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Example 91 with Money

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

the class CarrierClaimTransformerV2Test method shouldHaveLineItemPaidToPatientAdjudication.

@Test
public void shouldHaveLineItemPaidToPatientAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("paidtopatient", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "paidtopatient", "Paid to patient"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/line_bene_pmt_amt", "Line Payment Amount to Beneficiary")))).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 92 with Money

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

the class CarrierClaimTransformerV2Test method shouldHaveLineItemDeductibleAdjudication.

@Test
public void shouldHaveLineItemDeductibleAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("deductible", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "deductible", "Deductible"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt", "Line Beneficiary Part B Deductible 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 93 with Money

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

the class CarrierClaimTransformerV2Test method shouldHaveClmPassThruClaimProviderPaymentAmountToBeneficiaryFinancial.

@Test
public void shouldHaveClmPassThruClaimProviderPaymentAmountToBeneficiaryFinancial() {
    BenefitComponent benefit = TransformerTestUtilsV2.findFinancial("https://bluebutton.cms.gov/resources/variables/nch_clm_bene_pmt_amt", 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/nch_clm_bene_pmt_amt", "NCH Claim Payment Amount to Beneficiary")))).setUsed(new Money().setValueElement(new DecimalType("888.00")).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)

Example 94 with Money

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

the class DMEClaimTransformerV2Test method shouldHaveLineItemAdjudicationLineBenePmtAmt2.

@Test
public void shouldHaveLineItemAdjudicationLineBenePmtAmt2() {
    BigDecimal amt = new BigDecimal(82.29);
    amt = amt.setScale(2, RoundingMode.HALF_DOWN);
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategoryAndAmount("https://bluebutton.cms.gov/resources/variables/line_bene_pmt_amt", 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", "paidtoprovider", "Paid to provider"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/line_bene_pmt_amt", "Line Payment Amount to Beneficiary")))).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)

Example 95 with Money

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

the class DMEClaimTransformerV2Test method shouldHaveLineItemAdjudicationLineBenePrmryPyrPdAmt.

@Test
public void shouldHaveLineItemAdjudicationLineBenePrmryPyrPdAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/line_bene_prmry_pyr_pd_amt", eob.getItemFirstRep().getAdjudication());
    // Need to maintain trailing 0s in USD amount
    BigDecimal amt = new BigDecimal(11.00);
    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", "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(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