use of org.hl7.fhir.dstu2016may.model.Bundle.BundleEntryComponent in project hl7v2-fhir-converter by LinuxForHealth.
the class Hl7FinancialInsuranceTest method testBasicInsuranceCoverageFields.
// Suppress warnings about too many assertions in a test. Justification: creating a FHIR message is very costly; we need to check many asserts per creation for efficiency.
@java.lang.SuppressWarnings("squid:S5961")
@Test
void testBasicInsuranceCoverageFields() throws IOException {
// Tests fields listed below.
String hl7message = "MSH|^~\\&|||||20151008111200||DFT^P03^DFT_P03|MSGID000001|T|2.6|||||||||\n" + "EVN||20210407191342||||||\n" + "PID|||MR1^^^XYZ^MR||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1||I||||||||||||||||||||||||||||||||||||||||||\n" + // FT1.7 is required transaction code (currently not used)
"FT1||||20201231145045||CG|FAKE|||||||||||||||||||||||||||||||||||||\n" + // IN1.2.4, IN1.2.6 to second XV Coverage.identifier
"IN1|1|Value1^^System3^Value4^^System6" + // IN1.3.8 to Organization Identifier.period.end
"|IdValue1^^^IdSystem4^IdType5^^20201231145045^20211231145045" + // IN1.4 to Organization Name
"|Large Blue Organization" + // IN1.5 to Organization Address (All XAD standard fields)
"|456 Ultramarine Lane^^Faketown^CA^ZIP5" + // IN1.6.13 to Organization Contact Name .period.end
"|LastFake^FirstFake^MiddleFake^III^Dr.^^L^^^^^20201231145045^20211231145045" + // IN1.7.18 to Organization Contact telecom .rank
"|^WPN^^^^333^4444444^^^^^^20201231145045^20211231145045^^^^1" + // IN1.9.1 (2) to list element Coverage.class.name and value (because IN1.9.10 (2) does not exist)
"|UA34567|NameBlue^^^^^^^^^IDBlue~NameGreen||" + // IN1.35 to Organization.identifier
"|20201231145045|20211231145045|||||||||5|||||||||||||COMPANYPLANCODE35" + // IN1.49 has value to show that it is not used for Patient.identifier because NO relationship (IN1.17/IN2.72 empty)
"|MEMBER36||||||||||Value46|||PatientId49.1||||\n" + // IN2.61 is purposely empty (primary to IN1.36) so IN1.36 will be used as the MB Coverage.identifier
"IN2|||||||||||||||||||||||||IdValue25.1^^^IdSystem25.4^IdType25.5^^20201231145045^20211231145045|||||||||||||||||||||||||||||||||||||||||||" + // IN2.72 is purposely empty (backup to IN1.17) so no RelatedPerson is created.
"|Name69.1^^^^^IdSystem69.6^UNK^^^IdValue69.10||\n";
List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
List<Resource> encounters = ResourceUtils.getResourceList(e, ResourceType.Encounter);
// From PV1
assertThat(encounters).hasSize(1);
List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
// From PID
assertThat(patients).hasSize(1);
Patient patient = (Patient) patients.get(0);
String patientId = patient.getId();
// From PID.3
assertThat(patient.getIdentifier()).hasSize(1);
Identifier patientIdentifier = patient.getIdentifier().get(0);
// PID.3.1
assertThat(patientIdentifier.getValue()).isEqualTo("MR1");
// PID.3.4
assertThat(patientIdentifier.getSystem()).isEqualTo("urn:id:XYZ");
DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "MR", "Medical record number", "http://terminology.hl7.org/CodeSystem/v2-0203", // PID.3.5
null);
// IN1.49 not used
List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
// From IN1.3 creates Payor, IN2.25 to new PayorId Organization, IN2.69 creates new PolicyHolder Organization Name
assertThat(organizations).hasSize(3);
Organization org = (Organization) organizations.get(0);
// Check Payor Organization Id's
String payorOrgId = org.getId();
// IN1.17.1 (no TENANT) (Id's lowercased)
assertThat(payorOrgId).isEqualTo("Organization/idvalue1");
// IN1.4
assertThat(org.getName()).isEqualTo("Large Blue Organization");
assertThat(org.getIdentifier()).hasSize(2);
Identifier orgIdentifier = org.getIdentifier().get(0);
// IN1.3.1
assertThat(orgIdentifier.getValue()).isEqualTo("IdValue1");
// IN1.3.4
assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem4");
// IN1.3.7
assertThat(orgIdentifier.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
// IN1.3.8
assertThat(orgIdentifier.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
// IN1.3.5
DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "IdType5", null, null, null);
Identifier orgIdentifier1 = org.getIdentifier().get(1);
// IN1.35
assertThat(orgIdentifier1.getValue()).isEqualTo("COMPANYPLANCODE35");
// Check Payor Organization address. IN1.4 is a standard XAD address, which is tested exhaustively in other tests.
