davinci_pas_test_kit 0.15.2 → 0.16.0

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Files changed (271) hide show
  1. checksums.yaml +4 -4
  2. data/config/presets/g33_br_provider.json +13 -0
  3. data/lib/davinci_pas_test_kit/client/abstract_approval_submit_test.rb +28 -17
  4. data/lib/davinci_pas_test_kit/client/abstract_denial_submit_test.rb +26 -16
  5. data/lib/davinci_pas_test_kit/client/abstract_gather_must_support_test.rb +43 -26
  6. data/lib/davinci_pas_test_kit/client/abstract_modification_submit_test.rb +29 -19
  7. data/lib/davinci_pas_test_kit/client/abstract_response_attest.rb +75 -6
  8. data/lib/davinci_pas_test_kit/client/abstract_subscription_create_test.rb +26 -9
  9. data/lib/davinci_pas_test_kit/client/abstract_subscription_update_delete_test.rb +91 -0
  10. data/lib/davinci_pas_test_kit/client/client_bundle_validation_helper.rb +245 -0
  11. data/lib/davinci_pas_test_kit/client/client_input_descriptions.rb +91 -25
  12. data/lib/davinci_pas_test_kit/client/endpoints/claim_endpoint.rb +108 -68
  13. data/lib/davinci_pas_test_kit/client/endpoints/endpoint_session_identification.rb +24 -0
  14. data/lib/davinci_pas_test_kit/client/endpoints/expired_token.rb +40 -0
  15. data/lib/davinci_pas_test_kit/client/endpoints/subscription_create_endpoint.rb +7 -12
  16. data/lib/davinci_pas_test_kit/client/endpoints/subscription_delete_endpoint.rb +13 -0
  17. data/lib/davinci_pas_test_kit/client/endpoints/subscription_read_endpoint.rb +13 -0
  18. data/lib/davinci_pas_test_kit/client/endpoints/subscription_status_endpoint.rb +15 -20
  19. data/lib/davinci_pas_test_kit/client/endpoints/subscription_update_endpoint.rb +13 -0
  20. data/lib/davinci_pas_test_kit/client/endpoints/token_endpoint.rb +16 -0
  21. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_inquire_request_must_support_beneficiary_test.rb +3 -3
  22. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_inquire_response_must_support_beneficiary_test.rb +3 -3
  23. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_submit_request_must_support_beneficiary_test.rb +3 -3
  24. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/beneficiary/client_submit_response_must_support_beneficiary_test.rb +3 -3
  25. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claim_inquiry/client_inquire_request_must_support_claim_inquiry_test.rb +3 -3
  26. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claim_update/client_submit_request_must_support_claim_update_test.rb +3 -3
  27. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claiminquiryresponse/client_inquire_response_must_support_claiminquiryresponse_test.rb +3 -3
  28. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/claimresponse/client_submit_response_must_support_claimresponse_test.rb +3 -3
  29. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/communication_request/client_submit_response_must_support_communication_request_test.rb +3 -3
  30. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/coverage/client_inquire_request_must_support_coverage_test.rb +3 -3
  31. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/coverage/client_submit_request_must_support_coverage_test.rb +3 -3
  32. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/encounter/client_submit_request_must_support_encounter_test.rb +3 -3
  33. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_inquire_request_must_support_insurer_test.rb +3 -3
  34. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_inquire_response_must_support_insurer_test.rb +3 -3
  35. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_submit_request_must_support_insurer_test.rb +3 -3
  36. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/insurer/client_submit_response_must_support_insurer_test.rb +3 -3
  37. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_inquire_must_support_group.rb +1 -1
  38. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_inquire_response_must_support_group.rb +9 -31
  39. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_submit_must_support_group.rb +1 -1
  40. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/pas_client_submit_response_must_support_group.rb +10 -32
  41. 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
  42. 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
  43. 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
  44. 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
  45. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_inquire_request_must_support_practitioner_test.rb +3 -3
  46. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_inquire_response_must_support_practitioner_test.rb +3 -3
  47. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_submit_request_must_support_practitioner_test.rb +3 -3
  48. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner/client_submit_response_must_support_practitioner_test.rb +3 -3
  49. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_inquire_request_must_support_practitioner_role_test.rb +3 -3
  50. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_inquire_response_must_support_practitioner_role_test.rb +3 -3
  51. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_submit_request_must_support_practitioner_role_test.rb +3 -3
  52. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/practitioner_role/client_submit_response_must_support_practitioner_role_test.rb +3 -3
  53. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_inquire_request_must_support_requestor_test.rb +3 -3
  54. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_inquire_response_must_support_requestor_test.rb +3 -3
  55. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_submit_request_must_support_requestor_test.rb +3 -3
  56. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/requestor/client_submit_response_must_support_requestor_test.rb +3 -3
  57. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/subscriber/client_inquire_request_must_support_subscriber_test.rb +3 -3
  58. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/subscriber/client_submit_request_must_support_subscriber_test.rb +3 -3
  59. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/beneficiary/client_inquire_response_must_support_beneficiary_test.rb +4 -3
  60. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/beneficiary/client_submit_response_must_support_beneficiary_test.rb +4 -3
  61. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claim_inquiry/client_inquire_request_must_support_claim_inquiry_test.rb +3 -3
  62. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claim_update/client_submit_request_must_support_claim_update_test.rb +3 -3
  63. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claiminquiryresponse/client_inquire_response_must_support_claiminquiryresponse_test.rb +4 -3
  64. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/claimresponse/client_submit_response_must_support_claimresponse_test.rb +4 -3
  65. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/communication_request/client_submit_response_must_support_communication_request_test.rb +4 -3
  66. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/insurer/client_inquire_response_must_support_insurer_test.rb +4 -3
  67. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/insurer/client_submit_response_must_support_insurer_test.rb +4 -3
  68. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_inquire_must_support_group.rb +8 -6
  69. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_inquire_response_must_support_group.rb +9 -31
  70. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_submit_must_support_group.rb +13 -9
  71. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/pas_client_submit_response_must_support_group.rb +10 -32
  72. 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
  73. 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
  74. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner/client_inquire_response_must_support_practitioner_test.rb +4 -3
  75. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner/client_submit_response_must_support_practitioner_test.rb +4 -3
  76. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner_role/client_inquire_response_must_support_practitioner_role_test.rb +4 -3
  77. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/practitioner_role/client_submit_response_must_support_practitioner_role_test.rb +4 -3
  78. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/requestor/client_inquire_response_must_support_requestor_test.rb +4 -3
  79. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/requestor/client_submit_response_must_support_requestor_test.rb +4 -3
  80. data/lib/davinci_pas_test_kit/client/jobs/send_pas_subscription_notification.rb +64 -3
  81. data/lib/davinci_pas_test_kit/client/pas_client_subscription_pas_conformance_test.rb +4 -3
  82. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_other_display_test.rb +6 -4
  83. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_smart_display_test.rb +8 -4
  84. data/lib/davinci_pas_test_kit/client/registration/abstract_configuration_udap_display_test.rb +9 -4
  85. data/lib/davinci_pas_test_kit/client/registration/abstract_other_auth_attest_test.rb +5 -4
  86. data/lib/davinci_pas_test_kit/client/request_count_gating.rb +14 -0
  87. data/lib/davinci_pas_test_kit/client/response_generator.rb +50 -9
  88. data/lib/davinci_pas_test_kit/client/session_identification.rb +26 -7
  89. data/lib/davinci_pas_test_kit/client/subscription_notification_trigger.rb +80 -0
  90. data/lib/davinci_pas_test_kit/client/subscription_setup_requirement.rb +59 -0
  91. data/lib/davinci_pas_test_kit/client/user_input_response.rb +27 -6
  92. data/lib/davinci_pas_test_kit/client/v2.0.1/client_suite.rb +30 -15
  93. data/lib/davinci_pas_test_kit/client/v2.0.1/must_support/pas_client_must_support_request_profiles_test.rb +2 -2
  94. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_approval_group.rb +8 -7
  95. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_auth_smart_group.rb +4 -4
  96. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_auth_udap_group.rb +4 -4
  97. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_denial_group.rb +8 -7
  98. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_must_support_group.rb +38 -52
  99. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_pended_group.rb +28 -22
  100. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_registration_group.rb +2 -2
  101. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_subscription_setup_group.rb +2 -2
  102. data/lib/davinci_pas_test_kit/client/v2.0.1/pas_client_workflows_group.rb +2 -2
  103. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_inquire_request_bundle_validation_test.rb +15 -21
  104. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_inquire_response_bundle_validation_test.rb +29 -29
  105. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_pended_submit_test.rb +49 -40
  106. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_request_bundle_validation_test.rb +15 -21
  107. data/lib/davinci_pas_test_kit/client/v2.0.1/workflows/pas_client_response_bundle_validation_test.rb +29 -29
  108. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/attestation_instructions.rb +10 -0
  109. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/client_data_element_expectations_attestation_test.rb +44 -0
  110. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/client_provider_review_attestation_test.rb +45 -0
  111. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/client_security_attestation_test.rb +42 -0
  112. data/lib/davinci_pas_test_kit/client/v2.2.1/attestations/client_subscription_error_recovery_attestation_test.rb +42 -0
  113. data/lib/davinci_pas_test_kit/client/v2.2.1/client_suite.rb +64 -12
  114. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_operation_failure_submit_test.rb +20 -10
  115. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_operation_outcome_validation_test.rb +11 -5
  116. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_processing_error_response_validation_test.rb +21 -12
  117. data/lib/davinci_pas_test_kit/client/v2.2.1/error_handling/pas_client_processing_error_submit_test.rb +19 -8
  118. data/lib/davinci_pas_test_kit/client/v2.2.1/must_support/must_support_with_attestation_option.rb +90 -40
  119. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_approval_group.rb +12 -11
  120. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_attestations_group.rb +32 -0
  121. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_auth_smart_group.rb +4 -4
  122. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_auth_udap_group.rb +4 -4
  123. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_claim_updates_group.rb +24 -6
  124. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_denial_group.rb +12 -10
  125. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_modification_group.rb +13 -14
  126. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_must_support_group.rb +55 -59
  127. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_operation_failure_group.rb +8 -5
  128. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_pended_group.rb +53 -41
  129. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_processing_error_group.rb +9 -7
  130. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_registration_group.rb +2 -2
  131. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_subscription_setup_group.rb +9 -4
  132. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_subscription_update_delete_group.rb +57 -0
  133. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_workflows_group.rb +22 -2
  134. data/lib/davinci_pas_test_kit/client/v2.2.1/subscription/pas_client_subscription_create_test.rb +2 -1
  135. data/lib/davinci_pas_test_kit/client/v2.2.1/subscription/pas_client_subscription_put_update_pas_conformance_test.rb +49 -0
  136. data/lib/davinci_pas_test_kit/client/v2.2.1/subscription/pas_client_subscription_update_delete_test.rb +12 -0
  137. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_referenced_resources_test.rb +5 -6
  138. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_claim_update_submit_tests.rb +82 -56
  139. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_inquire_request_bundle_validation_test.rb +17 -20
  140. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_inquire_response_bundle_validation_test.rb +59 -27
  141. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_modification_verification_test.rb +0 -3
  142. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_pended_send_notification_test.rb +138 -0
  143. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_pended_submit_test.rb +32 -85
  144. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_request_bundle_validation_test.rb +16 -21
  145. data/lib/davinci_pas_test_kit/client/v2.2.1/workflows/pas_client_response_bundle_validation_test.rb +27 -27
  146. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.0.1/task/metadata.yml +0 -4
  147. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/metadata.yml +0 -1
