davinci_pas_test_kit 0.15.0 → 0.15.2

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Files changed (98) hide show
  1. checksums.yaml +4 -4
  2. data/config/presets/pas_client_example.json +2 -2
  3. data/config/presets/pas_client_v201_run_against_pas_server.json +2 -2
  4. data/config/presets/pas_client_v221_run_against_pas_server.json +3 -3
  5. data/config/presets/pas_ri.json +6 -6
  6. data/config/presets/pas_server_v201_run_against_pas_client.json.erb +6 -6
  7. data/config/presets/pas_server_v221_run_against_pas_client.json.erb +10 -10
  8. data/lib/davinci_pas_test_kit/client/abstract_gather_must_support_test.rb +2 -48
  9. data/lib/davinci_pas_test_kit/client/client_input_descriptions.rb +29 -0
  10. data/lib/davinci_pas_test_kit/client/endpoints/claim_endpoint.rb +25 -9
  11. data/lib/davinci_pas_test_kit/client/user_input_response.rb +25 -6
  12. data/lib/davinci_pas_test_kit/client/v2.0.1/client_suite.rb +1 -1
  13. data/lib/davinci_pas_test_kit/client/v2.2.1/client_suite.rb +1 -1
  14. data/lib/davinci_pas_test_kit/cross_suite/fhirpath_utils.rb +13 -3
  15. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/beneficiary/metadata.yml +4 -0
  16. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/claim_inquiry/metadata.yml +15 -0
  17. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/claim_update/metadata.yml +17 -0
  18. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/claiminquiryresponse/metadata.yml +15 -0
  19. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/claimresponse/metadata.yml +15 -0
  20. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/communication_request/metadata.yml +4 -0
  21. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/coverage/metadata.yml +1 -0
  22. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/device_request/metadata.yml +2 -0
  23. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/encounter/metadata.yml +3 -0
  24. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/insurer/metadata.yml +1 -0
  25. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/medication_request/metadata.yml +2 -0
  26. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/metadata.yml +143 -0
  27. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/nutrition_order/metadata.yml +2 -0
  28. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/pas_inquiry_request_bundle/metadata.yml +2 -0
  29. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/pas_inquiry_response_bundle/metadata.yml +2 -0
  30. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/pas_request_bundle/metadata.yml +2 -0
  31. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/pas_response_bundle/metadata.yml +2 -0
  32. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/practitioner/metadata.yml +1 -0
  33. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/practitioner_role/metadata.yml +1 -0
  34. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/requestor/metadata.yml +1 -0
  35. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/service_request/metadata.yml +3 -0
  36. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/subscriber/metadata.yml +4 -0
  37. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/task/metadata.yml +1 -0
  38. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/beneficiary/metadata.yml +1 -0
  39. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claim_inquiry/metadata.yml +23 -0
  40. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claim_update/metadata.yml +31 -0
  41. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claiminquiryresponse/metadata.yml +42 -0
  42. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claimresponse/metadata.yml +42 -0
  43. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/communication_request/metadata.yml +4 -0
  44. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/coverage/metadata.yml +1 -0
  45. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/device_request/metadata.yml +2 -0
  46. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/encounter/metadata.yml +3 -0
  47. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/insurer/metadata.yml +1 -0
  48. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/medication_request/metadata.yml +2 -0
  49. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/metadata.yml +265 -0
  50. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/nutrition_order/metadata.yml +2 -0
  51. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_inquiry_request_bundle/metadata.yml +2 -0
  52. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_inquiry_response_bundle/metadata.yml +2 -0
  53. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_request_bundle/metadata.yml +2 -0
  54. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_response_bundle/metadata.yml +2 -0
  55. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/practitioner/metadata.yml +1 -0
  56. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/practitioner_role/metadata.yml +1 -0
  57. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/requestor/metadata.yml +1 -0
  58. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/service_request/metadata.yml +3 -0
  59. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/subscriber/metadata.yml +1 -0
  60. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/task/metadata.yml +4 -0
  61. data/lib/davinci_pas_test_kit/cross_suite/pas_bundle_validation.rb +97 -39
  62. data/lib/davinci_pas_test_kit/cross_suite/pas_constants.rb +6 -0
  63. data/lib/davinci_pas_test_kit/cross_suite/pas_datatype_constraints.rb +166 -0
  64. data/lib/davinci_pas_test_kit/cross_suite/response_selection_utils.rb +26 -10
  65. data/lib/davinci_pas_test_kit/cross_suite/validator_suppressions.rb +206 -146
  66. data/lib/davinci_pas_test_kit/docs/demo/PAS Client Suite Demonstration.postman_collection.json +4 -4
  67. data/lib/davinci_pas_test_kit/generator/must_support_test_generator.rb +6 -0
  68. data/lib/davinci_pas_test_kit/generator/pas_must_support_metadata_extractor.rb +1 -2
  69. data/lib/davinci_pas_test_kit/generator/server_must_support_group_generator.rb +23 -0
  70. data/lib/davinci_pas_test_kit/generator/server_suite_generator.rb +6 -0
  71. data/lib/davinci_pas_test_kit/generator/templates/must_support.rb.erb +3 -2
  72. data/lib/davinci_pas_test_kit/generator/templates/server_must_support_group.rb.erb +22 -0
  73. data/lib/davinci_pas_test_kit/generator/templates/server_suite.rb.erb +4 -5
  74. data/lib/davinci_pas_test_kit/generator/templates/use_case_group.rb.erb +3 -0
  75. data/lib/davinci_pas_test_kit/generator/use_case_group_generator.rb +14 -8
  76. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_server_suite_v221_requirements_coverage.csv +28 -28
  77. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_approval_use_case_group.rb +1 -0
  78. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_denial_use_case_group.rb +1 -0
  79. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_pended_use_case_group.rb +1 -0
  80. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/server_suite.rb +4 -5
  81. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claiminquiryresponse/server_inquire_response_must_support_claiminquiryresponse_test.rb +2 -0
  82. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claimresponse/server_submit_response_must_support_claimresponse_test.rb +2 -0
  83. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_approval_use_case_group.rb +2 -0
  84. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_denial_use_case_group.rb +2 -0
  85. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_must_support_group.rb +12 -0
  86. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_pended_use_case_group.rb +5 -0
  87. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/server_suite.rb +4 -5
  88. data/lib/davinci_pas_test_kit/server/server_response_bundle_validation_test.rb +14 -5
  89. data/lib/davinci_pas_test_kit/server/v2.2.1/claim_inquiry/server_claim_inquiry_response_tests.rb +89 -0
  90. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_error_group.rb +2 -0
  91. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_claim_inquiry_responses_group.rb +17 -0
  92. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_no_custom_extensions_test.rb +241 -0
  93. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_subscription_capability_statement_test.rb +40 -0
  94. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_subscription_setup.rb +14 -9
  95. data/lib/davinci_pas_test_kit/server/v2.2.1/server_replaced_pa_inquire_reference_input_test.rb +63 -0
  96. data/lib/davinci_pas_test_kit/server/v2.2.1/server_replaced_pa_inquire_reference_test.rb +109 -0
  97. data/lib/davinci_pas_test_kit/version.rb +2 -2
  98. metadata +9 -2
@@ -100,6 +100,8 @@ module DaVinciPASTestKit
100
100
  case ig_version
101
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  when 'v2.0.1'
102
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  ['hl7.fhir.us.davinci-pas_2.0.1@141']
103
+ when 'v2.2.1'
104
+ ['hl7.fhir.us.davinci-pas_2.2.1@spec-51', 'hl7.fhir.us.davinci-pas_2.2.1@spec-60']
103
105
  end
104
106
  end
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@@ -111,14 +113,18 @@ module DaVinciPASTestKit
111
113
  end
112
114
 