assertThat(org.getAddress()).hasSize(1);
assertThat(org.getAddress().get(0).getLine().get(0).getValueAsString()).isEqualTo(// IN1.4.1
"456 Ultramarine Lane");
// IN1.4.3
assertThat(org.getAddress().get(0).getCity()).isEqualTo("Faketown");
// IN1.4.4
assertThat(org.getAddress().get(0).getState()).isEqualTo("CA");
// IN1.4.5
assertThat(org.getAddress().get(0).getPostalCode()).isEqualTo("ZIP5");
// Check Payor Organization contact name. IN1.6 name is standard XPN, tested exhaustively in other tests.
HumanName contactName = org.getContact().get(0).getName();
assertThat(org.getContact()).hasSize(1);
// IN1.6.1
assertThat(contactName.getFamily()).isEqualTo("LastFake");
// IN1.6.2
assertThat(contactName.getGiven().get(0).getValueAsString()).isEqualTo("FirstFake");
// IN1.6.3
assertThat(contactName.getGiven().get(1).getValueAsString()).isEqualTo("MiddleFake");
// IN1.6.6
assertThat(contactName.getPrefixAsSingleString()).hasToString("Dr.");
// IN1.6.5
assertThat(contactName.getSuffixAsSingleString()).hasToString("III");
// from IN1.6 aggregate
assertThat(contactName.getText()).isEqualTo("Dr. FirstFake MiddleFake LastFake III");
// IN1.6.7
assertThat(contactName.getUseElement().getCode()).hasToString("official");
// IN1.6.12
assertThat(contactName.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
// IN1.6.13
assertThat(contactName.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
// Check there is no purpose. Don't need one, here.
assertThat(org.getContact().get(0).hasPurpose()).isFalse();
// Check Payor Organization contact telecom. IN1.7 is standard XTN, tested exhaustively in other tests.
assertThat(org.getContact().get(0).getTelecom()).hasSize(1);
// telecom is type ContactPoint
ContactPoint contactPoint = org.getContact().get(0).getTelecomFirstRep();
// default type hardcoded.
