davinci_pas_test_kit 0.15.1 → 0.16.0

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_must_support_group.rb

@@ -3,6 +3,10 @@ require_relative '../../claim_submit_operation_test'
 require_relative '../../server_response_bundle_validation_test'
 require_relative '../../claim_inquire_operation_test'
 require_relative '../../v2.2.1/must_support/pas_server_must_support_request_profiles_test'
+require_relative '../../v2.2.1/pas_server_no_custom_extensions_test'
+require_relative '../../v2.2.1/pas_server_claim_inquiry_responses_group'
+require_relative '../../v2.2.1/server_replaced_pa_inquire_reference_input_test'
+require_relative '../../v2.2.1/server_replaced_pa_inquire_reference_test'
 require_relative 'pas_request_bundle/server_submit_request_must_support_pas_request_bundle_test'
 require_relative 'claim_update/server_submit_request_must_support_claim_update_test'
 require_relative 'coverage/server_submit_request_must_support_coverage_test'
@@ -204,11 +208,14 @@ module DaVinciPASTestKit
               }
             )
           end
+
+          test from: :pas_server_v221_no_custom_extensions_test
         end
 
         group do
           title '$submit Request Must Support'
           simulation_verification
+          verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@conf-4', 'hl7.fhir.us.davinci-pas_2.2.1@conf-5'
 
           test from: :pas_server_v221_must_support_request_profiles
           test from: :pas_server_v221_submit_request_must_support_pas_request_bundle
@@ -369,11 +376,14 @@ module DaVinciPASTestKit
               }
             )
           end
+          test from: :pas_server_v221_replaced_pa_inquire_reference_input_test
+          test from: :pas_server_v221_replaced_pa_inquire_reference_test
         end
 
         group do
           title '$inquire Request Must Support'
           simulation_verification
+          verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@conf-4', 'hl7.fhir.us.davinci-pas_2.2.1@conf-5'
 
           test from: :pas_server_v221_inquire_request_must_support_pas_inquiry_request_bundle
           test from: :pas_server_v221_inquire_request_must_support_claim_inquiry
@@ -397,6 +407,8 @@ module DaVinciPASTestKit
           test from: :pas_server_v221_inquire_response_must_support_practitioner_role
           test from: :pas_server_v221_inquire_response_must_support_task
         end
+
+        group from: :pas_server_v221_claim_inquiry_responses
       end
     end
   end

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_pended_use_case_group.rb

@@ -12,9 +12,9 @@ module DaVinciPASTestKit
   module DaVinciPASV221
     class PASServerPendedUseCaseGroup < Inferno::TestGroup
       id :pas_server_v221_pended_use_case
-      title 'Successful Pended Workflow'
+      title 'Successful Pended Scenario'
       description %(
-        Demonstrate a complete prior authorization workflow including a period
+        Demonstrate a complete prior authorization scenario including a period
         during which the final decision is pending. This includes demonstrating
         the ability of the server to
         
@@ -37,7 +37,7 @@ module DaVinciPASTestKit
             
             This test validates the conformity of the
             user input to the
-            [PAS Request Bundle](http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle|v2.2.1)
+            [PAS Request Bundle](https://hl7.org/fhir/us/davinci-pas/2.2.1/StructureDefinition-profile-pas-request-bundle.html)
             profile, ensuring subsequent tests can accurately simulate content.
             
             It also checks that other conformance requirements defined in the [PAS Formal
@@ -91,7 +91,7 @@ module DaVinciPASTestKit
           description %(
             This test validates the conformity of the
             server's response to the
-            [PAS Response Bundle](http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-response-bundle|v2.2.1)
+            [PAS Response Bundle](https://hl7.org/fhir/us/davinci-pas/2.2.1/StructureDefinition-profile-pas-response-bundle.html)
             profile.
             
             It also checks that other conformance requirements defined in the [PAS Formal
@@ -109,6 +109,7 @@ module DaVinciPASTestKit
             sets containing X12 codes are not validated.
             
