ConMan: http://conman.clinfhir.com/connectathon.html?event=con32
Participating Systems Server:
- Risk Adjustment Sandbox (public accessible): https://cloud.alphora.com/sandbox/r4/ra/fhir
- Novillus Risk Adjustment Server (requires password to access)
Instructions:
- Log in to Touchstone (https://touchstone.aegis.net/touchstone/testdefinitions)
- Navigate to FHIRSandbox, DaVinci, FHIR4-0-1-RA-STU2 in Touchstone. There are four folders under FHIR4-0-1-RA-STU2 as shown in below.
3. For each Test Case, run test in Touchstone.
- Select the Test in Touchstone
- Click the green "Create Test Setup" box (in Touchstone) and select the the risk adjustment FHIR server that you will be testing against.
- Set the Destination to the Server being tested an
- Execute (in Touchstone)
- Wait until Status is no longer "running" (in Touchstone)
- Click on "Test Script Execution" link (in Touchstone)
- Click the link in "Tests", "Test Name" (in Touchstone), to see the details of the results
- Determine if the Result is a pass or fail
- Record the results in ConMan
- Click on "Test Definitions" (in the left menu, in Touchstone) and repeat "For each Test Case"
Scenarios
| # | Category | Test Case Name | Description | Expected Result | Scenario ID | Notes |
|---|---|---|---|---|---|---|
| 1 | Operation | TestCodingGap | The $ra.coding-gaps operation is used to request risk adjustment coding gap reports of applicable risk adjustment models for one or more patients (a Group) from the Server. Touchstone test script default value for the parameters:
| Query using the $ra.coding-gaps operation to get back a MeasureReport as part of a Risk Adjustment Coding Gap Bundle | 01-DaVinciRA-Coding-Gaps | /FHIRSandbox/DaVinci/FHIR4-0-1-RA-STU2/01-RA-Coding-Gaps/01-DaVinciRA-Coding-Gaps |
| 2 | Operation | TestRemediateGap | The $ra.remediate-coding-gaps operation allows Provider or Certified Coder to update the Risk Adjustment Coding Gap Bundle received from Payer through their clinical evaluation review. Touchstone test script default value for the parameters:
| Query using the $ra.remediate-coding-gaps operation to get back an updated Risk Adjustment Coding Gap Bundle. | 02-DaVinciRA-Remediate-Gaps | /FHIRSandbox/DaVinci/FHIR4-0-1-RA-STU2/02-RA-Remediate-Gaps/01-DaVinciRA-Remediate-Gaps |
| 3 | Operation | TestApproveGap | The $ra.approve-coding-gaps operation occurs at the end of the remediation process, where the Risk Adjustment Coder approves Condition Category gaps by setting the DetectedIsssue contained in the Risk Adjustment Coding Gap Bundle from status of preliminary to final. Touchstone test script default value for the parameters:
| Query using the $ra.approve-coding-gaps operation to get back an updated Risk Adjustment Coding Gap Bundle. | 03-DaVinciRA-Approve-Gaps | /FHIRSandbox/DaVinci/FHIR4-0-1-RA-STU2/03-RA-Approve-Gaps/01-DaVinciRA-Approve-Gaps |
| 4 | Operation | TestResolveGap | The $ra.resolve-coding-gaps operation occurs at the end of the remediation process, where the Risk Adjustment Coder approves Condition Category gaps by setting the DetectedIsssue contained in the Risk Adjustment Coding Gap Bundle from status of preliminary to final. Touchstone test script default value for the parameters:
| Query using the $ra.resolve-coding-gaps operation to get back an updated Risk Adjustment Coding Gap Bundle. | /FHIRSandbox/DaVinci/FHIR4-0-1-RA-STU2/04-RA-Resolve-Gaps/01-DaVinciRA-Resolve-Gaps | |
| 5 | Assisted Approach | AssistedApproach -CSV | Using data in a CSV with standardized header elements to populate MeasureReport | No Touchstone test script for this test |