Examples with Section org.hl7.fhir.utilities.xml.SchematronWriter.Section used on opensource projects

Example 36 with Section

use of org.hl7.fhir.utilities.xml.SchematronWriter.Section in project synthea by synthetichealth.

the class FhirR4 method explanationOfBenefit.

/**
 * Create an explanation of benefit resource for each claim, detailing insurance
 * information.
 *
 * @param personEntry Entry for the person
 * @param bundle The Bundle to add to
 * @param encounterEntry The current Encounter
 * @param claimEntry the Claim object
 * @param person the person the health record belongs to
 * @param encounter the current Encounter as an object
 * @return the added entry
 */
private static BundleEntryComponent explanationOfBenefit(BundleEntryComponent personEntry, Bundle bundle, BundleEntryComponent encounterEntry, Person person, BundleEntryComponent claimEntry, Encounter encounter) {
    ExplanationOfBenefit eob = new ExplanationOfBenefit();
    eob.setStatus(org.hl7.fhir.r4.model.ExplanationOfBenefit.ExplanationOfBenefitStatus.ACTIVE);
    eob.setType(new CodeableConcept().addCoding(new Coding().setSystem("http://terminology.hl7.org/CodeSystem/claim-type").setCode("professional").setDisplay("Professional")));
    eob.setUse(Use.CLAIM);
    eob.setOutcome(RemittanceOutcome.COMPLETE);
    org.hl7.fhir.r4.model.Encounter encounterResource = (org.hl7.fhir.r4.model.Encounter) encounterEntry.getResource();
    // according to CMS guidelines claims have 12 months to be
    // billed, so we set the billable period to 1 year after
    // services have ended (the encounter ends).
    Calendar cal = Calendar.getInstance();
    cal.setTime(encounterResource.getPeriod().getEnd());
    cal.add(Calendar.YEAR, 1);
    Period billablePeriod = new Period().setStart(encounterResource.getPeriod().getEnd()).setEnd(cal.getTime());
    eob.setBillablePeriod(billablePeriod);
    // cost is hardcoded to be USD in claim so this should be fine as well
    Money totalCost = new Money();
    totalCost.setCurrency("USD");
    totalCost.setValue(encounter.claim.getTotalClaimCost());
    TotalComponent total = eob.addTotal();
    total.setAmount(totalCost);
    Code submitted = new Code("http://terminology.hl7.org/CodeSystem/adjudication", "submitted", "Submitted Amount");
    total.setCategory(mapCodeToCodeableConcept(submitted, "http://terminology.hl7.org/CodeSystem/adjudication"));
    // Set References
    eob.setPatient(new Reference(personEntry.getFullUrl()));
    if (USE_US_CORE_IG) {
        eob.setFacility(encounterResource.getLocationFirstRep().getLocation());
    }
    ServiceRequest referral = (ServiceRequest) new ServiceRequest().setStatus(ServiceRequest.ServiceRequestStatus.COMPLETED).setIntent(ServiceRequest.ServiceRequestIntent.ORDER).setSubject(new Reference(personEntry.getFullUrl())).setId("referral");
    CodeableConcept primaryCareRole = new CodeableConcept().addCoding(new Coding().setCode("primary").setSystem("http://terminology.hl7.org/CodeSystem/claimcareteamrole").setDisplay("Primary Care Practitioner"));
    Reference providerReference = new Reference().setDisplay("Unknown");
    if (encounter.clinician != null) {
        String practitionerFullUrl = TRANSACTION_BUNDLE ? ExportHelper.buildFhirNpiSearchUrl(encounter.clinician) : findPractitioner(encounter.clinician, bundle);
        if (practitionerFullUrl != null) {
            providerReference = new Reference(practitionerFullUrl);
        }
    } else if (encounter.provider != null) {
        String providerUrl = TRANSACTION_BUNDLE ? ExportHelper.buildFhirSearchUrl("Location", encounter.provider.getResourceLocationID()) : findProviderUrl(encounter.provider, bundle);
        if (providerUrl != null) {
            providerReference = new Reference(providerUrl);
        }
    }
    eob.setProvider(providerReference);
    eob.addCareTeam(new ExplanationOfBenefit.CareTeamComponent().setSequence(1).setProvider(providerReference).setRole(primaryCareRole));
    referral.setRequester(providerReference);
    referral.addPerformer(providerReference);
    eob.addContained(referral);
    eob.setReferral(new Reference().setReference("#referral"));
    // Get the insurance info at the time that the encounter occurred.
    Payer payer = encounter.claim.payer;
    Coverage coverage = new Coverage();
    coverage.setId("coverage");
    coverage.setStatus(CoverageStatus.ACTIVE);
    coverage.setType(new CodeableConcept().setText(payer.getName()));
