use of org.hl7.fhir.dstu3.model.Narrative.NarrativeStatus.GENERATED in project beneficiary-fhir-data by CMSgov.
the class BeneficiaryTransformerV2 method transform.
/**
* @param beneficiary the CCW {@link Beneficiary} to transform
* @param requestHeader {@link RequestHeaders} the holder that contains all supported resource
* request headers
* @return a FHIR {@link Patient} resource that represents the specified {@link Beneficiary}
*/
private static Patient transform(Beneficiary beneficiary, RequestHeaders requestHeader) {
Objects.requireNonNull(beneficiary);
Patient patient = new Patient();
/*
* Notify end users when they receive Patient records impacted by
* https://jira.cms.gov/browse/BFD-1566. See the documentation on
* LoadAppOptions.isFilteringNonNullAndNon2022Benes() for details.
*/
if (!beneficiary.getSkippedRifRecords().isEmpty()) {
patient.getMeta().addTag(TransformerConstants.CODING_SYSTEM_BFD_TAGS, TransformerConstants.CODING_BFD_TAGS_DELAYED_BACKDATED_ENROLLMENT, TransformerConstants.CODING_BFD_TAGS_DELAYED_BACKDATED_ENROLLMENT_DISPLAY);
}
// Required values not directly mapped
patient.getMeta().addProfile(ProfileConstants.C4BB_PATIENT_URL);
patient.setId(beneficiary.getBeneficiaryId());
// BENE_ID => patient.identifier
TransformerUtilsV2.addIdentifierSlice(patient, TransformerUtilsV2.createCodeableConcept(TransformerConstants.CODING_SYSTEM_HL7_IDENTIFIER_TYPE, null, TransformerConstants.PATIENT_MB_ID_DISPLAY, "MB"), Optional.of(beneficiary.getBeneficiaryId()), Optional.of(TransformerConstants.CODING_BBAPI_BENE_ID));
// Unhashed MBI
if (beneficiary.getMedicareBeneficiaryId().isPresent()) {
Period mbiPeriod = new Period();
if (beneficiary.getMbiEffectiveDate().isPresent()) {
TransformerUtilsV2.setPeriodStart(mbiPeriod, beneficiary.getMbiEffectiveDate().get());
}
if (beneficiary.getMbiObsoleteDate().isPresent()) {
TransformerUtilsV2.setPeriodEnd(mbiPeriod, beneficiary.getMbiObsoleteDate().get());
}
addUnhashedIdentifier(patient, beneficiary.getMedicareBeneficiaryId().get(), TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED, TransformerUtilsV2.createIdentifierCurrencyExtension(CurrencyIdentifier.CURRENT), mbiPeriod);
}
// Add lastUpdated
TransformerUtilsV2.setLastUpdated(patient, beneficiary.getLastUpdated());
/**
* The following logic attempts to distill {@link MedicareBeneficiaryIdHistory} data into only
* those records which have an endDate present. This is due to the fact that it includes the
* CURRENT MBI record which was handle previously. Also, the {@link
* MedicareBeneficiaryIdHistory} table appears to contain spurious records with the only
* difference is the generated surrogate key identifier.
*/
if (requestHeader.isMBIinIncludeIdentifiers()) {
HashMap<LocalDate, MedicareBeneficiaryIdHistory> mbiHistMap = new HashMap<LocalDate, MedicareBeneficiaryIdHistory>();
for (MedicareBeneficiaryIdHistory mbiHistory : beneficiary.getMedicareBeneficiaryIdHistories()) {
// and will have been previously provided as the CURRENT rcd.
if (mbiHistory.getMbiEndDate().isPresent()) {
mbiHistMap.put(mbiHistory.getMbiEndDate().get(), mbiHistory);
}
// would come in ascending order, so any rcd would have a later
// update date than prev rcd.
