use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.SupportingInformationComponent in project beneficiary-fhir-data by CMSgov.
the class TransformerUtils method addInformation.
/**
* Returns a new {@link SupportingInformationComponent} that has been added to the specified
* {@link ExplanationOfBenefit}.
*
* @param eob the {@link ExplanationOfBenefit} to modify
* @param categoryVariable {@link CcwCodebookInterface to map to {@link
* SupportingInformationComponent#getCategory()}
* @return the newly-added {@link SupportingInformationComponent} entry
*/
static SupportingInformationComponent addInformation(ExplanationOfBenefit eob, CcwCodebookInterface categoryVariable) {
int maxSequence = eob.getInformation().stream().mapToInt(i -> i.getSequence()).max().orElse(0);
SupportingInformationComponent infoComponent = new SupportingInformationComponent();
infoComponent.setSequence(maxSequence + 1);
infoComponent.setCategory(createCodeableConceptForFieldId(eob, TransformerConstants.CODING_BBAPI_INFORMATION_CATEGORY, categoryVariable));
eob.getInformation().add(infoComponent);
return infoComponent;
}
use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.SupportingInformationComponent in project beneficiary-fhir-data by CMSgov.
the class TransformerUtils method addCommonEobInformationInpatientSNF.
/**
* Adds EOB information to fields that are common between the Inpatient and SNF claim types.
*
* @param eob the {@link ExplanationOfBenefit} that fields will be added to by this method
* @param admissionTypeCd CLM_IP_ADMSN_TYPE_CD: a {@link Character} shared field representing the
* admission type cd for the claim
* @param sourceAdmissionCd CLM_SRC_IP_ADMSN_CD: an {@link Optional}<{@link Character}>
* shared field representing the source admission cd for the claim
* @param noncoveredStayFromDate NCH_VRFD_NCVRD_STAY_FROM_DT: an {@link Optional}<{@link
* LocalDate}> shared field representing the non-covered stay from date for the claim
* @param noncoveredStayThroughDate NCH_VRFD_NCVRD_STAY_THRU_DT: an {@link Optional}<{@link
* LocalDate}> shared field representing the non-covered stay through date for the claim
* @param coveredCareThroughDate NCH_ACTV_OR_CVRD_LVL_CARE_THRU: an {@link Optional}<{@link
* LocalDate}> shared field representing the covered stay through date for the claim
* @param medicareBenefitsExhaustedDate NCH_BENE_MDCR_BNFTS_EXHTD_DT_I: an {@link
* Optional}<{@link LocalDate}> shared field representing the medicare benefits
* exhausted date for the claim
* @param diagnosisRelatedGroupCd CLM_DRG_CD: an {@link Optional}<{@link String}> shared
* field representing the non-covered stay from date for the claim
*/
static void addCommonEobInformationInpatientSNF(ExplanationOfBenefit eob, Character admissionTypeCd, Optional<Character> sourceAdmissionCd, Optional<LocalDate> noncoveredStayFromDate, Optional<LocalDate> noncoveredStayThroughDate, Optional<LocalDate> coveredCareThroughDate, Optional<LocalDate> medicareBenefitsExhaustedDate, Optional<String> diagnosisRelatedGroupCd) {
// admissionTypeCd
addInformationWithCode(eob, CcwCodebookVariable.CLM_IP_ADMSN_TYPE_CD, CcwCodebookVariable.CLM_IP_ADMSN_TYPE_CD, admissionTypeCd);
// sourceAdmissionCd
if (sourceAdmissionCd.isPresent()) {
addInformationWithCode(eob, CcwCodebookVariable.CLM_SRC_IP_ADMSN_CD, CcwCodebookVariable.CLM_SRC_IP_ADMSN_CD, sourceAdmissionCd);
}
// noncoveredStayFromDate & noncoveredStayThroughDate
if (noncoveredStayFromDate.isPresent() || noncoveredStayThroughDate.isPresent()) {
TransformerUtils.validatePeriodDates(noncoveredStayFromDate, noncoveredStayThroughDate);
SupportingInformationComponent nchVrfdNcvrdStayInfo = TransformerUtils.addInformation(eob, CcwCodebookVariable.NCH_VRFD_NCVRD_STAY_FROM_DT);
Period nchVrfdNcvrdStayPeriod = new Period();
if (noncoveredStayFromDate.isPresent())
nchVrfdNcvrdStayPeriod.setStart(TransformerUtils.convertToDate((noncoveredStayFromDate.get())), TemporalPrecisionEnum.DAY);
if (noncoveredStayThroughDate.isPresent())
nchVrfdNcvrdStayPeriod.setEnd(TransformerUtils.convertToDate((noncoveredStayThroughDate.get())), TemporalPrecisionEnum.DAY);
nchVrfdNcvrdStayInfo.setTiming(nchVrfdNcvrdStayPeriod);
