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

Example 56 with Use

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.Use in project hl7v2-fhir-converter by LinuxForHealth.

the class CodeableConceptTest method testCodeableConceptDoubleRaceWithVersionAndAlternate.

@Test
void testCodeableConceptDoubleRaceWithVersionAndAlternate() {
    // This has both a known and an unknown system.
    // "valueCodeableConcept": {
    // "coding": [ {
    // "system": <known-to-FHIR>,  << FIRST CODING
    // "display": <original-display-value>
    // "code": <code-from-input>
    // "version": <version>
    // },
    // {
    // "system": <unknown, so made up "urn:id:L">,  << SECOND (ALTERNATE CODING)
    // "display": <original-alternate display-value>
    // "code": <altenate-code>
    // "version": <alternate-version>
    // } ],
    // "text": <original-display-value>
    // },
    String patientWithDoubleRaceWithVersionAndAlternate = "MSH|^~\\&|MIICEHRApplication|MIIC|MIIC|MIIC|201705130822||VXU^V04^VXU_V04|test1100|P|2.5.1|||AL|AL|||||Z22^CDCPHINVS|^^^^^MIIC^SR^^^MIIC|MIIC\n" + // Test double race in the SAME CWE (not a second CWE) and versions.  Use made up Cauc to ensure test doesn't mix up whites.
    "PID|1||12345678^^^^MR||TestPatientLastName^Jane|||||2106-3^White^CDCREC^CA^Caucasian^L^1.1^4|\n";
    Patient patient = PatientUtils.createPatientFromHl7Segment(ftv, patientWithDoubleRaceWithVersionAndAlternate);
    assertThat(patient.hasExtension()).isTrue();
    List<Extension> extensions = patient.getExtensionsByUrl(UrlLookup.getExtensionUrl("race"));
    assertThat(extensions).isNotNull();
    assertThat(extensions.size()).isEqualTo(1);
    assertThat(extensions.get(0).hasValue()).isTrue();
    CodeableConcept ccW = (CodeableConcept) extensions.get(0).getValue();
    assertThat(ccW.hasCoding()).isTrue();
    assertThat(ccW.hasText()).isTrue();
    assertThat(ccW.getText()).hasToString("White");
    List<Coding> codings = ccW.getCoding();
    assertThat(codings.size()).isEqualTo(2);
    DatatypeUtils.checkCommonCodingAssertions(codings.get(0), "2106-3", "White", V3_RACE_SYSTEM, "1.1");
    DatatypeUtils.checkCommonCodingAssertions(codings.get(1), "CA", "Caucasian", "urn:id:L", "4");
}

Example 57 with Use

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.Use in project hl7v2-fhir-converter by LinuxForHealth.

the class Hl7FinancialInsuranceTest method testInsuranceCoverageByRelatedFields.

