Examples with CoverageSummary gov.cms.ab2d.coverage.model.CoverageSummary used on opensource projects

Example 11 with CoverageSummary

use of gov.cms.ab2d.coverage.model.CoverageSummary in project ab2d by CMSgov.

the class ContractProcessorInvalidPatientTest method testInvalidBenes.

@Test
void testInvalidBenes() throws IOException {
    when(mapping.map(any(ContractDTO.class))).thenReturn(new ContractForCoverageDTO(contract.getContractNumber(), contract.getAttestedOn(), ContractForCoverageDTO.ContractType.NORMAL));
    org.hl7.fhir.dstu3.model.Bundle b1 = BundleUtils.createBundle(createBundleEntry("1"));
    org.hl7.fhir.dstu3.model.Bundle b2 = BundleUtils.createBundle(createBundleEntry("2"));
    org.hl7.fhir.dstu3.model.Bundle b4 = BundleUtils.createBundle(createBundleEntry("4"));
    when(bfdClient.requestEOBFromServer(eq(STU3), eq(1L), any())).thenReturn(b1);
    when(bfdClient.requestEOBFromServer(eq(STU3), eq(2L), any())).thenReturn(b2);
    when(bfdClient.requestEOBFromServer(eq(STU3), eq(3L), any())).thenReturn(b4);
    when(coverageDriver.numberOfBeneficiariesToProcess(any(Job.class), any(ContractDTO.class))).thenReturn(3);
    List<FilterOutByDate.DateRange> dates = singletonList(TestUtil.getOpenRange());
    List<CoverageSummary> summaries = List.of(new CoverageSummary(createIdentifierWithoutMbi(1L), null, dates), new CoverageSummary(createIdentifierWithoutMbi(2L), null, dates), new CoverageSummary(createIdentifierWithoutMbi(3L), null, dates));
    when(coverageDriver.pageCoverage(any(CoveragePagingRequest.class))).thenReturn(new CoveragePagingResult(summaries, null));
    List<JobOutput> outputs = cut.process(job);
    assertNotNull(outputs);
    assertEquals(1, outputs.size());
    String fileName1 = contractId + "_0001.ndjson";
    String output1 = outputs.get(0).getFilePath();
    assertTrue(output1.equalsIgnoreCase(fileName1));
    String actual1 = Files.readString(Path.of(tmpDirFolder.getAbsolutePath() + File.separator + job.getJobUuid() + "/" + output1));
    assertTrue(actual1.contains("Patient/1") && actual1.contains("Patient/2"));
    assertFalse(actual1.contains("Patient/3") || actual1.contains("Patient/4"));
}

Example 12 with CoverageSummary

use of gov.cms.ab2d.coverage.model.CoverageSummary in project ab2d by CMSgov.

the class FhirUtilsTest method testAddMbiIdToEobs.

@DisplayName("Add mbi to an eob works and adds in expected format")
@Test
void testAddMbiIdToEobs() {
    Long beneId = 1234L;
    String mbi = "4567";
    org.hl7.fhir.dstu3.model.ExplanationOfBenefit b = new org.hl7.fhir.dstu3.model.ExplanationOfBenefit();
    String patientId = "Patient/" + beneId;
    org.hl7.fhir.dstu3.model.Reference ref = new org.hl7.fhir.dstu3.model.Reference();
    ref.setReference(patientId);
    b.setPatient(ref);
    FilterOutByDate.DateRange dateRange = FilterOutByDate.getDateRange(1, 1900, 12, Calendar.getInstance().get(Calendar.YEAR));
    CoverageSummary summary = new CoverageSummary(createIdentifier(beneId, mbi), null, List.of(dateRange));
    FhirUtils.addMbiIdsToEobs(b, summary, STU3);
    List<org.hl7.fhir.dstu3.model.Extension> extensions = b.getExtension();
    assertNotNull(extensions);
    assertEquals(1, extensions.size());
    org.hl7.fhir.dstu3.model.Extension ext = extensions.get(0);
    assertEquals(ID_EXT, ext.getUrl());
    org.hl7.fhir.dstu3.model.Identifier id = (org.hl7.fhir.dstu3.model.Identifier) ext.getValue();
    assertNotNull(id);
    assertEquals(MBI_ID, id.getSystem());
    assertEquals(mbi, id.getValue());
}

Example 13 with CoverageSummary

use of gov.cms.ab2d.coverage.model.CoverageSummary in project ab2d by CMSgov.

the class FhirUtilsTest method testAddMbiIdsToEobs.

