Examples with BeneficiaryHistory gov.cms.bfd.model.rif.BeneficiaryHistory used on opensource projects

Example 16 with BeneficiaryHistory

use of gov.cms.bfd.model.rif.BeneficiaryHistory in project beneficiary-fhir-data by CMSgov.

the class RifLoader method updateBeneficaryHistory.

/**
 * Ensures that a {@link BeneficiaryHistory} record is created for the specified {@link
 * Beneficiary}, if that {@link Beneficiary} already exists and is just being updated.
 *
 * @param entityManager the {@link EntityManager} to use
 * @param newBeneficiaryRecord the {@link Beneficiary} record being processed
 * @param oldBeneficiaryRecord the previous/current version of the {@link Beneficiary} (as it
 *     exists in the database before applying the specified {@link RifRecordEvent})
 * @param batchTimestamp the timestamp of the batch
 */
private static void updateBeneficaryHistory(EntityManager entityManager, Beneficiary newBeneficiaryRecord, Optional<Beneficiary> oldBeneficiaryRecord, Instant batchTimestamp) {
    if (oldBeneficiaryRecord.isPresent() && !isBeneficiaryHistoryEqual(newBeneficiaryRecord, oldBeneficiaryRecord.get())) {
        BeneficiaryHistory oldBeneCopy = new BeneficiaryHistory();
        oldBeneCopy.setBeneficiaryId(oldBeneficiaryRecord.get().getBeneficiaryId());
        oldBeneCopy.setBirthDate(oldBeneficiaryRecord.get().getBirthDate());
        oldBeneCopy.setHicn(oldBeneficiaryRecord.get().getHicn());
        oldBeneCopy.setHicnUnhashed(oldBeneficiaryRecord.get().getHicnUnhashed());
        oldBeneCopy.setSex(oldBeneficiaryRecord.get().getSex());
        oldBeneCopy.setMedicareBeneficiaryId(oldBeneficiaryRecord.get().getMedicareBeneficiaryId());
        oldBeneCopy.setMbiHash(oldBeneficiaryRecord.get().getMbiHash());
        oldBeneCopy.setMbiEffectiveDate(oldBeneficiaryRecord.get().getMbiEffectiveDate());
        oldBeneCopy.setMbiObsoleteDate(oldBeneficiaryRecord.get().getMbiObsoleteDate());
        oldBeneCopy.setLastUpdated(Optional.of(batchTimestamp));
        entityManager.persist(oldBeneCopy);
    }
}

Example 17 with BeneficiaryHistory

use of gov.cms.bfd.model.rif.BeneficiaryHistory in project beneficiary-fhir-data by CMSgov.

the class RifLoader method hashBeneficiaryHistoryHicn.

/**
 * For {@link RifRecordEvent}s where the {@link RifRecordEvent#getRecord()} is a {@link
 * BeneficiaryHistory}, switches the {@link BeneficiaryHistory#getHicn()} property to a
 * cryptographic hash of its current value. This is done for security purposes, and the Blue
 * Button API frontend applications know how to compute the exact same hash, which allows the two
 * halves of the system to interoperate.
 *
 * <p>All other {@link RifRecordEvent}s are left unmodified.
 *
 * @param rifRecordEvent the {@link RifRecordEvent} to (possibly) modify
 */
private void hashBeneficiaryHistoryHicn(RifRecordEvent<?> rifRecordEvent) {
    if (rifRecordEvent.getFileEvent().getFile().getFileType() != RifFileType.BENEFICIARY_HISTORY)
        return;
    Timer.Context timerHashing = rifRecordEvent.getFileEvent().getEventMetrics().timer(MetricRegistry.name(getClass().getSimpleName(), "hicnsHashed")).time();
    BeneficiaryHistory beneficiaryHistory = (BeneficiaryHistory) rifRecordEvent.getRecord();
    // set the unhashed Hicn
    beneficiaryHistory.setHicnUnhashed(Optional.of(beneficiaryHistory.getHicn()));
    // set the hashed Hicn
    beneficiaryHistory.setHicn(computeHicnHash(idHasher, beneficiaryHistory.getHicn()));
    timerHashing.stop();
}

