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Example 1 with CCWProcedure

use of gov.cms.bfd.server.war.commons.CCWProcedure in project beneficiary-fhir-data by CMSgov.

the class TransformerUtils method addProcedureCode.

/**
 * @param eob the {@link ExplanationOfBenefit} to (possibly) modify
 * @param diagnosis the {@link Diagnosis} to add, if it's not already present
 * @return the {@link ProcedureComponent#getSequence()} of the existing or newly-added entry
 */
static int addProcedureCode(ExplanationOfBenefit eob, CCWProcedure procedure) {
    Optional<ProcedureComponent> existingProcedure = eob.getProcedure().stream().filter(pc -> pc.getProcedure() instanceof CodeableConcept).filter(pc -> isCodeInConcept((CodeableConcept) pc.getProcedure(), procedure.getFhirSystem(), procedure.getCode())).findAny();
    if (existingProcedure.isPresent())
        return existingProcedure.get().getSequenceElement().getValue();
    ProcedureComponent procedureComponent = new ProcedureComponent().setSequence(eob.getProcedure().size() + 1);
    procedureComponent.setProcedure(createCodeableConcept(procedure.getFhirSystem(), null, retrieveProcedureCodeDisplay(procedure.getCode()), procedure.getCode()));
    if (procedure.getProcedureDate().isPresent()) {
        procedureComponent.setDate(convertToDate(procedure.getProcedureDate().get()));
    }
    eob.getProcedure().add(procedureComponent);
    return procedureComponent.getSequenceElement().getValue();
}
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Example 2 with CCWProcedure

use of gov.cms.bfd.server.war.commons.CCWProcedure in project beneficiary-fhir-data by CMSgov.

the class InpatientClaimTransformer method transformClaim.

