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Example 6 with CodeableConcept

use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class TransformerUtils method mapHcpcs.

/**
 * @param eob the {@link ExplanationOfBenefit} that the HCPCS code is being mapped into
 * @param item the {@link ItemComponent} that the HCPCS code is being mapped into
 * @param hcpcsYear the {@link CcwCodebookVariable#CARR_CLM_HCPCS_YR_CD} identifying the HCPCS
 *     code version in use
 * @param hcpcs the {@link CcwCodebookVariable#HCPCS_CD} to be mapped
 * @param hcpcsModifiers the {@link CcwCodebookVariable#HCPCS_1ST_MDFR_CD}, etc. values to be
 *     mapped (if any)
 */
static void mapHcpcs(ExplanationOfBenefit eob, ItemComponent item, Optional<Character> hcpcsYear, Optional<String> hcpcs, List<Optional<String>> hcpcsModifiers) {
    // Create and map all of the possible CodeableConcepts.
    CodeableConcept hcpcsConcept = hcpcs.isPresent() ? createCodeableConcept(TransformerConstants.CODING_SYSTEM_HCPCS, hcpcs.get()) : null;
    if (hcpcsConcept != null)
        item.setService(hcpcsConcept);
    List<CodeableConcept> hcpcsModifierConcepts = new ArrayList<>(4);
    for (Optional<String> hcpcsModifier : hcpcsModifiers) {
        if (!hcpcsModifier.isPresent())
            continue;
        CodeableConcept hcpcsModifierConcept = createCodeableConcept(TransformerConstants.CODING_SYSTEM_HCPCS, hcpcsModifier.get());
        hcpcsModifierConcepts.add(hcpcsModifierConcept);
        item.addModifier(hcpcsModifierConcept);
    }
    // Set Coding.version for all of the mappings, if it's available.
    Stream.concat(Arrays.asList(hcpcsConcept).stream(), hcpcsModifierConcepts.stream()).forEach(concept -> {
        if (concept == null)
            return;
        if (!hcpcsYear.isPresent())
            return;
        // Note: Only CARRIER and DME claims have the year/version field.
        concept.getCodingFirstRep().setVersion(hcpcsYear.get().toString());
    });
}
Also used : ArrayList(java.util.ArrayList) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept)

Example 7 with CodeableConcept

use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class TransformerUtils method addExtensionValueQuantity.

/**
 * Adds an {@link Extension} to the specified {@link DomainResource}. {@link Extension#getValue()}
 * will be set to a {@link Quantity} with the specified system and value.
 *
 * @param fhirElement the FHIR element to add the {@link Extension} to
 * @param extensionUrl the {@link Extension#getUrl()} to use
 * @param quantitySystem the {@link Quantity#getSystem()} to use
 * @param quantityValue the {@link Quantity#getValue()} to use
 */
static void addExtensionValueQuantity(IBaseHasExtensions fhirElement, String extensionUrl, String quantitySystem, BigDecimal quantityValue) {
    IBaseExtension<?, ?> extension = fhirElement.addExtension();
    extension.setUrl(extensionUrl);
    extension.setValue(new Quantity().setSystem(extensionUrl).setValue(quantityValue));
// CodeableConcept codeableConcept = new CodeableConcept();
// extension.setValue(codeableConcept);
// 
// Coding coding = codeableConcept.addCoding();
// coding.setSystem(codingSystem).setCode(codingCode);
}
Also used : SimpleQuantity(org.hl7.fhir.dstu3.model.SimpleQuantity) Quantity(org.hl7.fhir.dstu3.model.Quantity)

Example 8 with CodeableConcept

use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class TransformerUtilsV2 method mapHcpcs.

/**
 * @param eob the {@link ExplanationOfBenefit} that the HCPCS code is being mapped into
 * @param item the {@link ItemComponent} that the HCPCS code is being mapped into
 * @param year the {@link CcwCodebookVariable#CARR_CLM_HCPCS_YR_CD} identifying the HCPCS code
 *     version in use
 * @param modifiers the {@link CcwCodebookVariable#HCPCS_1ST_MDFR_CD}, etc. values to be mapped
 *     (if any)
 */
static void mapHcpcs(ExplanationOfBenefit eob, ItemComponent item, Optional<String> hcpcsCode, Optional<Character> year, List<Optional<String>> modifiers) {
    hcpcsCode.ifPresent(code -> item.setProductOrService(createCodeableConcept(TransformerConstants.CODING_SYSTEM_HCPCS, code)));
    for (Optional<String> hcpcsModifier : modifiers) {
        if (hcpcsModifier.isPresent()) {
            CodeableConcept modifier = createCodeableConcept(TransformerConstants.CODING_SYSTEM_HCPCS, hcpcsModifier.get());
            // Set Coding.version for all of the mappings, if it's available.
            if (year.isPresent()) {
                // Note: Only CARRIER and DME claims have the year/version field.
                modifier.getCodingFirstRep().setVersion(year.get().toString());
            }
            item.addModifier(modifier);
        }
    }
}
Also used : CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept)

Example 9 with CodeableConcept

use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.

the class TransformerUtilsV2 method createCodeableConcept.

/**
 * @param codingSystem the {@link Coding#getSystem()} to use
 * @param codingVersion the {@link Coding#getVersion()} to use
 * @param codingDisplay the {@link Coding#getDisplay()} to use
 * @param codingCode the {@link Coding#getCode()} to use
 * @return a {@link CodeableConcept} with the specified {@link Coding}
 */
static CodeableConcept createCodeableConcept(String codingSystem, String codingVersion, String codingDisplay, String codingCode) {
    CodeableConcept codeableConcept = new CodeableConcept();
    Coding coding = codeableConcept.addCoding().setSystem(codingSystem).setCode(codingCode);
    if (codingVersion != null)
        coding.setVersion(codingVersion);
    if (codingDisplay != null)
        coding.setDisplay(codingDisplay);
    return codeableConcept;
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept)

Example 10 with CodeableConcept

use of org.hl7.fhir.dstu2016may.model.CodeableConcept 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}&lt;{@link Character}&gt; gets remapped to a ccw record id code
 * @param ccwClaimTypeCode if present, the blue button claim type code {@link Optional}&lt;{@link
 *     String}&gt; 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));
    }
}
Also used : BadCodeMonkeyException(gov.cms.bfd.sharedutils.exceptions.BadCodeMonkeyException) Coding(org.hl7.fhir.r4.model.Coding)

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