assertThat(contactPoint.getSystemElement().getCode()).hasToString("phone");
// IN1.7.2 is not mapped (ignored)
assertThat(contactPoint.hasUseElement()).isFalse();
// IN1.7.6, IN1.7.7 via getFormattedTelecomNumberValue
assertThat(contactPoint.getValue()).hasToString("(333) 444 4444");
// IN1.7.13
assertThat(contactPoint.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
// IN1.7.14
assertThat(contactPoint.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
// IN1.7.18
assertThat(contactPoint.getRank()).isEqualTo(1);
// Check PayorId Organization from IN2.25
org = (Organization) organizations.get(1);
String payorOrgIdIn25 = org.getId();
// IN1.25.1 (no TENANT) (Id's lowercased)
assertThat(payorOrgIdIn25).isEqualTo("Organization/idvalue25.1");
// IN2.25.1
assertThat(org.getName()).isEqualTo("IdValue25.1");
assertThat(org.getIdentifier()).hasSize(1);
orgIdentifier = org.getIdentifier().get(0);
// IN2.25.1
assertThat(orgIdentifier.getValue()).isEqualTo("IdValue25.1");
// IN2.25.4
assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem25.4");
// IN2.25.7
assertThat(orgIdentifier.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
// IN2.25.8
assertThat(orgIdentifier.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
// IN2.25.5
DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "IdType25.5", null, null, null);
// Check PolicyHolder Organization Name and ID Organization from IN2.69
org = (Organization) organizations.get(2);
String policyHolderOrgId = org.getId();
// IN2.69.1 (no TENANT) (Id's lowercased)
assertThat(policyHolderOrgId).isEqualTo("Organization/idvalue69.10");
// IN2.69.1
assertThat(org.getName()).isEqualTo("Name69.1");
assertThat(org.getIdentifier()).hasSize(1);
orgIdentifier = org.getIdentifier().get(0);
// IN2.69.10
assertThat(orgIdentifier.getValue()).isEqualTo("IdValue69.10");
// IN2.69.6
assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem69.6");
// Becuase the code is unknown, the 0203 table lookup fails, and the coding has just the code, no system
// IN2.69.7
DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "UNK", null, null, null);
List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
// From IN1 segment
assertThat(coverages).hasSize(1);
Coverage coverage = (Coverage) coverages.get(0);
// Confirm Coverage Identifiers - Order matches order of identifier_X in Coverage.yml
// XV, XV, XV, MB, SN; but not MA (IN2.8) nor MC (IN2.6)
assertThat(coverage.getIdentifier()).hasSize(5);
// IN1.2.1
assertThat(coverage.getIdentifier().get(0).getValue()).isEqualTo("Value1");
// IN1.2.3
assertThat(coverage.getIdentifier().get(0).getSystem()).isEqualTo("urn:id:System3");
// No use, here
assertThat(coverage.getIdentifier().get(0).getUse()).isNull();
DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(0).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
// IN1.2.4
assertThat(coverage.getIdentifier().get(1).getValue()).isEqualTo("Value4");
// IN1.2.6
assertThat(coverage.getIdentifier().get(1).getSystem()).isEqualTo("urn:id:System6");
// No use, here
assertThat(coverage.getIdentifier().get(1).getUse()).isNull();
DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(1).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
// IN1.46
assertThat(coverage.getIdentifier().get(2).getValue()).isEqualTo("Value46");
// No system, here
assertThat(coverage.getIdentifier().get(2).getSystem()).isNull();
// Use is enumeration "old"
assertThat(coverage.getIdentifier().get(2).getUseElement().getCode()).hasToString("old");
DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(2).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
// IN1.36
assertThat(coverage.getIdentifier().get(3).getValue()).isEqualTo("MEMBER36");
// No system, here
assertThat(coverage.getIdentifier().get(3).getSystem()).isNull();
// No use, here
assertThat(coverage.getIdentifier().get(3).getUse()).isNull();
DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(3).getType(), "MB", "Member Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
// IN1.36
assertThat(coverage.getIdentifier().get(4).getValue()).isEqualTo("MEMBER36");
// No system, here
assertThat(coverage.getIdentifier().get(4).getSystem()).isNull();
// No use, here
assertThat(coverage.getIdentifier().get(4).getUse()).isNull();
DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(4).getType(), "SN", "Subscriber Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
// Confirm SubscriberId
// IN1.36
assertThat(coverage.getSubscriberId()).isEqualTo("MEMBER36");
// Confirm coverage.Order
// IN1.22 takes priority over IN1.1
assertThat(coverage.getOrder()).isEqualTo(5);
// Confirm Coverage Beneficiary references to Patient, and Payor references correct Organizations
assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
// One for each payorOrganization
assertThat(coverage.getPayor()).hasSize(2);
assertThat(coverage.getPayor().get(0).getReference()).isEqualTo(payorOrgId);
assertThat(coverage.getPayor().get(1).getReference()).isEqualTo(payorOrgIdIn25);
// Confirm policyHolder references correct organization
assertThat(coverage.getPolicyHolder().getReference()).isEqualTo(policyHolderOrgId);
// Only one Coverage Class expected. (getClass_ is correct name for method)
assertThat(coverage.getClass_()).hasSize(3);
// IN1.8 Only has value
checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "UA34567", null);
// IN1.9 (1)
checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "IDBlue", "NameBlue");
// IN1.9 (2) Name is also used for value
checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "NameGreen", "NameGreen");
// Confirm Coverage period
// IN1.12
assertThat(coverage.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
// IN1.13
assertThat(coverage.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
// Expect no RelatedPerson because IN1.17 was empty
List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
// IN1.17 empty
assertThat(relatedPersons).isEmpty();
// Confirm there are no unaccounted for resources
// Expected: Coverage, Organization (3x), Patient, Encounter
assertThat(e).hasSize(6);
}
use of org.hl7.fhir.dstu2016may.model.Bundle.BundleEntryComponent in project hl7v2-fhir-converter by LinuxForHealth.