           )
+
           config(
             options: {
               use_case: 'pended',
@@ -116,6 +117,7 @@ module DaVinciPASTestKit
               ig_version: 'v2.2.1'
             }
           )
+          verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-30', 'hl7.fhir.us.davinci-pas_2.2.1@spec-31', 'hl7.fhir.us.davinci-pas_2.2.1@spec-33'
         end
         test from: :prior_auth_claim_response_decision_validation do
           id :pas_server_v221_decision_validation_test_pended
@@ -133,6 +135,7 @@ module DaVinciPASTestKit
         
         test from: :pas_server_v221_subscription_notification_wait do
           id :pas_server_v221_subscription_notification_wait_pended
+          verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-51', 'hl7.fhir.us.davinci-pas_2.2.1@spec-60'
         end
         test from: :subscriptions_r4_server_notification_conformance do
           id :pas_server_v221_subscription_notification_conformance_pended
@@ -143,6 +146,8 @@ module DaVinciPASTestKit
         end
         test from: :pas_notification_pas_conformance_test do
           id :pas_server_v221_notification_pas_conformance_pended
+          verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-61',
+                                'hl7.fhir.us.davinci-pas_2.2.1@spec-62'
         end
       end
     end

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_inquire_request_must_support_practitioner_test.rb

@@ -10,7 +10,7 @@ module DaVinciPASTestKit
         **USER INPUT VALIDATION**: This test validates input provided by the user instead of the system under test. Errors encountered will be treated as a skip instead of a failure.
 
         PAS server systems are required to be able to receive all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$inquire`
         requests, including instances of the PAS Practitioner Profile.
         This test checks all identified instances of the PAS Practitioner
         Profile on requests sent to the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_inquire_response_must_support_practitioner_test.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       description %(
         
         PAS server systems are required to be able to populate all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$inquire`
         responses, including instances of the PAS Practitioner Profile.
         This test checks all identified instances of the PAS Practitioner
         Profile on responses returned by the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_submit_request_must_support_practitioner_test.rb

@@ -10,7 +10,7 @@ module DaVinciPASTestKit
         **USER INPUT VALIDATION**: This test validates input provided by the user instead of the system under test. Errors encountered will be treated as a skip instead of a failure.
 
         PAS server systems are required to be able to receive all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$submit`
         requests, including instances of the PAS Practitioner Profile.
         This test checks all identified instances of the PAS Practitioner
         Profile on requests sent to the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_submit_response_must_support_practitioner_test.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       description %(
         
         PAS server systems are required to be able to populate all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$submit`
         responses, including instances of the PAS Practitioner Profile.
         This test checks all identified instances of the PAS Practitioner
         Profile on responses returned by the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_inquire_request_must_support_practitioner_role_test.rb

@@ -10,7 +10,7 @@ module DaVinciPASTestKit
         **USER INPUT VALIDATION**: This test validates input provided by the user instead of the system under test. Errors encountered will be treated as a skip instead of a failure.
 
         PAS server systems are required to be able to receive all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$inquire`
         requests, including instances of the PAS PractitionerRole Profile.
         This test checks all identified instances of the PAS PractitionerRole
         Profile on requests sent to the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_inquire_response_must_support_practitioner_role_test.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       description %(
         
         PAS server systems are required to be able to populate all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$inquire`
         responses, including instances of the PAS PractitionerRole Profile.
         This test checks all identified instances of the PAS PractitionerRole
         Profile on responses returned by the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_submit_request_must_support_practitioner_role_test.rb

@@ -10,7 +10,7 @@ module DaVinciPASTestKit
         **USER INPUT VALIDATION**: This test validates input provided by the user instead of the system under test. Errors encountered will be treated as a skip instead of a failure.
 
         PAS server systems are required to be able to receive all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$submit`
         requests, including instances of the PAS PractitionerRole Profile.
         This test checks all identified instances of the PAS PractitionerRole
         Profile on requests sent to the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_submit_response_must_support_practitioner_role_test.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       description %(
         
         PAS server systems are required to be able to populate all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$submit`
         responses, including instances of the PAS PractitionerRole Profile.
         This test checks all identified instances of the PAS PractitionerRole
         Profile on responses returned by the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_inquire_request_must_support_requestor_test.rb

@@ -10,7 +10,7 @@ module DaVinciPASTestKit
         **USER INPUT VALIDATION**: This test validates input provided by the user instead of the system under test. Errors encountered will be treated as a skip instead of a failure.
 
