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Example 26 with Value

use of org.hl7.fhir.utilities.graphql.Value in project beneficiary-fhir-data by CMSgov.

the class SamhsaMatcherR4FromClaimTransformerV2Test method verifySamhsaMatcherForProcedureIcd.

/**
 * Verify SAMHSA matcher for ICD item with the given system, code and if the expectation is that
 * there should be a match for this combination.
 *
 * @param system the system value
 * @param code the code
 * @param shouldMatch if the matcher should match on this combination
 */
private void verifySamhsaMatcherForProcedureIcd(String system, String code, boolean shouldMatch, ExplanationOfBenefit explanationOfBenefit) {
    ExplanationOfBenefit modifiedEob = explanationOfBenefit.copy();
    // Set diagnosis to empty so we dont check it for matches
    for (ExplanationOfBenefit.DiagnosisComponent diagnosisComponent : modifiedEob.getDiagnosis()) {
        CodeableConcept codeableConcept = diagnosisComponent.getDiagnosisCodeableConcept();
        ArrayList<Coding> codingList = new ArrayList<>();
        codeableConcept.setCoding(codingList);
        diagnosisComponent.setPackageCode(null);
    }
    // Set procedure
    for (ExplanationOfBenefit.ProcedureComponent diagnosisComponent : modifiedEob.getProcedure()) {
        CodeableConcept codeableConcept = diagnosisComponent.getProcedureCodeableConcept();
        ArrayList<Coding> codingList = new ArrayList<>();
        codingList.add(new Coding().setSystem(system).setCode(code));
        codeableConcept.setCoding(codingList);
    }
    // Set item coding to non-SAMHSA so we dont check it for matches
    List<Coding> codings = new ArrayList<>();
    Coding coding = new Coding();
    coding.setSystem(TransformerConstants.CODING_SYSTEM_HCPCS);
    coding.setCode(NON_SAMHSA_HCPCS_CODE);
    codings.add(coding);
    modifiedEob.getItem().get(0).getProductOrService().setCoding(codings);
    assertEquals(shouldMatch, samhsaMatcherV2.test(modifiedEob));
}
Also used : Coding(org.hl7.fhir.r4.model.Coding) ArrayList(java.util.ArrayList) ExplanationOfBenefit(org.hl7.fhir.r4.model.ExplanationOfBenefit) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept)

Example 27 with Value

use of org.hl7.fhir.utilities.graphql.Value in project beneficiary-fhir-data by CMSgov.

the class TransformerTestUtilsV2 method findAdjudicationByCategoryAndAmount.