/**
 * @param claimGroup the CCW {@link InpatientClaim} to transform
 * @return a FHIR {@link ExplanationOfBenefit} resource that represents the specified {@link
 *     InpatientClaim}
 */
private static ExplanationOfBenefit transformClaim(InpatientClaim claimGroup) {
    ExplanationOfBenefit eob = new ExplanationOfBenefit();
    // Common group level fields between all claim types
    TransformerUtils.mapEobCommonClaimHeaderData(eob, claimGroup.getClaimId(), claimGroup.getBeneficiaryId(), ClaimType.INPATIENT, claimGroup.getClaimGroupId().toPlainString(), MedicareSegment.PART_A, Optional.of(claimGroup.getDateFrom()), Optional.of(claimGroup.getDateThrough()), Optional.of(claimGroup.getPaymentAmount()), claimGroup.getFinalAction());
    TransformerUtils.mapEobWeeklyProcessDate(eob, claimGroup.getWeeklyProcessDate());
    // map eob type codes into FHIR
    TransformerUtils.mapEobType(eob, ClaimType.INPATIENT, Optional.of(claimGroup.getNearLineRecordIdCode()), Optional.of(claimGroup.getClaimTypeCode()));
    // set the provider number which is common among several claim types
    TransformerUtils.setProviderNumber(eob, claimGroup.getProviderNumber());
    if (claimGroup.getPatientStatusCd().isPresent()) {
        TransformerUtils.addInformationWithCode(eob, CcwCodebookVariable.NCH_PTNT_STUS_IND_CD, CcwCodebookVariable.NCH_PTNT_STUS_IND_CD, claimGroup.getPatientStatusCd());
    }
    // add EOB information to fields that are common between the Inpatient and SNF claim types
    TransformerUtils.addCommonEobInformationInpatientSNF(eob, claimGroup.getAdmissionTypeCd(), claimGroup.getSourceAdmissionCd(), claimGroup.getNoncoveredStayFromDate(), claimGroup.getNoncoveredStayThroughDate(), claimGroup.getCoveredCareThoughDate(), claimGroup.getMedicareBenefitsExhaustedDate(), claimGroup.getDiagnosisRelatedGroupCd());
    // Claim Operational Indirect Medical Education Amount
    if (claimGroup.getIndirectMedicalEducationAmount().isPresent()) {
        TransformerUtils.addAdjudicationTotal(eob, CcwCodebookVariable.IME_OP_CLM_VAL_AMT, claimGroup.getIndirectMedicalEducationAmount());
    }
    // Claim Operational disproportionate Amount
    if (claimGroup.getDisproportionateShareAmount().isPresent()) {
        TransformerUtils.addAdjudicationTotal(eob, CcwCodebookVariable.DSH_OP_CLM_VAL_AMT, claimGroup.getDisproportionateShareAmount());
    }
    // TODO If actually nullable, should be Optional.
    if (claimGroup.getPassThruPerDiemAmount() != null) {
        TransformerUtils.addAdjudicationTotal(eob, CcwCodebookVariable.CLM_PASS_THRU_PER_DIEM_AMT, claimGroup.getPassThruPerDiemAmount());
    }
    // TODO If actually nullable, should be Optional.
    if (claimGroup.getProfessionalComponentCharge() != null) {
        TransformerUtils.addAdjudicationTotal(eob, CcwCodebookVariable.NCH_PROFNL_CMPNT_CHRG_AMT, claimGroup.getProfessionalComponentCharge());
    }
    // TODO If actually nullable, should be Optional.
    if (claimGroup.getClaimTotalPPSCapitalAmount() != null) {
        TransformerUtils.addAdjudicationTotal(eob, CcwCodebookVariable.CLM_TOT_PPS_CPTL_AMT, claimGroup.getClaimTotalPPSCapitalAmount());
    }
    if (claimGroup.getIndirectMedicalEducationAmount().isPresent()) {
        TransformerUtils.addAdjudicationTotal(eob, CcwCodebookVariable.IME_OP_CLM_VAL_AMT, claimGroup.getIndirectMedicalEducationAmount().get());
    }
    // Claim Uncompensated Care Payment Amount
    if (claimGroup.getClaimUncompensatedCareAmount().isPresent()) {
        TransformerUtils.addAdjudicationTotal(eob, CcwCodebookVariable.CLM_UNCOMPD_CARE_PMT_AMT, claimGroup.getClaimUncompensatedCareAmount().get());
    }
    /*
     * add field values to the benefit balances that are common between the
     * Inpatient and SNF claim types
     */
    TransformerUtils.addCommonGroupInpatientSNF(eob, claimGroup.getCoinsuranceDayCount(), claimGroup.getNonUtilizationDayCount(), claimGroup.getDeductibleAmount(), claimGroup.getPartACoinsuranceLiabilityAmount(), claimGroup.getBloodPintsFurnishedQty(), claimGroup.getNoncoveredCharge(), claimGroup.getTotalDeductionAmount(), claimGroup.getClaimPPSCapitalDisproportionateShareAmt(), claimGroup.getClaimPPSCapitalExceptionAmount(), claimGroup.getClaimPPSCapitalFSPAmount(), claimGroup.getClaimPPSCapitalIMEAmount(), claimGroup.getClaimPPSCapitalOutlierAmount(), claimGroup.getClaimPPSOldCapitalHoldHarmlessAmount());
    // TODO If this is actually nullable, should be Optional.
    if (claimGroup.getDrgOutlierApprovedPaymentAmount() != null) {
        TransformerUtils.addAdjudicationTotal(eob, CcwCodebookVariable.NCH_DRG_OUTLIER_APRVD_PMT_AMT, claimGroup.getDrgOutlierApprovedPaymentAmount());
    }
    // Common group level fields between Inpatient, Outpatient and SNF
    TransformerUtils.mapEobCommonGroupInpOutSNF(eob, claimGroup.getBloodDeductibleLiabilityAmount(), claimGroup.getOperatingPhysicianNpi(), claimGroup.getOtherPhysicianNpi(), claimGroup.getClaimQueryCode(), claimGroup.getMcoPaidSw());
    // Common group level fields between Inpatient, Outpatient Hospice, HHA and SNF
