquire_request_practitioner_must_support_test.rb +0 -58
  419. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner/client_submit_request_practitioner_must_support_test.rb +0 -58
  420. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner/server_inquire_request_practitioner_must_support_test.rb +0 -60
  421. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner/server_inquire_response_practitioner_must_support_test.rb +0 -58
  422. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner/server_submit_request_practitioner_must_support_test.rb +0 -60
  423. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner/server_submit_response_practitioner_must_support_test.rb +0 -58
  424. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner_role/client_inquire_request_practitioner_role_must_support_test.rb +0 -54
  425. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner_role/client_submit_request_practitioner_role_must_support_test.rb +0 -54
  426. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner_role/server_inquire_request_practitioner_role_must_support_test.rb +0 -56
  427. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner_role/server_inquire_response_practitioner_role_must_support_test.rb +0 -54
  428. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner_role/server_submit_request_practitioner_role_must_support_test.rb +0 -56
  429. data/lib/davinci_pas_test_kit/generated/v2.0.1/practitioner_role/server_submit_response_practitioner_role_must_support_test.rb +0 -54
  430. data/lib/davinci_pas_test_kit/generated/v2.0.1/requestor/client_inquire_request_requestor_must_support_test.rb +0 -68
  431. data/lib/davinci_pas_test_kit/generated/v2.0.1/requestor/client_submit_request_requestor_must_support_test.rb +0 -68
  432. data/lib/davinci_pas_test_kit/generated/v2.0.1/requestor/server_inquire_response_requestor_must_support_test.rb +0 -68
  433. data/lib/davinci_pas_test_kit/generated/v2.0.1/requestor/server_submit_response_requestor_must_support_test.rb +0 -68
  434. data/lib/davinci_pas_test_kit/generated/v2.0.1/resource_list.rb +0 -54
  435. data/lib/davinci_pas_test_kit/generated/v2.0.1/service_request/client_submit_request_service_request_must_support_test.rb +0 -58
  436. data/lib/davinci_pas_test_kit/generated/v2.0.1/service_request/server_submit_request_service_request_must_support_test.rb +0 -60
  437. data/lib/davinci_pas_test_kit/generated/v2.0.1/task/server_inquire_response_task_must_support_test.rb +0 -66
  438. data/lib/davinci_pas_test_kit/generated/v2.0.1/task/server_submit_response_task_must_support_test.rb +0 -66
  439. data/lib/davinci_pas_test_kit/generator/group_generator.rb +0 -470
  440. data/lib/davinci_pas_test_kit/generator/group_metadata.rb +0 -73
  441. data/lib/davinci_pas_test_kit/generator/naming.rb +0 -50
  442. data/lib/davinci_pas_test_kit/generator/operation_test_generator.rb +0 -149
  443. data/lib/davinci_pas_test_kit/generator/resource_list_generator.rb +0 -59
  444. data/lib/davinci_pas_test_kit/generator/templates/group.rb.erb +0 -136
  445. data/lib/davinci_pas_test_kit/generator/templates/operation.rb.erb +0 -65
  446. data/lib/davinci_pas_test_kit/generator/templates/resource_list.rb.erb +0 -13
  447. data/lib/davinci_pas_test_kit/generator/templates/validation.rb.erb +0 -99
  448. data/lib/davinci_pas_test_kit/generator/validation_test_generator.rb +0 -172
  449. data/lib/davinci_pas_test_kit/generator/value_extractor.rb +0 -51
  450. data/lib/davinci_pas_test_kit/must_support_test.rb +0 -71
  451. data/lib/davinci_pas_test_kit/pas_subscription_verification.rb +0 -30
  452. data/lib/davinci_pas_test_kit/tags.rb +0 -17
  453. data/lib/davinci_pas_test_kit/user_input_response.rb +0 -35
  454. data/lib/davinci_pas_test_kit/validation_test.rb +0 -57
  455. /data/lib/davinci_pas_test_kit/{certs → client/certs}/InfernoCA.key +0 -0
  456. /data/lib/davinci_pas_test_kit/{certs → client/certs}/InfernoCA.pem +0 -0
  457. /data/lib/davinci_pas_test_kit/{certs → client/certs}/TestKit.pem +0 -0
  458. /data/lib/davinci_pas_test_kit/{certs → client/certs}/TestKitPrivateKey.key +0 -0
  459. /data/lib/davinci_pas_test_kit/{descriptions.rb → client/client_input_descriptions.rb} +0 -0
  460. /data/lib/davinci_pas_test_kit/{custom_groups → client}/v2.0.1/pas_client_workflows_group.rb +0 -0
  461. /data/lib/davinci_pas_test_kit/{custom_groups → server}/v2.0.1/error_tests/nonconformant_pas_bundle.json +0 -0
data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v201_requirements_coverage.csv CHANGED
@@ -19,50 +19,50 @@ hl7.fhir.us.davinci-pas_2.0.1,51,https://hl7.org/fhir/us/davinci-pas/STU2/specif
19
19
  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,,,"",""
20
20
  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,,,"",""
21
21
  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,,,"",""
22
- 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"
23
- 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"
24
- 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"
22
