davinci_pas_test_kit 0.15.1 → 0.16.0

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Files changed (334) hide show
  1. checksums.yaml +4 -4
  2. data/config/presets/g33_br_provider.json +13 -0
  3. data/config/presets/pas_client_example.json +2 -2
  4. data/config/presets/pas_client_v201_run_against_pas_server.json +2 -2
  5. data/config/presets/pas_client_v221_run_against_pas_server.json +3 -3
  6. data/config/presets/pas_ri.json +6 -6
  7. data/config/presets/pas_server_v201_run_against_pas_client.json.erb +6 -6
  8. data/config/presets/pas_server_v221_run_against_pas_client.json.erb +10 -10
  9. data/lib/davinci_pas_test_kit/client/abstract_approval_submit_test.rb +28 -17
  10. data/lib/davinci_pas_test_kit/client/abstract_denial_submit_test.rb +26 -16
  11. data/lib/davinci_pas_test_kit/client/abstract_gather_must_support_test.rb +45 -74
  12. data/lib/davinci_pas_test_kit/client/abstract_modification_submit_test.rb +29 -19
  13. data/lib/davinci_pas_test_kit/client/abstract_response_attest.rb +75 -6
  14. data/lib/davinci_pas_test_kit/client/abstract_subscription_create_test.rb +26 -9
  15. data/lib/davinci_pas_test_kit/client/abstract_subscription_update_delete_test.rb +91 -0
  16. data/lib/davinci_pas_test_kit/client/client_bundle_validation_helper.rb +245 -0
  17. data/lib/davinci_pas_test_kit/client/client_input_descriptions.rb +96 -1
  18. data/lib/davinci_pas_test_kit/client/endpoints/claim_endpoint.rb +128 -72
  19. data/lib/davinci_pas_test_kit/client/endpoints/endpoint_session_identification.rb +24 -0
  20. data/lib/davinci_pas_test_kit/client/endpoints/expired_token.rb +40 -0
  21. data/lib/davinci_pas_test_kit/client/endpoints/subscription_create_endpoint.rb +7 -12
  22. data/lib/davinci_pas_test_kit/client/endpoints/subscription_delete_endpoint.rb +13 -0
  23. data/lib/davinci_pas_test_kit/client/endpoints/subscription_read_endpoint.rb +13 -0
  24. data/lib/davinci_pas_test_kit/client/endpoints/subscription_status_endpoint.rb +15 -20
  25. data/lib/davinci_pas_test_kit/client/endpoints/subscription_update_endpoint.rb +13 -0
  26. data/lib/davinci_pas_test_kit/client/endpoints/token_endpoint.rb +16 -0
  27. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_inquire_request_must_support_beneficiary_test.rb +3 -3
  28. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_inquire_response_must_support_beneficiary_test.rb +3 -3
  29. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_submit_request_must_support_beneficiary_test.rb +3 -3
  30. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_submit_response_must_support_beneficiary_test.rb +3 -3
  31. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claim_inquiry/client_inquire_request_must_support_claim_inquiry_test.rb +3 -3
  32. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claim_update/client_submit_request_must_support_claim_update_test.rb +3 -3
  33. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claiminquiryresponse/client_inquire_response_must_support_claiminquiryresponse_test.rb +3 -3
  34. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claimresponse/client_submit_response_must_support_claimresponse_test.rb +3 -3
  35. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/communication_request/client_submit_response_must_support_communication_request_test.rb +3 -3
  36. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/coverage/client_inquire_request_must_support_coverage_test.rb +3 -3
  37. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/coverage/client_submit_request_must_support_coverage_test.rb +3 -3
  38. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/encounter/client_submit_request_must_support_encounter_test.rb +3 -3
  39. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_inquire_request_must_support_insurer_test.rb +3 -3
  40. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_inquire_response_must_support_insurer_test.rb +3 -3
  41. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_submit_request_must_support_insurer_test.rb +3 -3
  42. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_submit_response_must_support_insurer_test.rb +3 -3
  43. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_inquire_must_support_group.rb +1 -1
  44. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_inquire_response_must_support_group.rb +9 -31
  45. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_submit_must_support_group.rb +1 -1
  46. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_submit_response_must_support_group.rb +10 -32
  47. 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 +3 -3
  48. 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 +3 -3
  49. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_request_bundle/client_submit_request_must_support_pas_request_bundle_test.rb +3 -3
  50. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_response_bundle/client_submit_response_must_support_pas_response_bundle_test.rb +3 -3
  51. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_inquire_request_must_support_practitioner_test.rb +3 -3
  52. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_inquire_response_must_support_practitioner_test.rb +3 -3
  53. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_submit_request_must_support_practitioner_test.rb +3 -3
  54. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_submit_response_must_support_practitioner_test.rb +3 -3
  55. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_inquire_request_must_support_practitioner_role_test.rb +3 -3
  56. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_inquire_response_must_support_practitioner_role_test.rb +3 -3
  57. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_submit_request_must_support_practitioner_role_test.rb +3 -3
  58. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_submit_response_must_support_practitioner_role_test.rb +3 -3
  59. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_inquire_request_must_support_requestor_test.rb +3 -3
  60. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_inquire_response_must_support_requestor_test.rb +3 -3
  61. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_submit_request_must_support_requestor_test.rb +3 -3
  62. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_submit_response_must_support_requestor_test.rb +3 -3
  63. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/subscriber/client_inquire_request_must_support_subscriber_test.rb +3 -3
  64. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/subscriber/client_submit_request_must_support_subscriber_test.rb +3 -3
  65. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/beneficiary/client_inquire_response_must_support_beneficiary_test.rb +4 -3
  66. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/beneficiary/client_submit_response_must_support_beneficiary_test.rb +4 -3
  67. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claim_inquiry/client_inquire_request_must_support_claim_inquiry_test.rb +3 -3
  68. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claim_update/client_submit_request_must_support_claim_update_test.rb +3 -3
  69. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claiminquiryresponse/client_inquire_response_must_support_claiminquiryresponse_test.rb +4 -3
  70. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claimresponse/client_submit_response_must_support_claimresponse_test.rb +4 -3
  71. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/communication_request/client_submit_response_must_support_communication_request_test.rb +4 -3
  72. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/insurer/client_inquire_response_must_support_insurer_test.rb +4 -3
  73. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/insurer/client_submit_response_must_support_insurer_test.rb +4 -3
  74. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_inquire_must_support_group.rb +8 -6
  75. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_inquire_response_must_support_group.rb +9 -31
  76. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_submit_must_support_group.rb +13 -9
  77. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_submit_response_must_support_group.rb +10 -32
  78. 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 +4 -3
  79. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_response_bundle/client_submit_response_must_support_pas_response_bundle_test.rb +4 -3
  80. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner/client_inquire_response_must_support_practitioner_test.rb +4 -3
  81. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner/client_submit_response_must_support_practitioner_test.rb +4 -3
  82. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner_role/client_inquire_response_must_support_practitioner_role_test.rb +4 -3
  83. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner_role/client_submit_response_must_support_practitioner_role_test.rb +4 -3
  84. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/requestor/client_inquire_response_must_support_requestor_test.rb +4 -3
  85. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/requestor/client_submit_response_must_support_requestor_test.rb +4 -3
  86. data/lib/davinci_pas_test_kit/client/jobs/send_pas_subscription_notification.rb +64 -3
  87. data/lib/davinci_pas_test_kit/client/pas_client_subscription_pas_conformance_test.rb +4 -3
  88. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_other_display_test.rb +6 -4
  89. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_smart_display_test.rb +8 -4
  90. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_udap_display_test.rb +9 -4
  91. data/lib/davinci_pas_test_kit/client/registration/abstract_other_auth_attest_test.rb +5 -4
  92. data/lib/davinci_pas_test_kit/client/request_count_gating.rb +14 -0
  93. data/lib/davinci_pas_test_kit/client/response_generator.rb +50 -9
  94. data/lib/davinci_pas_test_kit/client/session_identification.rb +26 -7
  95. data/lib/davinci_pas_test_kit/client/subscription_notification_trigger.rb +80 -0
  96. data/lib/davinci_pas_test_kit/client/subscription_setup_requirement.rb +59 -0
  97. data/lib/davinci_pas_test_kit/client/user_input_response.rb +50 -10
  98. data/lib/davinci_pas_test_kit/client/v2.0.1/client_suite.rb +30 -15
  99. data/lib/davinci_pas_test_kit/client/v2.0.1/must_support/pas_client_must_support_request_profiles_test.rb +2 -2
  100. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_approval_group.rb +8 -7
  101. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_auth_smart_group.rb +4 -4
  102. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_auth_udap_group.rb +4 -4
  103. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_denial_group.rb +8 -7