    coverage.setBeneficiary(new Reference(personEntry.getFullUrl()));
    coverage.addPayor(new Reference().setDisplay(payer.getName()));
    eob.addContained(coverage);
    ExplanationOfBenefit.InsuranceComponent insuranceComponent = new ExplanationOfBenefit.InsuranceComponent();
    insuranceComponent.setFocal(true);
    insuranceComponent.setCoverage(new Reference("#coverage").setDisplay(payer.getName()));
    eob.addInsurance(insuranceComponent);
    eob.setInsurer(new Reference().setDisplay(payer.getName()));
    org.hl7.fhir.r4.model.Claim claim = (org.hl7.fhir.r4.model.Claim) claimEntry.getResource();
    eob.addIdentifier().setSystem("https://bluebutton.cms.gov/resources/variables/clm_id").setValue(claim.getId());
    // Hardcoded group id
    eob.addIdentifier().setSystem("https://bluebutton.cms.gov/resources/identifier/claim-group").setValue("99999999999");
    eob.setClaim(new Reference().setReference(claimEntry.getFullUrl()));
    eob.setCreated(encounterResource.getPeriod().getEnd());
    eob.setType(claim.getType());
    List<ExplanationOfBenefit.DiagnosisComponent> eobDiag = new ArrayList<>();
    for (org.hl7.fhir.r4.model.Claim.DiagnosisComponent claimDiagnosis : claim.getDiagnosis()) {
        ExplanationOfBenefit.DiagnosisComponent diagnosisComponent = new ExplanationOfBenefit.DiagnosisComponent();
        diagnosisComponent.setDiagnosis(claimDiagnosis.getDiagnosis());
        diagnosisComponent.getType().add(new CodeableConcept().addCoding(new Coding().setCode("principal").setSystem("http://terminology.hl7.org/CodeSystem/ex-diagnosistype")));
        diagnosisComponent.setSequence(claimDiagnosis.getSequence());
        diagnosisComponent.setPackageCode(claimDiagnosis.getPackageCode());
        eobDiag.add(diagnosisComponent);
    }
    eob.setDiagnosis(eobDiag);
    List<ExplanationOfBenefit.ProcedureComponent> eobProc = new ArrayList<>();
    for (ProcedureComponent proc : claim.getProcedure()) {
        ExplanationOfBenefit.ProcedureComponent p = new ExplanationOfBenefit.ProcedureComponent();
        p.setDate(proc.getDate());
        p.setSequence(proc.getSequence());
        p.setProcedure(proc.getProcedure());
    }
    eob.setProcedure(eobProc);
    List<ExplanationOfBenefit.ItemComponent> eobItem = new ArrayList<>();
    double totalPayment = 0;
    // Get all the items info from the claim
    for (ItemComponent item : claim.getItem()) {
        ExplanationOfBenefit.ItemComponent itemComponent = new ExplanationOfBenefit.ItemComponent();
        itemComponent.setSequence(item.getSequence());
        itemComponent.setQuantity(item.getQuantity());
        itemComponent.setUnitPrice(item.getUnitPrice());
        itemComponent.setCareTeamSequence(item.getCareTeamSequence());
        itemComponent.setDiagnosisSequence(item.getDiagnosisSequence());
        itemComponent.setInformationSequence(item.getInformationSequence());
        itemComponent.setNet(item.getNet());
        itemComponent.setEncounter(item.getEncounter());
        itemComponent.setServiced(encounterResource.getPeriod());
        itemComponent.setCategory(new CodeableConcept().addCoding(new Coding().setSystem("https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd").setCode("1").setDisplay("Medical care")));
        itemComponent.setProductOrService(item.getProductOrService());
        // Location of service, can use switch statement based on
        // encounter type
        String code;
        String display;
        CodeableConcept location = new CodeableConcept();
        EncounterType encounterType = EncounterType.fromString(encounter.type);
        switch(encounterType) {
            case AMBULATORY:
                code = "21";
                display = "Inpatient Hospital";
                break;
            case EMERGENCY:
                code = "20";
                display = "Urgent Care Facility";
                break;
            case INPATIENT:
                code = "21";
                display = "Inpatient Hospital";
                break;
            case URGENTCARE:
                code = "20";
                display = "Urgent Care Facility";
                break;
            case WELLNESS:
                code = "19";
                display = "Off Campus-Outpatient Hospital";
                break;
            default:
                code = "21";
                display = "Inpatient Hospital";
        }
        location.addCoding().setCode(code).setSystem("http://terminology.hl7.org/CodeSystem/ex-serviceplace").setDisplay(display);