}
// coveredCareThroughDate
if (coveredCareThroughDate.isPresent()) {
SupportingInformationComponent nchActvOrCvrdLvlCareThruInfo = TransformerUtils.addInformation(eob, CcwCodebookVariable.NCH_ACTV_OR_CVRD_LVL_CARE_THRU);
nchActvOrCvrdLvlCareThruInfo.setTiming(new DateType(TransformerUtils.convertToDate(coveredCareThroughDate.get())));
}
// medicareBenefitsExhaustedDate
if (medicareBenefitsExhaustedDate.isPresent()) {
SupportingInformationComponent nchBeneMdcrBnftsExhtdDtIInfo = TransformerUtils.addInformation(eob, CcwCodebookVariable.NCH_BENE_MDCR_BNFTS_EXHTD_DT_I);
nchBeneMdcrBnftsExhtdDtIInfo.setTiming(new DateType(TransformerUtils.convertToDate(medicareBenefitsExhaustedDate.get())));
}
// diagnosisRelatedGroupCd
if (diagnosisRelatedGroupCd.isPresent()) {
/*
* FIXME This is an invalid DiagnosisComponent, since it's missing a (required) ICD code.
* Instead, stick the DRG on the claim's primary/first diagnosis. SamhsaMatcher uses this
* field so if this is updated you'll need to update that as well.
*/
eob.addDiagnosis().setPackageCode(createCodeableConcept(eob, CcwCodebookVariable.CLM_DRG_CD, diagnosisRelatedGroupCd));
}
}
use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.SupportingInformationComponent in project beneficiary-fhir-data by CMSgov.
the class TransformerUtils method addInformationWithCode.
/**
* Returns a new {@link SupportingInformationComponent} that has been added to the specified
* {@link ExplanationOfBenefit}. Unlike {@link #addInformation(ExplanationOfBenefit,
* CcwCodebookVariable)}, this also sets the {@link SupportingInformationComponent#getCode()}
* based on the values provided.
*
* @param eob the {@link ExplanationOfBenefit} to modify
* @param categoryVariable {@link CcwCodebookInterface} to map to {@link
* SupportingInformationComponent#getCategory()}
* @param codeSystemVariable the {@link CcwCodebookInterface} to map to the {@link
* Coding#getSystem()} used in the {@link SupportingInformationComponent#getCode()}
* @param codeValue the value to map to the {@link Coding#getCode()} used in the {@link
* SupportingInformationComponent#getCode()}
* @return the newly-added {@link SupportingInformationComponent} entry
*/
static SupportingInformationComponent addInformationWithCode(ExplanationOfBenefit eob, CcwCodebookInterface categoryVariable, CcwCodebookInterface codeSystemVariable, Optional<?> codeValue) {
SupportingInformationComponent infoComponent = addInformation(eob, categoryVariable);
CodeableConcept infoCode = new CodeableConcept().addCoding(createCoding(eob, codeSystemVariable, codeValue));
infoComponent.setCode(infoCode);
return infoComponent;
}
use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.SupportingInformationComponent in project beneficiary-fhir-data by CMSgov.
the class HHAClaimTransformerV2Test method shouldHaveTypeOfBillSupInfo.
@Test
public void shouldHaveTypeOfBillSupInfo() {
SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("typeofbill", eob.getSupportingInfo());
SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
sic.getSequence(), // Category
Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType", "typeofbill", "Type of Bill")), // Code
new Coding("https://bluebutton.cms.gov/resources/variables/clm_freq_cd", "1", "Admit thru discharge claim"));
assertTrue(compare.equalsDeep(sic));
}
use of org.hl7.fhir.dstu3.model.ExplanationOfBenefit.SupportingInformationComponent in project beneficiary-fhir-data by CMSgov.
the class HHAClaimTransformerV2Test method shouldHaveAdmissionPeriodSupInfo.
@Test
public void shouldHaveAdmissionPeriodSupInfo() throws Exception {
SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("admissionperiod", eob.getSupportingInfo());
SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
sic.getSequence(), // Category
Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType", "admissionperiod", "Admission Period")));
// timingPeriod
Period period = new Period();
period.setStart(new SimpleDateFormat("yyy-MM-dd").parse("2015-06-23"), TemporalPrecisionEnum.DAY);
compare.setTiming(period);
assertTrue(compare.equalsDeep(sic));
}
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