  104. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_must_support_group.rb +38 -52
  105. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_pended_group.rb +28 -22
  106. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_registration_group.rb +2 -2
  107. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_subscription_setup_group.rb +2 -2
  108. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_workflows_group.rb +2 -2
  109. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_inquire_request_bundle_validation_test.rb +15 -21
  110. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_inquire_response_bundle_validation_test.rb +29 -29
  111. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_pended_submit_test.rb +49 -40
  112. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_request_bundle_validation_test.rb +15 -21
  113. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_response_bundle_validation_test.rb +29 -29
  114. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/attestation_instructions.rb +10 -0
  115. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/client_data_element_expectations_attestation_test.rb +44 -0
  116. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/client_provider_review_attestation_test.rb +45 -0
  117. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/client_security_attestation_test.rb +42 -0
  118. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/client_subscription_error_recovery_attestation_test.rb +42 -0
  119. data/lib/davinci_pas_test_kit/client/v2.2.1/client_suite.rb +64 -12
  120. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_operation_failure_submit_test.rb +20 -10
  121. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_operation_outcome_validation_test.rb +11 -5
  122. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_processing_error_response_validation_test.rb +21 -12
  123. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_processing_error_submit_test.rb +19 -8
  124. data/lib/davinci_pas_test_kit/client/v2.2.1/must_support/must_support_with_attestation_option.rb +90 -40
  125. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_approval_group.rb +12 -11
  126. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_attestations_group.rb +32 -0
  127. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_auth_smart_group.rb +4 -4
  128. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_auth_udap_group.rb +4 -4
  129. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_claim_updates_group.rb +24 -6
  130. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_denial_group.rb +12 -10
  131. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_modification_group.rb +13 -14
  132. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_must_support_group.rb +55 -59
  133. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_operation_failure_group.rb +8 -5
  134. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_pended_group.rb +53 -41
  135. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_processing_error_group.rb +9 -7
  136. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_registration_group.rb +2 -2
  137. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_subscription_setup_group.rb +9 -4
  138. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_subscription_update_delete_group.rb +57 -0
  139. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_workflows_group.rb +22 -2
  140. data/lib/davinci_pas_test_kit/client/v2.2.1/subscription/pas_client_subscription_create_test.rb +2 -1
  141. data/lib/davinci_pas_test_kit/client/v2.2.1/subscription/pas_client_subscription_put_update_pas_conformance_test.rb +49 -0
  142. data/lib/davinci_pas_test_kit/client/v2.2.1/subscription/pas_client_subscription_update_delete_test.rb +12 -0
  143. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_referenced_resources_test.rb +5 -6
  144. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_submit_tests.rb +82 -56
  145. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_inquire_request_bundle_validation_test.rb +17 -20
  146. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_inquire_response_bundle_validation_test.rb +59 -27
  147. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_modification_verification_test.rb +0 -3
  148. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_pended_send_notification_test.rb +138 -0
  149. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_pended_submit_test.rb +32 -85
  150. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_request_bundle_validation_test.rb +16 -21
  151. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_response_bundle_validation_test.rb +27 -27
  152. data/lib/davinci_pas_test_kit/cross_suite/fhirpath_utils.rb +13 -3
  153. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/beneficiary/metadata.yml +4 -0
  154. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/claim_inquiry/metadata.yml +15 -0
  155. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/claim_update/metadata.yml +17 -0
  156. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/claiminquiryresponse/metadata.yml +15 -0
  157. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/claimresponse/metadata.yml +15 -0
  158. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/communication_request/metadata.yml +4 -0
  159. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/coverage/metadata.yml +1 -0
  160. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/device_request/metadata.yml +2 -0
  161. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/encounter/metadata.yml +3 -0
  162. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/insurer/metadata.yml +1 -0
  163. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/medication_request/metadata.yml +2 -0
  164. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/metadata.yml +143 -0
  165. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/nutrition_order/metadata.yml +2 -0
  166. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/pas_inquiry_request_bundle/metadata.yml +2 -0
  167. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/pas_inquiry_response_bundle/metadata.yml +2 -0
  168. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/pas_request_bundle/metadata.yml +2 -0
  169. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/pas_response_bundle/metadata.yml +2 -0
  170. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/practitioner/metadata.yml +1 -0
  171. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/practitioner_role/metadata.yml +1 -0
  172. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/requestor/metadata.yml +1 -0
  173. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/service_request/metadata.yml +3 -0
  174. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/subscriber/metadata.yml +4 -0
  175. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/task/metadata.yml +1 -4
  176. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/beneficiary/metadata.yml +1 -0
  177. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claim_inquiry/metadata.yml +23 -0
  178. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claim_update/metadata.yml +31 -0
  179. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claiminquiryresponse/metadata.yml +42 -0
  180. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/claimresponse/metadata.yml +42 -0
  181. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/communication_request/metadata.yml +4 -0
  182. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/coverage/metadata.yml +1 -0
  183. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/device_request/metadata.yml +2 -0
  184. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/encounter/metadata.yml +3 -0
  185. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/insurer/metadata.yml +1 -0
  186. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/medication_request/metadata.yml +2 -0
  187. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/metadata.yml +265 -1
  188. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/nutrition_order/metadata.yml +2 -0
  189. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_inquiry_request_bundle/metadata.yml +2 -0
  190. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_inquiry_response_bundle/metadata.yml +2 -0
  191. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_request_bundle/metadata.yml +2 -0
  192. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/pas_response_bundle/metadata.yml +2 -0
  193. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/practitioner/metadata.yml +1 -0
  194. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/practitioner_role/metadata.yml +1 -0
  195. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/requestor/metadata.yml +1 -0
  196. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/service_request/metadata.yml +3 -0
  197. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/subscriber/metadata.yml +1 -0
  198. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/task/metadata.yml +4 -4
  199. data/lib/davinci_pas_test_kit/cross_suite/pas_bundle_validation.rb +570 -312
  200. data/lib/davinci_pas_test_kit/cross_suite/pas_constants.rb +13 -0
  201. data/lib/davinci_pas_test_kit/cross_suite/pas_datatype_constraints.rb +166 -0
  202. data/lib/davinci_pas_test_kit/cross_suite/pas_subscription_verification.rb +8 -4
  203. data/lib/davinci_pas_test_kit/cross_suite/referenced_resource_presence_validation.rb +141 -0
  204. data/lib/davinci_pas_test_kit/cross_suite/response_selection_utils.rb +39 -21
  205. data/lib/davinci_pas_test_kit/cross_suite/tags.rb +11 -6
  206. data/lib/davinci_pas_test_kit/cross_suite/validator_configuration.rb +16 -0
  207. data/lib/davinci_pas_test_kit/cross_suite/validator_suppressions.rb +210 -146
  208. data/lib/davinci_pas_test_kit/docs/demo/PAS Client Suite Demonstration.postman_collection.json +7 -7
  209. data/lib/davinci_pas_test_kit/ext/inferno_core/runnable.rb +1 -0
  210. data/lib/davinci_pas_test_kit/generator/client_must_support_group_generator.rb +47 -16
  211. data/lib/davinci_pas_test_kit/generator/must_support_target_profiles.rb +17 -0
  212. data/lib/davinci_pas_test_kit/generator/must_support_test_generator.rb +14 -2
  213. data/lib/davinci_pas_test_kit/generator/pas_must_support_metadata_extractor.rb +1 -2
  214. data/lib/davinci_pas_test_kit/generator/profile_metadata.rb +1 -1
  215. data/lib/davinci_pas_test_kit/generator/server_must_support_group_generator.rb +23 -0
  216. data/lib/davinci_pas_test_kit/generator/server_suite_generator.rb +8 -7
  217. data/lib/davinci_pas_test_kit/generator/templates/client_must_support_group.rb.erb +22 -3
  218. data/lib/davinci_pas_test_kit/generator/templates/client_must_support_response_group.rb.erb +7 -16