the class Hl7FinancialInsuranceTest method testForDataBleedFromPatientToOrganization.
@Test
// Ensure that Patient data does not bleed into Organizations created for the Patient's insurance
void testForDataBleedFromPatientToOrganization() throws IOException {
String hl7message = "MSH|^~\\&|TEST|TEST|||20220101120000||ADT^A01^ADT_A01|1234|P|2.6\n" + // PID.12 Used for district calculation
"PID|1|103456|MR12345678^^^^MR||DOE^JANE^|||F|||19 Raymond St^Route3^Albany^NY^56321^USA^P|12||||||||||||||||||||||||||\n" + // PD1.4 Used for org creation to check for bleed of districts
"PD1|||Mayo|123456^Walt^^^^Dr||||||||||||||||||\n" + // IN1 Broadly populated to create organization
"IN1|1|GLOBAL|7776664|Blue Cross Blue Shield|456 Blue Cross Lane||||Blue|987123|IBM||||||NON||||||||||||20210322145350|Dr Disney|S|GOOD|200|12|B6543|H789456|||17|||1|M|123 IBM way|True|NONE|B|NO|J321456|M|20210322145605|London|YES\n" + // IN2 Broadly populated to create organizations
"IN2|A23456|222001111|IBM 1345|EMPLOYEED|E|N23497234|R3294809|S234234|Army|U439823|SGT SCHULTZ|Army|Fort Wayne|USA|E1... E9|ACT|20300402145954|N|N|N|Yes|Grey Duck|Goose|T34941341232|D123123123|C435435345|2|SPR|2ANC|1234.00|O|A0|USA|EN|F|F|Y|N|COG|Stanley|DUTCH|N|M|20170322150208||Software Engineer|8|P|Mr Blue|1-555-333-4444|SURGERY|Jim Stanley|1-555-222-3333|FIRST|20170202150409|20210322150400|3|1-222-333-4444|GLOBAL|GROUP|B14456789|OTH|1-444-777-8888|1-444-555-3333|NONE|N|Y|N|GVH 123456|CDP 98765|2106-3|9\n";
List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
// From PID
assertThat(patients).hasSize(1);
Patient patient = (Patient) patients.get(0);
assertThat(patient.getAddressFirstRep().getDistrict()).hasToString("12");
List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
// From Payor created by IN1
assertThat(organizations).hasSize(3);
Organization org = (Organization) organizations.get(0);
assertThat(org.getAddressFirstRep().hasDistrict()).isFalse();
org = (Organization) organizations.get(1);
assertThat(org.hasAddress()).isFalse();
org = (Organization) organizations.get(2);
assertThat(org.hasAddress()).isFalse();
List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
// From IN1 segment
assertThat(coverages).hasSize(1);
Coverage coverage = (Coverage) coverages.get(0);
// Confirm Coverage Identifiers
assertThat(coverage.getIdentifier()).hasSize(6);
// Coverage Identifiers deep check in testBasicInsuranceCoverageFields
// Because the relationship is NON, no subscriber is created
assertThat(coverage.hasSubscriber()).isFalse();
// Expect no RelatedPerson because IN1.17 is NON
List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
// No related person should be created because IN1.17 was an unknown code
assertThat(relatedPersons).isEmpty();
// Confirm there are no unaccounted for resources
// Expected: Coverage, Organization (3), Patient, Practitioner
assertThat(e).hasSize(6);
}
use of org.hl7.fhir.dstu2016may.model.Bundle.BundleEntryComponent in project hl7v2-fhir-converter by LinuxForHealth.