        itemComponent.setLocation(location);
        // Adjudication
        if (item.hasNet()) {
            // Assume that the patient has already paid deductible and
            // has 20/80 coinsurance
            ExplanationOfBenefit.AdjudicationComponent coinsuranceAmount = new ExplanationOfBenefit.AdjudicationComponent();
            coinsuranceAmount.getCategory().getCoding().add(new Coding().setCode("https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt").setSystem("https://bluebutton.cms.gov/resources/codesystem/adjudication").setDisplay("Line Beneficiary Coinsurance Amount"));
            coinsuranceAmount.getAmount().setValue(// 20% coinsurance
            0.2 * item.getNet().getValue().doubleValue()).setCurrency("USD");
            ExplanationOfBenefit.AdjudicationComponent lineProviderAmount = new ExplanationOfBenefit.AdjudicationComponent();
            lineProviderAmount.getCategory().getCoding().add(new Coding().setCode("https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt").setSystem("https://bluebutton.cms.gov/resources/codesystem/adjudication").setDisplay("Line Provider Payment Amount"));
            lineProviderAmount.getAmount().setValue(0.8 * item.getNet().getValue().doubleValue()).setCurrency("USD");
            // assume the allowed and submitted amounts are the same for now
            ExplanationOfBenefit.AdjudicationComponent submittedAmount = new ExplanationOfBenefit.AdjudicationComponent();
            submittedAmount.getCategory().getCoding().add(new Coding().setCode("https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt").setSystem("https://bluebutton.cms.gov/resources/codesystem/adjudication").setDisplay("Line Submitted Charge Amount"));
            submittedAmount.getAmount().setValue(item.getNet().getValue()).setCurrency("USD");
            ExplanationOfBenefit.AdjudicationComponent allowedAmount = new ExplanationOfBenefit.AdjudicationComponent();
            allowedAmount.getCategory().getCoding().add(new Coding().setCode("https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt").setSystem("https://bluebutton.cms.gov/resources/codesystem/adjudication").setDisplay("Line Allowed Charge Amount"));
            allowedAmount.getAmount().setValue(item.getNet().getValue()).setCurrency("USD");
            ExplanationOfBenefit.AdjudicationComponent indicatorCode = new ExplanationOfBenefit.AdjudicationComponent();
            indicatorCode.getCategory().getCoding().add(new Coding().setCode("https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd").setSystem("https://bluebutton.cms.gov/resources/codesystem/adjudication").setDisplay("Line Processing Indicator Code"));
            // assume deductible is 0
            ExplanationOfBenefit.AdjudicationComponent deductibleAmount = new ExplanationOfBenefit.AdjudicationComponent();
            deductibleAmount.getCategory().getCoding().add(new Coding().setCode("https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt").setSystem("https://bluebutton.cms.gov/resources/codesystem/adjudication").setDisplay("Line Beneficiary Part B Deductible Amount"));
            deductibleAmount.getAmount().setValue(0).setCurrency("USD");
            List<ExplanationOfBenefit.AdjudicationComponent> adjudicationComponents = new ArrayList<>();
            adjudicationComponents.add(coinsuranceAmount);
            adjudicationComponents.add(lineProviderAmount);
            adjudicationComponents.add(submittedAmount);
            adjudicationComponents.add(allowedAmount);
            adjudicationComponents.add(deductibleAmount);
            adjudicationComponents.add(indicatorCode);
            itemComponent.setAdjudication(adjudicationComponents);
            // the total payment is what the insurance ends up paying
            totalPayment += 0.8 * item.getNet().getValue().doubleValue();
        }
        eobItem.add(itemComponent);
    }
    eob.setItem(eobItem);
    // This will throw a validation error no matter what.  The
    // payment section is required, and it requires a value.
    // The validator will complain that if there is a value, the payment
    // needs a code, but it will also complain if there is a code.
    // There is no way to resolve this error.
    Money payment = new Money();
    payment.setValue(totalPayment).setCurrency("USD");
    eob.setPayment(new ExplanationOfBenefit.PaymentComponent().setAmount(payment));
    return newEntry(person, bundle, eob);
}

