use of org.hl7.fhir.dstu2.model.DateType in project beneficiary-fhir-data by CMSgov.
the class HHAClaimTransformerV2Test method shouldHaveClaimReceivedDateSupInfo.
@Test
public void shouldHaveClaimReceivedDateSupInfo() {
SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("clmrecvddate", eob.getSupportingInfo());
SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
sic.getSequence(), // Category
Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType", "clmrecvddate", "Claim Received Date"), new Coding("https://bluebutton.cms.gov/resources/codesystem/information", "https://bluebutton.cms.gov/resources/variables/nch_wkly_proc_dt", "NCH Weekly Claim Processing Date"))).setTiming(new DateType("2015-11-06"));
assertTrue(compare.equalsDeep(sic));
}
use of org.hl7.fhir.dstu2.model.DateType in project beneficiary-fhir-data by CMSgov.
the class BeneficiaryTransformerV2Test method shouldHaveReferenceYearExtension.
/**
* test to verify that {@link gov.cms.bfd.server.war.r4.providers.BeneficiaryTransformerV2}
* hanldes patient reference year extension.
*/
@Test
public void shouldHaveReferenceYearExtension() {
Extension ex = TransformerTestUtilsV2.findExtensionByUrl("https://bluebutton.cms.gov/resources/variables/rfrnc_yr", patient.getExtension());
DateType yearValue = null;
try {
Date dt = new SimpleDateFormat("yyyy-MM-dd").parse("2018-01-01");
yearValue = new DateType(dt, TemporalPrecisionEnum.YEAR);
} catch (Exception e) {
}
Extension compare = new Extension().setValue(yearValue).setUrl("https://bluebutton.cms.gov/resources/variables/rfrnc_yr");
assertTrue(compare.equalsDeep(ex));
}
use of org.hl7.fhir.dstu2.model.DateType in project beneficiary-fhir-data by CMSgov.
the class PartDEventTransformerV2 method transformClaim.
/**
* @param claimGroup the CCW {@link PartDEvent} to transform
* @return a FHIR {@link ExplanationOfBenefit} resource that represents the specified {@link
* PartDEvent}
*/
private static ExplanationOfBenefit transformClaim(PartDEvent claimGroup) {
ExplanationOfBenefit eob = new ExplanationOfBenefit();
eob.getMeta().addProfile(ProfileConstants.C4BB_EOB_PHARMACY_PROFILE_URL);
// Common group level fields between all claim types
// Claim Type + Claim ID
// => ExplanationOfBenefit.id
// PDE_ID => ExplanationOfBenefit.identifier
// CLM_GRP_ID => ExplanationOfBenefit.identifier
// BENE_ID + Coverage Type
// => ExplanationOfBenefit.insurance.coverage (reference)
// BENE_ID => ExplanationOfBenefit.patient (reference)
// FINAL_ACTION => ExplanationOfBenefit.status
// SRVC_DT => ExplanationOfBenefit.billablePeriod.start
// SRVC_DT => ExplanationOfBenefit.billablePeriod.end
TransformerUtilsV2.mapEobCommonClaimHeaderData(eob, claimGroup.getEventId(), claimGroup.getBeneficiaryId(), ClaimTypeV2.PDE, claimGroup.getClaimGroupId().toPlainString(), MedicareSegment.PART_D, Optional.of(claimGroup.getPrescriptionFillDate()), Optional.of(claimGroup.getPrescriptionFillDate()), Optional.empty(), claimGroup.getFinalAction());
// RX_SRVC_RFRNC_NUM => ExplanationOfBenefit.identifier
eob.addIdentifier(TransformerUtilsV2.createClaimIdentifier(CcwCodebookVariable.RX_SRVC_RFRNC_NUM, claimGroup.getPrescriptionReferenceNumber().toPlainString()));
// map eob type codes into FHIR
// EOB Type => ExplanationOfBenefit.type.coding
// Claim Type (pharmacy) => ExplanationOfBenefit.type.coding
TransformerUtilsV2.mapEobType(eob, ClaimTypeV2.PDE, Optional.empty(), Optional.empty());
// Coverage object is not optional, and we want to add extensions to it. This is safe.