the class Hl7FinancialInsuranceTest method testInsuranceCoverageOfSelfAndTenant.
// Suppress warnings about too many assertions in a test. Justification: creating a FHIR message is very costly; we need to check many asserts per creation for efficiency.
@java.lang.SuppressWarnings("squid:S5961")
@Test
// Tests multiple Organization Id's created with a TENANT prepend.
void testInsuranceCoverageOfSelfAndTenant() throws IOException {
String hl7message = "MSH|^~\\&|||||20151008111200||DFT^P03^DFT_P03|MSGID000001|T|2.6|||||||||\n" + "EVN||20210407191342||||||\n" + // PID.19 purposely empty so IN2.2 used as SSN PatientIdentifier
"PID|||MR1^^^XYZ^MR||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1||I||||||||||||||||||||||||||||||||||||||||||\n" + // FT1.7 is required transaction code (currently not used)
"FT1||||20201231145045||CG|FAKE|||||||||||||||||||||||||||||||||||||\n" + // IN1.2.4, IN1.2.6 to second XV Coverage.identifier
"IN1|1|Value1^^System3^Value4^^System6" + // IN1.5 to 15 NOT REFERENCED (Tested in testBasicInsuranceCoverageFields)
"|IdValue1^^^IdSystem4^^^^|Large Blue Organization|||||||||||" + // IN1.18 through IN1.35 NOT REFERENCED
"||SEL||||||||||||||||||" + // IN1.47 through IN1.53 NOT REFERENCED
"|MEMBER36||||||||||Value46|||||||\n" + // Only used for MB Patient.Identifier because subscriber is SELF
"IN2||SSN123456|||||||||||||||||||||||IdValue25.1^^^IdSystem25.4^IdType25.5^^20201231145045^20211231145045|||||||||||||||||||||||||||||||||||||||||||" + // IN2.72 is purposely empty (backup to IN1.17) so no RelatedPerson is created.
"|Name69.1^^^^^IdSystem69.6^XX^^^IdValue69.10||\n";
// TENANT prepend is passed through the options.
ConverterOptions customOptionsWithTenant = new Builder().withValidateResource().withPrettyPrint().withProperty("TENANT", "TenantId").build();
List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message, customOptionsWithTenant);
List<Resource> encounters = ResourceUtils.getResourceList(e, ResourceType.Encounter);
// From PV1
assertThat(encounters).hasSize(1);
List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
// From PID
assertThat(patients).hasSize(1);
Patient patient = (Patient) patients.get(0);
String patientId = patient.getId();
// Check Patient.identifiers
// From PID.3, IN2.2 and IN1.36
assertThat(patient.getIdentifier()).hasSize(3);
Identifier patientIdentifier = patient.getIdentifier().get(0);
// PID.3.1
assertThat(patientIdentifier.getValue()).isEqualTo("MR1");
// PID.3.4
assertThat(patientIdentifier.getSystem()).isEqualTo("urn:id:XYZ");
DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "MR", "Medical record number", "http://terminology.hl7.org/CodeSystem/v2-0203", // PID.3.5
null);
patientIdentifier = patient.getIdentifier().get(1);
// IN1.36 backup to IN2.61, active because subscriber is SELF
assertThat(patientIdentifier.getValue()).isEqualTo("MEMBER36");
// No system for MB
assertThat(patientIdentifier.hasSystem()).isFalse();
DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "MB", "Member Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
patientIdentifier = patient.getIdentifier().get(2);
// IN2.2
assertThat(patientIdentifier.getValue()).isEqualTo("SSN123456");
// No system for SSN
assertThat(patientIdentifier.hasSystem()).isFalse();
DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "SS", "Social Security number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
// From Payor created by IN1, PayorId Organization (IN2.25), and PolcyHolder Organization Name (IN2.69)
assertThat(organizations).hasSize(3);
Organization org = (Organization) organizations.get(0);
String payorOrgId = org.getId();
// IN1.17.1 w/TENANT prepend (Id's lowercased)
assertThat(payorOrgId).isEqualTo("Organization/tenantid.idvalue1");
// Check organization Identifier's
// IN1.4