/**
 * Finds an {@link AdjudicationComponent} using a code in the category and value in amount
 *
 * @param code
 * @param amount
 * @param components
 * @return
 */
static AdjudicationComponent findAdjudicationByCategoryAndAmount(String code, BigDecimal amount, List<AdjudicationComponent> components) {
    final BigDecimal amt = amount.setScale(2, RoundingMode.HALF_DOWN);
    Optional<AdjudicationComponent> adjudication = components.stream().filter(cmp -> (amt.equals(cmp.getAmount().getValue()))).filter(cmp -> cmp.getCategory().getCoding().stream().filter(c -> code.equals(c.getCode())).count() > 0).findFirst();
    assertTrue(adjudication.isPresent());
    return adjudication.get();
}
Also used : Assertions.assertNotNull(org.junit.jupiter.api.Assertions.assertNotNull) IBaseHasExtensions(org.hl7.fhir.instance.model.api.IBaseHasExtensions) Arrays(java.util.Arrays) CcwCodebookInterface(gov.cms.bfd.model.codebook.model.CcwCodebookInterface) Identifier(org.hl7.fhir.r4.model.Identifier) CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept) BenefitComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.BenefitComponent) IBaseExtension(org.hl7.fhir.instance.model.api.IBaseExtension) Reference(org.hl7.fhir.r4.model.Reference) IAnyResource(org.hl7.fhir.instance.model.api.IAnyResource) ProcedureComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.ProcedureComponent) Money(org.hl7.fhir.r4.model.Money) CCWUtils(gov.cms.bfd.server.war.commons.CCWUtils) BigDecimal(java.math.BigDecimal) FhirContext(ca.uhn.fhir.context.FhirContext) BaseDateTimeType(org.hl7.fhir.r4.model.BaseDateTimeType) Assertions.assertFalse(org.junit.jupiter.api.Assertions.assertFalse) ItemComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.ItemComponent) SupportingInformationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.SupportingInformationComponent) CcwCodebookVariable(gov.cms.bfd.model.codebook.data.CcwCodebookVariable) Duration(java.time.Duration) Assertions.assertEquals(org.junit.jupiter.api.Assertions.assertEquals) Quantity(org.hl7.fhir.r4.model.Quantity) TemporalPrecisionEnum(ca.uhn.fhir.model.api.TemporalPrecisionEnum) CareTeamComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.CareTeamComponent) Method(java.lang.reflect.Method) RoundingMode(java.math.RoundingMode) BadCodeMonkeyException(gov.cms.bfd.sharedutils.exceptions.BadCodeMonkeyException) MedicareSegment(gov.cms.bfd.server.war.commons.MedicareSegment) Period(org.hl7.fhir.r4.model.Period) Resource(org.hl7.fhir.r4.model.Resource) Instant(java.time.Instant) C4BBClaimProfessionalAndNonClinicianCareTeamRole(gov.cms.bfd.server.war.commons.carin.C4BBClaimProfessionalAndNonClinicianCareTeamRole) InvocationTargetException(java.lang.reflect.InvocationTargetException) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) List(java.util.List) TransformerConstants(gov.cms.bfd.server.war.commons.TransformerConstants) Coding(org.hl7.fhir.r4.model.Coding) ExplanationOfBenefit(org.hl7.fhir.r4.model.ExplanationOfBenefit) Assertions.assertTrue(org.junit.jupiter.api.Assertions.assertTrue) LocalDate(java.time.LocalDate) DateTimeFormatter(java.time.format.DateTimeFormatter) Optional(java.util.Optional) FHIRException(org.hl7.fhir.exceptions.FHIRException) Extension(org.hl7.fhir.r4.model.Extension) DiagnosisComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.DiagnosisComponent) AdjudicationComponent(org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent) BigDecimal(java.math.BigDecimal)

Example 28 with Value

use of org.hl7.fhir.utilities.graphql.Value in project beneficiary-fhir-data by CMSgov.

the class ExplanationOfBenefitResourceProviderIT method searchForSamhsaEobsWithExcludeSamhsaFalse.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient} with <code>
 * excludeSAMHSA=false</code> does not filter out SAMHSA-related claims.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForSamhsaEobsWithExcludeSamhsaFalse() throws FHIRException {
    Beneficiary beneficiary = loadSampleAWithSamhsa();
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClient();
    Bundle searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary.getBeneficiaryId()))).and(new StringClientParam("excludeSAMHSA").matches().value("false")).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    for (ClaimType claimType : ClaimType.values()) {
        // Without filtering we expect one claim for each claim type.
        assertEquals(1, filterToClaimType(searchResults, claimType).size());
    }
}
Also used : StringClientParam(ca.uhn.fhir.rest.gclient.StringClientParam) IGenericClient(ca.uhn.fhir.rest.client.api.IGenericClient) Bundle(org.hl7.fhir.dstu3.model.Bundle) IBaseBundle(org.hl7.fhir.instance.model.api.IBaseBundle) Beneficiary(gov.cms.bfd.model.rif.Beneficiary) Test(org.junit.jupiter.api.Test)

Example 29 with Value

use of org.hl7.fhir.utilities.graphql.Value in project beneficiary-fhir-data by CMSgov.