113
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  def bundle_response_conformance_requirements_verified(operation)
114
- case "#{operation}_#{ig_version}"
115
- when 'submit_v2.0.1'
116
- ['hl7.fhir.us.davinci-pas_2.0.1@64', 'hl7.fhir.us.davinci-pas_2.0.1@100',
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- 'hl7.fhir.us.davinci-pas_2.0.1@101', 'hl7.fhir.us.davinci-pas_2.0.1@102',
118
- 'hl7.fhir.us.davinci-pas_2.0.1@103', 'hl7.fhir.us.davinci-pas_2.0.1@107']
119
- when 'inquire_v2.0.1'
120
- ['hl7.fhir.us.davinci-pas_2.0.1@131']
121
- end
116
+ {
117
+ ['submit', 'v2.0.1'] => [
118
+ 'hl7.fhir.us.davinci-pas_2.0.1@64', 'hl7.fhir.us.davinci-pas_2.0.1@100',
119
+ 'hl7.fhir.us.davinci-pas_2.0.1@101', 'hl7.fhir.us.davinci-pas_2.0.1@102',
120
+ 'hl7.fhir.us.davinci-pas_2.0.1@103', 'hl7.fhir.us.davinci-pas_2.0.1@107'
121
+ ],
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+ ['submit', 'v2.2.1'] => [
123
+ 'hl7.fhir.us.davinci-pas_2.2.1@spec-30', 'hl7.fhir.us.davinci-pas_2.2.1@spec-31',
124
+ 'hl7.fhir.us.davinci-pas_2.2.1@spec-33'
125
+ ],
126
+ ['inquire', 'v2.0.1'] => ['hl7.fhir.us.davinci-pas_2.0.1@131']
127
+ }[[operation, ig_version]]
122
128
  end
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129
 