+ 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, 4.2.01, 6.1.01, 6.1.02, 6.2.01, 6.2.02, 6.3.1.01, 6.3.2.01, 7.2.01, 9.1.01, 9.1.02, 9.2.01, 9.2.02, 9.3.1.01, 9.3.2.01, 10.2.01","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-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_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-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_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-Group02-pas_client_v201_request_bundle_validation_test"
23
+ 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, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
24
+ 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, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
25
25
  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,,,"",""
26
- 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"
26
+ 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, 6.1.01, 6.2.01, 6.3.1.01, 9.1.01, 9.2.01, 9.3.1.01","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_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_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"
27
27
  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"
28
28
  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,,,"",""
29
29
  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,,,"",""
30
- 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"
30
+ 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, 6.1.01, 6.2.01, 6.3.1.01, 9.1.01, 9.2.01, 9.3.1.01","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_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_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"
31
31
  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,,,"",""
32
32
  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,,,"",""
33
- 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"
34
- 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"
35
- 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"
36
- 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"
33
+ 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, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
34
+ 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, 4.2.01, 4.5.01, 6.1.02, 6.2.02, 6.3.2.01, 6.3.4.01, 7.2.01, 7.5.01, 9.1.02, 9.2.02, 9.3.2.01, 9.3.4.01, 10.2.01, 10.5.01","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_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-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_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
35
+ 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, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
36
+ 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, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
37
37
  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:
38
38
 
39
39
  - the URL at which the resource is available from the EHR if exposed via the client’s REST interface; or
40
- - 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"
40
+ - the form “urn:uuid:[some guid]”",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
41
41
  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,,,"",""
42
42
  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,,,"",""
43
- 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"
43
+ 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, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
44
44
  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,,,"",""
45
45
  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,,,"",""
46
46
  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,,,"",""
47
- 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"
48
- 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"
47
+ 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, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
48
+ 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, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","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_must_support_smart-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_must_support_udap-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
49
49
  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,,,"",""
50
50
  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,,,"",""
51
51
  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
52
  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,,,"",""
53
53
  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"
54
54
  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"
55
- 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"
56
- 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"
57
- 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"
58
- 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"
59
- 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"
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"
61
- 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"
55
+ 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, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","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_must_support_smart-Group05-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_must_support_udap-Group05-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
