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

Example 6 with CarrierClaim

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

the class R4ExplanationOfBenefitResourceProviderIT method readEobForExistingCarrierClaim.

/**
 * Verifies that {@link
 * gov.cms.bfd.server.war.r4.providers.ExplanationOfBenefitResourceProvider#read(org.hl7.fhir.r4.model.IdType)}
 * works as expected for a {@link CarrierClaim}-derived {@link ExplanationOfBenefit} that does
 * exist in the DB.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void readEobForExistingCarrierClaim() throws FHIRException {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClientV2();
    CarrierClaim claim = loadedRecords.stream().filter(r -> r instanceof CarrierClaim).map(r -> (CarrierClaim) r).findFirst().get();
    ExplanationOfBenefit eob = fhirClient.read().resource(ExplanationOfBenefit.class).withId(TransformerUtilsV2.buildEobId(ClaimTypeV2.CARRIER, claim.getClaimId())).execute();
    // Compare result to transformed EOB
    compareEob(ClaimTypeV2.CARRIER, eob, loadedRecords);
}

Example 7 with CarrierClaim

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

the class R4ExplanationOfBenefitResourceProviderIT method searchEobWithNullLastUpdated.

/**
 * Verifies that {@link gov.cms.bfd.server.war.r4.providers.ExplanationOfBenefitResourceProvider}
 * works as with a null lastUpdated parameter after yesterday.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchEobWithNullLastUpdated() throws FHIRException {
    // Load a records and clear the lastUpdated field for one
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    String claimId = loadedRecords.stream().filter(r -> r instanceof CarrierClaim).map(r -> (CarrierClaim) r).findFirst().get().getClaimId();
    String beneId = findFirstBeneficary(loadedRecords).getBeneficiaryId();
    // Clear lastupdated in the database
    ServerTestUtils.get().doTransaction((em) -> {
        em.createQuery("update CarrierClaim set lastUpdated=null where claimId=:claimId").setParameter("claimId", claimId).executeUpdate();
    });
    // Find all EOBs without lastUpdated
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClientV2();
    Bundle searchAll = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtilsV2.buildPatientId(beneId))).returnBundle(Bundle.class).execute();
    assertEquals(Date.from(TransformerConstants.FALLBACK_LAST_UPDATED), filterToClaimType(searchAll, ClaimTypeV2.CARRIER).get(0).getMeta().getLastUpdated(), "Expect null lastUpdated fields to map to the FALLBACK_LAST_UPDATED");
    // Find all EOBs with < now()
    Bundle searchWithLessThan = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtilsV2.buildPatientId(beneId))).lastUpdated(new DateRangeParam().setUpperBoundInclusive(new Date())).returnBundle(Bundle.class).execute();
    assertEquals(Date.from(TransformerConstants.FALLBACK_LAST_UPDATED), filterToClaimType(searchWithLessThan, ClaimTypeV2.CARRIER).get(0).getMeta().getLastUpdated(), "Expect null lastUpdated fields to map to the FALLBACK_LAST_UPDATED");
    assertEquals(searchAll.getTotal(), searchWithLessThan.getTotal(), "Expected the search for lastUpdated <= now() to include resources with fallback" + " lastUpdated values");
    // Find all EOBs with >= now()-100 seconds
    Bundle searchWithGreaterThan = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtilsV2.buildPatientId(beneId))).lastUpdated(new DateRangeParam().setLowerBoundInclusive(Date.from(Instant.now().minusSeconds(100)))).returnBundle(Bundle.class).execute();
    assertEquals(searchAll.getTotal() - 1, searchWithGreaterThan.getTotal(), "Expected the search for lastUpdated >= now()-100 to not include null lastUpdated" + " resources");
}

Example 8 with CarrierClaim

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

the class R4ExplanationOfBenefitResourceProviderIT method searchForEobsIncludeTaxNumbersHandling.

/**
 * Verifies that {@link
 * gov.cms.bfd.server.war.r4.providers.ExplanationOfBenefitResourceProvider#findByPatient(ca.uhn.fhir.rest.param.ReferenceParam)}
 * handles the {@link ExplanationOfBenefitResourceProvider#HEADER_NAME_INCLUDE_TAX_NUMBERS} header
 * properly.
 *
 * @throws FHIRException (indicates test failure)
 */
// TODO: Fix this test .. it isn't working. Tax number is not showing up.
@Test
public void searchForEobsIncludeTaxNumbersHandling() throws FHIRException {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClientV2();
    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(TransformerUtilsV2.buildPatientId(beneficiary))).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    // Verify that tax numbers aren't present for carrier claims.
    carrierEob = filterToClaimType(searchResults, ClaimTypeV2.CARRIER).get(0);
    assertNull(TransformerTestUtilsV2.findCareTeamEntryForProviderTaxNumber(carrierClaim.getLines().get(0).getProviderTaxNumber(), carrierEob.getCareTeam()));
    // Verify that tax numbers aren't present for DME claims.
    dmeEob = filterToClaimType(searchResults, ClaimTypeV2.DME).get(0);
    assertNull(TransformerTestUtilsV2.findCareTeamEntryForProviderTaxNumber(dmeClaim.getLines().get(0).getProviderTaxNumber(), dmeEob.getCareTeam()));
    RequestHeaders requestHeader = RequestHeaders.getHeaderWrapper(CommonHeaders.HEADER_NAME_INCLUDE_TAX_NUMBERS, "true");
    fhirClient = ServerTestUtils.get().createFhirClientWithHeadersV2(requestHeader);
    searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtilsV2.buildPatientId(beneficiary))).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
}

Example 9 with CarrierClaim

use of gov.cms.bfd.model.rif.CarrierClaim 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 10 with CarrierClaim

use of gov.cms.bfd.model.rif.CarrierClaim 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));
}