inferno-framework · karlnaden · May 20, 2026 · May 19, 2026 · May 19, 2026 · May 20, 2026
diff --git a/lib/davinci_crd_test_kit/requirements/generated/crd_server_v221_requirements_coverage.csv b/lib/davinci_crd_test_kit/requirements/generated/crd_server_v221_requirements_coverage.csv
@@ -15,14 +15,14 @@ hl7.fhir.us.davinci-crd_2.2.1,covinfo-1,https://hl7.org/fhir/us/davinci-crd/2.2.
 hl7.fhir.us.davinci-crd_2.2.1,covinfo-2,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/StructureDefinition-ext-coverage-information.html#ci-c-covinfo-2,"If there are multiple reason repetitions, each repetition **SHOULD** make clear exactly what aspect of the coverage information assertion the reason applies to.",SHOULD,CRD Server,true,,,"",""
 hl7.fhir.us.davinci-crd_2.2.1,dev-1,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-1,CRD servers **SHALL** declare at least one supported CRD version for each supported hook.,SHALL,CRD Server,false,,,1.03,crd_server_v221-crd_v221_server_discovery_group-crd_v221_discovery_services_validation
 hl7.fhir.us.davinci-crd_2.2.1,dev-2,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-2,"If the services endpoint can handle multiple CRD versions, it **SHALL** declare all versions it supports.",SHALL,CRD Server,true,,,"",""
-hl7.fhir.us.davinci-crd_2.2.1,dev-4,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-4,Each configuration option SHALL include four mandatory elements.,SHALL,CRD Server,false,,,"",""
-hl7.fhir.us.davinci-crd_2.2.1,dev-5,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-5,"CRD servers **SHALL**, at minimum, offer configuration options for each type of card they support (with a code corresponding to the [CRD Response Types](https://hl7.org/fhir/us/davinci-crd/2.2.1/en/ValueSet-cardType.html) ValueSet and a type of 'boolean', where setting the flag to false will result in the server not returning any cards of the specified type).",SHALL,CRD Server,false,,,"",""
+hl7.fhir.us.davinci-crd_2.2.1,dev-4,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-4,Each configuration option SHALL include four mandatory elements.,SHALL,CRD Server,false,,,1.04,crd_server_v221-crd_v221_server_discovery_group-crd_v221_discovery_configuration
+hl7.fhir.us.davinci-crd_2.2.1,dev-5,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-5,"CRD servers **SHALL**, at minimum, offer configuration options for each type of card they support (with a code corresponding to the [CRD Response Types](https://hl7.org/fhir/us/davinci-crd/2.2.1/en/ValueSet-cardType.html) ValueSet and a type of 'boolean', where setting the flag to false will result in the server not returning any cards of the specified type).",SHALL,CRD Server,false,,,1.04,crd_server_v221-crd_v221_server_discovery_group-crd_v221_discovery_configuration
 hl7.fhir.us.davinci-crd_2.2.1,dev-6,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-6,"Guidance can be given about allowed combinations in descriptions, but CRD servers **SHALL** gracefully handle disallowed/nonsensical combinations.",SHALL,CRD Server,false,,,"",""
-hl7.fhir.us.davinci-crd_2.2.1,dev-7,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-7,Configuration codes **SHALL** be valid JSON property names and **SHALL** come from the [CRD Response Types](https://hl7.org/fhir/us/davinci-crd/2.2.1/en/ValueSet-cardType.html) list if an applicable type is in that list.,SHALL,CRD Server,true,,,"",""
-hl7.fhir.us.davinci-crd_2.2.1,dev-8,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-8,"Configuration codes, names, and descriptions **SHALL** be unique within a [CDS Service](http://cds-hooks.hl7.org/2026Jan/index.html#response) definition.",SHALL,CRD Server,false,,,"",""
+hl7.fhir.us.davinci-crd_2.2.1,dev-7,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-7,Configuration codes **SHALL** be valid JSON property names and **SHALL** come from the [CRD Response Types](https://hl7.org/fhir/us/davinci-crd/2.2.1/en/ValueSet-cardType.html) list if an applicable type is in that list.,SHALL,CRD Server,true,,,1.04,crd_server_v221-crd_v221_server_discovery_group-crd_v221_discovery_configuration