Example 37 with Section

use of org.hl7.fhir.utilities.xml.SchematronWriter.Section in project cqf-ruler by DBCG.

the class CareGapsProvider method careGapsReport.

/**
 * Implements the <a href=
 * "http://build.fhir.org/ig/HL7/davinci-deqm/OperationDefinition-care-gaps.html">$care-gaps</a>
 * operation found in the
 * <a href="http://build.fhir.org/ig/HL7/davinci-deqm/index.html">Da Vinci DEQM
 * FHIR Implementation Guide</a> that overrides the <a href=
 * "http://build.fhir.org/operation-measure-care-gaps.html">$care-gaps</a>
 * operation found in the
 * <a href="http://hl7.org/fhir/R4/clinicalreasoning-module.html">FHIR Clinical
 * Reasoning Module</a>.
 *
 * The operation calculates measures describing gaps in care. For more details,
 * reference the <a href=
 * "http://build.fhir.org/ig/HL7/davinci-deqm/gaps-in-care-reporting.html">Gaps
 * in Care Reporting</a> section of the
 * <a href="http://build.fhir.org/ig/HL7/davinci-deqm/index.html">Da Vinci DEQM
 * FHIR Implementation Guide</a>.
 *
 * A Parameters resource that includes zero to many document bundles that
 * include Care Gap Measure Reports will be returned.
 *
 * Usage:
 * URL: [base]/Measure/$care-gaps
 *
 * @param theRequestDetails generally auto-populated by the HAPI server
 *                          framework.
 * @param periodStart       the start of the gaps through period
 * @param periodEnd         the end of the gaps through period
 * @param topic             the category of the measures that is of interest for
 *                          the care gaps report
 * @param subject           a reference to either a Patient or Group for which
 *                          the gaps in care report(s) will be generated
 * @param practitioner      a reference to a Practitioner for which the gaps in
 *                          care report(s) will be generated
 * @param organization      a reference to an Organization for which the gaps in
 *                          care report(s) will be generated
 * @param status            the status code of gaps in care reports that will be
 *                          included in the result
 * @param measureId         the id of Measure(s) for which the gaps in care
 *                          report(s) will be calculated
 * @param measureIdentifier the identifier of Measure(s) for which the gaps in
 *                          care report(s) will be calculated
 * @param measureUrl        the canonical URL of Measure(s) for which the gaps
 *                          in care report(s) will be calculated
 * @param program           the program that a provider (either clinician or
 *                          clinical organization) participates in
 * @return Parameters of bundles of Care Gap Measure Reports
 */
// warning for greater than 7 parameters
@SuppressWarnings("squid:S00107")
@Description(shortDefinition = "$care-gaps", value = "Implements the <a href=\"http://build.fhir.org/ig/HL7/davinci-deqm/OperationDefinition-care-gaps.html\">$care-gaps</a> operation found in the <a href=\"http://build.fhir.org/ig/HL7/davinci-deqm/index.html\">Da Vinci DEQM FHIR Implementation Guide</a> which is an extension of the <a href=\"http://build.fhir.org/operation-measure-care-gaps.html\">$care-gaps</a> operation found in the <a href=\"http://hl7.org/fhir/R4/clinicalreasoning-module.html\">FHIR Clinical Reasoning Module</a>.")
@Operation(name = "$care-gaps", idempotent = true, type = Measure.class)