56
+ 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, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","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_must_support_smart-Group05-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_must_support_udap-Group05-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
57
+ 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, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","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_must_support_smart-Group05-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_must_support_udap-Group05-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
58
+ 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, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","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_must_support_smart-Group05-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_must_support_udap-Group05-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
59
+ 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, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","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_must_support_smart-Group05-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_must_support_udap-Group05-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
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, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","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_must_support_smart-Group05-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_must_support_udap-Group05-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
61
+ 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, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","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_must_support_smart-Group05-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_must_support_udap-Group05-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, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
62
62
  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"
63
63
  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"
64
64
  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"
65
- 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"
65
+ 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_subscription_pas_conformance_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-pas_client_subscription_pas_conformance_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-pas_client_subscription_pas_conformance_test"
66
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,,,"",""
67
67
  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,,,"",""
68
68
  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"
@@ -96,7 +96,7 @@ hl7.fhir.us.davinci-pas_2.0.1,195,https://hl7.org/fhir/us/davinci-pas/STU2/priva
96
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
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
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"
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, 6.1.01, 6.2.01, 6.3.1.01, 9.1.01, 9.2.01, 9.3.1.01","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_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_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"
100
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
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
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,,,"",""
data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v221_requirements_coverage.csv ADDED
@@ -0,0 +1,66 @@
1
+ Req Set,ID,URL,Requirement,Conformance,Actors,Conditionality,Not Tested Reason,Not Tested Details,Da Vinci PAS Client Suite v2.2.1 Short ID(s),Da Vinci PAS Client Suite v2.2.1 Full ID(s)
2
+ hl7.fhir.us.davinci-pas_2.2.1,ainfo-4,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/additionalinfo.html#ci-c-ainfo-4,The [PAS task profile](StructureDefinition-profile-task.html) **SHALL** be used to convey PAS X12 278 Response information to CDex.,SHALL,PAS Client,false,,,"",""
3
+ hl7.fhir.us.davinci-pas_2.2.1,ainfo-5,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/additionalinfo.html#ci-c-ainfo-5,All of the additional information request codes **SHOULD** be used as input to a CDex task.,SHOULD,PAS Client,false,,,"",""
4
+ hl7.fhir.us.davinci-pas_2.2.1,ainfo-6,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/additionalinfo.html#ci-c-ainfo-6,"When the LOINC code 102089-0 is present, the associated TRNs **SHALL** also be exchange as Task.input.",SHALL,PAS Client,false,,,"",""
5
+ hl7.fhir.us.davinci-pas_2.2.1,ainfo-7,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/additionalinfo.html#ci-c-ainfo-7,"A separate task **SHALL** be created for each of the above attachment request types (PWK01, LOINC, questionnaire).",SHALL,PAS Client,false,,,"",""
6