  219. data/lib/davinci_pas_test_kit/generator/templates/must_support.rb.erb +11 -10
  220. data/lib/davinci_pas_test_kit/generator/templates/server_must_support_group.rb.erb +22 -0
  221. data/lib/davinci_pas_test_kit/generator/templates/server_suite.rb.erb +9 -11
  222. data/lib/davinci_pas_test_kit/generator/templates/use_case_group.rb.erb +3 -0
  223. data/lib/davinci_pas_test_kit/generator/use_case_group_generator.rb +19 -13
  224. data/lib/davinci_pas_test_kit/parameters_helper.rb +13 -5
  225. data/lib/davinci_pas_test_kit/pas_notification_conformance_test.rb +2 -2
  226. data/lib/davinci_pas_test_kit/requirements/davinci_pas_test_kit_requirements.csv +14 -7
  227. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v201_requirements_coverage.csv +21 -21
  228. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v221_requirements_coverage.csv +30 -26
  229. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_server_suite_v221_requirements_coverage.csv +39 -33
  230. data/lib/davinci_pas_test_kit/requirements/hl7.fhir.us.davinci-pas_2.2.1_requirements.xlsx +0 -0
  231. data/lib/davinci_pas_test_kit/server/claim_operation_logic.rb +1 -1
  232. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/beneficiary/server_inquire_request_must_support_beneficiary_test.rb +1 -1
  233. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/beneficiary/server_inquire_response_must_support_beneficiary_test.rb +1 -1
  234. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/beneficiary/server_submit_request_must_support_beneficiary_test.rb +1 -1
  235. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/beneficiary/server_submit_response_must_support_beneficiary_test.rb +1 -1
  236. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/claim_inquiry/server_inquire_request_must_support_claim_inquiry_test.rb +1 -1
  237. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/claim_update/server_submit_request_must_support_claim_update_test.rb +1 -1
  238. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/claiminquiryresponse/server_inquire_response_must_support_claiminquiryresponse_test.rb +1 -1
  239. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/claimresponse/server_submit_response_must_support_claimresponse_test.rb +1 -1
  240. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/communication_request/server_submit_response_must_support_communication_request_test.rb +1 -1
  241. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/coverage/server_inquire_request_must_support_coverage_test.rb +1 -1
  242. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/coverage/server_submit_request_must_support_coverage_test.rb +1 -1
  243. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/encounter/server_submit_request_must_support_encounter_test.rb +1 -1
  244. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_inquire_request_must_support_insurer_test.rb +1 -1
  245. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_inquire_response_must_support_insurer_test.rb +1 -1
  246. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_submit_request_must_support_insurer_test.rb +1 -1
  247. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_submit_response_must_support_insurer_test.rb +1 -1
  248. 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 +1 -1
  249. 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 +1 -1
  250. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_request_bundle/server_submit_request_must_support_pas_request_bundle_test.rb +1 -1
  251. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_response_bundle/server_submit_response_must_support_pas_response_bundle_test.rb +1 -1
  252. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_approval_use_case_group.rb +4 -3
  253. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_denial_use_case_group.rb +4 -3
  254. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_pended_use_case_group.rb +7 -6
  255. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_inquire_request_must_support_practitioner_test.rb +1 -1
  256. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_inquire_response_must_support_practitioner_test.rb +1 -1
  257. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_submit_request_must_support_practitioner_test.rb +1 -1
  258. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_submit_response_must_support_practitioner_test.rb +1 -1
  259. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_inquire_request_must_support_practitioner_role_test.rb +1 -1
  260. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_inquire_response_must_support_practitioner_role_test.rb +1 -1
  261. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_submit_request_must_support_practitioner_role_test.rb +1 -1
  262. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_submit_response_must_support_practitioner_role_test.rb +1 -1
  263. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_inquire_request_must_support_requestor_test.rb +1 -1
  264. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_inquire_response_must_support_requestor_test.rb +1 -1
  265. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_submit_request_must_support_requestor_test.rb +1 -1
  266. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_submit_response_must_support_requestor_test.rb +1 -1
  267. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/server_suite.rb +9 -11
  268. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/subscriber/server_inquire_request_must_support_subscriber_test.rb +1 -1
  269. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/subscriber/server_submit_request_must_support_subscriber_test.rb +1 -1
  270. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/task/server_inquire_response_must_support_task_test.rb +1 -1
  271. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/task/server_submit_response_must_support_task_test.rb +1 -1
  272. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_inquire_request_must_support_beneficiary_test.rb +1 -1
  273. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_inquire_response_must_support_beneficiary_test.rb +1 -1
  274. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_submit_request_must_support_beneficiary_test.rb +1 -1
  275. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_submit_response_must_support_beneficiary_test.rb +1 -1
  276. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claim_inquiry/server_inquire_request_must_support_claim_inquiry_test.rb +1 -1
  277. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claim_update/server_submit_request_must_support_claim_update_test.rb +1 -1
  278. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claiminquiryresponse/server_inquire_response_must_support_claiminquiryresponse_test.rb +3 -1
  279. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claimresponse/server_submit_response_must_support_claimresponse_test.rb +3 -1
  280. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/communication_request/server_submit_response_must_support_communication_request_test.rb +1 -1
  281. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/coverage/server_inquire_request_must_support_coverage_test.rb +1 -1
  282. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/coverage/server_submit_request_must_support_coverage_test.rb +1 -1
  283. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/encounter/server_submit_request_must_support_encounter_test.rb +1 -1
  284. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_inquire_request_must_support_insurer_test.rb +1 -1
  285. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_inquire_response_must_support_insurer_test.rb +1 -1
  286. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_submit_request_must_support_insurer_test.rb +1 -1
  287. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_submit_response_must_support_insurer_test.rb +1 -1
  288. 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 +1 -1
  289. 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 +1 -1
  290. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_request_bundle/server_submit_request_must_support_pas_request_bundle_test.rb +1 -1
  291. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_response_bundle/server_submit_response_must_support_pas_response_bundle_test.rb +1 -1
  292. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_approval_use_case_group.rb +5 -3
  293. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_denial_use_case_group.rb +5 -3
  294. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_must_support_group.rb +12 -0
  295. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_pended_use_case_group.rb +9 -4
  296. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_inquire_request_must_support_practitioner_test.rb +1 -1
  297. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_inquire_response_must_support_practitioner_test.rb +1 -1
  298. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_submit_request_must_support_practitioner_test.rb +1 -1
  299. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_submit_response_must_support_practitioner_test.rb +1 -1
  300. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_inquire_request_must_support_practitioner_role_test.rb +1 -1
  301. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_inquire_response_must_support_practitioner_role_test.rb +1 -1
  302. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_submit_request_must_support_practitioner_role_test.rb +1 -1
  303. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_submit_response_must_support_practitioner_role_test.rb +1 -1
  304. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_inquire_request_must_support_requestor_test.rb +1 -1
  305. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_inquire_response_must_support_requestor_test.rb +1 -1
  306. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_submit_request_must_support_requestor_test.rb +1 -1
  307. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_submit_response_must_support_requestor_test.rb +1 -1
  308. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/server_suite.rb +9 -11
  309. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/subscriber/server_inquire_request_must_support_subscriber_test.rb +1 -1
  310. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/subscriber/server_submit_request_must_support_subscriber_test.rb +1 -1
  311. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/task/server_inquire_response_must_support_task_test.rb +1 -1
  312. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/task/server_submit_response_must_support_task_test.rb +1 -1
  313. data/lib/davinci_pas_test_kit/server/pas_claim_response_decision_test.rb +2 -2