// Suppress warnings about too many assertions in a test.  Justification: creating a FHIR message is very costly; we need to check many asserts per creation for efficiency.
@java.lang.SuppressWarnings("squid:S5961")
@ParameterizedTest
// The breadth of this test is sufficent for multiple message type coverage, so other tests are not parameterized.
@ValueSource(strings = { "DFT^P03^DFT_P03", "VXU^V04^VXU_V04", "ADT^A01^ADT_A01", "ADT^A03^ADT_A03", // ADT^A04 uses structure ADT_A01
"ADT^A04^ADT_A01", // ADT^A08 uses structure ADT_A01
"ADT^A08^ADT_A01", // ADT^A28 uses structure ADT_A05
"ADT^A28^ADT_A05", // ADT^A31 uses structure ADT_A05
"ADT^A31^ADT_A05" })
// Also test IN2.2 Social Security number
void testInsuranceCoverageByRelatedFields(String messageType) throws IOException {
    String hl7message = "MSH|^~\\&|||||20151008111200||" + messageType + "|MSGID000001|T|2.6|||||||||\n" + "EVN||20210407191342||||||\n" + "PID|||MR1^^^XYZ^MR||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1||I||||||||||||||||||||||||||||||||||||||||||\n" + // FT1.7 is required transaction code (currently not used)
    "FT1||||20201231145045||CG|FAKE|||||||||||||||||||||||||||||||||||||\n" + // IN1.2.4, IN1.2.6 to second XV Coverage.identifier
    "IN1|1|Value1^^System3^Value4^^System6" + // IN1.5 to 15 NOT REFERENCED (See test testBasicInsuranceCoverageFields)
    "|IdValue1^^^IdSystem4^^^^|Large Blue Organization|||||||||||" + // IN1.23 through IN1.35 NOT REFERENCED
    "|DoeFake^Judy^^^Rev.|PAR|19780429|19 Rose St^^Faketown^CA^ZIP5||||||||||||||||" + // IN1.50 through IN1.53 NOT REFERENCED
    "|MEMBER36|||||||F|||Value46|||J494949^^^Large HMO^XX||||\n" + // IN2.9 through IN2.60 not used
    "IN2||777-88-9999||||MEDICARE06||MEDICAID08|| |||||||||| ||||||||||| |||||||||| |||||||||| ||||||||||" + // IN2.63.18 to Organization Contact telecom .rank
    "MEMBER61||^^^^^555^7677777^^^^^^20201231145045^20211231145045^^^^1|";
    List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
    List<Resource> encounters = ResourceUtils.getResourceList(e, ResourceType.Encounter);
    // From PV1
    assertThat(encounters).hasSize(1);
    List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
    // From PID
    assertThat(patients).hasSize(1);
    Patient patient = (Patient) patients.get(0);
    String patientId = patient.getId();
    // From PID.3, IN1.49, IN2.6, IN2.8
    assertThat(patient.getIdentifier()).hasSize(4);
    Identifier patientIdentifier = patient.getIdentifier().get(0);
    // PID.3.1
    assertThat(patientIdentifier.getValue()).isEqualTo("MR1");
    // PID.3.4
    assertThat(patientIdentifier.getSystem()).isEqualTo("urn:id:XYZ");
    DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "MR", "Medical record number", "http://terminology.hl7.org/CodeSystem/v2-0203", // PID.3.5
    null);
    patientIdentifier = patient.getIdentifier().get(1);
    // IN1.49.1
    assertThat(patientIdentifier.getValue()).isEqualTo("J494949");
    // IN1.49.4
    assertThat(patientIdentifier.getSystem()).isEqualTo("urn:id:Large_HMO");
    DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "XX", null, "http://terminology.hl7.org/CodeSystem/v2-0203", // IN1.49.5
    null);
    patientIdentifier = patient.getIdentifier().get(2);
    // IN2.8
    assertThat(patientIdentifier.getValue()).isEqualTo("MEDICAID08");
    // No system for IN2.8
    assertThat(patientIdentifier.hasSystem()).isFalse();
    DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "MA", "Patient Medicaid number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    patientIdentifier = patient.getIdentifier().get(3);
    // IN2.6
    assertThat(patientIdentifier.getValue()).isEqualTo("MEDICARE06");
    // No system for IN2.6
    assertThat(patientIdentifier.hasSystem()).isFalse();
    DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "MC", "Patient's Medicare number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
    // From Payor created by IN1