+ hl7.fhir.us.davinci-pas_2.2.1,conf-7,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-7,PA Client Systems **SHALL** be capable of receiving all data elements that are marked as Must Support on the Claim Response and the Claim Inquiry Response.,SHALL,PAS Client,false,,,"4.4.02, 4.7.02, 8.4.02, 8.7.02, 12.4.02, 12.7.02","davinci_pas_client_suite_v221-pas_client_v221_must_support_smart-pas_client_v221_submit_response_must_support-pas_client_v221_submit_response_must_support_claimresponse, davinci_pas_client_suite_v221-pas_client_v221_must_support_smart-pas_client_v221_inquire_response_must_support-pas_client_v221_inquire_response_must_support_claiminquiryresponse, davinci_pas_client_suite_v221-pas_client_v221_must_support_udap-pas_client_v221_submit_response_must_support-pas_client_v221_submit_response_must_support_claimresponse, davinci_pas_client_suite_v221-pas_client_v221_must_support_udap-pas_client_v221_inquire_response_must_support-pas_client_v221_inquire_response_must_support_claiminquiryresponse, davinci_pas_client_suite_v221-pas_client_v221_must_support_no_auth-pas_client_v221_submit_response_must_support-pas_client_v221_submit_response_must_support_claimresponse, davinci_pas_client_suite_v221-pas_client_v221_must_support_no_auth-pas_client_v221_inquire_response_must_support-pas_client_v221_inquire_response_must_support_claiminquiryresponse"
7
+ hl7.fhir.us.davinci-pas_2.2.1,conf-8,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-8,They **SHALL NOT** generate an error or cause the application to fail when receiving any data element that is marked as Must Support.,SHALL NOT,PAS Client,false,,,"4.4.10, 4.7.09, 8.4.10, 8.7.09, 12.4.10, 12.7.09","davinci_pas_client_suite_v221-pas_client_v221_must_support_smart-pas_client_v221_submit_response_must_support-pas_client_v221_response_attest, davinci_pas_client_suite_v221-pas_client_v221_must_support_smart-pas_client_v221_inquire_response_must_support-pas_client_v221_response_attest, davinci_pas_client_suite_v221-pas_client_v221_must_support_udap-pas_client_v221_submit_response_must_support-pas_client_v221_response_attest, davinci_pas_client_suite_v221-pas_client_v221_must_support_udap-pas_client_v221_inquire_response_must_support-pas_client_v221_response_attest, davinci_pas_client_suite_v221-pas_client_v221_must_support_no_auth-pas_client_v221_submit_response_must_support-pas_client_v221_response_attest, davinci_pas_client_suite_v221-pas_client_v221_must_support_no_auth-pas_client_v221_inquire_response_must_support-pas_client_v221_response_attest"
8
+ hl7.fhir.us.davinci-pas_2.2.1,conf-9,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-9,PA Client Systems **SHOULD NOT** send any data elements that are not marked as Must Support.,SHOULD NOT,PAS Client,false,,,"",""
9
+ hl7.fhir.us.davinci-pas_2.2.1,conf-13,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-13,"If the proposed change is adopted and published in the PAS continuous integration build or the CI build of one of its dependencies (e.g. US Core), implementations **MAY**, by mutual agreement, pre-adopt the use of those additional profiles and/or mustSupport data elements and not be considered in violation of #1 above.",MAY,"PAS Client,PAS Payer",false,,,"",""
10
+ hl7.fhir.us.davinci-pas_2.2.1,conf-14,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-14,"Where cardinality and other constraints present in profiles allow data elements to be omitted, PAS compliant systems **SHALL NOT** treat the omission of those elements as a conformance error.",SHALL NOT,"PAS Client,PAS Payer",false,,,"",""
11
+ hl7.fhir.us.davinci-pas_2.2.1,conf-15,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-15,PAS clients and services **SHALL** use standard PAS data elements (i.e. elements found within PAS-defined or inherited profiles and marked as mandatory or mustSupport) to communicate needed data if such elements are intended to convey such information.,SHALL,"PAS Client,PAS Payer",false,,,"",""
12
+ hl7.fhir.us.davinci-pas_2.2.1,conf-16,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-16,"PAS implementing organizations **SHALL NOT** publish guidance setting expectations for where certain data elements are conveyed within PAS and inherited data structures, but **MAY** submit change requests to PAS, HRex, or US Core requesting that additional guidance be provided to implementers on data structure usage to increase consistency across implementations.",SHALL NOT / MAY,"PAS Client,PAS Payer",false,,,"",""
13
+ hl7.fhir.us.davinci-pas_2.2.1,metric-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/metrics.html#ci-c-metric-1,"Each of these IGs recommends a set of metrics that **SHOULD** or **MAY** be collected by their respective implementations to facilitate the evaluation of adoption, functionality, processes, and improved outcomes.",SHOULD / MAY,"PAS Client,PAS Payer",false,,,"",""
14
+ hl7.fhir.us.davinci-pas_2.2.1,metric-2,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/metrics.html#ci-c-metric-2,PAS implementers **SHOULD** store information for each PAS call in a manner that would allow them to respond to measures based on this logical model.,SHOULD,"PAS Client,PAS Payer",false,,,"",""
