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Example 46 with CodeableConcept

use of org.hl7.fhir.dstu2.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class HHAClaimTransformerV2Test method shouldHaveLineItemRevenue.

@Test
public void shouldHaveLineItemRevenue() {
    CodeableConcept revenue = eob.getItemFirstRep().getRevenue();
    Coding code1 = revenue.getCoding().stream().filter(coding -> coding.getSystem().equals("https://bluebutton.cms.gov/resources/variables/rev_cntr")).findFirst().orElse(null);
    Coding code2 = revenue.getCoding().stream().filter(coding -> coding.getSystem().equals("https://www.nubc.org/CodeSystem/RevenueCodes")).findFirst().orElse(null);
    Coding code3 = revenue.getCoding().stream().filter(coding -> coding.getSystem().equals("https://bluebutton.cms.gov/resources/variables/rev_cntr_ddctbl_coinsrnc_cd")).findFirst().orElse(null);
    assertNotNull(code1, "Missing expected rev_cntr coding");
    assertEquals("0023", code1.getCode());
    assertEquals("Home Health services paid under PPS submitted as TOB 32X and 33X, effective 10/00. This code may appear multiple times on a claim to identify different HIPPS/Home Health Resource Groups (HRG).", code1.getDisplay());
    assertNotNull(code2, "Missing expected RevenueCodes coding");
    assertEquals("4", code2.getCode());
    assertNull(code2.getDisplay());
    assertNotNull(code3, "Missing expected rev_cntr_ddctbl_coinsrnc_cd coding");
    assertEquals("4", code3.getCode());
    assertEquals("No charge or units associated with this revenue center code. (For multiple HCPCS per single revenue center code) For revenue center code 0001, the following MSP override values may be present:", code3.getDisplay());
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 47 with CodeableConcept

use of org.hl7.fhir.dstu2.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class HHAClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntrNcrvdChrgAmt.

@Test
public void shouldHaveLineItemAdjudicationRevCntrNcrvdChrgAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_ncvrd_chrg_amt", eob.getItemFirstRep().getAdjudication());
    // Need to maintain trailing 0s in USD amount
    BigDecimal amt = new BigDecimal(24.00);
    amt = amt.setScale(2, RoundingMode.HALF_DOWN);
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "noncovered", "Noncovered"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_ncvrd_chrg_amt", "Revenue Center Non-Covered Charge Amount")))).setAmount(new Money().setValue(amt).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}
Also used : Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) BigDecimal(java.math.BigDecimal) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 48 with CodeableConcept

use of org.hl7.fhir.dstu2.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class HHAClaimTransformerV2Test method shouldHaveClmTotChrgAmtTotal.

@Test
public void shouldHaveClmTotChrgAmtTotal() {
    // Only one so just pull it directly and compare
    TotalComponent total = eob.getTotalFirstRep();
    TotalComponent compare = new TotalComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "submitted", "Submitted Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/clm_tot_chrg_amt", "Claim Total Charge Amount")))).setAmount(new Money().setValue(199.99).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(total));
}
Also used : TotalComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.TotalComponent) Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 49 with CodeableConcept

use of org.hl7.fhir.dstu2.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class HospiceClaimTransformerV2Test method shouldHaveTotalChargeAmtAdjudication.

@Test
public void shouldHaveTotalChargeAmtAdjudication() {
    // Only one so just pull it directly and compare
    TotalComponent total = eob.getTotalFirstRep();
    TotalComponent compare = new TotalComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "submitted", "Submitted Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/clm_tot_chrg_amt", "Claim Total Charge Amount")))).setAmount(new Money().setValueElement(new DecimalType("199.99")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(total));
}
Also used : TotalComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.TotalComponent) Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) DecimalType(org.hl7.fhir.r4.model.DecimalType) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 50 with CodeableConcept

use of org.hl7.fhir.dstu2.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class HospiceClaimTransformerV2Test method shouldHaveLineItemRevCenterTotalChargeAmtAdjudication.

@Test
public void shouldHaveLineItemRevCenterTotalChargeAmtAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_tot_chrg_amt", eob.getItemFirstRep().getAdjudication());
    assertNotNull(adjudication);
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "submitted", "Submitted Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_tot_chrg_amt", "Revenue Center Total Charge Amount")))).setAmount(new Money().setValueElement(new DecimalType("2555.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}
Also used : Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) DecimalType(org.hl7.fhir.r4.model.DecimalType) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Aggregations

CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)566 Coding (org.hl7.fhir.r4.model.Coding)368 Test (org.junit.jupiter.api.Test)260 Test (org.junit.Test)155 CodeableConcept (org.hl7.fhir.dstu3.model.CodeableConcept)152 ArrayList (java.util.ArrayList)126 Money (org.hl7.fhir.r4.model.Money)122 Coding (org.hl7.fhir.dstu3.model.Coding)71 Date (java.util.Date)70 AdjudicationComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent)67 Reference (org.hl7.fhir.r4.model.Reference)64 Identifier (org.hl7.fhir.r4.model.Identifier)61 BenefitComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent)60 BundleEntryComponent (org.hl7.fhir.r4.model.Bundle.BundleEntryComponent)50 CodeableConcept (org.hl7.fhir.r5.model.CodeableConcept)47 DecimalType (org.hl7.fhir.r4.model.DecimalType)44 Concept (org.openmrs.Concept)42 Extension (org.hl7.fhir.r4.model.Extension)38 Resource (org.hl7.fhir.r4.model.Resource)38 List (java.util.List)37