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

Example 56 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project org.hl7.fhir.core by hapifhir.

the class RdfParser method composeCoverageCostToBeneficiaryComponent.

protected void composeCoverageCostToBeneficiaryComponent(Complex parent, String parentType, String name, Coverage.CostToBeneficiaryComponent element, int index) {
    if (element == null)
        return;
    Complex t;
    if (Utilities.noString(parentType))
        t = parent;
    else {
        t = parent.predicate("fhir:" + parentType + '.' + name);
    }
    composeBackboneElement(t, "costToBeneficiary", name, element, index);
    if (element.hasType())
        composeCodeableConcept(t, "Coverage", "type", element.getType(), -1);
    if (element.hasValue())
        composeType(t, "Coverage", "value", element.getValue(), -1);
    for (int i = 0; i < element.getException().size(); i++) composeCoverageExemptionComponent(t, "Coverage", "exception", element.getException().get(i), i);
}

Example 57 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project org.hl7.fhir.core by hapifhir.

the class RdfParser method composeInsurancePlan.

protected void composeInsurancePlan(Complex parent, String parentType, String name, InsurancePlan element, int index) {
    if (element == null)
        return;
    Complex t;
    if (Utilities.noString(parentType))
        t = parent;
    else {
        t = parent.predicate("fhir:" + parentType + '.' + name);
    }
    composeDomainResource(t, "InsurancePlan", name, element, index);
    for (int i = 0; i < element.getIdentifier().size(); i++) composeIdentifier(t, "InsurancePlan", "identifier", element.getIdentifier().get(i), i);
    if (element.hasStatusElement())
        composeEnum(t, "InsurancePlan", "status", element.getStatusElement(), -1);
    for (int i = 0; i < element.getType().size(); i++) composeCodeableConcept(t, "InsurancePlan", "type", element.getType().get(i), i);
    if (element.hasNameElement())
        composeString(t, "InsurancePlan", "name", element.getNameElement(), -1);
    for (int i = 0; i < element.getAlias().size(); i++) composeString(t, "InsurancePlan", "alias", element.getAlias().get(i), i);
    if (element.hasPeriod())
        composePeriod(t, "InsurancePlan", "period", element.getPeriod(), -1);
    if (element.hasOwnedBy())
        composeReference(t, "InsurancePlan", "ownedBy", element.getOwnedBy(), -1);
    if (element.hasAdministeredBy())
        composeReference(t, "InsurancePlan", "administeredBy", element.getAdministeredBy(), -1);
    for (int i = 0; i < element.getCoverageArea().size(); i++) composeReference(t, "InsurancePlan", "coverageArea", element.getCoverageArea().get(i), i);
    for (int i = 0; i < element.getContact().size(); i++) composeInsurancePlanInsurancePlanContactComponent(t, "InsurancePlan", "contact", element.getContact().get(i), i);
    for (int i = 0; i < element.getEndpoint().size(); i++) composeReference(t, "InsurancePlan", "endpoint", element.getEndpoint().get(i), i);
    for (int i = 0; i < element.getNetwork().size(); i++) composeReference(t, "InsurancePlan", "network", element.getNetwork().get(i), i);
    for (int i = 0; i < element.getCoverage().size(); i++) composeInsurancePlanInsurancePlanCoverageComponent(t, "InsurancePlan", "coverage", element.getCoverage().get(i), i);
    for (int i = 0; i < element.getPlan().size(); i++) composeInsurancePlanInsurancePlanPlanComponent(t, "InsurancePlan", "plan", element.getPlan().get(i), i);
}

Example 58 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project org.hl7.fhir.core by hapifhir.

the class RdfParser method composeClaimInsuranceComponent.

protected void composeClaimInsuranceComponent(Complex parent, String parentType, String name, Claim.InsuranceComponent element, int index) {
    if (element == null)
        return;
    Complex t;
    if (Utilities.noString(parentType))
        t = parent;
    else {
        t = parent.predicate("fhir:" + parentType + '.' + name);
    }
    composeBackboneElement(t, "insurance", name, element, index);
    if (element.hasSequenceElement())
        composePositiveInt(t, "Claim", "sequence", element.getSequenceElement(), -1);
    if (element.hasFocalElement())
        composeBoolean(t, "Claim", "focal", element.getFocalElement(), -1);
    if (element.hasIdentifier())
        composeIdentifier(t, "Claim", "identifier", element.getIdentifier(), -1);
    if (element.hasCoverage())
        composeReference(t, "Claim", "coverage", element.getCoverage(), -1);
    if (element.hasBusinessArrangementElement())
        composeString(t, "Claim", "businessArrangement", element.getBusinessArrangementElement(), -1);
    for (int i = 0; i < element.getPreAuthRef().size(); i++) composeString(t, "Claim", "preAuthRef", element.getPreAuthRef().get(i), i);
    if (element.hasClaimResponse())
        composeReference(t, "Claim", "claimResponse", element.getClaimResponse(), -1);
}