    TransformerUtils.mapEobCommonGroupInpOutHHAHospiceSNF(eob, claimGroup.getOrganizationNpi(), claimGroup.getClaimFacilityTypeCode(), claimGroup.getClaimFrequencyCode(), claimGroup.getClaimNonPaymentReasonCode(), claimGroup.getPatientDischargeStatusCode(), claimGroup.getClaimServiceClassificationTypeCode(), claimGroup.getClaimPrimaryPayerCode(), claimGroup.getAttendingPhysicianNpi(), claimGroup.getTotalChargeAmount(), claimGroup.getPrimaryPayerPaidAmount(), claimGroup.getFiscalIntermediaryNumber(), claimGroup.getFiDocumentClaimControlNumber(), claimGroup.getFiOriginalClaimControlNumber());
    // Common group level fields between Inpatient, HHA, Hospice and SNF
    TransformerUtils.mapEobCommonGroupInpHHAHospiceSNF(eob, claimGroup.getClaimAdmissionDate(), claimGroup.getBeneficiaryDischargeDate(), Optional.of(claimGroup.getUtilizationDayCount()));
    for (Diagnosis diagnosis : extractDiagnoses(claimGroup)) TransformerUtils.addDiagnosisCode(eob, diagnosis);
    for (CCWProcedure procedure : TransformerUtils.extractCCWProcedures(claimGroup.getProcedure1Code(), claimGroup.getProcedure1CodeVersion(), claimGroup.getProcedure1Date(), claimGroup.getProcedure2Code(), claimGroup.getProcedure2CodeVersion(), claimGroup.getProcedure2Date(), claimGroup.getProcedure3Code(), claimGroup.getProcedure3CodeVersion(), claimGroup.getProcedure3Date(), claimGroup.getProcedure4Code(), claimGroup.getProcedure4CodeVersion(), claimGroup.getProcedure4Date(), claimGroup.getProcedure5Code(), claimGroup.getProcedure5CodeVersion(), claimGroup.getProcedure5Date(), claimGroup.getProcedure6Code(), claimGroup.getProcedure6CodeVersion(), claimGroup.getProcedure6Date(), claimGroup.getProcedure7Code(), claimGroup.getProcedure7CodeVersion(), claimGroup.getProcedure7Date(), claimGroup.getProcedure8Code(), claimGroup.getProcedure8CodeVersion(), claimGroup.getProcedure8Date(), claimGroup.getProcedure9Code(), claimGroup.getProcedure9CodeVersion(), claimGroup.getProcedure9Date(), claimGroup.getProcedure10Code(), claimGroup.getProcedure10CodeVersion(), claimGroup.getProcedure10Date(), claimGroup.getProcedure11Code(), claimGroup.getProcedure11CodeVersion(), claimGroup.getProcedure11Date(), claimGroup.getProcedure12Code(), claimGroup.getProcedure12CodeVersion(), claimGroup.getProcedure12Date(), claimGroup.getProcedure13Code(), claimGroup.getProcedure13CodeVersion(), claimGroup.getProcedure13Date(), claimGroup.getProcedure14Code(), claimGroup.getProcedure14CodeVersion(), claimGroup.getProcedure14Date(), claimGroup.getProcedure15Code(), claimGroup.getProcedure15CodeVersion(), claimGroup.getProcedure15Date(), claimGroup.getProcedure16Code(), claimGroup.getProcedure16CodeVersion(), claimGroup.getProcedure16Date(), claimGroup.getProcedure17Code(), claimGroup.getProcedure17CodeVersion(), claimGroup.getProcedure17Date(), claimGroup.getProcedure18Code(), claimGroup.getProcedure18CodeVersion(), claimGroup.getProcedure18Date(), claimGroup.getProcedure19Code(), claimGroup.getProcedure19CodeVersion(), claimGroup.getProcedure19Date(), claimGroup.getProcedure20Code(), claimGroup.getProcedure20CodeVersion(), claimGroup.getProcedure20Date(), claimGroup.getProcedure21Code(), claimGroup.getProcedure21CodeVersion(), claimGroup.getProcedure21Date(), claimGroup.getProcedure22Code(), claimGroup.getProcedure22CodeVersion(), claimGroup.getProcedure22Date(), claimGroup.getProcedure23Code(), claimGroup.getProcedure23CodeVersion(), claimGroup.getProcedure23Date(), claimGroup.getProcedure24Code(), claimGroup.getProcedure24CodeVersion(), claimGroup.getProcedure24Date(), claimGroup.getProcedure25Code(), claimGroup.getProcedure25CodeVersion(), claimGroup.getProcedure25Date())) TransformerUtils.addProcedureCode(eob, procedure);
    for (InpatientClaimLine claimLine : claimGroup.getLines()) {
        ItemComponent item = eob.addItem();
        item.setSequence(claimLine.getLineNumber().intValue());
        TransformerUtils.mapHcpcs(eob, item, Optional.empty(), claimLine.getHcpcsCode(), Collections.emptyList());
        item.setLocation(new Address().setState((claimGroup.getProviderStateCode())));
        // Common item level fields between Inpatient, Outpatient, HHA, Hospice and SNF
        TransformerUtils.mapEobCommonItemRevenue(item, eob, claimLine.getRevenueCenter(), claimLine.getRateAmount(), claimLine.getTotalChargeAmount(), claimLine.getNonCoveredChargeAmount(), claimLine.getUnitCount(), claimLine.getNationalDrugCodeQuantity(), claimLine.getNationalDrugCodeQualifierCode(), claimLine.getRevenueCenterRenderingPhysicianNPI());
        // Common group level field coinsurance between Inpatient, HHA, Hospice and SNF
        TransformerUtils.mapEobCommonGroupInpHHAHospiceSNFCoinsurance(eob, item, claimLine.getDeductibleCoinsuranceCd());
    }
    TransformerUtils.setLastUpdated(eob, claimGroup.getLastUpdated());
    return eob;
}
Also used : Address(org.hl7.fhir.dstu3.model.Address) CCWProcedure(gov.cms.bfd.server.war.commons.CCWProcedure) ItemComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.ItemComponent) Diagnosis(gov.cms.bfd.server.war.commons.Diagnosis) ExplanationOfBenefit(org.hl7.fhir.dstu3.model.ExplanationOfBenefit) InpatientClaimLine(gov.cms.bfd.model.rif.InpatientClaimLine)

