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Example 11 with Organization

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

the class Hl7FinancialInsuranceTest method testFailingOrganizationTelecom.

@Test
// This test is to see the problem does not return.  It fails without PR #405, and is successful with it.
void testFailingOrganizationTelecom() throws IOException {
    String hl7message = "MSH|^~\\&|||||20211214105741||DFT^P03|1760487765|P|2.6|||||||||\n" + "EVN|P03|20211214105741\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" + // IN1.8 to 15 NOT REFERENCED (Tested in testBasicInsuranceCoverageFields)
    "IN1|1|PLAN001|210012|GOLD CHOICE PLUS|||^^^^^800^3334444||||||||||||\n";
    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);
    List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
    // From Payor created by IN1
    assertThat(organizations).hasSize(1);
    Organization org = (Organization) organizations.get(0);
    // Check organization Id's
    // IN1.4
    assertThat(org.getName()).isEqualTo("GOLD CHOICE PLUS");
    assertThat(org.getIdentifier()).hasSize(1);
    Identifier orgIdentifier1 = org.getIdentifierFirstRep();
    // IN1.3.1
    assertThat(orgIdentifier1.getValue()).isEqualTo("210012");
    // IN1.3.4 empty
    assertThat(orgIdentifier1.hasSystem()).isFalse();
    // IN1.3.7 & IN1.3.7 empty
    assertThat(orgIdentifier1.hasPeriod()).isFalse();
    // IN1.3.5 empty
    assertThat(orgIdentifier1.hasType()).isFalse();
    // Check Organization contact telecom.  IN1.7 is standard XTN, tested exhaustively in other tests.
    assertThat(org.getContact().get(0).getTelecom()).hasSize(1);
    // telecom is type ContactPoint
    ContactPoint contactPoint = org.getContact().get(0).getTelecomFirstRep();
    // default type hardcoded.
    assertThat(contactPoint.getSystemElement().getCode()).hasToString("phone");
    // IN1.7.2 is not mapped
    assertThat(contactPoint.hasUseElement()).isFalse();
    // IN1.7.6, IN1.7.7 via getFormattedTelecomNumberValue
    assertThat(contactPoint.getValue()).hasToString("(800) 333 4444");
    List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
    // From IN1 segment
    assertThat(coverages).hasSize(1);
    // Confirm there are no unaccounted for resources
    // Expected: Coverage, Organization, Patient, Encounter
    assertThat(e).hasSize(4);
}
Also used : ContactPoint(org.hl7.fhir.r4.model.ContactPoint) BundleEntryComponent(org.hl7.fhir.r4.model.Bundle.BundleEntryComponent) Organization(org.hl7.fhir.r4.model.Organization) Identifier(org.hl7.fhir.r4.model.Identifier) Resource(org.hl7.fhir.r4.model.Resource) Test(org.junit.jupiter.api.Test) ParameterizedTest(org.junit.jupiter.params.ParameterizedTest)

Example 12 with Organization

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

the class Hl7FinancialInsuranceTest method testBasicInsuranceCoverageFields.