TransformerUtilsV2.updateMaxLastUpdated(patient, mbiHistory.getLastUpdated());
}
if (mbiHistMap.size() > 0) {
Extension historicalIdentifier = TransformerUtilsV2.createIdentifierCurrencyExtension(CurrencyIdentifier.HISTORIC);
for (MedicareBeneficiaryIdHistory mbi : mbiHistMap.values()) {
addUnhashedIdentifier(patient, mbi.getMedicareBeneficiaryId().get(), TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED, historicalIdentifier, null);
}
}
}
// support header includeAddressFields from downstream components e.g. BB2
// per requirement of BFD-379, BB2 always send header includeAddressFields = False
Boolean addrHdrVal = requestHeader.getValue(R4PatientResourceProvider.HEADER_NAME_INCLUDE_ADDRESS_FIELDS);
if (addrHdrVal != null && addrHdrVal) {
patient.addAddress().setState(beneficiary.getStateCode()).setPostalCode(beneficiary.getPostalCode()).setCity(beneficiary.getDerivedCityName().orElse(null)).addLine(beneficiary.getDerivedMailingAddress1().orElse(null)).addLine(beneficiary.getDerivedMailingAddress2().orElse(null)).addLine(beneficiary.getDerivedMailingAddress3().orElse(null)).addLine(beneficiary.getDerivedMailingAddress4().orElse(null)).addLine(beneficiary.getDerivedMailingAddress5().orElse(null)).addLine(beneficiary.getDerivedMailingAddress6().orElse(null));
} else {
patient.addAddress().setState(beneficiary.getStateCode()).setPostalCode(beneficiary.getPostalCode());
}
if (beneficiary.getBirthDate() != null) {
patient.setBirthDate(TransformerUtilsV2.convertToDate(beneficiary.getBirthDate()));
}
// "Patient.deceased[x]": ["boolean", "dateTime"],
if (beneficiary.getBeneficiaryDateOfDeath().isPresent()) {
patient.setDeceased(new DateTimeType(TransformerUtilsV2.convertToDate(beneficiary.getBeneficiaryDateOfDeath().get()), TemporalPrecisionEnum.DAY));
} else {
patient.setDeceased(new BooleanType(false));
}
char sex = beneficiary.getSex();
if (sex == Sex.MALE.getCode())
patient.setGender((AdministrativeGender.MALE));
else if (sex == Sex.FEMALE.getCode())
patient.setGender((AdministrativeGender.FEMALE));
else
patient.setGender((AdministrativeGender.UNKNOWN));
if (beneficiary.getRace().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.RACE, beneficiary.getRace().get()));
// for race category, v2 will just treat all race codes as Unknown (UNK);
// thus we'll simply pass in the Unknown race code .
RaceCategory raceCategory = TransformerUtilsV2.getRaceCategory('0');
Extension raceChildOMBExt1 = new Extension().setValue(new Coding().setCode(raceCategory.toCode()).setSystem(raceCategory.getSystem()).setDisplay(raceCategory.getDisplay())).setUrl("ombCategory");
Extension raceChildOMBExt2 = new Extension().setValue(new StringType().setValue(raceCategory.getDisplay())).setUrl("text");
Extension parentOMBRace = new Extension().setUrl(TransformerConstants.CODING_RACE_US);
parentOMBRace.addExtension(raceChildOMBExt1);
parentOMBRace.addExtension(raceChildOMBExt2);
patient.addExtension(parentOMBRace);
}
HumanName name = patient.addName().addGiven(beneficiary.getNameGiven()).setFamily(beneficiary.getNameSurname()).setUse(HumanName.NameUse.USUAL);
if (beneficiary.getNameMiddleInitial().isPresent()) {
name.addGiven(String.valueOf(beneficiary.getNameMiddleInitial().get()));
}
// The reference year of the enrollment data
if (beneficiary.getBeneEnrollmentReferenceYear().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionDate(CcwCodebookVariable.RFRNC_YR, beneficiary.getBeneEnrollmentReferenceYear()));
}
// Monthly Medicare-Medicaid dual eligibility codes
if (beneficiary.getMedicaidDualEligibilityJanCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_01, beneficiary.getMedicaidDualEligibilityJanCode()));
}
if (beneficiary.getMedicaidDualEligibilityFebCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_02, beneficiary.getMedicaidDualEligibilityFebCode()));
}
if (beneficiary.getMedicaidDualEligibilityMarCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_03, beneficiary.getMedicaidDualEligibilityMarCode()));
}