public Parameters careGapsReport(RequestDetails theRequestDetails, @OperationParam(name = "periodStart") String periodStart, @OperationParam(name = "periodEnd") String periodEnd, @OperationParam(name = "topic") List<String> topic, @OperationParam(name = "subject") String subject, @OperationParam(name = "practitioner") String practitioner, @OperationParam(name = "organization") String organization, @OperationParam(name = "status") List<String> status, @OperationParam(name = "measureId") List<String> measureId, @OperationParam(name = "measureIdentifier") List<String> measureIdentifier, @OperationParam(name = "measureUrl") List<CanonicalType> measureUrl, @OperationParam(name = "program") List<String> program) {
    validateConfiguration(theRequestDetails);
    validateParameters(theRequestDetails);
    // TODO: filter by topic.
    // TODO: filter by program.
    List<Measure> measures = ensureMeasures(getMeasures(measureId, measureIdentifier, measureUrl, theRequestDetails));
    List<Patient> patients;
    if (!Strings.isNullOrEmpty(subject)) {
        patients = getPatientListFromSubject(subject);
    } else {
        // TODO: implement non subject parameters (practitioner and organization)
        throw new NotImplementedException("Non subject parameters have not been implemented.");
    }
    Parameters result = initializeResult();
    (patients).forEach(patient -> {
        Parameters.ParametersParameterComponent patientParameter = patientReports(theRequestDetails, periodStart, periodEnd, patient, status, measures, organization);
        if (patientParameter != null) {
            result.addParameter(patientParameter);
        }
    });
    return result;
}

Example 38 with Section

use of org.hl7.fhir.utilities.xml.SchematronWriter.Section in project integration-adaptor-111 by nhsconnect.

the class ConditionMapper method mapCondition.

public Condition mapCondition(POCDMT000002UK01ClinicalDocument1 clinicalDocument, Encounter encounter, List<QuestionnaireResponse> questionnaireResponseList) {
    Condition condition = new Condition();
    condition.setIdElement(resourceUtil.newRandomUuid());
    condition.setClinicalStatus(Condition.ConditionClinicalStatus.ACTIVE).setVerificationStatus(Condition.ConditionVerificationStatus.UNKNOWN).setSubject(encounter.getSubject()).setContext(resourceUtil.createReference(encounter));
    if (questionnaireResponseList != null) {
        condition.setEvidence(evidenceOf(questionnaireResponseList));
    }
    addConditionReason(clinicalDocument, condition);
    if (clinicalDocument.getComponent().isSetStructuredBody()) {
        for (POCDMT000002UK01Component3 component3 : clinicalDocument.getComponent().getStructuredBody().getComponentArray()) {
            POCDMT000002UK01Section section = component3.getSection();
            for (POCDMT000002UK01Entry entry : section.getEntryArray()) {
                if (entry.isSetEncounter()) {
                    POCDMT000002UK01Encounter itkEncounter = entry.getEncounter();
                    if (itkEncounter.isSetEffectiveTime()) {
                        condition.setAssertedDateElement(DateUtil.parse(itkEncounter.getEffectiveTime().getValue()));
                    }
                    if (itkEncounter.isSetText()) {
                        condition.addCategory(new CodeableConcept().setText(nodeUtil.getAllText(itkEncounter.getText().getDomNode())));
                    }
                }
            }
            for (POCDMT000002UK01Component5 component : section.getComponentArray()) {
                if (component.getSection() != null) {
                    if (component.getSection().isSetLanguageCode()) {
                        if (component.getSection().getLanguageCode().isSetCode()) {
                            condition.setLanguage(component.getSection().getLanguageCode().getCode());
                        }
                    }
                }
            }
        }
    }
    return condition;
}