// 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")
@Test
void testBasicInsuranceCoverageFields() throws IOException {
    // Tests fields listed below.
    String hl7message = "MSH|^~\\&|||||20151008111200||DFT^P03^DFT_P03|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" + // IN1.3.8 to Organization Identifier.period.end
    "|IdValue1^^^IdSystem4^IdType5^^20201231145045^20211231145045" + // IN1.4 to Organization Name
    "|Large Blue Organization" + // IN1.5 to Organization Address (All XAD standard fields)
    "|456 Ultramarine Lane^^Faketown^CA^ZIP5" + // IN1.6.13 to Organization Contact Name .period.end
    "|LastFake^FirstFake^MiddleFake^III^Dr.^^L^^^^^20201231145045^20211231145045" + // IN1.7.18 to Organization Contact telecom .rank
    "|^WPN^^^^333^4444444^^^^^^20201231145045^20211231145045^^^^1" + // IN1.9.1 (2) to list element Coverage.class.name and value (because IN1.9.10 (2) does not exist)
    "|UA34567|NameBlue^^^^^^^^^IDBlue~NameGreen||" + // IN1.35 to Organization.identifier
    "|20201231145045|20211231145045|||||||||5|||||||||||||COMPANYPLANCODE35" + // IN1.49 has value to show that it is not used for Patient.identifier because NO relationship (IN1.17/IN2.72 empty)
    "|MEMBER36||||||||||Value46|||PatientId49.1||||\n" + // IN2.61 is purposely empty (primary to IN1.36) so IN1.36 will be used as the MB Coverage.identifier
    "IN2|||||||||||||||||||||||||IdValue25.1^^^IdSystem25.4^IdType25.5^^20201231145045^20211231145045|||||||||||||||||||||||||||||||||||||||||||" + // IN2.72 is purposely empty (backup to IN1.17) so no RelatedPerson is created.
    "|Name69.1^^^^^IdSystem69.6^UNK^^^IdValue69.10||\n";
    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
    assertThat(patient.getIdentifier()).hasSize(1);
    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);
    // IN1.49 not used
    List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
    // From IN1.3 creates Payor, IN2.25 to new PayorId Organization, IN2.69 creates new PolicyHolder Organization Name
    assertThat(organizations).hasSize(3);
    Organization org = (Organization) organizations.get(0);
    // Check Payor Organization Id's
    String payorOrgId = org.getId();
    // IN1.17.1 (no TENANT)  (Id's lowercased)
    assertThat(payorOrgId).isEqualTo("Organization/idvalue1");
    // IN1.4
    assertThat(org.getName()).isEqualTo("Large Blue Organization");
    assertThat(org.getIdentifier()).hasSize(2);
    Identifier orgIdentifier = org.getIdentifier().get(0);
    // IN1.3.1
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue1");
    // IN1.3.4
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem4");
    // IN1.3.7
    assertThat(orgIdentifier.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN1.3.8
    assertThat(orgIdentifier.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // IN1.3.5
    DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "IdType5", null, null, null);
    Identifier orgIdentifier1 = org.getIdentifier().get(1);
    // IN1.35
    assertThat(orgIdentifier1.getValue()).isEqualTo("COMPANYPLANCODE35");
    // Check Payor Organization address. IN1.4 is a standard XAD address, which is tested exhaustively in other tests.
    assertThat(org.getAddress()).hasSize(1);
    assertThat(org.getAddress().get(0).getLine().get(0).getValueAsString()).isEqualTo(// IN1.4.1
    "456 Ultramarine Lane");
    // IN1.4.3
    assertThat(org.getAddress().get(0).getCity()).isEqualTo("Faketown");
    // IN1.4.4
    assertThat(org.getAddress().get(0).getState()).isEqualTo("CA");
    // IN1.4.5
    assertThat(org.getAddress().get(0).getPostalCode()).isEqualTo("ZIP5");
    // Check Payor Organization contact name.  IN1.6 name is standard XPN, tested exhaustively in other tests.
    HumanName contactName = org.getContact().get(0).getName();
    assertThat(org.getContact()).hasSize(1);
    // IN1.6.1
    assertThat(contactName.getFamily()).isEqualTo("LastFake");
    // IN1.6.2
    assertThat(contactName.getGiven().get(0).getValueAsString()).isEqualTo("FirstFake");
    // IN1.6.3
    assertThat(contactName.getGiven().get(1).getValueAsString()).isEqualTo("MiddleFake");
    // IN1.6.6
    assertThat(contactName.getPrefixAsSingleString()).hasToString("Dr.");
    // IN1.6.5
    assertThat(contactName.getSuffixAsSingleString()).hasToString("III");
    // from IN1.6 aggregate
    assertThat(contactName.getText()).isEqualTo("Dr. FirstFake MiddleFake LastFake III");
    // IN1.6.7
    assertThat(contactName.getUseElement().getCode()).hasToString("official");
    // IN1.6.12
    assertThat(contactName.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN1.6.13
    assertThat(contactName.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // Check there is no purpose. Don't need one, here.
    assertThat(org.getContact().get(0).hasPurpose()).isFalse();
    // Check Payor Organization contact telecom.  IN1.7 is standard XTN, tested exhaustively in other tests.
    assertThat(org.getContact().get(0).getTelecom()).hasSize(1);
    // telecom is type ContactPoint
    ContactPoint contactPoint = org.getContact().get(0).getTelecomFirstRep();
