us_core_test_kit 0.2.0 → 0.2.3

data/lib/us_core_test_kit/generated/v4.0.0/smokingstatus/smokingstatus_validation_test.rb

@@ -8,8 +8,9 @@ module USCoreTestKit
       id :us_core_v400_smokingstatus_validation_test
       title 'Observation resources returned during previous tests conform to the US Core Smoking Status Observation Profile'
       description %(
-  This test verifies resources returned from the first search conform to
+This test verifies resources returned from the first search conform to
 the [US Core Smoking Status Observation Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus).
+Systems must demonstrate at least one valid example in order to pass this test.
 
 It verifies the presence of mandatory elements and that elements with
 required bindings contain appropriate values. CodeableConcept element
@@ -29,7 +30,9 @@ fail if their code/system are not found in the valueset.
       end
 
       run do
-        perform_validation_test(scratch_resources[:all] || [], 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus')
+        perform_validation_test(scratch_resources[:all] || [],
+                                'http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus',
+                                skip_if_empty: true)
       end
     end
   end

data/lib/us_core_test_kit/generated/v4.0.0/smokingstatus_group.rb

@@ -67,9 +67,10 @@ ValueSet. If the code/system in the element is not part of the ValueSet,
 then the test will fail.
 
 ## Reference Validation
-Each reference within the resources found from the previous tests must
-resolve. The test will attempt to read each reference found and will
-fail if any attempted read fails.
+At least one instance of each external reference in elements marked as
+"must support" within the resources provided by the system must resolve.
+The test will attempt to read each reference found and will fail if no
+read succeeds.
 
       )
 

data/lib/us_core_test_kit/generator/group_generator.rb

@@ -187,9 +187,10 @@ module USCoreTestKit
         then the test will fail.
 
         ## Reference Validation
-        Each reference within the resources found from the previous tests must
-        resolve. The test will attempt to read each reference found and will
-        fail if any attempted read fails.
+        At least one instance of each external reference in elements marked as
+        "must support" within the resources provided by the system must resolve.
+        The test will attempt to read each reference found and will fail if no
+        read succeeds.
         DESCRIPTION
       end
     end

data/lib/us_core_test_kit/generator/must_support_metadata_extractor.rb

@@ -277,7 +277,6 @@ module USCoreTestKit
         when '4.0.0'
           add_device_distinct_identifier
           add_patient_uscdi_elements
-          add_provenance_agent_who
         end
       end
 
@@ -344,18 +343,23 @@ module USCoreTestKit
       def add_must_support_choices
         choices = []
 
-        choices << {paths: ['content.attachment.data', 'content.attachment.url']} if profile.type == 'DocumentReference'
+        choices << { paths: ['content.attachment.data', 'content.attachment.url'] } if profile.type == 'DocumentReference'
 
         case profile.version
         when '3.1.1'
-          choices << {paths: ['udiCarrier.carrierAIDC', 'udiCarrier.carrierHRF']} if profile.type == 'Device'
+          choices << { paths: ['udiCarrier.carrierAIDC', 'udiCarrier.carrierHRF'] } if profile.type == 'Device'
         when '4.0.0'
           case profile.type
           when 'Encounter'
-            choices << {paths: ['reasonCode', 'reasonReference']}
-            choices << {paths: ['location.location', 'serviceProvider']}
+            choices << { paths: ['reasonCode', 'reasonReference'] }
+            choices << { paths: ['location.location', 'serviceProvider'] }
           when 'MedicationRequest'
-            choices << {paths: ['reportedBoolean', 'reportedReference']}
+            choices << { paths: ['reportedBoolean', 'reportedReference'] }
+          when 'Patient'
+            choices << {
+              paths: ['name.period.end', 'name.use'],
+              uscdi_only: true
+            }
           end
         end
 