  314. data/lib/davinci_pas_test_kit/server/server_request_bundle_validation_test.rb +4 -6
  315. data/lib/davinci_pas_test_kit/server/server_response_bundle_validation_test.rb +17 -10
  316. data/lib/davinci_pas_test_kit/server/v2.0.1/must_support/pas_server_must_support_request_profiles_test.rb +1 -1
  317. data/lib/davinci_pas_test_kit/server/v2.0.1/pas_server_subscription_setup.rb +1 -1
  318. data/lib/davinci_pas_test_kit/server/v2.2.1/claim_inquiry/server_claim_inquiry_response_tests.rb +89 -0
  319. data/lib/davinci_pas_test_kit/server/v2.2.1/must_support/pas_server_must_support_request_profiles_test.rb +1 -1
  320. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_error_group.rb +2 -0
  321. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_claim_inquiry_responses_group.rb +17 -0
  322. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_claim_updates_group.rb +1 -1
  323. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_no_custom_extensions_test.rb +241 -0
  324. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_subscription_capability_statement_test.rb +40 -0
  325. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_subscription_setup.rb +15 -10
  326. data/lib/davinci_pas_test_kit/server/v2.2.1/server_replaced_pa_inquire_reference_input_test.rb +63 -0
  327. data/lib/davinci_pas_test_kit/server/v2.2.1/server_replaced_pa_inquire_reference_test.rb +109 -0
  328. data/lib/davinci_pas_test_kit/version.rb +2 -2
  329. metadata +38 -13
  330. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/task/client_inquire_response_must_support_task_test.rb +0 -45
  331. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/task/client_submit_response_must_support_task_test.rb +0 -45
  332. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/task/client_inquire_response_must_support_task_test.rb +0 -55
  333. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/task/client_submit_response_must_support_task_test.rb +0 -55
  334. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_error_handling_group.rb +0 -20
@@ -41,7 +41,7 @@
41
41
  ]
42
42
  },
43
43
  {
44
- "name": "Approval Workflow",
44
+ "name": "Approval Scenario",
45
45
  "item": [
46
46
  {
47
47
  "name": "Prior Auth Request For Approval",
@@ -56,7 +56,7 @@
56
56
  ],
57
57
  "body": {
58
58
  "mode": "raw",
59
- "raw": "{\n \"resourceType\": \"Bundle\",\n \"id\": \"ReferralAuthorizationBundleExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle\"\n ]\n },\n \"identifier\": {\n \"system\": \"http://notreal.com/SUBMITTER_TRANSACTION_IDENTIFIER\",\n \"value\": \"A12345\"\n },\n \"type\": \"collection\",\n \"timestamp\": \"2005-05-02T11:01:00+05:00\",\n \"entry\": [\n {\n \"fullUrl\": \"http://notreal.com/fhir/Claim/ReferralAuthorizationExample\",\n \"resource\": {\n \"resourceType\": \"Claim\",\n \"id\": \"ReferralAuthorizationExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim\"\n ]\n },\n \"text\": {\n \"status\": \"extensions\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Claim</b><a name=\\\"ReferralAuthorizationExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Claim &quot;ReferralAuthorizationExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-claim.html\\\">PAS Claim</a></p></div><p><b>LevelOfServiceCode</b>: Urgent <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1338#U)</span></p><p><b>identifier</b>: id:\\u00a0111099</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html\\\">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: Patient/SubscriberExample</p><p><b>created</b>: 2005-05-02 11:01:00+0500</p><p><b>insurer</b>: Organization/InsurerExample</p><p><b>provider</b>: Organization/UMOExample</p><p><b>priority</b>: Normal <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html\\\">Process Priority Codes</a>#normal)</span></p><h3>CareTeams</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td/><td>1</td><td>PractitionerRole/ReferralPractitionerRoleExample</td></tr></table><h3>Diagnoses</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td/><td>1</td><td>G89.4 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10CM.html\\\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#G89.4)</span></td></tr></table><h3>Insurances</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td>1</td><td>true</td><td>Coverage/InsuranceExample</td></tr></table><h3>Items</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>CareTeamSequence</b></td><td><b>DiagnosisSequence</b></td><td><b>Category</b></td><td><b>ProductOrService</b></td><td><b>Location[x]</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td>, , , , , , , , , </td><td>1</td><td>1</td><td>1</td><td>Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></td><td>Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></td><td>11 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-CMSPlaceofServiceCodes.html\\\">CMS Place of Service Codes (POS)</a>#11)</span></td></tr></table></div>\"\n },\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1338\",\n \"code\": \"U\",\n \"display\": \"Urgent\"\n }\n ]\n }\n }\n ],\n \"identifier\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierJurisdiction\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://www.usps.com/\",\n \"code\": \"MA\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierSubDepartment\",\n \"valueString\": \"223412\"\n }\n ],\n \"system\": \"http://notreal.com/PATIENT_EVENT_TRACE_NUMBER\",\n \"value\": \"111099\",\n \"assigner\": {\n \"identifier\": {\n \"system\": \"http://notreal.com/USER_ASSIGNED\",\n \"value\": \"9012345678\"\n }\n }\n }\n ],\n \"status\": \"active\",\n \"type\": {\n \"coding\": [\n {\n \"system\": \"http://terminology.hl7.org/CodeSystem/claim-type\",\n \"code\": \"professional\"\n }\n ]\n },\n \"use\": \"preauthorization\",\n \"patient\": {\n \"reference\": \"Patient/SubscriberExample\"\n },\n \"created\": \"2005-05-02T11:01:00+05:00\",\n \"insurer\": {\n \"reference\": \"Organization/InsurerExample\"\n },\n \"provider\": {\n \"reference\": \"Organization/UMOExample\"\n },\n \"priority\": {\n \"coding\": [\n {\n \"system\": \"http://terminology.hl7.org/CodeSystem/processpriority\",\n \"code\": \"normal\"\n }\n ]\n },\n \"careTeam\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope\",\n \"valueBoolean\": true\n }\n ],\n \"sequence\": 1,\n \"provider\": {\n \"reference\": \"PractitionerRole/ReferralPractitionerRoleExample\"\n }\n }\n ],\n \"diagnosis\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate\",\n \"valueDate\": \"2021-05-10\"\n }\n ],\n \"sequence\": 1,\n \"diagnosisCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/icd-10-cm\",\n \"code\": \"G89.4\"\n }\n ]\n }\n }\n ],\n \"insurance\": [\n {\n \"sequence\": 1,\n \"focal\": true,\n \"coverage\": {\n \"reference\": \"Coverage/InsuranceExample\"\n }\n }\n ],\n \"item\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber\",\n \"valueIdentifier\": {\n \"system\": \"http://notreal.com/ITEM_TRACE_NUMBER\",\n \"value\": \"1122334\"\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber\",\n \"valueString\": \"1122445\"\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber\",\n \"valueString\": \"9988311\"\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1525\",\n \"code\": \"SC\",\n \"display\": \"Specialty Care Review\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1322\",\n \"code\": \"I\",\n \"display\": \"Initial\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService\",\n \"valueReference\": {\n \"reference\": \"ServiceRequest/ReferralRequestExample\"\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator\",\n \"valueBoolean\": false\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1345\",\n \"code\": \"2\",\n \"display\": \"Newly Admitted\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1337\",\n \"code\": \"2\",\n \"display\": \"Intermediate Care Facility (ICF)\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit\",\n \"valueDecimal\": 100\n }\n ],\n \"sequence\": 1,\n \"careTeamSequence\": [\n 1\n ],\n \"diagnosisSequence\": [\n 1\n ],\n \"category\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"productOrService\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"locationCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set\",\n \"code\": \"11\"\n }\n ]\n }\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Organization/UMOExample\",\n \"resource\": {\n \"resourceType\": \"Organization\",\n \"id\": \"UMOExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Organization</b><a name=\\\"UMOExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Organization &quot;UMOExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-requestor.html\\\">PAS Requestor Organization</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#8189991234</p><p><b>active</b>: true</p><p><b>type</b>: X3 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (98#X3)</span></p><p><b>name</b>: DR. JOE SMITH CORPORATION</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"8189991234\"\n }\n ],\n \"active\": true,\n \"type\": [\n {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/98\",\n \"code\": \"X3\"\n }\n ]\n }\n ],\n \"name\": \"DR. JOE SMITH CORPORATION\",\n \"address\": [\n {\n \"line\": [\n \"111 1ST STREET\"\n ],\n \"city\": \"SAN DIEGO\",\n \"state\": \"CA\",\n \"postalCode\": \"92101\",\n \"country\": \"US\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Organization/InsurerExample\",\n \"resource\": {\n \"resourceType\": \"Organization\",\n \"id\": \"InsurerExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Organization</b><a name=\\\"InsurerExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Organization &quot;InsurerExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-insurer.html\\\">PAS Insurer Organization</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#789312</p><p><b>active</b>: true</p><p><b>type</b>: PR <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (98#PR)</span></p><p><b>name</b>: MARYLAND CAPITAL INSURANCE COMPANY</p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"789312\"\n }\n ],\n \"active\": true,\n \"type\": [\n {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/98\",\n \"code\": \"PR\"\n }\n ]\n }\n ],\n \"name\": \"MARYLAND CAPITAL INSURANCE COMPANY\"\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Coverage/InsuranceExample\",\n \"resource\": {\n \"resourceType\": \"Coverage\",\n \"id\": \"InsuranceExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Coverage</b><a name=\\\"InsuranceExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Coverage &quot;InsuranceExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-coverage.html\\\">PAS Coverage</a></p></div><p><b>status</b>: active</p><p><b>beneficiary</b>: Patient/SubscriberExample</p><p><b>payor</b>: Organization/InsurerExample</p></div>\"\n },\n \"status\": \"active\",\n \"beneficiary\": {\n \"reference\": \"Patient/SubscriberExample\"\n },\n \"payor\": [\n {\n \"reference\": \"Organization/InsurerExample\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Patient/SubscriberExample\",\n \"resource\": {\n \"resourceType\": \"Patient\",\n \"id\": \"SubscriberExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber\"\n ]\n },\n \"text\": {\n \"status\": \"extensions\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Patient</b><a name=\\\"SubscriberExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Patient &quot;SubscriberExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-subscriber.html\\\">PAS Subscriber Patient</a></p></div><p><b>MilitaryStatus</b>: RU <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (584#RU)</span></p><p><b>identifier</b>: id:\\u00a012345678901</p><p><b>name</b>: JOE SMITH </p><p><b>gender</b>: male</p></div>\"\n },\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/584\",\n \"code\": \"RU\"\n }\n ]\n }\n }\n ],\n \"identifier\": [\n {\n \"system\": \"http://notreal.com/MIN\",\n \"value\": \"12345678901\"\n }\n ],\n \"name\": [\n {\n \"family\": \"SMITH\",\n \"given\": [\n \"JOE\"\n ]\n }\n ],\n \"gender\": \"male\"\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/ServiceRequest/ReferralRequestExample\",\n \"resource\": {\n \"resourceType\": \"ServiceRequest\",\n \"id\": \"ReferralRequestExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: ServiceRequest</b><a name=\\\"ReferralRequestExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource ServiceRequest &quot;ReferralRequestExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-servicerequest.html\\\">PAS Service Request</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>code</b>: Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></p><p><b>quantity</b>: 1 visit<span style=\\\"background: LightGoldenRodYellow\\\"> (Details: UCUM code 1 = '1')</span></p><p><b>subject</b>: Patient/SubscriberExample</p></div>\"\n },\n \"status\": \"active\",\n \"intent\": \"order\",\n \"code\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"quantityQuantity\": {\n \"value\": 1,\n \"unit\": \"visit\",\n \"system\": \"http://unitsofmeasure.org\",\n \"code\": \"1\"\n },\n \"subject\": {\n \"reference\": \"Patient/SubscriberExample\"\n }\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/PractitionerRole/ReferralPractitionerRoleExample\",\n \"resource\": {\n \"resourceType\": \"PractitionerRole\",\n \"id\": \"ReferralPractitionerRoleExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: PractitionerRole</b><a name=\\\"ReferralPractitionerRoleExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource PractitionerRole &quot;ReferralPractitionerRoleExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-practitionerrole.html\\\">PAS PractitionerRole</a></p></div><p><b>practitioner</b>: Practitioner/ReferralPractitionerExample</p><p><b>location</b>: Location/ReferralLocationExample</p></div>\"\n },\n \"practitioner\": {\n \"reference\": \"Practitioner/ReferralPractitionerExample\"\n },\n \"location\": [\n {\n \"reference\": \"Location/ReferralLocationExample\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Practitioner/ReferralPractitionerExample\",\n \"resource\": {\n \"resourceType\": \"Practitioner\",\n \"id\": \"ReferralPractitionerExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Practitioner</b><a name=\\\"ReferralPractitionerExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Practitioner &quot;ReferralPractitionerExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-practitioner.html\\\">PAS Practitioner</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#987654321</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"987654321\"\n }\n ],\n \"name\": [\n {\n \"family\": \"WATSON\",\n \"given\": [\n \"SUSAN\"\n ]\n }\n ],\n \"telecom\": [\n {\n \"system\": \"phone\",\n \"value\": \"4029993456\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Location/ReferralLocationExample\",\n \"resource\": {\n \"resourceType\": \"Location\",\n \"id\": \"ReferralLocationExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-location\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Location</b><a name=\\\"ReferralLocationExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Location &quot;ReferralLocationExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-location.html\\\">PAS Location Profile</a></p></div><p><b>name</b>: REFERRAL CLINIC</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>\"\n },\n \"name\": \"REFERRAL CLINIC\",\n \"address\": {\n \"line\": [\n \"111 1ST STREET\"\n ],\n \"city\": \"SAN DIEGO\",\n \"state\": \"CA\",\n \"postalCode\": \"92101\",\n \"country\": \"US\"\n }\n }\n }\n ]\n }",
59
+ "raw": "{\n \"resourceType\": \"Bundle\",\n \"id\": \"ReferralAuthorizationBundleExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle\"\n ]\n },\n \"identifier\": {\n \"system\": \"http://notreal.com/SUBMITTER_TRANSACTION_IDENTIFIER\",\n \"value\": \"A12345\"\n },\n \"type\": \"collection\",\n \"timestamp\": \"2005-05-02T11:01:00+05:00\",\n \"entry\": [\n {\n \"fullUrl\": \"http://notreal.com/fhir/Claim/ReferralAuthorizationExample\",\n \"resource\": {\n \"resourceType\": \"Claim\",\n \"id\": \"ReferralAuthorizationExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim\"\n ]\n },\n \"text\": {\n \"status\": \"extensions\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Claim</b><a name=\\\"ReferralAuthorizationExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Claim &quot;ReferralAuthorizationExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-claim.html\\\">PAS Claim</a></p></div><p><b>LevelOfServiceCode</b>: Urgent <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1338#U)</span></p><p><b>identifier</b>: id:\\u00a0111099</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html\\\">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: Patient/SubscriberExample</p><p><b>created</b>: 2005-05-02 11:01:00+0500</p><p><b>insurer</b>: Organization/InsurerExample</p><p><b>provider</b>: Organization/UMOExample</p><p><b>priority</b>: Normal <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html\\\">Process Priority Codes</a>#normal)</span></p><h3>CareTeams</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td/><td>1</td><td>PractitionerRole/ReferralPractitionerRoleExample</td></tr></table><h3>Diagnoses</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td/><td>1</td><td>G89.4 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10CM.html\\\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#G89.4)</span></td></tr></table><h3>Insurances</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td>1</td><td>true</td><td>Coverage/InsuranceExample</td></tr></table><h3>Items</h3><table class=\\\"grid\\\"><tr><td style=\\\"display: none\\\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>CareTeamSequence</b></td><td><b>DiagnosisSequence</b></td><td><b>Category</b></td><td><b>ProductOrService</b></td><td><b>Location[x]</b></td></tr><tr><td style=\\\"display: none\\\">*</td><td>, , , , , , , , , </td><td>1</td><td>1</td><td>1</td><td>Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></td><td>Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></td><td>11 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (<a href=\\\"http://terminology.hl7.org/5.0.0/CodeSystem-CMSPlaceofServiceCodes.html\\\">CMS Place of Service Codes (POS)</a>#11)</span></td></tr></table></div>\"\n },\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1338\",\n \"code\": \"U\",\n \"display\": \"Urgent\"\n }\n ]\n }\n }\n ],\n \"identifier\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierJurisdiction\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://www.usps.com/\",\n \"code\": \"MA\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierSubDepartment\",\n \"valueString\": \"223412\"\n }\n ],\n \"system\": \"http://notreal.com/PATIENT_EVENT_TRACE_NUMBER\",\n \"value\": \"111099\",\n \"assigner\": {\n \"identifier\": {\n \"system\": \"http://notreal.com/USER_ASSIGNED\",\n \"value\": \"9012345678\"\n }\n }\n }\n ],\n \"status\": \"active\",\n \"type\": {\n \"coding\": [\n {\n \"system\": \"http://terminology.hl7.org/CodeSystem/claim-type\",\n \"code\": \"professional\"\n }\n ]\n },\n \"use\": \"preauthorization\",\n \"patient\": {\n \"reference\": \"Patient/SubscriberExample\"\n },\n \"created\": \"2005-05-02T11:01:00+05:00\",\n \"insurer\": {\n \"reference\": \"Organization/InsurerExample\"\n },\n \"provider\": {\n \"reference\": \"Organization/UMOExample\"\n },\n \"priority\": {\n \"coding\": [\n {\n \"system\": \"http://terminology.hl7.org/CodeSystem/processpriority\",\n \"code\": \"normal\"\n }\n ]\n },\n \"careTeam\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope\",\n \"valueBoolean\": true\n }\n ],\n \"sequence\": 1,\n \"provider\": {\n \"reference\": \"PractitionerRole/ReferralPractitionerRoleExample\"\n }\n }\n ],\n \"diagnosis\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate\",\n \"valueDate\": \"2021-05-10\"\n }\n ],\n \"sequence\": 1,\n \"diagnosisCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/icd-10-cm\",\n \"code\": \"G89.4\"\n }\n ]\n }\n }\n ],\n \"insurance\": [\n {\n \"sequence\": 1,\n \"focal\": true,\n \"coverage\": {\n \"reference\": \"Coverage/InsuranceExample\"\n }\n }\n ],\n \"item\": [\n {\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber\",\n \"valueIdentifier\": {\n \"system\": \"http://notreal.com/ITEM_TRACE_NUMBER\",\n \"value\": \"1122334\"\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber\",\n \"valueString\": \"1122445\"\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber\",\n \"valueString\": \"9988311\"\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1525\",\n \"code\": \"SC\",\n \"display\": \"Specialty Care Review\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1322\",\n \"code\": \"I\",\n \"display\": \"Initial\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService\",\n \"valueReference\": {\n \"reference\": \"ServiceRequest/ReferralRequestExample\"\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator\",\n \"valueBoolean\": false\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1345\",\n \"code\": \"2\",\n \"display\": \"Newly Admitted\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1337\",\n \"code\": \"2\",\n \"display\": \"Intermediate Care Facility (ICF)\"\n }\n ]\n }\n },\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit\",\n \"valueDecimal\": 100\n }\n ],\n \"sequence\": 1,\n \"careTeamSequence\": [\n 1\n ],\n \"diagnosisSequence\": [\n 1\n ],\n \"category\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"productOrService\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"locationCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set\",\n \"code\": \"11\"\n }\n ]\n }\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Organization/UMOExample\",\n \"resource\": {\n \"resourceType\": \"Organization\",\n \"id\": \"UMOExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Organization</b><a name=\\\"UMOExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Organization &quot;UMOExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-requestor.html\\\">PAS Requestor Organization</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#8189991234</p><p><b>active</b>: true</p><p><b>type</b>: X3 <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (98#X3)</span></p><p><b>name</b>: DR. JOE SMITH CORPORATION</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"8189991234\"\n }\n ],\n \"active\": true,\n \"type\": [\n {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/98\",\n \"code\": \"X3\"\n }\n ]\n }\n ],\n \"name\": \"DR. JOE SMITH CORPORATION\",\n \"address\": [\n {\n \"line\": [\n \"111 1ST STREET\"\n ],\n \"city\": \"SAN DIEGO\",\n \"state\": \"CA\",\n \"postalCode\": \"92101\",\n \"country\": \"US\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Organization/InsurerExample\",\n \"resource\": {\n \"resourceType\": \"Organization\",\n \"id\": \"InsurerExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Organization</b><a name=\\\"InsurerExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Organization &quot;InsurerExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-insurer.html\\\">PAS Insurer Organization</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#789312</p><p><b>active</b>: true</p><p><b>type</b>: PR <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (98#PR)</span></p><p><b>name</b>: MARYLAND CAPITAL INSURANCE COMPANY</p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"8383066098\"\n }\n ],\n \"active\": true,\n \"type\": [\n {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/98\",\n \"code\": \"PR\"\n }\n ]\n }\n ],\n \"name\": \"MARYLAND CAPITAL INSURANCE COMPANY\"\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Coverage/InsuranceExample\",\n \"resource\": {\n \"resourceType\": \"Coverage\",\n \"id\": \"InsuranceExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Coverage</b><a name=\\\"InsuranceExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Coverage &quot;InsuranceExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-coverage.html\\\">PAS Coverage</a></p></div><p><b>status</b>: active</p><p><b>beneficiary</b>: Patient/SubscriberExample</p><p><b>payor</b>: Organization/InsurerExample</p></div>\"\n },\n \"status\": \"active\",\n \"beneficiary\": {\n \"reference\": \"Patient/SubscriberExample\"\n },\n \"payor\": [\n {\n \"reference\": \"Organization/InsurerExample\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Patient/SubscriberExample\",\n \"resource\": {\n \"resourceType\": \"Patient\",\n \"id\": \"SubscriberExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber\"\n ]\n },\n \"text\": {\n \"status\": \"extensions\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Patient</b><a name=\\\"SubscriberExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Patient &quot;SubscriberExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-subscriber.html\\\">PAS Subscriber Patient</a></p></div><p><b>MilitaryStatus</b>: RU <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (584#RU)</span></p><p><b>identifier</b>: id:\\u00a012345678901</p><p><b>name</b>: JOE SMITH </p><p><b>gender</b>: male</p></div>\"\n },\n \"extension\": [\n {\n \"url\": \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus\",\n \"valueCodeableConcept\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/584\",\n \"code\": \"RU\"\n }\n ]\n }\n }\n ],\n \"identifier\": [\n {\n \"system\": \"http://notreal.com/MIN\",\n \"value\": \"12345678901\"\n }\n ],\n \"name\": [\n {\n \"family\": \"SMITH\",\n \"given\": [\n \"JOE\"\n ]\n }\n ],\n \"gender\": \"male\"\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/ServiceRequest/ReferralRequestExample\",\n \"resource\": {\n \"resourceType\": \"ServiceRequest\",\n \"id\": \"ReferralRequestExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: ServiceRequest</b><a name=\\\"ReferralRequestExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource ServiceRequest &quot;ReferralRequestExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-servicerequest.html\\\">PAS Service Request</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>code</b>: Consultation <span style=\\\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\\\"> (1365#3)</span></p><p><b>quantity</b>: 1 visit<span style=\\\"background: LightGoldenRodYellow\\\"> (Details: UCUM code 1 = '1')</span></p><p><b>subject</b>: Patient/SubscriberExample</p></div>\"\n },\n \"status\": \"active\",\n \"intent\": \"order\",\n \"code\": {\n \"coding\": [\n {\n \"system\": \"https://codesystem.x12.org/005010/1365\",\n \"code\": \"3\",\n \"display\": \"Consultation\"\n }\n ]\n },\n \"quantityQuantity\": {\n \"value\": 1,\n \"unit\": \"visit\",\n \"system\": \"http://unitsofmeasure.org\",\n \"code\": \"1\"\n },\n \"subject\": {\n \"reference\": \"Patient/SubscriberExample\"\n }\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/PractitionerRole/ReferralPractitionerRoleExample\",\n \"resource\": {\n \"resourceType\": \"PractitionerRole\",\n \"id\": \"ReferralPractitionerRoleExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: PractitionerRole</b><a name=\\\"ReferralPractitionerRoleExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource PractitionerRole &quot;ReferralPractitionerRoleExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-practitionerrole.html\\\">PAS PractitionerRole</a></p></div><p><b>practitioner</b>: Practitioner/ReferralPractitionerExample</p><p><b>location</b>: Location/ReferralLocationExample</p></div>\"\n },\n \"practitioner\": {\n \"reference\": \"Practitioner/ReferralPractitionerExample\"\n },\n \"location\": [\n {\n \"reference\": \"Location/ReferralLocationExample\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Practitioner/ReferralPractitionerExample\",\n \"resource\": {\n \"resourceType\": \"Practitioner\",\n \"id\": \"ReferralPractitionerExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Practitioner</b><a name=\\\"ReferralPractitionerExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Practitioner &quot;ReferralPractitionerExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-practitioner.html\\\">PAS Practitioner</a></p></div><p><b>identifier</b>: id:\\u00a0&lt;a href=&quot;http://terminology.hl7.org/5.0.0/NamingSystem-npi.html&quot;&gt;NPI&lt;/a&gt;#987654321</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>\"\n },\n \"identifier\": [\n {\n \"system\": \"http://hl7.org/fhir/sid/us-npi\",\n \"value\": \"987654321\"\n }\n ],\n \"name\": [\n {\n \"family\": \"WATSON\",\n \"given\": [\n \"SUSAN\"\n ]\n }\n ],\n \"telecom\": [\n {\n \"system\": \"phone\",\n \"value\": \"4029993456\"\n }\n ]\n }\n },\n {\n \"fullUrl\": \"http://notreal.com/fhir/Location/ReferralLocationExample\",\n \"resource\": {\n \"resourceType\": \"Location\",\n \"id\": \"ReferralLocationExample\",\n \"meta\": {\n \"profile\": [\n \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-location\"\n ]\n },\n \"text\": {\n \"status\": \"generated\",\n \"div\": \"<div xmlns=\\\"http://www.w3.org/1999/xhtml\\\"><p><b>Generated Narrative: Location</b><a name=\\\"ReferralLocationExample\\\"> </a></p><div style=\\\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\\\"><p style=\\\"margin-bottom: 0px\\\">Resource Location &quot;ReferralLocationExample&quot; </p><p style=\\\"margin-bottom: 0px\\\">Profile: <a href=\\\"StructureDefinition-profile-location.html\\\">PAS Location Profile</a></p></div><p><b>name</b>: REFERRAL CLINIC</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>\"\n },\n \"name\": \"REFERRAL CLINIC\",\n \"address\": {\n \"line\": [\n \"111 1ST STREET\"\n ],\n \"city\": \"SAN DIEGO\",\n \"state\": \"CA\",\n \"postalCode\": \"92101\",\n \"country\": \"US\"\n }\n }\n }\n ]\n }",
60
60
  "options": {
61
61
  "raw": {
62
62
  "language": "json"
@@ -81,7 +81,7 @@
81
81
  ]
82
82
  },
83
83
  {
84
- "name": "Denial Workflow",
84
+ "name": "Denial Scenario",
85
85
  "item": [
86
86
  {
87
87
  "name": "Prior Auth Request For Denial",
@@ -96,7 +96,7 @@
96
96
  ],
97
97
  "body": {
98
98
  "mode": "raw",
99
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JOE SMITH CORPORATION\",\n \"address\" : [{\n \"line\" : [\"111 1ST STREET\"],\n \"city\" : \"SAN DIEGO\",\n \"state\" : \"CA\",\n \"postalCode\" : \"92101\",\n \"country\" : \"US\"\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\",\n \"resource\" : {\n \"resourceType\" : \"Organization\",\n \"id\" : \"ff7adc9d-8854-4947-874a-8b61bca953c1\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://hl7.org/fhir/sid/us-npi\",\n \"value\" : \"789312\"\n }],\n \"active\" : true,\n \"type\" : [{\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/98\",\n \"code\" : \"PR\"\n }]\n }],\n \"name\" : \"MARYLAND CAPITAL INSURANCE COMPANY\"\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:39f01aed-5a64-4301-8449-82b3d60f330c\",\n \"resource\" : {\n \"resourceType\" : \"Coverage\",\n \"id\" : \"39f01aed-5a64-4301-8449-82b3d60f330c\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage\"]\n },\n \"status\" : \"active\",\n \"beneficiary\" : {\n \"reference\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\"\n },\n \"payor\" : [{\n \"reference\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\"\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\",\n \"resource\" : {\n \"resourceType\" : \"Patient\",\n \"id\" : \"0b321e9e-571b-4f83-8cea-fa23424383bb\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber\"]\n },\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/584\",\n \"code\" : \"RU\"\n }]\n }\n }],\n \"identifier\" : [{\n \"system\" : \"http://notreal.com/MIN\",\n \"value\" : \"12345678901\"\n }],\n \"name\" : [{\n \"family\" : \"SMITH\",\n \"given\" : [\"JOE\"]\n }],\n \"gender\" : \"male\"\n }\n }]\n}",
99
