Examples with HumanName org.hl7.fhir.dstu2016may.model.HumanName used on opensource projects

Example 1 with HumanName

use of org.hl7.fhir.dstu2016may.model.HumanName in project beneficiary-fhir-data by CMSgov.

the class AbstractTransformerV2 method createHumanNameFrom.

protected static List<HumanName> createHumanNameFrom(PatientInfo patientInfo) {
    List<HumanName> names;
    // If no names, don't set anything
    if (patientInfo.getFirstName() != null || patientInfo.getLastName() != null || patientInfo.getMiddleName() != null) {
        names = new ArrayList<>();
        List<StringType> givens;
        // If no givens, don't set any
        if (patientInfo.getFirstName() != null || patientInfo.getLastName() != null) {
            givens = new ArrayList<>();
            if (patientInfo.getFirstName() != null) {
                givens.add(new StringType(patientInfo.getFirstName()));
            }
            if (patientInfo.getMiddleName() != null) {
                givens.add(new StringType(patientInfo.getMiddleName()));
            }
        } else {
            givens = null;
        }
        names.add(new HumanName().setFamily(patientInfo.getLastName()).setGiven(givens));
    } else {
        names = null;
    }
    return names;
}

Example 2 with HumanName

use of org.hl7.fhir.dstu2016may.model.HumanName in project beneficiary-fhir-data by CMSgov.

the class BeneficiaryTransformer method transform.