Example 18 with BeneficiaryHistory

use of gov.cms.bfd.model.rif.BeneficiaryHistory in project beneficiary-fhir-data by CMSgov.

the class ExplanationOfBenefitResourceProviderIT method searchForEobsWithLargePageSizesOnFewerResults.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient} works as expected for
 * a {@link Patient} that does exist in the DB, with a page size of 50 with fewer (8) results.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForEobsWithLargePageSizesOnFewerResults() 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();
    Bundle searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary))).count(50).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 only the first and last links exist as there are no previous or
     * next pages.
     */
    assertNotNull(searchResults.getLink(Constants.LINK_FIRST));
    assertNotNull(searchResults.getLink(Constants.LINK_LAST));
    assertNull(searchResults.getLink(Constants.LINK_NEXT));
    assertNull(searchResults.getLink(Constants.LINK_PREVIOUS));
    /*
     * 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));
}

Example 19 with BeneficiaryHistory

use of gov.cms.bfd.model.rif.BeneficiaryHistory in project beneficiary-fhir-data by CMSgov.

the class ExplanationOfBenefitResourceProviderIT method searchForEobsByExistingPatientAndType.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient(ReferenceParam,
 * TokenAndListParam, String, String, DateRangeParam, DateRangeParam, RequestDetails)} works as
 * expected for a {@link Patient} that does exist in the DB, with filtering by claim type.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForEobsByExistingPatientAndType() 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();
    Bundle searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary))).where(new TokenClientParam("type").exactly().code(ClaimType.PDE.name())).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 PartDEvent)).filter(r -> !(r instanceof BeneficiaryHistory)).count(), searchResults.getTotal());
    PartDEvent partDEvent = loadedRecords.stream().filter(r -> r instanceof PartDEvent).map(r -> (PartDEvent) r).findFirst().get();
    PartDEventTransformerTest.assertMatches(partDEvent, filterToClaimType(searchResults, ClaimType.PDE).get(0));
}

Example 20 with BeneficiaryHistory

use of gov.cms.bfd.model.rif.BeneficiaryHistory in project beneficiary-fhir-data by CMSgov.

the class BeneficiaryTransformerTest method loadSampleABeneficiary.

/**
 * @return the {@link StaticRifResourceGroup#SAMPLE_A} {@link Beneficiary} record, with the {@link
 *     Beneficiary#getBeneficiaryHistories()} and {@link
 *     Beneficiary#getMedicareBeneficiaryIdHistories()} fields populated.
 */
private static Beneficiary loadSampleABeneficiary() {
    List<Object> parsedRecords = ServerTestUtils.parseData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    // Pull out the base Beneficiary record and fix its HICN and MBI-HASH fields.
    Beneficiary beneficiary = parsedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    beneficiary.setHicn("someHICNhash");
    beneficiary.setMbiHash(Optional.of("someMBIhash"));
    // Add the HICN history records to the Beneficiary, and fix their HICN fields.
    Set<BeneficiaryHistory> beneficiaryHistories = parsedRecords.stream().filter(r -> r instanceof BeneficiaryHistory).map(r -> (BeneficiaryHistory) r).filter(r -> beneficiary.getBeneficiaryId().equals(r.getBeneficiaryId())).collect(Collectors.toSet());
    beneficiary.getBeneficiaryHistories().addAll(beneficiaryHistories);
    for (BeneficiaryHistory beneficiaryHistory : beneficiary.getBeneficiaryHistories()) {
        beneficiaryHistory.setHicnUnhashed(Optional.of(beneficiaryHistory.getHicn()));
        beneficiaryHistory.setHicn("someHICNhash");
    }
    // Add the MBI history records to the Beneficiary.
    Set<MedicareBeneficiaryIdHistory> beneficiaryMbis = parsedRecords.stream().filter(r -> r instanceof MedicareBeneficiaryIdHistory).map(r -> (MedicareBeneficiaryIdHistory) r).filter(r -> beneficiary.getBeneficiaryId().equals(r.getBeneficiaryId().orElse(null))).collect(Collectors.toSet());
    beneficiary.getMedicareBeneficiaryIdHistories().addAll(beneficiaryMbis);
    return beneficiary;
}