Examples with CoverageRequirementRuleResult org.hl7.davinci.endpoint.rules.CoverageRequirementRuleResult used on opensource projects

Example 1 with CoverageRequirementRuleResult

use of org.hl7.davinci.endpoint.rules.CoverageRequirementRuleResult in project CRD by HL7-DaVinci.

the class OrderSelectService method createCqlExecutionContexts.

@Override
public List<CoverageRequirementRuleResult> createCqlExecutionContexts(OrderSelectRequest orderSelectRequest, FileStore fileStore, String baseUrl) {
    List<String> selections = Arrays.asList(orderSelectRequest.getContext().getSelections());
    FhirBundleProcessor fhirBundleProcessor = new FhirBundleProcessor(fileStore, baseUrl, selections);
    CrdPrefetch prefetch = orderSelectRequest.getPrefetch();
    fhirBundleProcessor.processOrderSelectMedicationStatements(prefetch.getMedicationRequestBundle(), prefetch.getMedicationStatementBundle());
    List<CoverageRequirementRuleResult> results = fhirBundleProcessor.getResults();
    if (results.isEmpty()) {
        throw RequestIncompleteException.NoSupportedBundlesFound();
    }
    return results;
}

Example 2 with CoverageRequirementRuleResult

use of org.hl7.davinci.endpoint.rules.CoverageRequirementRuleResult in project CRD by HL7-DaVinci.

the class CdsService method handleRequest.

/**
 * Performs generic operations for incoming requests of any type.
 *
 * @param request the generically typed incoming request
 * @return The response from the server
 */
public CdsResponse handleRequest(@Valid @RequestBody requestTypeT request, URL applicationBaseUrl) {
    // create the RequestLog
    RequestLog requestLog = new RequestLog(request, new Date().getTime(), this.fhirComponents.getFhirVersion().toString(), this.id, requestService, 5);
    // Parsed request
    requestLog.advanceTimeline(requestService);
    PrefetchHydrator prefetchHydrator = new PrefetchHydrator(this, request, this.fhirComponents);
    prefetchHydrator.hydrate();
    // hydrated
    requestLog.advanceTimeline(requestService);
    // Attempt a Query Batch Request to backfill missing attributes.
    if (myConfig.isQueryBatchRequest()) {
        QueryBatchRequest qbr = new QueryBatchRequest(this.fhirComponents);
        this.attempQueryBatchRequest(request, qbr);
    }
    logger.info("***** ***** request from requestLog: " + requestLog.toString());
    CdsResponse response = new CdsResponse();
    Gson gson = new Gson();
    final String jsonObject = gson.toJson(request.getPrefetch());
    logger.info("Final populated CRDPrefetch: " + jsonObject);
    // CQL Fetched
    List<CoverageRequirementRuleResult> lookupResults;
    try {
        lookupResults = this.createCqlExecutionContexts(request, fileStore, applicationBaseUrl.toString() + "/");
        requestLog.advanceTimeline(requestService);
    } catch (RequestIncompleteException e) {
        logger.warn("RequestIncompleteException " + request);
        logger.warn(e.getMessage() + "; summary card sent to client");
        response.addCard(CardBuilder.summaryCard(CardTypes.COVERAGE, e.getMessage()));
        requestLog.setCardListFromCards(response.getCards());
        requestLog.setResults(e.getMessage());
        requestService.edit(requestLog);
        return response;
    }
    // process the extension for the configuration
    // load hook configuration with default values
    Configuration hookConfiguration = new Configuration();
    Extension extension = request.getExtension();
    if (extension != null) {
        if (extension.getConfiguration() != null) {
            hookConfiguration = extension.getConfiguration();
        }
    }
    boolean errorCardOnEmpty = !(request instanceof OrderSelectRequest);
    // no error cards on empty when order-select request
    boolean foundApplicableRule = false;
    for (CoverageRequirementRuleResult lookupResult : lookupResults) {
        requestLog.addTopic(requestService, lookupResult.getTopic());
        CqlResultsForCard results = executeCqlAndGetRelevantResults(lookupResult.getContext(), lookupResult.getTopic());
        CoverageRequirements coverageRequirements = results.getCoverageRequirements();
        if (results.ruleApplies()) {
            foundApplicableRule = true;
            if (results.getCoverageRequirements().getApplies()) {
                // if prior auth already approved
                if (coverageRequirements.isPriorAuthApproved()) {
                    response.addCard(CardBuilder.priorAuthCard(results, results.getRequest(), fhirComponents, coverageRequirements.getPriorAuthId(), request.getContext().getPatientId(), lookupResult.getCriteria().getPayorId(), request.getContext().getUserId(), applicationBaseUrl.toString() + "/fhir/" + fhirComponents.getFhirVersion().toString(), fhirResourceRepository));
                } else if (coverageRequirements.isDocumentationRequired() || coverageRequirements.isPriorAuthRequired()) {
                    if (StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireOrderUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireFaceToFaceUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireLabUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireProgressNoteUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnairePARequestUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnairePlanOfCareUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireDispenseUri()) || StringUtils.isNotEmpty(coverageRequirements.getQuestionnaireAdditionalUri())) {
                        List<Link> smartAppLinks = createQuestionnaireLinks(request, applicationBaseUrl, lookupResult, results);
                        if (coverageRequirements.isPriorAuthRequired()) {
                            Card card = CardBuilder.transform(CardTypes.PRIOR_AUTH, results, smartAppLinks);
                            card.addSuggestionsItem(CardBuilder.createSuggestionWithNote(card, results.getRequest(), fhirComponents, "Save Update To EHR", "Update original " + results.getRequest().fhirType() + " to add note", true, CoverageGuidance.ADMIN));
                            response.addCard(card);
                        } else if (coverageRequirements.isDocumentationRequired()) {
                            Card card = CardBuilder.transform(CardTypes.DTR_CLIN, results, smartAppLinks);
                            card.addSuggestionsItem(CardBuilder.createSuggestionWithNote(card, results.getRequest(), fhirComponents, "Save Update To EHR", "Update original " + results.getRequest().fhirType() + " to add note", true, CoverageGuidance.CLINICAL));
                            response.addCard(card);
                        }
                        // add a card for an alternative therapy if there is one
                        if (results.getAlternativeTherapy().getApplies() && hookConfiguration.getAlternativeTherapy()) {
                            try {
                                response.addCard(CardBuilder.alternativeTherapyCard(results.getAlternativeTherapy(), results.getRequest(), fhirComponents));
                            } catch (RuntimeException e) {
                                logger.warn("Failed to process alternative therapy: " + e.getMessage());
                            }
                        }
                    } else {
                        logger.warn("Unspecified Questionnaire URI; summary card sent to client");
                        response.addCard(CardBuilder.transform(CardTypes.COVERAGE, results));
                    }
                } else {
                    // no prior auth or documentation required
                    logger.info("Add the no doc or prior auth required card");
                    Card card = CardBuilder.transform(CardTypes.COVERAGE, results);
                    card.addSuggestionsItem(CardBuilder.createSuggestionWithNote(card, results.getRequest(), fhirComponents, "Save Update To EHR", "Update original " + results.getRequest().fhirType() + " to add note", true, CoverageGuidance.COVERED));
                    card.setSelectionBehavior(Card.SelectionBehaviorEnum.ANY);
                    response.addCard(card);
                }
            }
            // apply the DrugInteractions
            if (results.getDrugInteraction().getApplies()) {
                response.addCard(CardBuilder.drugInteractionCard(results.getDrugInteraction(), results.getRequest()));
            }
        }
    }
    // CQL Executed
    requestLog.advanceTimeline(requestService);
    if (errorCardOnEmpty) {
        if (!foundApplicableRule) {
            String msg = "No documentation rules found";
            logger.warn(msg + "; summary card sent to client");
            response.addCard(CardBuilder.summaryCard(CardTypes.COVERAGE, msg));
        }
        CardBuilder.errorCardIfNonePresent(CardTypes.COVERAGE, response);
    }
    // Ading card to requestLog
    requestLog.setCardListFromCards(response.getCards());
    requestService.edit(requestLog);
    return response;
}