    assertThat(organizations).hasSize(1);
    List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
    // From IN1 segment
    assertThat(coverages).hasSize(1);
    Coverage coverage = (Coverage) coverages.get(0);
    // Confirm Coverage Identifiers - Order matches order of identifier_X in Coverage.yml
    // XV, XV, XV, MB, MA, MC, SN
    assertThat(coverage.getIdentifier()).hasSize(7);
    // IN1.2.1
    assertThat(coverage.getIdentifier().get(0).getValue()).isEqualTo("Value1");
    // IN1.2.3
    assertThat(coverage.getIdentifier().get(0).getSystem()).isEqualTo("urn:id:System3");
    // No use, here
    assertThat(coverage.getIdentifier().get(0).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(0).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN1.2.4
    assertThat(coverage.getIdentifier().get(1).getValue()).isEqualTo("Value4");
    // IN1.2.6
    assertThat(coverage.getIdentifier().get(1).getSystem()).isEqualTo("urn:id:System6");
    // No use, here
    assertThat(coverage.getIdentifier().get(1).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(1).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN1.46
    assertThat(coverage.getIdentifier().get(2).getValue()).isEqualTo("Value46");
    // No system, here
    assertThat(coverage.getIdentifier().get(2).getSystem()).isNull();
    // Use is enumeration "old"
    assertThat(coverage.getIdentifier().get(2).getUseElement().getCode()).hasToString("old");
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(2).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN2.61 takes priority over IN1.36
    assertThat(coverage.getIdentifier().get(3).getValue()).isEqualTo("MEMBER61");
    // No system, here
    assertThat(coverage.getIdentifier().get(3).getSystem()).isNull();
    // No use, here
    assertThat(coverage.getIdentifier().get(3).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(3).getType(), "MB", "Member Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN2.8
    assertThat(coverage.getIdentifier().get(4).getValue()).isEqualTo("MEDICAID08");
    // No system, here
    assertThat(coverage.getIdentifier().get(4).getSystem()).isNull();
    // No use, here
    assertThat(coverage.getIdentifier().get(4).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(4).getType(), "MA", "Patient Medicaid number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN2.6
    assertThat(coverage.getIdentifier().get(5).getValue()).isEqualTo("MEDICARE06");
    // No system, here
    assertThat(coverage.getIdentifier().get(5).getSystem()).isNull();
    // No use, here
    assertThat(coverage.getIdentifier().get(5).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(5).getType(), "MC", "Patient's Medicare number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN1.36
    assertThat(coverage.getIdentifier().get(6).getValue()).isEqualTo("MEMBER36");
    // No system, here
    assertThat(coverage.getIdentifier().get(6).getSystem()).isNull();
    // No use, here
    assertThat(coverage.getIdentifier().get(6).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(6).getType(), "SN", "Subscriber Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // Confirm Coverage Beneficiary references to Patient, and Payor references to Organization
    assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
    assertThat(coverage.getPayorFirstRep().getReference()).isEqualTo(organizations.get(0).getId());
    // Expect one RelatedPerson
    List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
    // From IN1.16 through IN1.19; IN1.43; INI.49
    assertThat(relatedPersons).hasSize(1);
    RelatedPerson related = (RelatedPerson) relatedPersons.get(0);
    // Check RelatedPerson identifiers
    assertThat(related.getIdentifier()).hasSize(2);
    // IN1.49.1
    assertThat(related.getIdentifier().get(0).getValue()).isEqualTo("J494949");
    // IN1.49.4
    assertThat(related.getIdentifier().get(0).getSystem()).isEqualTo("urn:id:Large_HMO");
    // IN1.49.5
