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Example 56 with Money

use of org.hl7.fhir.r5.model.Money in project beneficiary-fhir-data by CMSgov.

the class OutpatientClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntr1stMspPdAmt.

@Test
public void shouldHaveLineItemAdjudicationRevCntr1stMspPdAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_1st_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_1st_msp_pd_amt", "Revenue Center 1st 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 57 with Money

use of org.hl7.fhir.r5.model.Money in project beneficiary-fhir-data by CMSgov.

the class PartDEventTransformerV2Test method shouldHaveLineItemAdjudicationLicsAmt.

@Test
public void shouldHaveLineItemAdjudicationLicsAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/lics_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", "discount", "Discount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/lics_amt", "Amount paid for the PDE by Part D low income subsidy")))).setAmount(new Money().setValue(122.23).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 58 with Money

use of org.hl7.fhir.r5.model.Money in project beneficiary-fhir-data by CMSgov.

the class PartDEventTransformerV2Test method shouldHaveLineItemAdjudicationRptdGapDscntNum.

@Test
public void shouldHaveLineItemAdjudicationRptdGapDscntNum() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rptd_gap_dscnt_num", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "discount", "Discount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rptd_gap_dscnt_num", "Gap Discount Amount")))).setAmount(new Money().setValue(317.22).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 59 with Money

use of org.hl7.fhir.r5.model.Money in project beneficiary-fhir-data by CMSgov.

the class PartDEventTransformerV2Test method shouldHaveLineItemAdjudicationGdcBlwOoptAmt.

@Test
public void shouldHaveLineItemAdjudicationGdcBlwOoptAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/gdc_blw_oopt_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/gdc_blw_oopt_amt", "Gross Drug Cost Below Part D Out-of-Pocket Threshold (GDCB)")))).setAmount(new Money().setValue(995.34).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 60 with Money

use of org.hl7.fhir.r5.model.Money in project beneficiary-fhir-data by CMSgov.

the class PartDEventTransformerV2Test method shouldHaveLineItemAdjudicationTotRxCstAmt.

@Test
public void shouldHaveLineItemAdjudicationTotRxCstAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/tot_rx_cst_amt", eob.getItemFirstRep().getAdjudication());
    // Need to maintain trailing 0s in USD amount
    BigDecimal amt = new BigDecimal(550.00);
    amt = amt.setScale(2, RoundingMode.HALF_DOWN);
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "drugcost", "Drug Cost"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/tot_rx_cst_amt", "Total drug cost (Part D)")))).setAmount(new Money().setValue(amt).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) BigDecimal(java.math.BigDecimal) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) Test(org.junit.jupiter.api.Test)

Aggregations

Money (org.hl7.fhir.r4.model.Money)129 Test (org.junit.jupiter.api.Test)122 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)117 Coding (org.hl7.fhir.r4.model.Coding)115 AdjudicationComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent)61 BenefitComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent)48 DecimalType (org.hl7.fhir.r4.model.DecimalType)42 BigDecimal (java.math.BigDecimal)18 TotalComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.TotalComponent)9 Money (org.hl7.fhir.dstu3.model.Money)6 Extension (org.hl7.fhir.r4.model.Extension)6 Claim (org.mitre.synthea.world.concepts.Claim)6 Encounter (org.mitre.synthea.world.concepts.HealthRecord.Encounter)6 PaymentComponent (org.hl7.fhir.r4.model.ExplanationOfBenefit.PaymentComponent)5 NotImplementedException (org.apache.commons.lang3.NotImplementedException)4 EncounterType (org.mitre.synthea.world.concepts.HealthRecord.EncounterType)4 InsuranceComponent (org.hl7.fhir.r4.model.Claim.InsuranceComponent)3 ItemComponent (org.hl7.fhir.r4.model.Claim.ItemComponent)3 DocumentReference (org.hl7.fhir.r4.model.DocumentReference)3 Reference (org.hl7.fhir.r4.model.Reference)3