15
+ hl7.fhir.us.davinci-pas_2.2.1,priv-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/privacy.html#ci-c-priv-1,"Implementations **SHALL** permit provider review of data prior to transmission, but **SHALL NOT** require such review.",SHALL NOT / SHALL,PAS Client,false,,,"",""
16
+ hl7.fhir.us.davinci-pas_2.2.1,prof-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-datatype-timing.html#ci-c-prof-1,"Timings **SHALL** have at least one of: a count, a frequency and period and periodUnit (with optional frequencyMax and periodMax), a calendarPattern, or a deliveryPattern.",SHALL,PAS Client,false,,,"",""
17
+ hl7.fhir.us.davinci-pas_2.2.1,prof-2,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-quantity.html#ci-c-prof-2,Quantities **SHALL** have a value and either a unit or a code,SHALL,"PAS Client,PAS Payer",false,,,"",""
18
+ hl7.fhir.us.davinci-pas_2.2.1,prof-3,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-quantity.html#ci-c-prof-3,"If a quantity code is present, it **SHALL** use the X12 quantity units.",SHALL,"PAS Client,PAS Payer",false,,,"",""
19
+ hl7.fhir.us.davinci-pas_2.2.1,prof-4,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-claim-update.html#ci-c-prof-4,The Claim instance of the [update Bundle](specification.html#updating-authorization-requests) **SHALL** reference the updated Claim instance within the `Claim.related.claim` element. Note that the presence of this reference and the requirement that referenced instances be included in the submitted Bundle implies that the instance representing the prior version of the Claim **SHALL** be included in the update Bundle.,SHALL,PAS Client,false,,,"3.4.2.01, 7.4.2.01, 11.4.2.01","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_claim_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_claim_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_claim_test"
20
+ hl7.fhir.us.davinci-pas_2.2.1,prof-5,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-claim-update.html#ci-c-prof-5,"The Claim instance of the update Bundle **SHALL** contain within the `Claim.item` element each item requested in the updated claim and any prior versions of the claim, including requested items that have been added, modified, deleted, or left unchanged during this or previous updates.",SHALL,PAS Client,false,,,"3.4.2.04, 7.4.2.04, 11.4.2.04","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test"
21
+ hl7.fhir.us.davinci-pas_2.2.1,prof-6,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-claim-update.html#ci-c-prof-6,"The Claim instance of the update Bundle **SHALL** contain within the `Claim.supportingInfo` element each piece of supporting documentation submitted with the updated claim and any prior versions of claim, including supporting documentation that has been added, modified, deleted, or left unchanged during this or previous updates.",SHALL,PAS Client,false,,,"3.4.2.04, 7.4.2.04, 11.4.2.04","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test"
22
+ hl7.fhir.us.davinci-pas_2.2.1,prof-7,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-claim-update.html#ci-c-prof-7,"Each `Claim.item` entry that represents an item no longer being requested, whether removed in this update or a previous one, **SHALL** be flagged using the infoCancelledFlag modifierExtension and **SHALL** have the code `3` (Cancel) in the Certification Type extension.",SHALL,PAS Client,false,,,"3.4.2.05, 3.4.2.06, 7.4.2.05, 7.4.2.06, 11.4.2.05, 11.4.2.06","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_items_certtype_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_items_certtype_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_items_certtype_test"
23
+ hl7.fhir.us.davinci-pas_2.2.1,prof-8,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-claim-update.html#ci-c-prof-8,"Each `Claim.supportingInfo` entry that is no longer to be used when evaluating the request, whether removed in this update or a previous one, **SHALL** be flagged using the infoCancelledFlag modifierExtension.",SHALL,PAS Client,false,,,"3.4.2.05, 7.4.2.05, 11.4.2.05","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test"
24
+ hl7.fhir.us.davinci-pas_2.2.1,prof-9,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-claim-update.html#ci-c-prof-9,"Each `Claim.item` and `Claim.supportingInfo` entry that has been changed as a part of this most recent update, including removal, **SHALL** be flagged using the changed extension with a value of `changed`.",SHALL,PAS Client,false,,,"3.4.2.07, 7.4.2.07, 11.4.2.07","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test"
25
+ hl7.fhir.us.davinci-pas_2.2.1,prof-10,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-claim-update.html#ci-c-prof-10,"Each `Claim.item` and `Claim.supportingInfo` entry that has been added as a part of this most recent update, **SHALL** be flagged using the changed extension with a value of `added`.",SHALL,PAS Client,false,,,"3.4.2.07, 7.4.2.07, 11.4.2.07","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test"
26