@@ -377,35 +381,44 @@ module USCoreTestKit
           #US Core 4.0.0 Section 10.112.1.1 Additional USCDI v1 Requirement:
           @must_supports[:extensions] << {
             id: 'Patient.extension:race',
-            url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'
+            url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race',
+            uscdi_only: true
           }
           @must_supports[:extensions] << {
             id: 'Patient.extension:ethnicity',
-            url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'
+            url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity',
+            uscdi_only: true
           }
           @must_supports[:extensions] << {
             id: 'Patient.extension:birthsex',
-            url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex'
+            url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex',
+            uscdi_only: true
           }
           @must_supports[:elements] << {
-            path: 'telecom'
+            path: 'name.suffix',
+            uscdi_only: true
           }
           @must_supports[:elements] << {
-            path: 'name.suffix'
+            path: 'name.use',
+            fixed_value: 'old',
+            uscdi_only: true
           }
           @must_supports[:elements] << {
-            path: 'name.use',
-            fixed_value: 'old'
+            path: 'name.period.end',
+            uscdi_only: true
           }
-        end
-      end
-
-      def add_provenance_agent_who
-        # FHIR-36344 US Core 4.0.0 mistakenly not lable us-core-organization as MS for Provenance.agent.who
-        # This will be fixed in US Core 5.0.0
-        if profile.type == 'Provenance'
-          target_element = @must_supports[:elements].find { |element| element[:path] == 'agent.who'}
-          target_element[:target_profiles] << 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'
+          @must_supports[:elements] << {
+            path: 'telecom',
+            uscdi_only: true
+          }
+          @must_supports[:elements] << {
+            path: 'communication',
+            uscdi_only: true
+          }
+          @must_supports[:elements].each do |element|
+            path = element[:path]
+            element[:uscdi_only] = true if path.include?('telecom.') || path.include?('communication.')
+          end
         end
       end
     end

data/lib/us_core_test_kit/generator/must_support_test_generator.rb

@@ -68,13 +68,36 @@ module USCoreTestKit
       end
 
       def must_support_list_string
-        slice_names = group_metadata.must_supports[:slices].map { |slice| slice[:name] }
-        element_names = group_metadata.must_supports[:elements].map { |slice| "#{resource_type}.#{slice[:path]}" }
-        extension_names = group_metadata.must_supports[:extensions].map { |slice| slice[:id] }
+        build_must_support_list_string(false)
+      end
+
+      def uscdi_list_string
+        build_must_support_list_string(true)
+      end
+
+      def build_must_support_list_string(uscdi_only)
+        slice_names = group_metadata.must_supports[:slices]
+          .select { |slice| slice[:uscdi_only].presence == uscdi_only.presence }
+          .map { |slice| slice[:name] }
+
+        element_names = group_metadata.must_supports[:elements]
+          .select { |element| element[:uscdi_only].presence == uscdi_only.presence }
+          .map { |element| "#{resource_type}.#{element[:path]}" }
+
+        extension_names = group_metadata.must_supports[:extensions]
+          .select { |extension| extension[:uscdi_only].presence == uscdi_only.presence }
+          .map { |extension| extension[:id] }
+
+        group_metadata.must_supports[:choices]&.each do |choice|
+          next unless choice[:uscdi_only].presence == uscdi_only.presence
+          choice[:paths].each { |path| element_names.delete("#{resource_type}.#{path}") }
+          element_names << choice[:paths].map { |path| "#{resource_type}.#{path}" }.join(' or ')
+        end
+
         (slice_names + element_names + extension_names)
           .uniq
           .sort
-          .map { |name| "      * #{name}" }
+          .map { |name| "#{' ' * 8}* #{name}" }
           .join("\n")
       end
 

data/lib/us_core_test_kit/generator/reference_resolution_test_generator.rb

@@ -62,17 +62,23 @@ module USCoreTestKit
       def resource_collection_string
         'scratch_resources[:all]'
       end
+
+      def must_support_references
+        group_metadata.must_supports[:elements]
+          .select { |element| element[:types]&.include?('Reference') }
+      end
       
       def must_support_reference_list_string
-        element_names = group_metadata.must_supports[:elements]
-          .select { |element| element[:type]&.include?('Reference') }
-          .map { |element| "      * #{resource_type}.#{element[:path]}" }
+        must_support_references
+          .map { |element| "#{' ' * 8}* #{resource_type}.#{element[:path]}" }
           .uniq
           .sort
           .join("\n")
       end
 
       def generate
+        return if must_support_references.empty?
+
         FileUtils.mkdir_p(output_file_directory)
         File.open(output_file_name, 'w') { |f| f.write(output) }
 

data/lib/us_core_test_kit/generator/validation_test_generator.rb

@@ -84,6 +84,12 @@ module USCoreTestKit
         read_interaction[:expectation]
       end
 