+hl7.fhir.us.davinci-crd_2.2.1,dev-8,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-8,"Configuration codes, names, and descriptions **SHALL** be unique within a [CDS Service](http://cds-hooks.hl7.org/2026Jan/index.html#response) definition.",SHALL,CRD Server,false,,,1.04,crd_server_v221-crd_v221_server_discovery_group-crd_v221_discovery_configuration
 hl7.fhir.us.davinci-crd_2.2.1,dev-9,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-9,"Configuration codes, names, and descriptions **SHOULD** be consistent across different hooks supported by the same payer when dealing with the same types of configuration options.",SHOULD,CRD Server,false,,,"",""
 hl7.fhir.us.davinci-crd_2.2.1,dev-10,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-10,CRD servers providing more than one type of coverage requirement information/guidance **SHOULD** expose configuration options allowing clients to dynamically control what information is returned by the service.,SHOULD,CRD Server,false,,,"",""
-hl7.fhir.us.davinci-crd_2.2.1,dev-14,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-14,CRD Servers **SHALL** behave in the manner prescribed by any supported configuration information received from the CRD Client.,SHALL,CRD Server,false,,,"",""
+hl7.fhir.us.davinci-crd_2.2.1,dev-14,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-14,CRD Servers **SHALL** behave in the manner prescribed by any supported configuration information received from the CRD Client.,SHALL,CRD Server,false,,,"3.1.3.11, 3.2.3.10, 3.3.3.10, 3.4.3.12, 3.5.3.11, 3.6.3.13","crd_server_v221-crd_v221_server_hooks-crd_v221_server_appointment_book-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_encounter_start-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_encounter_discharge-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_select-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_dispatch-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_sign-Group03-crd_v221_coverage_info_configuration"
 hl7.fhir.us.davinci-crd_2.2.1,dev-15,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-15,CRD Servers **SHALL NOT** require the inclusion of configuration information in a hook call (i.e. no hook invocation is permitted to fail because configuration information was not included).,SHALL NOT,CRD Server,false,,,"",""
 hl7.fhir.us.davinci-crd_2.2.1,dev-17,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-17,CRD Servers **SHALL** ignore unsupported configuration information.,SHALL,CRD Server,false,,,"",""
 hl7.fhir.us.davinci-crd_2.2.1,dev-19,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/deviations.html#ci-c-dev-19,"When included with a Task, the creation of the Questionnaire needs to be conditional - it **SHOULD** only occur if that specific Questionnaire version does not already exist",SHOULD,CRD Server,false,,,"",""
@@ -102,7 +102,7 @@ hl7.fhir.us.davinci-crd_2.2.1,resp-24,https://hl7.org/fhir/us/davinci-crd/2.2.1/
 hl7.fhir.us.davinci-crd_2.2.1,resp-25,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/cards.html#ci-c-resp-25,"Regardless of the content, this ""Coverage Information"" response type **SHALL NOT** use a card.",SHALL NOT,CRD Server,false,,,"3.1.3.07, 3.5.3.07, 3.6.3.07","crd_server_v221-crd_v221_server_hooks-crd_v221_server_appointment_book-Group03-crd_v221_coverage_info_system_action_validation, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_dispatch-Group03-crd_v221_coverage_info_system_action_validation, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_sign-Group03-crd_v221_coverage_info_system_action_validation"