/**
 * @param beneficiary the CCW {@link Beneficiary} to transform
 * @param requestHeader {@link RequestHeaders} the holder that contains all supported resource
 *     request headers
 * @return a FHIR {@link Patient} resource that represents the specified {@link Beneficiary}
 */
private static Patient transform(Beneficiary beneficiary, RequestHeaders requestHeader) {
    Objects.requireNonNull(beneficiary);
    Patient patient = new Patient();
    /*
     * Notify end users when they receive Patient records impacted by
     * https://jira.cms.gov/browse/BFD-1566. See the documentation on
     * LoadAppOptions.isFilteringNonNullAndNon2022Benes() for details.
     */
    if (!beneficiary.getSkippedRifRecords().isEmpty()) {
        patient.getMeta().addTag(TransformerConstants.CODING_SYSTEM_BFD_TAGS, TransformerConstants.CODING_BFD_TAGS_DELAYED_BACKDATED_ENROLLMENT, TransformerConstants.CODING_BFD_TAGS_DELAYED_BACKDATED_ENROLLMENT_DISPLAY);
    }
    patient.setId(beneficiary.getBeneficiaryId());
    patient.addIdentifier(TransformerUtils.createIdentifier(CcwCodebookVariable.BENE_ID, beneficiary.getBeneficiaryId()));
    // Add hicn-hash identifier ONLY if raw hicn is requested.
    if (requestHeader.isHICNinIncludeIdentifiers()) {
        patient.addIdentifier().setSystem(TransformerConstants.CODING_BBAPI_BENE_HICN_HASH).setValue(beneficiary.getHicn());
    }
    if (beneficiary.getMbiHash().isPresent()) {
        Period mbiPeriod = new Period();
        if (beneficiary.getMbiEffectiveDate().isPresent()) {
            TransformerUtils.setPeriodStart(mbiPeriod, beneficiary.getMbiEffectiveDate().get());
        }
        if (beneficiary.getMbiObsoleteDate().isPresent()) {
            TransformerUtils.setPeriodEnd(mbiPeriod, beneficiary.getMbiObsoleteDate().get());
        }
        if (mbiPeriod.hasStart() || mbiPeriod.hasEnd()) {
            patient.addIdentifier().setSystem(TransformerConstants.CODING_BBAPI_BENE_MBI_HASH).setValue(beneficiary.getMbiHash().get()).setPeriod(mbiPeriod);
        } else {
            patient.addIdentifier().setSystem(TransformerConstants.CODING_BBAPI_BENE_MBI_HASH).setValue(beneficiary.getMbiHash().get());
        }
    }
    Extension currentIdentifier = TransformerUtils.createIdentifierCurrencyExtension(CurrencyIdentifier.CURRENT);
    Extension historicalIdentifier = TransformerUtils.createIdentifierCurrencyExtension(CurrencyIdentifier.HISTORIC);
    // Add lastUpdated
    TransformerUtils.setLastUpdated(patient, beneficiary.getLastUpdated());
    if (requestHeader.isHICNinIncludeIdentifiers()) {
        Optional<String> hicnUnhashedCurrent = beneficiary.getHicnUnhashed();
        if (hicnUnhashedCurrent.isPresent())
            addUnhashedIdentifier(patient, hicnUnhashedCurrent.get(), TransformerConstants.CODING_BBAPI_BENE_HICN_UNHASHED, currentIdentifier);
        List<String> unhashedHicns = new ArrayList<String>();
        for (BeneficiaryHistory beneHistory : beneficiary.getBeneficiaryHistories()) {
            Optional<String> hicnUnhashedHistoric = beneHistory.getHicnUnhashed();
            if (hicnUnhashedHistoric.isPresent())
                unhashedHicns.add(hicnUnhashedHistoric.get());
            TransformerUtils.updateMaxLastUpdated(patient, beneHistory.getLastUpdated());
        }
        List<String> unhashedHicnsNoDupes = unhashedHicns.stream().distinct().collect(Collectors.toList());
        for (String hicn : unhashedHicnsNoDupes) {
            addUnhashedIdentifier(patient, hicn, TransformerConstants.CODING_BBAPI_BENE_HICN_UNHASHED, historicalIdentifier);
        }
    }
    if (requestHeader.isMBIinIncludeIdentifiers()) {
        Optional<String> mbiUnhashedCurrent = beneficiary.getMedicareBeneficiaryId();
        if (mbiUnhashedCurrent.isPresent())
            addUnhashedIdentifier(patient, mbiUnhashedCurrent.get(), TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED, currentIdentifier);
        List<String> unhashedMbis = new ArrayList<String>();
        for (MedicareBeneficiaryIdHistory mbiHistory : beneficiary.getMedicareBeneficiaryIdHistories()) {
            Optional<String> mbiUnhashedHistoric = mbiHistory.getMedicareBeneficiaryId();
            if (mbiUnhashedHistoric.isPresent())
                unhashedMbis.add(mbiUnhashedHistoric.get());
            TransformerUtils.updateMaxLastUpdated(patient, mbiHistory.getLastUpdated());
        }
        List<String> unhashedMbisNoDupes = unhashedMbis.stream().distinct().collect(Collectors.toList());
        for (String mbi : unhashedMbisNoDupes) {