  148. data/lib/davinci_pas_test_kit/cross_suite/generated/v2.2.1/task/metadata.yml +0 -4
  149. data/lib/davinci_pas_test_kit/cross_suite/pas_bundle_validation.rb +489 -289
  150. data/lib/davinci_pas_test_kit/cross_suite/pas_constants.rb +7 -0
  151. data/lib/davinci_pas_test_kit/cross_suite/pas_subscription_verification.rb +8 -4
  152. data/lib/davinci_pas_test_kit/cross_suite/referenced_resource_presence_validation.rb +141 -0
  153. data/lib/davinci_pas_test_kit/cross_suite/response_selection_utils.rb +13 -11
  154. data/lib/davinci_pas_test_kit/cross_suite/tags.rb +11 -6
  155. data/lib/davinci_pas_test_kit/cross_suite/validator_configuration.rb +16 -0
  156. data/lib/davinci_pas_test_kit/cross_suite/validator_suppressions.rb +4 -0
  157. data/lib/davinci_pas_test_kit/docs/demo/PAS Client Suite Demonstration.postman_collection.json +3 -3
  158. data/lib/davinci_pas_test_kit/ext/inferno_core/runnable.rb +1 -0
  159. data/lib/davinci_pas_test_kit/generator/client_must_support_group_generator.rb +47 -16
  160. data/lib/davinci_pas_test_kit/generator/must_support_target_profiles.rb +17 -0
  161. data/lib/davinci_pas_test_kit/generator/must_support_test_generator.rb +8 -2
  162. data/lib/davinci_pas_test_kit/generator/profile_metadata.rb +1 -1
  163. data/lib/davinci_pas_test_kit/generator/server_suite_generator.rb +4 -9
  164. data/lib/davinci_pas_test_kit/generator/templates/client_must_support_group.rb.erb +22 -3
  165. data/lib/davinci_pas_test_kit/generator/templates/client_must_support_response_group.rb.erb +7 -16
  166. data/lib/davinci_pas_test_kit/generator/templates/must_support.rb.erb +8 -8
  167. data/lib/davinci_pas_test_kit/generator/templates/server_suite.rb.erb +6 -7
  168. data/lib/davinci_pas_test_kit/generator/use_case_group_generator.rb +5 -5
  169. data/lib/davinci_pas_test_kit/parameters_helper.rb +13 -5
  170. data/lib/davinci_pas_test_kit/pas_notification_conformance_test.rb +2 -2
  171. data/lib/davinci_pas_test_kit/requirements/davinci_pas_test_kit_requirements.csv +14 -7
  172. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v201_requirements_coverage.csv +21 -21
  173. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_client_suite_v221_requirements_coverage.csv +30 -26
  174. data/lib/davinci_pas_test_kit/requirements/generated/davinci_pas_server_suite_v221_requirements_coverage.csv +12 -6
  175. data/lib/davinci_pas_test_kit/requirements/hl7.fhir.us.davinci-pas_2.2.1_requirements.xlsx +0 -0
  176. data/lib/davinci_pas_test_kit/server/claim_operation_logic.rb +1 -1
  177. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/beneficiary/server_inquire_request_must_support_beneficiary_test.rb +1 -1
  178. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/beneficiary/server_inquire_response_must_support_beneficiary_test.rb +1 -1
  179. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/beneficiary/server_submit_request_must_support_beneficiary_test.rb +1 -1
  180. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/beneficiary/server_submit_response_must_support_beneficiary_test.rb +1 -1
  181. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/claim_inquiry/server_inquire_request_must_support_claim_inquiry_test.rb +1 -1
  182. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/claim_update/server_submit_request_must_support_claim_update_test.rb +1 -1
  183. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/claiminquiryresponse/server_inquire_response_must_support_claiminquiryresponse_test.rb +1 -1
  184. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/claimresponse/server_submit_response_must_support_claimresponse_test.rb +1 -1
  185. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/communication_request/server_submit_response_must_support_communication_request_test.rb +1 -1
  186. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/coverage/server_inquire_request_must_support_coverage_test.rb +1 -1
  187. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/coverage/server_submit_request_must_support_coverage_test.rb +1 -1
  188. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/encounter/server_submit_request_must_support_encounter_test.rb +1 -1
  189. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_inquire_request_must_support_insurer_test.rb +1 -1
  190. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_inquire_response_must_support_insurer_test.rb +1 -1
  191. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_submit_request_must_support_insurer_test.rb +1 -1
  192. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/insurer/server_submit_response_must_support_insurer_test.rb +1 -1
  193. 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
  194. 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
  195. 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
  196. 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
  197. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_approval_use_case_group.rb +3 -3
  198. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_denial_use_case_group.rb +3 -3
  199. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/pas_server_pended_use_case_group.rb +6 -6
  200. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_inquire_request_must_support_practitioner_test.rb +1 -1
  201. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_inquire_response_must_support_practitioner_test.rb +1 -1
  202. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_submit_request_must_support_practitioner_test.rb +1 -1
  203. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner/server_submit_response_must_support_practitioner_test.rb +1 -1
  204. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_inquire_request_must_support_practitioner_role_test.rb +1 -1
  205. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_inquire_response_must_support_practitioner_role_test.rb +1 -1
  206. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_submit_request_must_support_practitioner_role_test.rb +1 -1
  207. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/practitioner_role/server_submit_response_must_support_practitioner_role_test.rb +1 -1
  208. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_inquire_request_must_support_requestor_test.rb +1 -1
  209. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_inquire_response_must_support_requestor_test.rb +1 -1
  210. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_submit_request_must_support_requestor_test.rb +1 -1
  211. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/requestor/server_submit_response_must_support_requestor_test.rb +1 -1
  212. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/server_suite.rb +6 -7
  213. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/subscriber/server_inquire_request_must_support_subscriber_test.rb +1 -1
  214. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/subscriber/server_submit_request_must_support_subscriber_test.rb +1 -1
  215. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/task/server_inquire_response_must_support_task_test.rb +1 -1
  216. data/lib/davinci_pas_test_kit/server/generated/v2.0.1/task/server_submit_response_must_support_task_test.rb +1 -1
  217. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_inquire_request_must_support_beneficiary_test.rb +1 -1
  218. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_inquire_response_must_support_beneficiary_test.rb +1 -1
  219. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_submit_request_must_support_beneficiary_test.rb +1 -1
  220. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/beneficiary/server_submit_response_must_support_beneficiary_test.rb +1 -1
  221. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claim_inquiry/server_inquire_request_must_support_claim_inquiry_test.rb +1 -1
  222. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claim_update/server_submit_request_must_support_claim_update_test.rb +1 -1
  223. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claiminquiryresponse/server_inquire_response_must_support_claiminquiryresponse_test.rb +1 -1
  224. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/claimresponse/server_submit_response_must_support_claimresponse_test.rb +1 -1
  225. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/communication_request/server_submit_response_must_support_communication_request_test.rb +1 -1
  226. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/coverage/server_inquire_request_must_support_coverage_test.rb +1 -1
  227. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/coverage/server_submit_request_must_support_coverage_test.rb +1 -1
  228. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/encounter/server_submit_request_must_support_encounter_test.rb +1 -1
  229. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_inquire_request_must_support_insurer_test.rb +1 -1
  230. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_inquire_response_must_support_insurer_test.rb +1 -1
  231. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_submit_request_must_support_insurer_test.rb +1 -1
  232. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/insurer/server_submit_response_must_support_insurer_test.rb +1 -1
  233. 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
  234. 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
  235. 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
  236. 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
  237. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_approval_use_case_group.rb +3 -3
  238. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_denial_use_case_group.rb +3 -3
  239. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/pas_server_pended_use_case_group.rb +4 -4
  240. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_inquire_request_must_support_practitioner_test.rb +1 -1
  241. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_inquire_response_must_support_practitioner_test.rb +1 -1
  242. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_submit_request_must_support_practitioner_test.rb +1 -1
  243. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner/server_submit_response_must_support_practitioner_test.rb +1 -1
  244. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_inquire_request_must_support_practitioner_role_test.rb +1 -1
  245. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_inquire_response_must_support_practitioner_role_test.rb +1 -1
  246. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_submit_request_must_support_practitioner_role_test.rb +1 -1
  247. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/practitioner_role/server_submit_response_must_support_practitioner_role_test.rb +1 -1
  248. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_inquire_request_must_support_requestor_test.rb +1 -1
  249. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_inquire_response_must_support_requestor_test.rb +1 -1
  250. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_submit_request_must_support_requestor_test.rb +1 -1
  251. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/requestor/server_submit_response_must_support_requestor_test.rb +1 -1
  252. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/server_suite.rb +6 -7
  253. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/subscriber/server_inquire_request_must_support_subscriber_test.rb +1 -1
  254. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/subscriber/server_submit_request_must_support_subscriber_test.rb +1 -1
  255. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/task/server_inquire_response_must_support_task_test.rb +1 -1
  256. data/lib/davinci_pas_test_kit/server/generated/v2.2.1/task/server_submit_response_must_support_task_test.rb +1 -1
  257. data/lib/davinci_pas_test_kit/server/pas_claim_response_decision_test.rb +2 -2
  258. data/lib/davinci_pas_test_kit/server/server_request_bundle_validation_test.rb +4 -6
  259. data/lib/davinci_pas_test_kit/server/server_response_bundle_validation_test.rb +4 -6
  260. data/lib/davinci_pas_test_kit/server/v2.0.1/must_support/pas_server_must_support_request_profiles_test.rb +1 -1
  261. data/lib/davinci_pas_test_kit/server/v2.0.1/pas_server_subscription_setup.rb +1 -1
  262. data/lib/davinci_pas_test_kit/server/v2.2.1/must_support/pas_server_must_support_request_profiles_test.rb +1 -1
  263. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_claim_updates_group.rb +1 -1
  264. data/lib/davinci_pas_test_kit/server/v2.2.1/pas_server_subscription_setup.rb +1 -1
  265. data/lib/davinci_pas_test_kit/version.rb +2 -2
  266. metadata +31 -13
  267. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/task/client_inquire_response_must_support_task_test.rb +0 -45
  268. data/lib/davinci_pas_test_kit/client/generated/v2.0.1/task/client_submit_response_must_support_task_test.rb +0 -45
  269. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/task/client_inquire_response_must_support_task_test.rb +0 -55
  270. data/lib/davinci_pas_test_kit/client/generated/v2.2.1/task/client_submit_response_must_support_task_test.rb +0 -55
  271. data/lib/davinci_pas_test_kit/client/v2.2.1/pas_client_error_handling_group.rb +0 -20
@@ -7,28 +7,28 @@ module DaVinciPASTestKit
7
7
  title 'All must support elements for profile <%= profile_name %> are observed on $<%= operation %> <%= request_type.include?('request') ? 'requests' : 'responses' %>'
8
8
  description %(
9
9
  <% if system == 'client' && request_type.include?('request') %>
10
- PAS client systems are required to be able to populate all
11
- must support elements on instances of all profiles included in <% request_type.include?('submit') ? 'Submit' : 'Inquiry' %>
10
+ PAS clients are required to be able to populate all
11
+ must support elements on instances of all profiles included in <%= request_type.include?('submit') ? '`$submit`' : '`$inquire`' %>
12
12
  requests, including instances of the <%= profile_name %> Profile.
13
13
  This test checks all identified instances of the <%= profile_name %>
14
- Profile on requests sent by the client to ensure that the following
14
+ Profile on requests sent by the PAS client to ensure that the following
15
15
  must support elements are observed: <% end %><% if system == 'client' && request_type.include?('response') %>
16
- PAS client systems are required to be able to receive all
17
- must support elements on instances of all profiles included in <% request_type.include?('submit') ? 'Submit' : 'Inquiry' %>
16
+ PAS clients are required to be able to receive all
17
+ must support elements on instances of all profiles included in <%= request_type.include?('submit') ? '`$submit`' : '`$inquire`' %>
18
18
  responses, including instances of the <%= profile_name %> Profile.
19
19
  This test checks all identified instances of the <%= profile_name %>
20
- Profile on responses sent to the client to ensure that the following
20
+ Profile on responses sent to the PAS client to ensure that the following
21
21
  must support elements are observed:<% end %><% if system == 'server' && request_type.include?('request') %>
22
22
  **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.
23
23
 
