Examples with Claim org.hl7.fhir.r4.model.Claim used on opensource projects

Example 96 with Claim

use of org.hl7.fhir.r4.model.Claim in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerTest method transformAllSyntheticRecords.

/**
 * Verifies that {@link
 * gov.cms.bfd.server.war.stu3.providers.OutpatientClaimTransformer#transform(Object)} works as
 * expected when run against all synthetic data outpatient claims
 *
 * <p>Note: This test is normally disabled like other synthetic data tests. It will take 20
 * minutes or more to run.
 *
 * @throws FHIRException (indicates test failure)
 */
@Disabled
@Test
public void transformAllSyntheticRecords() throws FHIRException {
    List<StaticRifResource> outpatientSyntheticFiles = Arrays.asList(StaticRifResourceGroup.SYNTHETIC_DATA.getResources()).stream().filter(r -> r.getRifFileType().equals(RifFileType.OUTPATIENT)).collect(Collectors.toList());
    List<Object> parsedRecords = ServerTestUtils.parseData(outpatientSyntheticFiles);
    parsedRecords.stream().filter(r -> r instanceof OutpatientClaim).map(r -> (OutpatientClaim) r).forEach(claim -> {
        LOGGER.info("Running at Bene-Id: {}, Claim-Id: {}", claim.getBeneficiaryId(), claim.getClaimId());
        ExplanationOfBenefit eob = OutpatientClaimTransformer.transform(new MetricRegistry(), claim, Optional.empty());
        assertMatches(claim, eob);
    });
}

Example 97 with Claim

use of org.hl7.fhir.r4.model.Claim in project beneficiary-fhir-data by CMSgov.

the class SNFClaimTransformerV2Test method shouldHaveClmIpAdmsnTypeCdSupInfo.

@Test
public void shouldHaveClmIpAdmsnTypeCdSupInfo() {
    SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("https://bluebutton.cms.gov/resources/variables/clm_ip_admsn_type_cd", eob.getSupportingInfo());
    SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
    sic.getSequence(), // Category
    Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/claiminformationcategory", "info", "Information"), new Coding("https://bluebutton.cms.gov/resources/codesystem/information", "https://bluebutton.cms.gov/resources/variables/clm_ip_admsn_type_cd", "Claim Inpatient Admission Type Code")), // Code
    new Coding("https://bluebutton.cms.gov/resources/variables/clm_ip_admsn_type_cd", "3", "Elective - The patient's condition permitted adequate time to schedule the availability of suitable accommodations."));
    assertTrue(compare.equalsDeep(sic));
}

Example 98 with Claim

use of org.hl7.fhir.r4.model.Claim in project beneficiary-fhir-data by CMSgov.

the class SNFClaimTransformerV2Test method shouldHaveClmSrcIpAdmsnCdSupInfo.

@Test
public void shouldHaveClmSrcIpAdmsnCdSupInfo() {
    SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("https://bluebutton.cms.gov/resources/variables/clm_src_ip_admsn_cd", eob.getSupportingInfo());
    SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
    sic.getSequence(), // Category
    Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/claiminformationcategory", "info", "Information"), new Coding("https://bluebutton.cms.gov/resources/codesystem/information", "https://bluebutton.cms.gov/resources/variables/clm_src_ip_admsn_cd", "Claim Source Inpatient Admission Code")), // Code
    new Coding("https://bluebutton.cms.gov/resources/variables/clm_src_ip_admsn_cd", "4", null));
    assertTrue(compare.equalsDeep(sic));
}

Example 99 with Claim

use of org.hl7.fhir.r4.model.Claim in project beneficiary-fhir-data by CMSgov.

the class SNFClaimTransformerV2Test method shouldHaveClmMcoPdSwSupInfo.

@Test
public void shouldHaveClmMcoPdSwSupInfo() {
    SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("https://bluebutton.cms.gov/resources/variables/clm_mco_pd_sw", eob.getSupportingInfo());
    SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
    sic.getSequence(), // Category
    Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/claiminformationcategory", "info", "Information"), new Coding("https://bluebutton.cms.gov/resources/codesystem/information", "https://bluebutton.cms.gov/resources/variables/clm_mco_pd_sw", "Claim MCO Paid Switch")), // Code
    new Coding("https://bluebutton.cms.gov/resources/variables/clm_mco_pd_sw", "0", "No managed care organization (MCO) payment"));
    assertTrue(compare.equalsDeep(sic));
}

Example 100 with Claim

use of org.hl7.fhir.r4.model.Claim in project beneficiary-fhir-data by CMSgov.

the class SNFClaimTransformerV2Test method shouldHaveClmDrgCdSupInfo.

@Test
public void shouldHaveClmDrgCdSupInfo() {
    SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("https://bluebutton.cms.gov/resources/variables/clm_drg_cd", eob.getSupportingInfo());
    SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
    sic.getSequence(), // Category
    Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/claiminformationcategory", "info", "Information"), new Coding("https://bluebutton.cms.gov/resources/codesystem/information", "https://bluebutton.cms.gov/resources/variables/clm_drg_cd", "Claim Diagnosis Related Group Code (or MS-DRG Code)")), // Code
    new Coding("https://bluebutton.cms.gov/resources/variables/clm_drg_cd", "645", null));
    assertTrue(compare.equalsDeep(sic));
}