the class ExplanationOfBenefitResourceProviderIT method searchForNonSamhsaEobsWithExcludeSamhsaTrue.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient} with <code>
 * excludeSAMHSA=true</code> properly returns claims that are not SAMHSA-related.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForNonSamhsaEobsWithExcludeSamhsaTrue() throws FHIRException {
    // Load the SAMPLE_A resources normally.
    Beneficiary beneficiary = loadSampleA();
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClient();
    Bundle searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary.getBeneficiaryId()))).and(new StringClientParam("excludeSAMHSA").matches().value("true")).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    for (ClaimType claimType : ClaimType.values()) {
        // None of the claims are SAMHSA so we expect one record per claim type in the results.
        assertEquals(1, filterToClaimType(searchResults, claimType).size(), String.format("Verify claims of type '%s' are present", claimType));
    }
}
Also used : StringClientParam(ca.uhn.fhir.rest.gclient.StringClientParam) IGenericClient(ca.uhn.fhir.rest.client.api.IGenericClient) Bundle(org.hl7.fhir.dstu3.model.Bundle) IBaseBundle(org.hl7.fhir.instance.model.api.IBaseBundle) Beneficiary(gov.cms.bfd.model.rif.Beneficiary) Test(org.junit.jupiter.api.Test)

Example 30 with Value

use of org.hl7.fhir.utilities.graphql.Value in project beneficiary-fhir-data by CMSgov.

