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Example 16 with Claim

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

the class OutpatientClaimTransformerV2Test method shouldHaveClaimReceivedDateSupInfo.

@Test
public void shouldHaveClaimReceivedDateSupInfo() {
    SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("clmrecvddate", 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", "clmrecvddate", "Claim Received Date"), new Coding("https://bluebutton.cms.gov/resources/codesystem/information", "https://bluebutton.cms.gov/resources/variables/nch_wkly_proc_dt", "NCH Weekly Claim Processing Date"))).setTiming(new DateType("2011-02-26"));
    assertTrue(compare.equalsDeep(sic));
}
Also used : SupportingInformationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.SupportingInformationComponent) Coding(org.hl7.fhir.r4.model.Coding) DateType(org.hl7.fhir.r4.model.DateType) Test(org.junit.jupiter.api.Test)

Example 17 with Claim

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

the class OutpatientClaimTransformerV2Test method shouldHavePrpayAmtFinancial.

@Test
public void shouldHavePrpayAmtFinancial() {
    BenefitComponent benefit = TransformerTestUtilsV2.findFinancial("https://bluebutton.cms.gov/resources/variables/prpayamt", eob.getBenefitBalanceFirstRep().getFinancial());
    BenefitComponent compare = new BenefitComponent().setType(new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/codesystem/benefit-balance", "https://bluebutton.cms.gov/resources/variables/prpayamt", "NCH Primary Payer (if not Medicare) Claim Paid Amount")))).setUsed(new Money().setValueElement(new DecimalType("11.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(benefit));
}
Also used : Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) DecimalType(org.hl7.fhir.r4.model.DecimalType) BenefitComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 18 with Claim

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

the class OutpatientClaimTransformerV2Test method shouldHaveClmTotChrgAmtTotal.

@Test
public void shouldHaveClmTotChrgAmtTotal() {
    // Only one so just pull it directly and compare
    TotalComponent total = eob.getTotalFirstRep();
    TotalComponent compare = new TotalComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "submitted", "Submitted Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/clm_tot_chrg_amt", "Claim Total Charge Amount")))).setAmount(new Money().setValue(8888.85).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(total));
}
Also used : TotalComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.TotalComponent) Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 19 with Claim

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

the class OutpatientClaimTransformerV2Test 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));
}
Also used : SupportingInformationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.SupportingInformationComponent) Coding(org.hl7.fhir.r4.model.Coding) Test(org.junit.jupiter.api.Test)

Example 20 with Claim

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

the class DMEClaimTransformerV2Test method generateClaim.

/**
 * Generates the Claim object to be used in multiple tests
 *
 * @return
 * @throws FHIRException
 */
public DMEClaim generateClaim() throws FHIRException {
    List<Object> parsedRecords = ServerTestUtils.parseData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    DMEClaim claim = parsedRecords.stream().filter(r -> r instanceof DMEClaim).map(r -> (DMEClaim) r).findFirst().get();
    claim.setLastUpdated(Instant.now());
    return claim;
}
Also used : DMEClaim(gov.cms.bfd.model.rif.DMEClaim) Assertions.assertNotNull(org.junit.jupiter.api.Assertions.assertNotNull) BeforeEach(org.junit.jupiter.api.BeforeEach) Arrays(java.util.Arrays) ExplanationOfBenefitStatus(org.hl7.fhir.r4.model.ExplanationOfBenefit.ExplanationOfBenefitStatus) Identifier(org.hl7.fhir.r4.model.Identifier) SimpleDateFormat(java.text.SimpleDateFormat) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) BenefitComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent) Use(org.hl7.fhir.r4.model.ExplanationOfBenefit.Use) ProfileConstants(gov.cms.bfd.server.war.commons.ProfileConstants) Reference(org.hl7.fhir.r4.model.Reference) Disabled(org.junit.jupiter.api.Disabled) PaymentComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.PaymentComponent) Money(org.hl7.fhir.r4.model.Money) BigDecimal(java.math.BigDecimal) FhirContext(ca.uhn.fhir.context.FhirContext) SupportingInformationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.SupportingInformationComponent) DMEClaim(gov.cms.bfd.model.rif.DMEClaim) Assertions.assertEquals(org.junit.jupiter.api.Assertions.assertEquals) StaticRifResourceGroup(gov.cms.bfd.model.rif.samples.StaticRifResourceGroup) ServerTestUtils(gov.cms.bfd.server.war.ServerTestUtils) Quantity(org.hl7.fhir.r4.model.Quantity) CareTeamComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.CareTeamComponent) IParser(ca.uhn.fhir.parser.IParser) RoundingMode(java.math.RoundingMode) MetricRegistry(com.codahale.metrics.MetricRegistry) DateType(org.hl7.fhir.r4.model.DateType) InsuranceComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.InsuranceComponent) Instant(java.time.Instant) Test(org.junit.jupiter.api.Test) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) List(java.util.List) TransformerConstants(gov.cms.bfd.server.war.commons.TransformerConstants) Coding(org.hl7.fhir.r4.model.Coding) ExplanationOfBenefit(org.hl7.fhir.r4.model.ExplanationOfBenefit) Assertions.assertTrue(org.junit.jupiter.api.Assertions.assertTrue) Optional(java.util.Optional) FHIRException(org.hl7.fhir.exceptions.FHIRException) Extension(org.hl7.fhir.r4.model.Extension) DiagnosisComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.DiagnosisComponent) TotalComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.TotalComponent)

Aggregations

Test (org.junit.jupiter.api.Test)149 Coding (org.hl7.fhir.r4.model.Coding)92 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)62 Money (org.hl7.fhir.r4.model.Money)61 BenefitComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent)56 Optional (java.util.Optional)50 Arrays (java.util.Arrays)49 List (java.util.List)49 ExplanationOfBenefit (org.hl7.fhir.r4.model.ExplanationOfBenefit)49 FHIRException (org.hl7.fhir.exceptions.FHIRException)48 SupportingInformationComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.SupportingInformationComponent)48 ExplanationOfBenefit (org.hl7.fhir.dstu3.model.ExplanationOfBenefit)47 Assertions.assertEquals (org.junit.jupiter.api.Assertions.assertEquals)47 StaticRifResourceGroup (gov.cms.bfd.model.rif.samples.StaticRifResourceGroup)45 ServerTestUtils (gov.cms.bfd.server.war.ServerTestUtils)45 TransformerConstants (gov.cms.bfd.server.war.commons.TransformerConstants)41 Instant (java.time.Instant)40 ArrayList (java.util.ArrayList)39 IGenericClient (ca.uhn.fhir.rest.client.api.IGenericClient)37 Beneficiary (gov.cms.bfd.model.rif.Beneficiary)37