            addUnhashedIdentifier(patient, mbi, TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED, historicalIdentifier);
        }
    }
    // support header includeAddressFields from downstream components e.g. BB2
    // per requirement of BFD-379, BB2 always send header includeAddressFields = False
    Boolean addrHdrVal = requestHeader.getValue(PatientResourceProvider.HEADER_NAME_INCLUDE_ADDRESS_FIELDS);
    if (addrHdrVal != null && addrHdrVal) {
        patient.addAddress().setState(beneficiary.getStateCode()).setPostalCode(beneficiary.getPostalCode()).setCity(beneficiary.getDerivedCityName().orElse(null)).addLine(beneficiary.getDerivedMailingAddress1().orElse(null)).addLine(beneficiary.getDerivedMailingAddress2().orElse(null)).addLine(beneficiary.getDerivedMailingAddress3().orElse(null)).addLine(beneficiary.getDerivedMailingAddress4().orElse(null)).addLine(beneficiary.getDerivedMailingAddress5().orElse(null)).addLine(beneficiary.getDerivedMailingAddress6().orElse(null));
    } else {
        patient.addAddress().setState(beneficiary.getStateCode()).setPostalCode(beneficiary.getPostalCode());
    }
    if (beneficiary.getBirthDate() != null) {
        patient.setBirthDate(TransformerUtils.convertToDate(beneficiary.getBirthDate()));
    }
    // Death Date
    if (beneficiary.getBeneficiaryDateOfDeath().isPresent()) {
        patient.setDeceased(new DateTimeType(TransformerUtils.convertToDate(beneficiary.getBeneficiaryDateOfDeath().get()), TemporalPrecisionEnum.DAY));
    }
    char sex = beneficiary.getSex();
    if (sex == Sex.MALE.getCode())
        patient.setGender((AdministrativeGender.MALE));
    else if (sex == Sex.FEMALE.getCode())
        patient.setGender((AdministrativeGender.FEMALE));
    else
        patient.setGender((AdministrativeGender.UNKNOWN));
    if (beneficiary.getRace().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.RACE, beneficiary.getRace().get()));
    }
    HumanName name = patient.addName().addGiven(beneficiary.getNameGiven()).setFamily(beneficiary.getNameSurname()).setUse(HumanName.NameUse.USUAL);
    if (beneficiary.getNameMiddleInitial().isPresent())
        name.addGiven(String.valueOf(beneficiary.getNameMiddleInitial().get()));
    // The reference year of the enrollment data
    if (beneficiary.getBeneEnrollmentReferenceYear().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionDate(CcwCodebookVariable.RFRNC_YR, beneficiary.getBeneEnrollmentReferenceYear()));
    }
    // Monthly Medicare-Medicaid dual eligibility codes
    if (beneficiary.getMedicaidDualEligibilityJanCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_01, beneficiary.getMedicaidDualEligibilityJanCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityFebCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_02, beneficiary.getMedicaidDualEligibilityFebCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityMarCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_03, beneficiary.getMedicaidDualEligibilityMarCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityAprCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_04, beneficiary.getMedicaidDualEligibilityAprCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityMayCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_05, beneficiary.getMedicaidDualEligibilityMayCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityJunCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_06, beneficiary.getMedicaidDualEligibilityJunCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityJulCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_07, beneficiary.getMedicaidDualEligibilityJulCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityAugCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_08, beneficiary.getMedicaidDualEligibilityAugCode()));
    }
    if (beneficiary.getMedicaidDualEligibilitySeptCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_09, beneficiary.getMedicaidDualEligibilitySeptCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityOctCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_10, beneficiary.getMedicaidDualEligibilityOctCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityNovCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_11, beneficiary.getMedicaidDualEligibilityNovCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityDecCode().isPresent()) {
        patient.addExtension(TransformerUtils.createExtensionCoding(patient, CcwCodebookVariable.DUAL_12, beneficiary.getMedicaidDualEligibilityDecCode()));
    }
    return patient;
}