+      def skip_if_empty
+        # Return true if a system must demonstrate at least one example of the resource type.
+        # This drives omit vs. skip result statuses in this test.
+        resource_type != 'Medication'
+      end
+
       def generate
         FileUtils.mkdir_p(output_file_directory)
         File.open(output_file_name, 'w') { |f| f.write(output) }
@@ -121,6 +127,7 @@ module USCoreTestKit
           <<~GENERIC_INTRO
           This test verifies resources returned from the first search conform to
           the [#{profile_name}](#{profile_url}).
+          Systems must demonstrate at least one valid example in order to pass this test.
           GENERIC_INTRO
         end
       end

data/lib/us_core_test_kit/must_support_test.rb

@@ -36,8 +36,16 @@ module USCoreTestKit
       end
     end
 
+    def include_uscdi_only_test?
+      config.options[:include_uscdi_only_test] == true
+    end
+
     def must_support_extensions
-      metadata.must_supports[:extensions]
+      if include_uscdi_only_test?
+        metadata.must_supports[:extensions]
+      else
+        metadata.must_supports[:extensions].reject{ |extension| extension[:uscdi_only] }
+      end
     end
 
     def missing_extensions(resources = [])
@@ -50,7 +58,11 @@ module USCoreTestKit
     end
 
     def must_support_elements
-      metadata.must_supports[:elements]
+      if include_uscdi_only_test?
+        metadata.must_supports[:elements]
+      else
+        metadata.must_supports[:elements].reject{ |element| element[:uscdi_only] }
+      end
     end
 
     def missing_elements(resources = [])
@@ -85,7 +97,11 @@ module USCoreTestKit
     end
 
     def must_support_slices
-      metadata.must_supports[:slices]
+      if include_uscdi_only_test?
+        metadata.must_supports[:slices]
+      else
+        metadata.must_supports[:slices].reject{ |slice| slice[:uscdi_only] }
+      end
     end
 
     def missing_slices(resources = [])

data/lib/us_core_test_kit/search_test.rb

@@ -31,7 +31,7 @@ module USCoreTestKit
             if fixed_value_search?
               fixed_value_search_param_values.map { |value| fixed_value_search_params(value, patient_id) }
             else
-              [search_params_with_values(patient_id)]
+              [search_params_with_values(search_param_names, patient_id)]
             end
           new_params.reject! do |params|
             params.any? { |_key, value| value.blank? }
@@ -135,6 +135,9 @@ module USCoreTestKit
       check_search_response
 
       post_search_resources = fetch_all_bundled_resources.select { |resource| resource.resourceType == resource_type }
+
+      filter_devices(post_search_resources) if resource_type == 'Device'
+
       get_resource_count = get_search_resources.length
       post_resource_count = post_search_resources.length
 
@@ -240,10 +243,11 @@ module USCoreTestKit
       new_search_params = params.merge('patient' => "Patient/#{params['patient']}")
       search_and_check_response(new_search_params)
 
-      new_resource_count =
-        fetch_all_bundled_resources
-          .select { |resource| resource.resourceType == resource_type }
-          .count
+      reference_with_type_resources = fetch_all_bundled_resources.select { |resource| resource.resourceType == resource_type }
+
+      filter_devices(reference_with_type_resources) if resource_type == 'Device'
+
+      new_resource_count = reference_with_type_resources.count
 
       assert new_resource_count == resource_count,
              "Expected search by `#{params['patient']}` to to return the same results as searching " \
@@ -256,9 +260,7 @@ module USCoreTestKit
     def perform_search_with_system(params, patient_id)
       return if search_variant_test_records[:token_variants]
 
-      new_search_params = token_search_params.each_with_object({}) do |name, search_params|
-        search_params[name] = search_param_value(name, patient_id, include_system: true)
-      end
+      new_search_params = search_params_with_values(token_search_params, patient_id, include_system: true)
       return if new_search_params.any? { |_name, value| value.blank? }
 
       search_params = params.merge(new_search_params)
@@ -308,7 +310,7 @@ module USCoreTestKit
       definition = metadata.search_definitions[param_name]
       return [] if definition.blank?
 
