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Example 16 with UnsignedIntType

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

the class TransformerUtils method createBundle.

/**
 * Create a bundle from the entire search result
 *
 * @param resources a list of {@link ExplanationOfBenefit}s, {@link Coverage}s, or {@link
 *     Patient}s, all of which will be added to the bundle
 * @param paging contains the {@link LinkBuilder} information to add to the bundle
 * @param transactionTime date for the bundle
 * @return Returns a {@link Bundle} of either {@link ExplanationOfBenefit}s, {@link Coverage}s, or
 *     {@link Patient}s, which may contain multiple matching resources, or may also be empty.
 */
public static Bundle createBundle(List<IBaseResource> resources, LinkBuilder paging, Instant transactionTime) {
    Bundle bundle = new Bundle();
    TransformerUtils.addResourcesToBundle(bundle, resources);
    paging.addLinks(bundle);
    bundle.setTotalElement(paging.isPagingRequested() ? new UnsignedIntType() : new UnsignedIntType(resources.size()));
    /*
     * Dev Note: the Bundle's lastUpdated timestamp is the known last update time for the whole
     * database. Because the filterManager's tracking of this timestamp is lazily updated for
     * performance reason, the resources of the bundle may be after the filter manager's version of
     * the timestamp.
     */
    Instant maxBundleDate = resources.stream().map(r -> r.getMeta().getLastUpdated().toInstant()).filter(Objects::nonNull).max(Instant::compareTo).orElse(transactionTime);
    bundle.getMeta().setLastUpdated(transactionTime.isAfter(maxBundleDate) ? Date.from(transactionTime) : Date.from(maxBundleDate));
    return bundle;
}
Also used : Arrays(java.util.Arrays) CarrierClaimColumn(gov.cms.bfd.model.rif.CarrierClaimColumn) CcwCodebookInterface(gov.cms.bfd.model.codebook.model.CcwCodebookInterface) Identifier(org.hl7.fhir.dstu3.model.Identifier) Constants(ca.uhn.fhir.rest.api.Constants) Coding(org.hl7.fhir.dstu3.model.Coding) InpatientClaim(gov.cms.bfd.model.rif.InpatientClaim) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept) DomainResource(org.hl7.fhir.dstu3.model.DomainResource) IBaseExtension(org.hl7.fhir.instance.model.api.IBaseExtension) StringUtils(org.apache.commons.lang3.StringUtils) SNFClaimColumn(gov.cms.bfd.model.rif.SNFClaimColumn) BigDecimal(java.math.BigDecimal) SNFClaimLine(gov.cms.bfd.model.rif.SNFClaimLine) IBaseResource(org.hl7.fhir.instance.model.api.IBaseResource) CarrierClaimLine(gov.cms.bfd.model.rif.CarrierClaimLine) Map(java.util.Map) ProcedureComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.ProcedureComponent) 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Example 17 with UnsignedIntType

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

the class TransformerUtils method addCommonGroupInpatientSNF.