+ hl7.fhir.us.davinci-pas_2.2.1,spec-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-1,"Along with the profiles defined in the PAS implementation guide, implementations **SHALL** also support the relevant US Core profiles for supplementary information.",SHALL,"PAS Client,PAS Payer",true,,,"3.1.02, 3.2.02, 3.3.2.01, 3.4.3.01, 3.4.3.03, 3.4.3.05, 3.4.3.07, 3.5.02, 4.2.01, 5.2.02, 7.1.02, 7.2.02, 7.3.2.01, 7.4.3.01, 7.4.3.03, 7.4.3.05, 7.4.3.07, 7.5.02, 8.2.01, 9.2.02, 11.1.02, 11.2.02, 11.3.2.01, 11.4.3.01, 11.4.3.03, 11.4.3.05, 11.4.3.07, 11.5.02, 12.2.01, 13.2.02","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_approval_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_denial_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_pended_group-Group02-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_initial, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_add_item, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_modify_cancel, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_cancel_all, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_modification_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_must_support_smart-Group02-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_error_handling_smart-pas_client_v221_processing_error_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_approval_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_denial_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_pended_group-Group02-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_initial, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_add_item, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_modify_cancel, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_cancel_all, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_modification_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_must_support_udap-Group02-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_error_handling_udap-pas_client_v221_processing_error_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_approval_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_denial_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_pended_group-Group02-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_initial, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_add_item, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_modify_cancel, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group03-pas_client_v221_claim_update_request_validation_cancel_all, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_modification_group-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_must_support_no_auth-Group02-pas_client_v221_request_bundle_validation_test, davinci_pas_client_suite_v221-pas_client_v221_error_handling_no_auth-pas_client_v221_processing_error_group-pas_client_v221_request_bundle_validation_test"
27
+ hl7.fhir.us.davinci-pas_2.2.1,spec-2,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-2,They **SHOULD** support any other profiles relevant to the types of prior authorizations they process.,SHOULD,"PAS Client,PAS Payer",true,,,"",""
28
+ hl7.fhir.us.davinci-pas_2.2.1,spec-3,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-3,Clients and Servers supporting this implementation guide **SHOULD** also comply with the Da Vinci [Coverage Requirements Discovery (CRD)](http://www.hl7.org/fhir/us/davinci-crd) and [Documentation Templates and Rules (DTR)](http://www.hl7.org/fhir/us/davinci-dtr) implementation guides.,SHOULD,"PAS Client,PAS Payer",true,,,"",""
29
+ hl7.fhir.us.davinci-pas_2.2.1,spec-4,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-4,Every system 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,"PAS Client,PAS Payer",true,,,"",""
30
+ hl7.fhir.us.davinci-pas_2.2.1,spec-8,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-8,A subscription-based mechanism **SHALL** be used by the client to be informed of updates to the authorization.,SHALL,PAS Client,false,,,"2.01, 3.3.3.04, 6.01, 7.3.3.04, 10.01, 11.3.3.04","davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_smart-pas_client_v221_subscription_create_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_udap-pas_client_v221_subscription_create_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_no_auth-pas_client_v221_subscription_create_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification"
31
+ hl7.fhir.us.davinci-pas_2.2.1,spec-9,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-9,"**NOTE**: The Claim Inquiry response does not include all of the information that can be returned in a request response, such as any request for additional information, so the inquire operation **SHOULD NOT** be used by the client while waiting for final results.",SHOULD NOT,"PAS Payer,PAS Client",false,,,"",""
32
+ hl7.fhir.us.davinci-pas_2.2.1,spec-24,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-24,"FHIR elements not marked as 'must support' **MAY** be included in resources within the Bundle, but client systems **SHOULD** have no expectation of such elements being processed by the payer unless prior arrangements have been made.",SHOULD / MAY,"PAS Client,PAS Payer",false,,,"",""
