use of org.hl7.fhir.r4.model.Device.DeviceNameType.OTHER in project beneficiary-fhir-data by CMSgov.
the class TransformerUtils method createAdjudicationCategory.
/**
* @param ccwVariable the {@link CcwCodebookInterface} being mapped
* @return the {@link AdjudicationComponent#getCategory()} {@link CodeableConcept} to use for the
* specified {@link CcwCodebookInterface}
*/
static CodeableConcept createAdjudicationCategory(CcwCodebookInterface ccwVariable) {
/*
* Adjudication.category is mapped a bit differently than other Codings/CodeableConcepts: they
* all share the same Coding.system and use the CcwCodebookVariable reference URL as their
* Coding.code. This looks weird, but makes it easy for API developers to find more information
* about what the specific adjudication they're looking at means.
*/
String conceptCode = CCWUtils.calculateVariableReferenceUrl(ccwVariable);
CodeableConcept categoryConcept = createCodeableConcept(TransformerConstants.CODING_CCW_ADJUDICATION_CATEGORY, conceptCode);
categoryConcept.getCodingFirstRep().setDisplay(ccwVariable.getVariable().getLabel());
return categoryConcept;
}
use of org.hl7.fhir.r4.model.Device.DeviceNameType.OTHER in project beneficiary-fhir-data by CMSgov.
the class ExplanationOfBenefitResourceProvider method findByPatient.
/**
* Adds support for the FHIR "search" operation for {@link ExplanationOfBenefit}s, allowing users
* to search by {@link ExplanationOfBenefit#getPatient()}.
*
* <p>The {@link Search} annotation indicates that this method supports the search operation.
* There may be many different methods annotated with this {@link Search} annotation, to support
* many different search criteria.
*
* @param patient a {@link ReferenceParam} for the {@link ExplanationOfBenefit#getPatient()} to
* try and find matches for {@link ExplanationOfBenefit}s
* @param type a list of {@link ClaimType} to include in the result. Defaults to all types.
* @param startIndex an {@link OptionalParam} for the startIndex (or offset) used to determine
* pagination
* @param excludeSamhsa an {@link OptionalParam} that, if <code>"true"</code>, will use {@link
* Stu3EobSamhsaMatcher} to filter out all SAMHSA-related claims from the results
* @param lastUpdated an {@link OptionalParam} that specifies a date range for the lastUpdated
* field.
* @param serviceDate an {@link OptionalParam} that specifies a date range for {@link
* ExplanationOfBenefit}s that completed
* @param requestDetails a {@link RequestDetails} containing the details of the request URL, used
* to parse out pagination values
* @return Returns a {@link Bundle} of {@link ExplanationOfBenefit}s, which may contain multiple
* matching resources, or may also be empty.
*/
@Search
@Trace
public Bundle findByPatient(@RequiredParam(name = ExplanationOfBenefit.SP_PATIENT) @Description(shortDefinition = "The patient identifier to search for") ReferenceParam patient, @OptionalParam(name = "type") @Description(shortDefinition = "A list of claim types to include") TokenAndListParam type, @OptionalParam(name = "startIndex") @Description(shortDefinition = "The offset used for result pagination") String startIndex, @OptionalParam(name = "excludeSAMHSA") @Description(shortDefinition = "If true, exclude all SAMHSA-related resources") String excludeSamhsa, @OptionalParam(name = "_lastUpdated") @Description(shortDefinition = "Include resources last updated in the given range") DateRangeParam lastUpdated, @OptionalParam(name = "service-date") @Description(shortDefinition = "Include resources that completed in the given range") DateRangeParam serviceDate, RequestDetails requestDetails) {
/*
* startIndex is an optional parameter here because it must be declared in the
* event it is passed in. However, it is not being used here because it is also
* contained within requestDetails and parsed out along with other parameters
* later.
*/
String beneficiaryId = patient.getIdPart();
Set<ClaimType> claimTypes = parseTypeParam(type);
Boolean includeTaxNumbers = returnIncludeTaxNumbers(requestDetails);
OffsetLinkBuilder paging = new OffsetLinkBuilder(requestDetails, "/ExplanationOfBenefit?");
Operation operation = new Operation(Operation.Endpoint.V1_EOB);
operation.setOption("by", "patient");
operation.setOption("types", (claimTypes.size() == ClaimType.values().length) ? "*" : claimTypes.stream().sorted(Comparator.comparing(ClaimType::name)).collect(Collectors.toList()).toString());
operation.setOption("IncludeTaxNumbers", "" + includeTaxNumbers);
operation.setOption("pageSize", paging.isPagingRequested() ? "" + paging.getPageSize() : "*");
operation.setOption("_lastUpdated", Boolean.toString(lastUpdated != null && !lastUpdated.isEmpty()));
operation.setOption("service-date", Boolean.toString(serviceDate != null && !serviceDate.isEmpty()));
operation.publishOperationName();
List<IBaseResource> eobs = new ArrayList<IBaseResource>();
// Optimize when the lastUpdated parameter is specified and result set is empty
if (loadedFilterManager.isResultSetEmpty(beneficiaryId, lastUpdated)) {
return TransformerUtils.createBundle(paging, eobs, loadedFilterManager.getTransactionTime());
}
/*
* The way our JPA/SQL schema is setup, we have to run a separate search for
* each claim type, then combine the results. It's not super efficient, but it's
* also not so inefficient that it's worth fixing.
