Examples with SpecialConditionComponent org.hl7.fhir.dstu3.model.Claim.SpecialConditionComponent used on opensource projects

Example 1 with SpecialConditionComponent

use of org.hl7.fhir.dstu3.model.Claim.SpecialConditionComponent in project synthea by synthetichealth.

the class FhirStu3 method encounterClaim.

/**
 * Create an entry for the given Claim, associated to an Encounter.
 *
 * @param rand Source of randomness to use when generating ids etc
 * @param personEntry Entry for the person
 * @param bundle The Bundle to add to
 * @param encounterEntry The current Encounter
 * @param claim the Claim object
 * @return the added Entry
 */
private static BundleEntryComponent encounterClaim(RandomNumberGenerator rand, BundleEntryComponent personEntry, Bundle bundle, BundleEntryComponent encounterEntry, Claim claim) {
    org.hl7.fhir.dstu3.model.Claim claimResource = new org.hl7.fhir.dstu3.model.Claim();
    org.hl7.fhir.dstu3.model.Encounter encounterResource = (org.hl7.fhir.dstu3.model.Encounter) encounterEntry.getResource();
    claimResource.setStatus(ClaimStatus.ACTIVE);
    claimResource.setUse(org.hl7.fhir.dstu3.model.Claim.Use.COMPLETE);
    // duration of encounter
    claimResource.setBillablePeriod(encounterResource.getPeriod());
    claimResource.setPatient(new Reference(personEntry.getFullUrl()));
    claimResource.setOrganization(encounterResource.getServiceProvider());
    // add item for encounter
    claimResource.addItem(new ItemComponent(new PositiveIntType(1)).addEncounter(new Reference(encounterEntry.getFullUrl())));
    int itemSequence = 2;
    int conditionSequence = 1;
    int procedureSequence = 1;
    int informationSequence = 1;
    for (Claim.ClaimEntry claimEntry : claim.items) {
        HealthRecord.Entry item = claimEntry.entry;
        if (Costs.hasCost(item)) {
            // update claimItems list
            ItemComponent claimItem = new ItemComponent(new PositiveIntType(itemSequence));
            Code primaryCode = item.codes.get(0);
            String system = ExportHelper.getSystemURI(primaryCode.system);
            CodeableConcept serviceProvided = new CodeableConcept().addCoding(new Coding().setCode(primaryCode.code).setVersion("v1").setSystem(system));
            claimItem.setService(serviceProvided);
            // calculate the cost of the procedure
            Money moneyResource = new Money();
            moneyResource.setCode("USD");
            moneyResource.setSystem("urn:iso:std:iso:4217");
            moneyResource.setValue(item.getCost());
            claimItem.setNet(moneyResource);
            if (item instanceof HealthRecord.Procedure) {
                Type procedureReference = new Reference(item.fullUrl);
                ProcedureComponent claimProcedure = new ProcedureComponent(new PositiveIntType(procedureSequence), procedureReference);
                claimResource.addProcedure(claimProcedure);
                claimItem.addProcedureLinkId(procedureSequence);
                procedureSequence++;
            } else {
                Reference informationReference = new Reference(item.fullUrl);
                SpecialConditionComponent informationComponent = new SpecialConditionComponent();
                informationComponent.setSequence(informationSequence);
                informationComponent.setValue(informationReference);
                CodeableConcept category = new CodeableConcept();
                category.getCodingFirstRep().setSystem("http://hl7.org/fhir/claiminformationcategory").setCode("info");
                informationComponent.setCategory(category);
                claimResource.addInformation(informationComponent);
                claimItem.addInformationLinkId(informationSequence);
                claimItem.setService(claimResource.getType());
                informationSequence++;
            }
            claimResource.addItem(claimItem);
        } else {
            // assume it's a Condition, we don't have a Condition class specifically
            // add diagnosisComponent to claim
            Reference diagnosisReference = new Reference(item.fullUrl);
            org.hl7.fhir.dstu3.model.Claim.DiagnosisComponent diagnosisComponent = new org.hl7.fhir.dstu3.model.Claim.DiagnosisComponent(new PositiveIntType(conditionSequence), diagnosisReference);
            claimResource.addDiagnosis(diagnosisComponent);
            // update claimItems with diagnosis
            ItemComponent diagnosisItem = new ItemComponent(new PositiveIntType(itemSequence));
            diagnosisItem.addDiagnosisLinkId(conditionSequence);
            claimResource.addItem(diagnosisItem);
            conditionSequence++;
        }
        itemSequence++;
    }
    Money moneyResource = new Money();
    moneyResource.setCode("USD");
    moneyResource.setSystem("urn:iso:std:iso:4217");
    moneyResource.setValue(claim.getTotalClaimCost());
    claimResource.setTotal(moneyResource);
    return newEntry(rand, bundle, claimResource);
}