Search in sources :

Example 81 with CodeableConcept

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

the class SamhsaMatcherR4FromClaimTransformerV2Test method verifySamhsaMatcherForDiagnosisIcd.

/**
 * Verify SAMHSA matcher for ICD item with the given system, code and if the expectation is that
 * there should be a match for this combination.
 *
 * @param system the system value
 * @param code the code
 * @param shouldMatch if the matcher should match on this combination
 */
private void verifySamhsaMatcherForDiagnosisIcd(String system, String code, boolean shouldMatch, ExplanationOfBenefit explanationOfBenefit) {
    ExplanationOfBenefit modifiedEob = explanationOfBenefit.copy();
    // Set diagnosis
    for (ExplanationOfBenefit.DiagnosisComponent diagnosisComponent : modifiedEob.getDiagnosis()) {
        CodeableConcept codeableConcept = diagnosisComponent.getDiagnosisCodeableConcept();
        ArrayList<Coding> codingList = new ArrayList<>();
        codingList.add(new Coding().setSystem(system).setCode(code));
        codeableConcept.setCoding(codingList);
        diagnosisComponent.setPackageCode(null);
    }
    // Set procedure to empty so we dont check it for matches
    for (ExplanationOfBenefit.ProcedureComponent diagnosisComponent : modifiedEob.getProcedure()) {
        CodeableConcept codeableConcept = diagnosisComponent.getProcedureCodeableConcept();
        ArrayList<Coding> codingList = new ArrayList<>();
        codeableConcept.setCoding(codingList);
    }
    // Set item coding to non-SAMHSA so we dont check it for matches
    List<Coding> codings = new ArrayList<>();
    Coding coding = new Coding();
    coding.setSystem(TransformerConstants.CODING_SYSTEM_HCPCS);
    coding.setCode(NON_SAMHSA_HCPCS_CODE);
    codings.add(coding);
    modifiedEob.getItem().get(0).getProductOrService().setCoding(codings);
    assertEquals(shouldMatch, samhsaMatcherV2.test(modifiedEob));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) ArrayList(java.util.ArrayList) ExplanationOfBenefit(org.hl7.fhir.r4.model.ExplanationOfBenefit) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept)

Example 82 with CodeableConcept

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

the class SamhsaMatcherR4FromClaimTransformerV2Test method verifySamhsaMatcherForProcedureIcd.

/**
 * Verify SAMHSA matcher for ICD item with the given system, code and if the expectation is that
 * there should be a match for this combination.
 *
 * @param system the system value
 * @param code the code
 * @param shouldMatch if the matcher should match on this combination
 */
private void verifySamhsaMatcherForProcedureIcd(String system, String code, boolean shouldMatch, ExplanationOfBenefit explanationOfBenefit) {
    ExplanationOfBenefit modifiedEob = explanationOfBenefit.copy();
    // Set diagnosis to empty so we dont check it for matches
    for (ExplanationOfBenefit.DiagnosisComponent diagnosisComponent : modifiedEob.getDiagnosis()) {
        CodeableConcept codeableConcept = diagnosisComponent.getDiagnosisCodeableConcept();
        ArrayList<Coding> codingList = new ArrayList<>();
        codeableConcept.setCoding(codingList);
        diagnosisComponent.setPackageCode(null);
    }
    // Set procedure
    for (ExplanationOfBenefit.ProcedureComponent diagnosisComponent : modifiedEob.getProcedure()) {
        CodeableConcept codeableConcept = diagnosisComponent.getProcedureCodeableConcept();
        ArrayList<Coding> codingList = new ArrayList<>();
        codingList.add(new Coding().setSystem(system).setCode(code));
        codeableConcept.setCoding(codingList);
    }
    // Set item coding to non-SAMHSA so we dont check it for matches
    List<Coding> codings = new ArrayList<>();
    Coding coding = new Coding();
    coding.setSystem(TransformerConstants.CODING_SYSTEM_HCPCS);
    coding.setCode(NON_SAMHSA_HCPCS_CODE);
    codings.add(coding);
    modifiedEob.getItem().get(0).getProductOrService().setCoding(codings);
    assertEquals(shouldMatch, samhsaMatcherV2.test(modifiedEob));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) ArrayList(java.util.ArrayList) ExplanationOfBenefit(org.hl7.fhir.r4.model.ExplanationOfBenefit) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept)

Example 83 with CodeableConcept

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

the class TransformerUtilsV2Test method mapEobCommonItemRevenueStatusCodeWhenStatusCodeDoesNotExistExpectNoExtensionOnItem.