    DatatypeUtils.checkCommonCodeableConceptAssertions(// IN1.49.5
    related.getIdentifier().get(0).getType(), // IN1.49.5
    "XX", // Display value looked up from code 'XX'
    "Organization identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN2.2
    assertThat(related.getIdentifier().get(1).getValue()).isEqualTo("777-88-9999");
    // No system to assign
    assertThat(related.getIdentifier().get(1).hasSystem()).isFalse();
    DatatypeUtils.checkCommonCodeableConceptAssertions(related.getIdentifier().get(1).getType(), "SS", "Social Security number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // Check RelatedPerson name. IN1.16 name is standard XPN, tested exhaustively in other tests.
    assertThat(related.getName()).hasSize(1);
    HumanName relatedName = related.getName().get(0);
    // IN1.16.1
    assertThat(relatedName.getFamily()).isEqualTo("DoeFake");
    // IN1.16.2
    assertThat(relatedName.getGiven().get(0).getValueAsString()).isEqualTo("Judy");
    // IN1.16.6
    assertThat(relatedName.getPrefixAsSingleString()).hasToString("Rev.");
    // from IN1.16 aggregate
    assertThat(relatedName.getText()).isEqualTo("Rev. Judy DoeFake");
    // Check RelatedPerson birth and gender
    // IN1.18
    assertThat(related.getBirthDateElement().toString()).containsPattern("1978-04-29");
    Enumerations.AdministrativeGender gen = related.getGender();
    // IN1.43
    assertThat(gen).isNotNull().isEqualTo(Enumerations.AdministrativeGender.FEMALE);
    // Check the RelatedPerson address. IN1.19 is a standard XAD address, which is tested exhaustively in other tests.
    assertThat(related.getAddress()).hasSize(1);
    assertThat(related.getAddress().get(0).getLine().get(0).getValueAsString()).isEqualTo(// IN1.19.1
    "19 Rose St");
    // IN1.19.3
    assertThat(related.getAddress().get(0).getCity()).isEqualTo("Faketown");
    // IN1.19.4
    assertThat(related.getAddress().get(0).getState()).isEqualTo("CA");
    // IN1.19.5
    assertThat(related.getAddress().get(0).getPostalCode()).isEqualTo("ZIP5");
    // Check RelatedPerson telecom.  IN2.63 is standard XTN, tested exhaustively in other tests.
    // telecom is type ContactPoint
    ContactPoint contactPoint = related.getTelecomFirstRep();
    // default type hardcoded.
    assertThat(contactPoint.getSystemElement().getCode()).hasToString("phone");
    // Hard-coded to home.  IN2.63.2 is not mapped (ignored).
    assertThat(contactPoint.getUseElement().getCode()).isEqualTo("home");
    // Hard-coded to home.  IN2.63.2 is not mapped (ignored).
    ;
    // IN2.63.6, IN2.63.7 via getFormattedTelecomNumberValue
    assertThat(contactPoint.getValue()).hasToString("(555) 767 7777");
    // IN2.63.13
    assertThat(contactPoint.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN2.63.14
    assertThat(contactPoint.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // IN2.63.18
    assertThat(contactPoint.getRank()).isEqualTo(1);
    // Check coverage relationship
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getRelationship(), "child", "Child", "http://terminology.hl7.org/CodeSystem/subscriber-relationship", // IN1.17
    null);
    // Check relatedPerson relationship
    assertThat(related.getRelationship()).hasSize(1);
    DatatypeUtils.checkCommonCodeableConceptAssertions(related.getRelationship().get(0), "PRN", "parent", "http://terminology.hl7.org/CodeSystem/v3-RoleCode", // IN1.17
    null);
    // Confirm the Coverage (subscriber) references the RelatedPerson
    assertThat(coverage.getSubscriber().getReference()).isEqualTo(related.getId());
    // Confirm the RelatedPerson references the Patient
    assertThat(related.getPatient().getReference()).isEqualTo(patientId);
    // Confirm coverage.Order
    // IN1.1 backup for missing IN1.22
    assertThat(coverage.getOrder()).isEqualTo(1);
    // Confirm there are no unaccounted for resources
    // Expected: Coverage, Organization, Patient, Encounter, RelatedPerson
    assertThat(e).hasSize(5);
}

