Examples with Reference io.adminshell.aas.v3.model.Reference used on opensource projects

Example 6 with Reference

use of io.adminshell.aas.v3.model.Reference in project bunsen by cerner.

the class TestData method newMedRequest.

/**
 * Returns a FHIR medication request for testing purposes.
 */
public static MedicationRequest newMedRequest() {
    MedicationRequest medReq = new MedicationRequest();
    medReq.setId("test-med");
    // Medication code
    CodeableConcept med = new CodeableConcept();
    med.addCoding().setSystem("http://www.nlm.nih.gov/research/umls/rxnorm").setCode("582620").setDisplay("Nizatidine 15 MG/ML Oral Solution [Axid]");
    med.setText("Nizatidine 15 MG/ML Oral Solution [Axid]");
    medReq.setMedication(med);
    Annotation annotation = new Annotation();
    annotation.setText("Test medication note.");
    annotation.setAuthor(new Reference("Provider/example").setDisplay("Example provider."));
    medReq.addNote(annotation);
    return medReq;
}

Example 7 with Reference

use of io.adminshell.aas.v3.model.Reference in project beneficiary-fhir-data by CMSgov.

the class TransformerUtils method mapEobCommonGroupCarrierDME.

/**
 * Transforms the common group level data elements between the {@link CarrierClaim} and {@link
 * DMEClaim} claim types to FHIR. The method parameter fields from {@link CarrierClaim} and {@link
 * DMEClaim} are listed below and their corresponding RIF CCW fields (denoted in all CAPS below
 * from {@link CarrierClaimColumn} and {@link DMEClaimColumn}).
 *
 * @param eob the {@link ExplanationOfBenefit} to modify
 * @param benficiaryId BEME_ID, *
 * @param carrierNumber CARR_NUM,
 * @param clinicalTrialNumber CLM_CLNCL_TRIL_NUM,
 * @param beneficiaryPartBDeductAmount CARR_CLM_CASH_DDCTBL_APLD_AMT,
 * @param paymentDenialCode CARR_CLM_PMT_DNL_CD,
 * @param referringPhysicianNpi RFR_PHYSN_NPI
 * @param providerAssignmentIndicator CARR_CLM_PRVDR_ASGNMT_IND_SW,
 * @param providerPaymentAmount NCH_CLM_PRVDR_PMT_AMT,
 * @param beneficiaryPaymentAmount NCH_CLM_BENE_PMT_AMT,
 * @param submittedChargeAmount NCH_CARR_CLM_SBMTD_CHRG_AMT,
 * @param allowedChargeAmount NCH_CARR_CLM_ALOWD_AMT,
 */
static void mapEobCommonGroupCarrierDME(ExplanationOfBenefit eob, String beneficiaryId, String carrierNumber, Optional<String> clinicalTrialNumber, BigDecimal beneficiaryPartBDeductAmount, String paymentDenialCode, Optional<String> referringPhysicianNpi, Optional<Character> providerAssignmentIndicator, BigDecimal providerPaymentAmount, BigDecimal beneficiaryPaymentAmount, BigDecimal submittedChargeAmount, BigDecimal allowedChargeAmount, String claimDispositionCode, Optional<String> claimCarrierControlNumber) {
    eob.addExtension(createExtensionIdentifier(CcwCodebookVariable.CARR_NUM, carrierNumber));
    // Carrier Claim Control Number
    if (claimCarrierControlNumber.isPresent()) {
        eob.addExtension(createExtensionIdentifier(CcwCodebookMissingVariable.CARR_CLM_CNTL_NUM, claimCarrierControlNumber.get()));
    }
    eob.addExtension(createExtensionCoding(eob, CcwCodebookVariable.CARR_CLM_PMT_DNL_CD, paymentDenialCode));
    // Claim Disposition Code
    eob.setDisposition(claimDispositionCode);
    /*
     * Referrals are represented as contained resources, since they share the lifecycle and identity
     * of their containing EOB.
     */
    if (referringPhysicianNpi.isPresent()) {
        ReferralRequest referral = new ReferralRequest();
        referral.setStatus(ReferralRequestStatus.COMPLETED);
        referral.setSubject(referencePatient(beneficiaryId));
        referral.setRequester(new ReferralRequestRequesterComponent(referencePractitioner(referringPhysicianNpi.get())));
        referral.addRecipient(referencePractitioner(referringPhysicianNpi.get()));
        // Set the ReferralRequest as a contained resource in the EOB:
        eob.setReferral(new Reference(referral));
    }
    if (providerAssignmentIndicator.isPresent()) {
        eob.addExtension(createExtensionCoding(eob, CcwCodebookVariable.ASGMNTCD, providerAssignmentIndicator));
    }
    if (clinicalTrialNumber.isPresent()) {
        eob.addExtension(createExtensionIdentifier(CcwCodebookVariable.CLM_CLNCL_TRIL_NUM, clinicalTrialNumber));
    }
    addAdjudicationTotal(eob, CcwCodebookVariable.CARR_CLM_CASH_DDCTBL_APLD_AMT, beneficiaryPartBDeductAmount);
    addAdjudicationTotal(eob, CcwCodebookVariable.NCH_CLM_PRVDR_PMT_AMT, providerPaymentAmount);
    addAdjudicationTotal(eob, CcwCodebookVariable.NCH_CLM_BENE_PMT_AMT, beneficiaryPaymentAmount);
    addAdjudicationTotal(eob, CcwCodebookVariable.NCH_CARR_CLM_SBMTD_CHRG_AMT, submittedChargeAmount);
    addAdjudicationTotal(eob, CcwCodebookVariable.NCH_CARR_CLM_ALOWD_AMT, allowedChargeAmount);
}

Example 8 with Reference

use of io.adminshell.aas.v3.model.Reference in project beneficiary-fhir-data by CMSgov.

the class TransformerUtils method addCareTeamPractitioner.