24
24
  PAS server systems are required to be able to receive all
25
- must support elements on instances of all profiles included in <% request_type.include?('submit') ? 'Submit' : 'Inquiry' %>
25
+ must support elements on instances of all profiles included in <%= request_type.include?('submit') ? '`$submit`' : '`$inquire`' %>
26
26
  requests, including instances of the <%= profile_name %> Profile.
27
27
  This test checks all identified instances of the <%= profile_name %>
28
28
  Profile on requests sent to the server to ensure that the following
29
29
  must support elements are observed:<% end %><% if system == 'server' && request_type.include?('response') %>
30
30
  PAS server systems are required to be able to populate all
31
- must support elements on instances of all profiles included in <% request_type.include?('submit') ? 'Submit' : 'Inquiry' %>
31
+ must support elements on instances of all profiles included in <%= request_type.include?('submit') ? '`$submit`' : '`$inquire`' %>
32
32
  responses, including instances of the <%= profile_name %> Profile.
33
33
  This test checks all identified instances of the <%= profile_name %>
34
34
  Profile on responses returned by the server to ensure that the following
@@ -1,3 +1,4 @@
1
+ require_relative '../../../cross_suite/validator_configuration'
1
2
  require_relative '../../../cross_suite/validator_suppressions'
2
3
  require_relative '<%= error_group_file_name %>'
3
4
  require_relative '../../<%= ig_metadata.ig_version %>/pas_server_subscription_setup'
@@ -83,16 +84,14 @@ module DaVinciPASTestKit
83
84
  )
84
85
 
