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Example 6 with CodeSystem

use of org.hl7.fhir.r4b.model.CodeSystem in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntr1stAnsiCd.

@Test
public void shouldHaveLineItemAdjudicationRevCntr1stAnsiCd() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByReason("CO120", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator", "denialreason", "Denial Reason")))).setReason(new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/variables/rev_cntr_1st_ansi_cd", "CO120", null))));
    assertTrue(compare.equalsDeep(adjudication));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 7 with CodeSystem

use of org.hl7.fhir.r4b.model.CodeSystem in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntr2ndMspPdAmt.

@Test
public void shouldHaveLineItemAdjudicationRevCntr2ndMspPdAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_2nd_msp_pd_amt", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "priorpayerpaid", "Prior payer paid"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_2nd_msp_pd_amt", "Revenue Center 2nd Medicare Secondary Payer (MSP) Paid Amount")))).setAmount(new Money().setValue(0).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}
Also used : Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 8 with CodeSystem

use of org.hl7.fhir.r4b.model.CodeSystem in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntrRdcdCoinsrncAmt.

@Test
public void shouldHaveLineItemAdjudicationRevCntrRdcdCoinsrncAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_rdcd_coinsrnc_amt", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "coinsurance", "Co-insurance"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_rdcd_coinsrnc_amt", "Revenue Center Reduced Coinsurance Amount")))).setAmount(// .0 and fail
    new Money().setValueElement(new DecimalType("11.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}
Also used : Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) DecimalType(org.hl7.fhir.r4.model.DecimalType) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 9 with CodeSystem

use of org.hl7.fhir.r4b.model.CodeSystem in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntr2ndAnsiCd.

@Test
public void shouldHaveLineItemAdjudicationRevCntr2ndAnsiCd() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByReason("CR121", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator", "denialreason", "Denial Reason")))).setReason(new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/variables/rev_cntr_2nd_ansi_cd", "CR121", null))));
    assertTrue(compare.equalsDeep(adjudication));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Example 10 with CodeSystem

use of org.hl7.fhir.r4b.model.CodeSystem in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerV2Test method shouldHavePrpayAmtFinancial.

@Test
public void shouldHavePrpayAmtFinancial() {
    BenefitComponent benefit = TransformerTestUtilsV2.findFinancial("https://bluebutton.cms.gov/resources/variables/prpayamt", 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/prpayamt", "NCH Primary Payer (if not Medicare) Claim Paid Amount")))).setUsed(new Money().setValueElement(new DecimalType("11.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(benefit));
}
Also used : Money(org.hl7.fhir.r4.model.Money) Coding(org.hl7.fhir.r4.model.Coding) DecimalType(org.hl7.fhir.r4.model.DecimalType) 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)314 Coding (org.hl7.fhir.r4.model.Coding)271 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)214 Money (org.hl7.fhir.r4.model.Money)118 ArrayList (java.util.ArrayList)80 CodeSystem (org.hl7.fhir.r5.model.CodeSystem)70 AdjudicationComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent)64 XhtmlNode (org.hl7.fhir.utilities.xhtml.XhtmlNode)64 SupportingInformationComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.SupportingInformationComponent)59 BenefitComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent)56 BundleEntryComponent (org.hl7.fhir.r4.model.Bundle.BundleEntryComponent)54 Identifier (org.hl7.fhir.r4.model.Identifier)50 Resource (org.hl7.fhir.r4.model.Resource)45 DecimalType (org.hl7.fhir.r4.model.DecimalType)44 FHIRException (org.hl7.fhir.exceptions.FHIRException)39 ConceptDefinitionComponent (org.hl7.fhir.r5.model.CodeSystem.ConceptDefinitionComponent)36 ParameterizedTest (org.junit.jupiter.params.ParameterizedTest)34 ValueSet (org.hl7.fhir.r5.model.ValueSet)33 CodeSystem (org.hl7.fhir.r4.model.CodeSystem)32 IOException (java.io.IOException)31