Example 39 with Section

use of org.hl7.fhir.utilities.xml.SchematronWriter.Section in project integration-adaptor-111 by nhsconnect.

the class CompositionMapper method addSectionChildren.

private void addSectionChildren(SectionComponent component, POCDMT000002UK01Section section) {
    for (POCDMT000002UK01Component5 component5 : section.getComponentArray()) {
        POCDMT000002UK01Section innerSection = component5.getSection();
        SectionComponent innerCompositionSection = getSectionText(innerSection);
        component.addSection(innerCompositionSection);
        if (isNotEmpty(innerSection.getComponentArray())) {
            addSectionChildren(innerCompositionSection, innerSection);
        }
    }
}

Example 40 with Section

use of org.hl7.fhir.utilities.xml.SchematronWriter.Section in project integration-adaptor-111 by nhsconnect.

the class ObservationMapperTest method setUp.

@BeforeEach
public void setUp() {
    POCDMT000002UK01Component2 component2 = mock(POCDMT000002UK01Component2.class);
    when(component2.isSetStructuredBody()).thenReturn(true);
    POCDMT000002UK01StructuredBody structuredBody = mock(POCDMT000002UK01StructuredBody.class);
    POCDMT000002UK01Component3 component3 = mock(POCDMT000002UK01Component3.class);
    POCDMT000002UK01Section section = mock(POCDMT000002UK01Section.class);
    POCDMT000002UK01Component5 component5 = mock(POCDMT000002UK01Component5.class);
    POCDMT000002UK01Section innerSection = mock(POCDMT000002UK01Section.class);
    StrucDocText text = mock(StrucDocText.class);
    StrucDocContent contentItem = mock(StrucDocContent.class);
    StrucDocContent[] content = new StrucDocContent[] { contentItem };
    when(text.getContentArray()).thenReturn(content);
    when(innerSection.getText()).thenReturn(text);
    ST title = mock(ST.class);
    when(nodeUtil.getNodeValueString(title)).thenReturn("Patient's Reported Condition");
    when(nodeUtil.getNodeValueString(contentItem)).thenReturn(OBSERVATION_VALUE);
    when(resourceUtil.newRandomUuid()).thenReturn(new IdType(RANDOM_UUID));
    when(resourceUtil.createReference(encounter)).thenReturn(new Reference(encounter));
    when(innerSection.getTitle()).thenReturn(title);
    when(component5.getSection()).thenReturn(innerSection);
    POCDMT000002UK01Component5[] components5 = new POCDMT000002UK01Component5[] { component5 };
    when(section.getComponentArray()).thenReturn(components5);
    when(component3.getSection()).thenReturn(section);
    POCDMT000002UK01Component3[] components3 = new POCDMT000002UK01Component3[] { component3 };
    when(structuredBody.getComponentArray()).thenReturn(components3);
    when(component2.getStructuredBody()).thenReturn(structuredBody);
    when(clinicalDocument.getComponent()).thenReturn(component2);
    when(encounter.getSubject()).thenReturn(subject);
}