Example 3 with HumanName

use of org.hl7.fhir.dstu2016may.model.HumanName in project beneficiary-fhir-data by CMSgov.

the class BeneficiaryTransformerV2 method transform.

/**
 * @param beneficiary the CCW {@link Beneficiary} to transform
 * @param requestHeader {@link RequestHeaders} the holder that contains all supported resource
 *     request headers
 * @return a FHIR {@link Patient} resource that represents the specified {@link Beneficiary}
 */
private static Patient transform(Beneficiary beneficiary, RequestHeaders requestHeader) {
    Objects.requireNonNull(beneficiary);
    Patient patient = new Patient();
    /*
     * Notify end users when they receive Patient records impacted by
     * https://jira.cms.gov/browse/BFD-1566. See the documentation on
     * LoadAppOptions.isFilteringNonNullAndNon2022Benes() for details.
     */
    if (!beneficiary.getSkippedRifRecords().isEmpty()) {
        patient.getMeta().addTag(TransformerConstants.CODING_SYSTEM_BFD_TAGS, TransformerConstants.CODING_BFD_TAGS_DELAYED_BACKDATED_ENROLLMENT, TransformerConstants.CODING_BFD_TAGS_DELAYED_BACKDATED_ENROLLMENT_DISPLAY);
    }
    // Required values not directly mapped
    patient.getMeta().addProfile(ProfileConstants.C4BB_PATIENT_URL);
    patient.setId(beneficiary.getBeneficiaryId());
    // BENE_ID => patient.identifier
    TransformerUtilsV2.addIdentifierSlice(patient, TransformerUtilsV2.createCodeableConcept(TransformerConstants.CODING_SYSTEM_HL7_IDENTIFIER_TYPE, null, TransformerConstants.PATIENT_MB_ID_DISPLAY, "MB"), Optional.of(beneficiary.getBeneficiaryId()), Optional.of(TransformerConstants.CODING_BBAPI_BENE_ID));
    // Unhashed MBI
    if (beneficiary.getMedicareBeneficiaryId().isPresent()) {
        Period mbiPeriod = new Period();
        if (beneficiary.getMbiEffectiveDate().isPresent()) {
            TransformerUtilsV2.setPeriodStart(mbiPeriod, beneficiary.getMbiEffectiveDate().get());
        }
        if (beneficiary.getMbiObsoleteDate().isPresent()) {
            TransformerUtilsV2.setPeriodEnd(mbiPeriod, beneficiary.getMbiObsoleteDate().get());
        }
        addUnhashedIdentifier(patient, beneficiary.getMedicareBeneficiaryId().get(), TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED, TransformerUtilsV2.createIdentifierCurrencyExtension(CurrencyIdentifier.CURRENT), mbiPeriod);
    }
    // Add lastUpdated
    TransformerUtilsV2.setLastUpdated(patient, beneficiary.getLastUpdated());
    /**
     * The following logic attempts to distill {@link MedicareBeneficiaryIdHistory} data into only
     * those records which have an endDate present. This is due to the fact that it includes the
     * CURRENT MBI record which was handle previously. Also, the {@link
     * MedicareBeneficiaryIdHistory} table appears to contain spurious records with the only
     * difference is the generated surrogate key identifier.
     */
    if (requestHeader.isMBIinIncludeIdentifiers()) {
        HashMap<LocalDate, MedicareBeneficiaryIdHistory> mbiHistMap = new HashMap<LocalDate, MedicareBeneficiaryIdHistory>();
        for (MedicareBeneficiaryIdHistory mbiHistory : beneficiary.getMedicareBeneficiaryIdHistories()) {
            // and will have been previously provided as the CURRENT rcd.
            if (mbiHistory.getMbiEndDate().isPresent()) {
                mbiHistMap.put(mbiHistory.getMbiEndDate().get(), mbiHistory);
            }
            // would come in ascending order, so any rcd would have a later
            // update date than prev rcd.
            TransformerUtilsV2.updateMaxLastUpdated(patient, mbiHistory.getLastUpdated());
        }
        if (mbiHistMap.size() > 0) {
            Extension historicalIdentifier = TransformerUtilsV2.createIdentifierCurrencyExtension(CurrencyIdentifier.HISTORIC);
            for (MedicareBeneficiaryIdHistory mbi : mbiHistMap.values()) {
                addUnhashedIdentifier(patient, mbi.getMedicareBeneficiaryId().get(), TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED, historicalIdentifier, null);
            }
        }
    }
    // support header includeAddressFields from downstream components e.g. BB2
    // per requirement of BFD-379, BB2 always send header includeAddressFields = False
    Boolean addrHdrVal = requestHeader.getValue(R4PatientResourceProvider.HEADER_NAME_INCLUDE_ADDRESS_FIELDS);
    if (addrHdrVal != null && addrHdrVal) {
        patient.addAddress().setState(beneficiary.getStateCode()).setPostalCode(beneficiary.getPostalCode()).setCity(beneficiary.getDerivedCityName().orElse(null)).addLine(beneficiary.getDerivedMailingAddress1().orElse(null)).addLine(beneficiary.getDerivedMailingAddress2().orElse(null)).addLine(beneficiary.getDerivedMailingAddress3().orElse(null)).addLine(beneficiary.getDerivedMailingAddress4().orElse(null)).addLine(beneficiary.getDerivedMailingAddress5().orElse(null)).addLine(beneficiary.getDerivedMailingAddress6().orElse(null));
