Examples with CURRENT org.hl7.fhir.dstu3.model.ListResource.ListStatus.CURRENT used on opensource projects

Example 1 with CURRENT

use of org.hl7.fhir.dstu3.model.ListResource.ListStatus.CURRENT in project gpconnect-demonstrator by nhsconnect.

the class AppointmentResourceProvider method updateAppointment.

@Update
public MethodOutcome updateAppointment(@IdParam IdType appointmentId, @ResourceParam Appointment appointment) {
    MethodOutcome methodOutcome = new MethodOutcome();
    OperationOutcome operationalOutcome = new OperationOutcome();
    AppointmentDetail appointmentDetail = appointmentResourceConverterToAppointmentDetail(appointment);
    // URL ID and Resource ID must be the same
    if (!Objects.equals(appointmentId.getIdPartAsLong(), appointmentDetail.getId())) {
        operationalOutcome.addIssue().setSeverity(IssueSeverity.ERROR).setDiagnostics("Id in URL (" + appointmentId.getIdPart() + ") should match Id in Resource (" + appointmentDetail.getId() + ")");
        methodOutcome.setOperationOutcome(operationalOutcome);
        return methodOutcome;
    }
    // Make sure there is an existing appointment to be amended
    AppointmentDetail oldAppointmentDetail = appointmentSearch.findAppointmentByID(appointmentId.getIdPartAsLong());
    if (oldAppointmentDetail == null) {
        operationalOutcome.addIssue().setSeverity(IssueSeverity.ERROR).setDiagnostics("No appointment details found for ID: " + appointmentId.getIdPart());
        methodOutcome.setOperationOutcome(operationalOutcome);
        return methodOutcome;
    }
    String oldAppointmentVersionId = String.valueOf(oldAppointmentDetail.getLastUpdated().getTime());
    String newAppointmentVersionId = appointmentId.getVersionIdPart();
    if (newAppointmentVersionId != null && !newAppointmentVersionId.equalsIgnoreCase(oldAppointmentVersionId)) {
        throw new ResourceVersionConflictException("The specified version (" + newAppointmentVersionId + ") did not match the current resource version (" + oldAppointmentVersionId + ")");
    }
    // Determin if it is a cancel or an amend
    if (appointmentDetail.getCancellationReason() != null) {
        if (appointmentDetail.getCancellationReason().isEmpty()) {
            operationalOutcome.addIssue().setSeverity(IssueSeverity.ERROR).setDiagnostics("The cancellation reason can not be blank");
            methodOutcome.setOperationOutcome(operationalOutcome);
            return methodOutcome;
        }
        // This is a Cancellation - so copy across fields which can be
        // altered
        boolean cancelComparisonResult = compareAppointmentsForInvalidPropertyCancel(oldAppointmentDetail, appointmentDetail);
        if (cancelComparisonResult) {