// PLAN_CNTRCT_REC_ID => ExplanationOfBenefit.insurance.coverage.extension
eob.getInsuranceFirstRep().getCoverage().addExtension(TransformerUtilsV2.createExtensionIdentifier(CcwCodebookVariable.PLAN_CNTRCT_REC_ID, claimGroup.getPlanContractId()));
// PLAN_PBP_REC_NUM => ExplanationOfBenefit.insurance.coverage.extension
eob.getInsuranceFirstRep().getCoverage().addExtension(TransformerUtilsV2.createExtensionIdentifier(CcwCodebookVariable.PLAN_PBP_REC_NUM, claimGroup.getPlanBenefitPackageId()));
// PD_DT => ExplanationOfBenefit.payment.date
if (claimGroup.getPaymentDate().isPresent()) {
eob.getPayment().setDate(TransformerUtilsV2.convertToDate(claimGroup.getPaymentDate().get()));
}
ItemComponent rxItem = eob.addItem();
// 1 => ExplanationOfBenefit.item.sequence
rxItem.setSequence(1);
// CMPND_CD => ExplanationOfBenefit.item.programCode
switch(claimGroup.getCompoundCode()) {
// COMPOUNDED
case 2:
/* Pharmacy dispense invoice for a compound */
TransformerUtilsV2.addInformationSlice(eob, C4BBSupportingInfoType.COMPOUND_CODE).setCode(new CodeableConcept().addCoding(new Coding().setSystem(V3ActCode.RXCINV.getSystem()).setCode(V3ActCode.RXCINV.toCode()).setDisplay(V3ActCode.RXCINV.getDisplay())));
break;
// NOT_COMPOUNDED
case 1:
/*
* Pharmacy dispense invoice not involving a compound
*/
TransformerUtilsV2.addInformationSlice(eob, C4BBSupportingInfoType.COMPOUND_CODE).setCode(new CodeableConcept().addCoding(new Coding().setSystem(V3ActCode.RXDINV.getSystem()).setCode(V3ActCode.RXDINV.toCode()).setDisplay(V3ActCode.RXDINV.getDisplay())));
break;
// NOT_SPECIFIED
case 0:
/*
* Pharmacy dispense invoice not specified - do not set a value
*/
break;
default:
/*
* Unexpected value encountered - compound code should be either
* compounded or not compounded.
*/
throw new InvalidRifValueException("Unexpected value encountered - compound code should be either compounded or not compounded: " + claimGroup.getCompoundCode());
}
// SRVC_DT => ExplanationOfBenefit.item.servicedDate
rxItem.setServiced(new DateType().setValue(TransformerUtilsV2.convertToDate(claimGroup.getPrescriptionFillDate())));
/*
* Create an adjudication for either CVRD_D_PLAN_PD_AMT or NCVRD_PLAN_PD_AMT,
* depending on the value of DRUG_CVRG_STUS_CD. Stick DRUG_CVRG_STUS_CD into the
* adjudication.reason field. CARING Slicing and CARING Adjudication Value Sets.