Example 58 with Use

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.Use in project hl7v2-fhir-converter by LinuxForHealth.

the class Hl7OrderRequestFHIRConversionTest method testAdditionalOBRFieldsNoORCSegment.

@Test
void testAdditionalOBRFieldsNoORCSegment() {
    String hl7message = "MSH|^~\\&|Epic|ATRIUS|||20180924152907|34001|ORU^R01^ORU_R01|213|T|2.6|||||||||PHLabReport-Ack^^2.16.840.1.114222.4.10.3^ISO||\n" + "PID|||1234^^^^MR||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1|1|E|||||||||||||||||||||||||||||||||||||||||||\n" + // ORC.15 is missing, so use OBR.7 as ServiceRequest.occurrenceDateTime
    "OBR|1|248648498^|248648498^|83036E^HEMOGLOBIN A1C^PACSEAP^^^^^^HEMOGLOBIN A1C|||20170707120707|20180808120808|||||||||||||||||F|||||||||||||||||||||||||\n";
    String json = ftv.convert(hl7message, PatientUtils.OPTIONS);
    assertThat(json).isNotBlank();
    IBaseResource bundleResource = context.getParser().parseResource(json);
    assertThat(bundleResource).isNotNull();
    Bundle bundle = (Bundle) bundleResource;
    List<BundleEntryComponent> e = bundle.getEntry();
    List<Resource> diagnosticReportList = ResourceUtils.getResourceList(e, ResourceType.DiagnosticReport);
    DiagnosticReport diagnosticReport = ResourceUtils.getResourceDiagnosticReport(diagnosticReportList.get(0), context);
    // OBR.7 and OBR.8 together map to DiagnosticReport.effectivePeriod
    assertThat(diagnosticReport.hasEffectivePeriod()).isTrue();
    assertThat(diagnosticReport.getEffectivePeriod().getStartElement().toString()).containsPattern("2017-07-07T12:07:07");
    assertThat(diagnosticReport.getEffectivePeriod().getEndElement().toString()).containsPattern("2018-08-08T12:08:08");
    List<Resource> serviceRequestList = e.stream().filter(v -> ResourceType.ServiceRequest == v.getResource().getResourceType()).map(BundleEntryComponent::getResource).collect(Collectors.toList());
    // Important that we have exactly one service request (no duplication).  OBR creates it as a reference.
    assertThat(serviceRequestList).hasSize(1);
    ServiceRequest serviceRequest = ResourceUtils.getResourceServiceRequest(serviceRequestList.get(0), context);
    assertThat(serviceRequest.hasStatus()).isTrue();
    // OBR.7 should create an ServiceRequest.occurrenceDateTime date
    assertThat(serviceRequest.hasOccurrenceDateTimeType()).isTrue();
    assertThat(serviceRequest.getOccurrenceDateTimeType().toString()).containsPattern("2017-07-07T12:07:07");
    // ORC.5 is missing, so serviceRequest.status() should be unknown
    assertThat(serviceRequest.hasStatus()).isTrue();
    assertThat(serviceRequest.getStatusElement().getCode()).isEqualTo("unknown");
}