124
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  def description
@@ -5,11 +5,11 @@ hl7.fhir.us.davinci-pas_2.2.1,ainfo-3,https://hl7.org/fhir/us/davinci-pas/2.2.1/
5
5
  hl7.fhir.us.davinci-pas_2.2.1,conf-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-1,Payers **SHALL** have a distinct endpoint for each different supported version (which are not inter-version compatible) of the PAS specification.,SHALL,PAS Payer,false,,,"",""
6
6
  hl7.fhir.us.davinci-pas_2.2.1,conf-2,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-2,"If a payer supports endpoint discovery, they **SHALL** have at most a single endpoint for each combination of version of the specification and coverage (e.g., Medicare, Medicaid, or commercial) they provide coverage under.",SHALL,PAS Payer,false,,,"",""
7
7
  hl7.fhir.us.davinci-pas_2.2.1,conf-3,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-3,"If a payer does not support endpoint discovery, they **SHALL** expose only one PAS endpoint of each supported version capable of handling all coverages.",SHALL,PAS Payer,false,,,"",""
8
- hl7.fhir.us.davinci-pas_2.2.1,conf-4,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-4,PA Intermediary Systems **SHALL** be capable of processing all data elements that are marked as Must Support on the Claim Request and Claim Inquiry.,SHALL,PAS Payer,false,,,"",""
9
- hl7.fhir.us.davinci-pas_2.2.1,conf-5,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-5,They **SHALL NOT** generate an error or cause the application to fail due the presence of any data element marked as Must Support.,SHALL NOT,PAS Payer,false,,,"",""
10
- hl7.fhir.us.davinci-pas_2.2.1,conf-6,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-6,PA Intermediary Systems **SHALL** be capable of returning resource instances containing any of the data elements that are marked as Must Support on the Claim Response and the Claim Inquiry Response.,SHALL,PAS Payer,false,,,"",""
8
+ hl7.fhir.us.davinci-pas_2.2.1,conf-4,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-4,PA Intermediary Systems **SHALL** be capable of processing all data elements that are marked as Must Support on the Claim Request and Claim Inquiry.,SHALL,PAS Payer,false,,,"3.1.2, 3.2.2","davinci_pas_server_suite_v221-pas_server_v221_must_support-Group01-Group02, davinci_pas_server_suite_v221-pas_server_v221_must_support-Group02-Group02"
9
+ hl7.fhir.us.davinci-pas_2.2.1,conf-5,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-5,They **SHALL NOT** generate an error or cause the application to fail due the presence of any data element marked as Must Support.,SHALL NOT,PAS Payer,false,,,"3.1.2, 3.2.2","davinci_pas_server_suite_v221-pas_server_v221_must_support-Group01-Group02, davinci_pas_server_suite_v221-pas_server_v221_must_support-Group02-Group02"
10
+ hl7.fhir.us.davinci-pas_2.2.1,conf-6,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-6,PA Intermediary Systems **SHALL** be capable of returning resource instances containing any of the data elements that are marked as Must Support on the Claim Response and the Claim Inquiry Response.,SHALL,PAS Payer,false,,,"3.1.3.02, 3.2.3.02","davinci_pas_server_suite_v221-pas_server_v221_must_support-Group01-Group03-pas_server_v221_submit_response_must_support_claimresponse, davinci_pas_server_suite_v221-pas_server_v221_must_support-Group02-Group03-pas_server_v221_inquire_response_must_support_claiminquiryresponse"
11
11
  hl7.fhir.us.davinci-pas_2.2.1,conf-10,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-10,"If these data elements are included in a Claim Request or Claim Inquiry, the receiving PA Intermediary System **MAY** ignore those elements.",MAY,PAS Payer,false,,,"",""
12
- hl7.fhir.us.davinci-pas_2.2.1,conf-11,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-11,"When processing prior auth requests and additional data submissions, PAS services **SHALL NOT** depend on or set expectations for the inclusion of resource instances not compliant with profiles defined in this guide, CRD, DTR, HRex, or US Core.",SHALL NOT,PAS Payer,false,,,"",""
12
+ hl7.fhir.us.davinci-pas_2.2.1,conf-11,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-11,"When processing prior auth requests and additional data submissions, PAS services **SHALL NOT** depend on or set expectations for the inclusion of resource instances not compliant with profiles defined in this guide, CRD, DTR, HRex, or US Core.",SHALL NOT,PAS Payer,false,,,3.1.1.04,davinci_pas_server_suite_v221-pas_server_v221_must_support-Group01-Group01-pas_server_v221_no_custom_extensions_test
13
13
  hl7.fhir.us.davinci-pas_2.2.1,conf-12,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-12,"Similarly, they **SHALL NOT** depend on or set expectations for the inclusion of any data elements not marked as mandatory (min cardinality >= 1) or mustSupport in those profiles.",SHALL NOT,PAS Payer,false,,,"",""
14
14
  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,,,"",""
15
15
  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,,,"",""
@@ -53,37 +53,37 @@ hl7.fhir.us.davinci-pas_2.2.1,spec-26,https://hl7.org/fhir/us/davinci-pas/2.2.1/
53
53
  hl7.fhir.us.davinci-pas_2.2.1,spec-27,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-27,The method **MAY** be based on the X12 275 or another method that trading partners have agreed to use.,MAY,PAS Payer,false,,,"",""
54
54
  hl7.fhir.us.davinci-pas_2.2.1,spec-28,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-28,"If the X12 275 is used for this purpose, the 275 BDS01 Filter ID Code element **SHALL** be set to ""B64"" and the CAT02 Attachment Information Format Code element **SHALL** be sent to ""HL"".",SHALL,PAS Payer,false,,,"",""
55
55
  hl7.fhir.us.davinci-pas_2.2.1,spec-29,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-29,"Translation/mapping systems **SHOULD** be aware that if the size of the attachments as part of a claims submission would exceed the size limitations of a particular recipient, the intermediary **SHOULD** split the attachments into separate 275s to remain within the overall limit.",SHOULD,PAS Payer,false,,,"",""
56
- hl7.fhir.us.davinci-pas_2.2.1,spec-30,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-30,The Bundle **SHALL** start with a [ClaimResponse](StructureDefinition-profile-claimresponse-base.html) entry that contains information mapped from the 278 response.,SHALL,PAS Payer,false,,,"",""
57
- hl7.fhir.us.davinci-pas_2.2.1,spec-31,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-31,Each unique resource instance **SHALL** only appear at most once in the Bundle.,SHALL,PAS Payer,false,,,"",""
56
+ hl7.fhir.us.davinci-pas_2.2.1,spec-30,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-30,The Bundle **SHALL** start with a [ClaimResponse](StructureDefinition-profile-claimresponse-base.html) entry that contains information mapped from the 278 response.,SHALL,PAS Payer,false,,,"2.1.1.03, 2.2.1.03, 2.3.1.03","davinci_pas_server_suite_v221-Group02-pas_server_v221_approval_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_approval, davinci_pas_server_suite_v221-Group02-pas_server_v221_denial_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_denial, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_pended"
57
+ hl7.fhir.us.davinci-pas_2.2.1,spec-31,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-31,Each unique resource instance **SHALL** only appear at most once in the Bundle.,SHALL,PAS Payer,false,,,"2.1.1.03, 2.2.1.03, 2.3.1.03","davinci_pas_server_suite_v221-Group02-pas_server_v221_approval_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_approval, davinci_pas_server_suite_v221-Group02-pas_server_v221_denial_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_denial, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_pended"
58
58
  hl7.fhir.us.davinci-pas_2.2.1,spec-32,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-32,"Only one unique resource instance **SHOULD** be created to represent the same information. In other words, avoid creating multiple Practitioner instances for the same person.",SHOULD,PAS Payer,false,,,"",""
59
- hl7.fhir.us.davinci-pas_2.2.1,spec-33,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-33,"When echoing back resources that are the same as were present in the prior authorization request, the system **SHALL** ensure that the same fullUrl and resource identifiers are used in the response as appeared in the request.",SHALL,PAS Payer,false,,,"",""
59
+ hl7.fhir.us.davinci-pas_2.2.1,spec-33,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-33,"When echoing back resources that are the same as were present in the prior authorization request, the system **SHALL** ensure that the same fullUrl and resource identifiers are used in the response as appeared in the request.",SHALL,PAS Payer,false,,,"2.1.1.03, 2.2.1.03, 2.3.1.03","davinci_pas_server_suite_v221-Group02-pas_server_v221_approval_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_approval, davinci_pas_server_suite_v221-Group02-pas_server_v221_denial_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_denial, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group01-pas_server_v221_pas_response_bundle_validation_test_pended"
60
60
  hl7.fhir.us.davinci-pas_2.2.1,spec-34,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-34,Each item returned on the PAS ClaimResponse **SHALL** echo the same item.sequence as that same item had on the Claim. The item.sequence element **SHALL** serve as the main tracing identifier of items throughout requests and responses.,SHALL,PAS Payer,false,,,2.4.5.01,davinci_pas_server_suite_v221-Group02-pas_server_v221_claim_updates-Group05-pas_server_v221_claim_update_item_sequence_echo_test
61
61
  hl7.fhir.us.davinci-pas_2.2.1,spec-35,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-35,"In the case of an error in an Operation invocation (e.g., 4XX error), the receiving system **SHALL** return a single OperationOutcome that details why the Bundle could not be processed.",SHALL,PAS Payer,false,,,"",""
62
62
  hl7.fhir.us.davinci-pas_2.2.1,spec-36,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-36,"For instances where the authorized item is a modification of the requested item, the requested item details **SHALL** be returned in the ClaimResponse.item with an adjudication status of A6 - 'Modified'.",SHALL,PAS Payer,false,,,"",""
63
63