Example 59 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project CRD by HL7-DaVinci.

the class FhirBundleProcessor method createCriteriaList.

private List<CoverageRequirementRuleCriteria> createCriteriaList(CodeableConcept codeableConcept, List<Reference> insurance, List<Organization> payorList) {
    try {
        List<Coding> codings = codeableConcept.getCoding();
        if (codings.size() > 0) {
            logger.info("r4/FhirBundleProcessor::createCriteriaList: code[0]: " + codings.get(0).getCode() + " - " + codings.get(0).getSystem());
        } else {
            logger.info("r4/FhirBundleProcessor::createCriteriaList: empty codes list!");
        }
        List<Organization> payors = new ArrayList<>();
        if (insurance != null) {
            List<Coverage> coverages = insurance.stream().map(reference -> (Coverage) reference.getResource()).collect(Collectors.toList());
            // Remove null coverages that may not have resolved.
            coverages = coverages.stream().filter(coverage -> coverage != null).collect(Collectors.toList());
            payors = Utilities.getPayors(coverages);
        } else if (payorList != null) {
            payors = payorList;
        }
        if (payors.size() > 0) {
            logger.info("r4/FhirBundleProcessor::createCriteriaList: payer[0]: " + payors.get(0).getName());
        } else {
            // default to CMS if no payer was provided
            logger.info("r4/FhirBundleProcessor::createCriteriaList: empty payers list, working around by adding CMS!");
            Organization org = new Organization().setName("Centers for Medicare and Medicaid Services");
            // how to get ID
            org.setId("75f39025-65db-43c8-9127-693cdf75e712");
            payors.add(org);
        // remove the exception to use CMS if no payer is provided
        // JIRA ticket https://jira.mitre.org/browse/DMEERX-894
        // throw new RequestIncompleteException("No Payer found in coverage resource, cannot find documentation.");
        }
        List<CoverageRequirementRuleCriteria> criteriaList = CoverageRequirementRuleCriteria.createQueriesFromR4(codings, payors);
        return criteriaList;
    } catch (RequestIncompleteException e) {
        // rethrow incomplete request exceptions
        throw e;
    } catch (Exception e) {
        // catch all remaining exceptions
        System.out.println(e);
        throw new RequestIncompleteException("Unable to parse list of codes, codesystems, and payors from a device request.");
    }
}

Example 60 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project CRD by HL7-DaVinci.

the class CardBuilder method createSuggestionWithNote.

public static Suggestion createSuggestionWithNote(Card card, IBaseResource request, FhirComponentsT fhirComponents, String label, String description, boolean isRecommended, CoverageGuidance coverageGuidance) {
    Date now = new Date();
    Suggestion requestWithNoteSuggestion = new Suggestion();
    requestWithNoteSuggestion.setLabel(label);
    requestWithNoteSuggestion.setIsRecommended(isRecommended);
    List<Action> actionList = new ArrayList<>();
    // build the Annotation
    Annotation annotation = new Annotation();
    StringType author = new StringType();
    author.setValue(card.getSource().getLabel());
    annotation.setAuthor(author);
    String text = card.getSummary() + ": " + card.getDetail();
    annotation.setText(text);
    // set the date and time to now
    annotation.setTime(now);
    IBaseResource resource = FhirRequestProcessor.addNoteToRequest(request, annotation);
    try {
        // build the Extension with the coverage information
        Extension extension = new Extension();
        extension.setUrl("http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information");
        Extension coverageInfo = new Extension();
        coverageInfo.setUrl("coverageInfo").setValue(coverageGuidance.getCoding());
        extension.addExtension(coverageInfo);
        Extension coverageExtension = new Extension();
        Reference coverageReference = new Reference();
        // TODO: get the coverage from the prefetch and pass it into here instead of retrieving it from the request
        coverageReference.setReference(FhirRequestProcessor.getCoverageFromRequest(request).getReference());
        coverageExtension.setUrl("coverage").setValue(coverageReference);
        extension.addExtension(coverageExtension);
        Extension date = new Extension();
        date.setUrl("date").setValue(new DateType().setValue(now));
        extension.addExtension(date);
        Extension identifier = new Extension();
        String id = UUID.randomUUID().toString();
        identifier.setUrl("identifier").setValue(new StringType(id));
        extension.addExtension(identifier);
        resource = FhirRequestProcessor.addExtensionToRequest(resource, extension);
    } catch (NoCoverageException e) {
        logger.warn("No Coverage, discrete coverage extension will not be included: " + e.getMessage());
    }
    Action updateAction = new Action(fhirComponents);
    updateAction.setType(Action.TypeEnum.update);
    updateAction.setDescription(description);
    updateAction.setResource(resource);
    actionList.add(updateAction);
    requestWithNoteSuggestion.setActions(actionList);
    return requestWithNoteSuggestion;
}