         PAS server systems are required to be able to receive all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$inquire`
         requests, including instances of the PAS Requestor Organization Profile.
         This test checks all identified instances of the PAS Requestor Organization
         Profile on requests sent to the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_inquire_response_must_support_requestor_test.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       description %(
         
         PAS server systems are required to be able to populate all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$inquire`
         responses, including instances of the PAS Requestor Organization Profile.
         This test checks all identified instances of the PAS Requestor Organization
         Profile on responses returned by the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_submit_request_must_support_requestor_test.rb

@@ -10,7 +10,7 @@ module DaVinciPASTestKit
         **USER INPUT VALIDATION**: This test validates input provided by the user instead of the system under test. Errors encountered will be treated as a skip instead of a failure.
 
         PAS server systems are required to be able to receive all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$submit`
         requests, including instances of the PAS Requestor Organization Profile.
         This test checks all identified instances of the PAS Requestor Organization
         Profile on requests sent to the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_submit_response_must_support_requestor_test.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       description %(
         
         PAS server systems are required to be able to populate all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$submit`
         responses, including instances of the PAS Requestor Organization Profile.
         This test checks all identified instances of the PAS Requestor Organization
         Profile on responses returned by the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/server_suite.rb

@@ -1,3 +1,4 @@
+require_relative '../../../cross_suite/validator_configuration'
 require_relative '../../../cross_suite/validator_suppressions'
 require_relative '../../v2.2.1/pas_error_group'
 require_relative '../../v2.2.1/pas_server_subscription_setup'
@@ -25,8 +26,7 @@ module DaVinciPASTestKit
 
         The best place to get started is the [Server Testing
         Instructions](https://github.com/inferno-framework/davinci-pas-test-kit/wiki/Server-Instructions-v2.2.1),
-        which provides a step-by-step guide for running the tests against a client and provides
-        an example client implemented in Postman.  Visit the [Server Testing
+        which provides a step-by-step guide for running the tests. Visit the [Server Testing
         Details](https://github.com/inferno-framework/davinci-pas-test-kit/wiki/Server-Details)
         documentation for information about technical implementation and known limitations of these tests.
 
@@ -37,6 +37,7 @@ module DaVinciPASTestKit
             - Approval of a prior authorization request
             - Denial of a prior authorization request
             - Pending of a prior authorization request and a subsequent final decision
+            - Claim updates (except in v2.0.1)
             - Inability to process a prior authorization request
         - The ability of the server to handle the full scope of data required by PAS, including
             - Ability to process prior auth requests and inquiries with all PAS profiles and all must support elements on those profiles
@@ -51,7 +52,7 @@ module DaVinciPASTestKit
         required features and functionality are present. HL7® FHIR® resources are 
         validated with the Java validator using `tx.fhir.org` as the terminology server.
       
-      %)
+      )
 
       links [
         {
@@ -86,17 +87,14 @@ module DaVinciPASTestKit
       )
 
       fhir_resource_validator do
-        igs "hl7.fhir.us.davinci-pas#2.2.1", "hl7.fhir.us.core#6.1.0"
+        igs(*V221_VALIDATOR_IGS)
         
         exclude_message do |message|
-          # Messages expected of the form `<ResourceType>: <FHIRPath>: <message>`
-          # We strip `<ResourceType>: <FHIRPath>: ` for the sake of matching
-          SUPPRESSED_MESSAGES.match?(message.message.sub(/\A\S+: \S+: /, '')) ||
-            message.message.downcase.include?('x12')
+          V221_SUPPRESSED_MESSAGES.match?(message.message.sub(VALIDATOR_MESSAGE_LOCATION_PREFIX, ''))
         end
 
         validation_context do
-          snomedCT '731000124108'
+          snomedCT SNOMED_CT_US_EDITION
         end
       end
 
@@ -129,9 +127,9 @@ module DaVinciPASTestKit
 
       group from: :pas_server_v221_subscription_setup
 
-      group 'Demonstrate Workflow Support' do
+      group 'Demonstrate Scenario Support' do
         description %(
-          The workflow tests validate that the server can participate in complete
+          The scenario tests validate that the server can participate in complete
           end-to-end prior authorization interactions, returning responses that are
           conformant and also contain the correct codes.
         )

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/subscriber/server_inquire_request_must_support_subscriber_test.rb

@@ -10,7 +10,7 @@ module DaVinciPASTestKit
         **USER INPUT VALIDATION**: This test validates input provided by the user instead of the system under test. Errors encountered will be treated as a skip instead of a failure.
 