  hl7.fhir.us.davinci-pas_2.2.1,spec-37,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-37,The details of what was actually item **SHALL** be returned in the ClaimResponse.addItem.,SHALL,PAS Payer,false,,,"",""
64
64
  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,,,"",""
65
- hl7.fhir.us.davinci-pas_2.2.1,spec-39,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-39,All transactions in PAS are synchronous and **SHALL** require one of the following HTTP responses:,SHALL,PAS Payer,false,,,"",""
65
+ hl7.fhir.us.davinci-pas_2.2.1,spec-39,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-39,All transactions in PAS are synchronous and **SHALL** require one of the following HTTP responses:,SHALL,PAS Payer,false,,,4,davinci_pas_server_suite_v221-pas_v221_error_group
66
66
  hl7.fhir.us.davinci-pas_2.2.1,spec-41,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-41,NOTE: These errors **SHOULD** not be returned to the provider but **SHOULD** be reviewed and addressed by technical staff.,SHOULD,PAS Payer,false,,,"",""
67
67
  hl7.fhir.us.davinci-pas_2.2.1,spec-43,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-43,Intermediaries **SHALL** interpret the 'not-applicable' code as no product or service code.,SHALL,PAS Payer,false,,,"",""
68
- hl7.fhir.us.davinci-pas_2.2.1,spec-44,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-44,This Claim Inquiry Response **SHALL** either reference a Claim or have a Data Absent Reason indicating why the Claim can not be referenced (eg. original claim received by fax).,SHALL,PAS Payer,false,,,"",""
68
+ hl7.fhir.us.davinci-pas_2.2.1,spec-44,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-44,This Claim Inquiry Response **SHALL** either reference a Claim or have a Data Absent Reason indicating why the Claim can not be referenced (eg. original claim received by fax).,SHALL,PAS Payer,false,,,3.2.4.01,davinci_pas_server_suite_v221-pas_server_v221_must_support-Group02-pas_server_v221_claim_inquiry_responses-pas_server_v221_claim_inquiry_response_claim_reference_test
69
69
  hl7.fhir.us.davinci-pas_2.2.1,spec-45,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-45,The referenced Claim instance **SHOULD** be returned if there is information in the Response that needs to be present can not be returned in the Claim Response instance.,SHOULD,PAS Payer,false,,,"",""
70
70
  hl7.fhir.us.davinci-pas_2.2.1,spec-46,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-46,"the returned ClaimResponse **SHALL** include the current results for all submitted items, including any items changed or canceled since the original authoriation request.",SHALL,PAS Payer,false,,,2.4.5.02,davinci_pas_server_suite_v221-Group02-pas_server_v221_claim_updates-Group05-pas_server_v221_claim_update_current_results_test
71
- 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,,,"",""
71
+ 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,,,3.2.1.05,davinci_pas_server_suite_v221-pas_server_v221_must_support-Group02-Group01-pas_server_v221_replaced_pa_inquire_reference_test
72
72
  hl7.fhir.us.davinci-pas_2.2.1,spec-48,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-48,"I.e. If a search is for a 'replaced' prior authorization, the search result **SHALL** include the 'current' prior authorization response for the most recent replacing prior authorization request.",SHALL,PAS Payer,false,,,"",""
73
73
  hl7.fhir.us.davinci-pas_2.2.1,spec-49,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-49,systems **MAY** withhold information about prior authorizations that are 'open' but are deemed to be not relevant to the provider (eg. prior authorization requests for sensitive care where the requesting provider is neither the ordering nor rendering provider) who is checking for the prior authorization status if not searching by a specific Claim identifier.,MAY,PAS Payer,false,,,"",""
74
74
  hl7.fhir.us.davinci-pas_2.2.1,spec-50,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-50,In such situations the response **SHOULD** include an OperationOutcome warning that some prior authorizations have been suppressed and provide an alternative mechanism (e.g. telephone number) to provide further information if needed.,SHOULD,PAS Payer,false,,,"",""
75
- hl7.fhir.us.davinci-pas_2.2.1,spec-51,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-51,Implementers **SHALL** support subscriptions to provide the final response.,SHALL,PAS Payer,false,,,"",""
75
+ hl7.fhir.us.davinci-pas_2.2.1,spec-51,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-51,Implementers **SHALL** support subscriptions to provide the final response.,SHALL,PAS Payer,false,,,2.3.2.01,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_wait_pended
76
76
  hl7.fhir.us.davinci-pas_2.2.1,spec-52,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-52,Servers **SHALL** permit access to the prior authorization response to systems other than the original submitter.,SHALL,PAS Payer,false,,,"",""
77
77
  hl7.fhir.us.davinci-pas_2.2.1,spec-53,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-53,"They **SHALL** require a match on the patient member or subscriber id (identifier on the Claim.patient) plus the ordering and/or rendering provider identifier, i.e. the provider's NPI.",SHALL,PAS Payer,false,,,"",""
78
- hl7.fhir.us.davinci-pas_2.2.1,spec-54,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-54,Implementers **SHALL** support the R4 Subscriptions referenced in the [Subscriptions for R5 Backport Implementation Guide](http://hl7.org/fhir/uv/subscriptions-backport/).,SHALL,PAS Payer,false,,,"",""
79
- hl7.fhir.us.davinci-pas_2.2.1,spec-55,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-55,Servers supporting subscriptions **SHALL** expose this as part of their CapabilityStatement,SHALL,PAS Payer,false,,,"",""
78
+ hl7.fhir.us.davinci-pas_2.2.1,spec-54,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-54,Implementers **SHALL** support the R4 Subscriptions referenced in the [Subscriptions for R5 Backport Implementation Guide](http://hl7.org/fhir/uv/subscriptions-backport/).,SHALL,PAS Payer,false,,,1.03,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_notification_delivery
79
+ hl7.fhir.us.davinci-pas_2.2.1,spec-55,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-55,Servers supporting subscriptions **SHALL** expose this as part of their CapabilityStatement,SHALL,PAS Payer,false,,,1.01,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-pas_server_v221_subscription_capability_statement_test
80
80
  hl7.fhir.us.davinci-pas_2.2.1,spec-56,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-56,Servers **SHALL** only support the [rest-hook channel type](https://hl7.org/fhir/uv/subscriptions-backport/channels.html#rest-hook-1),SHALL,PAS Payer,false,,,"",""
81
81
  hl7.fhir.us.davinci-pas_2.2.1,spec-57,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-57,This Subscription **SHALL** conform to the [PAS Subscription profile](StructureDefinition-profile-subscription.html).,SHALL,PAS Payer,false,,,"",""
82
82
  hl7.fhir.us.davinci-pas_2.2.1,spec-58,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-58,The Subscription filter criteria **SHALL** be org-identifier = [sending system identifier].,SHALL,PAS Payer,false,,,"",""
83
83
  hl7.fhir.us.davinci-pas_2.2.1,spec-59,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-59,Intermediaries **SHALL** ensure that subscriptions to monitor a particular sending system's prior authorizations are only created or modified by that sending system.,SHALL,PAS Payer,false,,,"",""
84
- hl7.fhir.us.davinci-pas_2.2.1,spec-60,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-60,"Once the [subscription](Subscription-PASSubscriptionExample.html) has been created, the Server **SHALL** send a [notification](Bundle-PASSubscriptionNotification.html) over the requested channel indicating that a prior authorization response submitted by the requesting provider organization has changed.",SHALL,PAS Payer,false,,,"",""
85
- hl7.fhir.us.davinci-pas_2.2.1,spec-61,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-61,This notification **SHALL** include a full PAS Response Bundle.,SHALL,PAS Payer,false,,,"",""
86
- 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,,,"",""
84
+ hl7.fhir.us.davinci-pas_2.2.1,spec-60,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-60,"Once the [subscription](Subscription-PASSubscriptionExample.html) has been created, the Server **SHALL** send a [notification](Bundle-PASSubscriptionNotification.html) over the requested channel indicating that a prior authorization response submitted by the requesting provider organization has changed.",SHALL,PAS Payer,false,,,2.3.2.01,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_wait_pended
85
+ hl7.fhir.us.davinci-pas_2.2.1,spec-61,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-61,This notification **SHALL** include a full PAS Response Bundle.,SHALL,PAS Payer,false,,,2.3.2.04,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_notification_pas_conformance_pended
86
+ 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,,,2.3.2.04,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_notification_pas_conformance_pended
87
87
  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,,,"",""
88
88
  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,,,"",""
89
89
  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,,,"",""
@@ -98,28 +98,28 @@ hl7.fhir.uv.subscriptions_1.1.0,3,https://hl7.org/fhir/uv/subscriptions-backport
98
98
  hl7.fhir.uv.subscriptions_1.1.0,4,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#subscription-topics-in-r4,"FHIR R4 servers MAY choose to leave topic discovery completely out-of-band and part of other steps, such as registration or integration.",MAY,Server,,Not Tested,"MAY requirement, support for which doesn't imply other requirements. Additionally, meeting this requirement is simply the absence of other features.",NA,NA
99
99
  hl7.fhir.uv.subscriptions_1.1.0,7,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#accepting-subscription-requests,"When a FHIR Server accepts a request to create a Subscription, the server is indicating to the client that the server:
100
100
  - is capable of detecting when events covered by the requested SubscriptionTopic occur, and
101
- - is willing to make a simple best effort attempt at delivering a notification for each occurrence of a matching event.",SHALL,Server,,,,1.03,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_creation_response_conformance
101
