Examples with Beneficiary gov.cms.bfd.model.rif.Beneficiary used on opensource projects

Example 21 with Beneficiary

use of gov.cms.bfd.model.rif.Beneficiary in project beneficiary-fhir-data by CMSgov.

the class ExplanationOfBenefitResourceProviderIT method searchForEobsIncludeTaxNumbersHandling.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient(ReferenceParam,
 * TokenAndListParam, String, String, DateRangeParam, DateRangeParam, RequestDetails)} handles the
 * {@link ExplanationOfBenefitResourceProvider#HEADER_NAME_INCLUDE_TAX_NUMBERS} header properly.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForEobsIncludeTaxNumbersHandling() throws FHIRException {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClient();
    Beneficiary beneficiary = loadedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    CarrierClaim carrierClaim = loadedRecords.stream().filter(r -> r instanceof CarrierClaim).map(r -> (CarrierClaim) r).findFirst().get();
    DMEClaim dmeClaim = loadedRecords.stream().filter(r -> r instanceof DMEClaim).map(r -> (DMEClaim) r).findFirst().get();
    Bundle searchResults;
    ExplanationOfBenefit carrierEob;
    ExplanationOfBenefit dmeEob;
    // Run the search without requesting tax numbers.
    searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary))).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    // Verify that tax numbers aren't present for carrier claims.
    carrierEob = filterToClaimType(searchResults, ClaimType.CARRIER).get(0);
    assertNull(TransformerTestUtils.findCareTeamEntryForProviderTaxNumber(carrierClaim.getLines().get(0).getProviderTaxNumber(), carrierEob.getCareTeam()));
    // Verify that tax numbers aren't present for DME claims.
    dmeEob = filterToClaimType(searchResults, ClaimType.DME).get(0);
    assertNull(TransformerTestUtils.findCareTeamEntryForProviderTaxNumber(dmeClaim.getLines().get(0).getProviderTaxNumber(), dmeEob.getCareTeam()));
    RequestHeaders requestHeader = RequestHeaders.getHeaderWrapper(CommonHeaders.HEADER_NAME_INCLUDE_TAX_NUMBERS, "true");
    fhirClient = ServerTestUtils.get().createFhirClientWithHeaders(requestHeader);
    searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary))).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    // Verify that tax numbers are present for carrier claims.
    carrierEob = filterToClaimType(searchResults, ClaimType.CARRIER).get(0);
    assertNotNull(TransformerTestUtils.findCareTeamEntryForProviderTaxNumber(carrierClaim.getLines().get(0).getProviderTaxNumber(), carrierEob.getCareTeam()));
    // Verify that tax numbers are present for DME claims.
    dmeEob = filterToClaimType(searchResults, ClaimType.DME).get(0);
    assertNotNull(TransformerTestUtils.findCareTeamEntryForProviderTaxNumber(dmeClaim.getLines().get(0).getProviderTaxNumber(), dmeEob.getCareTeam()));
}

Example 22 with Beneficiary

use of gov.cms.bfd.model.rif.Beneficiary in project beneficiary-fhir-data by CMSgov.

the class ExplanationOfBenefitResourceProviderIT method searchForNonSamhsaEobsWithExcludeSamhsaTrue.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient} with <code>
 * excludeSAMHSA=true</code> properly returns claims that are not SAMHSA-related.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForNonSamhsaEobsWithExcludeSamhsaTrue() throws FHIRException {
    // Load the SAMPLE_A resources normally.
    Beneficiary beneficiary = loadSampleA();
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClient();
    Bundle searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary.getBeneficiaryId()))).and(new StringClientParam("excludeSAMHSA").matches().value("true")).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    for (ClaimType claimType : ClaimType.values()) {
        // None of the claims are SAMHSA so we expect one record per claim type in the results.
        assertEquals(1, filterToClaimType(searchResults, claimType).size(), String.format("Verify claims of type '%s' are present", claimType));
    }
}

Example 23 with Beneficiary

use of gov.cms.bfd.model.rif.Beneficiary in project beneficiary-fhir-data by CMSgov.