    } else {
        patient.addAddress().setState(beneficiary.getStateCode()).setPostalCode(beneficiary.getPostalCode());
    }
    if (beneficiary.getBirthDate() != null) {
        patient.setBirthDate(TransformerUtilsV2.convertToDate(beneficiary.getBirthDate()));
    }
    // "Patient.deceased[x]": ["boolean", "dateTime"],
    if (beneficiary.getBeneficiaryDateOfDeath().isPresent()) {
        patient.setDeceased(new DateTimeType(TransformerUtilsV2.convertToDate(beneficiary.getBeneficiaryDateOfDeath().get()), TemporalPrecisionEnum.DAY));
    } else {
        patient.setDeceased(new BooleanType(false));
    }
    char sex = beneficiary.getSex();
    if (sex == Sex.MALE.getCode())
        patient.setGender((AdministrativeGender.MALE));
    else if (sex == Sex.FEMALE.getCode())
        patient.setGender((AdministrativeGender.FEMALE));
    else
        patient.setGender((AdministrativeGender.UNKNOWN));
    if (beneficiary.getRace().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.RACE, beneficiary.getRace().get()));
        // for race category, v2 will just treat all race codes as Unknown (UNK);
        // thus we'll simply pass in the Unknown race code .
        RaceCategory raceCategory = TransformerUtilsV2.getRaceCategory('0');
        Extension raceChildOMBExt1 = new Extension().setValue(new Coding().setCode(raceCategory.toCode()).setSystem(raceCategory.getSystem()).setDisplay(raceCategory.getDisplay())).setUrl("ombCategory");
        Extension raceChildOMBExt2 = new Extension().setValue(new StringType().setValue(raceCategory.getDisplay())).setUrl("text");
        Extension parentOMBRace = new Extension().setUrl(TransformerConstants.CODING_RACE_US);
        parentOMBRace.addExtension(raceChildOMBExt1);
        parentOMBRace.addExtension(raceChildOMBExt2);
        patient.addExtension(parentOMBRace);
    }
    HumanName name = patient.addName().addGiven(beneficiary.getNameGiven()).setFamily(beneficiary.getNameSurname()).setUse(HumanName.NameUse.USUAL);
    if (beneficiary.getNameMiddleInitial().isPresent()) {
        name.addGiven(String.valueOf(beneficiary.getNameMiddleInitial().get()));
    }
    // The reference year of the enrollment data
    if (beneficiary.getBeneEnrollmentReferenceYear().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionDate(CcwCodebookVariable.RFRNC_YR, beneficiary.getBeneEnrollmentReferenceYear()));
    }
    // Monthly Medicare-Medicaid dual eligibility codes
    if (beneficiary.getMedicaidDualEligibilityJanCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_01, beneficiary.getMedicaidDualEligibilityJanCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityFebCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_02, beneficiary.getMedicaidDualEligibilityFebCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityMarCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_03, beneficiary.getMedicaidDualEligibilityMarCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityAprCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_04, beneficiary.getMedicaidDualEligibilityAprCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityMayCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_05, beneficiary.getMedicaidDualEligibilityMayCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityJunCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_06, beneficiary.getMedicaidDualEligibilityJunCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityJulCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_07, beneficiary.getMedicaidDualEligibilityJulCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityAugCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_08, beneficiary.getMedicaidDualEligibilityAugCode()));
    }
    if (beneficiary.getMedicaidDualEligibilitySeptCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_09, beneficiary.getMedicaidDualEligibilitySeptCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityOctCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_10, beneficiary.getMedicaidDualEligibilityOctCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityNovCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_11, beneficiary.getMedicaidDualEligibilityNovCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityDecCode().isPresent()) {
        patient.addExtension(TransformerUtilsV2.createExtensionCoding(patient, CcwCodebookVariable.DUAL_12, beneficiary.getMedicaidDualEligibilityDecCode()));
    }
    // Last Updated => Patient.meta.lastUpdated
    TransformerUtilsV2.setLastUpdated(patient, beneficiary.getLastUpdated());
    return patient;
}