if (beneficiary.getMedicaidDualEligibilityAprCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_04, beneficiary.getMedicaidDualEligibilityAprCode()));
}
if (beneficiary.getMedicaidDualEligibilityMayCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_05, beneficiary.getMedicaidDualEligibilityMayCode()));
}
if (beneficiary.getMedicaidDualEligibilityJunCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_06, beneficiary.getMedicaidDualEligibilityJunCode()));
}
if (beneficiary.getMedicaidDualEligibilityJulCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_07, beneficiary.getMedicaidDualEligibilityJulCode()));
}
if (beneficiary.getMedicaidDualEligibilityAugCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_08, beneficiary.getMedicaidDualEligibilityAugCode()));
}
if (beneficiary.getMedicaidDualEligibilitySeptCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_09, beneficiary.getMedicaidDualEligibilitySeptCode()));
}
if (beneficiary.getMedicaidDualEligibilityOctCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_10, beneficiary.getMedicaidDualEligibilityOctCode()));
}
if (beneficiary.getMedicaidDualEligibilityNovCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_11, beneficiary.getMedicaidDualEligibilityNovCode()));
}
if (beneficiary.getMedicaidDualEligibilityDecCode().isPresent()) {
patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_12, beneficiary.getMedicaidDualEligibilityDecCode()));
}
// Last Updated => Patient.meta.lastUpdated
TransformerUtilsV2.setLastUpdated(patient, beneficiary.getLastUpdated());
return patient;
}
use of org.hl7.fhir.dstu3.model.Narrative.NarrativeStatus.GENERATED in project beneficiary-fhir-data by CMSgov.
the class CarrierClaimTransformerTest method assertMatches.
/**
* Verifies that the {@link ExplanationOfBenefit} "looks like" it should, if it were produced from
* the specified {@link CarrierClaim}.
*
* @param claim the {@link CarrierClaim} that the {@link ExplanationOfBenefit} was generated from
* @param eob the {@link ExplanationOfBenefit} that was generated from the specified {@link
* CarrierClaim}
* @param includedTaxNumbers whether or not to include tax numbers are expected to be included in
* the result (see {@link
* ExplanationOfBenefitResourceProvider#HEADER_NAME_INCLUDE_TAX_NUMBERS}, defaults to <code>
* false</code>)
* @throws FHIRException (indicates test failure)
*/
static void assertMatches(CarrierClaim claim, ExplanationOfBenefit eob, Optional<Boolean> includedTaxNumbers) throws FHIRException {
// Test to ensure group level fields between all claim types match
TransformerTestUtils.assertEobCommonClaimHeaderData(eob, claim.getClaimId(), claim.getBeneficiaryId(), ClaimType.CARRIER, claim.getClaimGroupId().toPlainString(), MedicareSegment.PART_B, Optional.of(claim.getDateFrom()), Optional.of(claim.getDateThrough()), Optional.of(claim.getPaymentAmount()), claim.getFinalAction());
// Test to ensure common group fields between Carrier and DME match
TransformerTestUtils.assertEobCommonGroupCarrierDMEEquals(eob, claim.getBeneficiaryId(), claim.getCarrierNumber(), claim.getClinicalTrialNumber(), claim.getBeneficiaryPartBDeductAmount(), claim.getPaymentDenialCode(), claim.getReferringPhysicianNpi(), claim.getProviderAssignmentIndicator(), claim.getProviderPaymentAmount(), claim.getBeneficiaryPaymentAmount(), claim.getSubmittedChargeAmount(), claim.getAllowedChargeAmount());
assertEquals(5, eob.getDiagnosis().size());
assertEquals(1, eob.getItem().size());
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.PRPAYAMT, claim.getPrimaryPayerPaidAmount(), eob);
CarrierClaimLine claimLine1 = claim.getLines().get(0);
ItemComponent eobItem0 = eob.getItem().get(0);
assertEquals(claimLine1.getLineNumber(), new BigDecimal(eobItem0.getSequence()));
TransformerTestUtils.assertCareTeamEquals(claimLine1.getPerformingPhysicianNpi().get(), ClaimCareteamrole.PRIMARY, eob);
CareTeamComponent performingCareTeamEntry = TransformerTestUtils.findCareTeamEntryForProviderNpi(claimLine1.getPerformingPhysicianNpi().get(), eob.getCareTeam());