-      definition[:multiple_or] == 'SHALL' ? [definition[:values].join(',')] : [definition[:values]]
+      definition[:multiple_or] == 'SHALL' ? [definition[:values].join(',')] : Array.wrap(definition[:values])
     end
 
 
@@ -317,7 +319,7 @@ module USCoreTestKit
 
       all_search_params.each do |patient_id, params_list|
         next unless params_list.present?
-        
+
         search_params = params_list.first
         existing_values = {}
         missing_values = {}
@@ -423,11 +425,29 @@ module USCoreTestKit
       end
     end
 
-    def search_params_with_values(patient_id)
-      search_param_names.each_with_object({}) do |name, params|
-        value = patient_id_param?(name) ? patient_id : search_param_value(name, patient_id)
-        params[name] = value
+    def search_params_with_values(search_param_names, patient_id, include_system: false)
+      resources = scratch_resources_for_patient(patient_id)
+
+      if resources.empty?
+        return search_param_names.each_with_object({}) do |name, params|
+          value = patient_id_param?(name) ? patient_id : nil
+          params[name] = value
+        end
       end
+
+      params_with_partial_value = resources.each_with_object({}) do |resource, outer_params|
+        results_from_one_resource = search_param_names.each_with_object({}) do |name, params|
+          value = patient_id_param?(name) ? patient_id : search_param_value(name, resource, include_system: include_system)
+          params[name] = value
+        end
+
+        outer_params.merge!(results_from_one_resource)
+
+        # stop if all parameter values are found
+        return outer_params if outer_params.all? { |_key, value| value.present? }
+      end
+
+      params_with_partial_value
     end
 
     def patient_id_list
@@ -446,10 +466,10 @@ module USCoreTestKit
 
     def search_param_paths(name)
       paths = metadata.search_definitions[name.to_sym][:paths]
-      if paths.first =='class' 
+      if paths.first =='class'
         paths[0] = 'local_class'
       end
-      
+
       paths
     end
 
@@ -470,8 +490,13 @@ module USCoreTestKit
     end
 
     def no_resources_skip_message(resource_type = self.resource_type)
-      "No #{resource_type} resources appear to be available. " \
-      "Please use patients with more information"
+      msg = "No #{resource_type} resources appear to be available"
+
+      if (resource_type == 'Device' && implantable_device_codes.present?)
+        msg.concat(" with the following Device Type Code filter: #{implantable_device_codes}")
+      end
+
+      msg + ". Please use patients with more information"
     end
 
     def fetch_all_bundled_resources(
@@ -504,15 +529,6 @@ module USCoreTestKit
         page_count += 1
       end
 
-      valid_resource_types = [resource_type, 'OperationOutcome'].concat(additional_resource_types)
-      valid_resource_types << 'Medication' if resource_type == 'MedicationRequest'
-
-      all_valid_resource_types =
-        resources.all? { |entry| valid_resource_types.include? entry.resourceType }
-
-      assert all_valid_resource_types,
-             "All resources returned must be of the type: #{valid_resource_types.join(', ')}"
-
       resources
     end
 
@@ -520,11 +536,11 @@ module USCoreTestKit
       "Could not resolve next bundle: #{link}"
     end
 
-    def search_param_value(name, patient_id, include_system: false)
+    def search_param_value(name, resource, include_system: false)
       paths = search_param_paths(name)
       search_value = nil
       paths.each do |path|
-        element = find_a_value_at(scratch_resources_for_patient(patient_id), path)
+        element = find_a_value_at(resource, path) { |element| element_has_valid_value?(element, include_system) }
 