Example 3 with CCWProcedure

use of gov.cms.bfd.server.war.commons.CCWProcedure in project beneficiary-fhir-data by CMSgov.

the class CCWProcedureTest method assertMatches.

static void assertMatches(Character version, String system) {
    Optional<String> code = Optional.of("code");
    Optional<LocalDate> procDate = Optional.of(LocalDate.now());
    Optional<CCWProcedure> diagnosis = CCWProcedure.from(code, Optional.of(version), procDate);
    assertEquals(procDate.get(), diagnosis.get().getProcedureDate().get());
    assertEquals(system, diagnosis.get().getFhirSystem());
    TransformerTestUtils.assertHasCoding(system, code.get(), diagnosis.get().toCodeableConcept().getCoding());
    CodeableConcept codeableConcept = new CodeableConcept();
    Coding coding = codeableConcept.addCoding();
    coding.setSystem(system).setCode(code.get());
    assertTrue(diagnosis.get().isContainedIn(codeableConcept));
}
Also used : CCWProcedure(gov.cms.bfd.server.war.commons.CCWProcedure) Coding(org.hl7.fhir.dstu3.model.Coding) LocalDate(java.time.LocalDate) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept)

Example 4 with CCWProcedure

use of gov.cms.bfd.server.war.commons.CCWProcedure in project beneficiary-fhir-data by CMSgov.

the class CCWProcedureTest method assertDateNotPresent.

/**
 * Verifies that a procedure date isn't present even though there is a procedure code present
 */
static void assertDateNotPresent(Character version, String system) {
    Optional<String> code = Optional.of("code");
    Optional<LocalDate> procDate = Optional.empty();
    Optional<CCWProcedure> diagnosis = CCWProcedure.from(code, Optional.of(version), procDate);
    assertEquals(Optional.empty(), diagnosis.get().getProcedureDate());
    assertEquals(system, diagnosis.get().getFhirSystem());
    TransformerTestUtils.assertHasCoding(system, code.get(), diagnosis.get().toCodeableConcept().getCoding());
    CodeableConcept codeableConcept = new CodeableConcept();
    Coding coding = codeableConcept.addCoding();
    coding.setSystem(system).setCode(code.get());
    assertTrue(diagnosis.get().isContainedIn(codeableConcept));
}
Also used : CCWProcedure(gov.cms.bfd.server.war.commons.CCWProcedure) Coding(org.hl7.fhir.dstu3.model.Coding) LocalDate(java.time.LocalDate) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept)

Example 5 with CCWProcedure

use of gov.cms.bfd.server.war.commons.CCWProcedure in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerTest method assertMatches.