+ - is willing to make a simple best effort attempt at delivering a notification for each occurrence of a matching event.",SHALL,Server,,,,1.04,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_creation_response_conformance
102
102
  hl7.fhir.uv.subscriptions_1.1.0,8,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#accepting-subscription-requests,When processing a request for a Subscription...a server SHOULD validate…that the SubscriptionTopic is valid and implemented by the server,SHOULD,Server,,,,"",""
103
103
  hl7.fhir.uv.subscriptions_1.1.0,9,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#accepting-subscription-requests,When processing a request for a Subscription...a server SHOULD validate…that all requested filters are defined in the requested topic and are implemented in the server,SHOULD,Server,,,,"",""
104
104
  hl7.fhir.uv.subscriptions_1.1.0,10,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#accepting-subscription-requests,When processing a request for a Subscription...a server SHOULD validate…that the channel type is known and implemented by the server,SHOULD,Server,,,,"",""
105
105
  hl7.fhir.uv.subscriptions_1.1.0,11,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#accepting-subscription-requests,"When processing a request for a Subscription...a server SHOULD validate…that the channel endpoint is valid for the channel provided (e.g., is it a valid URL of the expected type)",SHOULD,Server,,,,"",""
106
106
  hl7.fhir.uv.subscriptions_1.1.0,12,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#accepting-subscription-requests,When processing a request for a Subscription...a server SHOULD validate…that the payload configuration is known and implemented by the server,SHOULD,Server,,,,"",""
107
107
  hl7.fhir.uv.subscriptions_1.1.0,13,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#accepting-subscription-requests,"When processing a request for a Subscription...a server SHOULD validate…that the payload configuration is valid for the channel type requested (e.g., complies with the server’s security policy)",SHOULD,Server,,,,"",""
108
- hl7.fhir.uv.subscriptions_1.1.0,14,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#subscription-notifications,"In ... FHIR R4 ... notifications are based on a history Bundle. The first entry always contains SubscriptionStatus information, encoded as ... a Parameters resource using the Backport SubscriptionStatus Profile in FHIR R4",SHALL,Server,,,,"1.04, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
108
+ hl7.fhir.uv.subscriptions_1.1.0,14,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#subscription-notifications,"In ... FHIR R4 ... notifications are based on a history Bundle. The first entry always contains SubscriptionStatus information, encoded as ... a Parameters resource using the Backport SubscriptionStatus Profile in FHIR R4",SHALL,Server,,,,"1.05, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
109
109
  hl7.fhir.uv.subscriptions_1.1.0,15,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#subscription-notifications,"Note that since notifications use history type Bundles, all notifications need to comply with the requirements for that bundle type. Specifically, there are two invariants on Bundle (bdl-3 and bdl-4) that require a Bundle.entry.request element for every Bundle.entry.
110
110
  - For the status resource (entry[0]) the request SHALL be filled out to match a request to the $status operation.
111
- - for additional entries the request SHOULD be filled out in a way that makes sense given the subscription (e.g., a POST or PUT operation on the resource, etc.). However, a server MAY choose to simply include a GET to the relevant resource instead.",SHALL,Server,,,,"1.04, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
111
+ - for additional entries the request SHOULD be filled out in a way that makes sense given the subscription (e.g., a POST or PUT operation on the resource, etc.). However, a server MAY choose to simply include a GET to the relevant resource instead.",SHALL,Server,,,,"1.05, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
112
112
  hl7.fhir.uv.subscriptions_1.1.0,16,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/components.html#scoping-responsibilities,"Unless otherwise specified by a server implementation and channel, the Subscriptions Framework does not involve guaranteed delivery of notifications. While the Subscriptions Framework is able to support such mechanisms, defining them are beyond the scope of the standard or this guide. - Servers SHOULD detect errors and take appropriate action where possible. In general, this boundary is when the notification is delivered.",SHOULD,Server,,,,"",""
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  hl7.fhir.uv.subscriptions_1.1.0,18,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/workflow.html#workflow-fhir-r4,"[When a client requests a Subscription, the] Server MAY accept the Subscription request and mark it active (e.g., supported channel and payload, no handshake required).",MAY,Server,,Not Tested,"MAY requirement, support for which doesn't imply other requirements.",NA,NA
114
114
  hl7.fhir.uv.subscriptions_1.1.0,19,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/workflow.html#workflow-fhir-r4,"[When a client requests a Subscription, the] Server MAY accept the Subscription request and mark it requested (e.g., supported channel and payload, handshake required).",MAY,Server,,Not Tested,"MAY requirement, support for which doesn't imply other requirements.",NA,NA
115
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  hl7.fhir.uv.subscriptions_1.1.0,20,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/workflow.html#workflow-fhir-r4,"[When a server sends a handshake bundle to a Subscription endpoint] If the Endpoint responds appropriately, per the channel requirements (e.g., in REST an HTTP Success code such as 200), the Server updates the subscription to active.",SHALL,Server,,,,"",""
116
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  hl7.fhir.uv.subscriptions_1.1.0,21,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/workflow.html#workflow-fhir-r4,"[When a server sends a handshake bundle to a Subscription endpoint] If the handshake fails (e.g., connection failure, bad response, etc.), the Server updates the subscription to error.",SHALL,Server,,,,"",""
117
117
  hl7.fhir.uv.subscriptions_1.1.0,22,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/workflow.html#workflow-fhir-r4,"[When a client requests a Subscription, the] Server MAY reject the Subscription request (e.g., unsupported channel type).",MAY,Server,,Not Tested,"MAY requirement, support for which doesn't imply other requirements.",NA,NA
118
- hl7.fhir.uv.subscriptions_1.1.0,25,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,"To convey an event notification, the server POSTs a Bundle to the client’s nominated endpoint URL",SHALL,Server,,,,"1.03, 1.04","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_creation_response_conformance, davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance"
118
+ hl7.fhir.uv.subscriptions_1.1.0,25,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,"To convey an event notification, the server POSTs a Bundle to the client’s nominated endpoint URL",SHALL,Server,,,,"1.04, 1.05","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_creation_response_conformance, davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance"
119
119
  hl7.fhir.uv.subscriptions_1.1.0,26,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,The content-type of the [server's event notification] POST SHALL match the MIME type on the Subscription ([Subscription.channel.payload](http://hl7.org/fhir/subscription-definitions.html#Subscription.channel.payload)).,SHALL,Server,,,,2.3.2.02,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended
120
120
  hl7.fhir.uv.subscriptions_1.1.0,27,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,Each [Subscription.channel.header](http://hl7.org/fhir/subscription-definitions.html#Subscription.channel.header) value SHALL be conveyed as an HTTP request header [in the server's event notification POST].,SHALL,Server,,,,2.3.2.02,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended
121
- hl7.fhir.uv.subscriptions_1.1.0,28,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,The [server's event notification] bundle SHALL comply with the [Backported R5 Notification Bundle Profile](https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-subscription-notification.html).,SHALL,Server,,,,"1.04, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
122
- hl7.fhir.uv.subscriptions_1.1.0,29,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,"When a Subscription is created for a REST Hook channel type, the server SHALL set initial status to requested, pending verification of the nominated endpoint URL.",SHALL,Server,,,,1.03,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_creation_response_conformance
121
+ hl7.fhir.uv.subscriptions_1.1.0,28,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,The [server's event notification] bundle SHALL comply with the [Backported R5 Notification Bundle Profile](https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-subscription-notification.html).,SHALL,Server,,,,"1.05, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
122
+ hl7.fhir.uv.subscriptions_1.1.0,29,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,"When a Subscription is created for a REST Hook channel type, the server SHALL set initial status to requested, pending verification of the nominated endpoint URL.",SHALL,Server,,,,1.04,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_creation_response_conformance
123
123
  hl7.fhir.uv.subscriptions_1.1.0,30,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,"After a successful handshake notification has been sent and accepted [for a REST Hook channel type], the server SHALL update the status to active.",SHALL,Server,,,,"",""
124
124
  hl7.fhir.uv.subscriptions_1.1.0,31,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#rest-hook-1,Any errors in the initial handshake [for a REST Hook channel type] SHALL result in the status being changed to error.,SHALL,Server,,,,"",""
125
125
  hl7.fhir.uv.subscriptions_1.1.0,32,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/channels.html#security-notes,"HTTP is neither a secure nor an encrypted channel, nor does it provide endpoint verification. It is strongly recommended that implementations refuse requests to send notifications to URLs using the HTTP protocol (use HTTPS instead).",SHOULD,Server,,,,"",""