         search_value =
           case element
@@ -541,34 +557,37 @@ module USCoreTestKit
             if include_system
               coding =
                 find_a_value_at(element, 'coding') { |coding| coding.code.present? && coding.system.present? }
-              coding.present? ? "#{coding.system}|#{coding.code}" : nil
+              "#{coding.system}|#{coding.code}"
             else
               find_a_value_at(element, 'coding.code')
             end
           when FHIR::Identifier
-            if include_system
-              identifier = find_a_value_at(scratch_resources_for_patient(patient_id), path) do |identifier|
-                identifier.value.present? && identifier.system.present?
-              end
-              identifier.present? ? "#{identifier.system}|#{identifier.value}" : nil
-            else
-              element.value
-            end
+            include_system ? "#{element.system}|#{element.value}" : element.value
           when FHIR::Coding
-            if include_system
-              coding = find_a_value_at(scratch_resources_for_patient(patient_id), path) do |coding|
-                coding.code.present? && coding.system.present?
-              end
-              coding.present? ? "#{coding.system}|#{coding.code}" : nil
-            else
-              element.code
-            end
+            include_system ? "#{element.system}|#{element.code}" : element.code
           when FHIR::HumanName
             element.family || element.given&.first || element.text
           when FHIR::Address
             element.text || element.city || element.state || element.postalCode || element.country
           else
-            element
+            if metadata.version != 'v3.1.1' &&
+               metadata.search_definitions[name.to_sym][:type] == 'date' &&
+               params_with_comparators&.include?(name)
+              # convert date search to greath-than comparator search with correct precision
+              # For all date search parameters:
+              #   Patient.birthDate does not mandate comparators so cannot be converted
+              #   Goal.target-date has day precision
+              #   All others have second + time offset precision
+              if /^\d{4}$/.match?(element) || # YYYY
+                 /^\d{4}-\d{2}$/.match?(element) || # YYYY-MM
+                (/^\d{4}-\d{2}-\d{2}$/.match?(element) && resource_type != "Goal") # YYYY-MM-DD AND Resource is NOT Goal
+                "gt#{(DateTime.xmlschema(element)-1).xmlschema}"
+              else
+                element
+              end
+            else
+              element
+            end
           end
 
           break if search_value.present?
@@ -578,6 +597,31 @@ module USCoreTestKit
       escaped_value
     end
 
+    def element_has_valid_value?(element, include_system)
+      case element
+      when FHIR::Reference
+        element.reference.present?
+      when FHIR::CodeableConcept
+        if include_system
+          coding =
+            find_a_value_at(element, 'coding') { |coding| coding.code.present? && coding.system.present? }
+          coding.present?
+        else
+          find_a_value_at(element, 'coding.code').present?
+        end
+      when FHIR::Identifier
+        include_system ? element.value.present? && element.system.present? : element.value.present?
+      when FHIR::Coding
+        include_system ? element.code.present? && element.system.present? : element.code.present?
+      when FHIR::HumanName
+        (element.family || element.given&.first || element.text).present?
+      when FHIR::Address
+        (element.text || element.city || element.state || element.postalCode || element.country).present?
+      else
+        true
+      end
+    end
+
     def save_resource_reference(resource_type, reference)
       scratch[:references] ||= {}
       scratch[:references][resource_type] ||= Set.new
@@ -647,9 +691,9 @@ module USCoreTestKit
                 address&.country&.downcase&.start_with?(search_value_downcase)
               end
             when 'CodeableConcept'
-              # FHIR token search (https://www.hl7.org/fhir/search.html#token): "When in doubt, servers SHOULD 
-              # treat tokens in a case-insensitive manner, on the grounds that including undesired data has 
-              # less safety implications than excluding desired behavior". 
+              # FHIR token search (https://www.hl7.org/fhir/search.html#token): "When in doubt, servers SHOULD
+              # treat tokens in a case-insensitive manner, on the grounds that including undesired data has
+              # less safety implications than excluding desired behavior".
               codings = values_found.flat_map(&:coding)
               if search_value.include? '|'
                 system = search_value.split('|').first
@@ -691,7 +735,7 @@ module USCoreTestKit
                 values_found.any? { |value_found| search_values.include? value_found }
               end
             end
-          
+
           break if match_found
         end
 

data/lib/us_core_test_kit/validation_test.rb

@@ -3,9 +3,15 @@ module USCoreTestKit
     DAR_CODE_SYSTEM_URL = 'http://terminology.hl7.org/CodeSystem/data-absent-reason'.freeze
     DAR_EXTENSION_URL = 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'.freeze
 