33
+ hl7.fhir.us.davinci-pas_2.2.1,spec-38,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-38,Recipients of the transactions **SHOULD** respond as indicated below and senders of the transaction **SHOULD** look for the following responses and then take appropriate actions.,SHOULD,"PAS Client,PAS Payer",false,,,"",""
34
+ hl7.fhir.us.davinci-pas_2.2.1,spec-40,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-40,"If an OperationOutcome is received, it may have information regarding errors that **SHOULD** be addressed in the future, but did not cause the transaction to fail.",SHOULD,PAS Client,false,,,"",""
35
+ hl7.fhir.us.davinci-pas_2.2.1,spec-42,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-42,"Although there are no constraints on the frequency of the query, clients **SHOULD** ensure that no repetitive inquiries do not happen so as not to stress payer systems.",SHOULD,PAS Client,false,,,"",""
36
+ hl7.fhir.us.davinci-pas_2.2.1,spec-47,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-47,"if a specific reference number (either the REF-NT or REF-BB) is submitted and is not the 'current' number (because subsequent additions/changes/cancellations have been made to the prior authorization request), the returned record **SHALL** be the current authorization response - even though it no longer has the same identifier.",SHALL,"PAS Client,PAS Payer",false,,,"",""
37
+ hl7.fhir.us.davinci-pas_2.2.1,spec-62,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-62,"Due to the inquiry not supporting all of the required information needed in a PAS response, PAS Clients and Intermediaries **SHALL** only support subscriptions with content='full-resource'.",SHALL,"PAS Client,PAS Payer",false,,,"2.02, 6.02, 10.02","davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_smart-pas_client_subscription_pas_conformance_test, davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_udap-pas_client_subscription_pas_conformance_test, davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_no_auth-pas_client_subscription_pas_conformance_test"
38
+ hl7.fhir.us.davinci-pas_2.2.1,spec-63,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-63,"When details of a submitted request change and a provider needs to request prior authorization of a different set of items, clients **SHOULD** submit an update to the previously submitted Claim.",SHOULD,PAS Client,false,,,"3.4.1.02, 3.4.1.03, 3.4.1.04, 7.4.1.02, 7.4.1.03, 7.4.1.04, 11.4.1.02, 11.4.1.03, 11.4.1.04","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_add_item_submit_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_modify_cancel_submit_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_cancel_all_submit_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_add_item_submit_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_modify_cancel_submit_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_cancel_all_submit_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_add_item_submit_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_modify_cancel_submit_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group01-pas_client_v221_claim_update_cancel_all_submit_test"
39
+ hl7.fhir.us.davinci-pas_2.2.1,spec-64,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-64,Servers **MAY** reject updates and require that a new request is made by providing the appropriate X12 error code.,MAY,"PAS Client,PAS Payer",false,,,"",""
40
+ hl7.fhir.us.davinci-pas_2.2.1,spec-65,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-65,The Claim that is being updated **SHALL** be referenced in the Claim.related.claim element and included in the Bundle.,SHALL,PAS Client,false,,,"3.4.2.01, 7.4.2.01, 11.4.2.01","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_claim_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_claim_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_claim_test"
41
+ hl7.fhir.us.davinci-pas_2.2.1,spec-66,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-66,"If that Claim instance is itself a Claim Update, its referenced Claim **SHALL NOT** be included.",SHALL NOT,PAS Client,false,,,"3.4.2.02, 7.4.2.02, 11.4.2.02","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_grandparent_excluded_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_grandparent_excluded_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_grandparent_excluded_test"
42
+ hl7.fhir.us.davinci-pas_2.2.1,spec-67,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-67,All other referenced resources **SHALL** be included in the Bundle.,SHALL,PAS Client,false,,,"3.4.2.03, 7.4.2.03, 11.4.2.03","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_resources_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_resources_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_referenced_resources_test"
43
+ hl7.fhir.us.davinci-pas_2.2.1,spec-68,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-68,"When changing the details of the request, the Claim instance **SHALL** contain all item and supportingInfo entries from the original Claim and any previous update Claims with `sequence` values preserved, but with the current request details.",SHALL,PAS Client,false,,,"3.4.2.04, 7.4.2.04, 11.4.2.04","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_entries_preserved_test"
