use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntr2ndMspPdAmt.
@Test
public void shouldHaveLineItemAdjudicationRevCntr2ndMspPdAmt() {
AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_2nd_msp_pd_amt", eob.getItemFirstRep().getAdjudication());
AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "priorpayerpaid", "Prior payer paid"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_2nd_msp_pd_amt", "Revenue Center 2nd Medicare Secondary Payer (MSP) Paid Amount")))).setAmount(new Money().setValue(0).setCurrency(TransformerConstants.CODED_MONEY_USD));
assertTrue(compare.equalsDeep(adjudication));
}
use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntrRdcdCoinsrncAmt.
@Test
public void shouldHaveLineItemAdjudicationRevCntrRdcdCoinsrncAmt() {
AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_rdcd_coinsrnc_amt", eob.getItemFirstRep().getAdjudication());
AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "coinsurance", "Co-insurance"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_rdcd_coinsrnc_amt", "Revenue Center Reduced Coinsurance Amount")))).setAmount(// .0 and fail
new Money().setValueElement(new DecimalType("11.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
assertTrue(compare.equalsDeep(adjudication));
}
use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntr2ndAnsiCd.
@Test
public void shouldHaveLineItemAdjudicationRevCntr2ndAnsiCd() {
AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByReason("CR121", eob.getItemFirstRep().getAdjudication());
AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator", "denialreason", "Denial Reason")))).setReason(new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/variables/rev_cntr_2nd_ansi_cd", "CR121", null))));
assertTrue(compare.equalsDeep(adjudication));
}
use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerV2Test method shouldHavePrpayAmtFinancial.
@Test
public void shouldHavePrpayAmtFinancial() {
BenefitComponent benefit = TransformerTestUtilsV2.findFinancial("https://bluebutton.cms.gov/resources/variables/prpayamt", eob.getBenefitBalanceFirstRep().getFinancial());
BenefitComponent compare = new BenefitComponent().setType(new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/codesystem/benefit-balance", "https://bluebutton.cms.gov/resources/variables/prpayamt", "NCH Primary Payer (if not Medicare) Claim Paid Amount")))).setUsed(new Money().setValueElement(new DecimalType("11.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
assertTrue(compare.equalsDeep(benefit));
}
use of org.hl7.fhir.dstu2016may.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerV2Test 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(8888.85).setCurrency(TransformerConstants.CODED_MONEY_USD));
assertTrue(compare.equalsDeep(total));
}
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