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

Example 6 with MedicareBeneficiaryIdHistory

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

the class ExplanationOfBenefitResourceProviderIT method searchForEobsByExistingPatientWithPageSizeZero.

/**
 * Verifies that {@link ExplanationOfBenefitResourceProvider#findByPatient} works as expected for
 * a {@link Patient} that does exist in the DB, with paging on a page size of 0.
 *
 * @throws FHIRException (indicates test failure)
 */
@Test
public void searchForEobsByExistingPatientWithPageSizeZero() 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();
    /*
     * FIXME: According the the FHIR spec, paging for _count=0 should not return any
     * claim entries in the bundle, but instead just a total for the number of
     * entries that match the search criteria. This functionality does no work
     * currently (see https://github.com/jamesagnew/hapi-fhir/issues/1074) and so
     * for now paging with _count=0 should behave as though paging was not
     * requested.
     */
    Bundle searchResults = fhirClient.search().forResource(ExplanationOfBenefit.class).where(ExplanationOfBenefit.PATIENT.hasId(TransformerUtils.buildPatientId(beneficiary))).count(0).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 no paging links exist in the bundle.
     */
    assertNull(searchResults.getLink(Constants.LINK_NEXT));
    assertNull(searchResults.getLink(Constants.LINK_PREVIOUS));
    assertNull(searchResults.getLink(Constants.LINK_FIRST));
    assertNull(searchResults.getLink(Constants.LINK_LAST));
    /*
     * 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 7 with MedicareBeneficiaryIdHistory

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

the class PatientResourceProviderIT method readExistingPatientWithNoHistoryIncludeIdentifiersTrue.

/**
 * Verifies that {@link
 * gov.cms.bfd.server.war.stu3.providers.PatientResourceProvider#read(org.hl7.fhir.dstu3.model.IdType)}
 * works as expected for a {@link Patient} that does exist in the DB but has no {@link
 * BeneficiaryHistory} or {@link MedicareBeneficiaryIdHistory} records when include identifiers
 * value = ["true"].
 */
@Test
public void readExistingPatientWithNoHistoryIncludeIdentifiersTrue() {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResource.SAMPLE_A_BENES));
    RequestHeaders requestHeader = RequestHeaders.getHeaderWrapper(PatientResourceProvider.HEADER_NAME_INCLUDE_IDENTIFIERS, "true", PatientResourceProvider.HEADER_NAME_INCLUDE_ADDRESS_FIELDS, "true");
    IGenericClient fhirClient = createFhirClient(requestHeader);
    Beneficiary beneficiary = loadedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    Patient patient = fhirClient.read().resource(Patient.class).withId(beneficiary.getBeneficiaryId()).execute();
    assertNotNull(patient);
    BeneficiaryTransformerTest.assertMatches(beneficiary, patient, requestHeader);
    /*
     * Ensure the unhashed values for HICN and MBI are present.
     */
    Boolean hicnUnhashedPresent = false;
    Boolean mbiUnhashedPresent = false;
    Iterator<Identifier> identifiers = patient.getIdentifier().iterator();
    while (identifiers.hasNext()) {
        Identifier identifier = identifiers.next();
        if (identifier.getSystem().equals(TransformerConstants.CODING_BBAPI_BENE_HICN_UNHASHED))
            hicnUnhashedPresent = true;
        if (identifier.getSystem().equals(TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED))
            mbiUnhashedPresent = true;
    }
    assertTrue(hicnUnhashedPresent);
    assertTrue(mbiUnhashedPresent);
}

Example 8 with MedicareBeneficiaryIdHistory

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

the class RifFilesProcessor method buildMedicareBeneficiaryIdHistoryEvent.

/**
 * @param fileEvent the {@link RifFileEvent} being processed
 * @param csvRecords the {@link CSVRecord} to be mapped (in a single-element {@link List}), which
 *     must be from a {@link RifFileType#Medicare_Beneficiary_Id_History} {@link RifFile}
 * @return a {@link RifRecordEvent} built from the specified {@link CSVRecord}s
 */
private static RifRecordEvent<MedicareBeneficiaryIdHistory> buildMedicareBeneficiaryIdHistoryEvent(RifFileEvent fileEvent, List<CSVRecord> csvRecords) {
    if (csvRecords.size() != 1)
        throw new BadCodeMonkeyException();
    CSVRecord csvRecord = csvRecords.get(0);
    if (LOGGER.isTraceEnabled())
        LOGGER.trace(csvRecord.toString());
    RecordAction recordAction = RecordAction.INSERT;
    MedicareBeneficiaryIdHistory medicareBeneficiaryIdHistoryRow = MedicareBeneficiaryIdHistoryParser.parseRif(csvRecords);
    return new RifRecordEvent<MedicareBeneficiaryIdHistory>(fileEvent, csvRecords, recordAction, medicareBeneficiaryIdHistoryRow.getBeneficiaryId().get(), medicareBeneficiaryIdHistoryRow);
}

Example 9 with MedicareBeneficiaryIdHistory

use of gov.cms.bfd.model.rif.MedicareBeneficiaryIdHistory 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 10 with MedicareBeneficiaryIdHistory

use of gov.cms.bfd.model.rif.MedicareBeneficiaryIdHistory 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;
}