85
86
  fhir_resource_validator do
86
- igs <%= validator_igs_expression %>
87
+ igs(*<%= validator_igs_constant %>)
87
88
 
88
89
  exclude_message do |message|
89
- # Messages expected of the form `<ResourceType>: <FHIRPath>: <message>`
90
- # We strip `<ResourceType>: <FHIRPath>: ` for the sake of matching
91
- <%= suppressed_messages_constant %>.match?(message.message.sub(/\A\S+: \S+: /, ''))
90
+ <%= suppressed_messages_constant %>.match?(message.message.sub(VALIDATOR_MESSAGE_LOCATION_PREFIX, ''))
92
91
  end
93
92
 
94
93
  validation_context do
95
- snomedCT '731000124108'
94
+ snomedCT SNOMED_CT_US_EDITION
96
95
  end
97
96
  end
98
97
 
@@ -125,9 +124,9 @@ module DaVinciPASTestKit
125
124
 
126
125
  group from: :pas_server_<%= ig_metadata.reformatted_version %>_subscription_setup
127
126
 
128
- group 'Demonstrate Workflow Support' do
127
+ group 'Demonstrate Scenario Support' do
129
128
  description %(
130
- The workflow tests validate that the server can participate in complete
129
+ The scenario tests validate that the server can participate in complete
131
130
  end-to-end prior authorization interactions, returning responses that are
132
131
  conformant and also contain the correct codes.
133
132
  )
@@ -1,4 +1,5 @@
1
1
  require_relative '../cross_suite/pas_constants'
2
+ require_relative 'descriptions'
2
3
 
3
4
  module DaVinciPASTestKit
4
5
  class Generator
@@ -46,7 +47,7 @@ module DaVinciPASTestKit
46
47
  end
47
48
 
48
49
  def title
49
- "Successful #{use_case.capitalize} Workflow"
50
+ "Successful #{use_case.capitalize} Scenario"
50
51
  end
51
52
 
52
53
  def output_file_name
@@ -144,7 +145,7 @@ module DaVinciPASTestKit
144
145
  when 'pended'
145
146
  if ig_version == 'v2.2.1'
146
147
  <<~DESCRIPTION
147
- Demonstrate a complete prior authorization workflow including a period
148
+ Demonstrate a complete prior authorization scenario including a period
148
149
  during which the final decision is pending. This includes demonstrating
149
150
  the ability of the server to
150
151
 
@@ -154,7 +155,7 @@ module DaVinciPASTestKit
154
155
  DESCRIPTION
155
156
  else
156
157
  <<~DESCRIPTION
157
- Demonstrate a complete prior authorization workflow including a period
158
+ Demonstrate a complete prior authorization scenario including a period
158
159
  during which the final decision is pending. This includes demonstrating
159
160
  the ability of the server to
160
161
 
@@ -181,8 +182,7 @@ module DaVinciPASTestKit
181
182
  end
182
183
 
183
184
  def profile_link(operation, type)
184
- "[#{PASConstants.bundle_profile_name_for_operation_and_type(operation, type)}]" \
185
- "(#{PASConstants.bundle_profile_url_for_operation_and_type(operation, type)}|#{ig_version})"
185
+ Descriptions.bundle_profile_link(operation, type, ig_version)
186
186
  end
187
187
 
188
188
  def bundle_validation_test_description(operation, type)
@@ -2,15 +2,23 @@ module DaVinciPASTestKit
2
2
  # Helper module for working with FHIR Parameters resources in v2.2.1
3
3
  # Provides utilities to extract Bundles from Parameters.parameter entries
4
4
  module ParametersHelper
5
- # Extracts Bundles from a PAS Inquiry Response Parameters resource
5
+ # Extracts the resources from a Parameters resource's entries matching a given parameter name.
6
6
  # @param parameters [FHIR::Parameters] The Parameters resource
7
- # @return [Array<FHIR::Bundle>] Array of Bundles from return parameters
8
- def extract_bundles_from_pas_inquiry_response_parameters(parameters)
7
+ # @param parameter_name [String] The Parameters.parameter.name to match, e.g. 'return' or 'resource'
8
+ # @return [Array] Resources (one per matching entry, in order; nil for an entry with no resource)
9
+ def extract_resources_from_parameters(parameters, parameter_name)
9
10
  return [] unless parameters.is_a?(FHIR::Parameters)
10
11
 