@DisplayName("Add multiple mbis to an eob")
@Test
void testAddMbiIdsToEobs() {
    Long beneId = 1234L;
    String mbi1 = "456";
    String mbi2 = "789";
    org.hl7.fhir.dstu3.model.ExplanationOfBenefit b = new org.hl7.fhir.dstu3.model.ExplanationOfBenefit();
    String patientId = "Patient/" + beneId;
    org.hl7.fhir.dstu3.model.Reference ref = new org.hl7.fhir.dstu3.model.Reference();
    ref.setReference(patientId);
    b.setPatient(ref);
    FilterOutByDate.DateRange dateRange = FilterOutByDate.getDateRange(1, 1900, 12, Calendar.getInstance().get(Calendar.YEAR));
    CoverageSummary summary = new CoverageSummary(createIdentifier(beneId, mbi1, mbi2), null, List.of(dateRange));
    FhirUtils.addMbiIdsToEobs(b, summary, STU3);
    List<org.hl7.fhir.dstu3.model.Extension> extensions = b.getExtension();
    assertNotNull(extensions);
    assertEquals(2, extensions.size());
    for (org.hl7.fhir.dstu3.model.Extension ext : extensions) {
        assertEquals(ID_EXT, ext.getUrl());
        org.hl7.fhir.dstu3.model.Identifier id = (org.hl7.fhir.dstu3.model.Identifier) ext.getValue();
        assertNotNull(id);
        assertFalse(id.isEmpty());
        assertTrue(id.getValue().equals("456") || id.getValue().equals("789"));
    }
}

Example 14 with CoverageSummary

use of gov.cms.ab2d.coverage.model.CoverageSummary in project ab2d by CMSgov.

the class CoverageServiceImplTest method coverageSummaryWholePeriod.

@DisplayName("Coverage summary whole period or nothing")
@Test
void coverageSummaryWholePeriod() {
    /*
         * testing-1  is a member for all months (January to April)
         * testing-2 is a member for no periods
         */
    // Bootstrap coverage periods
    coverageService.submitSearch(period1Jan.getId(), "testing");
    CoverageSearchEvent inProgressJan = startSearchAndPullEvent();
    coverageService.submitSearch(period1Feb.getId(), "testing");
    CoverageSearchEvent inProgressFeb = startSearchAndPullEvent();
    coverageService.submitSearch(period1March.getId(), "testing");
    CoverageSearchEvent inProgressMarch = startSearchAndPullEvent();
    coverageService.submitSearch(period1April.getId(), "testing");
    CoverageSearchEvent inProgressApril = startSearchAndPullEvent();
    Identifiers testing1 = createIdentifier(1L);
    coverageService.insertCoverage(inProgressJan.getId(), Set.of(testing1));
    coverageService.insertCoverage(inProgressFeb.getId(), Set.of(testing1));
    coverageService.insertCoverage(inProgressMarch.getId(), Set.of(testing1));
    coverageService.insertCoverage(inProgressApril.getId(), Set.of(testing1));
    CoveragePagingRequest pagingRequest = new CoveragePagingRequest(2, null, contract1, jobStartTime);
    CoveragePagingResult pagingResult = coverageService.pageCoverage(pagingRequest);
    List<CoverageSummary> coverageSummaries = pagingResult.getCoverageSummaries();
    assertEquals(1, coverageSummaries.size());
    CoverageSummary summary = coverageSummaries.get(0);
    assertEquals(testing1.getBeneficiaryId(), summary.getIdentifiers().getBeneficiaryId());
    assertEquals(testing1.getCurrentMbi(), summary.getIdentifiers().getCurrentMbi());
    assertTrue(summary.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_JAN)));
    assertFalse(summary.getDateRanges().stream().anyMatch(dr -> dr.inRange(END_DEC)));
    assertTrue(summary.getDateRanges().stream().anyMatch(dr -> dr.inRange(END_APRIL)));
    assertFalse(summary.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_MAY)));
}