@@ -138,7 +138,7 @@ hl7.fhir.uv.subscriptions_1.1.0,44,https://hl7.org/fhir/uv/subscriptions-backpor
138
138
  hl7.fhir.uv.subscriptions_1.1.0,45,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/payloads.html#full-resource,"Each Bundle.entry for a full-resource notification SHALL contain a relevant resource in the entry.resource element. If a server cannot include the resource contents due to an issue with a specific notification, the server SHALL populate the entry.request and/or entry.response elements.",SHALL,Server,,,,2.3.2.03,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended
139
139
  hl7.fhir.uv.subscriptions_1.1.0,47,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHALL support the $status operation on the Subscription resource.",SHALL,Server,,,,"",""
140
140
  hl7.fhir.uv.subscriptions_1.1.0,48,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHOULD support topic discovery via the CapabilityStatement SubscriptionTopic Canonical extension",SHOULD,Server,,,,"",""
141
- hl7.fhir.uv.subscriptions_1.1.0,49,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHALL support at least one channel type",SHALL,Server,,,,1.03,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_creation_response_conformance
141
+ hl7.fhir.uv.subscriptions_1.1.0,49,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHALL support at least one channel type",SHALL,Server,,,,1.04,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_creation_response_conformance
142
142
  hl7.fhir.uv.subscriptions_1.1.0,50,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHOULD include one [channel type] from this guide",SHOULD,Server,,,,"",""
143
143
  hl7.fhir.uv.subscriptions_1.1.0,51,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHALL support at least one Payload Type",SHALL,Server,,,,2.3.2.03,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended
144
144
  hl7.fhir.uv.subscriptions_1.1.0,52,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-artifacts-1,"FHIR Servers claiming conformance to this Implementation Guide must conform to the expectations described in the Capability Statement appropriate to the implemented FHIR version. For FHIR R4 servers, this guide defines the R4 Server CapabilityStatement (https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/CapabilityStatement-backport-subscription-server-r4.html).",SHALL,Server,,,,"",""
@@ -152,8 +152,8 @@ hl7.fhir.uv.subscriptions_1.1.0,63,https://hl7.org/fhir/uv/subscriptions-backpor
152
152
  hl7.fhir.uv.subscriptions_1.1.0,65,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#backport-payload-content-1,Servers supporting this guide SHALL be able to read values from this [backport-payload-content - https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-payload-content.html] extension.,SHALL,Server,,,,2.3.2.03,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended
153
153
  hl7.fhir.uv.subscriptions_1.1.0,66,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#backport-payload-content-1,"A server SHALL reject the subscription request if a client asks for a content level the server does not intend to support (e.g., does not meet security requirements) [using the extension backport-payload-content - https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-payload-content.html].",SHALL,Server,,,,"",""
154
154
  hl7.fhir.uv.subscriptions_1.1.0,67,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#backport-payload-content-1,Servers SHALL include information in notifications as described in this guide based on this value [in the extension backport-payload-content - https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-payload-content.html].,SHALL,Server,,,,2.3.2.03,davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended
155
- hl7.fhir.uv.subscriptions_1.1.0,69,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#notification-entry-subscriptionstatus-1,Servers supporting this guide SHALL be able to generate a valid and correct R4 Backported R5 SubscriptionStatus resource for each notification.,SHALL,Server,,,,"1.04, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
156
- hl7.fhir.uv.subscriptions_1.1.0,70,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#notification-entry-subscriptionstatus-1,The status entry SHALL be the first entry of each notification bundle.,SHALL,Server,,,,"1.04, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
155
+ hl7.fhir.uv.subscriptions_1.1.0,69,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#notification-entry-subscriptionstatus-1,Servers supporting this guide SHALL be able to generate a valid and correct R4 Backported R5 SubscriptionStatus resource for each notification.,SHALL,Server,,,,"1.05, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
156
+ hl7.fhir.uv.subscriptions_1.1.0,70,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#notification-entry-subscriptionstatus-1,The status entry SHALL be the first entry of each notification bundle.,SHALL,Server,,,,"1.05, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
157
157
  hl7.fhir.uv.subscriptions_1.1.0,72,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#subscriptioncriteria-1,"The Subscription.criteria element is required (cardinality of 1..1), so any compatible implementation SHALL be able to read and/or write as necessary.",SHALL,Server,,,,"",""
158
158
  hl7.fhir.uv.subscriptions_1.1.0,73,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#subscriptioncriteria-1,"Compared with the core specification, this guide specifies that the [Subscription.criteria] element SHALL contain the canonical URL for the Subscription Topic.",SHALL,Server,,,,"",""
159
159
  hl7.fhir.uv.subscriptions_1.1.0,74,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#subscriptioncriteria-1,Servers supporting this guide SHALL be able to read values in this [Subscription.criteria] element and process requests for subscription topics referenced by it.,SHALL,Server,,,,"",""
@@ -203,10 +203,10 @@ hl7.fhir.uv.subscriptions_1.1.0,128,https://hl7.org/fhir/uv/subscriptions-backpo
203
203
  hl7.fhir.uv.subscriptions_1.1.0,129,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/CapabilityStatement-backport-subscription-server-r4.html#summary,Search Parameter Summary: SHALL [support] url,SHALL,Server,,,,"",""
204
204
  hl7.fhir.uv.subscriptions_1.1.0,130,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/CapabilityStatement-backport-subscription-server-r4.html#summary,Search Parameter Summary: SHOULD [support] status,SHOULD,Server,,,,"",""
205
205
  hl7.fhir.uv.subscriptions_1.1.0,131,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,Server,,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
206
- hl7.fhir.uv.subscriptions_1.1.0,133,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHALL support the Subscription resource (...write).",SHALL,Server,,,,1.02,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_notification_delivery
206
+ hl7.fhir.uv.subscriptions_1.1.0,133,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHALL support the Subscription resource (...write).",SHALL,Server,,,,1.03,davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_notification_delivery
207
207
  hl7.fhir.uv.subscriptions_1.1.0,134,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#conformance-in-fhir-r4,"In order to claim conformance with this guide, a server…SHALL support the Subscription resource (read...).",SHALL,Server,,,,"",""
208
208
  hl7.fhir.uv.subscriptions_1.1.0,135,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#backport-filter-criteria-1,Servers supporting this guide SHALL be able to read values in this [backport-filter-criteria - https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-filter-criteria.html] extension.,SHALL,Server,,,,"",""
209
209
  hl7.fhir.uv.subscriptions_1.1.0,136,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#backport-filter-criteria-1,Servers supporting this guide...SHALL be able to apply filters [from the backport-filter-criteria - https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/StructureDefinition-backport-filter-criteria.html extension] as described by any Subscription Topics the server advertises support for.,SHALL,Server,,,,"",""
210
210
  hl7.fhir.uv.subscriptions_1.1.0,137,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#profile-support-1,a conformant server…SHALL communicate all profile data elements that are mandatory by that profile’s StructureDefinition [for the R4/B Topic-Based Subscription profile],SHALL,Server,,,,"",""
211
- hl7.fhir.uv.subscriptions_1.1.0,138,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#profile-support-1,a conformant server…SHALL communicate all profile data elements that are mandatory by that profile’s StructureDefinition [for the R4 Topic-Based Subscription Notification Bundle],SHALL,Server,,,,"1.04, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
212
- hl7.fhir.uv.subscriptions_1.1.0,139,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#profile-support-1,a conformant server…SHALL communicate all profile data elements that are mandatory by that profile’s StructureDefinition [for the R4 Backported R5 SubscriptionStatus],SHALL,Server,,,,"1.04, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
211
+ hl7.fhir.uv.subscriptions_1.1.0,138,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#profile-support-1,a conformant server…SHALL communicate all profile data elements that are mandatory by that profile’s StructureDefinition [for the R4 Topic-Based Subscription Notification Bundle],SHALL,Server,,,,"1.05, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
212
+ hl7.fhir.uv.subscriptions_1.1.0,139,https://hl7.org/fhir/uv/subscriptions-backport/STU1.1/conformance.html#profile-support-1,a conformant server…SHALL communicate all profile data elements that are mandatory by that profile’s StructureDefinition [for the R4 Backported R5 SubscriptionStatus],SHALL,Server,,,,"1.05, 2.3.2.02, 2.3.2.03","davinci_pas_server_suite_v221-pas_server_v221_subscription_setup-subscriptions_r4_server_handshake_conformance, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_conformance_pended, davinci_pas_server_suite_v221-Group02-pas_server_v221_pended_use_case-Group02-pas_server_v221_subscription_notification_full_resource_conformance_pended"
@@ -119,6 +119,7 @@ module DaVinciPASTestKit
119
119
 