/**
 * Verifies the item revenue status code is not mapped to an extension when the revenue status
 * code field is not present (empty optional).
 */
@Test
public void mapEobCommonItemRevenueStatusCodeWhenStatusCodeDoesNotExistExpectNoExtensionOnItem() {
    ExplanationOfBenefit eob = new ExplanationOfBenefit();
    ExplanationOfBenefit.ItemComponent item = new ExplanationOfBenefit.ItemComponent();
    eob.addItem(item);
    CodeableConcept revenue = new CodeableConcept();
    item.setRevenue(revenue);
    Optional<String> statusCode = Optional.empty();
    TransformerUtilsV2.mapEobCommonItemRevenueStatusCode(item, eob, statusCode);
    assertNotNull(item);
    assertNotNull(item.getRevenue());
    assertNotNull(item);
    assertNotNull(item.getRevenue());
    assertNotNull(item.getRevenue().getExtension());
    assertEquals(0, item.getRevenue().getExtension().size());
}
Also used : ExplanationOfBenefit(org.hl7.fhir.r4.model.ExplanationOfBenefit) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 84 with CodeableConcept

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

the class TransformerUtilsTest method createCodeableConcept_display.

/**
 * Verifies that {@link
 * gov.cms.bfd.server.war.stu3.providers.TransformerUtils#createCodeableConcept(org.hl7.fhir.instance.model.api.IAnyResource,
 * CcwCodebookVariable, String)} sets {@link Coding#getDisplay()} correctly.
 */
@Test
public void createCodeableConcept_display() {
    Patient patientA = new Patient();
    patientA.setId("12345");
    CodeableConcept raceConcept_4 = TransformerUtils.createCodeableConcept(patientA, CcwCodebookVariable.RACE, "4");
    assertEquals("Asian", raceConcept_4.getCodingFirstRep().getDisplay());
    // This code isn't valid and shouldn't end up with a matching display.
    CodeableConcept raceConcept_12 = TransformerUtils.createCodeableConcept(patientA, CcwCodebookVariable.RACE, "12");
    assertNull(raceConcept_12.getCodingFirstRep().getDisplay());
    /*
     * The REV_CNTR_PMT_MTHD_IND_CD Variable has value collisions. Verify that those
     * are handled correctly.
     */
    CodeableConcept paymentMethodConcept_1 = TransformerUtils.createCodeableConcept(patientA, CcwCodebookVariable.REV_CNTR_PMT_MTHD_IND_CD, "1");
    assertNull(paymentMethodConcept_1.getCodingFirstRep().getDisplay());
}
Also used : Patient(org.hl7.fhir.dstu3.model.Patient) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 85 with CodeableConcept

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

the class SamhsaMatcherFromClaimTransformerTest method verifySamhsaMatcherForProcedureIcd.

/**
 * Verify SAMHSA matcher for ICD item with the given system, code and if the expectation is that
 * there should be a match for this combination.
 *
 * @param system the system value
 * @param code the code
 * @param shouldMatch if the matcher should match on this combination
 */
private void verifySamhsaMatcherForProcedureIcd(String system, String code, boolean shouldMatch, ExplanationOfBenefit explanationOfBenefit) {
    ExplanationOfBenefit modifiedEob = explanationOfBenefit.copy();
    // Set diagnosis to empty so we dont check it for matches
    for (ExplanationOfBenefit.DiagnosisComponent diagnosisComponent : modifiedEob.getDiagnosis()) {
        CodeableConcept codeableConcept = diagnosisComponent.getDiagnosisCodeableConcept();
        ArrayList<Coding> codingList = new ArrayList<>();
        if (codeableConcept != null) {
            codeableConcept.setCoding(codingList);
            diagnosisComponent.setPackageCode(null);
        }
    }
    // Set procedure
    for (ExplanationOfBenefit.ProcedureComponent diagnosisComponent : modifiedEob.getProcedure()) {
        CodeableConcept codeableConcept = diagnosisComponent.getProcedureCodeableConcept();
        ArrayList<Coding> codingList = new ArrayList<>();
        codingList.add(new Coding().setSystem(system).setCode(code));
        codeableConcept.setCoding(codingList);
    }
    // Set item coding to non-SAMHSA so we dont check it for matches
    List<Coding> codings = new ArrayList<>();
    Coding coding = new Coding();
    coding.setSystem(TransformerConstants.CODING_SYSTEM_HCPCS);
    coding.setCode(NON_SAMHSA_HCPCS_CODE);
    codings.add(coding);
    modifiedEob.getItem().get(0).getService().setCoding(codings);
    assertEquals(shouldMatch, samhsaMatcher.test(modifiedEob));
}
Also used : Coding(org.hl7.fhir.dstu3.model.Coding) ArrayList(java.util.ArrayList) ExplanationOfBenefit(org.hl7.fhir.dstu3.model.ExplanationOfBenefit) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept)

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