*/
if (claimGroup.getDrugCoverageStatusCode() == 'C') {
// CVRD_D_PLAN_PD_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.CVRD_D_PLAN_PD_AMT, C4BBAdjudication.BENEFIT, claimGroup.getPartDPlanCoveredPaidAmount()));
} else {
// NCVRD_PLAN_PD_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.CVRD_D_PLAN_PD_AMT, C4BBAdjudication.NONCOVERED, claimGroup.getPartDPlanNonCoveredPaidAmount()));
}
// GDC_BLW_OOPT_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.GDC_BLW_OOPT_AMT, C4BBAdjudication.COINSURANCE, claimGroup.getGrossCostBelowOutOfPocketThreshold()));
// GDC_ABV_OOPT_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.GDC_ABV_OOPT_AMT, C4BBAdjudication.COINSURANCE, claimGroup.getGrossCostAboveOutOfPocketThreshold()));
// PTNT_PAY_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.PTNT_PAY_AMT, C4BBAdjudication.PAID_BY_PATIENT, claimGroup.getPatientPaidAmount()));
// OTHR_TROOP_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.OTHR_TROOP_AMT, C4BBAdjudication.PRIOR_PAYER_PAID, claimGroup.getOtherTrueOutOfPocketPaidAmount()));
// LICS_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.LICS_AMT, C4BBAdjudication.DISCOUNT, claimGroup.getLowIncomeSubsidyPaidAmount()));
// PLRO_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.PLRO_AMT, C4BBAdjudication.PRIOR_PAYER_PAID, claimGroup.getPatientLiabilityReductionOtherPaidAmount()));
// TOT_RX_CST_AMT => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.TOT_RX_CST_AMT, C4BBAdjudication.DRUG_COST, claimGroup.getTotalPrescriptionCost()));
// RPTD_GAP_DSCNT_NUM => ExplanationOfBenefit.item.adjudication.amount
TransformerUtilsV2.addAdjudication(rxItem, TransformerUtilsV2.createAdjudicationAmtSlice(CcwCodebookVariable.RPTD_GAP_DSCNT_NUM, C4BBAdjudication.DISCOUNT, claimGroup.getGapDiscountAmount()));
// Validate PRESCRBR_ID
if (claimGroup.getPrescriberIdQualifierCode() == null || !claimGroup.getPrescriberIdQualifierCode().equalsIgnoreCase("01")) {
throw new InvalidRifValueException("Prescriber ID Qualifier Code is invalid: " + claimGroup.getPrescriberIdQualifierCode());
}
// PRSCRBR_ID => ExplanationOfBenefit.careTeam.provider
TransformerUtilsV2.addCareTeamMember(eob, rxItem, C4BBPractitionerIdentifierType.NPI, C4BBClaimPharmacyTeamRole.PRESCRIBING, Optional.ofNullable(claimGroup.getPrescriberId()));
// This can't use TransformerUtilsV2.addNationalDrugCode because it maps differently
// PROD_SRVC_ID => ExplanationOfBenefit.item.productOrService
rxItem.setProductOrService(TransformerUtilsV2.createCodeableConcept(TransformerConstants.CODING_NDC, null, TransformerUtilsV2.retrieveFDADrugCodeDisplay(claimGroup.getNationalDrugCode()), claimGroup.getNationalDrugCode()));
// QTY_DSPNSD_NUM => ExplanationOfBenefit.item.quantity
rxItem.setQuantity(new SimpleQuantity().setValue(claimGroup.getQuantityDispensed()));
// FILL_NUM => ExplanationOfBenefit.item.quantity.extension
TransformerUtilsV2.addInformationSlice(eob, C4BBSupportingInfoType.REFILL_NUM).setValue(new SimpleQuantity().setValue(claimGroup.getFillNumber()));
// DAYS_SUPLY_NUM => ExplanationOfBenefit.item.quantity.extension
TransformerUtilsV2.addInformationSlice(eob, C4BBSupportingInfoType.DAYS_SUPPLY).setValue(new SimpleQuantity().setValue(claimGroup.getDaysSupply()));
/*
* This chart is to display the different code values for the different service provider id qualifier
* codes below
* Code Code value
* 01 National Provider Identifier (NPI)
* 06 Unique Physician Identification Number (UPIN)
* 07 National Council for Prescription Drug Programs (NCPDP) provider identifier
* 08 State license number
* 11 Federal tax number
* 99 Other
*/
C4BBOrganizationIdentifierType identifierType;
if (!claimGroup.getServiceProviderId().isEmpty()) {
switch(claimGroup.getServiceProviderIdQualiferCode()) {
case "01":
identifierType = C4BBOrganizationIdentifierType.NPI;
break;
case "06":
identifierType = C4BBOrganizationIdentifierType.UPIN;
break;
case "07":