TransformerTestUtils.assertHasCoding(CcwCodebookVariable.PRVDR_SPCLTY, claimLine1.getProviderSpecialityCode(), performingCareTeamEntry.getQualification());
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.CARR_LINE_PRVDR_TYPE_CD, claimLine1.getProviderTypeCode(), performingCareTeamEntry);
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.PRTCPTNG_IND_CD, claimLine1.getProviderParticipatingIndCode(), performingCareTeamEntry);
TransformerTestUtils.assertExtensionCodingEquals(performingCareTeamEntry, TransformerConstants.CODING_NPI_US, TransformerConstants.CODING_NPI_US, "" + claimLine1.getOrganizationNpi().get());
CareTeamComponent taxNumberCareTeamEntry = TransformerTestUtils.findCareTeamEntryForProviderTaxNumber(claimLine1.getProviderTaxNumber(), eob.getCareTeam());
if (includedTaxNumbers.orElse(false)) {
assertNotNull(taxNumberCareTeamEntry);
} else {
assertNull(taxNumberCareTeamEntry);
}
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.PRVDR_STATE_CD, claimLine1.getProviderStateCode(), eobItem0.getLocation());
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.PRVDR_STATE_CD, claimLine1.getProviderStateCode(), eobItem0.getLocation());
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.CARR_LINE_PRCNG_LCLTY_CD, claimLine1.getLinePricingLocalityCode(), eobItem0.getLocation());
TransformerTestUtils.assertHasCoding(TransformerConstants.CODING_SYSTEM_HCPCS, "" + claim.getHcpcsYearCode().get(), null, claimLine1.getHcpcsCode().get(), eobItem0.getService().getCoding());
assertEquals(1, eobItem0.getModifier().size());
TransformerTestUtils.assertHcpcsCodes(eobItem0, claimLine1.getHcpcsCode(), claimLine1.getHcpcsInitialModifierCode(), claimLine1.getHcpcsSecondModifierCode(), claim.getHcpcsYearCode(), 0);
if (claimLine1.getAnesthesiaUnitCount().compareTo(BigDecimal.ZERO) > 0) {
TransformerTestUtils.assertExtensionQuantityEquals(CcwCodebookVariable.CARR_LINE_ANSTHSA_UNIT_CNT, claimLine1.getAnesthesiaUnitCount(), eobItem0.getService());
}
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.CARR_LINE_MTUS_CD, claimLine1.getMtusCode(), eobItem0);
TransformerTestUtils.assertExtensionQuantityEquals(CcwCodebookVariable.CARR_LINE_MTUS_CNT, claimLine1.getMtusCount(), eobItem0);
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.CARR_LINE_RDCD_PMT_PHYS_ASTN_C, claimLine1.getReducedPaymentPhysicianAsstCode(), eobItem0.getAdjudication());
TransformerTestUtils.assertExtensionIdentifierEquals(CcwCodebookVariable.CARR_LINE_CLIA_LAB_NUM, claimLine1.getCliaLabNumber(), eobItem0.getLocation());
// verify {@link
// TransformerUtils#mapEobType(CodeableConcept,ClaimType,Optional,Optional)}
// method worked as expected for this claim type
TransformerTestUtils.assertMapEobType(eob.getType(), ClaimType.CARRIER, Optional.of(org.hl7.fhir.dstu3.model.codesystems.ClaimType.PROFESSIONAL), Optional.of(claim.getNearLineRecordIdCode()), Optional.of(claim.getClaimTypeCode()));
// Test to ensure common item fields between Carrier and DME match
TransformerTestUtils.assertEobCommonItemCarrierDMEEquals(eobItem0, eob, claimLine1.getServiceCount(), claimLine1.getPlaceOfServiceCode(), claimLine1.getFirstExpenseDate(), claimLine1.getLastExpenseDate(), claimLine1.getBeneficiaryPaymentAmount(), claimLine1.getProviderPaymentAmount(), claimLine1.getBeneficiaryPartBDeductAmount(), claimLine1.getPrimaryPayerCode(), claimLine1.getPrimaryPayerPaidAmount(), claimLine1.getBetosCode(), claimLine1.getPaymentAmount(), claimLine1.getPaymentCode(), claimLine1.getCoinsuranceAmount(), claimLine1.getSubmittedChargeAmount(), claimLine1.getAllowedChargeAmount(), claimLine1.getProcessingIndicatorCode(), claimLine1.getServiceDeductibleCode(), claimLine1.getDiagnosisCode(), claimLine1.getDiagnosisCodeVersion(), claimLine1.getHctHgbTestTypeCode(), claimLine1.getHctHgbTestResult(), claimLine1.getCmsServiceTypeCode(), claimLine1.getNationalDrugCode());
// Test lastUpdated
TransformerTestUtils.assertLastUpdatedEquals(claim.getLastUpdated(), eob);
}
use of org.hl7.fhir.dstu3.model.Narrative.NarrativeStatus.GENERATED in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerTest method assertMatches.