Example 15 with CoverageSummary

use of gov.cms.ab2d.coverage.model.CoverageSummary in project ab2d by CMSgov.

the class CoverageServiceImplTest method selectCoverageOddMembership.

@DisplayName("Coverage summary for odd groupings of months")
@Test
void selectCoverageOddMembership() {
    /*
         * testing-1 is a member for three months (January, February, April)
         * testing-2 is a member for three months (January, March, April)
         * testing-3 is a member for two months (February, March)
         */
    // Bootstrap coverage periods
    coverageService.submitSearch(period1Jan.getId(), "testing");
    CoverageSearchEvent inProgressJan = startSearchAndPullEvent();
    coverageService.submitSearch(period1Feb.getId(), "testing");
    CoverageSearchEvent inProgressFeb = startSearchAndPullEvent();
    coverageService.submitSearch(period1March.getId(), "testing");
    CoverageSearchEvent inProgressMarch = startSearchAndPullEvent();
    coverageService.submitSearch(period1April.getId(), "testing");
    CoverageSearchEvent inProgressApril = startSearchAndPullEvent();
    Identifiers testing1 = createIdentifier(1L);
    Identifiers testing2 = createIdentifier(2L);
    Identifiers testing3 = createIdentifier(3L);
    coverageService.insertCoverage(inProgressJan.getId(), Set.of(testing1, testing2));
    coverageService.insertCoverage(inProgressFeb.getId(), Set.of(testing1, testing3));
    coverageService.insertCoverage(inProgressMarch.getId(), Set.of(testing2, testing3));
    coverageService.insertCoverage(inProgressApril.getId(), Set.of(testing1, testing2));
    CoveragePagingRequest pagingRequest = new CoveragePagingRequest(3, null, contract1, jobStartTime);
    CoveragePagingResult pagingResult = coverageService.pageCoverage(pagingRequest);
    List<CoverageSummary> coverageSummaries = pagingResult.getCoverageSummaries();
    coverageSummaries.sort(Comparator.comparing(summary -> summary.getIdentifiers().getBeneficiaryId()));
    assertEquals(3, coverageSummaries.size());
    CoverageSummary summary1 = coverageSummaries.get(0);
    assertEquals(1, summary1.getIdentifiers().getBeneficiaryId());
    assertTrue(summary1.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_JAN)));
    assertTrue(summary1.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_FEB)));
    assertFalse(summary1.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_MARCH)));
    assertTrue(summary1.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_APRIL)));
    assertFalse(summary1.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_MAY)));
    CoverageSummary summary2 = coverageSummaries.get(1);
    assertEquals(2, summary2.getIdentifiers().getBeneficiaryId());
    assertTrue(summary2.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_JAN)));
    assertFalse(summary2.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_FEB)));
    assertTrue(summary2.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_MARCH)));
    assertTrue(summary2.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_APRIL)));
    assertFalse(summary2.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_MAY)));
    CoverageSummary summary3 = coverageSummaries.get(2);
    assertEquals(3, summary3.getIdentifiers().getBeneficiaryId());
    assertFalse(summary3.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_JAN)));
    assertTrue(summary3.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_FEB)));
    assertTrue(summary3.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_MARCH)));
    assertFalse(summary3.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_APRIL)));
    assertFalse(summary3.getDateRanges().stream().anyMatch(dr -> dr.inRange(START_MAY)));
}