identifierType = C4BBOrganizationIdentifierType.NCPDP;
break;
case "08":
identifierType = C4BBOrganizationIdentifierType.SL;
break;
case "11":
identifierType = C4BBOrganizationIdentifierType.TAX;
break;
default:
identifierType = null;
break;
}
// SRVC_PRVDR_ID => ExplanationOfBenefit.facility
if (identifierType != null) {
eob.setFacility(TransformerUtilsV2.createIdentifierReference(identifierType, claimGroup.getServiceProviderId()));
}
}
/*
* Storing code values in EOB.information below
*/
// DRUG_CVRG_STUS_CD => ExplanationOfBenefit.supportingInfo.code
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.DRUG_CVRG_STUS_CD, CcwCodebookVariable.DRUG_CVRG_STUS_CD, claimGroup.getDrugCoverageStatusCode());
// DAW_PROD_SLCTN_CD => ExplanationOfBenefit.supportingInfo.code
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.DAW_PROD_SLCTN_CD, CcwCodebookVariable.DAW_PROD_SLCTN_CD, claimGroup.getDispenseAsWrittenProductSelectionCode());
// DAW_PROD_SLCTN_CD => ExplanationOfBenefit.supportingInfo.code
if (claimGroup.getDispensingStatusCode().isPresent()) {
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.DSPNSNG_STUS_CD, CcwCodebookVariable.DSPNSNG_STUS_CD, claimGroup.getDispensingStatusCode());
}
// DRUG_CVRG_STUS_CD => ExplanationOfBenefit.supportingInfo.code
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.DRUG_CVRG_STUS_CD, CcwCodebookVariable.DRUG_CVRG_STUS_CD, claimGroup.getDrugCoverageStatusCode());
// ADJSTMT_DLTN_CD => => ExplanationOfBenefit.supportingInfo.code
if (claimGroup.getAdjustmentDeletionCode().isPresent()) {
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.ADJSTMT_DLTN_CD, CcwCodebookVariable.ADJSTMT_DLTN_CD, claimGroup.getAdjustmentDeletionCode());
}
// NSTD_FRMT_CD => ExplanationOfBenefit.supportingInfo.code
if (claimGroup.getNonstandardFormatCode().isPresent()) {
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.NSTD_FRMT_CD, CcwCodebookVariable.NSTD_FRMT_CD, claimGroup.getNonstandardFormatCode());
}
// PRCNG_EXCPTN_CD => ExplanationOfBenefit.supportingInfo.code
if (claimGroup.getPricingExceptionCode().isPresent()) {
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.PRCNG_EXCPTN_CD, CcwCodebookVariable.PRCNG_EXCPTN_CD, claimGroup.getPricingExceptionCode());
}
// CTSTRPHC_CVRG_CD => ExplanationOfBenefit.supportingInfo.code
if (claimGroup.getCatastrophicCoverageCode().isPresent()) {
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.CTSTRPHC_CVRG_CD, CcwCodebookVariable.CTSTRPHC_CVRG_CD, claimGroup.getCatastrophicCoverageCode());
}
// RX_ORGN_CD => ExplanationOfBenefit.supportingInfo:rxorigincode
TransformerUtilsV2.addInformationSliceWithCode(eob, C4BBSupportingInfoType.RX_ORIGIN_CODE, CcwCodebookVariable.RX_ORGN_CD, CcwCodebookVariable.RX_ORGN_CD, claimGroup.getPrescriptionOriginationCode());
// BRND_GNRC_CD => ExplanationOfBenefit.supportingInfo:brandgenericcode
TransformerUtilsV2.addInformationSliceWithCode(eob, C4BBSupportingInfoType.BRAND_GENERIC_CODE, CcwCodebookVariable.BRND_GNRC_CD, CcwCodebookVariable.BRND_GNRC_CD, claimGroup.getBrandGenericCode());
// PHRMCY_SRVC_TYPE_CD => ExplanationOfBenefit.facility.extension
eob.getFacility().addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.PHRMCY_SRVC_TYPE_CD, claimGroup.getPharmacyTypeCode()));
// PTNT_RSDNC_CD => ExplanationOfBenefit.supportingInfo.code
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.PTNT_RSDNC_CD, CcwCodebookVariable.PTNT_RSDNC_CD, claimGroup.getPatientResidenceCode());
// SUBMSN_CLR_CD => ExplanationOfBenefit.supportingInfo.code
if (claimGroup.getSubmissionClarificationCode().isPresent()) {
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.SUBMSN_CLR_CD, CcwCodebookVariable.SUBMSN_CLR_CD, claimGroup.getSubmissionClarificationCode());
}
// Last Updated => ExplanationOfBenefit.meta.lastUpdated
TransformerUtilsV2.setLastUpdated(eob, claimGroup.getLastUpdated());
return eob;
}
use of org.hl7.fhir.dstu2.model.DateType in project beneficiary-fhir-data by CMSgov.