11
- parameters.parameter # rubocop:disable Style/SelectByKind
12
- .select { |param| param.name == 'return' }
12
+ parameters.parameter
13
+ .select { |param| param.name == parameter_name }
13
14
  .map(&:resource)
15
+ end
16
+
17
+ # Extracts Bundles from a PAS Inquiry Response Parameters resource
18
+ # @param parameters [FHIR::Parameters] The Parameters resource
19
+ # @return [Array<FHIR::Bundle>] Array of Bundles from return parameters
20
+ def extract_bundles_from_pas_inquiry_response_parameters(parameters)
21
+ extract_resources_from_parameters(parameters, 'return') # rubocop:disable Style/SelectByKind
14
22
  .compact
15
23
  .select { |resource| resource.is_a?(FHIR::Bundle) }
16
24
  end
@@ -8,8 +8,8 @@ module DaVinciPASTestKit
8
8
  id :pas_notification_pas_conformance_test
9
9
  title 'Notification conforms to PAS-specific requirements'
10
10
  description %(
11
- This test verifies that the notification sent to the client under test
12
- for a pended claim update (or sent by the server under test) conforms
11
+ This test verifies that the notification sent to the client system
12
+ for a pended claim update conforms
13
13
  to PAS-specific requirements beyond the base Subscription Backport IG
14
14
  notification requirements. In particular, the focus resource in the
15
15
  notification should be the updated ClaimResponse conformant to the
@@ -250,12 +250,15 @@ hl7.fhir.us.davinci-pas_2.2.1,conf-12,https://hl7.org/fhir/us/davinci-pas/2.2.1/
250
250
  hl7.fhir.us.davinci-pas_2.2.1,conf-13,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-13,"If the proposed change is adopted and published in the PAS continuous integration build or the CI build of one of its dependencies (e.g. US Core), implementations **MAY**, by mutual agreement, pre-adopt the use of those additional profiles and/or mustSupport data elements and not be considered in violation of #1 above.",MAY,"PAS Client, PAS Payer",,false,,
251
251
  hl7.fhir.us.davinci-pas_2.2.1,conf-14,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-14,"Where cardinality and other constraints present in profiles allow data elements to be omitted, PAS compliant systems **SHALL NOT** treat the omission of those elements as a conformance error.",SHALL NOT,"PAS Client, PAS Payer",,false,,
252
252
  hl7.fhir.us.davinci-pas_2.2.1,conf-15,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-15,PAS clients and services **SHALL** use standard PAS data elements (i.e. elements found within PAS-defined or inherited profiles and marked as mandatory or mustSupport) to communicate needed data if such elements are intended to convey such information.,SHALL,"PAS Client, PAS Payer",,false,,
253
- hl7.fhir.us.davinci-pas_2.2.1,conf-16,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-16,"PAS implementing organizations **SHALL NOT** publish guidance setting expectations for where certain data elements are conveyed within PAS and inherited data structures, but **MAY** submit change requests to PAS, HRex, or US Core requesting that additional guidance be provided to implementers on data structure usage to increase consistency across implementations.",SHALL NOT / MAY,"PAS Client, PAS Payer",,false,,
254
- hl7.fhir.us.davinci-pas_2.2.1,metric-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/metrics.html#ci-c-metric-1,"Each of these IGs recommends a set of metrics that **SHOULD** or **MAY** be collected by their respective implementations to facilitate the evaluation of adoption, functionality, processes, and improved outcomes.",SHOULD / MAY,"PAS Client, PAS Payer",,false,,
253
+ hl7.fhir.us.davinci-pas_2.2.1,conf-16-A,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-16,PAS implementing organizations **SHALL NOT** publish guidance setting expectations for where certain data elements are conveyed within PAS and inherited data structures,SHALL NOT,"PAS Client, PAS Payer",,false,,
254
+ hl7.fhir.us.davinci-pas_2.2.1,conf-16-B,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/conformance.html#ci-c-conf-16,"PAS implementing organizations ... **MAY** submit change requests to PAS, HRex, or US Core requesting that additional guidance be provided to implementers on data structure usage to increase consistency across implementations.",MAY,"PAS Client, PAS Payer",,false,,
255
+ hl7.fhir.us.davinci-pas_2.2.1,metric-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/metrics.html#ci-c-metric-1,"Each of these IGs recommends a set of metrics that **SHOULD** or **MAY** be collected by their respective implementations to facilitate the evaluation of adoption, functionality, processes, and improved outcomes.",SHOULD,"PAS Client, PAS Payer",,false,,
255
256
  hl7.fhir.us.davinci-pas_2.2.1,metric-2,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/metrics.html#ci-c-metric-2,PAS implementers **SHOULD** store information for each PAS call in a manner that would allow them to respond to measures based on this logical model.,SHOULD,"PAS Client, PAS Payer",,false,,
256
- hl7.fhir.us.davinci-pas_2.2.1,priv-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/privacy.html#ci-c-priv-1,"Implementations **SHALL** permit provider review of data prior to transmission, but **SHALL NOT** require such review.",SHALL NOT / SHALL,PAS Client,,false,,
257
+ hl7.fhir.us.davinci-pas_2.2.1,priv-1-A,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/privacy.html#ci-c-priv-1,Implementations **SHALL** permit provider review of data prior to transmission,SHALL,PAS Client,,false,,
258
+ hl7.fhir.us.davinci-pas_2.2.1,priv-1-B,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/privacy.html#ci-c-priv-1,Implementations ... **SHALL NOT** require [provider review of data prior to transmission],SHALL NOT,PAS Client,,false,,
257
259
  hl7.fhir.us.davinci-pas_2.2.1,priv-2,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/privacy.html#ci-c-priv-2,Payers who do not view the FHIR version of the transmitted information **SHOULD** be aware of the possibility of these limitations and ensure they have policies that enforce appropriate sharing constraints on data.,SHOULD,PAS Payer,,false,,
258
- hl7.fhir.us.davinci-pas_2.2.1,priv-3,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/privacy.html#ci-c-priv-3,PAS Servers **SHOULD** support server-server OAuth and **MAY** support mutually authenticated TLS.,SHOULD / MAY,PAS Payer,,false,,
260
+ hl7.fhir.us.davinci-pas_2.2.1,priv-3-A,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/privacy.html#ci-c-priv-3,PAS Servers **SHOULD** support server-server Oauth,SHOULD,PAS Payer,,false,,
261
+ hl7.fhir.us.davinci-pas_2.2.1,priv-3-B,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/privacy.html#ci-c-priv-3,PAS Servers ... **MAY** support mutually authenticated TLS.,MAY,PAS Payer,,false,,
259
262
  hl7.fhir.us.davinci-pas_2.2.1,prof-1,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-datatype-timing.html#ci-c-prof-1,"Timings **SHALL** have at least one of: a count, a frequency and period and periodUnit (with optional frequencyMax and periodMax), a calendarPattern, or a deliveryPattern.",SHALL,PAS Client,,false,,
260
263
  hl7.fhir.us.davinci-pas_2.2.1,prof-2,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-quantity.html#ci-c-prof-2,Quantities **SHALL** have a value and either a unit or a code,SHALL,"PAS Client, PAS Payer",,false,,
261
264
  hl7.fhir.us.davinci-pas_2.2.1,prof-3,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/StructureDefinition-profile-quantity.html#ci-c-prof-3,"If a quantity code is present, it **SHALL** use the X12 quantity units.",SHALL,"PAS Client, PAS Payer",,false,,
@@ -293,8 +296,10 @@ hl7.fhir.us.davinci-pas_2.2.1,spec-20,https://hl7.org/fhir/us/davinci-pas/2.2.1/
293
296
  hl7.fhir.us.davinci-pas_2.2.1,spec-21,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-21,"To attach non-FHIR instance data such as PDFs, CDAs, JPGs, a DocumentReference instance **SHOULD** be used.",SHOULD,PAS Payer,,false,,
294
297
  hl7.fhir.us.davinci-pas_2.2.1,spec-22,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-22,The Claim.supportingInfo.sequence for each entry **SHALL** be unique within the Claim.,SHALL,PAS Payer,,false,,
295
298
  hl7.fhir.us.davinci-pas_2.2.1,spec-23,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-23,All resources **SHALL** comply with their respective profiles.,SHALL,PAS Payer,,false,,
296
- hl7.fhir.us.davinci-pas_2.2.1,spec-24,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-24,"FHIR elements not marked as 'must support' **MAY** be included in resources within the Bundle, but client systems **SHOULD** have no expectation of such elements being processed by the payer unless prior arrangements have been made.",SHOULD / MAY,"PAS Client, PAS Payer",,false,,
297
- hl7.fhir.us.davinci-pas_2.2.1,spec-25,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-25,"Systems that do not process such elements **SHALL** ignore unsupported elements unless they are 'modifier' elements, in which case the system **MAY** treat the presence of the element as an error.",SHALL / MAY,PAS Payer,,false,,
299
+ hl7.fhir.us.davinci-pas_2.2.1,spec-24-A,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-24,FHIR elements not marked as 'must support' **MAY** be included in resources within the Bundle,MAY,"PAS Client, PAS Payer",,false,,
300
+ hl7.fhir.us.davinci-pas_2.2.1,spec-24-B,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-24,[C]lient systems **SHOULD** have no expectation of such [non 'must support'] elements being processed by the payer unless prior arrangements have been made.,SHOULD,"PAS Client, PAS Payer",,false,,
301
+ hl7.fhir.us.davinci-pas_2.2.1,spec-25-A,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-25,Systems that do not process such elements **SHALL** ignore unsupported elements unless they are 'modifier' elements,SHALL,PAS Payer,,false,,
302
+ hl7.fhir.us.davinci-pas_2.2.1,spec-25-B,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-25,[T]the system **MAY** treat the presence of the [unsupported 'modifier'] element as an error.,MAY,PAS Payer,,false,,