Example 3 with CoverageRequirementRuleResult

use of org.hl7.davinci.endpoint.rules.CoverageRequirementRuleResult in project CRD by HL7-DaVinci.

the class FhirBundleProcessor method buildExecutionContexts.

private void buildExecutionContexts(List<CoverageRequirementRuleCriteria> criteriaList, HashMap<String, Resource> cqlParams) {
    for (CoverageRequirementRuleCriteria criteria : criteriaList) {
        logger.info("FhirBundleProcessor::buildExecutionContexts() criteria: " + criteria.toString());
        List<RuleMapping> rules = fileStore.findRules(criteria);
        for (RuleMapping rule : rules) {
            CoverageRequirementRuleResult result = new CoverageRequirementRuleResult();
            result.setCriteria(criteria).setTopic(rule.getTopic());
            try {
                logger.info("FhirBundleProcessor::buildExecutionContexts() found rule topic: " + rule.getTopic());
                // get the CqlRule
                CqlRule cqlRule = fileStore.getCqlRule(rule.getTopic(), rule.getFhirVersion());
                result.setContext(CqlExecutionContextBuilder.getExecutionContext(cqlRule, cqlParams, baseUrl));
                results.add(result);
            } catch (Exception e) {
                logger.info("r4/FhirBundleProcessor::buildExecutionContexts: failed processing cql bundle: " + e.getMessage());
            }
        }
    }
}

Example 4 with CoverageRequirementRuleResult

use of org.hl7.davinci.endpoint.rules.CoverageRequirementRuleResult in project CRD by HL7-DaVinci.

the class OrderSignService method createCqlExecutionContexts.

@Override
public List<CoverageRequirementRuleResult> createCqlExecutionContexts(OrderSignRequest orderSignRequest, FileStore fileStore, String baseUrl) {
    FhirBundleProcessor fhirBundleProcessor = new FhirBundleProcessor(fileStore, baseUrl);
    CrdPrefetch prefetch = orderSignRequest.getPrefetch();
    fhirBundleProcessor.processDeviceRequests(prefetch.getDeviceRequestBundle());
    fhirBundleProcessor.processMedicationRequests(prefetch.getMedicationRequestBundle());
    fhirBundleProcessor.processServiceRequests(prefetch.getServiceRequestBundle());
    fhirBundleProcessor.processMedicationDispenses(prefetch.getMedicationDispenseBundle());
    List<CoverageRequirementRuleResult> results = fhirBundleProcessor.getResults();
    if (results.isEmpty()) {
        throw RequestIncompleteException.NoSupportedBundlesFound();
    }
    return results;
}

Example 5 with CoverageRequirementRuleResult

use of org.hl7.davinci.endpoint.rules.CoverageRequirementRuleResult in project CRD by HL7-DaVinci.

the class QuestionnairePackageOperation method createTopicList.

private List<String> createTopicList(FhirBundleProcessor fhirBundleProcessor) {
    List<String> topics = new ArrayList<>();
    List<CoverageRequirementRuleResult> results = fhirBundleProcessor.getResults();
    for (CoverageRequirementRuleResult result : results) {
        // add topic to the list if not already contained
        if (!topics.contains(result.getTopic())) {
            topics.add(result.getTopic());
        }
    }
    return topics;
}