 hl7.fhir.us.davinci-crd_2.2.1,resp-26,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/cards.html#ci-c-resp-26,"CRD servers **SHALL** support supplying coverage information for all primary hooks: order-sign, order-dispatch, and appointment-book.",SHALL,CRD Server,false,,,"3.1.3.06, 3.5.3.06, 3.6.3.06","crd_server_v221-crd_v221_server_hooks-crd_v221_server_appointment_book-Group03-crd_v221_coverage_info_system_action_received, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_dispatch-Group03-crd_v221_coverage_info_system_action_received, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_sign-Group03-crd_v221_coverage_info_system_action_received"
 hl7.fhir.us.davinci-crd_2.2.1,resp-27,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/cards.html#ci-c-resp-27,CRD servers **MAY** support supplying coverage information for all other (non-primary) hooks.,MAY,CRD Server,false,,,"",""
-hl7.fhir.us.davinci-crd_2.2.1,resp-28,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/cards.html#ci-c-resp-28,CRD servers **SHALL** supply coverage information for all hooks where they support it unless the EHR sends a configuration option asking them not to.,SHALL,CRD Server,true,,,"",""
+hl7.fhir.us.davinci-crd_2.2.1,resp-28,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/cards.html#ci-c-resp-28,CRD servers **SHALL** supply coverage information for all hooks where they support it unless the EHR sends a configuration option asking them not to.,SHALL,CRD Server,true,,,"3.1.3.08, 3.1.3.11, 3.2.3.10, 3.3.3.10, 3.4.3.12, 3.5.3.08, 3.5.3.11, 3.6.3.08, 3.6.3.13","crd_server_v221-crd_v221_server_hooks-crd_v221_server_appointment_book-Group03-crd_v221_all_responses_include_coverage_information, crd_server_v221-crd_v221_server_hooks-crd_v221_server_appointment_book-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_encounter_start-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_encounter_discharge-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_select-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_dispatch-Group03-crd_v221_order_dispatch_coverage_information, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_dispatch-Group03-crd_v221_coverage_info_configuration, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_sign-Group03-crd_v221_all_responses_include_coverage_information, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_sign-Group03-crd_v221_coverage_info_configuration"
 hl7.fhir.us.davinci-crd_2.2.1,resp-29,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/cards.html#ci-c-resp-29,"If coverage information is evaluated, a system action **SHALL** be returned for each in-scope request resource unless that request resource already has a coverage-information extension, and the CRD server has no new information to add.",SHALL,CRD Server,true,,,"3.1.3.08, 3.5.3.08, 3.6.3.08","crd_server_v221-crd_v221_server_hooks-crd_v221_server_appointment_book-Group03-crd_v221_all_responses_include_coverage_information, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_dispatch-Group03-crd_v221_order_dispatch_coverage_information, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_sign-Group03-crd_v221_all_responses_include_coverage_information"
 hl7.fhir.us.davinci-crd_2.2.1,resp-30,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/cards.html#ci-c-resp-30,Such qualifiers around when the coverage assertion is considered valid **SHALL** be included as part of the annotation.,SHALL,CRD Server,false,,,"",""
 hl7.fhir.us.davinci-crd_2.2.1,resp-32,https://hl7.org/fhir/us/davinci-crd/2.2.1/en/cards.html#ci-c-resp-32,"If multiple extension repetitions of the coverage-information extension are present, all repetitions referencing differing insurance (coverage-information.coverage) **SHALL** have distinct coverage-assertion-ids and satisfied-pa-ids, if present.",SHALL,CRD Server,true,,,"3.2.3.07, 3.3.3.07, 3.4.3.07","crd_server_v221-crd_v221_server_hooks-crd_v221_server_encounter_start-Group03-crd_v221_coverage_info_system_action_validation, crd_server_v221-crd_v221_server_hooks-crd_v221_server_encounter_discharge-Group03-crd_v221_coverage_info_system_action_validation, crd_server_v221-crd_v221_server_hooks-crd_v221_server_order_select-Group03-crd_v221_coverage_info_system_action_validation"