+ "raw": "{\n \"resourceType\" : \"Bundle\",\n \"id\" : \"0a927577-c304-4d24-9837-bd8e4d116672\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle\"]\n },\n \"identifier\" : {\n \"system\" : \"http://notreal.com/SUBMITTER_TRANSACTION_IDENTIFIER\",\n \"value\" : \"B12345\"\n },\n \"type\" : \"collection\",\n \"timestamp\" : \"2005-05-02T14:30:00+05:00\",\n \"entry\" : [{\n \"fullUrl\" : \"urn:uuid:58bf54f2-9a96-43b2-93df-64078dd752f4\",\n \"resource\" : {\n \"resourceType\" : \"Claim\",\n \"id\" : \"58bf54f2-9a96-43b2-93df-64078dd752f4\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim\"]\n },\n \"extension\" : [{\n \"extension\" : [{\n \"url\" : \"prognosis\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/923\",\n \"code\" : \"1\"\n }]\n }\n },\n {\n \"url\" : \"date\",\n \"valueDate\" : \"2005-05-02\"\n }],\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-homeHealthCareInformation\"\n }],\n \"identifier\" : [{\n \"system\" : \"http://notreal.com/PATIENT_EVENT_TRACE_NUMBER\",\n \"value\" : \"111366\",\n \"assigner\" : {\n \"identifier\" : {\n \"system\" : \"http://notreal.com/USER_ASSIGNED\",\n \"value\" : \"5556667771\"\n }\n }\n }],\n \"status\" : \"active\",\n \"type\" : {\n \"coding\" : [{\n \"system\" : \"http://terminology.hl7.org/CodeSystem/claim-type\",\n \"code\" : \"professional\"\n }]\n },\n \"use\" : \"preauthorization\",\n \"patient\" : {\n \"reference\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\"\n },\n \"created\" : \"2019-07-20T11:01:00+05:00\",\n \"insurer\" : {\n \"reference\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\"\n },\n \"provider\" : {\n \"reference\" : \"urn:uuid:b0881003-0d22-499d-840b-91dc7f6f4479\"\n },\n \"priority\" : {\n \"coding\" : [{\n \"system\" : \"http://terminology.hl7.org/CodeSystem/processpriority\",\n \"code\" : \"normal\"\n }]\n },\n \"insurance\" : [{\n \"sequence\" : 1,\n \"focal\" : true,\n \"coverage\" : {\n \"reference\" : \"urn:uuid:39f01aed-5a64-4301-8449-82b3d60f330c\"\n }\n }],\n \"item\" : [{\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1525\",\n \"code\" : \"HS\",\n \"display\" : \"Health Services Review\"\n }]\n }\n },\n {\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1322\",\n \"code\" : \"I\",\n \"display\" : \"Initial\"\n }]\n }\n }],\n \"sequence\" : 1,\n \"category\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1365\",\n \"code\" : \"42\",\n \"display\" : \"Home Health Care\"\n }]\n },\n \"productOrService\" : {\n \"coding\" : [{\n \"system\" : \"http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets\",\n \"code\" : \"G0154\"\n }]\n }\n },\n {\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1525\",\n \"code\" : \"HS\",\n \"display\" : \"Health Services Review\"\n }]\n }\n },\n {\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1322\",\n \"code\" : \"I\",\n \"display\" : \"Initial\"\n }]\n }\n }],\n \"sequence\" : 2,\n \"category\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1365\",\n \"code\" : \"42\",\n \"display\" : \"Home Health Care\"\n }]\n },\n \"productOrService\" : {\n \"coding\" : [{\n \"system\" : \"http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets\",\n \"code\" : \"B4184\"\n }]\n }\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:b0881003-0d22-499d-840b-91dc7f6f4479\",\n \"resource\" : {\n \"resourceType\" : \"Organization\",\n \"id\" : \"b0881003-0d22-499d-840b-91dc7f6f4479\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://hl7.org/fhir/sid/us-npi\",\n \"value\" : \"8189991234\"\n }],\n \"active\" : true,\n \"type\" : [{\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/98\",\n \"code\" : \"X3\"\n }]\n }],\n \"name\" : \"DR. JOE SMITH CORPORATION\",\n \"address\" : [{\n \"line\" : [\"111 1ST STREET\"],\n \"city\" : \"SAN DIEGO\",\n \"state\" : \"CA\",\n \"postalCode\" : \"92101\",\n \"country\" : \"US\"\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\",\n \"resource\" : {\n \"resourceType\" : \"Organization\",\n \"id\" : \"ff7adc9d-8854-4947-874a-8b61bca953c1\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://hl7.org/fhir/sid/us-npi\",\n \"value\" : \"8383066098\"\n }],\n \"active\" : true,\n \"type\" : [{\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/98\",\n \"code\" : \"PR\"\n }]\n }],\n \"name\" : \"MARYLAND CAPITAL INSURANCE COMPANY\"\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:39f01aed-5a64-4301-8449-82b3d60f330c\",\n \"resource\" : {\n \"resourceType\" : \"Coverage\",\n \"id\" : \"39f01aed-5a64-4301-8449-82b3d60f330c\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage\"]\n },\n \"status\" : \"active\",\n \"beneficiary\" : {\n \"reference\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\"\n },\n \"payor\" : [{\n \"reference\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\"\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\",\n \"resource\" : {\n \"resourceType\" : \"Patient\",\n \"id\" : \"0b321e9e-571b-4f83-8cea-fa23424383bb\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber\"]\n },\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/584\",\n \"code\" : \"RU\"\n }]\n }\n }],\n \"identifier\" : [{\n \"system\" : \"http://notreal.com/MIN\",\n \"value\" : \"12345678901\"\n }],\n \"name\" : [{\n \"family\" : \"SMITH\",\n \"given\" : [\"JOE\"]\n }],\n \"gender\" : \"male\"\n }\n }]\n}",
100
100
  "options": {
101
101
  "raw": {
102
102
  "language": "json"
@@ -121,7 +121,7 @@
121
121
  ]
122
122
  },
123
123
  {
124
- "name": "Pended Workflow",
124
+ "name": "Pended Scenario",
125
125
  "item": [
126
126
  {
127
127
  "name": "Prior Auth Request For Pended",
@@ -136,7 +136,7 @@
136
136
  ],
137
137
  "body": {
138
138
  "mode": "raw",
139
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139
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140
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@@ -171,7 +171,7 @@
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174
+ "raw": "{\n \"resourceType\" : \"Bundle\",\n \"id\" : \"60815928-c69f-4503-b0ce-e24d3c2a0591\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle\"]\n },\n \"identifier\" : {\n \"system\" : \"http://notreal.com/SUBMITTER_TRANSACTION_IDENTIFIER\",\n \"value\" : \"902834\"\n },\n \"type\" : \"collection\",\n \"timestamp\" : \"2005-05-02T11:01:00+05:00\",\n \"entry\" : [{\n \"fullUrl\" : \"urn:uuid:2d84327e-1baf-4f68-ac42-41e5c8ad8803\",\n \"resource\" : {\n \"resourceType\" : \"Claim\",\n \"id\" : \"2d84327e-1baf-4f68-ac42-41e5c8ad8803\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://notreal.com/PATIENT_EVENT_TRACE_NUMBER\",\n \"value\" : \"1263291\",\n \"assigner\" : {\n \"identifier\" : {\n \"system\" : \"http://notreal.com/USER_ASSIGNED\",\n \"value\" : \"99102388213\"\n }\n }\n }],\n \"status\" : \"active\",\n \"type\" : {\n \"coding\" : [{\n \"system\" : \"http://terminology.hl7.org/CodeSystem/claim-type\",\n \"code\" : \"professional\"\n }]\n },\n \"use\" : \"preauthorization\",\n \"patient\" : {\n \"reference\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\"\n },\n \"created\" : \"2005-05-02T11:01:00+05:00\",\n \"insurer\" : {\n \"reference\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\"\n },\n \"provider\" : {\n \"reference\" : \"urn:uuid:b0881003-0d22-499d-840b-91dc7f6f4479\"\n },\n \"priority\" : {\n \"coding\" : [{\n \"system\" : \"http://terminology.hl7.org/CodeSystem/processpriority\",\n \"code\" : \"normal\"\n }]\n },\n \"insurance\" : [{\n \"sequence\" : 1,\n \"focal\" : true,\n \"coverage\" : {\n \"reference\" : \"urn:uuid:39f01aed-5a64-4301-8449-82b3d60f330c\"\n }\n }],\n \"item\" : [{\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1525\",\n \"code\" : \"IN\",\n \"display\" : \"Initial Medical Services Reservation\"\n }]\n }\n },\n {\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1322\",\n \"code\" : \"I\",\n \"display\" : \"Initial\"\n }]\n }\n },\n {\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber\",\n \"valueString\" : \"2389983\"\n },\n {\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber\",\n \"valueString\" : \"12385668734\"\n }],\n \"sequence\" : 1,\n \"category\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/1365\",\n \"code\" : \"1\",\n \"display\" : \"Medical Care\"\n }]\n },\n \"productOrService\" : {\n \"coding\" : [{\n \"system\" : \"http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets\",\n \"code\" : \"99212\",\n \"display\" : \"Established Office Visit\"\n }]\n },\n \"servicedDate\" : \"2005-05-10\",\n \"locationCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set\",\n \"code\" : \"11\"\n }]\n }\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:b0881003-0d22-499d-840b-91dc7f6f4479\",\n \"resource\" : {\n \"resourceType\" : \"Organization\",\n \"id\" : \"b0881003-0d22-499d-840b-91dc7f6f4479\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://hl7.org/fhir/sid/us-npi\",\n \"value\" : \"8189991234\"\n }],\n \"active\" : true,\n \"type\" : [{\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/98\",\n \"code\" : \"X3\"\n }]\n }],\n \"name\" : \"DR. JOE SMITH CORPORATION\",\n \"address\" : [{\n \"line\" : [\"111 1ST STREET\"],\n \"city\" : \"SAN DIEGO\",\n \"state\" : \"CA\",\n \"postalCode\" : \"92101\",\n \"country\" : \"US\"\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\",\n \"resource\" : {\n \"resourceType\" : \"Organization\",\n \"id\" : \"ff7adc9d-8854-4947-874a-8b61bca953c1\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer\"]\n },\n \"identifier\" : [{\n \"system\" : \"http://hl7.org/fhir/sid/us-npi\",\n \"value\" : \"8383066098\"\n }],\n \"active\" : true,\n \"type\" : [{\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/98\",\n \"code\" : \"PR\"\n }]\n }],\n \"name\" : \"MARYLAND CAPITAL INSURANCE COMPANY\"\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:39f01aed-5a64-4301-8449-82b3d60f330c\",\n \"resource\" : {\n \"resourceType\" : \"Coverage\",\n \"id\" : \"39f01aed-5a64-4301-8449-82b3d60f330c\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage\"]\n },\n \"status\" : \"active\",\n \"beneficiary\" : {\n \"reference\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\"\n },\n \"payor\" : [{\n \"reference\" : \"urn:uuid:ff7adc9d-8854-4947-874a-8b61bca953c1\"\n }]\n }\n },\n {\n \"fullUrl\" : \"urn:uuid:0b321e9e-571b-4f83-8cea-fa23424383bb\",\n \"resource\" : {\n \"resourceType\" : \"Patient\",\n \"id\" : \"0b321e9e-571b-4f83-8cea-fa23424383bb\",\n \"meta\" : {\n \"profile\" : [\"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber\"]\n },\n \"extension\" : [{\n \"url\" : \"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus\",\n \"valueCodeableConcept\" : {\n \"coding\" : [{\n \"system\" : \"https://codesystem.x12.org/005010/584\",\n \"code\" : \"RU\"\n }]\n }\n }],\n \"identifier\" : [{\n \"system\" : \"http://notreal.com/MIN\",\n \"value\" : \"12345678901\"\n }],\n \"name\" : [{\n \"family\" : \"SMITH\",\n \"given\" : [\"JOE\"]\n }],\n \"gender\" : \"male\"\n }\n }]\n}",
175
175
  "options": {
176
176
  "raw": {
177
177
  "language": "json"
@@ -6,6 +6,7 @@ module Inferno
6
6
  200,
7
7
  {
8
8
  'Access-Control-Allow-Origin' => '*',
9
+ 'Access-Control-Allow-Methods' => 'GET, POST, PUT, DELETE, OPTIONS',
9
10
  'Access-Control-Allow-Headers' => 'Content-Type, Authorization'
10
11
  },
11
12
  ['']
@@ -12,7 +12,7 @@ module DaVinciPASTestKit
12
12
  new(ig_metadata, 'submit', submit_request_profiles, base_client_output_dir).generate
13
13
 