/**
 * Adds field values to the benefit balance component that are common between the Inpatient and
 * SNF claim types.
 *
 * @param eob the {@link ExplanationOfBenefit} to map the fields into
 * @param coinsuranceDayCount BENE_TOT_COINSRNC_DAYS_CNT: a {@link BigDecimal} shared field
 *     representing the coinsurance day count for the claim
 * @param nonUtilizationDayCount CLM_NON_UTLZTN_DAYS_CNT: a {@link BigDecimal} shared field
 *     representing the non-utilization day count for the claim
 * @param deductibleAmount NCH_BENE_IP_DDCTBL_AMT: a {@link BigDecimal} shared field representing
 *     the deductible amount for the claim
 * @param partACoinsuranceLiabilityAmount NCH_BENE_PTA_COINSRNC_LBLTY_AM: a {@link BigDecimal}
 *     shared field representing the part A coinsurance amount for the claim
 * @param bloodPintsFurnishedQty NCH_BLOOD_PNTS_FRNSHD_QTY: a {@link BigDecimal} shared field
 *     representing the blood pints furnished quantity for the claim
 * @param noncoveredCharge NCH_IP_NCVRD_CHRG_AMT: a {@link BigDecimal} shared field representing
 *     the non-covered charge for the claim
 * @param totalDeductionAmount NCH_IP_TOT_DDCTN_AMT: a {@link BigDecimal} shared field
 *     representing the total deduction amount for the claim
 * @param claimPPSCapitalDisproportionateShareAmt CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT: an {@link
 *     Optional}&lt;{@link BigDecimal}&gt; shared field representing the claim PPS capital
 *     disproportionate share amount for the claim
 * @param claimPPSCapitalExceptionAmount CLM_PPS_CPTL_EXCPTN_AMT: an {@link Optional}&lt;{@link
 *     BigDecimal}&gt; shared field representing the claim PPS capital exception amount for the
 *     claim
 * @param claimPPSCapitalFSPAmount CLM_PPS_CPTL_FSP_AMT: an {@link Optional}&lt;{@link
 *     BigDecimal}&gt; shared field representing the claim PPS capital FSP amount for the claim
 * @param claimPPSCapitalIMEAmount CLM_PPS_CPTL_IME_AMT: an {@link Optional}&lt;{@link
 *     BigDecimal}&gt; shared field representing the claim PPS capital IME amount for the claim
 * @param claimPPSCapitalOutlierAmount CLM_PPS_CPTL_OUTLIER_AMT: an {@link Optional}&lt;{@link
 *     BigDecimal}&gt; shared field representing the claim PPS capital outlier amount for the
 *     claim
 * @param claimPPSOldCapitalHoldHarmlessAmount CLM_PPS_OLD_CPTL_HLD_HRMLS_AMT: an {@link
 *     Optional}&lt;{@link BigDecimal}&gt; shared field representing the claim PPS old capital
 *     hold harmless amount for the claim
 */
static void addCommonGroupInpatientSNF(ExplanationOfBenefit eob, BigDecimal coinsuranceDayCount, BigDecimal nonUtilizationDayCount, BigDecimal deductibleAmount, BigDecimal partACoinsuranceLiabilityAmount, BigDecimal bloodPintsFurnishedQty, BigDecimal noncoveredCharge, BigDecimal totalDeductionAmount, Optional<BigDecimal> claimPPSCapitalDisproportionateShareAmt, Optional<BigDecimal> claimPPSCapitalExceptionAmount, Optional<BigDecimal> claimPPSCapitalFSPAmount, Optional<BigDecimal> claimPPSCapitalIMEAmount, Optional<BigDecimal> claimPPSCapitalOutlierAmount, Optional<BigDecimal> claimPPSOldCapitalHoldHarmlessAmount) {
    BenefitComponent beneTotCoinsrncDaysCntFinancial = addBenefitBalanceFinancial(eob, BenefitCategory.MEDICAL, CcwCodebookVariable.BENE_TOT_COINSRNC_DAYS_CNT);
    beneTotCoinsrncDaysCntFinancial.setUsed(new UnsignedIntType(coinsuranceDayCount.intValueExact()));
    BenefitComponent clmNonUtlztnDaysCntFinancial = addBenefitBalanceFinancial(eob, BenefitCategory.MEDICAL, CcwCodebookVariable.CLM_NON_UTLZTN_DAYS_CNT);
    clmNonUtlztnDaysCntFinancial.setUsed(new UnsignedIntType(nonUtilizationDayCount.intValueExact()));
    addAdjudicationTotal(eob, CcwCodebookVariable.NCH_BENE_IP_DDCTBL_AMT, deductibleAmount);
    addAdjudicationTotal(eob, CcwCodebookVariable.NCH_BENE_PTA_COINSRNC_LBLTY_AMT, partACoinsuranceLiabilityAmount);
    SupportingInformationComponent nchBloodPntsFrnshdQtyInfo = addInformation(eob, CcwCodebookVariable.NCH_BLOOD_PNTS_FRNSHD_QTY);
    Quantity bloodPintsQuantity = new Quantity();
    bloodPintsQuantity.setValue(bloodPintsFurnishedQty);
    bloodPintsQuantity.setSystem(TransformerConstants.CODING_SYSTEM_UCUM).setCode(TransformerConstants.CODING_SYSTEM_UCUM_PINT_CODE).setUnit(TransformerConstants.CODING_SYSTEM_UCUM_PINT_DISPLAY);
    nchBloodPntsFrnshdQtyInfo.setValue(bloodPintsQuantity);
    addAdjudicationTotal(eob, CcwCodebookVariable.NCH_IP_NCVRD_CHRG_AMT, noncoveredCharge);
    addAdjudicationTotal(eob, CcwCodebookVariable.NCH_IP_TOT_DDCTN_AMT, totalDeductionAmount);
    if (claimPPSCapitalDisproportionateShareAmt.isPresent()) {
        addAdjudicationTotal(eob, CcwCodebookVariable.CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT, claimPPSCapitalDisproportionateShareAmt);
    }
    if (claimPPSCapitalExceptionAmount.isPresent()) {
        addAdjudicationTotal(eob, CcwCodebookVariable.CLM_PPS_CPTL_EXCPTN_AMT, claimPPSCapitalExceptionAmount);
    }
    if (claimPPSCapitalFSPAmount.isPresent()) {
        addAdjudicationTotal(eob, CcwCodebookVariable.CLM_PPS_CPTL_FSP_AMT, claimPPSCapitalFSPAmount);
    }
    if (claimPPSCapitalIMEAmount.isPresent()) {
        addAdjudicationTotal(eob, CcwCodebookVariable.CLM_PPS_CPTL_IME_AMT, claimPPSCapitalIMEAmount);
    }
    if (claimPPSCapitalOutlierAmount.isPresent()) {
        addAdjudicationTotal(eob, CcwCodebookVariable.CLM_PPS_CPTL_OUTLIER_AMT, claimPPSCapitalOutlierAmount);
    }
    if (claimPPSOldCapitalHoldHarmlessAmount.isPresent()) {
        addAdjudicationTotal(eob, CcwCodebookVariable.CLM_PPS_OLD_CPTL_HLD_HRMLS_AMT, claimPPSOldCapitalHoldHarmlessAmount);
    }
}
Also used : SupportingInformationComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.SupportingInformationComponent) SimpleQuantity(org.hl7.fhir.dstu3.model.SimpleQuantity) Quantity(org.hl7.fhir.dstu3.model.Quantity) UnsignedIntType(org.hl7.fhir.dstu3.model.UnsignedIntType) BenefitComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.BenefitComponent)