         PAS server systems are required to be able to receive all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$inquire`
         requests, including instances of the PAS Subscriber Patient Profile.
         This test checks all identified instances of the PAS Subscriber Patient
         Profile on requests sent to the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/subscriber/server_submit_request_must_support_subscriber_test.rb

@@ -10,7 +10,7 @@ module DaVinciPASTestKit
         **USER INPUT VALIDATION**: This test validates input provided by the user instead of the system under test. Errors encountered will be treated as a skip instead of a failure.
 
         PAS server systems are required to be able to receive all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$submit`
         requests, including instances of the PAS Subscriber Patient Profile.
         This test checks all identified instances of the PAS Subscriber Patient
         Profile on requests sent to the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/task/server_inquire_response_must_support_task_test.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       description %(
         
         PAS server systems are required to be able to populate all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$inquire`
         responses, including instances of the PAS Task Profile.
         This test checks all identified instances of the PAS Task
         Profile on responses returned by the server to ensure that the following

data/lib/davinci_pas_test_kit/server/generated/v2.2.1/task/server_submit_response_must_support_task_test.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       description %(
         
         PAS server systems are required to be able to populate all
-        must support elements on instances of all profiles included in 
+        must support elements on instances of all profiles included in `$submit`
         responses, including instances of the PAS Task Profile.
         This test checks all identified instances of the PAS Task
         Profile on responses returned by the server to ensure that the following

data/lib/davinci_pas_test_kit/server/pas_claim_response_decision_test.rb

@@ -7,7 +7,7 @@ module DaVinciPASTestKit
     title 'Server response includes the expected decision code in the ClaimResponse instance'
     description %(
       This test checks that the decision in the returned ClaimResponse matches
-      the decision code required for the workflow under examination.
+      the decision code required for the scenario under examination.
     )
 
     def use_case
@@ -60,7 +60,7 @@ module DaVinciPASTestKit
 
       skip_if bundles_to_check.blank?,
               "No Bundles to check - No $#{operation} requests made during the #{use_case.titleize} " \
-              'workflow tests returned Bundles.'
+              'scenario tests returned Bundles.'
 
       codes_ok = bundles_to_check.all? do |response_bundle|
         response_has_expected_adjudication_code?(response_bundle)

data/lib/davinci_pas_test_kit/server/server_request_bundle_validation_test.rb

@@ -39,12 +39,12 @@ module DaVinciPASTestKit
     run do
       skip_if bundle_payload.blank?, 'No bundle request input provided.'
       assert_valid_json(bundle_payload,
-                        "Provide valid json to use for the $#{operation} during the #{use_case.titleize} workflow.")
+                        "Provide valid json to use for the $#{operation} during the #{use_case.titleize} scenario.")
       bundles_to_verify = bundles
 
       assert bundles_to_verify.present?, 'Provided input is not a Bundle or list of Bundles.'
 
-      bundles_to_verify.each do |bundle|
+      bundle_messages = bundles_to_verify.flat_map do |bundle|
         perform_bundle_validation(
           bundle,
           operation,
@@ -53,11 +53,9 @@ module DaVinciPASTestKit
         )
       end
 
-      validation_error_messages.each do |msg|
-        messages << { type: 'error', message: msg }
-      end
+      messages.concat(bundle_messages)
 
-      skip_if validation_error_messages.present?,
+      skip_if bundle_messages.any? { |message| message[:type] == 'error' },
               'Bundle(s) provided are not conformant. Check messages for issues found.'
     end
   end

data/lib/davinci_pas_test_kit/server/server_response_bundle_validation_test.rb

@@ -32,7 +32,15 @@ module DaVinciPASTestKit
       requests = load_tagged_requests(DaVinciPASTestKit.operation_tag(operation),
                                       workflow_tag)
       bundles = []
-      requests.map(&:response_body).compact.uniq.each do |response_body|
+      seen_response_bodies = []
+      requests.each do |request|
+        response_body = request.response_body
+        next if response_body.blank?
+        next if seen_response_bodies.include?(response_body)
+
+        seen_response_bodies << response_body
+
+        request_bundle = FHIR.from_contents(request.request_body) if request.request_body.present?
         resource = FHIR.from_contents(response_body)
         next unless resource.present?
 
