Search in sources :

Example 1 with CareTeamComponent

use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.CareTeamComponent in project beneficiary-fhir-data by CMSgov.

the class TransformerUtils method addCareTeamPractitioner.

/**
 * Ensures that the specified {@link ExplanationOfBenefit} has the specified {@link
 * CareTeamComponent}, and links the specified {@link ItemComponent} to that {@link
 * CareTeamComponent} (via {@link ItemComponent#addCareTeamLinkId(int)}).
 *
 * @param eob the {@link ExplanationOfBenefit} that the {@link CareTeamComponent} should be part
 *     of
 * @param eobItem the {@link ItemComponent} that should be linked to the {@link CareTeamComponent}
 * @param practitionerIdSystem the {@link Identifier#getSystem()} of the practitioner to reference
 *     in {@link CareTeamComponent#getProvider()}
 * @param practitionerIdValue the {@link Identifier#getValue()} of the practitioner to reference
 *     in {@link CareTeamComponent#getProvider()}
 * @param careTeamRole the {@link ClaimCareteamrole} to use for the {@link
 *     CareTeamComponent#getRole()}
 * @return the {@link CareTeamComponent} that was created/linked
 */
static CareTeamComponent addCareTeamPractitioner(ExplanationOfBenefit eob, ItemComponent eobItem, String practitionerIdSystem, String practitionerIdValue, ClaimCareteamrole careTeamRole) {
    // Try to find a matching pre-existing entry.
    CareTeamComponent careTeamEntry = eob.getCareTeam().stream().filter(ctc -> ctc.getProvider().hasIdentifier()).filter(ctc -> practitionerIdSystem.equals(ctc.getProvider().getIdentifier().getSystem()) && practitionerIdValue.equals(ctc.getProvider().getIdentifier().getValue())).filter(ctc -> ctc.hasRole()).filter(ctc -> careTeamRole.toCode().equals(ctc.getRole().getCodingFirstRep().getCode()) && careTeamRole.getSystem().equals(ctc.getRole().getCodingFirstRep().getSystem())).findAny().orElse(null);
    // If no match was found, add one to the EOB.
    if (careTeamEntry == null) {
        careTeamEntry = eob.addCareTeam();
        careTeamEntry.setSequence(eob.getCareTeam().size() + 1);
        careTeamEntry.setProvider(createIdentifierReference(practitionerIdSystem, practitionerIdValue));
        CodeableConcept careTeamRoleConcept = createCodeableConcept(ClaimCareteamrole.OTHER.getSystem(), careTeamRole.toCode());
        careTeamRoleConcept.getCodingFirstRep().setDisplay(careTeamRole.getDisplay());
        careTeamEntry.setRole(careTeamRoleConcept);
    }
    // care team entry is at eob level so no need to create item link id
    if (eobItem == null) {
        return careTeamEntry;
    }
    // Link the EOB.item to the care team entry (if it isn't already).
    final int careTeamEntrySequence = careTeamEntry.getSequence();
    if (eobItem.getCareTeamLinkId().stream().noneMatch(id -> id.getValue() == careTeamEntrySequence)) {
        eobItem.addCareTeamLinkId(careTeamEntrySequence);
    }
    return careTeamEntry;
}
Also used : Arrays(java.util.Arrays) CarrierClaimColumn(gov.cms.bfd.model.rif.CarrierClaimColumn) CcwCodebookInterface(gov.cms.bfd.model.codebook.model.CcwCodebookInterface) Identifier(org.hl7.fhir.dstu3.model.Identifier) Constants(ca.uhn.fhir.rest.api.Constants) Coding(org.hl7.fhir.dstu3.model.Coding) InpatientClaim(gov.cms.bfd.model.rif.InpatientClaim) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept) DomainResource(org.hl7.fhir.dstu3.model.DomainResource) IBaseExtension(org.hl7.fhir.instance.model.api.IBaseExtension) StringUtils(org.apache.commons.lang3.StringUtils) SNFClaimColumn(gov.cms.bfd.model.rif.SNFClaimColumn) BigDecimal(java.math.BigDecimal) SNFClaimLine(gov.cms.bfd.model.rif.SNFClaimLine) IBaseResource(org.hl7.fhir.instance.model.api.IBaseResource) CarrierClaimLine(gov.cms.bfd.model.rif.CarrierClaimLine) Map(java.util.Map) ProcedureComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.ProcedureComponent) CcwCodebookMissingVariable(gov.cms.bfd.model.codebook.data.CcwCodebookMissingVariable) TemporalPrecisionEnum(ca.uhn.fhir.model.api.TemporalPrecisionEnum) Value(gov.cms.bfd.model.codebook.model.Value) Diagnosis(gov.cms.bfd.server.war.commons.Diagnosis) OutpatientClaim(gov.cms.bfd.model.rif.OutpatientClaim) Coverage(org.hl7.fhir.dstu3.model.Coverage) IdDt(ca.uhn.fhir.model.primitive.IdDt) ExplanationOfBenefit(org.hl7.fhir.dstu3.model.ExplanationOfBenefit) MedicareSegment(gov.cms.bfd.server.war.commons.MedicareSegment) Reference(org.hl7.fhir.dstu3.model.Reference) DiagnosisComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.DiagnosisComponent) InpatientClaimColumn(gov.cms.bfd.model.rif.InpatientClaimColumn) Set(java.util.Set) StandardCharsets(java.nio.charset.StandardCharsets) ZoneId(java.time.ZoneId) UncheckedIOException(java.io.UncheckedIOException) ReferralRequestStatus(org.hl7.fhir.dstu3.model.ReferralRequest.ReferralRequestStatus) Stream(java.util.stream.Stream) ReferralRequestRequesterComponent(org.hl7.fhir.dstu3.model.ReferralRequest.ReferralRequestRequesterComponent) CarrierClaim(gov.cms.bfd.model.rif.CarrierClaim) HHAClaimLine(gov.cms.bfd.model.rif.HHAClaimLine) Money(org.hl7.fhir.dstu3.model.Money) ReferralRequest(org.hl7.fhir.dstu3.model.ReferralRequest) BenefitComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.BenefitComponent) IAnyResource(org.hl7.fhir.instance.model.api.IAnyResource) ArrayList(java.util.ArrayList) Strings(com.google.common.base.Strings) CCWUtils(gov.cms.bfd.server.war.commons.CCWUtils) RequestDetails(ca.uhn.fhir.rest.api.server.RequestDetails) ResourceType(org.hl7.fhir.dstu3.model.ResourceType) CcwCodebookVariable(gov.cms.bfd.model.codebook.data.CcwCodebookVariable) Period(org.hl7.fhir.dstu3.model.Period) CurrencyIdentifier(gov.cms.bfd.server.war.stu3.providers.BeneficiaryTransformer.CurrencyIdentifier) CCWProcedure(gov.cms.bfd.server.war.commons.CCWProcedure) OffsetLinkBuilder(gov.cms.bfd.server.war.commons.OffsetLinkBuilder) Practitioner(org.hl7.fhir.dstu3.model.Practitioner) MetricRegistry(com.codahale.metrics.MetricRegistry) LinkBuilder(gov.cms.bfd.server.war.commons.LinkBuilder) BadCodeMonkeyException(gov.cms.bfd.sharedutils.exceptions.BadCodeMonkeyException) SimpleQuantity(org.hl7.fhir.dstu3.model.SimpleQuantity) IOException(java.io.IOException) Observation(org.hl7.fhir.dstu3.model.Observation) InputStreamReader(java.io.InputStreamReader) FDADrugDataUtilityApp(gov.cms.bfd.server.war.FDADrugDataUtilityApp) SupportingInformationComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.SupportingInformationComponent) DMEClaimColumn(gov.cms.bfd.model.rif.DMEClaimColumn) Patient(org.hl7.fhir.dstu3.model.Patient) MDC(org.slf4j.MDC) BufferedReader(java.io.BufferedReader) IBaseHasExtensions(org.hl7.fhir.instance.model.api.IBaseHasExtensions) Bundle(org.hl7.fhir.dstu3.model.Bundle) Date(java.util.Date) BundleEntryComponent(org.hl7.fhir.dstu3.model.Bundle.BundleEntryComponent) LoggerFactory(org.slf4j.LoggerFactory) Extension(org.hl7.fhir.dstu3.model.Extension) ClaimCareteamrole(org.hl7.fhir.dstu3.model.codesystems.ClaimCareteamrole) Organization(org.hl7.fhir.dstu3.model.Organization) SNFClaim(gov.cms.bfd.model.rif.SNFClaim) HHAClaimColumn(gov.cms.bfd.model.rif.HHAClaimColumn) BenefitBalanceComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.BenefitBalanceComponent) Collection(java.util.Collection) ItemComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.ItemComponent) Instant(java.time.Instant) Collectors(java.util.stream.Collectors) DiagnosisLabel(gov.cms.bfd.server.war.commons.Diagnosis.DiagnosisLabel) Quantity(org.hl7.fhir.dstu3.model.Quantity) UnsignedIntType(org.hl7.fhir.dstu3.model.UnsignedIntType) Objects(java.util.Objects) Beneficiary(gov.cms.bfd.model.rif.Beneficiary) List(java.util.List) CareTeamComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.CareTeamComponent) TransformerConstants(gov.cms.bfd.server.war.commons.TransformerConstants) LocalDate(java.time.LocalDate) Optional(java.util.Optional) UnsupportedEncodingException(java.io.UnsupportedEncodingException) DateType(org.hl7.fhir.dstu3.model.DateType) OutpatientClaimColumn(gov.cms.bfd.model.rif.OutpatientClaimColumn) HospiceClaimLine(gov.cms.bfd.model.rif.HospiceClaimLine) DataFormatException(ca.uhn.fhir.parser.DataFormatException) HashMap(java.util.HashMap) InpatientClaimLine(gov.cms.bfd.model.rif.InpatientClaimLine) OutpatientClaimLine(gov.cms.bfd.model.rif.OutpatientClaimLine) HashSet(java.util.HashSet) ExplanationOfBenefitStatus(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.ExplanationOfBenefitStatus) HHAClaim(gov.cms.bfd.model.rif.HHAClaim) ObservationStatus(org.hl7.fhir.dstu3.model.Observation.ObservationStatus) InvalidRifValueException(gov.cms.bfd.model.rif.parse.InvalidRifValueException) DMEClaim(gov.cms.bfd.model.rif.DMEClaim) DMEClaimLine(gov.cms.bfd.model.rif.DMEClaimLine) LinkedList(java.util.LinkedList) NoSuchElementException(java.util.NoSuchElementException) AdjudicationComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.AdjudicationComponent) BenefitCategory(org.hl7.fhir.dstu3.model.codesystems.BenefitCategory) Logger(org.slf4j.Logger) Resource(org.hl7.fhir.dstu3.model.Resource) Variable(gov.cms.bfd.model.codebook.model.Variable) HospiceClaim(gov.cms.bfd.model.rif.HospiceClaim) Consumer(java.util.function.Consumer) URLEncoder(java.net.URLEncoder) IdentifierType(gov.cms.bfd.server.war.commons.IdentifierType) InputStream(java.io.InputStream) CareTeamComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.CareTeamComponent) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept)

