use of org.hl7.fhir.r4b.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class DMEClaimTransformerV2Test method shouldHaveLineItemAdjudicationLineNchPmtAmt.
@Test
public void shouldHaveLineItemAdjudicationLineNchPmtAmt() {
AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/line_nch_pmt_amt", eob.getItemFirstRep().getAdjudication());
AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "benefit", "Benefit Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/line_nch_pmt_amt", "Line NCH Medicare Payment Amount"))));
compare.setExtension(Arrays.asList(new Extension("https://bluebutton.cms.gov/resources/variables/line_pmt_80_100_cd", new Coding("https://bluebutton.cms.gov/resources/variables/line_pmt_80_100_cd", "0", "80%"))));
compare.setAmount(new Money().setValue(123.45).setCurrency(TransformerConstants.CODED_MONEY_USD));
assertTrue(compare.equalsDeep(adjudication));
}
use of org.hl7.fhir.r4b.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class DMEClaimTransformerV2Test method shouldHaveClmTotChrgAmtTotal.
@Test
public void shouldHaveClmTotChrgAmtTotal() {
// Only one so just pull it directly and compare
TotalComponent total = eob.getTotalFirstRep();
TotalComponent compare = new TotalComponent().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/clm_tot_chrg_amt", "Claim Total Charge Amount")))).setAmount(new Money().setValue(0).setCurrency(TransformerConstants.CODED_MONEY_USD));
assertTrue(compare.equalsDeep(total));
}
use of org.hl7.fhir.r4b.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class CarrierClaimTransformerV2Test method shouldHaveLineItemPriorPayerPaidAdjudication.
@Test
public void shouldHaveLineItemPriorPayerPaidAdjudication() {
AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("priorpayerpaid", 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/line_bene_prmry_pyr_pd_amt", "Line Primary Payer (if not Medicare) Paid Amount")))).setAmount(new Money().setValue(0).setCurrency(TransformerConstants.CODED_MONEY_USD));
assertTrue(compare.equalsDeep(adjudication));
}
use of org.hl7.fhir.r4b.model.CodeableConcept in project beneficiary-fhir-data by CMSgov.
the class CarrierClaimTransformerV2Test method shouldHaveLineItemProductOrServiceCoding.
@Test
public void shouldHaveLineItemProductOrServiceCoding() {
CodeableConcept pos = eob.getItemFirstRep().getProductOrService();
CodeableConcept compare = new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/codesystem/hcpcs", "92999", null)));
compare.setExtension(Arrays.asList(new Extension("http://hl7.org/fhir/sid/ndc", new Coding("http://hl7.org/fhir/sid/ndc", "49035044700", null))));
assertTrue(compare.equalsDeep(pos));
}
use of org.hl7.fhir.r4b.model.CodeableConcept 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));
}
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