@@ -40,10 +48,10 @@ module DaVinciPASTestKit
         if resource.resourceType == 'Parameters'
           # Extract all Bundles from Parameters.parameter entries
           parameter_bundles = extract_bundles_from_pas_inquiry_response_parameters(resource)
-          bundles.concat(parameter_bundles)
+          bundles.concat(parameter_bundles.map { |bundle| [bundle, request_bundle] })
         elsif resource.is_a?(FHIR::Bundle)
           # Handle Bundle resource (v2.0.1 or v2.2.1 non-inquire)
-          bundles << resource
+          bundles << [resource, request_bundle]
         end
       rescue StandardError
         next
@@ -55,21 +63,20 @@ module DaVinciPASTestKit
     run do
       bundles_to_verify = response_bundles
       assert bundles_to_verify.present?,
-             "No successful $#{operation} requests made during the #{use_case.titleize} workflow tests."
+             "No successful $#{operation} requests made during the #{use_case.titleize} scenario tests."
 
-      bundles_to_verify.each do |bundle|
+      bundle_messages = bundles_to_verify.flat_map do |bundle, request_bundle|
         perform_bundle_validation(
           bundle,
           operation,
           'response',
-          ig_version
+          ig_version,
+          request_bundle
         )
       end
 
-      validation_error_messages.each do |msg|
-        messages << { type: 'error', message: msg }
-      end
-      assert validation_error_messages.blank?,
+      messages.concat(bundle_messages)
+      assert bundle_messages.none? { |message| message[:type] == 'error' },
              'Bundle response(s) returned are not conformant. Check messages for issues found.'
     end
   end

data/lib/davinci_pas_test_kit/server/v2.0.1/must_support/pas_server_must_support_request_profiles_test.rb

@@ -21,7 +21,7 @@ module DaVinciPASTestKit
         * PAS Device Request
         * PAS Nutrition Order
 
-        System are allowed to support only the request profiles that fit their use cases. However,
+        PAS servers are allowed to support only the request profiles that fit their use cases. However,
         they must support at least one of them (because `Claim.item.extension:requestedService` is a
         must support element) and for any request profiles they support, they must be able to
         populate all of the defined must support elements.

data/lib/davinci_pas_test_kit/server/v2.0.1/pas_server_subscription_setup.rb

@@ -8,7 +8,7 @@ module DaVinciPASTestKit
       title 'Subscription Setup'
       description %(
           The Subscription Setup tests verify that the server supports creation of a rest-hook Subscription. The
-          Subscription instance created in these tests will be used for a notification in the pended workflow tests
+          Subscription instance created in these tests will be used for a notification in the pended scenario tests
           later.
         )
       config inputs: { url: { name: :server_endpoint } }

data/lib/davinci_pas_test_kit/server/v2.2.1/claim_inquiry/server_claim_inquiry_response_tests.rb