Example 2 with CareTeamComponent

use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.CareTeamComponent in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerV2Test method shouldHaveCareTeamMembers.

/**
 * Testing all of these in one test, just because there isn't a distinct identifier really for
 * each
 */
@Test
public void shouldHaveCareTeamMembers() {
    // First member
    CareTeamComponent member1 = TransformerTestUtilsV2.findCareTeamBySequence(1, eob.getCareTeam());
    CareTeamComponent compare1 = TransformerTestUtilsV2.createNpiCareTeamMember(1, "2222222222", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "attending", "Attending");
    assertTrue(compare1.equalsDeep(member1));
    // Second member
    CareTeamComponent member2 = TransformerTestUtilsV2.findCareTeamBySequence(2, eob.getCareTeam());
    CareTeamComponent compare2 = TransformerTestUtilsV2.createNpiCareTeamMember(2, "3333333333", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "operating", "Operating");
    assertTrue(compare2.equalsDeep(member2));
    // Third member
    CareTeamComponent member3 = TransformerTestUtilsV2.findCareTeamBySequence(3, eob.getCareTeam());
    CareTeamComponent compare3 = TransformerTestUtilsV2.createNpiCareTeamMember(3, "4444", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "otheroperating", "Other Operating");
    assertTrue(compare3.equalsDeep(member3));
    // Fourth member
    CareTeamComponent member4 = TransformerTestUtilsV2.findCareTeamBySequence(4, eob.getCareTeam());
    CareTeamComponent compare4 = TransformerTestUtilsV2.createNpiCareTeamMember(4, "345345345", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider");
    assertTrue(compare4.equalsDeep(member4));
}
Also used : CareTeamComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.CareTeamComponent) Test(org.junit.jupiter.api.Test)