the class SNFClaimTransformerV2Test method shouldHaveNchBeneMdcrBnftsExhtdDtISupInfo.
@Test
public void shouldHaveNchBeneMdcrBnftsExhtdDtISupInfo() {
SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("https://bluebutton.cms.gov/resources/variables/nch_bene_mdcr_bnfts_exhtd_dt_i", eob.getSupportingInfo());
SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
sic.getSequence(), // Category
Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/claiminformationcategory", "info", "Information"), new Coding("https://bluebutton.cms.gov/resources/codesystem/information", "https://bluebutton.cms.gov/resources/variables/nch_bene_mdcr_bnfts_exhtd_dt_i", "NCH Beneficiary Medicare Benefits Exhausted Date"))).setTiming(new DateType("2002-01-31"));
assertTrue(compare.equalsDeep(sic));
}
use of org.hl7.fhir.dstu2.model.DateType in project quality-measure-and-cohort-service by Alvearie.
the class CohortCLITest method testMainMultipleResultTypes.
@Test
public void testMainMultipleResultTypes() throws Exception {
FhirServerConfig fhirConfig = getFhirServerConfig();
mockFhirResourceRetrieval("/metadata?_format=json", getCapabilityStatement());
Patient patient = getPatient("123", Enumerations.AdministrativeGender.FEMALE, "1978-05-06");
patient.setMaritalStatus(new CodeableConcept(new Coding("http://hl7.org/fhir/ValueSet/marital-status", "M", "Married")));
mockFhirResourceRetrieval(patient);
Condition condition = new Condition();
condition.setSubject(new Reference(patient.getId()));
condition.setCode(new CodeableConcept(new Coding("http://snomed.com/snomed/2020", "1234", "Dummy")));
mockFhirResourceRetrieval("/Condition?code%3Ain=http%3A%2F%2Fsome.io%2Fcondition&subject=Patient%2F" + patient.getId() + "&_count=500&_format=json", condition);
File tmpFile = new File("target/fhir-stub.json");
ObjectMapper om = new ObjectMapper();
try (Writer w = new FileWriter(tmpFile)) {
w.write(om.writeValueAsString(fhirConfig));
}
try {
PrintStream originalOut = System.out;
ByteArrayOutputStream baos = new ByteArrayOutputStream();
try (PrintStream captureOut = new PrintStream(baos)) {
System.setOut(captureOut);
CohortCLI.main(new String[] { "-d", tmpFile.getAbsolutePath(), "-f", "src/test/resources/cql/result-types", "-l", "test_result_types", "-c", patient.getId(), "--enable-terminology-optimization", "--search-page-size", "500" });
} finally {
System.setOut(originalOut);
}
String output = new String(baos.toByteArray());
assertTrue(output.contains("Collection: 1"));
assertTrue(output.contains("Patient/123"));
assertTrue(output.contains("false"));
assertTrue(output.contains("DateType[1978-05-06]"));
assertTrue(output.contains("Enumeration[female]"));
String[] lines = output.split("\r?\n");
assertEquals(output, 9, lines.length);
System.out.println(output);
} finally {
tmpFile.delete();
}
}
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