            throw OperationOutcomeFactory.buildOperationOutcomeException(new UnclassifiedServerFailureException(400, "Invalid Appointment property has been amended (cancellation)"), SystemCode.BAD_REQUEST, IssueType.FORBIDDEN);
        }
        oldAppointmentDetail.setCancellationReason(appointmentDetail.getCancellationReason());
        String oldStatus = oldAppointmentDetail.getStatus();
        appointmentDetail = oldAppointmentDetail;
        appointmentDetail.setStatus("cancelled");
        if (!"cancelled".equalsIgnoreCase(oldStatus)) {
            for (Long slotId : appointmentDetail.getSlotIds()) {
                SlotDetail slotDetail = slotSearch.findSlotByID(slotId);
                // slotDetail.setAppointmentId(null);
                slotDetail.setFreeBusyType("FREE");
                slotDetail.setLastUpdated(new Date());
                slotStore.saveSlot(slotDetail);
            }
        }
    } else {
        if (appointment.getStatus().equals("cancelled")) {
            throw OperationOutcomeFactory.buildOperationOutcomeException(new UnclassifiedServerFailureException(400, "Appointment has been cancelled and cannot be amended"), SystemCode.BAD_REQUEST, IssueType.FORBIDDEN);
        }
        boolean amendComparisonResult = compareAppointmentsForInvalidPropertyAmend(appointmentDetail, oldAppointmentDetail);
        if (amendComparisonResult) {
            throw OperationOutcomeFactory.buildOperationOutcomeException(new UnclassifiedServerFailureException(403, "Invalid Appointment property has been amended"), SystemCode.BAD_REQUEST, IssueType.FORBIDDEN);
        }
        // This is an Amend
        oldAppointmentDetail.setComment(appointmentDetail.getComment());
        oldAppointmentDetail.setReasonCode(appointmentDetail.getReasonCode());
        oldAppointmentDetail.setDescription(appointmentDetail.getDescription());
        oldAppointmentDetail.setReasonDisplay(appointmentDetail.getReasonDisplay());
        oldAppointmentDetail.setTypeCode(appointmentDetail.getTypeCode());
        oldAppointmentDetail.setTypeDisplay(appointmentDetail.getTypeDisplay());
        appointmentDetail = oldAppointmentDetail;
    }
    List<SlotDetail> slots = new ArrayList<>();
    for (Long slotId : appointmentDetail.getSlotIds()) {
        SlotDetail slotDetail = slotSearch.findSlotByID(slotId);
        if (slotDetail == null) {
            throw new UnprocessableEntityException("Slot resource reference is not a valid resource");
        }
        slots.add(slotDetail);
    }
    // Update version and
    appointmentDetail.setLastUpdated(new Date());
    // lastUpdated timestamp
    appointmentDetail = appointmentStore.saveAppointment(appointmentDetail, slots);
    methodOutcome.setId(new IdDt("Appointment", appointmentDetail.getId()));
    methodOutcome.setResource(appointmentDetailToAppointmentResourceConverter(appointmentDetail));
    return methodOutcome;
}