    // default type hardcoded.
    assertThat(contactPoint.getSystemElement().getCode()).hasToString("phone");
    // IN1.7.2 is not mapped (ignored)
    assertThat(contactPoint.hasUseElement()).isFalse();
    // IN1.7.6, IN1.7.7 via getFormattedTelecomNumberValue
    assertThat(contactPoint.getValue()).hasToString("(333) 444 4444");
    // IN1.7.13
    assertThat(contactPoint.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN1.7.14
    assertThat(contactPoint.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // IN1.7.18
    assertThat(contactPoint.getRank()).isEqualTo(1);
    // Check PayorId Organization from IN2.25
    org = (Organization) organizations.get(1);
    String payorOrgIdIn25 = org.getId();
    // IN1.25.1 (no TENANT) (Id's lowercased)
    assertThat(payorOrgIdIn25).isEqualTo("Organization/idvalue25.1");
    // IN2.25.1
    assertThat(org.getName()).isEqualTo("IdValue25.1");
    assertThat(org.getIdentifier()).hasSize(1);
    orgIdentifier = org.getIdentifier().get(0);
    // IN2.25.1
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue25.1");
    // IN2.25.4
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem25.4");
    // IN2.25.7
    assertThat(orgIdentifier.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN2.25.8
    assertThat(orgIdentifier.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // IN2.25.5
    DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "IdType25.5", null, null, null);
    // Check PolicyHolder Organization Name and ID Organization from IN2.69
    org = (Organization) organizations.get(2);
    String policyHolderOrgId = org.getId();
    // IN2.69.1 (no TENANT) (Id's lowercased)
    assertThat(policyHolderOrgId).isEqualTo("Organization/idvalue69.10");
    // IN2.69.1
    assertThat(org.getName()).isEqualTo("Name69.1");
    assertThat(org.getIdentifier()).hasSize(1);
    orgIdentifier = org.getIdentifier().get(0);
    // IN2.69.10
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue69.10");
    // IN2.69.6
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem69.6");
    // Becuase the code is unknown, the 0203 table lookup fails, and the coding has just the code, no system
    // IN2.69.7
    DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "UNK", null, null, null);
    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, SN; but not MA (IN2.8) nor MC (IN2.6)
    assertThat(coverage.getIdentifier()).hasSize(5);
    // 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);
    // IN1.36
    assertThat(coverage.getIdentifier().get(3).getValue()).isEqualTo("MEMBER36");
    // 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);
    // IN1.36
    assertThat(coverage.getIdentifier().get(4).getValue()).isEqualTo("MEMBER36");
    // 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(), "SN", "Subscriber Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // Confirm SubscriberId
    // IN1.36
    assertThat(coverage.getSubscriberId()).isEqualTo("MEMBER36");
    // Confirm coverage.Order
    // IN1.22 takes priority over IN1.1
    assertThat(coverage.getOrder()).isEqualTo(5);
    // Confirm Coverage Beneficiary references to Patient, and Payor references correct Organizations
    assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
    // One for each payorOrganization
    assertThat(coverage.getPayor()).hasSize(2);
    assertThat(coverage.getPayor().get(0).getReference()).isEqualTo(payorOrgId);
    assertThat(coverage.getPayor().get(1).getReference()).isEqualTo(payorOrgIdIn25);
    // Confirm policyHolder references correct organization
    assertThat(coverage.getPolicyHolder().getReference()).isEqualTo(policyHolderOrgId);
    // Only one Coverage Class expected.  (getClass_ is correct name for method)
    assertThat(coverage.getClass_()).hasSize(3);
    // IN1.8  Only has value
    checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "UA34567", null);
    // IN1.9 (1)
    checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "IDBlue", "NameBlue");
    // IN1.9 (2) Name is also used for value
    checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "NameGreen", "NameGreen");
    // Confirm Coverage period
    // IN1.12
    assertThat(coverage.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN1.13
    assertThat(coverage.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // Expect no RelatedPerson because IN1.17 was empty
    List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
    // IN1.17 empty
    assertThat(relatedPersons).isEmpty();
    // Confirm there are no unaccounted for resources
    // Expected: Coverage, Organization (3x), Patient, Encounter
    assertThat(e).hasSize(6);
}
Also used : HumanName(org.hl7.fhir.r4.model.HumanName) ContactPoint(org.hl7.fhir.r4.model.ContactPoint) BundleEntryComponent(org.hl7.fhir.r4.model.Bundle.BundleEntryComponent) Identifier(org.hl7.fhir.r4.model.Identifier) Organization(org.hl7.fhir.r4.model.Organization) Resource(org.hl7.fhir.r4.model.Resource) Patient(org.hl7.fhir.r4.model.Patient) Coverage(org.hl7.fhir.r4.model.Coverage) Test(org.junit.jupiter.api.Test) ParameterizedTest(org.junit.jupiter.params.ParameterizedTest)