298
303
  hl7.fhir.us.davinci-pas_2.2.1,spec-26,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-26,"In addition, the system **SHALL** make the entire PAS FHIR Bundle available to the intended payer.",SHALL,PAS Payer,,false,,
299
304
  hl7.fhir.us.davinci-pas_2.2.1,spec-27,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-27,The method **MAY** be based on the X12 275 or another method that trading partners have agreed to use.,MAY,PAS Payer,,false,,
300
305
  hl7.fhir.us.davinci-pas_2.2.1,spec-28,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-28,"If the X12 275 is used for this purpose, the 275 BDS01 Filter ID Code element **SHALL** be set to ""B64"" and the CAT02 Attachment Information Format Code element **SHALL** be sent to ""HL"".",SHALL,PAS Payer,,false,,
@@ -316,7 +321,7 @@ hl7.fhir.us.davinci-pas_2.2.1,spec-43,https://hl7.org/fhir/us/davinci-pas/2.2.1/
316
321
  hl7.fhir.us.davinci-pas_2.2.1,spec-44,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-44,This Claim Inquiry Response **SHALL** either reference a Claim or have a Data Absent Reason indicating why the Claim can not be referenced (eg. original claim received by fax).,SHALL,PAS Payer,,false,,
317
322
  hl7.fhir.us.davinci-pas_2.2.1,spec-45,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-45,The referenced Claim instance **SHOULD** be returned if there is information in the Response that needs to be present can not be returned in the Claim Response instance.,SHOULD,PAS Payer,,false,,
318
323
  hl7.fhir.us.davinci-pas_2.2.1,spec-46,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-46,"the returned ClaimResponse **SHALL** include the current results for all submitted items, including any items changed or canceled since the original authoriation request.",SHALL,PAS Payer,,false,,
319
- hl7.fhir.us.davinci-pas_2.2.1,spec-47,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-47,"if a specific reference number (either the REF-NT or REF-BB) is submitted and is not the 'current' number (because subsequent additions/changes/cancellations have been made to the prior authorization request), the returned record **SHALL** be the current authorization response - even though it no longer has the same identifier.",SHALL,"PAS Client, PAS Payer",,false,,
324
+ hl7.fhir.us.davinci-pas_2.2.1,spec-47,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-47,"if a specific reference number (either the REF-NT or REF-BB) is submitted and is not the 'current' number (because subsequent additions/changes/cancellations have been made to the prior authorization request), the returned record **SHALL** be the current authorization response - even though it no longer has the same identifier.",SHALL,PAS Payer,,false,,
320
325
  hl7.fhir.us.davinci-pas_2.2.1,spec-48,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-48,"I.e. If a search is for a 'replaced' prior authorization, the search result **SHALL** include the 'current' prior authorization response for the most recent replacing prior authorization request.",SHALL,PAS Payer,,false,,
321
326
  hl7.fhir.us.davinci-pas_2.2.1,spec-49,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-49,systems **MAY** withhold information about prior authorizations that are 'open' but are deemed to be not relevant to the provider (eg. prior authorization requests for sensitive care where the requesting provider is neither the ordering nor rendering provider) who is checking for the prior authorization status if not searching by a specific Claim identifier.,MAY,PAS Payer,,false,,
322
327
  hl7.fhir.us.davinci-pas_2.2.1,spec-50,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/specification.html#ci-c-spec-50,In such situations the response **SHOULD** include an OperationOutcome warning that some prior authorizations have been suppressed and provide an alternative mechanism (e.g. telephone number) to provide further information if needed.,SHOULD,PAS Payer,,false,,
@@ -349,3 +354,5 @@ hl7.fhir.us.davinci-pas_2.2.1,use-3,https://hl7.org/fhir/us/davinci-pas/2.2.1/en
349
354
  hl7.fhir.us.davinci-pas_2.2.1,use-4,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/usecases.html#ci-c-use-4,"As well, EHRs **SHOULD** annotate their orders with the decisions contained in the PAS Response.",SHOULD,PAS Client,,false,,
350
355
  hl7.fhir.us.davinci-pas_2.2.1,use-5,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/usecases.html#ci-c-use-5,"Prior to sending clinical data as part of the PAS exchange, the provider (or their designated agent) **SHALL** have the ability, but not an obligation, to review patient information and where appropriate amend or withhold the submission to comply with current regulations and relevant provider policies. The provider can choose to turn off the ability to review documentation. The vendor must allow them this option.",SHALL,PAS Client,,false,,
351
356
  hl7.fhir.us.davinci-pas_2.2.1,use-6,https://hl7.org/fhir/us/davinci-pas/2.2.1/en/usecases.html#ci-c-use-6,"All exchanges **SHOULD** meet Federal and state regulations, including any HIPAA restrictions and restrictions on sensitive data.",SHOULD,"PAS Client, PAS Payer",,false,,
357
+ hl7.fhir.us.davinci-pas_2.2.1,hrex-conf-1,https://hl7.org/fhir/us/davinci-hrex/1.2.0/en/conformance.html#ci-c-conf-1,Data Sources **SHALL** be capable of populating the data element when sharing resources compliant with the profile.,SHALL,"PAS Client, PAS Payer",,false,,
358
+ hl7.fhir.us.davinci-pas_2.2.1,hrex-conf-2,https://hl7.org/fhir/us/davinci-hrex/1.2.0/en/conformance.html#ci-c-conf-2,Data Consumers **SHALL** be capable of processing resource instances containing the data elements without generating an error or causing the application to fail.,SHALL,"PAS Client, PAS Payer",,false,,
@@ -8,9 +8,9 @@ hl7.fhir.us.davinci-pas_2.0.1,22,https://hl7.org/fhir/us/davinci-pas/STU2/additi
8
8
  hl7.fhir.us.davinci-pas_2.0.1,23,https://hl7.org/fhir/us/davinci-pas/STU2/additionalinfo.html,"[When responding to requests for additional information i]f the code is “attachment-request-questionnaire”, the provider system uses Documentation Templates and Rules (DTR) to complete the Questionnaire referenced in the “questionnaires-needed” input parameter.",SHALL,Client,true,,,"",""
9
9
  hl7.fhir.us.davinci-pas_2.0.1,24,https://hl7.org/fhir/us/davinci-pas/STU2/additionalinfo.html,[To provide gathered additional information to the payer] the provider system uses the $submit-attachment operation to return the information to the endpoint provided in “payer-url” input parameter.,SHALL,Client,true,,,"",""
10
10
  hl7.fhir.us.davinci-pas_2.0.1,34,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,The HRex IG defines some [conformance expectations](http://hl7.org/fhir/us/davinci-hrex/conformance.html) that all Da Vinci IGs are expected to follow.,SHALL,Client,false,,,"",""
11
- hl7.fhir.us.davinci-pas_2.0.1,39,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems **SHALL** be capable of receiving all data elements that are marked as Must Support on the Claim Response,SHALL,Client,false,,,"",""
12
- hl7.fhir.us.davinci-pas_2.0.1,40,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems **SHALL** be capable of receiving all data elements that are marked as Must Support on the … Claim Inquiry Response,SHALL,Client,false,,,"",""
13
- hl7.fhir.us.davinci-pas_2.0.1,41,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems … **SHALL** not generate an error or cause the application to fail when receiving any data element that is marked as Must Support.,SHALL NOT,Client,true,,,"",""
11
+ hl7.fhir.us.davinci-pas_2.0.1,39,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems **SHALL** be capable of receiving all data elements that are marked as Must Support on the Claim Response,SHALL,Client,false,,,"4.3.02, 7.3.02, 10.3.02","davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_submit_response_must_support-pas_client_v201_submit_response_must_support_claimresponse, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_submit_response_must_support-pas_client_v201_submit_response_must_support_claimresponse, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_submit_response_must_support-pas_client_v201_submit_response_must_support_claimresponse"
12
+ hl7.fhir.us.davinci-pas_2.0.1,40,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems **SHALL** be capable of receiving all data elements that are marked as Must Support on the … Claim Inquiry Response,SHALL,Client,false,,,"4.5.02, 7.5.02, 10.5.02","davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_inquire_response_must_support-pas_client_v201_inquire_response_must_support_claiminquiryresponse, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_inquire_response_must_support-pas_client_v201_inquire_response_must_support_claiminquiryresponse, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_inquire_response_must_support-pas_client_v201_inquire_response_must_support_claiminquiryresponse"
13
+ hl7.fhir.us.davinci-pas_2.0.1,41,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems … **SHALL** not generate an error or cause the application to fail when receiving any data element that is marked as Must Support.,SHALL NOT,Client,true,,,"4.1.02, 7.1.02, 10.1.02","davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_response_attest_ms_submit_inquire, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_response_attest_ms_submit_inquire, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_response_attest_ms_submit_inquire"
14
14
  hl7.fhir.us.davinci-pas_2.0.1,42,https://hl7.org/fhir/us/davinci-pas/STU2/background.html#must-support,PA Client Systems **SHOULD NOT** send any data elements that are not marked as Must Support,SHOULD NOT,Client,false,,,"",""
15
15
  hl7.fhir.us.davinci-pas_2.0.1,45,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,[Clients] **SHALL** also support the US Core R4 profiles for Condition,SHALL,Client,false,,,"",""
16
16
  hl7.fhir.us.davinci-pas_2.0.1,47,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,[Clients] **SHALL** also support the US Core R4 profiles for … Observation,SHALL,Client,false,,,"",""
