def build_response_service(self, fhir_claim_response):
service = ClaimResponseItem()
service.sequenceLinkId = 2
service_general_adjudication = ClaimResponseItemAdjudication()
service_general_adjudication.category = ClaimResponseConverter.build_simple_codeable_concept(
Stu3ClaimConfig.get_fhir_claim_item_general_adjudication_code())
item_limitation = Money()
item_limitation.value = self._TEST_SERVICE_LIMITATION_VALUE
service_general_adjudication.amount = item_limitation
service_general_adjudication.reason = ClaimResponseConverter \
.build_codeable_concept(self._TEST_SERVICE_STATUS, Stu3ClaimConfig.get_fhir_claim_item_status_rejected_code())
service_general_adjudication.value = self._TEST_SERVICE_QUANTITY_APPROVED
service.adjudication.append(service_general_adjudication)
item_rejection_adjudication = ClaimResponseItemAdjudication()
item_rejection_adjudication.category = ClaimResponseConverter.build_simple_codeable_concept(
Stu3ClaimConfig.
get_fhir_claim_item_rejected_reason_adjudication_code())
item_rejection_adjudication.reason = ClaimResponseConverter.build_codeable_concept(
self._TEST_SERVICE_REJECTED_REASON)
service.adjudication.append(item_rejection_adjudication)
service.noteNumber = [2]
fhir_claim_response.item.append(service)
item_note = ClaimResponseProcessNote()
item_note.number = 2
item_note.text = self._TEST_SERVICE_JUSTIFICATION
fhir_claim_response.processNote.append(item_note)
def build_response_item(self, fhir_claim_response):
item = ClaimResponseItem()
item.sequenceLinkId = 1
item_general_adjudication = ClaimResponseItemAdjudication()
item_general_adjudication.category = ClaimResponseConverter.build_simple_codeable_concept(
Stu3ClaimConfig.get_fhir_claim_item_general_adjudication_code())
item_limitation = Money()
item_limitation.value = self._TEST_ITEM_LIMITATION_VALUE
item_general_adjudication.amount = item_limitation
item_general_adjudication.reason = ClaimResponseConverter \
.build_codeable_concept(self._TEST_ITEM_STATUS, Stu3ClaimConfig.get_fhir_claim_item_status_passed_code())
item_general_adjudication.value = self._TEST_ITEM_QUANTITY_APPROVED
item.adjudication.append(item_general_adjudication)
item_rejection_adjudication = ClaimResponseItemAdjudication()
item_rejection_adjudication.category = ClaimResponseConverter.build_simple_codeable_concept(
Stu3ClaimConfig.
get_fhir_claim_item_rejected_reason_adjudication_code())
item_rejection_adjudication.reason = ClaimResponseConverter.build_codeable_concept(
self._TEST_ITEM_REJECTED_REASON)
item.adjudication.append(item_rejection_adjudication)
item.noteNumber = [1]
fhir_claim_response.item.append(item)
item_note = ClaimResponseProcessNote()
item_note.number = 1
item_note.text = self._TEST_ITEM_JUSTIFICATION
fhir_claim_response.processNote.append(item_note)
def build_process_note(cls, fhir_claim_response, string_value):
result = None
if string_value:
note = ClaimResponseProcessNote()
note.number = FhirUtils.get_next_array_sequential_id(
fhir_claim_response.processNote)
note.text = string_value
fhir_claim_response.processNote.append(note)
result = note
return result