parser/healthcareio/x12/plugins/default/body.py

160 lines
5.5 KiB
Python

from .common import X12DOCUMENT
from .header import HEADER
import numpy as np
class BODY (HEADER):
"""
This class will contain functions that will parse elements associated with the claim body
"""
def BHT (self,**_args):
"""
Expected Element BHT
This functiion will process header submitted (receiver,claim_type,)
"""
_columns= ['receiver_id','submitted_date','submitted_time','claim_type']
return self.parse(_columns,[3,7],**_args)
def NM1 (self,**_args):
"""
Expected Element NM1
ref IL,40,41,82,85,PR ...
Information about entities (doctors, clearing house, provider). we should be mindful of the references
"""
_CODE_INDEX = 1
CONTEXT_MAP = {
'2':{'field':'payer'},
'PR':{'field':'payer'},
'41':{'field':'header'},
'45':{'field':'ambulance_location'},
'IL':{'field':'patient','map':{'type':2,'first_name':4,'last_name':3}},
'P5':{'field':'plan_sponsor'},
'82':{'field':'rendering_provider','map':{'type':2,'first_name':4,'last_name':3}},
'85':{'field':'billing_provider'},
}
_args ['plugin-context'] = {'@ref':CONTEXT_MAP}
# _map = {_CODE_INDEX:{'41':'submitter','40':'receiver','PR':'payer'}}
_columns = ['type','name','id']
_indexes = [1,3,-1]
# _info = [{'index':'40','field':'receiver'},{'index':'41','field':'submitter'},{'index':'PR','field':'payer'}]
_info = self.parse(_columns,_indexes,**_args)
self.lastelement = _info
return _info
def N3 (self,**_args):
"""
Expected Element N3
"""
_columns = ['address_line_1']
return self.parse(_columns,[1,2],**_args)
def N4(self,**_args):
"""
Expected Element N4
"""
_columns = ['city','state','zip']
return self.parse(_columns,[1,2,3],**_args)
def HI(self,**_args):
"""
Expected Element HI
This function will parse diagnosis codes ICD 9/10
"""
_columns = ['code','type']
return self.parse(_columns,[2,1],**_args)
def AMT (self,**_args):
"""
Expected Element AMT
"""
_columns = ['amount','qualifier']
return self.parse(_columns,[2,1],**_args)
def SBR (self,**_args):
"""
Expected Element SBR
"""
_index = [9,1]
_columns = ['vendor','individual_code','type']
return self.parse(_columns,[9,2,1],**_args)
def DMG (self,**_args):
"""
Expected Element DMG, these need to be stored in a patient object
"""
_columns = ['dob','gender','format']
_info = self.parse(_columns,[2,3,1],**_args)
return {'patient':_info}
def DTP (self,**_args):
"""
Expected Element DTP
"""
_columns = ['to','from','type']
return self.parse(_columns,[3],**_args)
def PER (self,**_args):
"""
Expected Element PER
"""
_CODE_INDEX = 1
_map = {_CODE_INDEX:{'IC':'submitter'}} # attribute to store the data in
_columns = ['contact_name','phone','email']
_info = self.parse (_columns,[2,4,8],**_args)
#
# @TODO: Inspect the configuration file for the attribute information
#
return _info
def CLM (self,**_args):
"""
Expected Element CLM
"""
_columns = ['claim_id','claim_amount','facility_code','facility_qualifier','frequency_code']
return self.parse(_columns,[1,2,5,5,5],**_args)
def REF (self,**_args):
_columns = ['identifier','qualifier','']
_CODE_INDEX = 1 # -- according to x12 standard
_map = {_CODE_INDEX:{'EA':'patient','EI':'provider','6R':'','D9':''}}
return self.parse(_columns,[2],**_args)
def HI (self,**_args):
"""
Expected Element HI
"""
_columns = ['code','type']
return self.parse(_columns,[1,2],**_args)
def SV1 (self,**_args):
"""
Expected Element SV1
"""
_row = _args['row'] if type(_args['row']) == list else _args['row'].split('*')
_columns = ['type','code','amount','modifier_1','modifier_2','modifier_3','modifier_4','place_of_service','units','measurement']
return self.parse(_columns,[1,1,2,1,1,1,1,5,4,3],**_args)
def SV3 (self,**_args):
return self.SV1(**_args)
def HL (self,**_args) :
""",
Expected Element HL
The expected block is supposed to be unprocessed (to make things simple)
"""
# _row = _args['row'] if type(_args['row']) == list else _args['row'].split('~')
# _attr = self.elements() #[_name for _name in dir() if not _name.islower() and not _name.startswith('_')]
# _pointers = [getattr(self,_name) for _name in _attr]
# _map = dict(zip(_attr,_pointers))
_map = self.pointers()
#
# The index here tells us what we are processing i.e index == 1 something about header
#
_columns = ['_index','parent','code','child']
# _args['row'] = _row[0]
_info = self.parse (_columns,[1,2,3,4],**_args)
# _field = 'billing_provider' if _info['_index'] == '1' else 'patient'
# _config ={'field':_field}
return _info