Example 3 with CareTeamComponent

use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.CareTeamComponent in project beneficiary-fhir-data by CMSgov.

the class CarrierClaimTransformerV2Test method shouldHaveCareTeamMembers.

@Test
public void shouldHaveCareTeamMembers() {
    // First member
    CareTeamComponent member1 = TransformerTestUtilsV2.findCareTeamBySequence(1, eob.getCareTeam());
    CareTeamComponent compare1 = TransformerTestUtilsV2.createNpiCareTeamMember(1, "8765676", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "referring", "Referring");
    assertTrue(compare1.equalsDeep(member1));
    // Second member
    CareTeamComponent member2 = TransformerTestUtilsV2.findCareTeamBySequence(2, eob.getCareTeam());
    CareTeamComponent compare2 = TransformerTestUtilsV2.createNpiCareTeamMember(2, "K25852", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "referring", "Referring");
    assertTrue(compare2.equalsDeep(member2));
    // // Third member
    CareTeamComponent member3 = TransformerTestUtilsV2.findCareTeamBySequence(3, eob.getCareTeam());
    CareTeamComponent compare3 = TransformerTestUtilsV2.createNpiCareTeamMember(3, "1923124", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider");
    compare3.setResponsible(true);
    compare3.setQualification(new CodeableConcept().setCoding(Arrays.asList(new Coding().setSystem("https://bluebutton.cms.gov/resources/variables/prvdr_spclty").setDisplay("Optometrist").setCode("41"))));
    compare3.addExtension("https://bluebutton.cms.gov/resources/variables/carr_line_prvdr_type_cd", new Coding().setSystem("https://bluebutton.cms.gov/resources/variables/carr_line_prvdr_type_cd").setCode("0"));
    compare3.addExtension("https://bluebutton.cms.gov/resources/variables/prtcptng_ind_cd", new Coding().setSystem("https://bluebutton.cms.gov/resources/variables/prtcptng_ind_cd").setCode("1").setDisplay("Participating"));
    assertTrue(compare3.equalsDeep(member3));
    // Fourth member
    CareTeamComponent member4 = TransformerTestUtilsV2.findCareTeamBySequence(4, eob.getCareTeam());
    CareTeamComponent compare4 = TransformerTestUtilsV2.createNpiCareTeamMember(4, "1497758544", "http://terminology.hl7.org/CodeSystem/claimcareteamrole", "primary", "Primary provider");
    compare4.getProvider().setDisplay("CUMBERLAND COUNTY HOSPITAL SYSTEM, INC");
    assertTrue(compare4.equalsDeep(member4));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) CareTeamComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.CareTeamComponent) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 4 with CareTeamComponent

use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.CareTeamComponent in project beneficiary-fhir-data by CMSgov.

the class HospiceClaimTransformerV2Test method shouldHaveCareTeamMembers.

@Test
public void shouldHaveCareTeamMembers() {
    // First member
    CareTeamComponent member1 = TransformerTestUtilsV2.findCareTeamBySequence(1, eob.getCareTeam());
    CareTeamComponent compare1 = TransformerTestUtilsV2.createNpiCareTeamMember(1, "8888888888", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "attending", "Attending");
    assertTrue(compare1.equalsDeep(member1));
    // Second member
    CareTeamComponent member2 = TransformerTestUtilsV2.findCareTeamBySequence(2, eob.getCareTeam());
    CareTeamComponent compare2 = new CareTeamComponent().setSequence(2).setProvider(new Reference().setIdentifier(TransformerTestUtilsV2.createIdentifier(null, "0", "http://terminology.hl7.org/CodeSystem/v2-0203", "UPIN", "Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers"))).setRole(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider"))));
    assertTrue(compare2.equalsDeep(member2));
    // // Third member
    CareTeamComponent member3 = TransformerTestUtilsV2.findCareTeamBySequence(3, eob.getCareTeam());
    CareTeamComponent compare3 = new CareTeamComponent().setSequence(3).setProvider(new Reference().setIdentifier(TransformerTestUtilsV2.createIdentifier(null, "345345345", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType", "npi", "National Provider Identifier"))).setRole(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider"))));
    assertTrue(compare3.equalsDeep(member3));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) Reference(org.hl7.fhir.r4.model.Reference) CareTeamComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.CareTeamComponent) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 5 with CareTeamComponent