/**
 * Ensures that the specified {@link ExplanationOfBenefit} has the specified {@link
 * CareTeamComponent}, and links the specified {@link ItemComponent} to that {@link
 * CareTeamComponent} (via {@link ItemComponent#addCareTeamLinkId(int)}).
 *
 * @param eob the {@link ExplanationOfBenefit} that the {@link CareTeamComponent} should be part
 *     of
 * @param eobItem the {@link ItemComponent} that should be linked to the {@link CareTeamComponent}
 * @param practitionerIdSystem the {@link Identifier#getSystem()} of the practitioner to reference
 *     in {@link CareTeamComponent#getProvider()}
 * @param practitionerIdValue the {@link Identifier#getValue()} of the practitioner to reference
 *     in {@link CareTeamComponent#getProvider()}
 * @param careTeamRole the {@link ClaimCareteamrole} to use for the {@link
 *     CareTeamComponent#getRole()}
 * @return the {@link CareTeamComponent} that was created/linked
 */
static CareTeamComponent addCareTeamPractitioner(ExplanationOfBenefit eob, ItemComponent eobItem, String practitionerIdSystem, String practitionerIdValue, ClaimCareteamrole careTeamRole) {
    // Try to find a matching pre-existing entry.
    CareTeamComponent careTeamEntry = eob.getCareTeam().stream().filter(ctc -> ctc.getProvider().hasIdentifier()).filter(ctc -> practitionerIdSystem.equals(ctc.getProvider().getIdentifier().getSystem()) && practitionerIdValue.equals(ctc.getProvider().getIdentifier().getValue())).filter(ctc -> ctc.hasRole()).filter(ctc -> careTeamRole.toCode().equals(ctc.getRole().getCodingFirstRep().getCode()) && careTeamRole.getSystem().equals(ctc.getRole().getCodingFirstRep().getSystem())).findAny().orElse(null);
    // If no match was found, add one to the EOB.
    if (careTeamEntry == null) {
        careTeamEntry = eob.addCareTeam();
        careTeamEntry.setSequence(eob.getCareTeam().size() + 1);
        careTeamEntry.setProvider(createIdentifierReference(practitionerIdSystem, practitionerIdValue));
        CodeableConcept careTeamRoleConcept = createCodeableConcept(ClaimCareteamrole.OTHER.getSystem(), careTeamRole.toCode());
        careTeamRoleConcept.getCodingFirstRep().setDisplay(careTeamRole.getDisplay());
        careTeamEntry.setRole(careTeamRoleConcept);
    }
    // care team entry is at eob level so no need to create item link id
    if (eobItem == null) {
        return careTeamEntry;
    }
    // Link the EOB.item to the care team entry (if it isn't already).
    final int careTeamEntrySequence = careTeamEntry.getSequence();
    if (eobItem.getCareTeamLinkId().stream().noneMatch(id -> id.getValue() == careTeamEntrySequence)) {
        eobItem.addCareTeamLinkId(careTeamEntrySequence);
    }
    return careTeamEntry;
}

Example 9 with Reference

use of io.adminshell.aas.v3.model.Reference in project beneficiary-fhir-data by CMSgov.

the class TransformerUtils method createIdentifierReference.

/**
 * @param identifierType the {@link gov.cms.bfd.server.war.stu3.providers.IdentifierType}
 * @param identifierValue the {@link Identifier#getValue()} to use in {@link
 *     Reference#getIdentifier()}
 * @return a {@link Reference} with the specified {@link Identifier}
 */
static Reference createIdentifierReference(IdentifierType identifierType, String identifierValue) {
    Reference reference = new Reference();
    Coding coding = new Coding().setSystem(identifierType.getSystem()).setCode(identifierType.getCode()).setDisplay(identifierType.getDisplay());
    List<Coding> codingList = new ArrayList<Coding>();
    codingList.add(coding);
    CodeableConcept codeableConcept = new CodeableConcept().setCoding(codingList);
    return reference.setIdentifier(new Identifier().setSystem(identifierType.getSystem()).setValue(identifierValue).setType(codeableConcept)).setDisplay(retrieveNpiCodeDisplay(identifierValue));
}

Example 10 with Reference

use of io.adminshell.aas.v3.model.Reference in project beneficiary-fhir-data by CMSgov.

the class FissClaimResponseTransformerV2 method transformClaim.

/**
 * @param claimGroup the {@link PreAdjFissClaim} to transform
 * @return a FHIR {@link ClaimResponse} resource that represents the specified {@link
 *     PreAdjFissClaim}
 */
private static ClaimResponse transformClaim(PreAdjFissClaim claimGroup) {
    ClaimResponse claim = new ClaimResponse();
    claim.setId("f-" + claimGroup.getDcn());
    claim.setContained(List.of(getContainedPatient(claimGroup)));
    claim.setExtension(getExtension(claimGroup));
    claim.setIdentifier(getIdentifier(claimGroup));
    claim.setStatus(ClaimResponse.ClaimResponseStatus.ACTIVE);
    claim.setOutcome(STATUS_TO_OUTCOME.get(Character.toLowerCase(claimGroup.getCurrStatus())));
    claim.setType(getType());
    claim.setUse(ClaimResponse.Use.CLAIM);
    claim.setInsurer(new Reference().setIdentifier(new Identifier().setValue("CMS")));
    claim.setPatient(new Reference("#patient"));
    claim.setRequest(new Reference(String.format("Claim/f-%s", claimGroup.getDcn())));
    claim.setMeta(new Meta().setLastUpdated(Date.from(claimGroup.getLastUpdated())));
    claim.setCreated(new Date());
    return claim;
}