Example 4 with HumanName

use of org.hl7.fhir.dstu2016may.model.HumanName in project hl7v2-fhir-converter by LinuxForHealth.

the class Hl7FinancialInsuranceTest method testBasicInsuranceCoverageFields.

// Suppress warnings about too many assertions in a test. Justification: creating a FHIR message is very costly; we need to check many asserts per creation for efficiency.
@java.lang.SuppressWarnings("squid:S5961")
@Test
void testBasicInsuranceCoverageFields() throws IOException {
    // Tests fields listed below.
    String hl7message = "MSH|^~\\&|||||20151008111200||DFT^P03^DFT_P03|MSGID000001|T|2.6|||||||||\n" + "EVN||20210407191342||||||\n" + "PID|||MR1^^^XYZ^MR||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1||I||||||||||||||||||||||||||||||||||||||||||\n" + // FT1.7 is required transaction code (currently not used)
    "FT1||||20201231145045||CG|FAKE|||||||||||||||||||||||||||||||||||||\n" + // IN1.2.4, IN1.2.6 to second XV Coverage.identifier
    "IN1|1|Value1^^System3^Value4^^System6" + // IN1.3.8 to Organization Identifier.period.end
    "|IdValue1^^^IdSystem4^IdType5^^20201231145045^20211231145045" + // IN1.4 to Organization Name
    "|Large Blue Organization" + // IN1.5 to Organization Address (All XAD standard fields)
    "|456 Ultramarine Lane^^Faketown^CA^ZIP5" + // IN1.6.13 to Organization Contact Name .period.end
    "|LastFake^FirstFake^MiddleFake^III^Dr.^^L^^^^^20201231145045^20211231145045" + // IN1.7.18 to Organization Contact telecom .rank
    "|^WPN^^^^333^4444444^^^^^^20201231145045^20211231145045^^^^1" + // IN1.9.1 (2) to list element Coverage.class.name and value (because IN1.9.10 (2) does not exist)
    "|UA34567|NameBlue^^^^^^^^^IDBlue~NameGreen||" + // IN1.35 to Organization.identifier
    "|20201231145045|20211231145045|||||||||5|||||||||||||COMPANYPLANCODE35" + // IN1.49 has value to show that it is not used for Patient.identifier because NO relationship (IN1.17/IN2.72 empty)
    "|MEMBER36||||||||||Value46|||PatientId49.1||||\n" + // IN2.61 is purposely empty (primary to IN1.36) so IN1.36 will be used as the MB Coverage.identifier
    "IN2|||||||||||||||||||||||||IdValue25.1^^^IdSystem25.4^IdType25.5^^20201231145045^20211231145045|||||||||||||||||||||||||||||||||||||||||||" + // IN2.72 is purposely empty (backup to IN1.17) so no RelatedPerson is created.
    "|Name69.1^^^^^IdSystem69.6^UNK^^^IdValue69.10||\n";
    List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
    List<Resource> encounters = ResourceUtils.getResourceList(e, ResourceType.Encounter);
    // From PV1
    assertThat(encounters).hasSize(1);
    List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
    // From PID
    assertThat(patients).hasSize(1);
    Patient patient = (Patient) patients.get(0);
    String patientId = patient.getId();
    // From PID.3
    assertThat(patient.getIdentifier()).hasSize(1);
    Identifier patientIdentifier = patient.getIdentifier().get(0);
    // PID.3.1
    assertThat(patientIdentifier.getValue()).isEqualTo("MR1");
    // PID.3.4
    assertThat(patientIdentifier.getSystem()).isEqualTo("urn:id:XYZ");
    DatatypeUtils.checkCommonCodeableConceptAssertions(patientIdentifier.getType(), "MR", "Medical record number", "http://terminology.hl7.org/CodeSystem/v2-0203", // PID.3.5
    null);
    // IN1.49 not used
    List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
    // From IN1.3 creates Payor, IN2.25 to new PayorId Organization, IN2.69 creates new PolicyHolder Organization Name
    assertThat(organizations).hasSize(3);
    Organization org = (Organization) organizations.get(0);
    // Check Payor Organization Id's
    String payorOrgId = org.getId();
    // IN1.17.1 (no TENANT)  (Id's lowercased)
    assertThat(payorOrgId).isEqualTo("Organization/idvalue1");
    // IN1.4
    assertThat(org.getName()).isEqualTo("Large Blue Organization");
    assertThat(org.getIdentifier()).hasSize(2);
    Identifier orgIdentifier = org.getIdentifier().get(0);
    // IN1.3.1
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue1");
    // IN1.3.4
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem4");
    // IN1.3.7
    assertThat(orgIdentifier.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN1.3.8
    assertThat(orgIdentifier.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // IN1.3.5
    DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "IdType5", null, null, null);
    Identifier orgIdentifier1 = org.getIdentifier().get(1);
    // IN1.35
    assertThat(orgIdentifier1.getValue()).isEqualTo("COMPANYPLANCODE35");
    // Check Payor Organization address. IN1.4 is a standard XAD address, which is tested exhaustively in other tests.
    assertThat(org.getAddress()).hasSize(1);
    assertThat(org.getAddress().get(0).getLine().get(0).getValueAsString()).isEqualTo(// IN1.4.1
    "456 Ultramarine Lane");
    // IN1.4.3
    assertThat(org.getAddress().get(0).getCity()).isEqualTo("Faketown");
    // IN1.4.4
    assertThat(org.getAddress().get(0).getState()).isEqualTo("CA");
    // IN1.4.5
    assertThat(org.getAddress().get(0).getPostalCode()).isEqualTo("ZIP5");
    // Check Payor Organization contact name.  IN1.6 name is standard XPN, tested exhaustively in other tests.
    HumanName contactName = org.getContact().get(0).getName();
    assertThat(org.getContact()).hasSize(1);
    // IN1.6.1
    assertThat(contactName.getFamily()).isEqualTo("LastFake");
    // IN1.6.2
    assertThat(contactName.getGiven().get(0).getValueAsString()).isEqualTo("FirstFake");
    // IN1.6.3
    assertThat(contactName.getGiven().get(1).getValueAsString()).isEqualTo("MiddleFake");
    // IN1.6.6
    assertThat(contactName.getPrefixAsSingleString()).hasToString("Dr.");
    // IN1.6.5
    assertThat(contactName.getSuffixAsSingleString()).hasToString("III");
    // from IN1.6 aggregate
    assertThat(contactName.getText()).isEqualTo("Dr. FirstFake MiddleFake LastFake III");
    // IN1.6.7
    assertThat(contactName.getUseElement().getCode()).hasToString("official");
    // IN1.6.12
    assertThat(contactName.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN1.6.13
    assertThat(contactName.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // Check there is no purpose. Don't need one, here.
    assertThat(org.getContact().get(0).hasPurpose()).isFalse();
    // Check Payor Organization contact telecom.  IN1.7 is standard XTN, tested exhaustively in other tests.
    assertThat(org.getContact().get(0).getTelecom()).hasSize(1);
    // telecom is type ContactPoint
    ContactPoint contactPoint = org.getContact().get(0).getTelecomFirstRep();