/**
* Verifies that the {@link ExplanationOfBenefit} "looks like" it should, if it were produced from
* the specified {@link OutpatientClaim}.
*
* @param claim the {@link OutpatientClaim} that the {@link ExplanationOfBenefit} was generated
* from
* @param eob the {@link ExplanationOfBenefit} that was generated from the specified {@link
* OutpatientClaim}
* @throws FHIRException (indicates test failure)
*/
static void assertMatches(OutpatientClaim claim, ExplanationOfBenefit eob) throws FHIRException {
// Test to ensure group level fields between all claim types match
TransformerTestUtils.assertEobCommonClaimHeaderData(eob, claim.getClaimId(), claim.getBeneficiaryId(), ClaimType.OUTPATIENT, claim.getClaimGroupId().toPlainString(), MedicareSegment.PART_B, Optional.of(claim.getDateFrom()), Optional.of(claim.getDateThrough()), Optional.of(claim.getPaymentAmount()), claim.getFinalAction());
// test the common field provider number is set as expected in the EOB
TransformerTestUtils.assertProviderNumber(eob, claim.getProviderNumber());
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_BENE_PTB_DDCTBL_AMT, claim.getDeductibleAmount(), eob);
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_PROFNL_CMPNT_CHRG_AMT, claim.getProfessionalComponentCharge(), eob);
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_BENE_PTB_COINSRNC_AMT, claim.getCoinsuranceAmount(), eob);
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.CLM_OP_PRVDR_PMT_AMT, claim.getProviderPaymentAmount(), eob);
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.CLM_OP_BENE_PMT_AMT, claim.getBeneficiaryPaymentAmount(), eob);
// Test to ensure common group fields between Inpatient, Outpatient and SNF
TransformerTestUtils.assertEobCommonGroupInpOutSNFEquals(eob, claim.getBloodDeductibleLiabilityAmount(), claim.getOperatingPhysicianNpi(), claim.getOtherPhysicianNpi(), claim.getClaimQueryCode(), claim.getMcoPaidSw());
// Test to ensure common group fields between Inpatient, Outpatient HHA, Hospice
// and SNF match
TransformerTestUtils.assertEobCommonGroupInpOutHHAHospiceSNFEquals(eob, claim.getOrganizationNpi(), claim.getClaimFacilityTypeCode(), claim.getClaimFrequencyCode(), claim.getClaimNonPaymentReasonCode(), claim.getPatientDischargeStatusCode().get(), claim.getClaimServiceClassificationTypeCode(), claim.getClaimPrimaryPayerCode(), claim.getAttendingPhysicianNpi(), claim.getTotalChargeAmount(), claim.getPrimaryPayerPaidAmount(), claim.getFiscalIntermediaryNumber(), claim.getFiDocumentClaimControlNumber(), claim.getFiOriginalClaimControlNumber());
assertTrue(countDiagnosisCodes(claim) >= eob.getDiagnosis().size(), "Expect actual diagnosis count is less than or equal to the claim count");
if (claim.getProcedure1Code().isPresent()) {
CCWProcedure ccwProcedure = new CCWProcedure(claim.getProcedure1Code(), claim.getProcedure1CodeVersion(), claim.getProcedure1Date());
TransformerTestUtils.assertHasCoding(ccwProcedure.getFhirSystem().toString(), claim.getProcedure1Code().get(), eob.getProcedure().get(0).getProcedureCodeableConcept().getCoding());
assertEquals(claim.getProcedure1Date().get().atStartOfDay(ZoneId.systemDefault()).toInstant(), eob.getProcedure().get(0).getDate().toInstant());
}
assertTrue(1 <= eob.getItem().size(), "Expect actual item count is above 0");
ItemComponent eobItem0 = eob.getItem().get(0);
OutpatientClaimLine claimLine1 = claim.getLines().get(0);
assertEquals(new Integer(claimLine1.getLineNumber().intValue()), new Integer(eobItem0.getSequence()));