Example 13 with Organization

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

the class Hl7FinancialInsuranceTest method testForDataBleedFromPatientToOrganization.

@Test
// Ensure that Patient data does not bleed into Organizations created for the Patient's insurance
void testForDataBleedFromPatientToOrganization() throws IOException {
    String hl7message = "MSH|^~\\&|TEST|TEST|||20220101120000||ADT^A01^ADT_A01|1234|P|2.6\n" + // PID.12 Used for district calculation
    "PID|1|103456|MR12345678^^^^MR||DOE^JANE^|||F|||19 Raymond St^Route3^Albany^NY^56321^USA^P|12||||||||||||||||||||||||||\n" + // PD1.4 Used for org creation to check for bleed of districts
    "PD1|||Mayo|123456^Walt^^^^Dr||||||||||||||||||\n" + // IN1 Broadly populated to create organization
    "IN1|1|GLOBAL|7776664|Blue Cross Blue Shield|456 Blue Cross Lane||||Blue|987123|IBM||||||NON||||||||||||20210322145350|Dr Disney|S|GOOD|200|12|B6543|H789456|||17|||1|M|123 IBM way|True|NONE|B|NO|J321456|M|20210322145605|London|YES\n" + // IN2 Broadly populated to create organizations
    "IN2|A23456|222001111|IBM 1345|EMPLOYEED|E|N23497234|R3294809|S234234|Army|U439823|SGT SCHULTZ|Army|Fort Wayne|USA|E1... E9|ACT|20300402145954|N|N|N|Yes|Grey Duck|Goose|T34941341232|D123123123|C435435345|2|SPR|2ANC|1234.00|O|A0|USA|EN|F|F|Y|N|COG|Stanley|DUTCH|N|M|20170322150208||Software Engineer|8|P|Mr Blue|1-555-333-4444|SURGERY|Jim Stanley|1-555-222-3333|FIRST|20170202150409|20210322150400|3|1-222-333-4444|GLOBAL|GROUP|B14456789|OTH|1-444-777-8888|1-444-555-3333|NONE|N|Y|N|GVH 123456|CDP 98765|2106-3|9\n";
    List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
    List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
    // From PID
    assertThat(patients).hasSize(1);
    Patient patient = (Patient) patients.get(0);
    assertThat(patient.getAddressFirstRep().getDistrict()).hasToString("12");
    List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
    // From Payor created by IN1
    assertThat(organizations).hasSize(3);
    Organization org = (Organization) organizations.get(0);
    assertThat(org.getAddressFirstRep().hasDistrict()).isFalse();
    org = (Organization) organizations.get(1);
    assertThat(org.hasAddress()).isFalse();
    org = (Organization) organizations.get(2);
    assertThat(org.hasAddress()).isFalse();
    List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
    // From IN1 segment
    assertThat(coverages).hasSize(1);
    Coverage coverage = (Coverage) coverages.get(0);
    // Confirm Coverage Identifiers
    assertThat(coverage.getIdentifier()).hasSize(6);
    // Coverage Identifiers deep check in testBasicInsuranceCoverageFields
    // Because the relationship is NON, no subscriber is created
    assertThat(coverage.hasSubscriber()).isFalse();
    // Expect no RelatedPerson because IN1.17 is NON
    List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
    // No related person should be created because IN1.17 was an unknown code
    assertThat(relatedPersons).isEmpty();
    // Confirm there are no unaccounted for resources
    // Expected: Coverage, Organization (3), Patient, Practitioner
    assertThat(e).hasSize(6);
}
Also used : BundleEntryComponent(org.hl7.fhir.r4.model.Bundle.BundleEntryComponent) Organization(org.hl7.fhir.r4.model.Organization) Resource(org.hl7.fhir.r4.model.Resource) Patient(org.hl7.fhir.r4.model.Patient) Coverage(org.hl7.fhir.r4.model.Coverage) Test(org.junit.jupiter.api.Test) ParameterizedTest(org.junit.jupiter.params.ParameterizedTest)

