Examples with org.hl7.elm.r1 org.hl7.elm.r1 used on opensource projects

Example 1 with org.hl7.elm.r1

use of org.hl7.elm.r1 in project beneficiary-fhir-data by CMSgov.

the class TransformerUtilsV2 method mapEobType.

/**
 * maps a blue button claim type to a FHIR claim type
 *
 * @param eob the {@link CodeableConcept} that will get remapped
 * @param blueButtonClaimType the blue button {@link ClaimTypeV2} we are mapping from
 * @param ccwNearLineRecordIdCode if present, the blue button near line id code {@link
 *     Optional}<{@link Character}> gets remapped to a ccw record id code
 * @param ccwClaimTypeCode if present, the blue button claim type code {@link Optional}<{@link
 *     String}> gets remapped to a nch claim type code
 */
static void mapEobType(ExplanationOfBenefit eob, ClaimTypeV2 blueButtonClaimType, Optional<Character> ccwNearLineRecordIdCode, Optional<String> ccwClaimTypeCode) {
    // NCH_CLM_TYPE_CD => ExplanationOfBenefit.type.coding
    if (ccwClaimTypeCode.isPresent()) {
        eob.getType().addCoding(createCoding(eob, CcwCodebookVariable.NCH_CLM_TYPE_CD, ccwClaimTypeCode));
    }
    // This Coding MUST always be present as it's the only one we can definitely map
    // for all 8 of our claim types.
    // EOB Type => ExplanationOfBenefit.type.coding
    eob.getType().addCoding().setSystem(TransformerConstants.CODING_SYSTEM_BBAPI_EOB_TYPE).setCode(blueButtonClaimType.name());
    // Map a Coding for FHIR's ClaimType coding system, if we can.
    org.hl7.fhir.r4.model.codesystems.ClaimType fhirClaimType;
    switch(blueButtonClaimType) {
        case PDE:
            fhirClaimType = org.hl7.fhir.r4.model.codesystems.ClaimType.PHARMACY;
            break;
        case INPATIENT:
        case OUTPATIENT:
        case HOSPICE:
        case SNF:
        case DME:
            fhirClaimType = org.hl7.fhir.r4.model.codesystems.ClaimType.INSTITUTIONAL;
            break;
        case CARRIER:
        case HHA:
            fhirClaimType = org.hl7.fhir.r4.model.codesystems.ClaimType.PROFESSIONAL;
            break;
        default:
            // All options on ClaimTypeV2 are covered above, but this is there to appease linter
            throw new BadCodeMonkeyException("No match found for ClaimTypeV2");
    }
    // Claim Type => ExplanationOfBenefit.type.coding
    if (fhirClaimType != null) {
        eob.getType().addCoding(new Coding(fhirClaimType.getSystem(), fhirClaimType.toCode(), fhirClaimType.getDisplay()));
    }
    // NCH_NEAR_LINE_REC_IDENT_CD => ExplanationOfBenefit.extension
    if (ccwNearLineRecordIdCode.isPresent()) {
        eob.addExtension(createExtensionCoding(eob, CcwCodebookVariable.NCH_NEAR_LINE_REC_IDENT_CD, ccwNearLineRecordIdCode));
    }
}

Example 2 with org.hl7.elm.r1

use of org.hl7.elm.r1 in project beneficiary-fhir-data by CMSgov.

the class R4ExplanationOfBenefitResourceProviderIT method readEobForExistingInpatientClaim.

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

Example 3 with org.hl7.elm.r1

use of org.hl7.elm.r1 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 4 with org.hl7.elm.r1

use of org.hl7.elm.r1 in project beneficiary-fhir-data by CMSgov.

the class R4ExplanationOfBenefitResourceProviderIT method readEobForExistingHHAClaim.

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

Example 5 with org.hl7.elm.r1

use of org.hl7.elm.r1 in project beneficiary-fhir-data by CMSgov.

the class R4ExplanationOfBenefitResourceProviderIT method readEobForExistingDMEClaim.

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