Example 2 with CURRENT

use of org.hl7.fhir.dstu3.model.ListResource.ListStatus.CURRENT in project gpconnect-demonstrator by nhsconnect.

the class AppointmentResourceProvider method updateAppointment.

/**
 * amend or cancel an existing appointment
 *
 * @param appointmentId
 * @param appointment Resource
 * @param theRequest required to access the interaction id
 * @return MethodOutcome
 */
@Update
public MethodOutcome updateAppointment(@IdParam IdType appointmentId, @ResourceParam Appointment appointment, HttpServletRequest theRequest) {
    MethodOutcome methodOutcome = new MethodOutcome();
    OperationOutcome operationalOutcome = new OperationOutcome();
    AppointmentDetail appointmentDetail = appointmentResourceConverterToAppointmentDetail(appointment);
    Meta meta = appointment.getMeta();
    final List<UriType> profiles = meta.getProfile();
    // #203 validations
    VC.execute(new VC[] { new VC(() -> profiles.isEmpty(), () -> "Meta element must be present in Appointment"), new VC(() -> !profiles.get(0).getValue().equalsIgnoreCase(SD_GPC_APPOINTMENT), // what to do if > 1 meta profile element?
    () -> "Meta.profile " + profiles.get(0).getValue() + " is not equal to " + SD_GPC_APPOINTMENT), // #203
    new VC(() -> !appointment.getReason().isEmpty(), () -> "Appointment reason shouldn't be provided!"), new VC(() -> !appointment.getSpecialty().isEmpty(), () -> "Appointment speciality shouldn't be provided!"), // new VC(() -> !appointment.getServiceType().isEmpty(), () -> "Appointment service type shouldn't be provided!"),
    new VC(() -> !appointment.getAppointmentType().isEmpty(), () -> "Appointment type shouldn't be provided!"), new VC(() -> !appointment.getIndication().isEmpty(), () -> "Appointment indication shouldn't be provided!"), new VC(() -> !appointment.getSupportingInformation().isEmpty(), () -> "Appointment supporting information shouldn't be provided!"), new VC(() -> !appointment.getIncomingReferral().isEmpty(), () -> "Appointment incoming referral shouldn't be provided!") });
    // URL ID and Resource ID must be the same
    if (!Objects.equals(appointmentId.getIdPartAsLong(), appointmentDetail.getId())) {
        operationalOutcome.addIssue().setSeverity(IssueSeverity.ERROR).setDiagnostics("Id in URL (" + appointmentId.getIdPart() + ") should match Id in Resource (" + appointmentDetail.getId() + ")");
        methodOutcome.setOperationOutcome(operationalOutcome);
        return methodOutcome;
    }
    // Make sure there is an existing appointment to be amended
    AppointmentDetail oldAppointmentDetail = appointmentSearch.findAppointmentByID(appointmentId.getIdPartAsLong());
    if (oldAppointmentDetail == null) {
        operationalOutcome.addIssue().setSeverity(IssueSeverity.ERROR).setDiagnostics("No appointment details found for ID: " + appointmentId.getIdPart());
        methodOutcome.setOperationOutcome(operationalOutcome);
        return methodOutcome;
    }
    // 1.2.7 set the old service type and service category for comparison with incoming update/cancel content values
    SlotDetail slotDetail1 = slotSearch.findSlotByID(oldAppointmentDetail.getSlotIds().get(0));
    oldAppointmentDetail.setServiceType(slotDetail1.getTypeDisply());
    ScheduleDetail scheduleDetail = scheduleSearch.findScheduleByID(slotDetail1.getScheduleReference());
    oldAppointmentDetail.setServiceCategory(scheduleDetail.getTypeDescription());
    String oldAppointmentVersionId = String.valueOf(oldAppointmentDetail.getLastUpdated().getTime());
    String newAppointmentVersionId = appointmentId.getVersionIdPart();
    if (newAppointmentVersionId != null && !newAppointmentVersionId.equalsIgnoreCase(oldAppointmentVersionId)) {
        throw new ResourceVersionConflictException("The specified version (" + newAppointmentVersionId + ") did not match the current resource version (" + oldAppointmentVersionId + ")");
    }
    // check for absolute reference #200
    Iterator<AppointmentParticipantComponent> iter = appointment.getParticipant().iterator();
    while (iter.hasNext()) {
        AppointmentParticipantComponent participant = iter.next();
        if (participant.getActor() != null) {
            checkReferenceIsRelative(participant.getActor().getReference());
        }
    }
    String interactionId = theRequest.getHeader(SSP_INTERACTIONID);
    // Determine if it is a cancel or an amend. This was previously a check for the presence of a cancellation reason
    // but that is not sufficient. We can sefely assume that the interaction id is populated at this point.
    AppointmentOperation appointmentOperation = null;
    final AppointmentDetail fAppointmentDetail = appointmentDetail;
    switch(interactionId) {
        case REST_CANCEL_APPOINTMENT:
            appointmentOperation = AppointmentOperation.CANCEL;
            // added at 1.2.2
