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

Example 1 with CareTeamComponent

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

the class TransformerUtils method addCareTeamPractitioner.

/**
 * Ensures that the specified {@link ExplanationOfBenefit} has the specified {@link
 * CareTeamComponent}, and links the specified {@link ItemComponent} to that {@link
 * CareTeamComponent} (via {@link ItemComponent#addCareTeamLinkId(int)}).
 *
 * @param eob the {@link ExplanationOfBenefit} that the {@link CareTeamComponent} should be part
 *     of
 * @param eobItem the {@link ItemComponent} that should be linked to the {@link CareTeamComponent}
 * @param practitionerIdSystem the {@link Identifier#getSystem()} of the practitioner to reference
 *     in {@link CareTeamComponent#getProvider()}
 * @param practitionerIdValue the {@link Identifier#getValue()} of the practitioner to reference
 *     in {@link CareTeamComponent#getProvider()}
 * @param careTeamRole the {@link ClaimCareteamrole} to use for the {@link
 *     CareTeamComponent#getRole()}
 * @return the {@link CareTeamComponent} that was created/linked
 */
static CareTeamComponent addCareTeamPractitioner(ExplanationOfBenefit eob, ItemComponent eobItem, String practitionerIdSystem, String practitionerIdValue, ClaimCareteamrole careTeamRole) {
    // Try to find a matching pre-existing entry.
    CareTeamComponent careTeamEntry = eob.getCareTeam().stream().filter(ctc -> ctc.getProvider().hasIdentifier()).filter(ctc -> practitionerIdSystem.equals(ctc.getProvider().getIdentifier().getSystem()) && practitionerIdValue.equals(ctc.getProvider().getIdentifier().getValue())).filter(ctc -> ctc.hasRole()).filter(ctc -> careTeamRole.toCode().equals(ctc.getRole().getCodingFirstRep().getCode()) && careTeamRole.getSystem().equals(ctc.getRole().getCodingFirstRep().getSystem())).findAny().orElse(null);
    // If no match was found, add one to the EOB.
    if (careTeamEntry == null) {
        careTeamEntry = eob.addCareTeam();
        careTeamEntry.setSequence(eob.getCareTeam().size() + 1);
        careTeamEntry.setProvider(createIdentifierReference(practitionerIdSystem, practitionerIdValue));
        CodeableConcept careTeamRoleConcept = createCodeableConcept(ClaimCareteamrole.OTHER.getSystem(), careTeamRole.toCode());
        careTeamRoleConcept.getCodingFirstRep().setDisplay(careTeamRole.getDisplay());
        careTeamEntry.setRole(careTeamRoleConcept);
    }
    // care team entry is at eob level so no need to create item link id
    if (eobItem == null) {
        return careTeamEntry;
    }
    // Link the EOB.item to the care team entry (if it isn't already).
    final int careTeamEntrySequence = careTeamEntry.getSequence();
    if (eobItem.getCareTeamLinkId().stream().noneMatch(id -> id.getValue() == careTeamEntrySequence)) {
        eobItem.addCareTeamLinkId(careTeamEntrySequence);
    }
    return careTeamEntry;
}

Example 2 with CareTeamComponent

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.CareTeamComponent 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));
}

Example 3 with CareTeamComponent

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

the class CarrierClaimTransformerV2Test method shouldHaveCareTeamMembers.

@Test
public void shouldHaveCareTeamMembers() {
    // First member
    CareTeamComponent member1 = TransformerTestUtilsV2.findCareTeamBySequence(1, eob.getCareTeam());
    CareTeamComponent compare1 = TransformerTestUtilsV2.createNpiCareTeamMember(1, "8765676", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "referring", "Referring");
    assertTrue(compare1.equalsDeep(member1));
    // Second member
    CareTeamComponent member2 = TransformerTestUtilsV2.findCareTeamBySequence(2, eob.getCareTeam());
    CareTeamComponent compare2 = TransformerTestUtilsV2.createNpiCareTeamMember(2, "K25852", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "referring", "Referring");
    assertTrue(compare2.equalsDeep(member2));
    // // Third member
    CareTeamComponent member3 = TransformerTestUtilsV2.findCareTeamBySequence(3, eob.getCareTeam());
    CareTeamComponent compare3 = TransformerTestUtilsV2.createNpiCareTeamMember(3, "1923124", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider");
    compare3.setResponsible(true);
    compare3.setQualification(new CodeableConcept().setCoding(Arrays.asList(new Coding().setSystem("https://bluebutton.cms.gov/resources/variables/prvdr_spclty").setDisplay("Optometrist").setCode("41"))));
    compare3.addExtension("https://bluebutton.cms.gov/resources/variables/carr_line_prvdr_type_cd", new Coding().setSystem("https://bluebutton.cms.gov/resources/variables/carr_line_prvdr_type_cd").setCode("0"));
    compare3.addExtension("https://bluebutton.cms.gov/resources/variables/prtcptng_ind_cd", new Coding().setSystem("https://bluebutton.cms.gov/resources/variables/prtcptng_ind_cd").setCode("1").setDisplay("Participating"));
    assertTrue(compare3.equalsDeep(member3));
    // Fourth member
    CareTeamComponent member4 = TransformerTestUtilsV2.findCareTeamBySequence(4, eob.getCareTeam());
    CareTeamComponent compare4 = TransformerTestUtilsV2.createNpiCareTeamMember(4, "1497758544", "http://terminology.hl7.org/CodeSystem/claimcareteamrole", "primary", "Primary provider");
    compare4.getProvider().setDisplay("CUMBERLAND COUNTY HOSPITAL SYSTEM, INC");
    assertTrue(compare4.equalsDeep(member4));
}

Example 4 with CareTeamComponent

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

the class HospiceClaimTransformerV2Test method shouldHaveCareTeamMembers.

@Test
public void shouldHaveCareTeamMembers() {
    // First member
    CareTeamComponent member1 = TransformerTestUtilsV2.findCareTeamBySequence(1, eob.getCareTeam());
    CareTeamComponent compare1 = TransformerTestUtilsV2.createNpiCareTeamMember(1, "8888888888", "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 = new CareTeamComponent().setSequence(2).setProvider(new Reference().setIdentifier(TransformerTestUtilsV2.createIdentifier(null, "0", "http://terminology.hl7.org/CodeSystem/v2-0203", "UPIN", "Medicare/CMS (formerly HCFA)'s Universal Physician Identification numbers"))).setRole(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider"))));
    assertTrue(compare2.equalsDeep(member2));
    // // Third member
    CareTeamComponent member3 = TransformerTestUtilsV2.findCareTeamBySequence(3, eob.getCareTeam());
    CareTeamComponent compare3 = new CareTeamComponent().setSequence(3).setProvider(new Reference().setIdentifier(TransformerTestUtilsV2.createIdentifier(null, "345345345", "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType", "npi", "National Provider Identifier"))).setRole(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole", "performing", "Performing provider"))));
    assertTrue(compare3.equalsDeep(member3));
}

Example 5 with CareTeamComponent

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

the class InpatientClaimTransformerV2Test 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, "161999999", "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, "3333444555", "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, "161943433", "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));
}