Example 18 with UnsignedIntType

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

the class TransformerUtils method mapEobCommonGroupInpHHAHospiceSNF.

/**
 * Transforms the common group level data elements between the {@link InpatientClaim} {@link
 * HHAClaim} {@link HospiceClaim} and {@link SNFClaim} claim types to FHIR. The method parameter
 * fields from {@link InpatientClaim} {@link HHAClaim} {@link HospiceClaim} and {@link SNFClaim}
 * are listed below and their corresponding RIF CCW fields (denoted in all CAPS below from {@link
 * InpatientClaimColumn} {@link HHAClaimColumn} {@link HospiceColumn} and {@link SNFClaimColumn}).
 *
 * @param eob the {@link ExplanationOfBenefit} to modify
 * @param claimAdmissionDate CLM_ADMSN_DT,
 * @param benficiaryDischargeDate,
 * @param utilizedDays CLM_UTLZTN_CNT,
 * @return the {@link ExplanationOfBenefit}
 */
static ExplanationOfBenefit mapEobCommonGroupInpHHAHospiceSNF(ExplanationOfBenefit eob, Optional<LocalDate> claimAdmissionDate, Optional<LocalDate> beneficiaryDischargeDate, Optional<BigDecimal> utilizedDays) {
    if (claimAdmissionDate.isPresent() || beneficiaryDischargeDate.isPresent()) {
        TransformerUtils.validatePeriodDates(claimAdmissionDate, beneficiaryDischargeDate);
        Period period = new Period();
        if (claimAdmissionDate.isPresent()) {
            period.setStart(TransformerUtils.convertToDate(claimAdmissionDate.get()), TemporalPrecisionEnum.DAY);
        }
        if (beneficiaryDischargeDate.isPresent()) {
            period.setEnd(TransformerUtils.convertToDate(beneficiaryDischargeDate.get()), TemporalPrecisionEnum.DAY);
        }
        eob.setHospitalization(period);
    }
    if (utilizedDays.isPresent()) {
        BenefitComponent clmUtlztnDayCntFinancial = TransformerUtils.addBenefitBalanceFinancial(eob, BenefitCategory.MEDICAL, CcwCodebookVariable.CLM_UTLZTN_DAY_CNT);
        clmUtlztnDayCntFinancial.setUsed(new UnsignedIntType(utilizedDays.get().intValue()));
    }
    return eob;
}
Also used : Period(org.hl7.fhir.dstu3.model.Period) UnsignedIntType(org.hl7.fhir.dstu3.model.UnsignedIntType) BenefitComponent(org.hl7.fhir.dstu3.model.ExplanationOfBenefit.BenefitComponent)