*/
if (claimTypes.contains(ClaimType.CARRIER))
eobs.addAll(transformToEobs(ClaimType.CARRIER, findClaimTypeByPatient(ClaimType.CARRIER, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
if (claimTypes.contains(ClaimType.DME))
eobs.addAll(transformToEobs(ClaimType.DME, findClaimTypeByPatient(ClaimType.DME, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
if (claimTypes.contains(ClaimType.HHA))
eobs.addAll(transformToEobs(ClaimType.HHA, findClaimTypeByPatient(ClaimType.HHA, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
if (claimTypes.contains(ClaimType.HOSPICE))
eobs.addAll(transformToEobs(ClaimType.HOSPICE, findClaimTypeByPatient(ClaimType.HOSPICE, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
if (claimTypes.contains(ClaimType.INPATIENT))
eobs.addAll(transformToEobs(ClaimType.INPATIENT, findClaimTypeByPatient(ClaimType.INPATIENT, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
if (claimTypes.contains(ClaimType.OUTPATIENT))
eobs.addAll(transformToEobs(ClaimType.OUTPATIENT, findClaimTypeByPatient(ClaimType.OUTPATIENT, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
if (claimTypes.contains(ClaimType.PDE))
eobs.addAll(transformToEobs(ClaimType.PDE, findClaimTypeByPatient(ClaimType.PDE, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
if (claimTypes.contains(ClaimType.SNF))
eobs.addAll(transformToEobs(ClaimType.SNF, findClaimTypeByPatient(ClaimType.SNF, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
if (Boolean.parseBoolean(excludeSamhsa))
filterSamhsa(eobs);
eobs.sort(ExplanationOfBenefitResourceProvider::compareByClaimIdThenClaimType);
// Add bene_id to MDC logs
TransformerUtils.logBeneIdToMdc(Arrays.asList(beneficiaryId));
return TransformerUtils.createBundle(paging, eobs, loadedFilterManager.getTransactionTime());
}
use of org.hl7.fhir.r4.model.Device.DeviceNameType.OTHER in project beneficiary-fhir-data by CMSgov.
the class TransformerUtilsV2 method createAdjudicationCategory.
/**
* @param ccwVariable the {@link CcwCodebookInterface} being mapped
* @return the {@link AdjudicationComponent#getCategory()} {@link CodeableConcept} to use for the
* specified {@link CcwCodebookInterface}
*/
static CodeableConcept createAdjudicationCategory(CcwCodebookInterface ccwVariable, String carinAdjuCode, String carinAdjuCodeDisplay) {
/*
* Adjudication.category is mapped a bit differently than other Codings/CodeableConcepts: they
* all share the same Coding.system and use the CcwCodebookInterface reference URL as their
* Coding.code. This looks weird, but makes it easy for API developers to find more information
* about what the specific adjudication they're looking at means.
*/
String conceptCode = CCWUtils.calculateVariableReferenceUrl(ccwVariable);
CodeableConcept categoryConcept = createCodeableConcept(TransformerConstants.CODING_CCW_ADJUDICATION_CATEGORY, conceptCode);
categoryConcept.getCodingFirstRep().setDisplay(ccwVariable.getVariable().getLabel());
categoryConcept.addCoding().setSystem(C4BBAdjudication.SUBMITTED.getSystem()).setCode(carinAdjuCode).setDisplay(carinAdjuCodeDisplay);
return categoryConcept;
}
use of org.hl7.fhir.r4.model.Device.DeviceNameType.OTHER in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerV2Test method shouldHaveCareTeamMembers.
/**
* Testing all of these in one test, just because there isn't a distinct identifier really for
* each
*/
@Test
public void shouldHaveCareTeamMembers() {
// First member
CareTeamComponent member1 = TransformerTestUtilsV2.findCareTeamBySequence(1, eob.getCareTeam());
CareTeamComponent compare1 = TransformerTestUtilsV2.createNpiCareTeamMember(1, "2222222222", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "attending", "Attending");
assertTrue(compare1.equalsDeep(member1));
// Second member
CareTeamComponent member2 = TransformerTestUtilsV2.findCareTeamBySequence(2, eob.getCareTeam());
CareTeamComponent compare2 = TransformerTestUtilsV2.createNpiCareTeamMember(2, "3333333333", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "operating", "Operating");
assertTrue(compare2.equalsDeep(member2));
// Third member
CareTeamComponent member3 = TransformerTestUtilsV2.findCareTeamBySequence(3, eob.getCareTeam());
CareTeamComponent compare3 = TransformerTestUtilsV2.createNpiCareTeamMember(3, "4444", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "otheroperating", "Other Operating");
assertTrue(compare3.equalsDeep(member3));
// Fourth member
CareTeamComponent member4 = TransformerTestUtilsV2.findCareTeamBySequence(4, eob.getCareTeam());
CareTeamComponent compare4 = TransformerTestUtilsV2.createNpiCareTeamMember(4, "345345345", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider");
assertTrue(compare4.equalsDeep(member4));
}
use of org.hl7.fhir.r4.model.Device.DeviceNameType.OTHER in project beneficiary-fhir-data by CMSgov.
the class DMEClaimTransformerV2Test method shouldHaveLineItemLocationCodeableConcept.
@Test
public void shouldHaveLineItemLocationCodeableConcept() {
CodeableConcept location = eob.getItemFirstRep().getLocationCodeableConcept();
CodeableConcept compare = new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/variables/line_place_of_srvc_cd", "12", "Home. Location, other than a hospital or other facility, where the patient receives care in a private residence.")));
compare.setExtension(Arrays.asList(new Extension("https://bluebutton.cms.gov/resources/variables/prvdr_state_cd", new Coding("https://bluebutton.cms.gov/resources/variables/prvdr_state_cd", "MO", null))));
assertTrue(compare.equalsDeep(location));
}
Aggregations