@@ -19,9 +19,9 @@ hl7.fhir.us.davinci-pas_2.0.1,51,https://hl7.org/fhir/us/davinci-pas/STU2/specif
19
19
  hl7.fhir.us.davinci-pas_2.0.1,52,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,Clients ... supporting this implementation guide **SHOULD** also comply with the Da Vinci [Coverage Requirements Discovery (CRD)](http://www.hl7.org/fhir/us/davinci-crd) implementation guide,SHOULD,Client,false,,,"",""
20
20
  hl7.fhir.us.davinci-pas_2.0.1,54,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,Clients supporting this implementation guide **SHOULD** also comply with the Da Vinci ... [Documentation Templates and Rules (DTR)](http://www.hl7.org/fhir/us/davinci-dtr) implementation guide,SHOULD,Client,false,,,"",""
21
21
  hl7.fhir.us.davinci-pas_2.0.1,57,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#integration-with-other-implementation-guides,[Clients] claiming conformance to this IG **SHALL** comply with the [Security and Privacy page in the Da Vinci HRex guide](http://hl7.org/fhir/us/davinci-hrex/security.html).,SHALL,Client,false,,,"",""
22
- hl7.fhir.us.davinci-pas_2.0.1,58,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,The primary interaction supported by [clients in] this implementation guide is submitting a prior authorization request and receiving back a response.,SHALL,Client,false,,,"3.1.01, 3.1.02, 3.2.01, 3.2.02, 3.3.1.01, 3.3.2.01, 4.2.01, 6.1.01, 6.1.02, 6.2.01, 6.2.02, 6.3.1.01, 6.3.2.01, 7.2.01, 9.1.01, 9.1.02, 9.2.01, 9.2.02, 9.3.1.01, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
23
- hl7.fhir.us.davinci-pas_2.0.1,59,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,"To perform this [prior authorization request submission], a [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) resource is constructed by the client (EHR) system.",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
24
- hl7.fhir.us.davinci-pas_2.0.1,60,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,That [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [constructed by the client for prior authorization submission] will contain a [Claim](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-claim.html) resource (which FHIR uses to submit prior authorization requests),SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
22
+ hl7.fhir.us.davinci-pas_2.0.1,58,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,The primary interaction supported by [clients in] this implementation guide is submitting a prior authorization request and receiving back a response.,SHALL,Client,false,,,"3.1.01, 3.1.02, 3.2.01, 3.2.02, 3.3.1.01, 3.3.2.01, 4.1.03, 6.1.01, 6.1.02, 6.2.01, 6.2.02, 6.3.1.01, 6.3.2.01, 7.1.03, 9.1.01, 9.1.02, 9.2.01, 9.2.02, 9.3.1.01, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
23
+ hl7.fhir.us.davinci-pas_2.0.1,59,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,"To perform this [prior authorization request submission], a [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) resource is constructed by the client (EHR) system.",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
24
+ hl7.fhir.us.davinci-pas_2.0.1,60,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,That [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [constructed by the client for prior authorization submission] will contain a [Claim](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-claim.html) resource (which FHIR uses to submit prior authorization requests),SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
25
25
  hl7.fhir.us.davinci-pas_2.0.1,61,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,That [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [constructed by the client for prior authorization submission] will contain … various referenced resources needed to support the population of the 5010 version of the ASC X12N 278 prior authorization request and the 6020 version of the ASC X12N 275 additional documentation transactions.,SHALL,Client,false,,,"",""
26
26
  hl7.fhir.us.davinci-pas_2.0.1,62,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,This [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [constructed by the client for prior authorization submission] will then be sent as the sole payload of a [Claim submit](https://hl7.org/fhir/us/davinci-pas/STU2/OperationDefinition-Claim-submit.html) operation.,SHALL,Client,false,,,"3.1.01, 3.2.01, 3.3.1.01, 6.1.01, 6.2.01, 6.3.1.01, 9.1.01, 9.2.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
27
27
  hl7.fhir.us.davinci-pas_2.0.1,67,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#summary,A subscription-based mechanism can then be used by the client to be informed of updates to the authorization.,SHALL,Client,true,,,"3.3.1.01, 6.3.1.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
@@ -30,35 +30,35 @@ hl7.fhir.us.davinci-pas_2.0.1,69,https://hl7.org/fhir/us/davinci-pas/STU2/specif
30
30
  hl7.fhir.us.davinci-pas_2.0.1,70,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The Claim submit operation is executed by POSTing a FHIR Bundle to the [base url]/Claim/$submit endpoint.,SHALL,Client,false,,,"3.1.01, 3.2.01, 3.3.1.01, 6.1.01, 6.2.01, 6.3.1.01, 9.1.01, 9.2.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_approval_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_denial_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
31
31
  hl7.fhir.us.davinci-pas_2.0.1,71,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"When an EHR configures itself to support a payer’s PAS service, it will need to identify which Payer(s) the service supports such that it can ensure that the EHR only sends service calls to PAS services that the patient has current coverage for.",SHALL,Client,false,,,"",""
32
32
  hl7.fhir.us.davinci-pas_2.0.1,73,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,Provider and EHR Vendor organizations MAY leverage the [payer registry] developed by PDex (which will eventually fold into the national directory under FAST) as a means of determining which endpoints exist for which payers as candidates for configuration.,MAY,Client,false,,,"",""
33
- hl7.fhir.us.davinci-pas_2.0.1,74,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The Bundle **SHALL** be encoded in JSON,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
34
- hl7.fhir.us.davinci-pas_2.0.1,75,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The first entry in the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [for prior authorization submission] **SHALL** be a Claim resource complying with the [profile](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-claim.html) defined in this IG to ensure the content is sufficient to appropriately populate an X12N 278 message.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 3.3.4.01, 4.2.01, 4.5.01, 6.1.02, 6.2.02, 6.3.2.01, 6.3.4.01, 7.2.01, 7.5.01, 9.1.02, 9.2.02, 9.3.2.01, 9.3.4.01, 10.2.01, 10.5.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
35
- hl7.fhir.us.davinci-pas_2.0.1,76,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Additional [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle entries [for prior authorization submission] **SHALL** be populated with any resources referenced by the Claim resource (and any resources referenced by those resources, fully traversing all references and complying with all identified profiles).",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
36
- hl7.fhir.us.davinci-pas_2.0.1,77,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Note that even if a given resource instance is referenced multiple times [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission], it **SHALL** only appear in the Bundle once. E.g., if the same Practitioner information is referenced in multiple places, only one Practitioner instance should be created - referenced from multiple places as appropriate.",SHALL,Client,true,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
33
+ hl7.fhir.us.davinci-pas_2.0.1,74,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The Bundle **SHALL** be encoded in JSON,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
34
+ hl7.fhir.us.davinci-pas_2.0.1,75,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The first entry in the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [for prior authorization submission] **SHALL** be a Claim resource complying with the [profile](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-claim.html) defined in this IG to ensure the content is sufficient to appropriately populate an X12N 278 message.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 3.3.4.01, 4.1.03, 4.1.05, 6.1.02, 6.2.02, 6.3.2.01, 6.3.4.01, 7.1.03, 7.1.05, 9.1.02, 9.2.02, 9.3.2.01, 9.3.4.01, 10.1.03, 10.1.05","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test"
35
+ hl7.fhir.us.davinci-pas_2.0.1,76,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Additional [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle entries [for prior authorization submission] **SHALL** be populated with any resources referenced by the Claim resource (and any resources referenced by those resources, fully traversing all references and complying with all identified profiles).",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
36
+ hl7.fhir.us.davinci-pas_2.0.1,77,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Note that even if a given resource instance is referenced multiple times [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission], it **SHALL** only appear in the Bundle once. E.g., if the same Practitioner information is referenced in multiple places, only one Practitioner instance should be created - referenced from multiple places as appropriate.",SHALL,Client,true,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
37
37
  hl7.fhir.us.davinci-pas_2.0.1,78,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Bundle.entry.fullUrl values [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission] **SHALL** be:
38
38
 