assertThat(org.getName()).isEqualTo("Large Blue Organization");
assertThat(org.getIdentifier()).hasSize(1);
Identifier orgIdentifier = org.getIdentifierFirstRep();
// IN1.3.1
assertThat(orgIdentifier.getValue()).isEqualTo("IdValue1");
// IN1.3.4
assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem4");
// IN1.3.7 & IN1.3.7 empty
assertThat(orgIdentifier.hasPeriod()).isFalse();
// IN1.3.5 empty
assertThat(orgIdentifier.hasType()).isFalse();
// Check PayorId Organization from IN2.25
org = (Organization) organizations.get(1);
String payorOrgIdIn25 = org.getId();
// IN1.25.1 w/TENANT prepend (Id's lowercased)
assertThat(payorOrgIdIn25).isEqualTo("Organization/tenantid.idvalue25.1");
// IN2.25.1
assertThat(org.getName()).isEqualTo("IdValue25.1");
assertThat(org.getIdentifier()).hasSize(1);
orgIdentifier = org.getIdentifier().get(0);
// IN2.25.1
assertThat(orgIdentifier.getValue()).isEqualTo("IdValue25.1");
// IN2.25.4
assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem25.4");
// IN2.25.7
assertThat(orgIdentifier.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
// IN2.25.8
assertThat(orgIdentifier.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
// IN2.25.5
DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "IdType25.5", null, null, null);
// Check PolicyHolder Organization Name and ID Organization from IN2.69
org = (Organization) organizations.get(2);
String policyHolderOrgId = org.getId();
// IN2.69.1 w/TENANT prepend (Id's lowercased)
assertThat(policyHolderOrgId).isEqualTo("Organization/tenantid.idvalue69.10");
// IN2.69.1
assertThat(org.getName()).isEqualTo("Name69.1");
assertThat(org.getIdentifier()).hasSize(1);
orgIdentifier = org.getIdentifier().get(0);
// IN2.69.10
assertThat(orgIdentifier.getValue()).isEqualTo("IdValue69.10");
// IN2.69.6
assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem69.6");
// Becuase the code is known, the 0203 table lookup is successful and returns code, display, and system
DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "XX", "Organization identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", // IN2.69.7 with lookup
null);
List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
// From IN1 segment
assertThat(coverages).hasSize(1);
Coverage coverage = (Coverage) coverages.get(0);
// Confirm Coverage Identifiers
// XV, XV, XV, MB, SN
assertThat(coverage.getIdentifier()).hasSize(5);
// Coverage Identifiers deep check in testBasicInsuranceCoverageFields
// Confirm Coverage Subscriber references to Patient
assertThat(coverage.getSubscriber().getReference()).isEqualTo(patientId);
// Confirm Coverage Beneficiary references to Patient, and Payors references correct Organizations
assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
// One for each payorOrganization
assertThat(coverage.getPayor()).hasSize(2);
assertThat(coverage.getPayor().get(0).getReference()).isEqualTo(payorOrgId);
assertThat(coverage.getPayor().get(1).getReference()).isEqualTo(payorOrgIdIn25);
// Confirm policyHolder references correct organization
assertThat(coverage.getPolicyHolder().getReference()).isEqualTo(policyHolderOrgId);
// Expect no RelatedPerson because IN1.17 was self
List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
// No related person should be created because IN1.17 was SEL
assertThat(relatedPersons).isEmpty();
// Check coverage.relationship (from SubscriberRelationship mapping)
DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getRelationship(), "self", "Self", "http://terminology.hl7.org/CodeSystem/subscriber-relationship", // IN1.17
null);
// Confirm there are no unaccounted for resources
// Expected: Coverage, Organization (3x), Patient, Encounter
assertThat(e).hasSize(6);
}
use of org.hl7.fhir.dstu2016may.model.Bundle.BundleEntryComponent in project hl7v2-fhir-converter by LinuxForHealth.