/**
 * Verifies that the {@link ExplanationOfBenefit} "looks like" it should, if it were produced from
 * the specified {@link OutpatientClaim}.
 *
 * @param claim the {@link OutpatientClaim} that the {@link ExplanationOfBenefit} was generated
 *     from
 * @param eob the {@link ExplanationOfBenefit} that was generated from the specified {@link
 *     OutpatientClaim}
 * @throws FHIRException (indicates test failure)
 */
static void assertMatches(OutpatientClaim claim, ExplanationOfBenefit eob) throws FHIRException {
    // Test to ensure group level fields between all claim types match
    TransformerTestUtils.assertEobCommonClaimHeaderData(eob, claim.getClaimId(), claim.getBeneficiaryId(), ClaimType.OUTPATIENT, claim.getClaimGroupId().toPlainString(), MedicareSegment.PART_B, Optional.of(claim.getDateFrom()), Optional.of(claim.getDateThrough()), Optional.of(claim.getPaymentAmount()), claim.getFinalAction());
    // test the common field provider number is set as expected in the EOB
    TransformerTestUtils.assertProviderNumber(eob, claim.getProviderNumber());
    TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_BENE_PTB_DDCTBL_AMT, claim.getDeductibleAmount(), eob);
    TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_PROFNL_CMPNT_CHRG_AMT, claim.getProfessionalComponentCharge(), eob);
    TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_BENE_PTB_COINSRNC_AMT, claim.getCoinsuranceAmount(), eob);
    TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.CLM_OP_PRVDR_PMT_AMT, claim.getProviderPaymentAmount(), eob);
    TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.CLM_OP_BENE_PMT_AMT, claim.getBeneficiaryPaymentAmount(), eob);
    // Test to ensure common group fields between Inpatient, Outpatient and SNF
    TransformerTestUtils.assertEobCommonGroupInpOutSNFEquals(eob, claim.getBloodDeductibleLiabilityAmount(), claim.getOperatingPhysicianNpi(), claim.getOtherPhysicianNpi(), claim.getClaimQueryCode(), claim.getMcoPaidSw());
    // Test to ensure common group fields between Inpatient, Outpatient HHA, Hospice
    // and SNF match
    TransformerTestUtils.assertEobCommonGroupInpOutHHAHospiceSNFEquals(eob, claim.getOrganizationNpi(), claim.getClaimFacilityTypeCode(), claim.getClaimFrequencyCode(), claim.getClaimNonPaymentReasonCode(), claim.getPatientDischargeStatusCode().get(), claim.getClaimServiceClassificationTypeCode(), claim.getClaimPrimaryPayerCode(), claim.getAttendingPhysicianNpi(), claim.getTotalChargeAmount(), claim.getPrimaryPayerPaidAmount(), claim.getFiscalIntermediaryNumber(), claim.getFiDocumentClaimControlNumber(), claim.getFiOriginalClaimControlNumber());
    assertTrue(countDiagnosisCodes(claim) >= eob.getDiagnosis().size(), "Expect actual diagnosis count is less than or equal to the claim count");
    if (claim.getProcedure1Code().isPresent()) {
        CCWProcedure ccwProcedure = new CCWProcedure(claim.getProcedure1Code(), claim.getProcedure1CodeVersion(), claim.getProcedure1Date());
        TransformerTestUtils.assertHasCoding(ccwProcedure.getFhirSystem().toString(), claim.getProcedure1Code().get(), eob.getProcedure().get(0).getProcedureCodeableConcept().getCoding());
        assertEquals(claim.getProcedure1Date().get().atStartOfDay(ZoneId.systemDefault()).toInstant(), eob.getProcedure().get(0).getDate().toInstant());
    }
    assertTrue(1 <= eob.getItem().size(), "Expect actual item count is above 0");
    ItemComponent eobItem0 = eob.getItem().get(0);
    OutpatientClaimLine claimLine1 = claim.getLines().get(0);
    assertEquals(new Integer(claimLine1.getLineNumber().intValue()), new Integer(eobItem0.getSequence()));
    assertEquals(claim.getProviderStateCode(), eobItem0.getLocationAddress().getState());
    // TODO re-map as described in CBBF-111
    /*
     * TransformerTestUtils.assertHasCoding(TransformerConstants.CODING_NDC,
     * claimLine1.getNationalDrugCode().get(), eobItem0.getService());
     */
    TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_1ST_ANSI_CD, claimLine1.getRevCntr1stAnsiCd(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_2ND_ANSI_CD, claimLine1.getRevCntr2ndAnsiCd(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_3RD_ANSI_CD, claimLine1.getRevCntr3rdAnsiCd(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_4TH_ANSI_CD, claimLine1.getRevCntr4thAnsiCd(), eobItem0.getAdjudication());
    TransformerTestUtils.assertHcpcsCodes(eobItem0, claimLine1.getHcpcsCode(), claimLine1.getHcpcsInitialModifierCode(), claimLine1.getHcpcsSecondModifierCode(), Optional.empty(), 0);
    TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.REV_CNTR_IDE_NDC_UPC_NUM, claimLine1.getNationalDrugCode(), eobItem0.getService());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_BLOOD_DDCTBL_AMT, claimLine1.getBloodDeductibleAmount(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_CASH_DDCTBL_AMT, claimLine1.getCashDeductibleAmount(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_COINSRNC_WGE_ADJSTD_C, claimLine1.getWageAdjustedCoinsuranceAmount(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_RDCD_COINSRNC_AMT, claimLine1.getReducedCoinsuranceAmount(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_1ST_MSP_PD_AMT, claimLine1.getFirstMspPaidAmount(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_1ST_MSP_PD_AMT, claimLine1.getSecondMspPaidAmount(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_PRVDR_PMT_AMT, claimLine1.getProviderPaymentAmount(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_BENE_PMT_AMT, claimLine1.getBenficiaryPaymentAmount(), eobItem0.getAdjudication());
    TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_PTNT_RSPNSBLTY_PMT, claimLine1.getPatientResponsibilityAmount(), eobItem0.getAdjudication());
    String claimControlNumber = "0000000000";
    // Test to ensure item level fields between Inpatient, Outpatient, HHA, Hopsice
    // and SNF match
    TransformerTestUtils.assertEobCommonItemRevenueEquals(eobItem0, eob, claimLine1.getRevenueCenterCode(), claimLine1.getRateAmount(), claimLine1.getTotalChargeAmount(), claimLine1.getNonCoveredChargeAmount(), claimLine1.getUnitCount(), claimControlNumber, claimLine1.getNationalDrugCodeQuantity(), claimLine1.getNationalDrugCodeQualifierCode(), claimLine1.getRevenueCenterRenderingPhysicianNPI(), 1);
    // Test to ensure item level fields between Outpatient, HHA and Hospice match
    TransformerTestUtils.assertEobCommonItemRevenueOutHHAHospice(eobItem0, claimLine1.getRevenueCenterDate(), claimLine1.getPaymentAmount());
    // verify {@link
    // TransformerUtils#mapEobType(CodeableConcept,ClaimType,Optional,Optional)}
    // method worked as expected for this claim type
    TransformerTestUtils.assertMapEobType(eob.getType(), ClaimType.OUTPATIENT, Optional.of(org.hl7.fhir.dstu3.model.codesystems.ClaimType.PROFESSIONAL), Optional.of(claim.getNearLineRecordIdCode()), Optional.of(claim.getClaimTypeCode()));
    TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.REV_CNTR_STUS_IND_CD, claimLine1.getStatusCode(), eobItem0.getRevenue());
    // Test lastUpdated
    TransformerTestUtils.assertLastUpdatedEquals(claim.getLastUpdated(), eob);
}
Also used : CCWProcedure(gov.cms.bfd.server.war.commons.CCWProcedure) ItemComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.ItemComponent) OutpatientClaimLine(gov.cms.bfd.model.rif.OutpatientClaimLine)