    // default type hardcoded.
    assertThat(contactPoint.getSystemElement().getCode()).hasToString("phone");
    // IN1.7.2 is not mapped (ignored)
    assertThat(contactPoint.hasUseElement()).isFalse();
    // IN1.7.6, IN1.7.7 via getFormattedTelecomNumberValue
    assertThat(contactPoint.getValue()).hasToString("(333) 444 4444");
    // IN1.7.13
    assertThat(contactPoint.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN1.7.14
    assertThat(contactPoint.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // IN1.7.18
    assertThat(contactPoint.getRank()).isEqualTo(1);
    // Check PayorId Organization from IN2.25
    org = (Organization) organizations.get(1);
    String payorOrgIdIn25 = org.getId();
    // IN1.25.1 (no TENANT) (Id's lowercased)
    assertThat(payorOrgIdIn25).isEqualTo("Organization/idvalue25.1");
    // IN2.25.1
    assertThat(org.getName()).isEqualTo("IdValue25.1");
    assertThat(org.getIdentifier()).hasSize(1);
    orgIdentifier = org.getIdentifier().get(0);
    // IN2.25.1
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue25.1");
    // IN2.25.4
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem25.4");
    // IN2.25.7
    assertThat(orgIdentifier.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN2.25.8
    assertThat(orgIdentifier.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // IN2.25.5
    DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "IdType25.5", null, null, null);
    // Check PolicyHolder Organization Name and ID Organization from IN2.69
    org = (Organization) organizations.get(2);
    String policyHolderOrgId = org.getId();
    // IN2.69.1 (no TENANT) (Id's lowercased)
    assertThat(policyHolderOrgId).isEqualTo("Organization/idvalue69.10");
    // IN2.69.1
    assertThat(org.getName()).isEqualTo("Name69.1");
    assertThat(org.getIdentifier()).hasSize(1);
    orgIdentifier = org.getIdentifier().get(0);
    // IN2.69.10
    assertThat(orgIdentifier.getValue()).isEqualTo("IdValue69.10");
    // IN2.69.6
    assertThat(orgIdentifier.getSystem()).isEqualTo("urn:id:IdSystem69.6");
    // Becuase the code is unknown, the 0203 table lookup fails, and the coding has just the code, no system
    // IN2.69.7
    DatatypeUtils.checkCommonCodeableConceptAssertions(orgIdentifier.getType(), "UNK", null, null, null);
    List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
    // From IN1 segment
    assertThat(coverages).hasSize(1);
    Coverage coverage = (Coverage) coverages.get(0);
    // Confirm Coverage Identifiers - Order matches order of identifier_X in Coverage.yml
    // XV, XV, XV, MB, SN; but not MA (IN2.8) nor MC (IN2.6)
    assertThat(coverage.getIdentifier()).hasSize(5);
    // IN1.2.1
    assertThat(coverage.getIdentifier().get(0).getValue()).isEqualTo("Value1");
    // IN1.2.3
    assertThat(coverage.getIdentifier().get(0).getSystem()).isEqualTo("urn:id:System3");
    // No use, here
    assertThat(coverage.getIdentifier().get(0).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(0).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN1.2.4
    assertThat(coverage.getIdentifier().get(1).getValue()).isEqualTo("Value4");
    // IN1.2.6
    assertThat(coverage.getIdentifier().get(1).getSystem()).isEqualTo("urn:id:System6");
    // No use, here
    assertThat(coverage.getIdentifier().get(1).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(1).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN1.46
    assertThat(coverage.getIdentifier().get(2).getValue()).isEqualTo("Value46");
    // No system, here
    assertThat(coverage.getIdentifier().get(2).getSystem()).isNull();
    // Use is enumeration "old"
    assertThat(coverage.getIdentifier().get(2).getUseElement().getCode()).hasToString("old");
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(2).getType(), "XV", "Health Plan Identifier", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN1.36
    assertThat(coverage.getIdentifier().get(3).getValue()).isEqualTo("MEMBER36");
    // No system, here
    assertThat(coverage.getIdentifier().get(3).getSystem()).isNull();
    // No use, here
    assertThat(coverage.getIdentifier().get(3).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(3).getType(), "MB", "Member Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // IN1.36
    assertThat(coverage.getIdentifier().get(4).getValue()).isEqualTo("MEMBER36");
    // No system, here
    assertThat(coverage.getIdentifier().get(4).getSystem()).isNull();
    // No use, here
    assertThat(coverage.getIdentifier().get(4).getUse()).isNull();
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getIdentifier().get(4).getType(), "SN", "Subscriber Number", "http://terminology.hl7.org/CodeSystem/v2-0203", null);
    // Confirm SubscriberId
    // IN1.36
    assertThat(coverage.getSubscriberId()).isEqualTo("MEMBER36");
    // Confirm coverage.Order
    // IN1.22 takes priority over IN1.1
    assertThat(coverage.getOrder()).isEqualTo(5);
    // Confirm Coverage Beneficiary references to Patient, and Payor references correct Organizations
    assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
    // One for each payorOrganization
    assertThat(coverage.getPayor()).hasSize(2);
    assertThat(coverage.getPayor().get(0).getReference()).isEqualTo(payorOrgId);
    assertThat(coverage.getPayor().get(1).getReference()).isEqualTo(payorOrgIdIn25);
    // Confirm policyHolder references correct organization
    assertThat(coverage.getPolicyHolder().getReference()).isEqualTo(policyHolderOrgId);
    // Only one Coverage Class expected.  (getClass_ is correct name for method)
    assertThat(coverage.getClass_()).hasSize(3);
    // IN1.8  Only has value
    checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "UA34567", null);
    // IN1.9 (1)
    checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "IDBlue", "NameBlue");
    // IN1.9 (2) Name is also used for value
    checkCoverageClassExistsWithCorrectValueAndName(coverage.getClass_(), "NameGreen", "NameGreen");
    // Confirm Coverage period
    // IN1.12
    assertThat(coverage.getPeriod().getStartElement().toString()).containsPattern("2020-12-31T14:50:45");
    // IN1.13
    assertThat(coverage.getPeriod().getEndElement().toString()).containsPattern("2021-12-31T14:50:45");
    // Expect no RelatedPerson because IN1.17 was empty
    List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
    // IN1.17 empty
    assertThat(relatedPersons).isEmpty();
    // Confirm there are no unaccounted for resources
    // Expected: Coverage, Organization (3x), Patient, Encounter
    assertThat(e).hasSize(6);
}