diff --git a/lib/davinci_crd_test_kit/server/v2.2.1/discovery/discovery_configuration_test.rb b/lib/davinci_crd_test_kit/server/v2.2.1/discovery/discovery_configuration_test.rb
@@ -14,6 +14,11 @@ class DiscoveryConfigurationTest < Inferno::Test
         expected to return cards, so they are ignored in this test.
       )
 
+      verifies_requirements 'hl7.fhir.us.davinci-crd_2.2.1@dev-4',
+                            'hl7.fhir.us.davinci-crd_2.2.1@dev-5',
+                            'hl7.fhir.us.davinci-crd_2.2.1@dev-7',
+                            'hl7.fhir.us.davinci-crd_2.2.1@dev-8'
+
       input :cds_services
       input :crd_discovery_service_ignore_list,
             optional: true
@@ -124,12 +129,21 @@ def verify_required_fields(hook, service)
         end
 
         primary_hook_services.each do |service|
-          coverage_info_config_found =
-            service.dig('extension', 'davinci-crd.configuration-options')&.any? do |config_option|
+          coverage_info_config =
+            service.dig('extension', 'davinci-crd.configuration-options')&.find do |config_option|
               config_option['code'] == 'coverage-info'
             end
 
-          next if coverage_info_config_found
+          if coverage_info_config.present?
+            if coverage_info_config['type'] != 'boolean'
+              add_message(
+                'error',
+                "Service `#{service['id']}` `coverage-info` configuration option is not of type boolean"
+              )
+            end
+
+            next
+          end
 
           add_message(
             'error',

diff --git a/lib/davinci_crd_test_kit/server/v2.2.1/server_appointment_book_group.rb b/lib/davinci_crd_test_kit/server/v2.2.1/server_appointment_book_group.rb
@@ -174,6 +174,7 @@ class ServerAppointmentBookGroup < Inferno::TestGroup
         test from: :crd_v221_all_responses_include_coverage_information,
              verifies_requirements: [
                'hl7.fhir.us.davinci-crd_2.2.1@hook-16',
+               'hl7.fhir.us.davinci-crd_2.2.1@resp-28',
                'hl7.fhir.us.davinci-crd_2.2.1@hook-26',
                'hl7.fhir.us.davinci-crd_2.2.1@resp-29'
              ]

diff --git a/lib/davinci_crd_test_kit/server/v2.2.1/server_order_dispatch_group.rb b/lib/davinci_crd_test_kit/server/v2.2.1/server_order_dispatch_group.rb
@@ -174,6 +174,7 @@ class ServerOrderDispatchGroup < Inferno::TestGroup
         test from: :crd_v221_order_dispatch_coverage_information,
              verifies_requirements: [
                'hl7.fhir.us.davinci-crd_2.2.1@hook-16',
+               'hl7.fhir.us.davinci-crd_2.2.1@resp-28',
                'hl7.fhir.us.davinci-crd_2.2.1@hook-33',
                'hl7.fhir.us.davinci-crd_2.2.1@resp-29'
              ]

diff --git a/lib/davinci_crd_test_kit/server/v2.2.1/server_order_sign_group.rb b/lib/davinci_crd_test_kit/server/v2.2.1/server_order_sign_group.rb
@@ -180,6 +180,7 @@ class ServerOrderSignGroup < Inferno::TestGroup
         test from: :crd_v221_all_responses_include_coverage_information,
              verifies_requirements: [
                'hl7.fhir.us.davinci-crd_2.2.1@hook-16',
+               'hl7.fhir.us.davinci-crd_2.2.1@resp-28',
                # This requirement has a typo. It says 'order-select' but it
                # should be 'order-sign'.
                # https://jira.hl7.org/browse/FHIR-56985

diff --git a/...test_kit/server/v2.2.1/verify_response/all_responses_include_coverage_information_test.rb b/...test_kit/server/v2.2.1/verify_response/all_responses_include_coverage_information_test.rb
@@ -31,7 +31,8 @@ class AllResponsesIncludeCoverageInformationTest < Inferno::Test
           coverage information system action
       )
 
-      verifies_requirements 'hl7.fhir.us.davinci-crd_2.2.1@hook-16'
+      verifies_requirements 'hl7.fhir.us.davinci-crd_2.2.1@hook-16',
+                            'hl7.fhir.us.davinci-crd_2.2.1@resp-28'
 
       input :invoked_hook
 

diff --git a/lib/davinci_crd_test_kit/server/v2.2.1/verify_response/coverage_info_configuration_test.rb b/lib/davinci_crd_test_kit/server/v2.2.1/verify_response/coverage_info_configuration_test.rb
@@ -21,6 +21,9 @@ class CoverageInfoConfigurationTest < Inferno::Test
         coverage-information/form-completion system actions.
       )
 
+      verifies_requirements 'hl7.fhir.us.davinci-crd_2.2.1@dev-14',
+                            'hl7.fhir.us.davinci-crd_2.2.1@resp-28'
+
       def coverage_info_message(cards, actions)
         card_summaries = cards.map { |card| card['summary'] }.compact
         action_descriptions = actions.map { |action| action['description'] }.compact

diff --git a/spec/davinci_crd_test_kit/v2.2.1/discovery_configuration_test_spec.rb b/spec/davinci_crd_test_kit/v2.2.1/discovery_configuration_test_spec.rb
@@ -151,4 +151,19 @@
 
     expect(result.result).to eq('pass'), result.result_message
   end
+
+  it 'fails if the coverage-info configuration option is not type boolean' do
+    config_option = valid_config_option
+    config_option['type'] = 'integer'
+
+    cds_services['services'].first['extension'] =
+      {
+        'davinci-crd.configuration-options' => [config_option]
+      }
+
+    result = run(runnable, cds_services: cds_services.to_json)
+
+    expect(result.result).to eq('fail'), result.result_message
+    expect(first_error_message.message).to match(/is not of type boolean/)
+  end
 end