120
120
 
121
121
  )
122
+
122
123
  config(
123
124
  options: {
124
125
  use_case: 'approval',
@@ -119,6 +119,7 @@ module DaVinciPASTestKit
119
119
 
120
120
 
121
121
  )
122
+
122
123
  config(
123
124
  options: {
124
125
  use_case: 'denial',
@@ -129,6 +129,7 @@ module DaVinciPASTestKit
129
129
 
130
130
 
131
131
  )
132
+
132
133
  config(
133
134
  options: {
134
135
  use_case: 'pended',
@@ -24,8 +24,7 @@ module DaVinciPASTestKit
24
24
 
25
25
  The best place to get started is the [Server Testing
26
26
  Instructions](https://github.com/inferno-framework/davinci-pas-test-kit/wiki/Server-Instructions-v2.0.1),
27
- which provides a step-by-step guide for running the tests against a client and provides
28
- an example client implemented in Postman. Visit the [Server Testing
27
+ which provides a step-by-step guide for running the tests. Visit the [Server Testing
29
28
  Details](https://github.com/inferno-framework/davinci-pas-test-kit/wiki/Server-Details)
30
29
  documentation for information about technical implementation and known limitations of these tests.
31
30
 
@@ -36,6 +35,7 @@ module DaVinciPASTestKit
36
35
  - Approval of a prior authorization request
37
36
  - Denial of a prior authorization request
38
37
  - Pending of a prior authorization request and a subsequent final decision
38
+ - Claim updates (except in v2.0.1)
39
39
  - Inability to process a prior authorization request
40
40
  - The ability of the server to handle the full scope of data required by PAS, including
41
41
  - Ability to process prior auth requests and inquiries with all PAS profiles and all must support elements on those profiles
@@ -50,7 +50,7 @@ module DaVinciPASTestKit
50
50
  required features and functionality are present. HL7® FHIR® resources are
51
51
  validated with the Java validator using `tx.fhir.org` as the terminology server.
52
52
 
53
- %)
53
+ )
54
54
 
55
55
  links [
56
56
  {
@@ -90,8 +90,7 @@ module DaVinciPASTestKit
90
90
  exclude_message do |message|
91
91
  # Messages expected of the form `<ResourceType>: <FHIRPath>: <message>`
92
92
  # We strip `<ResourceType>: <FHIRPath>: ` for the sake of matching
93
- SUPPRESSED_MESSAGES.match?(message.message.sub(/\A\S+: \S+: /, '')) ||
94
- message.message.downcase.include?('x12')
93
+ V201_SUPPRESSED_MESSAGES.match?(message.message.sub(/\A\S+: \S+: /, ''))
95
94
  end
96
95
 
97
96
  validation_context do
@@ -87,6 +87,8 @@ module DaVinciPASTestKit
87
87
  * ClaimResponse.status
88
88
  )
89
89
 
90
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@conf-6'
91
+
90
92
  config(
91
93
  options: {
92
94
  resource_type: 'ClaimResponse',
@@ -88,6 +88,8 @@ module DaVinciPASTestKit
88
88
  * ClaimResponse.status
89
89
  )
90
90
 
91
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@conf-6'
92
+
91
93
  config(
92
94
  options: {
93
95
  resource_type: 'ClaimResponse',
@@ -100,6 +100,7 @@ module DaVinciPASTestKit
100
100
  sets containing X12 codes are not validated.
101
101
 
102
102
  )
103
+
103
104
  config(
104
105
  options: {
105
106
  use_case: 'approval',
@@ -107,6 +108,7 @@ module DaVinciPASTestKit
107
108
  ig_version: 'v2.2.1'
108
109
  }
109
110
  )
111
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-30', 'hl7.fhir.us.davinci-pas_2.2.1@spec-31', 'hl7.fhir.us.davinci-pas_2.2.1@spec-33'
110
112
  end
111
113
  test from: :prior_auth_claim_response_decision_validation do
112
114
  id :pas_server_v221_decision_validation_test_approval
@@ -100,6 +100,7 @@ module DaVinciPASTestKit
100
100
  sets containing X12 codes are not validated.
101
101
 
102
102
  )
103
+
103
104
  config(
104
105
  options: {
105
106
  use_case: 'denial',
@@ -107,6 +108,7 @@ module DaVinciPASTestKit
107
108
  ig_version: 'v2.2.1'
108
109
  }
109
110
  )
111
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-30', 'hl7.fhir.us.davinci-pas_2.2.1@spec-31', 'hl7.fhir.us.davinci-pas_2.2.1@spec-33'
110
112
  end
111
113
  test from: :prior_auth_claim_response_decision_validation do
112
114
  id :pas_server_v221_decision_validation_test_denial
@@ -3,6 +3,10 @@ require_relative '../../claim_submit_operation_test'
3
3
  require_relative '../../server_response_bundle_validation_test'
4
4
  require_relative '../../claim_inquire_operation_test'
5
5
  require_relative '../../v2.2.1/must_support/pas_server_must_support_request_profiles_test'
6
+ require_relative '../../v2.2.1/pas_server_no_custom_extensions_test'
7
+ require_relative '../../v2.2.1/pas_server_claim_inquiry_responses_group'
8
+ require_relative '../../v2.2.1/server_replaced_pa_inquire_reference_input_test'
9
+ require_relative '../../v2.2.1/server_replaced_pa_inquire_reference_test'
6
10
  require_relative 'pas_request_bundle/server_submit_request_must_support_pas_request_bundle_test'
7
11
  require_relative 'claim_update/server_submit_request_must_support_claim_update_test'
8
12
  require_relative 'coverage/server_submit_request_must_support_coverage_test'
@@ -204,11 +208,14 @@ module DaVinciPASTestKit
204
208
  }
205
209
  )
206
210
  end
211
+
212
+ test from: :pas_server_v221_no_custom_extensions_test
207
213
  end
208
214
 