the class ExplanationOfBenefitResourceProviderIT method searchForEobsByExistingPatientWithPageSizeZero.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient} works as expected for
 * a {@link Patient} that does exist in the DB, with paging on a page size of 0.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForEobsByExistingPatientWithPageSizeZero() throws FHIRException {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    IGenericClient fhirClient = ServerTestUtils.get().createFhirClient();
    Beneficiary beneficiary = loadedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    /*
     * FIXME: According the the FHIR spec, paging for _count=0 should not return any
     * claim entries in the bundle, but instead just a total for the number of
     * entries that match the search criteria. This functionality does no work
     * currently (see https://github.com/jamesagnew/hapi-fhir/issues/1074) and so
     * for now paging with _count=0 should behave as though paging was not
     * requested.
     */
    Bundle searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary))).count(0).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    /*
     * Verify the bundle contains a key for total and that the value matches the
     * number of entries in the bundle
     */
    assertEquals(loadedRecords.stream().filter(r -> !(r instanceof Beneficiary)).filter(r -> !(r instanceof BeneficiaryHistory)).filter(r -> !(r instanceof MedicareBeneficiaryIdHistory)).count(), searchResults.getTotal());
    /*
     * Verify that no paging links exist in the bundle.
     */
    assertNull(searchResults.getLink(Constants.LINK_NEXT));
    assertNull(searchResults.getLink(Constants.LINK_PREVIOUS));
    assertNull(searchResults.getLink(Constants.LINK_FIRST));
    assertNull(searchResults.getLink(Constants.LINK_LAST));
    /*
     * Verify that each of the expected claims (one for every claim type) is present
     * and looks correct.
     */
    CarrierClaim carrierClaim = loadedRecords.stream().filter(r -> r instanceof CarrierClaim).map(r -> (CarrierClaim) r).findFirst().get();
    assertEquals(1, filterToClaimType(searchResults, ClaimType.CARRIER).size());
    CarrierClaimTransformerTest.assertMatches(carrierClaim, filterToClaimType(searchResults, ClaimType.CARRIER).get(0), Optional.empty());
    DMEClaim dmeClaim = loadedRecords.stream().filter(r -> r instanceof DMEClaim).map(r -> (DMEClaim) r).findFirst().get();
    DMEClaimTransformerTest.assertMatches(dmeClaim, filterToClaimType(searchResults, ClaimType.DME).get(0), Optional.empty());
    HHAClaim hhaClaim = loadedRecords.stream().filter(r -> r instanceof HHAClaim).map(r -> (HHAClaim) r).findFirst().get();
    HHAClaimTransformerTest.assertMatches(hhaClaim, filterToClaimType(searchResults, ClaimType.HHA).get(0));
    HospiceClaim hospiceClaim = loadedRecords.stream().filter(r -> r instanceof HospiceClaim).map(r -> (HospiceClaim) r).findFirst().get();
    HospiceClaimTransformerTest.assertMatches(hospiceClaim, filterToClaimType(searchResults, ClaimType.HOSPICE).get(0));
    InpatientClaim inpatientClaim = loadedRecords.stream().filter(r -> r instanceof InpatientClaim).map(r -> (InpatientClaim) r).findFirst().get();
    InpatientClaimTransformerTest.assertMatches(inpatientClaim, filterToClaimType(searchResults, ClaimType.INPATIENT).get(0));
    OutpatientClaim outpatientClaim = loadedRecords.stream().filter(r -> r instanceof OutpatientClaim).map(r -> (OutpatientClaim) r).findFirst().get();
    OutpatientClaimTransformerTest.assertMatches(outpatientClaim, filterToClaimType(searchResults, ClaimType.OUTPATIENT).get(0));
    PartDEvent partDEvent = loadedRecords.stream().filter(r -> r instanceof PartDEvent).map(r -> (PartDEvent) r).findFirst().get();
    PartDEventTransformerTest.assertMatches(partDEvent, filterToClaimType(searchResults, ClaimType.PDE).get(0));
    SNFClaim snfClaim = loadedRecords.stream().filter(r -> r instanceof SNFClaim).map(r -> (SNFClaim) r).findFirst().get();
    SNFClaimTransformerTest.assertMatches(snfClaim, filterToClaimType(searchResults, ClaimType.SNF).get(0));
}
