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

Example 1 with Period

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

the class CoverageTransformer method transformPartA.

/**
 * @param metricRegistry the {@link MetricRegistry} to use
 * @param beneficiary the {@link Beneficiary} to generate a {@link MedicareSegment#PART_A} {@link
 *     Coverage} resource for
 * @return {@link MedicareSegment#PART_A} {@link Coverage} resource for the specified {@link
 *     Beneficiary}
 */
private static Coverage transformPartA(MetricRegistry metricRegistry, Beneficiary beneficiary) {
    Timer.Context timer = metricRegistry.timer(MetricRegistry.name(CoverageTransformer.class.getSimpleName(), "transform", "part_a")).time();
    Objects.requireNonNull(beneficiary);
    Coverage coverage = new Coverage();
    coverage.setId(TransformerUtils.buildCoverageId(MedicareSegment.PART_A, beneficiary));
    if (beneficiary.getPartATerminationCode().isPresent() && beneficiary.getPartATerminationCode().get().equals('0'))
        coverage.setStatus(CoverageStatus.ACTIVE);
    else
        coverage.setStatus(CoverageStatus.CANCELLED);
    if (beneficiary.getMedicareCoverageStartDate().isPresent()) {
        TransformerUtils.setPeriodStart(coverage.getPeriod(), beneficiary.getMedicareCoverageStartDate().get());
    }
    // deh start
    coverage.addContract().setId("ptc-contract1");
    Contract newContract = new Contract();
    LocalDate localDate = LocalDate.now();
    newContract.setIdentifier(new Identifier().setSystem("part C System").setValue("contract 5555"));
    newContract.setApplies((new Period().setStart((TransformerUtils.convertToDate(localDate)), TemporalPrecisionEnum.DAY)));
    coverage.addContained(newContract);
    coverage.addContract(TransformerUtils.referenceCoverage("contract1 reference", MedicareSegment.PART_A));
    coverage.getGrouping().setSubGroup(TransformerConstants.COVERAGE_PLAN).setSubPlan(TransformerConstants.COVERAGE_PLAN_PART_A);
    coverage.setType(TransformerUtils.createCodeableConcept(TransformerConstants.COVERAGE_PLAN, TransformerConstants.COVERAGE_PLAN_PART_A));
    coverage.setBeneficiary(TransformerUtils.referencePatient(beneficiary));
    if (beneficiary.getMedicareEnrollmentStatusCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.MS_CD, beneficiary.getMedicareEnrollmentStatusCode()));
    }
    if (beneficiary.getEntitlementCodeOriginal().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.OREC, beneficiary.getEntitlementCodeOriginal()));
    }
    if (beneficiary.getEntitlementCodeCurrent().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CREC, beneficiary.getEntitlementCodeCurrent()));
    }
    if (beneficiary.getEndStageRenalDiseaseCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.ESRD_IND, beneficiary.getEndStageRenalDiseaseCode()));
    }
    if (beneficiary.getPartATerminationCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.A_TRM_CD, beneficiary.getPartATerminationCode()));
    }
    // The reference year of the enrollment data
    if (beneficiary.getBeneEnrollmentReferenceYear().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionDate(CcwCodebookVariable.RFRNC_YR, beneficiary.getBeneEnrollmentReferenceYear()));
    }
    // Monthly Medicare-Medicaid dual eligibility codes
    if (beneficiary.getMedicaidDualEligibilityJanCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_01, beneficiary.getMedicaidDualEligibilityJanCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityFebCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_02, beneficiary.getMedicaidDualEligibilityFebCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityMarCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_03, beneficiary.getMedicaidDualEligibilityMarCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityAprCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_04, beneficiary.getMedicaidDualEligibilityAprCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityMayCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_05, beneficiary.getMedicaidDualEligibilityMayCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityJunCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_06, beneficiary.getMedicaidDualEligibilityJunCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityJulCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_07, beneficiary.getMedicaidDualEligibilityJulCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityAugCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_08, beneficiary.getMedicaidDualEligibilityAugCode()));
    }
    if (beneficiary.getMedicaidDualEligibilitySeptCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_09, beneficiary.getMedicaidDualEligibilitySeptCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityOctCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_10, beneficiary.getMedicaidDualEligibilityOctCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityNovCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_11, beneficiary.getMedicaidDualEligibilityNovCode()));
    }
    if (beneficiary.getMedicaidDualEligibilityDecCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.DUAL_12, beneficiary.getMedicaidDualEligibilityDecCode()));
    }
    transformEntitlementBuyInIndicators(coverage, beneficiary);
    TransformerUtils.setLastUpdated(coverage, beneficiary.getLastUpdated());
    timer.stop();
    return coverage;
}

Example 2 with Period

use of org.hl7.fhir.dstu2016may.model.Period 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 Period

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

the class InpatientClaimTransformerV2Test method shouldHaveAdmissionPeriodSupInfo.

@Test
public void shouldHaveAdmissionPeriodSupInfo() {
    SupportingInformationComponent sic = TransformerTestUtilsV2.findSupportingInfoByCode("admissionperiod", eob.getSupportingInfo());
    SupportingInformationComponent compare = TransformerTestUtilsV2.createSupportingInfo(// We don't care what the sequence number is here
    sic.getSequence(), // Category
    Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType", "admissionperiod", "Admission Period"))).setTiming(// Period
    new Period().setStartElement(new DateTimeType("2016-01-15")).setEndElement(new DateTimeType("2016-01-27")));
    assertTrue(compare.equalsDeep(sic));
}

Example 4 with Period

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

the class BeneficiaryTransformerV2Test method shouldIncludeMedicareExtensionIdentifierCurrent.

@Test
public void shouldIncludeMedicareExtensionIdentifierCurrent() {
    Identifier mcId = TransformerTestUtilsV2.findIdentifierBySystem("http://hl7.org/fhir/sid/us-mbi", patient.getIdentifier());
    Extension extension = new Extension("https://bluebutton.cms.gov/resources/codesystem/identifier-currency", new Coding("https://bluebutton.cms.gov/resources/codesystem/identifier-currency", "current", "Current"));
    Period period = new Period();
    try {
        Date start = (new SimpleDateFormat("yyyy-MM-dd")).parse("2020-07-30");
        period.setStart(start, TemporalPrecisionEnum.DAY);
    } catch (Exception e) {
    }
    Identifier compare = new Identifier();
    compare.setValue("3456789").setSystem("http://hl7.org/fhir/sid/us-mbi").setPeriod(period).getType().addCoding().setCode("MC").setSystem("http://terminology.hl7.org/CodeSystem/v2-0203").setDisplay("Patient's Medicare number").addExtension(extension);
    assertTrue(compare.equalsDeep(mcId));
}

Example 5 with Period

use of org.hl7.fhir.dstu2016may.model.Period 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;
}