Aggregations

CCWProcedure (gov.cms.bfd.server.war.commons.CCWProcedure)10 ItemComponent (org.hl7.fhir.dstu3.model.ExplanationOfBenefit.ItemComponent)7 Diagnosis (gov.cms.bfd.server.war.commons.Diagnosis)5 ExplanationOfBenefit (org.hl7.fhir.dstu3.model.ExplanationOfBenefit)4 InpatientClaimLine (gov.cms.bfd.model.rif.InpatientClaimLine)3 OutpatientClaimLine (gov.cms.bfd.model.rif.OutpatientClaimLine)3 SNFClaimLine (gov.cms.bfd.model.rif.SNFClaimLine)3 BigDecimal (java.math.BigDecimal)3 LocalDate (java.time.LocalDate)3 CodeableConcept (org.hl7.fhir.dstu3.model.CodeableConcept)3 Coding (org.hl7.fhir.dstu3.model.Coding)3 TemporalPrecisionEnum (ca.uhn.fhir.model.api.TemporalPrecisionEnum)2 IdDt (ca.uhn.fhir.model.primitive.IdDt)2 DataFormatException (ca.uhn.fhir.parser.DataFormatException)2 Constants (ca.uhn.fhir.rest.api.Constants)2 RequestDetails (ca.uhn.fhir.rest.api.server.RequestDetails)2 Strings (com.google.common.base.Strings)2 CcwCodebookMissingVariable (gov.cms.bfd.model.codebook.data.CcwCodebookMissingVariable)2 CcwCodebookVariable (gov.cms.bfd.model.codebook.data.CcwCodebookVariable)2 CcwCodebookInterface (gov.cms.bfd.model.codebook.model.CcwCodebookInterface)2