Example 14 with Organization

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

the class Hl7FinancialInsuranceTest method testInsuranceCoverageOfSelfAndTenant.

// 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")
@Test
// Tests multiple Organization Id's created with a TENANT prepend.
void testInsuranceCoverageOfSelfAndTenant() throws IOException {
    String hl7message = "MSH|^~\\&|||||20151008111200||DFT^P03^DFT_P03|MSGID000001|T|2.6|||||||||\n" + "EVN||20210407191342||||||\n" + // PID.19 purposely empty so IN2.2 used as SSN PatientIdentifier
    "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 (Tested in testBasicInsuranceCoverageFields)
    "|IdValue1^^^IdSystem4^^^^|Large Blue Organization|||||||||||" + // IN1.18 through IN1.35 NOT REFERENCED
    "||SEL||||||||||||||||||" + // IN1.47 through IN1.53 NOT REFERENCED
    "|MEMBER36||||||||||Value46|||||||\n" + // Only used for MB Patient.Identifier because subscriber is SELF
    "IN2||SSN123456|||||||||||||||||||||||IdValue25.1^^^IdSystem25.4^IdType25.5^^20201231145045^20211231145045|||||||||||||||||||||||||||||||||||||||||||" + // IN2.72 is purposely empty (backup to IN1.17) so no RelatedPerson is created.
    "|Name69.1^^^^^IdSystem69.6^XX^^^IdValue69.10||\n";
    // TENANT prepend is passed through the options.
    ConverterOptions customOptionsWithTenant = new Builder().withValidateResource().withPrettyPrint().withProperty("TENANT", "TenantId").build();
    List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message, customOptionsWithTenant);
    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();
    // Check Patient.identifiers
    // From PID.3, IN2.2 and IN1.36
    assertThat(patient.getIdentifier()).hasSize(3);
    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);
    // IN1.36 backup to IN2.61, active because subscriber is SELF
    assertThat(patientIdentifier.getValue()).isEqualTo("MEMBER36");
    // No system for MB
    assertThat(patientIdentifier.hasSystem()).isFalse();
    DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "MB", "Member Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    patientIdentifier = patient.getIdentifier().get(2);
    // IN2.2
    assertThat(patientIdentifier.getValue()).isEqualTo("SSN123456");
    // No system for SSN
    assertThat(patientIdentifier.hasSystem()).isFalse();
    DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "SS", "Social Security number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
    // From Payor created by IN1, PayorId Organization (IN2.25), and PolcyHolder Organization Name (IN2.69)
    assertThat(organizations).hasSize(3);
    Organization org = (Organization) organizations.get(0);
    String payorOrgId = org.getId();
    // IN1.17.1 w/TENANT prepend (Id's lowercased)
    assertThat(payorOrgId).isEqualTo("Organization/tenantid.idvalue1");
    // Check organization Identifier's
    // IN1.4
    assertThat(org.getName()).isEqualTo("Large Blue Organization");
    assertThat(org.getIdentifier()).hasSize(1);
    Identifier orgIdentifier = org.getIdentifierFirstRep();
    // IN1.3.1
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue1");
    // IN1.3.4
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem4");
    // IN1.3.7 & IN1.3.7 empty
    assertThat(orgIdentifier.hasPeriod()).isFalse();
    // IN1.3.5 empty
    assertThat(orgIdentifier.hasType()).isFalse();
    // Check PayorId Organization from IN2.25
    org = (Organization) organizations.get(1);
    String payorOrgIdIn25 = org.getId();
    // IN1.25.1 w/TENANT prepend (Id's lowercased)
    assertThat(payorOrgIdIn25).isEqualTo("Organization/tenantid.idvalue25.1");
    // IN2.25.1
    assertThat(org.getName()).isEqualTo("IdValue25.1");
    assertThat(org.getIdentifier()).hasSize(1);