Example 59 with Use

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.Use in project hl7v2-fhir-converter by LinuxForHealth.

the class Hl7NoteFHIRConverterTest method testNoteCreationMutiplePPR.

// Test that multiple problems (PRB) each with multiple notes (NTE) are associated with the correct NTE / PRB
// and that there is no "bleed"
@Test
void testNoteCreationMutiplePPR() throws IOException {
    // TODO: Add PC2 and PC3 tests in future
    String message = "PPR^PC1";
    String hl7message = "MSH|^~\\&|SendTest1|Sendfac1|Receiveapp1|Receivefac1|200603081747|security|" + message + "|1|P^I|2.6||||||ASCII||\n" + "PID|||555444222111^^^MPI&GenHosp&L^MR||james^anderson|||M||||||||||||||\n" + "PV1||I|||||||||||||||||1400|||||||||||||||||||||||||199501102300\n" + "PRB|AD|200603150625|aortic stenosis|53692||2||200603150625\n" + "NTE|1|O|TEST PRBa NOTE AA line 1|\n" + "NTE|2|O|TEST NOTE AA line 2|\n" + "NTE|3|O|TEST NOTE AA line 3|\n" + "OBX|1|NM|17985^GLYCOHEMOGLOBIN HGB A1C^LRR^^^^^^GLYCOHEMOGLOBIN HGB A1C||5.6|%|<6.0||||F||||||||||||||\n" + "NTE|1|L|TEST OBXb NOTE BB line 1|\n" + "NTE|2|L|TEST NOTE BB line 2|\n" + "NTE|3|L|TEST NOTE BB line 3|\n" + "OBX|2|NM|17853^MEAN BLOOD GLUCOSE^LRR^^^^^^MEAN BLOOD GLUCOSE||114.02|mg/dL|||||F||||||||||||||\n" + "NTE|1|L|TEST OBXc NOTE CC line 1|\n" + "NTE|2|L|TEST NOTE CC line 2|\n" + "NTE|3|L|TEST NOTE CC line 3|\n" + "PRB|AD|200603150625|I47.2^Ventricular tachycardia^ICD-10-CM|53692||2||200603150625\n" + "NTE|1|O|TEST PRBd NOTE DD line 1|\n" + "NTE|2|O|TEST NOTE DD line 2|\n" + "NTE|3|O|TEST NOTE DD line 3|\n" + "OBX|1|NM|8595^BP Mean|1|88|MM HG|||||F|||20180520230000|||\n" + "NTE|1|L|TEST OBXe NOTE EE line 1|\n" + "NTE|2|L|TEST NOTE EE line 2|\n" + "NTE|3|L|TEST NOTE EE line 3|\n" + "OBX|2|NM|7302^Resp Rate|1|19||||||F|||20180520230000|||\n" + // Single NTE to ensure it is created correctly
    "NTE|1|L|TEST OBXf NOTE FF line 1|\n";
    List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
    List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
    assertThat(patients).hasSize(1);
    // Two Conditions from two PRBs. One has "... stenosis" and notes AA, One has "... Tachycardia" and notes DD
    List<Resource> conditions = ResourceUtils.getResourceList(e, ResourceType.Condition);
    assertThat(conditions).hasSize(2);
    Condition condStenosis = ResourceUtils.getResourceCondition(conditions.get(0), ResourceUtils.context);
    Condition condTachy = ResourceUtils.getResourceCondition(conditions.get(1), ResourceUtils.context);
    // Figure out which is first and reassign if needed for testing
    if (!condStenosis.getCode().getCodingFirstRep().getCode().contains("aortic stenosis")) {
        Condition temp = condStenosis;
        condStenosis = condTachy;
        condTachy = temp;
    }
    // Test the conditions have the correct NTE's associated and have correct content.
    // NOTE: the note contains an Annotation, which contains a MarkdownType that has the string.
    // Must use getTextElement().getValueAsString() to see untrimmed contents.
    assertThat(condStenosis.hasNote()).isTrue();
    assertThat(condStenosis.getNote()).hasSize(1);
    assertThat(condStenosis.getNote().get(0).getTextElement().getValueAsString()).isEqualTo("TEST PRBa NOTE AA line 1  \nTEST NOTE AA line 2  \nTEST NOTE AA line 3");
    assertThat(condTachy.hasNote()).isTrue();
    assertThat(condTachy.getNote()).hasSize(1);
    assertThat(condTachy.getNote().get(0).getTextElement().getValueAsString()).isEqualTo("TEST PRBd NOTE DD line 1  \nTEST NOTE DD line 2  \nTEST NOTE DD line 3");
    // Four observations.  Two associated with the first problem and two with the second
    // This map tells us what Annotation text is associated with an Observation code
    Map<String, String> matchObsCodeToNotes = new HashMap<>();
    matchObsCodeToNotes.put("17985", "TEST OBXb NOTE BB line 1  \nTEST NOTE BB line 2  \nTEST NOTE BB line 3");
    matchObsCodeToNotes.put("17853", "TEST OBXc NOTE CC line 1  \nTEST NOTE CC line 2  \nTEST NOTE CC line 3");
    matchObsCodeToNotes.put("8595", "TEST OBXe NOTE EE line 1  \nTEST NOTE EE line 2  \nTEST NOTE EE line 3");
    matchObsCodeToNotes.put("7302", "TEST OBXf NOTE FF line 1");
    // This map tells us what Parent should be associated with an Observation code
    Map<String, String> matchObsCodeToParent = new HashMap<>();
    matchObsCodeToParent.put("17985", "aortic stenosis");
    matchObsCodeToParent.put("17853", "aortic stenosis");
    matchObsCodeToParent.put("8595", "I47.2");
    matchObsCodeToParent.put("7302", "I47.2");
    List<Resource> observations = ResourceUtils.getResourceList(e, ResourceType.Observation);
    assertThat(observations).hasSize(4);
    int observationsVerified = 0;
    // For the list of Conditions
    for (int condIndex = 0; condIndex < conditions.size(); condIndex++) {
        // condIndex is index for condition
        // Get the list of Observation references
        Condition cond = ResourceUtils.getResourceCondition(conditions.get(condIndex), ResourceUtils.context);
        List<ConditionEvidenceComponent> evidences = cond.getEvidence();
        for (int evidenceIndex = 0; evidenceIndex < evidences.size(); evidenceIndex++) {
            // Get the evidence Observation reference
            String obsReferenceId = evidences.get(evidenceIndex).getDetailFirstRep().getReference();
            // Find the referenced observation
            for (int obsIndex = 0; obsIndex < observations.size(); obsIndex++) {
                // If the Id's match
                if (obsReferenceId.contains(observations.get(obsIndex).getId())) {
                    // Check the contents and the parent
                    Observation obs = ResourceUtils.getResourceObservation(observations.get(obsIndex), ResourceUtils.context);
                    String code = obs.getCode().getCodingFirstRep().getCode().toString();
                    // The Annotation text should match the mapped text for this key
                    assertThat(obs.getNoteFirstRep().getText()).hasToString(matchObsCodeToNotes.get(code));
                    // The parent Condition code.coding.code should match the expected mapped code for this key
                    assertThat(cond.getCode().getCodingFirstRep().getCode()).hasToString(matchObsCodeToParent.get(code));
                    observationsVerified++;
                    break;
                }
            }
        }
    }
    // This confirms ALL of the observations were checked.
    assertThat(observationsVerified).isEqualTo(4);
}