14
14
  submit_response_profiles = ig_metadata.profiles.select do |profile|
15
- MustSupportTargetProfiles.submit_response_profile?(profile)
15
+ MustSupportTargetProfiles.client_submit_response_profile?(profile)
16
16
  end
17
17
  new(ig_metadata, 'submit', submit_response_profiles, base_client_output_dir, 'response').generate
18
18
 
@@ -22,7 +22,7 @@ module DaVinciPASTestKit
22
22
  new(ig_metadata, 'inquire', inquire_request_profiles, base_client_output_dir).generate
23
23
 
24
24
  inquire_response_profiles = ig_metadata.profiles.select do |profile|
25
- MustSupportTargetProfiles.inquire_response_profile?(profile)
25
+ MustSupportTargetProfiles.client_inquire_response_profile?(profile)
26
26
  end
27
27
  new(ig_metadata, 'inquire', inquire_response_profiles, base_client_output_dir, 'response').generate
28
28
  end
@@ -147,17 +147,25 @@ module DaVinciPASTestKit
147
147
  ig_version == 'v2.2.1'
148
148
  end
149
149
 
150
+ # for now, disabling the attestation option and optional response tests. they are expected to be
151
+ # re-enabled for some ig versions in some form in the future, so leaving the structure in place.
152
+ def enable_lax_checks?
153
+ false
154
+ end
155
+
150
156
  # The Claim (request) / ClaimResponse (response) profiles remain mandatory standalone tests.
151
157
  def mandatory_profile?(profile_metadata)
152
158
  %w[Claim ClaimResponse].include?(profile_metadata.resource)
153
159
  end
154
160
 
155
- # Response groups: pairs each per-profile test id with whether it should be marked optional.
161
+ # Response groups: pairs each per-profile test id with whether it should be marked optional and
162
+ # whether it verifies response_verifies_requirement (only the ClaimResponse profile does).
156
163
  def profile_tests
157
164
  profiles.map do |profile_metadata|
158
165
  {
159
166
  id: test_id_for_profile(profile_metadata),
160
- optional: optional_must_support_enabled? && !mandatory_profile?(profile_metadata)
167
+ optional: optional_must_support_enabled? && !mandatory_profile?(profile_metadata) && enable_lax_checks?,
168
+ verifies_response_requirement: mandatory_profile?(profile_metadata)
161
169
  }
162
170
  end
163
171
  end
@@ -191,24 +199,47 @@ module DaVinciPASTestKit
191
199
  target_profiles.map { |profile_metadata| test_file_for_profile(profile_metadata) }
192
200
  end
193
201
 
202
+ # Requirement verified by the ClaimResponse per-profile test in response groups
203
+ # (clients SHALL be capable of receiving must support elements).
204
+ def response_verifies_requirement
205
+ case ig_version
206
+ when 'v2.2.1' then 'hl7.fhir.us.davinci-pas_2.2.1@conf-7'
207
+ when 'v2.0.1' then "hl7.fhir.us.davinci-pas_2.0.1@#{operation == 'submit' ? '39' : '40'}"
208
+ end
209
+ end
210
+
194
211
  def verifies_requirements
195
- case "#{operation}_#{ig_version}"
196
- when 'submit_v2.0.1'
197
- return nil if type == 'response'
212
+ case "#{operation}_#{type}_#{ig_version}"
213
+ when 'submit_request_v2.2.1', 'inquire_request_v2.2.1'
214
+ ['hl7.fhir.us.davinci-pas_2.2.1@hrex-conf-1']
215
+ end
216
+ end
198
217
 
199
- ['hl7.fhir.us.davinci-pas_2.0.1@58', 'hl7.fhir.us.davinci-pas_2.0.1@62',
200
- 'hl7.fhir.us.davinci-pas_2.0.1@70', 'hl7.fhir.us.davinci-pas_2.0.1@202']
218
+ # Names of the profiles that must always be demonstrated, e.g. "PAS Claim Inquiry".
219
+ def mandatory_profile_names
220
+ target_profiles = type == 'response' ? profiles : required_profiles
221
+ target_profiles.select { |profile_metadata| mandatory_profile?(profile_metadata) }
222
+ .map(&:profile_name).to_sentence
223
+ end
224
+
225
+ # Only v2.2.1 has optional response tests and the request attestation option.
226
+ def optional_profiles_description
227
+ return '' unless optional_must_support_enabled? && enable_lax_checks?
228
+
229
+ if type == 'response'
230
+ "\nDemonstration of the #{mandatory_profile_names} profile is strictly required\n" \
231
+ 'while all others are optional.'
232
+ else
233
+ "\nFor all profiles other than #{mandatory_profile_names}, testers can attest\n" \
234
+ 'that the missing elements are not supported by their PAS client to pass the tests.'
201
235
  end
202
236
  end
203
237
 
204
238
  def description
205
239
  if type == 'response'
206
240
  <<~DESCRIPTION
207
- Check that `$#{operation}` responses provided to the client contain
208
- all PAS-defined profiles and their must support elements.
209
-
210
- **USER INPUT VALIDATION**: These tests validate responses provided by the tester,
211
- not the system under test. Errors will be treated as skips instead of failures.
241
+ Check that `$#{operation}` responses provided to the PAS client contain
242
+ all PAS-defined profiles and their must support elements.#{optional_profiles_description}
212
243
 
213
244
  For `$#{operation}` responses, this includes the following profiles:
214
245
 
@@ -216,8 +247,8 @@ module DaVinciPASTestKit
216
247
  DESCRIPTION
217
248
  else
218
249
  <<~DESCRIPTION
219
- Check that the client can demonstrate `$#{operation}` requests that contain
220
- all PAS-defined profiles and their must support elements.
250
+ Check that the PAS client demonstrated `$#{operation}` requests that contain
251
+ all PAS-defined profiles and their must support elements.#{optional_profiles_description}
221
252
 
222
253
  For `$#{operation}` requests, this includes the following profiles:
223
254
 
@@ -53,6 +53,11 @@ module DaVinciPASTestKit
53
53
  'PAS Task'
54
54
  ].freeze
55
55
 
56
+ # Response profiles not included in the client must support tests (server tests still include them).
57
+ CLIENT_RESPONSE_EXCLUDED_PROFILES = [
58
+ 'PAS Task'
59
+ ].freeze
60
+
56
61
  REQUEST_PROFILES = [
57
62
  'PAS Medication Request',
58
63
  'PAS Service Request',
@@ -77,6 +82,18 @@ module DaVinciPASTestKit
77
82
  INQUIRY_RESPONSE_REQUIRED_PROFILES.include?(profile_metadata.profile_name)
78
83
  end
79
84
 
85
+ def client_submit_response_profile?(profile_metadata)
86
+ submit_response_profile?(profile_metadata) && !client_response_excluded_profile?(profile_metadata)
87
+ end
88
+
89
+ def client_inquire_response_profile?(profile_metadata)
90
+ inquire_response_profile?(profile_metadata) && !client_response_excluded_profile?(profile_metadata)
91
+ end
92
+
93
+ def client_response_excluded_profile?(profile_metadata)
94
+ CLIENT_RESPONSE_EXCLUDED_PROFILES.include?(profile_metadata.profile_name)
95
+ end
96
+
80
97
  def request_profile?(profile_metadata)
81
98
  REQUEST_PROFILES.include?(profile_metadata.profile_name)
82
99
  end
@@ -26,6 +26,8 @@ module DaVinciPASTestKit
26
26
  end
27
27
  submit_response_profiles.each do |profile|
28
28
  new(ig_metadata, profile, base_server_output_dir, 'response', 'submit').generate
29
+ next if MustSupportTargetProfiles.client_response_excluded_profile?(profile)
30
+
29
31
  new(ig_metadata, profile, base_client_output_dir, 'response', 'submit', 'client').generate
30
32
  end
31
33
 
@@ -37,13 +39,15 @@ module DaVinciPASTestKit
37
39
  end
38
40
  inquiry_response_profiles.each do |profile|
39
41
  new(ig_metadata, profile, base_server_output_dir, 'response', 'inquire').generate
42
+ next if MustSupportTargetProfiles.client_response_excluded_profile?(profile)
43
+
40
44
  new(ig_metadata, profile, base_client_output_dir, 'response', 'inquire', 'client').generate
41
45
  end
42
46
  end
43
47
 
44
- # For v2.2.1 the client request must support tests are collapsed into the attestation tests
48
+ # For v2.2.1 the client request must support tests are collapsed into shared tests
45
49
  # (see ClientMustSupportGroupGenerator), so only the mandatory Claim profile keeps a
46
- # standalone per-profile client request test. Other profiles are covered by the attestation
50
+ # standalone per-profile client request test. Other profiles are covered by the shared
47
51
  # tests and their per-profile client request tests are not generated. Server tests and
48
52
  # earlier IG versions are unaffected.
49
53
  def generate_client_request_test?(ig_metadata, profile)
@@ -127,9 +131,17 @@ module DaVinciPASTestKit
127
131
  ['hl7.fhir.us.davinci-pas_2.0.1@37', 'hl7.fhir.us.davinci-pas_2.0.1@110']
128
132
  when 'server_inquire_response_v2.0.1'
129
133
  ['hl7.fhir.us.davinci-pas_2.0.1@38']
134
+ when 'client_inquire_response_v2.2.1', 'client_submit_response_v2.2.1'
135
+ ['hl7.fhir.us.davinci-pas_2.2.1@hrex-conf-2']
130
136
  end
131
137
  end
132
138
 
139
+ def tests_conf_6?
140
+ ig_metadata.ig_version.starts_with?('v2.2') &&
141
+ system == 'server' &&
142
+ ['ClaimResponse', 'ClaimInquiryResponse'].include?(resource_type)
143
+ end
144
+
133
145
  def generate
134
146
  FileUtils.mkdir_p(output_file_directory)
135
147
  File.write(output_file_name, output)