209
215
  group do
210
216
  title '$submit Request Must Support'
211
217
  simulation_verification
218
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@conf-4', 'hl7.fhir.us.davinci-pas_2.2.1@conf-5'
212
219
 
213
220
  test from: :pas_server_v221_must_support_request_profiles
214
221
  test from: :pas_server_v221_submit_request_must_support_pas_request_bundle
@@ -369,11 +376,14 @@ module DaVinciPASTestKit
369
376
  }
370
377
  )
371
378
  end
379
+ test from: :pas_server_v221_replaced_pa_inquire_reference_input_test
380
+ test from: :pas_server_v221_replaced_pa_inquire_reference_test
372
381
  end
373
382
 
374
383
  group do
375
384
  title '$inquire Request Must Support'
376
385
  simulation_verification
386
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@conf-4', 'hl7.fhir.us.davinci-pas_2.2.1@conf-5'
377
387
 
378
388
  test from: :pas_server_v221_inquire_request_must_support_pas_inquiry_request_bundle
379
389
  test from: :pas_server_v221_inquire_request_must_support_claim_inquiry
@@ -397,6 +407,8 @@ module DaVinciPASTestKit
397
407
  test from: :pas_server_v221_inquire_response_must_support_practitioner_role
398
408
  test from: :pas_server_v221_inquire_response_must_support_task
399
409
  end
410
+
411
+ group from: :pas_server_v221_claim_inquiry_responses
400
412
  end
401
413
  end
402
414
  end
@@ -109,6 +109,7 @@ module DaVinciPASTestKit
109
109
  sets containing X12 codes are not validated.
110
110
 
111
111
  )
112
+
112
113
  config(
113
114
  options: {
114
115
  use_case: 'pended',
@@ -116,6 +117,7 @@ module DaVinciPASTestKit
116
117
  ig_version: 'v2.2.1'
117
118
  }
118
119
  )
120
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-30', 'hl7.fhir.us.davinci-pas_2.2.1@spec-31', 'hl7.fhir.us.davinci-pas_2.2.1@spec-33'
119
121
  end
120
122
  test from: :prior_auth_claim_response_decision_validation do
121
123
  id :pas_server_v221_decision_validation_test_pended
@@ -133,6 +135,7 @@ module DaVinciPASTestKit
133
135
 
134
136
  test from: :pas_server_v221_subscription_notification_wait do
135
137
  id :pas_server_v221_subscription_notification_wait_pended
138
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-51', 'hl7.fhir.us.davinci-pas_2.2.1@spec-60'
136
139
  end
137
140
  test from: :subscriptions_r4_server_notification_conformance do
138
141
  id :pas_server_v221_subscription_notification_conformance_pended
@@ -143,6 +146,8 @@ module DaVinciPASTestKit
143
146
  end
144
147
  test from: :pas_notification_pas_conformance_test do
145
148
  id :pas_server_v221_notification_pas_conformance_pended
149
+ verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-61',
150
+ 'hl7.fhir.us.davinci-pas_2.2.1@spec-62'
146
151
  end
147
152
  end
148
153
  end
@@ -25,8 +25,7 @@ module DaVinciPASTestKit
25
25
 
26
26
  The best place to get started is the [Server Testing
27
27
  Instructions](https://github.com/inferno-framework/davinci-pas-test-kit/wiki/Server-Instructions-v2.2.1),
28
- which provides a step-by-step guide for running the tests against a client and provides
29
- an example client implemented in Postman. Visit the [Server Testing
28
+ which provides a step-by-step guide for running the tests. Visit the [Server Testing
30
29
  Details](https://github.com/inferno-framework/davinci-pas-test-kit/wiki/Server-Details)
31
30
  documentation for information about technical implementation and known limitations of these tests.
32
31
 
@@ -37,6 +36,7 @@ module DaVinciPASTestKit
37
36
  - Approval of a prior authorization request
38
37
  - Denial of a prior authorization request
39
38
  - Pending of a prior authorization request and a subsequent final decision
39
+ - Claim updates (except in v2.0.1)
40
40
  - Inability to process a prior authorization request
41
41
  - The ability of the server to handle the full scope of data required by PAS, including
42
42
  - Ability to process prior auth requests and inquiries with all PAS profiles and all must support elements on those profiles
@@ -51,7 +51,7 @@ module DaVinciPASTestKit
51
51
  required features and functionality are present. HL7® FHIR® resources are
52
52
  validated with the Java validator using `tx.fhir.org` as the terminology server.
53
53
 
54
- %)
54
+ )
55
55
 
56
56
  links [
57
57
  {
@@ -91,8 +91,7 @@ module DaVinciPASTestKit
91
91
  exclude_message do |message|
92
92
  # Messages expected of the form `<ResourceType>: <FHIRPath>: <message>`
93
93
  # We strip `<ResourceType>: <FHIRPath>: ` for the sake of matching
94
- SUPPRESSED_MESSAGES.match?(message.message.sub(/\A\S+: \S+: /, '')) ||
95
- message.message.downcase.include?('x12')
94
+ V221_SUPPRESSED_MESSAGES.match?(message.message.sub(/\A\S+: \S+: /, ''))
96
95
  end
97
96
 
98
97
  validation_context do
@@ -32,7 +32,15 @@ module DaVinciPASTestKit
32
32
  requests = load_tagged_requests(DaVinciPASTestKit.operation_tag(operation),
33
33
  workflow_tag)
34
34
  bundles = []
35
- requests.map(&:response_body).compact.uniq.each do |response_body|
35
+ seen_response_bodies = []
36
+ requests.each do |request|
37
+ response_body = request.response_body
38
+ next if response_body.blank?
39
+ next if seen_response_bodies.include?(response_body)
40
+
41
+ seen_response_bodies << response_body
42
+
43
+ request_bundle = FHIR.from_contents(request.request_body) if request.request_body.present?
36
44
  resource = FHIR.from_contents(response_body)
37
45
  next unless resource.present?
38
46
 
@@ -40,10 +48,10 @@ module DaVinciPASTestKit
40
48
  if resource.resourceType == 'Parameters'
41
49
  # Extract all Bundles from Parameters.parameter entries
42
50
  parameter_bundles = extract_bundles_from_pas_inquiry_response_parameters(resource)
43
- bundles.concat(parameter_bundles)
51
+ bundles.concat(parameter_bundles.map { |bundle| [bundle, request_bundle] })
44
52
  elsif resource.is_a?(FHIR::Bundle)
45
53
  # Handle Bundle resource (v2.0.1 or v2.2.1 non-inquire)
46
- bundles << resource
54
+ bundles << [resource, request_bundle]
47
55
  end
48
56
  rescue StandardError
49
57
  next
@@ -57,12 +65,13 @@ module DaVinciPASTestKit
57
65
  assert bundles_to_verify.present?,
58
66
  "No successful $#{operation} requests made during the #{use_case.titleize} workflow tests."
59
67
 
60
- bundles_to_verify.each do |bundle|
68
+ bundles_to_verify.each do |bundle, request_bundle|
61
69
  perform_bundle_validation(
62
70
  bundle,
63
71
  operation,
64
72
  'response',
65
- ig_version
73
+ ig_version,
74
+ request_bundle
66
75
  )
67
76
  end
68
77