Example 19 with UnsignedIntType

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

the class SNFClaimTransformerV2Test method shouldHaveClmUtlztnDayCntFinancial.

@Test
public void shouldHaveClmUtlztnDayCntFinancial() {
    BenefitComponent benefit = TransformerTestUtilsV2.findFinancial("https://bluebutton.cms.gov/resources/variables/clm_utlztn_day_cnt", eob.getBenefitBalanceFirstRep().getFinancial());
    BenefitComponent compare = new BenefitComponent().setType(new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/codesystem/benefit-balance", "https://bluebutton.cms.gov/resources/variables/clm_utlztn_day_cnt", "Claim Medicare Utilization Day Count")))).setUsed(new UnsignedIntType().setValue(17));
    assertTrue(compare.equalsDeep(benefit));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) UnsignedIntType(org.hl7.fhir.r4.model.UnsignedIntType) BenefitComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 20 with UnsignedIntType

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

the class SNFClaimTransformerV2Test method shouldHaveClmNonUtlztnDaysCntFinancial.

@Test
public void shouldHaveClmNonUtlztnDaysCntFinancial() {
    BenefitComponent benefit = TransformerTestUtilsV2.findFinancial("https://bluebutton.cms.gov/resources/variables/clm_non_utlztn_days_cnt", eob.getBenefitBalanceFirstRep().getFinancial());
    BenefitComponent compare = new BenefitComponent().setType(new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/codesystem/benefit-balance", "https://bluebutton.cms.gov/resources/variables/clm_non_utlztn_days_cnt", "Claim Medicare Non Utilization Days Count")))).setUsed(new UnsignedIntType().setValue(0));
    assertTrue(compare.equalsDeep(benefit));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) UnsignedIntType(org.hl7.fhir.r4.model.UnsignedIntType) BenefitComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Aggregations

Test (org.junit.jupiter.api.Test)14 UnsignedIntType (org.hl7.fhir.r4.model.UnsignedIntType)12 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)10 Coding (org.hl7.fhir.r4.model.Coding)10 BenefitComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent)10 UnsignedIntType (org.hl7.fhir.dstu3.model.UnsignedIntType)5 BenefitComponent (org.hl7.fhir.dstu3.model.ExplanationOfBenefit.BenefitComponent)4 BigDecimal (java.math.BigDecimal)3 UnsignedIntType (org.hl7.fhir.r4b.model.UnsignedIntType)3 CodeableConcept (org.hl7.fhir.r5.model.CodeableConcept)3 DisplayName (org.junit.jupiter.api.DisplayName)3 TemporalPrecisionEnum (ca.uhn.fhir.model.api.TemporalPrecisionEnum)2 IdDt (ca.uhn.fhir.model.primitive.IdDt)2 DataFormatException (ca.uhn.fhir.parser.DataFormatException)2 Constants (ca.uhn.fhir.rest.api.Constants)2 RequestDetails (ca.uhn.fhir.rest.api.server.RequestDetails)2 Strings (com.google.common.base.Strings)2 CcwCodebookMissingVariable (gov.cms.bfd.model.codebook.data.CcwCodebookMissingVariable)2 CcwCodebookVariable (gov.cms.bfd.model.codebook.data.CcwCodebookVariable)2 CcwCodebookInterface (gov.cms.bfd.model.codebook.model.CcwCodebookInterface)2