assertEquals(claim.getProviderStateCode(), eobItem0.getLocationAddress().getState());
// TODO re-map as described in CBBF-111
/*
* TransformerTestUtils.assertHasCoding(TransformerConstants.CODING_NDC,
* claimLine1.getNationalDrugCode().get(), eobItem0.getService());
*/
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_1ST_ANSI_CD, claimLine1.getRevCntr1stAnsiCd(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_2ND_ANSI_CD, claimLine1.getRevCntr2ndAnsiCd(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_3RD_ANSI_CD, claimLine1.getRevCntr3rdAnsiCd(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_4TH_ANSI_CD, claimLine1.getRevCntr4thAnsiCd(), eobItem0.getAdjudication());
TransformerTestUtils.assertHcpcsCodes(eobItem0, claimLine1.getHcpcsCode(), claimLine1.getHcpcsInitialModifierCode(), claimLine1.getHcpcsSecondModifierCode(), Optional.empty(), 0);
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.REV_CNTR_IDE_NDC_UPC_NUM, claimLine1.getNationalDrugCode(), eobItem0.getService());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_BLOOD_DDCTBL_AMT, claimLine1.getBloodDeductibleAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_CASH_DDCTBL_AMT, claimLine1.getCashDeductibleAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_COINSRNC_WGE_ADJSTD_C, claimLine1.getWageAdjustedCoinsuranceAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_RDCD_COINSRNC_AMT, claimLine1.getReducedCoinsuranceAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_1ST_MSP_PD_AMT, claimLine1.getFirstMspPaidAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_1ST_MSP_PD_AMT, claimLine1.getSecondMspPaidAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_PRVDR_PMT_AMT, claimLine1.getProviderPaymentAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_BENE_PMT_AMT, claimLine1.getBenficiaryPaymentAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_PTNT_RSPNSBLTY_PMT, claimLine1.getPatientResponsibilityAmount(), eobItem0.getAdjudication());
String claimControlNumber = "0000000000";
// Test to ensure item level fields between Inpatient, Outpatient, HHA, Hopsice
// and SNF match
TransformerTestUtils.assertEobCommonItemRevenueEquals(eobItem0, eob, claimLine1.getRevenueCenterCode(), claimLine1.getRateAmount(), claimLine1.getTotalChargeAmount(), claimLine1.getNonCoveredChargeAmount(), claimLine1.getUnitCount(), claimControlNumber, claimLine1.getNationalDrugCodeQuantity(), claimLine1.getNationalDrugCodeQualifierCode(), claimLine1.getRevenueCenterRenderingPhysicianNPI(), 1);
// Test to ensure item level fields between Outpatient, HHA and Hospice match
TransformerTestUtils.assertEobCommonItemRevenueOutHHAHospice(eobItem0, claimLine1.getRevenueCenterDate(), claimLine1.getPaymentAmount());
// verify {@link
// TransformerUtils#mapEobType(CodeableConcept,ClaimType,Optional,Optional)}
// method worked as expected for this claim type
TransformerTestUtils.assertMapEobType(eob.getType(), ClaimType.OUTPATIENT, Optional.of(org.hl7.fhir.dstu3.model.codesystems.ClaimType.PROFESSIONAL), Optional.of(claim.getNearLineRecordIdCode()), Optional.of(claim.getClaimTypeCode()));
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.REV_CNTR_STUS_IND_CD, claimLine1.getStatusCode(), eobItem0.getRevenue());
// Test lastUpdated
TransformerTestUtils.assertLastUpdatedEquals(claim.getLastUpdated(), eob);
}
use of org.hl7.fhir.dstu3.model.Narrative.NarrativeStatus.GENERATED in project kindling by HL7.
