use of org.hl7.fhir.r5.model.Reference in project beneficiary-fhir-data by CMSgov.
the class FissClaimResponseTransformerV2 method transformClaim.
/**
* @param claimGroup the {@link PreAdjFissClaim} to transform
* @return a FHIR {@link ClaimResponse} resource that represents the specified {@link
* PreAdjFissClaim}
*/
private static ClaimResponse transformClaim(PreAdjFissClaim claimGroup) {
ClaimResponse claim = new ClaimResponse();
claim.setId("f-" + claimGroup.getDcn());
claim.setContained(List.of(getContainedPatient(claimGroup)));
claim.setExtension(getExtension(claimGroup));
claim.setIdentifier(getIdentifier(claimGroup));
claim.setStatus(ClaimResponse.ClaimResponseStatus.ACTIVE);
claim.setOutcome(STATUS_TO_OUTCOME.get(Character.toLowerCase(claimGroup.getCurrStatus())));
claim.setType(getType());
claim.setUse(ClaimResponse.Use.CLAIM);
claim.setInsurer(new Reference().setIdentifier(new Identifier().setValue("CMS")));
claim.setPatient(new Reference("#patient"));
claim.setRequest(new Reference(String.format("Claim/f-%s", claimGroup.getDcn())));
claim.setMeta(new Meta().setLastUpdated(Date.from(claimGroup.getLastUpdated())));
claim.setCreated(new Date());
return claim;
}
use of org.hl7.fhir.r5.model.Reference in project beneficiary-fhir-data by CMSgov.
the class FissClaimTransformerV2 method transformClaim.
/**
* @param claimGroup the {@link PreAdjFissClaim} to transform
* @return a FHIR {@link Claim} resource that represents the specified {@link PreAdjFissClaim}
*/
private static Claim transformClaim(PreAdjFissClaim claimGroup) {
Claim claim = new Claim();
boolean isIcd9 = claimGroup.getStmtCovToDate() != null && claimGroup.getStmtCovToDate().isBefore(ICD_9_CUTOFF_DATE);
claim.setId("f-" + claimGroup.getDcn());
claim.setContained(List.of(getContainedPatient(claimGroup), getContainedProvider(claimGroup)));
claim.setIdentifier(getIdentifier(claimGroup));
claim.setExtension(getExtension(claimGroup));
claim.setStatus(Claim.ClaimStatus.ACTIVE);
claim.setType(getType(claimGroup));
claim.setSupportingInfo(getSupportingInfo(claimGroup));
claim.setBillablePeriod(getBillablePeriod(claimGroup));
claim.setUse(Claim.Use.CLAIM);
claim.setPriority(getPriority());
claim.setTotal(getTotal(claimGroup));
claim.setProvider(new Reference("#provider-org"));
claim.setPatient(new Reference("#patient"));
claim.setFacility(getFacility(claimGroup));
claim.setDiagnosis(getDiagnosis(claimGroup, isIcd9));
claim.setProcedure(getProcedure(claimGroup, isIcd9));
claim.setInsurance(getInsurance(claimGroup));
claim.setMeta(new Meta().setLastUpdated(Date.from(claimGroup.getLastUpdated())));
claim.setCreated(new Date());
return claim;
}
use of org.hl7.fhir.r5.model.Reference in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerV2Test method shouldReferenceCoverageInInsurance.
/**
* Insurance
*/
@Test
public void shouldReferenceCoverageInInsurance() {
// Only one insurance object
assertEquals(1, eob.getInsurance().size());
InsuranceComponent insurance = eob.getInsuranceFirstRep();
InsuranceComponent compare = new InsuranceComponent().setCoverage(new Reference().setReference("Coverage/part-b-567834"));
assertTrue(compare.equalsDeep(insurance));
}
use of org.hl7.fhir.r5.model.Reference in project beneficiary-fhir-data by CMSgov.
the class DMEClaimTransformerV2Test method shouldReferenceCoverageInInsurance.
/**
* Insurance
*/
@Test
public void shouldReferenceCoverageInInsurance() {
// Only one insurance object
assertEquals(1, eob.getInsurance().size());
InsuranceComponent insurance = eob.getInsuranceFirstRep();
InsuranceComponent compare = new InsuranceComponent().setCoverage(new Reference().setReference("Coverage/part-a-567834"));
assertTrue(compare.equalsDeep(insurance));
}
use of org.hl7.fhir.r5.model.Reference in project beneficiary-fhir-data by CMSgov.
the class DMEClaimTransformerV2Test method shouldHaveLineHctHgbRsltNumSupInfo.
@Test
public void shouldHaveLineHctHgbRsltNumSupInfo() {
SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num", eob.getSupportingInfo());
SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
sic.getSequence(), // Category
Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/claiminformationcategory", "info", "Information"), new Coding("https://bluebutton.cms.gov/resources/codesystem/information", "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num", "Hematocrit / Hemoglobin Test Results")));
compare.setValue(new Reference("#line-observation-1"));
assertTrue(compare.equalsDeep(sic));
}
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