the class Hl7FinancialInsuranceTest method testInsuranceCoverageOfWorkersComp.
@Test
// Tests non-related subscriber, employer.
void testInsuranceCoverageOfWorkersComp() throws IOException {
String hl7message = "MSH|^~\\&|TEST|TEST|||20220101120000||DFT^P03|1234|P|2.6\n" + // + "EVN||20210407191342||||||\n"
"PID|||workers_comp^^^XYZ^MR||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1||I||||||||||||||||||||||||||||||||||||||||||\n" + // FT1.7 is required transaction code (currently not used)
"FT1||||20201231145045||CG|FAKE|||||||||||||||||||||||||||||||||||||\n" + // IN1.2.4, IN1.2.6 to second XV Coverage.identifier
"IN1|1|Value1^^System3^Value4^^System6" + // IN1.5 through 15 NOT REFERENCED (Tested in testBasicInsuranceCoverageFields)
"|IdValue1^^^IdSystem4^^^^|Large Blue Organization|||||||||||" + // IN1.18 through IN1.35 NOT REFERENCED
"||EMR||||||||||||||||||" + // IN1.37 through IN1.53 NOT REFERENCED
"|MEMBER36|||||||||||||J321456||||\n";
List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
List<Resource> encounters = ResourceUtils.getResourceList(e, ResourceType.Encounter);
// From PV1
assertThat(encounters).hasSize(1);
List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
// From PID
assertThat(patients).hasSize(1);
Patient patient = (Patient) patients.get(0);
String patientId = patient.getId();
// No patient identifier should have value IN1.49 "J321456" because relationship is not SEL (self)
// Finding exactly 1 expected identifier "workers_comp" proves not "J321456"
assertThat(patient.getIdentifier()).hasSize(1);
assertThat(patient.getIdentifierFirstRep().getValueElement()).hasToString("workers_comp");
List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
// From Payor created by IN1
assertThat(organizations).hasSize(1);
Organization org = (Organization) organizations.get(0);
// Check organization Id's
assertThat(org.getIdentifier()).hasSize(1);
// Org identifiers checked deeply in other tests
List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
// From IN1 segment
assertThat(coverages).hasSize(1);
Coverage coverage = (Coverage) coverages.get(0);
// Confirm Coverage Identifiers
// XV, XV, MB, SN
assertThat(coverage.getIdentifier()).hasSize(4);
// Coverage Identifiers deep check in testBasicInsuranceCoverageFields
// Because the relationship is EMR (Employer), no subscriber is created (subscriber can't be an Organization)
assertThat(coverage.hasSubscriber()).isFalse();
// Confirm Coverage Beneficiary references to Patient, and Payor references to Organization
assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
assertThat(coverage.getPayorFirstRep().getReference()).isEqualTo(organizations.get(0).getId());
// Expect no RelatedPerson because IN1.17 was EMR
List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
// No related person should be created because IN2.72 was 01 (self)
assertThat(relatedPersons).isEmpty();
// Check coverage.relationship (from SubscriberRelationship mapping)
DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getRelationship(), "EMR", null, null, // IN1.17, because it is not mapped there is no system or display.
null);
// Confirm there are no unaccounted for resources
// Expected: Coverage, Organization, Patient, Encounter
assertThat(e).hasSize(4);
}
use of org.hl7.fhir.dstu2016may.model.Bundle.BundleEntryComponent in project hl7v2-fhir-converter by LinuxForHealth.
the class Hl7FinancialInsuranceTest method testInsuranceCoverageFromIN2.