Example 60 with Use

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.Use in project hl7v2-fhir-converter by LinuxForHealth.

the class Hl7NoteFHIRConverterTest method testMedicationRequestNoteCreation.

// Suppress warnings about too many assertions in a test.  Justification: creating a FHIR message is very costly; we need to check many asserts per creation for efficiency.
@java.lang.SuppressWarnings("squid:S5961")
@ParameterizedTest
@MethodSource("parmsTestMedicationRequestNoteCreation")
void testMedicationRequestNoteCreation(String message, String medicalRequestSegments) {
    // Minimal valid ORC message.  Requires RXO and RXR segments.
    String hl7message = "MSH|^~\\&||||IBM|20210101000000||" + message + "|MSGID|T|2.6\n" + "PID|||1234||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1||I||||||||||||||||||||||||||||||||||||||||||\n" + "ORC|OP|1234|1234|0827||||||||||||||||||||\n" + // May be RXO or RXO+RXE values from parmsTestMedicationRequestNoteCreation
    medicalRequestSegments + "NTE|1|O|TEST MedReq NOTE AA line 1||Pract1ID^Pract1Last^Pract1First|\n" + "NTE|2|O|TEST NOTE AA line 2|\n" + "NTE|3|O|TEST NOTE AA line 3|\n" + "OBX|1|NM|17985^GLYCOHEMOGLOBIN HGB A1C^LRR^^^^^^GLYCOHEMOGLOBIN HGB A1C||5.6|%|<6.0||||F||||||||||||||\n" + // GLYCOHEMOGLOBIN Observation NTE has a practitioner reference in NTE.5.  Note in second NTE. The first valid NTE.5 is used.
    "NTE|1|L|TEST OBXa NOTE BB line 1|\n" + "NTE|2|L|TEST NOTE BB line 2||Pract2ID^Pract2Last^Pract2First|\n" + "NTE|3|L|TEST NOTE BB line 3|\n" + "OBX|2|NM|17853^MEAN BLOOD GLUCOSE^LRR^^^^^^MEAN BLOOD GLUCOSE||114.02|mg/dL|||||F||||||||||||||\n" + // Glucose Observation NTE has no practitioner reference in NTE.5
    "NTE|1|L|TEST OBXb NOTE CC line 1|\n" + "NTE|2|L|TEST NOTE CC line 2|\n" + // Test that blank lines are preserved.
    "NTE|3|L| |\n" + "NTE|4|L|TEST NOTE CC line 4|\n";
    List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
    // Expect MedicationRequest containing NTE for RXO or RXE
    List<Resource> medicationRequests = ResourceUtils.getResourceList(e, ResourceType.MedicationRequest);
    assertThat(medicationRequests).hasSize(1);
    MedicationRequest medicationRequest = ResourceUtils.getResourceMedicationRequest(medicationRequests.get(0), ResourceUtils.context);
    assertThat(medicationRequest.hasNote()).isTrue();
    assertThat(medicationRequest.getNote()).hasSize(1);
    // NOTE: the note contains an Annotation, which contains a MarkdownType that has the string.
    // Must use getTextElement().getValueAsString() to see untrimmed contents.
    assertThat(medicationRequest.getNote().get(0).getTextElement().getValueAsString()).isEqualTo("TEST MedReq NOTE AA line 1  \nTEST NOTE AA line 2  \nTEST NOTE AA line 3");
    assertThat(medicationRequest.getNote().get(0).hasAuthorReference()).isTrue();
    String practitionerServReqRefId = medicationRequest.getNote().get(0).getAuthorReference().getReference();
    // Two observations.  One has GLYCOHEMOGLOBIN and notes BB, One has GLUCOSE and notes CC
    List<Resource> observations = ResourceUtils.getResourceList(e, ResourceType.Observation);
    // Should be 2 for ORU and ORM
    assertThat(observations).hasSize(2);
    Observation obsGlucose = ResourceUtils.getResourceObservation(observations.get(0), ResourceUtils.context);