the class OldSpreadsheetParser method scanNestedTypes.
private void scanNestedTypes(ResourceDefn parent, ElementDefn root, String parentName) throws Exception {
for (ElementDefn element : root.getElements()) {
if (element.hasNestedElements()) {
String nestedTypeName;
ElementDefn newCompositeType = new ElementDefn();
// generated name for this nested type
if (element.typeCode().startsWith("=")) {
if (isProfile)
throw new Exception("Cannot use '=' types in profiles on " + parentName);
element.setStatedType(element.typeCode().substring(1));
nestedTypeName = element.typeCode().substring(1);
} else {
nestedTypeName = parentName + Utilities.capitalize(element.getName());
}
newCompositeType.setAnonymousTypedGroup(true);
// Add Component to the actually generated name to avoid
// confusing between the element name and the element's type
newCompositeType.setName(nestedTypeName + "Component");
newCompositeType.setDefinition("A nested type in " + parent.getName() + ": " + element.getDefinition());
newCompositeType.getElements().addAll(element.getElements());
if (parent.getRoot().getNestedTypes().containsKey(nestedTypeName))
throw new Exception("Nested type " + nestedTypeName + " already exist in resource " + parent.getName());
parent.getRoot().getNestedTypes().put(nestedTypeName, newCompositeType);
// Clear out the name of the local type, so old code
// will not see a change.
element.getTypes().clear();
element.setDeclaredTypeName(newCompositeType.getName());
scanNestedTypes(parent, element, nestedTypeName);
}
}
}
use of org.hl7.fhir.dstu3.model.Narrative.NarrativeStatus.GENERATED in project kindling by HL7.
the class XSDBaseGenerator method generate.
public void generate(String version, String genDate, boolean outer) throws Exception {
if (outer) {
write("<?xml version=\"1.0\" encoding=\"UTF-8\"?>\r\n");
write("<!-- \r\n");
write(Config.FULL_LICENSE_CODE);
write("\r\n");
write(" Generated on " + genDate + " for FHIR v" + version + " \r\n");
write("\r\n");
write(" Note: the schemas & schematrons do not contain all of the rules about what makes resources\r\n");
write(" valid. Implementers will still need to be familiar with the content of the specification and with\r\n");
write(" any profiles that apply to the resources in order to make a conformant implementation.\r\n");
write("\r\n");
write("-->\r\n");
write("<xs:schema xmlns:xs=\"http://www.w3.org/2001/XMLSchema\" xmlns=\"http://hl7.org/fhir\" xmlns:xhtml=\"http://www.w3.org/1999/xhtml\" " + "targetNamespace=\"http://hl7.org/fhir\" elementFormDefault=\"qualified\" version=\"1.0\">\r\n");
}
write(" <xs:import namespace=\"http://www.w3.org/XML/1998/namespace\" schemaLocation=\"xml.xsd\"/>\r\n");
write(" <xs:import namespace=\"http://www.w3.org/1999/xhtml\" schemaLocation=\"fhir-xhtml.xsd\"/>\r\n");
if (outer)
write(" <xs:include schemaLocation=\"fhir-all.xsd\"/>\r\n");
// genElementRoot();
write("\r\n");
genPrimitives();
write("\r\n");
genResourceReference();
genResourceContainer();
for (ElementDefn e : definitions.getInfrastructure().values()) genInfrastructure(e);
for (ElementDefn e : definitions.getTypes().values()) genType(e);
for (String n : definitions.getBaseResources().keySet()) {
ResourceDefn r = definitions.getBaseResources().get(n);
if (r.isAbstract()) {
genResource(n, r);
}
}
// todo: what to do about this?
for (BindingSpecification b : definitions.getCommonBindings().values()) if (((b.getUseContexts().size() > 1 || b.isShared()) && isEnum(b)))
generateEnum(b);
if (outer) {
write("</xs:schema>\r\n");
writer.flush();
}
}
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