    orgIdentifier = org.getIdentifier().get(0);
    // IN2.25.1
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue25.1");
    // IN2.25.4
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem25.4");
    // IN2.25.7
    assertThat(orgIdentifier.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN2.25.8
    assertThat(orgIdentifier.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // IN2.25.5
    DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "IdType25.5", null, null, null);
    // Check PolicyHolder Organization Name and ID Organization from IN2.69
    org = (Organization) organizations.get(2);
    String policyHolderOrgId = org.getId();
    // IN2.69.1 w/TENANT prepend (Id's lowercased)
    assertThat(policyHolderOrgId).isEqualTo("Organization/tenantid.idvalue69.10");
    // IN2.69.1
    assertThat(org.getName()).isEqualTo("Name69.1");
    assertThat(org.getIdentifier()).hasSize(1);
    orgIdentifier = org.getIdentifier().get(0);
    // IN2.69.10
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue69.10");
    // IN2.69.6
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem69.6");
    // Becuase the code is known, the 0203 table lookup is successful and returns code, display, and system
    DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "XX", "Organization identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", // IN2.69.7 with lookup
    null);
    List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
    // From IN1 segment
    assertThat(coverages).hasSize(1);
    Coverage coverage = (Coverage) coverages.get(0);
    // Confirm Coverage Identifiers
    // XV, XV, XV, MB, SN
    assertThat(coverage.getIdentifier()).hasSize(5);
    // Coverage Identifiers deep check in testBasicInsuranceCoverageFields
    // Confirm Coverage Subscriber references to Patient
    assertThat(coverage.getSubscriber().getReference()).isEqualTo(patientId);
    // Confirm Coverage Beneficiary references to Patient, and Payors references correct Organizations
    assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
    // One for each payorOrganization
    assertThat(coverage.getPayor()).hasSize(2);
    assertThat(coverage.getPayor().get(0).getReference()).isEqualTo(payorOrgId);
    assertThat(coverage.getPayor().get(1).getReference()).isEqualTo(payorOrgIdIn25);
    // Confirm policyHolder references correct organization
    assertThat(coverage.getPolicyHolder().getReference()).isEqualTo(policyHolderOrgId);
    // Expect no RelatedPerson because IN1.17 was self
    List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
    // No related person should be created because IN1.17 was SEL
    assertThat(relatedPersons).isEmpty();
    // Check coverage.relationship (from SubscriberRelationship mapping)
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getRelationship(), "self", "Self", "http://terminology.hl7.org/CodeSystem/subscriber-relationship", // IN1.17
    null);
    // Confirm there are no unaccounted for resources
    // Expected: Coverage, Organization (3x), Patient, Encounter
    assertThat(e).hasSize(6);
}
Also used : BundleEntryComponent(org.hl7.fhir.r4.model.Bundle.BundleEntryComponent) Identifier(org.hl7.fhir.r4.model.Identifier) Organization(org.hl7.fhir.r4.model.Organization) ConverterOptions(io.github.linuxforhealth.hl7.ConverterOptions) Builder(io.github.linuxforhealth.hl7.ConverterOptions.Builder) Resource(org.hl7.fhir.r4.model.Resource) Patient(org.hl7.fhir.r4.model.Patient) Coverage(org.hl7.fhir.r4.model.Coverage) Test(org.junit.jupiter.api.Test) ParameterizedTest(org.junit.jupiter.params.ParameterizedTest)

Example 15 with Organization

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

the class Hl7FinancialInsuranceTest method testInsuranceCoverageOfWorkersComp.