-    def perform_validation_test(resources, profile_url)
-      skip_if resources.blank?,
-              "No #{resource_type} resources conforming to the #{profile_url} profile were returned."
+    def perform_validation_test(resources,
+                                profile_url,
+                                skip_if_empty: true)
+
+      skip_if skip_if_empty && resources.blank?,
+              "No #{resource_type} resources conforming to the #{profile_url} profile were returned"
+
+      omit_if resources.blank?,
+              "No #{resource_type} resources provided so the #{profile_url} profile does not apply"
 
       resources.each do |resource|
         resource_is_valid?(resource: resource, profile_url: profile_url)

data/lib/us_core_test_kit/version.rb

@@ -1,3 +1,5 @@
+# frozen_string_literal: true
+
 module USCoreTestKit
-  VERSION = '0.2.0'
+  VERSION = '0.2.3'
 end

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: us_core_test_kit
 version: !ruby/object:Gem::Version
-  version: 0.2.0
+  version: 0.2.3
 platform: ruby
 authors:
 - Stephen MacVicar
 autorequire:
 bindir: bin
 cert_chain: []
-date: 2022-04-07 00:00:00.000000000 Z
+date: 2022-07-01 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: inferno_core
@@ -345,7 +345,6 @@ files:
 - lib/us_core_test_kit/generated/v3.1.1/organization/organization_must_support_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/organization/organization_name_search_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/organization/organization_read_test.rb
-- lib/us_core_test_kit/generated/v3.1.1/organization/organization_reference_resolution_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/organization/organization_validation_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/organization_group.rb
 - lib/us_core_test_kit/generated/v3.1.1/patient/metadata.yml
@@ -359,7 +358,6 @@ files:
 - lib/us_core_test_kit/generated/v3.1.1/patient/patient_name_search_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/patient/patient_provenance_revinclude_search_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/patient/patient_read_test.rb
-- lib/us_core_test_kit/generated/v3.1.1/patient/patient_reference_resolution_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/patient/patient_validation_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/patient_group.rb
 - lib/us_core_test_kit/generated/v3.1.1/pediatric_bmi_for_age/metadata.yml
@@ -391,7 +389,6 @@ files:
 - lib/us_core_test_kit/generated/v3.1.1/practitioner/practitioner_must_support_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/practitioner/practitioner_name_search_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/practitioner/practitioner_read_test.rb
-- lib/us_core_test_kit/generated/v3.1.1/practitioner/practitioner_reference_resolution_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/practitioner/practitioner_validation_test.rb
 - lib/us_core_test_kit/generated/v3.1.1/practitioner_group.rb
 - lib/us_core_test_kit/generated/v3.1.1/procedure/metadata.yml
@@ -698,7 +695,6 @@ files:
 - lib/us_core_test_kit/generated/v4.0.0/organization/organization_must_support_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/organization/organization_name_search_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/organization/organization_read_test.rb
-- lib/us_core_test_kit/generated/v4.0.0/organization/organization_reference_resolution_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/organization/organization_validation_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/organization_group.rb
 - lib/us_core_test_kit/generated/v4.0.0/patient/metadata.yml
@@ -712,7 +708,6 @@ files:
 - lib/us_core_test_kit/generated/v4.0.0/patient/patient_name_search_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/patient/patient_provenance_revinclude_search_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/patient/patient_read_test.rb
-- lib/us_core_test_kit/generated/v4.0.0/patient/patient_reference_resolution_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/patient/patient_validation_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/patient_group.rb
 - lib/us_core_test_kit/generated/v4.0.0/pediatric_bmi_for_age/metadata.yml
@@ -744,7 +739,6 @@ files:
 - lib/us_core_test_kit/generated/v4.0.0/practitioner/practitioner_must_support_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/practitioner/practitioner_name_search_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/practitioner/practitioner_read_test.rb
-- lib/us_core_test_kit/generated/v4.0.0/practitioner/practitioner_reference_resolution_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/practitioner/practitioner_validation_test.rb
 - lib/us_core_test_kit/generated/v4.0.0/practitioner_group.rb
 - lib/us_core_test_kit/generated/v4.0.0/procedure/metadata.yml