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

Example 1 with HospiceClaim

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

the class HospiceClaimTransformer method transform.

/**
 * @param metricRegistry the {@link MetricRegistry} to use
 * @param claim the CCW {@link HospiceClaim} to transform
 * @param includeTaxNumbers whether or not to include tax numbers in the result (see {@link
 *     ExplanationOfBenefitResourceProvider#HEADER_NAME_INCLUDE_TAX_NUMBERS}, defaults to <code>
 *     false</code>)
 * @return a FHIR {@link ExplanationOfBenefit} resource that represents the specified {@link
 *     HospiceClaim}
 */
@Trace
static ExplanationOfBenefit transform(MetricRegistry metricRegistry, Object claim, Optional<Boolean> includeTaxNumbers) {
    Timer.Context timer = metricRegistry.timer(MetricRegistry.name(HospiceClaimTransformer.class.getSimpleName(), "transform")).time();
    if (!(claim instanceof HospiceClaim))
        throw new BadCodeMonkeyException();
    ExplanationOfBenefit eob = transformClaim((HospiceClaim) claim);
    timer.stop();
    return eob;
}

Example 2 with HospiceClaim

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

the class ClaimTypeV2Test method verifyServiceEndAttributeFunc.

/**
 * Verifies that our service end date function is working as expected. Since we are type casting
 * our claim object, we need to verify that every ClaimType is tested.
 */
@Test
public void verifyServiceEndAttributeFunc() {
    LocalDate start = LocalDate.now();
    LocalDate end = start.plusDays(10);
    CarrierClaim carrierClaim = new CarrierClaim();
    carrierClaim.setDateFrom(start);
    carrierClaim.setDateThrough(end);
    DMEClaim dmeClaim = new DMEClaim();
    dmeClaim.setDateFrom(start);
    dmeClaim.setDateThrough(end);
    HospiceClaim hospiceClaim = new HospiceClaim();
    hospiceClaim.setDateFrom(start);
    hospiceClaim.setDateThrough(end);
    PartDEvent partDEvent = new PartDEvent();
    partDEvent.setPrescriptionFillDate(end);
    InpatientClaim inpatientClaim = new InpatientClaim();
    inpatientClaim.setDateFrom(start);
    inpatientClaim.setDateThrough(end);
    OutpatientClaim outpatientClaim = new OutpatientClaim();
    outpatientClaim.setDateFrom(start);
    outpatientClaim.setDateThrough(end);
    SNFClaim snfClaim = new SNFClaim();
    snfClaim.setDateFrom(start);
    snfClaim.setDateThrough(end);
    HHAClaim hhaClaim = new HHAClaim();
    hhaClaim.setDateFrom(start);
    hhaClaim.setDateThrough(end);
    ImmutableMap.Builder<ClaimTypeV2, Object> builder = ImmutableMap.builder();
    builder.put(ClaimTypeV2.CARRIER, carrierClaim);
    builder.put(ClaimTypeV2.DME, dmeClaim);
    builder.put(ClaimTypeV2.PDE, partDEvent);
    builder.put(ClaimTypeV2.INPATIENT, inpatientClaim);
    builder.put(ClaimTypeV2.OUTPATIENT, outpatientClaim);
    builder.put(ClaimTypeV2.HOSPICE, hospiceClaim);
    builder.put(ClaimTypeV2.SNF, snfClaim);
    builder.put(ClaimTypeV2.HHA, hhaClaim);
    Map<ClaimTypeV2, Object> claimTypeToClaim = builder.build();
    // Verify that we're testing all of the ClaimTypes that are defined
    EnumSet.allOf(ClaimTypeV2.class).stream().forEach(claimType -> assertTrue(claimTypeToClaim.containsKey(claimType), String.format("ClaimType %s not tested", claimType.name())));
    claimTypeToClaim.entrySet().forEach(entry -> assertEquals(end, entry.getKey().getServiceEndAttributeFunction().apply(entry.getValue()), String.format("Claim type %s does not match expectations", entry.getKey().name())));
}

Example 3 with HospiceClaim

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

the class RifFilesProcessor method buildHospiceClaimEvent.

/**
 * @param fileEvent the {@link RifFileEvent} being processed
 * @param csvRecords the {@link CSVRecord}s to be mapped, which must be from a {@link
 *     RifFileType#HOSPICE} {@link RifFile}
 * @return a {@link RifRecordEvent} built from the specified {@link CSVRecord}s
 */
private static RifRecordEvent<HospiceClaim> buildHospiceClaimEvent(RifFileEvent fileEvent, List<CSVRecord> csvRecords) {
    if (LOGGER.isTraceEnabled())
        LOGGER.trace(csvRecords.toString());
    CSVRecord firstCsvRecord = csvRecords.get(0);
    RecordAction recordAction = RecordAction.match(firstCsvRecord.get("DML_IND"));
    HospiceClaim claim = HospiceClaimParser.parseRif(csvRecords);
    return new RifRecordEvent<HospiceClaim>(fileEvent, csvRecords, recordAction, claim.getBeneficiaryId(), claim);
}

Example 4 with HospiceClaim

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

the class R4ExplanationOfBenefitResourceProviderIT method readEobForExistingHospiceClaim.

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

Example 5 with HospiceClaim

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

the class R4ExplanationOfBenefitResourceProviderIT method adjustHospiceRecordForSamhsaDiagnosis.

/**
 * Adjusts the first Hospice record to support samhsa.
 *
 * @param loadedRecords the loaded records
 * @param entityManager the entity manager
 */
private void adjustHospiceRecordForSamhsaDiagnosis(List<Object> loadedRecords, EntityManager entityManager) {
    HospiceClaim hospiceRifRecord = loadedRecords.stream().filter(r -> r instanceof HospiceClaim).map(r -> (HospiceClaim) r).findFirst().get();
    entityManager.getTransaction().begin();
    hospiceRifRecord = entityManager.find(HospiceClaim.class, hospiceRifRecord.getClaimId());
    hospiceRifRecord.setDiagnosis2Code(Optional.of(Stu3EobSamhsaMatcherTest.SAMPLE_SAMHSA_ICD_9_DIAGNOSIS_CODE));
    hospiceRifRecord.setDiagnosis2CodeVersion(Optional.of('9'));
    entityManager.merge(hospiceRifRecord);
    entityManager.getTransaction().commit();
}