39
39
  - the URL at which the resource is available from the EHR if exposed via the client’s REST interface; or
40
- - the form “urn:uuid:[some guid]”",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
40
+ - the form “urn:uuid:[some guid]”",SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
41
41
  hl7.fhir.us.davinci-pas_2.0.1,79,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"All GUIDs used [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) Bundle.entry.fullUrl element for prior authorization submission] **SHALL** be unique, including across independent prior authorization submissions - with the exception that the same resource instance being referenced in distinct prior authorization request Bundles can have the same GUID.",SHALL,Client,false,,,"",""
42
42
  hl7.fhir.us.davinci-pas_2.0.1,80,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,[A]ny “supporting information” resources needed to process the prior authorization request (whether determined by DTR processes or by other means) must also be included in the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle,SHALL,Client,false,,,"",""
43
- hl7.fhir.us.davinci-pas_2.0.1,81,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,Relevant resources referenced by those “supporting information” resources **SHALL** also be included (e.g. prescriber Practitioner and Medication for a MedicationRequest) [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) Bundle.entry.fullUrl element for prior authorization submission].,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
43
+ hl7.fhir.us.davinci-pas_2.0.1,81,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,Relevant resources referenced by those “supporting information” resources **SHALL** also be included (e.g. prescriber Practitioner and Medication for a MedicationRequest) [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) Bundle.entry.fullUrl element for prior authorization submission].,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
44
44
  hl7.fhir.us.davinci-pas_2.0.1,82,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"Any such [""supporting information""] resource [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) Bundle.entry.fullUrl element for prior authorization submission] that has a US Core profile SHALL comply with the relevant US Core profiles.",SHALL,Client,false,,,"",""
45
45
  hl7.fhir.us.davinci-pas_2.0.1,83,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,All “supporting information” resources included in the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [for prior authorization submission] **SHALL** be pointed to by the Claim resource using the Claim.supportingInfo.valueReference element.,SHALL,Client,false,,,"",""
46
46
  hl7.fhir.us.davinci-pas_2.0.1,84,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,"To attach PDFs, CDAs, JPGs, a DocumentReference instance should be used.",SHOULD,Client,false,,,"",""
47
- hl7.fhir.us.davinci-pas_2.0.1,85,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The Claim.supportingInfo.sequence for each entry **SHALL** be unique within the Claim.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
48
- hl7.fhir.us.davinci-pas_2.0.1,86,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,All resources [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission] **SHALL** comply with their respective profiles.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.2.01, 6.1.02, 6.2.02, 6.3.2.01, 7.2.01, 9.1.02, 9.2.02, 9.3.2.01, 10.2.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group02-pas_client_v201_request_bundle_validation_test"
47
+ hl7.fhir.us.davinci-pas_2.0.1,85,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,The Claim.supportingInfo.sequence for each entry **SHALL** be unique within the Claim.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
48
+ hl7.fhir.us.davinci-pas_2.0.1,86,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,All resources [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission] **SHALL** comply with their respective profiles.,SHALL,Client,false,,,"3.1.02, 3.2.02, 3.3.2.01, 4.1.03, 6.1.02, 6.2.02, 6.3.2.01, 7.1.03, 9.1.02, 9.2.02, 9.3.2.01, 10.1.03","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_approval_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_denial_group-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group02-pas_client_v201_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_request_bundle_validation_test"
49
49
  hl7.fhir.us.davinci-pas_2.0.1,87,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,FHIR elements not marked as ‘must support’ MAY be included in resources within the [[PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html)] Bundle [for prior authorization submission],MAY,Client,false,,,"",""
50
50
  hl7.fhir.us.davinci-pas_2.0.1,88,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-submission,[C]lient systems should have no expectation of such [non-must support] elements [in the [PASBundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-request-bundle.html) for prior authorization submission] being processed by the payer unless prior arrangements have been made,SHOULD,Client,true,,,"",""
51
51
  hl7.fhir.us.davinci-pas_2.0.1,109,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-transaction-error-handling,[S]enders of the transaction should look for the following responses and then take appropriate actions.,SHOULD,Client,false,Not Verifiable,The specification does not provide clear details on the indicated responses (unclear diagram),NA,NA
52
52
  hl7.fhir.us.davinci-pas_2.0.1,117,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#http-responses,These errors [from a payer indicating non-fatal issues to be addressed in the future] should not be returned to the provider but should be reviewed and addressed by technical staff.,SHOULD,Client,true,,,"",""
53
53
  hl7.fhir.us.davinci-pas_2.0.1,119,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The [prior authorization inquiry operation](https://hl7.org/fhir/us/davinci-pas/STU2/OperationDefinition-Claim-inquiry.html) allows for [clients to make] inquiries about prior authorization submissions.,SHALL,Client,false,,,"3.3.1.01, 6.3.1.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
54
54
  hl7.fhir.us.davinci-pas_2.0.1,120,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,Providers are expected to perform the same query-by-example inquiry even under the CMS exception. This Implementation Guide does not specify a different way of searching for prior authorizations in the exception case.,SHALL,Client,true,,,"3.3.1.01, 6.3.1.01, 9.3.1.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group01-pas_client_v201_pended_submit_test"
55
- hl7.fhir.us.davinci-pas_2.0.1,121,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The parameter to the inquiry operation is a [PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html),SHALL,Client,false,,,"3.3.4.01, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
56
- hl7.fhir.us.davinci-pas_2.0.1,122,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The [[PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html)] parameter to the inquiry operation ... has a Claim Inquiry profile instance,SHALL,Client,false,,,"3.3.4.01, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
57
- hl7.fhir.us.davinci-pas_2.0.1,123,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The [[PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html)] parameter to the inquiry operation ... has ... any referenced resources [from the claim],SHALL,Client,false,,,"3.3.4.01, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
58
- hl7.fhir.us.davinci-pas_2.0.1,125,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain a requesting provider organization,SHALL,Client,false,,,"3.3.4.01, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
59
- hl7.fhir.us.davinci-pas_2.0.1,126,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain ... a payer organization,SHALL,Client,false,,,"3.3.4.01, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
60
- hl7.fhir.us.davinci-pas_2.0.1,127,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain ... a patient for the inquiry,SHALL,Client,false,,,"3.3.4.01, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
61
- hl7.fhir.us.davinci-pas_2.0.1,128,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,"The operation does not allow inquiries that do not identify a specific patient, such as an inquiry for all prior authorization requests submitted on a specific date.",SHALL NOT,Client,false,,,"3.3.4.01, 4.5.01, 6.3.4.01, 7.5.01, 9.3.4.01, 10.5.01","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-Group05-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-Group05-pas_client_v201_inquire_request_bundle_validation_test"
55
+ hl7.fhir.us.davinci-pas_2.0.1,121,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The parameter to the inquiry operation is a [PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html),SHALL,Client,false,,,"3.3.4.01, 4.1.05, 6.3.4.01, 7.1.05, 9.3.4.01, 10.1.05","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test"
56
+ hl7.fhir.us.davinci-pas_2.0.1,122,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The [[PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html)] parameter to the inquiry operation ... has a Claim Inquiry profile instance,SHALL,Client,false,,,"3.3.4.01, 4.1.05, 6.3.4.01, 7.1.05, 9.3.4.01, 10.1.05","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test"
57
+ hl7.fhir.us.davinci-pas_2.0.1,123,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The [[PAS Inquiry Request Bundle](https://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-pas-inquiry-request-bundle.html)] parameter to the inquiry operation ... has ... any referenced resources [from the claim],SHALL,Client,false,,,"3.3.4.01, 4.1.05, 6.3.4.01, 7.1.05, 9.3.4.01, 10.1.05","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test"
58
+ hl7.fhir.us.davinci-pas_2.0.1,125,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain a requesting provider organization,SHALL,Client,false,,,"3.3.4.01, 4.1.05, 6.3.4.01, 7.1.05, 9.3.4.01, 10.1.05","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test"
59
+ hl7.fhir.us.davinci-pas_2.0.1,126,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain ... a payer organization,SHALL,Client,false,,,"3.3.4.01, 4.1.05, 6.3.4.01, 7.1.05, 9.3.4.01, 10.1.05","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test"
60
+ hl7.fhir.us.davinci-pas_2.0.1,127,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,The inquiry operation must contain ... a patient for the inquiry,SHALL,Client,false,,,"3.3.4.01, 4.1.05, 6.3.4.01, 7.1.05, 9.3.4.01, 10.1.05","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test"
61
+ hl7.fhir.us.davinci-pas_2.0.1,128,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#prior-authorization-inquiries,"The operation does not allow inquiries that do not identify a specific patient, such as an inquiry for all prior authorization requests submitted on a specific date.",SHALL NOT,Client,false,,,"3.3.4.01, 4.1.05, 6.3.4.01, 7.1.05, 9.3.4.01, 10.1.05","davinci_pas_client_suite_v201-pas_client_v201_workflows_smart-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_smart-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_udap-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_udap-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_workflows_no_auth-pas_client_v201_pended_group-Group04-pas_client_v201_inquire_request_bundle_validation_test, davinci_pas_client_suite_v201-pas_client_v201_must_support_no_auth-pas_client_v201_must_support_receive-pas_client_v201_inquire_request_bundle_validation_test"
62
62
  hl7.fhir.us.davinci-pas_2.0.1,137,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#pended-authorization-responses,"To retrieve the [prior authorization decision] response at a later point, [Client] implementers **SHALL** support subscriptions.",SHALL,Client,false,,,"2.01, 5.01, 8.01","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-pas_client_v201_subscription_create_test"
63
63
  hl7.fhir.us.davinci-pas_2.0.1,140,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#subscription,[Clients] SHALL support the R4 Subscriptions referenced in the [Subscriptions for R5 Backport Implementation Guide](http://hl7.org/fhir/uv/subscriptions-backport/).,SHALL,Client,false,,,"2.01, 5.01, 8.01","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-pas_client_v201_subscription_create_test"
64
64
  hl7.fhir.us.davinci-pas_2.0.1,142,https://hl7.org/fhir/us/davinci-pas/STU2/specification.html#subscription,"When using the subscription retrieval mechanism, the Client will POST a new Subscription instance to the Server’s [base]/Subscription endpoint.",SHALL,Client,false,,,"2.01, 5.01, 8.01","davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_smart-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_udap-pas_client_v201_subscription_create_test, davinci_pas_client_suite_v201-pas_client_v201_subscription_setup_no_auth-pas_client_v201_subscription_create_test"