the class ExplanationOfBenefitResourceProviderIT method searchForEobsByExistingPatientWithPageSizeZero.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient} works as expected for
 * a {@link Patient} that does exist in the DB, with paging on a page size of 0.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForEobsByExistingPatientWithPageSizeZero() throws FHIRException {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClient();
    Beneficiary beneficiary = loadedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    /*
     * FIXME: According the the FHIR spec, paging for _count=0 should not return any
     * claim entries in the bundle, but instead just a total for the number of
     * entries that match the search criteria. This functionality does no work
     * currently (see https://github.com/jamesagnew/hapi-fhir/issues/1074) and so
     * for now paging with _count=0 should behave as though paging was not
     * requested.
     */
    Bundle searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary))).count(0).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    /*
     * Verify the bundle contains a key for total and that the value matches the
     * number of entries in the bundle
     */
    assertEquals(loadedRecords.stream().filter(r -> !(r instanceof Beneficiary)).filter(r -> !(r instanceof BeneficiaryHistory)).filter(r -> !(r instanceof MedicareBeneficiaryIdHistory)).count(), searchResults.getTotal());
    /*
     * Verify that no paging links exist in the bundle.
     */
    assertNull(searchResults.getLink(Constants.LINK_NEXT));
    assertNull(searchResults.getLink(Constants.LINK_PREVIOUS));
    assertNull(searchResults.getLink(Constants.LINK_FIRST));
    assertNull(searchResults.getLink(Constants.LINK_LAST));
    /*
     * Verify that each of the expected claims (one for every claim type) is present
     * and looks correct.
     */
    CarrierClaim carrierClaim = loadedRecords.stream().filter(r -> r instanceof CarrierClaim).map(r -> (CarrierClaim) r).findFirst().get();
    assertEquals(1, filterToClaimType(searchResults, ClaimType.CARRIER).size());
    CarrierClaimTransformerTest.assertMatches(carrierClaim, filterToClaimType(searchResults, ClaimType.CARRIER).get(0), Optional.empty());
    DMEClaim dmeClaim = loadedRecords.stream().filter(r -> r instanceof DMEClaim).map(r -> (DMEClaim) r).findFirst().get();
    DMEClaimTransformerTest.assertMatches(dmeClaim, filterToClaimType(searchResults, ClaimType.DME).get(0), Optional.empty());
    HHAClaim hhaClaim = loadedRecords.stream().filter(r -> r instanceof HHAClaim).map(r -> (HHAClaim) r).findFirst().get();
    HHAClaimTransformerTest.assertMatches(hhaClaim, filterToClaimType(searchResults, ClaimType.HHA).get(0));
    HospiceClaim hospiceClaim = loadedRecords.stream().filter(r -> r instanceof HospiceClaim).map(r -> (HospiceClaim) r).findFirst().get();
    HospiceClaimTransformerTest.assertMatches(hospiceClaim, filterToClaimType(searchResults, ClaimType.HOSPICE).get(0));
    InpatientClaim inpatientClaim = loadedRecords.stream().filter(r -> r instanceof InpatientClaim).map(r -> (InpatientClaim) r).findFirst().get();
    InpatientClaimTransformerTest.assertMatches(inpatientClaim, filterToClaimType(searchResults, ClaimType.INPATIENT).get(0));
    OutpatientClaim outpatientClaim = loadedRecords.stream().filter(r -> r instanceof OutpatientClaim).map(r -> (OutpatientClaim) r).findFirst().get();
    OutpatientClaimTransformerTest.assertMatches(outpatientClaim, filterToClaimType(searchResults, ClaimType.OUTPATIENT).get(0));
    PartDEvent partDEvent = loadedRecords.stream().filter(r -> r instanceof PartDEvent).map(r -> (PartDEvent) r).findFirst().get();
    PartDEventTransformerTest.assertMatches(partDEvent, filterToClaimType(searchResults, ClaimType.PDE).get(0));
    SNFClaim snfClaim = loadedRecords.stream().filter(r -> r instanceof SNFClaim).map(r -> (SNFClaim) r).findFirst().get();
    SNFClaimTransformerTest.assertMatches(snfClaim, filterToClaimType(searchResults, ClaimType.SNF).get(0));
}

Example 24 with Beneficiary

use of gov.cms.bfd.model.rif.Beneficiary in project beneficiary-fhir-data by CMSgov.

the class EndpointJsonResponseComparatorIT method patientSearchByIdWithIncludeIdentifiers.

/**
 * @return the results of the {@link
 *     PatientResourceProvider#searchByLogicalId(ca.uhn.fhir.rest.param.TokenParam)} operation
 *     when {@link ExtraParamsInterceptor#setIncludeIdentifiers(IncludeIdentifiersValues)} set to
 *     "hicn, mbi"
 */
public static String patientSearchByIdWithIncludeIdentifiers() {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    Beneficiary beneficiary = loadedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    IGenericClient fhirClient = createFhirClientAndSetEncoding();
    ExtraParamsInterceptor extraParamsInterceptor = new ExtraParamsInterceptor();
    extraParamsInterceptor.setHeaders(RequestHeaders.getHeaderWrapper(PatientResourceProvider.HEADER_NAME_INCLUDE_IDENTIFIERS, "hicn,mbi", PatientResourceProvider.HEADER_NAME_INCLUDE_ADDRESS_FIELDS, "true"));
    fhirClient.registerInterceptor(extraParamsInterceptor);
    JsonInterceptor jsonInterceptor = createAndRegisterJsonInterceptor(fhirClient);
    fhirClient.search().forResource(Patient.class).where(Patient.RES_ID.exactly().systemAndIdentifier(null, beneficiary.getBeneficiaryId())).returnBundle(Bundle.class).execute();
    return sortPatientIdentifiers(jsonInterceptor.getResponse());
}

Example 25 with Beneficiary

use of gov.cms.bfd.model.rif.Beneficiary in project beneficiary-fhir-data by CMSgov.

the class EndpointJsonResponseComparatorIT method coverageRead.

/**
 * @return the results of the {@link
 *     CoverageResourceProvider#read(org.hl7.fhir.dstu3.model.IdType)} operation
 */
public static String coverageRead() {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    Beneficiary beneficiary = loadedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    IGenericClient fhirClient = createFhirClientAndSetEncoding();
    JsonInterceptor jsonInterceptor = createAndRegisterJsonInterceptor(fhirClient);
    fhirClient.read().resource(Coverage.class).withId(TransformerUtils.buildCoverageId(MedicareSegment.PART_A, beneficiary)).execute();
    return jsonInterceptor.getResponse();
}