@@ -0,0 +1,89 @@
+require_relative '../../../parameters_helper'
+require_relative '../../../cross_suite/pas_constants'
+require_relative '../../../cross_suite/tags'
+
+module DaVinciPASTestKit
+  module DaVinciPASV221
+    module ServerClaimInquiryResponseValidation
+      include ParametersHelper
+
+      def inquiry_response_requests
+        load_tagged_requests(INQUIRE_TAG)
+      end
+
+      def response_bundles
+        inquiry_response_requests.flat_map do |request|
+          parsed_resource = parsed_response_resource(request)
+          next [] unless parsed_resource.is_a?(FHIR::Parameters)
+
+          extract_bundles_from_pas_inquiry_response_parameters(parsed_resource)
+        end
+      end
+
+      def parsed_response_resource(request)
+        return if request&.response_body.blank?
+
+        FHIR.from_contents(request.response_body)
+      rescue StandardError
+        nil
+      end
+
+      def claim_inquiry_responses
+        response_bundles.flat_map { |bundle| Array(bundle.entry).filter_map { |entry| entry&.resource } }
+          .grep(FHIR::ClaimResponse)
+      end
+
+      def claim_reference?(claim_response)
+        claim_response.request&.reference.present?
+      end
+
+      def data_absent_reason?(claim_response)
+        Array(claim_response.request&.extension).any? do |extension|
+          extension.url == PASConstants::DATA_ABSENT_REASON_EXTENSION_URL && extension.valueCode.present?
+        end
+      end
+
+      def claim_reference_or_data_absent_reason?(claim_response)
+        claim_reference?(claim_response) || data_absent_reason?(claim_response)
+      end
+
+      def claim_response_label(claim_response, index)
+        claim_response.id.present? ? "ClaimResponse/#{claim_response.id}" : "ClaimResponse at index #{index + 1}"
+      end
+    end
+
+    class PASServerClaimInquiryResponseClaimReferenceTest < Inferno::Test
+      include ServerClaimInquiryResponseValidation
+
+      id :pas_server_v221_claim_inquiry_response_claim_reference_test
+      title 'Server returns Claim Inquiry Responses with a Claim reference or Data Absent Reason'
+      description %(
+        The PAS IG [requires](https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformancedetails.html#ci-c-spec-44)
+        each Claim Inquiry Response to either reference the Claim that triggered adjudication or carry
+        a Data Absent Reason extension explaining why the Claim cannot be referenced.
+
+        This test examines ClaimResponse resources returned by prior `$inquire` requests and verifies that
+        each one includes either `ClaimResponse.request.reference` or the
+        `data-absent-reason` extension on `ClaimResponse.request`.
+      )
+      verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-44'
+
+      run do
+        claim_responses = claim_inquiry_responses
+        skip_if claim_responses.empty?,
+                'No Claim Inquiry Response ClaimResponse resources were returned by prior $inquire requests.'
+
+        nonconformant = claim_responses.each_with_index.filter_map do |claim_response, index|
+          next if claim_reference_or_data_absent_reason?(claim_response)
+
+          claim_response_label(claim_response, index)
+        end
+
+        assert nonconformant.empty?,
+               'The following Claim Inquiry Response resources did not include either ' \
+               '`ClaimResponse.request.reference` or a Data Absent Reason extension on ' \
+               "`ClaimResponse.request`: #{nonconformant.join(', ')}."
+      end
+    end
+  end
+end

data/lib/davinci_pas_test_kit/server/v2.2.1/must_support/pas_server_must_support_request_profiles_test.rb

@@ -21,7 +21,7 @@ module DaVinciPASTestKit
         * PAS Device Request
         * PAS Nutrition Order
 
-        System are allowed to support only the request profiles that fit their use cases. However,
+        PAS servers are allowed to support only the request profiles that fit their use cases. However,
         they must support at least one of them (because `Claim.item.extension:requestedService` is a
         must support element) and for any request profiles they support, they must be able to
         populate all of the defined must support elements.

data/lib/davinci_pas_test_kit/server/v2.2.1/pas_error_group.rb

@@ -13,6 +13,8 @@ module DaVinciPASTestKit
       id :pas_v221_error_group
       run_as_group
 
+      verifies_requirements 'hl7.fhir.us.davinci-pas_2.2.1@spec-39'
+
       test from: :pas_server_v221_prior_auth_submission_error
       test from: :pas_server_v221_prior_auth_inquiry_error
     end

data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_claim_inquiry_responses_group.rb

@@ -0,0 +1,17 @@
+require_relative 'claim_inquiry/server_claim_inquiry_response_tests'
+
+module DaVinciPASTestKit
+  module DaVinciPASV221
+    class PASServerClaimInquiryResponsesGroup < Inferno::TestGroup
+      id :pas_server_v221_claim_inquiry_responses
+      title 'Additional $inquire Response Requirements'
+      description %(
+        Verify additional PAS Claim Inquiry Response rules against the ClaimResponse resources returned
+        by prior `$inquire` interactions. This group uses the inquiry responses already collected during
+        the server suite, including the Must Support inquiry workflow.
+      )
+
+      test from: :pas_server_v221_claim_inquiry_response_claim_reference_test
+    end
+  end
+end

data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_claim_updates_group.rb

@@ -92,7 +92,7 @@ module DaVinciPASTestKit
       group do
         title "Verify the server's responses to the claim updates"
         description %(
-          These tests check the server's responses from the submission sequence and verify that the server
+          The tests in this group check the server's responses from the submission sequence and verify that the server
           returned current results for all submitted items and echoed the submitted item sequences.
         )