    Observation obsHemoglobin = ResourceUtils.getResourceObservation(observations.get(1), ResourceUtils.context);
    // Figure out which is first and reassign if needed for testing
    if (obsGlucose.getCode().getText() != "MEAN BLOOD GLUCOSE") {
        Observation temp = obsGlucose;
        obsGlucose = obsHemoglobin;
        obsHemoglobin = temp;
    }
    // Validate the note contents and references
    assertThat(obsHemoglobin.hasNote()).isTrue();
    assertThat(obsHemoglobin.getNote()).hasSize(1);
    assertThat(obsHemoglobin.getNote().get(0).getTextElement().getValueAsString()).isEqualTo("TEST OBXa NOTE BB line 1  \nTEST NOTE BB line 2  \nTEST NOTE BB line 3");
    assertThat(obsHemoglobin.getNote().get(0).hasAuthorReference()).isTrue();
    String practitionerObsHemoglobinRefId = obsHemoglobin.getNote().get(0).getAuthorReference().getReference();
    assertThat(obsGlucose.hasNote()).isTrue();
    assertThat(obsGlucose.getNote()).hasSize(1);
    assertThat(obsGlucose.getNote().get(0).getTextElement().getValueAsString()).isEqualTo(// Test that blank lines are preserved.
    "TEST OBXb NOTE CC line 1  \nTEST NOTE CC line 2  \n   \nTEST NOTE CC line 4");
    assertThat(obsGlucose.getNote().get(0).hasAuthorReference()).isFalse();
    // Two Practitioners, one for the serviceRequest, one for the GLYCOHEMOGLOBIN Observation
    List<Resource> practitioners = ResourceUtils.getResourceList(e, ResourceType.Practitioner);
    assertThat(practitioners).hasSize(2);
    Practitioner practitionerServReq = ResourceUtils.getResourcePractitioner(practitioners.get(0), ResourceUtils.context);
    Practitioner practitionerObsHemoglobin = ResourceUtils.getResourcePractitioner(practitioners.get(1), ResourceUtils.context);
    // Adjust to correct practitioner if needed
    if (!practitionerServReq.getIdentifierFirstRep().getValue().contentEquals("Pract1ID")) {
        Practitioner temp = practitionerObsHemoglobin;
        practitionerObsHemoglobin = practitionerServReq;
        practitionerServReq = temp;
    }
    // Check the values for the Practitioners and validate match to references.
    assertThat(practitionerServReq.getIdentifier()).hasSize(1);
    assertThat(practitionerServReq.getIdentifierFirstRep().getValue()).isEqualTo("Pract1ID");
    assertThat(practitionerServReq.getName()).hasSize(1);
    assertThat(practitionerServReq.getNameFirstRep().getText()).isEqualTo("Pract1First Pract1Last");
    // Check the cross-reference
    assertThat(practitionerServReq.getId()).isEqualTo(practitionerServReqRefId);
    // Sanity check to confirm data corruption in meta content has not returned.
    CodeableConcept ccSourceEventTrigger = (CodeableConcept) practitionerServReq.getMeta().getExtensionByUrl("http://ibm.com/fhir/cdm/StructureDefinition/source-event-trigger").getValue();
    assertThat(ccSourceEventTrigger.hasText()).isFalse();
    assertThat(practitionerObsHemoglobin.getIdentifier()).hasSize(1);
    assertThat(practitionerObsHemoglobin.getIdentifierFirstRep().getValue()).isEqualTo("Pract2ID");
    assertThat(practitionerObsHemoglobin.getName()).hasSize(1);
    assertThat(practitionerObsHemoglobin.getNameFirstRep().getText()).isEqualTo("Pract2First Pract2Last");
    // Check the cross-reference
    assertThat(practitionerObsHemoglobin.getId()).isEqualTo(practitionerObsHemoglobinRefId);
}