44
+ hl7.fhir.us.davinci-pas_2.2.1,spec-69,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-69,Cancelled entries: item and supportingInfo entries that have been removed from the request **SHALL** include the infoCancelled modifier extension with a valueBoolean of `true` in the Claim.item.modifierExtension or Claim.supportingInfo.modifierExtension element.,SHALL,"PAS Client,PAS Payer",false,,,"3.4.2.05, 7.4.2.05, 11.4.2.05","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_entries_test"
45
+ hl7.fhir.us.davinci-pas_2.2.1,spec-70,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-70,Canceled items **SHALL** additionally contain a certificationType extension with a code of 3 (Cancel) in the Claim.item.extension element.,SHALL,"PAS Client,PAS Payer",false,,,"3.4.2.06, 7.4.2.06, 11.4.2.06","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_items_certtype_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_items_certtype_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_cancelled_items_certtype_test"
46
+ hl7.fhir.us.davinci-pas_2.2.1,spec-71,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-71,"Entries added, modified, or cancelled compared to the immediately prior version of the Claim referenced in the Claim.related.claim element **SHALL** contain a [infoChanged extension](StructureDefinition-extension-infoChanged.html) within the Claim.item or the Claim.supportingInfo element.",SHALL,"PAS Client,PAS Payer",false,,,"3.4.2.07, 7.4.2.07, 11.4.2.07","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test"
47
+ hl7.fhir.us.davinci-pas_2.2.1,spec-72,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-72,The [infoChanged extension](StructureDefinition-extension-infoChanged.html) for added entries **SHALL** have a valueCode of `changed` and those for modified or deleted entries SHALL have a valueCode of `changed` (newly marking an item as canceled is considered a 'change').,SHALL,PAS Client,false,,,"3.4.2.07, 7.4.2.07, 11.4.2.07","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_claim_updates_group-Group02-pas_client_v221_claim_update_changed_entries_test"
48
+ hl7.fhir.us.davinci-pas_2.2.1,use-4,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/usecases.html#ci-c-use-4,"As well, EHRs **SHOULD** annotate their orders with the decisions contained in the PAS Response.",SHOULD,PAS Client,false,,,"",""
49
+ hl7.fhir.us.davinci-pas_2.2.1,use-5,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/usecases.html#ci-c-use-5,"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 the submission to comply with current regulations and relevant provider policies. The provider can choose to turn off the ability to review documentation. The vendor must allow them this option.",SHALL,PAS Client,false,,,"",""
50
+ hl7.fhir.us.davinci-pas_2.2.1,use-6,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/usecases.html#ci-c-use-6,"All exchanges **SHOULD** meet Federal and state regulations, including any HIPAA restrictions and restrictions on sensitive data.",SHOULD,"PAS Client,PAS Payer",false,,,"",""
51
+ 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,,,,"",""
52
+ 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,,,,"",""
53
+ 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,,,,"3.3.3.04, 7.3.3.04, 11.3.3.04","davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification"
54
+ 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
55
+ 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,,,,"",""
56
+ 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,,,,"",""
57
+ 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,,,,"2.03, 3.3.3.04, 6.03, 7.3.3.04, 10.03, 11.3.3.04","davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_smart-subscriptions_r4_client_handshake_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_workflows_smart-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_udap-subscriptions_r4_client_handshake_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_workflows_udap-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_subscription_setup_no_auth-subscriptions_r4_client_handshake_notification_verification, davinci_pas_client_suite_v221-pas_client_v221_workflows_no_auth-pas_client_v221_pended_group-Group03-subscriptions_r4_client_event_notification_verification"
58
+ 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,,,,"",""
59
+ 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,,,,"",""
60
+ 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,,,,"",""
61
+ 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,,,,"",""
62
+ 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,,,,"",""
63
+ 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
64
+ 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,,,,"",""
65
+ 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,,,,"",""
66
+ 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