Example 5 with HumanName

use of org.hl7.fhir.dstu2016may.model.HumanName in project hl7v2-fhir-converter by LinuxForHealth.

the class Hl7FinancialInsuranceTest method testInsuranceCoverageFromIN2.

@Test
// Tests empty IN2.63 missing telecom.
void testInsuranceCoverageFromIN2() throws IOException {
    String hl7message = "MSH|^~\\&|||||20151008111200||ADT^A01^ADT_A01|MSGID000001|T|2.6|||||||||\n" + "EVN||20210407191342||||||\n" + "PID|||MR1^^^XYZ^MR||DOE^JANE^|||F||||||||||||||||||||||\n" + "PV1||I||||||||||||||||||||||||||||||||||||||||||\n" + // FT1.7 is required transaction code (currently not used)
    "FT1||||20201231145045||CG|FAKE|||||||||||||||||||||||||||||||||||||\n" + // IN1.2.4, IN1.2.6 to second XV Coverage.identifier
    "IN1|1|Value1^^System3^Value4^^System6" + // IN1.5 to 15 NOT REFERENCED (See test testBasicInsuranceCoverageFields)
    "|IdValue1^^^IdSystem4^^^^|Large Blue Organization|||||||||||" + // IN1.18 through IN1.35 NOT REFERENCED
    "|DoeFake^Judy^^^Rev.|||||||||||||||||||" + // IN1.37 through IN1.53 NOT REFERENCED
    "|MEMBER36|||||||||||||||||\n" + // IN2.63 purposely empty to ensure an empty telecom is not created.
    "IN2||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||" + // IN2.72 to Coverage.relationship and RelatedPerson.relationship.  (Backup for IN1.17) Codes from table 0344
    "04|\n";
    // 04 = Natural child
    List<BundleEntryComponent> e = ResourceUtils.createFHIRBundleFromHL7MessageReturnEntryList(ftv, hl7message);
    List<Resource> encounters = ResourceUtils.getResourceList(e, ResourceType.Encounter);
    // From PV1
    assertThat(encounters).hasSize(1);
    List<Resource> patients = ResourceUtils.getResourceList(e, ResourceType.Patient);
    // From PID
    assertThat(patients).hasSize(1);
    Patient patient = (Patient) patients.get(0);
    String patientId = patient.getId();
    List<Resource> organizations = ResourceUtils.getResourceList(e, ResourceType.Organization);
    // From Payor created by IN1
    assertThat(organizations).hasSize(1);
    List<Resource> coverages = ResourceUtils.getResourceList(e, ResourceType.Coverage);
    // From IN1 segment
    assertThat(coverages).hasSize(1);
    Coverage coverage = (Coverage) coverages.get(0);
    // Confirm Coverage Identifiers
    // XV, XV, MB, SN
    assertThat(coverage.getIdentifier()).hasSize(4);
    // Coverage Identifiers deep check in testBasicInsuranceCoverageFields
    // Confirm Coverage Beneficiary references to Patient, and Payor references to Organization
    assertThat(coverage.getBeneficiary().getReference()).isEqualTo(patientId);
    assertThat(coverage.getPayorFirstRep().getReference()).isEqualTo(organizations.get(0).getId());
    // Expect one RelatedPerson
    List<Resource> relatedPersons = ResourceUtils.getResourceList(e, ResourceType.RelatedPerson);
    // From IN2.72
    assertThat(relatedPersons).hasSize(1);
    RelatedPerson related = (RelatedPerson) relatedPersons.get(0);
    // Because IN2.63 is empty
    assertThat(related.hasTelecom()).isFalse();
    assertThat(related.getName()).hasSize(1);
    HumanName relatedName = related.getName().get(0);
    // Simplified name test.  Deeper tests in other tests.
    // from IN1.16 aggregate
    assertThat(relatedName.getText()).isEqualTo("Rev. Judy DoeFake");
    // Check coverage relationship
    DatatypeUtils.checkCommonCodeableConceptAssertions(coverage.getRelationship(), "child", "Child", "http://terminology.hl7.org/CodeSystem/subscriber-relationship", // IN2.72 (04 = Natural child)
    null);
    // Check relatedPerson relationship
    assertThat(related.getRelationship()).hasSize(1);
    DatatypeUtils.checkCommonCodeableConceptAssertions(related.getRelationship().get(0), "PRN", "parent", "http://terminology.hl7.org/CodeSystem/v3-RoleCode", // IN2.72 (04 = Natural child)
    null);
    // Confirm the Coverage (subscriber) references the RelatedPerson
    assertThat(coverage.getSubscriber().getReference()).isEqualTo(related.getId());
    // Confirm the RelatedPerson references the Patient
    assertThat(related.getPatient().getReference()).isEqualTo(patientId);
    // Confirm there are no unaccounted for resources
    // Expected: Coverage, Organization, Patient, Encounter, RelatedPerson
    assertThat(e).hasSize(5);
}