def build_fhir_item(cls, fhir_claim, code, item_type, item):
fhir_item = FHIRClaimItem()
fhir_item.sequence = FhirUtils.get_next_array_sequential_id(
fhir_claim.item)
unit_price = Money()
unit_price.value = item.price_asked
if hasattr(core, 'currency'):
unit_price.currency = core.currency
fhir_item.unitPrice = unit_price
fhir_quantity = Quantity()
fhir_quantity.value = item.qty_provided
fhir_item.quantity = fhir_quantity
fhir_item.productOrService = cls.build_simple_codeable_concept(code)
fhir_item.category = cls.build_simple_codeable_concept(item_type)
item_explanation_code = R4ClaimConfig.get_fhir_claim_item_explanation_code(
)
information = cls.build_fhir_string_information(
fhir_claim.supportingInfo, item_explanation_code, item.explanation)
if information:
fhir_item.informationSequence = [information.sequence]
extension = Extension()
if fhir_item.category.text == "item":
medication = cls.build_medication_extension(extension)
fhir_item.extension.append(medication)
elif fhir_item.category.text == "service":
activity_definition = cls.build_activity_definition_extension(
extension)
fhir_item.extension.append(activity_definition)
fhir_claim.item.append(fhir_item)
def build_fhir_total(cls, fhir_claim, imis_claim):
total_claimed = imis_claim.claimed
if not total_claimed:
total_claimed = 0
fhir_total = Money()
fhir_total.value = total_claimed
if hasattr(core, 'currency'):
fhir_total.currency = core.currency
fhir_claim.total = fhir_total
def build_fhir_item_adjudication(cls, item, rejected_reason, imis_claim):
item_adjudication_asked = ClaimResponseItemAdjudication()
item_adjudication_adjusted = ClaimResponseItemAdjudication()
item_adjudication_approved = ClaimResponseItemAdjudication()
item_adjudication_valuated = ClaimResponseItemAdjudication()
price_asked = Money()
price_asked.value = item.price_asked
price_adjusted = Money()
price_adjusted.value = item.price_adjusted
price_approved = Money()
price_approved.value = item.price_approved
price_valuated = Money()
price_valuated.value = item.price_valuated
if hasattr(core, 'currency'):
price_asked.currency = core.currency
price_adjusted.currency = core.currency
price_valuated.currency = core.currency
price_approved.currency = core.currency
value = None
if rejected_reason == 0:
value = item.qty_approved
else:
value = item.qty_provided
item_adjudication_asked.reason = cls.build_fhir_adjudication_reason(
item, rejected_reason)
item_adjudication_asked.amount = price_asked
item_adjudication_adjusted.reason = cls.build_fhir_adjudication_reason(
item, rejected_reason)
if price_adjusted.value is not None and price_adjusted.value != 0.0:
item_adjudication_adjusted.amount = price_adjusted
item_adjudication_approved.reason = cls.build_fhir_adjudication_reason(
item, rejected_reason)
if price_approved.value is not None and price_approved.value != 0.0:
item_adjudication_approved.amount = price_approved
item_adjudication_valuated.reason = cls.build_fhir_adjudication_reason(
item, rejected_reason)
if price_valuated.value is not None and price_valuated.value != 0.0:
item_adjudication_valuated.amount = price_valuated
if imis_claim.status == 1:
item_adjudication_asked.category = \
cls.build_codeable_concept(1, text="rejected")
item_adjudication_asked.value = item.qty_provided
return [item_adjudication_asked]
if imis_claim.status == 2:
item_adjudication_asked.category = \
cls.build_codeable_concept(2, text="entered")
item_adjudication_asked.value = item.qty_provided
return [item_adjudication_asked]
if imis_claim.status == 4:
item_adjudication_asked.category = \
cls.build_codeable_concept(2, text="entered")
item_adjudication_adjusted.category = \
cls.build_codeable_concept(4, text="checked")
item_adjudication_asked.value = item.qty_provided
if item.qty_approved is not None and item.qty_approved != 0.0:
value = item.qty_approved
else:
value = item.qty_provided
item_adjudication_adjusted.value = value
return [item_adjudication_asked, item_adjudication_adjusted]
if imis_claim.status == 8:
item_adjudication_asked.category = \
cls.build_codeable_concept(2, text="entered")
item_adjudication_adjusted.category = \
cls.build_codeable_concept(4, text="checked")
item_adjudication_approved.category = \
cls.build_codeable_concept(8, text="processed")
item_adjudication_asked.value = item.qty_provided
if item.qty_approved is not None and item.qty_approved != 0.0:
value = item.qty_approved
else:
value = item.qty_provided
item_adjudication_adjusted.value = value
item_adjudication_approved.value = value
return [
item_adjudication_asked, item_adjudication_adjusted,
item_adjudication_approved
]
if imis_claim.status == 16:
item_adjudication_asked.category = \
cls.build_codeable_concept(2, text="entered")
item_adjudication_adjusted.category = \
cls.build_codeable_concept(4, text="checked")
item_adjudication_approved.category = \
cls.build_codeable_concept(8, text="processed")
item_adjudication_valuated.category = \
cls.build_codeable_concept(16, text="valuated")
item_adjudication_asked.value = item.qty_provided
if item.qty_approved is not None and item.qty_approved != 0.0:
value = item.qty_approved
else:
value = item.qty_provided
item_adjudication_adjusted.value = value
item_adjudication_approved.value = value
item_adjudication_valuated.value = value
return [
item_adjudication_asked, item_adjudication_adjusted,
item_adjudication_approved, item_adjudication_valuated
]
if rejected_reason != 0:
item_adjudication_asked.reason = cls.build_fhir_adjudication_reason(
item, rejected_reason)
item_adjudication_asked.amount = price_asked
item_adjudication_asked.category = \
cls.build_codeable_concept(1, text="rejected")
item_adjudication_asked.value = item.qty_provided
return [item_adjudication_asked]