@Test
// Tests non-related subscriber, employer.
void testInsuranceCoverageOfWorkersComp() throws IOException {
    String hl7message = "MSH|^~\\&|TEST|TEST|||20220101120000||DFT^P03|1234|P|2.6\n" + // + "EVN||20210407191342||||||\n"
    "PID|||workers_comp^^^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 through 15 NOT REFERENCED (Tested in testBasicInsuranceCoverageFields)
    "|IdValue1^^^IdSystem4^^^^|Large Blue Organization|||||||||||" + // IN1.18 through IN1.35 NOT REFERENCED
    "||EMR||||||||||||||||||" + // IN1.37 through IN1.53 NOT REFERENCED
    "|MEMBER36|||||||||||||J321456||||\n";
    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();
    // No patient identifier should have value IN1.49 "J321456" because relationship is not SEL (self)
    // Finding exactly 1 expected identifier "workers_comp" proves not "J321456"
    assertThat(patient.getIdentifier()).hasSize(1);
    assertThat(patient.getIdentifierFirstRep().getValueElement()).hasToString("workers_comp");
    List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
    // From Payor created by IN1
    assertThat(organizations).hasSize(1);
    Organization org = (Organization) organizations.get(0);
    // Check organization Id's
    assertThat(org.getIdentifier()).hasSize(1);
    // Org identifiers checked deeply in other tests
    List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
    // From IN1 segment
    assertThat(coverages).hasSize(1);
    Coverage coverage = (Coverage) coverages.get(0);
    // Confirm Coverage Identifiers
    // XV, XV, MB, SN
    assertThat(coverage.getIdentifier()).hasSize(4);
    // Coverage Identifiers deep check in testBasicInsuranceCoverageFields
    // Because the relationship is EMR (Employer), no subscriber is created (subscriber can't be an Organization)
    assertThat(coverage.hasSubscriber()).isFalse();
    // 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 no RelatedPerson because IN1.17 was EMR
    List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
    // No related person should be created because IN2.72 was 01 (self)
    assertThat(relatedPersons).isEmpty();
    // Check coverage.relationship (from SubscriberRelationship mapping)
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getRelationship(), "EMR", null, null, // IN1.17, because it is not mapped there is no system or display.
    null);
    // Confirm there are no unaccounted for resources
    // Expected: Coverage, Organization, Patient, Encounter
    assertThat(e).hasSize(4);
}
Also used : BundleEntryComponent(org.hl7.fhir.r4.model.Bundle.BundleEntryComponent) Organization(org.hl7.fhir.r4.model.Organization) Resource(org.hl7.fhir.r4.model.Resource) Patient(org.hl7.fhir.r4.model.Patient) Coverage(org.hl7.fhir.r4.model.Coverage) Test(org.junit.jupiter.api.Test) ParameterizedTest(org.junit.jupiter.params.ParameterizedTest)

Aggregations

Test (org.junit.jupiter.api.Test)101 Organization (org.hl7.fhir.dstu3.model.Organization)90 Organization (org.hl7.fhir.r4.model.Organization)69 BundleEntryComponent (org.hl7.fhir.r4.model.Bundle.BundleEntryComponent)41 Resource (org.hl7.fhir.r4.model.Resource)38 ArrayList (java.util.ArrayList)34 List (java.util.List)33 Reference (org.hl7.fhir.r4.model.Reference)33 Identifier (org.hl7.fhir.r4.model.Identifier)30 Bundle (org.hl7.fhir.dstu3.model.Bundle)27 UUID (java.util.UUID)26 IGenericClient (ca.uhn.fhir.rest.client.api.IGenericClient)25 Patient (org.hl7.fhir.r4.model.Patient)25 IdType (org.hl7.fhir.dstu3.model.IdType)24 Bundle (org.hl7.fhir.r4.model.Bundle)24 Coding (org.hl7.fhir.r4.model.Coding)24 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)19 ContactPoint (org.hl7.fhir.r4.model.ContactPoint)17 Reference (org.hl7.fhir.dstu3.model.Reference)16 IBaseResource (org.hl7.fhir.instance.model.api.IBaseResource)16