@Test
// Tests empty IN2.63 missing telecom.
void testInsuranceCoverageFromIN2() throws IOException {
String hl7message = "MSH|^~\\&|||||20151008111200||ADT^A01^ADT_A01|MSGID000001|T|2.6|||||||||\n" + "EVN||20210407191342||||||\n" + "PID|||MR1^^^XYZ^MR||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1||I||||||||||||||||||||||||||||||||||||||||||\n" + // FT1.7 is required transaction code (currently not used)
"FT1||||20201231145045||CG|FAKE|||||||||||||||||||||||||||||||||||||\n" + // IN1.2.4, IN1.2.6 to second XV Coverage.identifier
"IN1|1|Value1^^System3^Value4^^System6" + // IN1.5 to 15 NOT REFERENCED (See test testBasicInsuranceCoverageFields)
"|IdValue1^^^IdSystem4^^^^|Large Blue Organization|||||||||||" + // IN1.18 through IN1.35 NOT REFERENCED
"|DoeFake^Judy^^^Rev.|||||||||||||||||||" + // IN1.37 through IN1.53 NOT REFERENCED
"|MEMBER36|||||||||||||||||\n" + // IN2.63 purposely empty to ensure an empty telecom is not created.
"IN2||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||" + // IN2.72 to Coverage.relationship and RelatedPerson.relationship. (Backup for IN1.17) Codes from table 0344
"04|\n";
// 04 = Natural child
List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
List<Resource> encounters = ResourceUtils.getResourceList(e, ResourceType.Encounter);
// From PV1
assertThat(encounters).hasSize(1);
List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
// From PID
assertThat(patients).hasSize(1);
Patient patient = (Patient) patients.get(0);
String patientId = patient.getId();
List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
// From Payor created by IN1
assertThat(organizations).hasSize(1);
List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
// From IN1 segment
assertThat(coverages).hasSize(1);
Coverage coverage = (Coverage) coverages.get(0);
// Confirm Coverage Identifiers
// XV, XV, MB, SN
assertThat(coverage.getIdentifier()).hasSize(4);
// Coverage Identifiers deep check in testBasicInsuranceCoverageFields
// Confirm Coverage Beneficiary references to Patient, and Payor references to Organization
assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
assertThat(coverage.getPayorFirstRep().getReference()).isEqualTo(organizations.get(0).getId());
// Expect one RelatedPerson
List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
// From IN2.72
assertThat(relatedPersons).hasSize(1);
RelatedPerson related = (RelatedPerson) relatedPersons.get(0);
// Because IN2.63 is empty
assertThat(related.hasTelecom()).isFalse();
assertThat(related.getName()).hasSize(1);
HumanName relatedName = related.getName().get(0);
// Simplified name test. Deeper tests in other tests.
// from IN1.16 aggregate
assertThat(relatedName.getText()).isEqualTo("Rev. Judy DoeFake");
// Check coverage relationship
DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getRelationship(), "child", "Child", "http://terminology.hl7.org/CodeSystem/subscriber-relationship", // IN2.72 (04 = Natural child)
null);
// Check relatedPerson relationship
assertThat(related.getRelationship()).hasSize(1);
DatatypeUtils.checkCommonCodeableConceptAssertions(related.getRelationship().get(0), "PRN", "parent", "http://terminology.hl7.org/CodeSystem/v3-RoleCode", // IN2.72 (04 = Natural child)
null);
// Confirm the Coverage (subscriber) references the RelatedPerson
assertThat(coverage.getSubscriber().getReference()).isEqualTo(related.getId());
// Confirm the RelatedPerson references the Patient
assertThat(related.getPatient().getReference()).isEqualTo(patientId);
// Confirm there are no unaccounted for resources
// Expected: Coverage, Organization, Patient, Encounter, RelatedPerson
assertThat(e).hasSize(5);
}
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