Also used : Arrays(java.util.Arrays) Bundle(org.hl7.fhir.dstu3.model.Bundle) Date(java.util.Date) Constants(ca.uhn.fhir.rest.api.Constants) InpatientClaim(gov.cms.bfd.model.rif.InpatientClaim) DateTimeDt(ca.uhn.fhir.model.primitive.DateTimeDt) PartDEvent(gov.cms.bfd.model.rif.PartDEvent) SNFClaim(gov.cms.bfd.model.rif.SNFClaim) DateRangeParam(ca.uhn.fhir.rest.param.DateRangeParam) BeforeAll(org.junit.jupiter.api.BeforeAll) IBaseResource(org.hl7.fhir.instance.model.api.IBaseResource) BeneficiaryHistory(gov.cms.bfd.model.rif.BeneficiaryHistory) IGenericClient(ca.uhn.fhir.rest.client.api.IGenericClient) Triple(org.apache.commons.lang3.tuple.Triple) OutpatientClaim(gov.cms.bfd.model.rif.OutpatientClaim) IdDt(ca.uhn.fhir.model.primitive.IdDt) ExplanationOfBenefit(org.hl7.fhir.dstu3.model.ExplanationOfBenefit) InvalidRequestException(ca.uhn.fhir.rest.server.exceptions.InvalidRequestException) Instant(java.time.Instant) Collectors(java.util.stream.Collectors) Test(org.junit.jupiter.api.Test) Beneficiary(gov.cms.bfd.model.rif.Beneficiary) List(java.util.List) TransformerConstants(gov.cms.bfd.server.war.commons.TransformerConstants) EntityManagerFactory(javax.persistence.EntityManagerFactory) Assertions.assertTrue(org.junit.jupiter.api.Assertions.assertTrue) CarrierClaim(gov.cms.bfd.model.rif.CarrierClaim) Optional(java.util.Optional) TokenAndListParam(ca.uhn.fhir.rest.param.TokenAndListParam) Assertions.assertThrows(org.junit.jupiter.api.Assertions.assertThrows) Assertions.assertNotNull(org.junit.jupiter.api.Assertions.assertNotNull) Assertions.assertNull(org.junit.jupiter.api.Assertions.assertNull) RequestHeaders(gov.cms.bfd.server.war.commons.RequestHeaders) IBaseBundle(org.hl7.fhir.instance.model.api.IBaseBundle) ArrayList(java.util.ArrayList) HHAClaim(gov.cms.bfd.model.rif.HHAClaim) PipelineTestUtils(gov.cms.bfd.pipeline.sharedutils.PipelineTestUtils) RequestDetails(ca.uhn.fhir.rest.api.server.RequestDetails) ImmutableList(com.google.common.collect.ImmutableList) ReferenceParam(ca.uhn.fhir.rest.param.ReferenceParam) DMEClaim(gov.cms.bfd.model.rif.DMEClaim) Assertions.assertEquals(org.junit.jupiter.api.Assertions.assertEquals) ResourceNotFoundException(ca.uhn.fhir.rest.server.exceptions.ResourceNotFoundException) StaticRifResourceGroup(gov.cms.bfd.model.rif.samples.StaticRifResourceGroup) ServerTestUtils(gov.cms.bfd.server.war.ServerTestUtils) StringClientParam(ca.uhn.fhir.rest.gclient.StringClientParam) CommonHeaders(gov.cms.bfd.server.war.commons.CommonHeaders) ImmutableTriple(org.apache.commons.lang3.tuple.ImmutableTriple) TokenClientParam(ca.uhn.fhir.rest.gclient.TokenClientParam) HospiceClaim(gov.cms.bfd.model.rif.HospiceClaim) EntityManager(javax.persistence.EntityManager) MedicareBeneficiaryIdHistory(gov.cms.bfd.model.rif.MedicareBeneficiaryIdHistory) AfterEach(org.junit.jupiter.api.AfterEach) ChronoUnit(java.time.temporal.ChronoUnit) Patient(org.hl7.fhir.dstu3.model.Patient) FHIRException(org.hl7.fhir.exceptions.FHIRException) BeneficiaryHistory(gov.cms.bfd.model.rif.BeneficiaryHistory) InpatientClaim(gov.cms.bfd.model.rif.InpatientClaim) IGenericClient(ca.uhn.fhir.rest.client.api.IGenericClient) Bundle(org.hl7.fhir.dstu3.model.Bundle) IBaseBundle(org.hl7.fhir.instance.model.api.IBaseBundle) OutpatientClaim(gov.cms.bfd.model.rif.OutpatientClaim) CarrierClaim(gov.cms.bfd.model.rif.CarrierClaim) MedicareBeneficiaryIdHistory(gov.cms.bfd.model.rif.MedicareBeneficiaryIdHistory) SNFClaim(gov.cms.bfd.model.rif.SNFClaim) PartDEvent(gov.cms.bfd.model.rif.PartDEvent) DMEClaim(gov.cms.bfd.model.rif.DMEClaim) HHAClaim(gov.cms.bfd.model.rif.HHAClaim) HospiceClaim(gov.cms.bfd.model.rif.HospiceClaim) Beneficiary(gov.cms.bfd.model.rif.Beneficiary) Test(org.junit.jupiter.api.Test)

Aggregations

Test (org.junit.jupiter.api.Test)222 ArrayList (java.util.ArrayList)183 FHIRException (org.hl7.fhir.exceptions.FHIRException)107 List (java.util.List)97 DisplayName (org.junit.jupiter.api.DisplayName)96 XhtmlNode (org.hl7.fhir.utilities.xhtml.XhtmlNode)89 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)85 Complex (org.hl7.fhir.r4.utils.formats.Turtle.Complex)70 Identifier (org.hl7.fhir.r4.model.Identifier)69 Test (org.junit.Test)66 Complex (org.hl7.fhir.dstu2016may.formats.RdfGenerator.Complex)64 Complex (org.hl7.fhir.dstu3.utils.formats.Turtle.Complex)54 IOException (java.io.IOException)52 Bundle (org.hl7.fhir.r4.model.Bundle)49 Coding (org.hl7.fhir.r4.model.Coding)49 ValueSet (org.hl7.fhir.r5.model.ValueSet)48 PathEngineException (org.hl7.fhir.exceptions.PathEngineException)46 Resource (org.hl7.fhir.r4.model.Resource)46 BigDecimal (java.math.BigDecimal)45 BundleEntryComponent (org.hl7.fhir.r4.model.Bundle.BundleEntryComponent)44