use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.CareTeamComponent in project beneficiary-fhir-data by CMSgov.

the class InpatientClaimTransformerV2Test method shouldHaveCareTeamMembers.

/**
 * Testing all of these in one test, just because there isn't a distinct identifier really for
 * each
 */
@Test
public void shouldHaveCareTeamMembers() {
    // First member
    CareTeamComponent member1 = TransformerTestUtilsV2.findCareTeamBySequence(1, eob.getCareTeam());
    CareTeamComponent compare1 = TransformerTestUtilsV2.createNpiCareTeamMember(1, "161999999", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "attending", "Attending");
    assertTrue(compare1.equalsDeep(member1));
    // Second member
    CareTeamComponent member2 = TransformerTestUtilsV2.findCareTeamBySequence(2, eob.getCareTeam());
    CareTeamComponent compare2 = TransformerTestUtilsV2.createNpiCareTeamMember(2, "3333444555", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "operating", "Operating");
    assertTrue(compare2.equalsDeep(member2));
    // Third member
    CareTeamComponent member3 = TransformerTestUtilsV2.findCareTeamBySequence(3, eob.getCareTeam());
    CareTeamComponent compare3 = TransformerTestUtilsV2.createNpiCareTeamMember(3, "161943433", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "otheroperating", "Other Operating");
    assertTrue(compare3.equalsDeep(member3));
    // Fourth member
    CareTeamComponent member4 = TransformerTestUtilsV2.findCareTeamBySequence(4, eob.getCareTeam());
    CareTeamComponent compare4 = TransformerTestUtilsV2.createNpiCareTeamMember(4, "345345345", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider");
    assertTrue(compare4.equalsDeep(member4));
}
Also used : CareTeamComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.CareTeamComponent) Test(org.junit.jupiter.api.Test)

Aggregations

CareTeamComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.CareTeamComponent)11 Test (org.junit.jupiter.api.Test)8 BigDecimal (java.math.BigDecimal)4 CarrierClaimLine (gov.cms.bfd.model.rif.CarrierClaimLine)3 DMEClaimLine (gov.cms.bfd.model.rif.DMEClaimLine)3 CareTeamComponent (org.hl7.fhir.dstu3.model.ExplanationOfBenefit.CareTeamComponent)3 TemporalPrecisionEnum (ca.uhn.fhir.model.api.TemporalPrecisionEnum)2 IdDt (ca.uhn.fhir.model.primitive.IdDt)2 DataFormatException (ca.uhn.fhir.parser.DataFormatException)2 Constants (ca.uhn.fhir.rest.api.Constants)2 RequestDetails (ca.uhn.fhir.rest.api.server.RequestDetails)2 Strings (com.google.common.base.Strings)2 CcwCodebookMissingVariable (gov.cms.bfd.model.codebook.data.CcwCodebookMissingVariable)2 CcwCodebookVariable (gov.cms.bfd.model.codebook.data.CcwCodebookVariable)2 CcwCodebookInterface (gov.cms.bfd.model.codebook.model.CcwCodebookInterface)2 Value (gov.cms.bfd.model.codebook.model.Value)2 Beneficiary (gov.cms.bfd.model.rif.Beneficiary)2 CarrierClaim (gov.cms.bfd.model.rif.CarrierClaim)2 Diagnosis (gov.cms.bfd.server.war.commons.Diagnosis)2 ItemComponent (org.hl7.fhir.dstu3.model.ExplanationOfBenefit.ItemComponent)2