            VC.execute(new VC[] { new VC(() -> appointment.getStatus() != AppointmentStatus.CANCELLED, () -> "Status must be \"cancelled\""), // #203
            new VC(() -> isInThePast(fAppointmentDetail.getStartDateTime()), () -> "The cancellation start date cannot be in the past"), new VC(() -> fAppointmentDetail.getCancellationReason() == null, () -> "The cancellation reason must be provided"), // no point in this since fhir forbids empty elements
            new VC(() -> fAppointmentDetail.getCancellationReason().isEmpty(), () -> "The cancellation reason can not be blank") });
            validateAppointmentExtensions(appointment, profiles, appointmentOperation);
            // #172
            String appointmentType = appointment.getAppointmentType().getText();
            if (appointmentType != null) {
                throwUnprocessableEntity422_InvalidResourceException("The appointment type cannot be updated on a cancellation");
            }
            // This is a Cancellation - so copy across fields which can be
            // altered
            List cancelComparisonResult = compareAppointmentsForInvalidProperty(AppointmentOperation.CANCEL, oldAppointmentDetail, appointmentDetail);
            if (cancelComparisonResult.size() > 0) {
                throwUnprocessableEntity422_InvalidResourceException("Invalid Appointment property has been amended (cancellation) " + cancelComparisonResult);
            }
            oldAppointmentDetail.setCancellationReason(appointmentDetail.getCancellationReason());
            String oldStatus = oldAppointmentDetail.getStatus();
            appointmentDetail = oldAppointmentDetail;
            appointmentDetail.setStatus("cancelled");
            if (!"cancelled".equalsIgnoreCase(oldStatus)) {
                for (Long slotId : appointmentDetail.getSlotIds()) {
                    SlotDetail slotDetail = slotSearch.findSlotByID(slotId);
                    // slotDetail.setAppointmentId(null);
                    slotDetail.setFreeBusyType("FREE");
                    slotDetail.setLastUpdated(new Date());
                    slotStore.saveSlot(slotDetail);
                }
            }
            break;
        case REST_UPDATE_APPOINTMENT:
            appointmentOperation = AppointmentOperation.AMEND;
            VC.execute(new VC[] { new VC(() -> appointment.getStatus() != AppointmentStatus.BOOKED, () -> "Status must be \"booked\""), // this subsumes #161 which only inhibited amendment of the cancellation reason in an amend
            new VC(() -> fAppointmentDetail.getCancellationReason() != null, () -> "Cannot amend cancellation reason in appointment amend"), // added at 1.2.2
            new VC(() -> isInThePast(fAppointmentDetail.getStartDateTime()), () -> "The appointment amend start date cannot be in the past") });
            List amendComparisonResult = compareAppointmentsForInvalidProperty(AppointmentOperation.AMEND, oldAppointmentDetail, appointmentDetail);
            if (amendComparisonResult.size() > 0) {
                throwUnprocessableEntity422_InvalidResourceException("Invalid Appointment property has been amended " + amendComparisonResult);
            }
            validateAppointmentExtensions(appointment, profiles, appointmentOperation);
            // This is an Amend
            oldAppointmentDetail.setComment(appointmentDetail.getComment());
            oldAppointmentDetail.setDescription(appointmentDetail.getDescription());
            appointmentDetail = oldAppointmentDetail;
            break;
        default:
            System.err.println("AppointmentResourceProvider.updateAppointment Unhandled interaction id  " + interactionId);
    }
    // we'll get the delivery channel from the slot
    String deliveryChannel = null;
    String practitionerRoleCode = null;
    String practitionerRoleDisplay = null;
    ScheduleDetail schedule = null;
    // Common to both Update and cancel
    // slots valid?
    List<SlotDetail> slots = new ArrayList<>();
    for (Long slotId : appointmentDetail.getSlotIds()) {
        SlotDetail slotDetail = slotSearch.findSlotByID(slotId);
        if (slotDetail == null) {
            throwUnprocessableEntity422_InvalidResourceException("Slot resource reference is not a valid resource");
        }
        if (deliveryChannel == null) {
            deliveryChannel = slotDetail.getDeliveryChannelCode();
        }
        if (schedule == null) {
            // load the schedule so we can get the Practitioner ID
            schedule = scheduleSearch.findScheduleByID(slotDetail.getScheduleReference());
        }
        if (practitionerRoleDisplay == null) {
            practitionerRoleDisplay = schedule.getPractitionerRoleDisplay();
            practitionerRoleCode = schedule.getPractitionerRoleCode();
        }
        slots.add(slotDetail);
    }
    validateUpdateExtensions(deliveryChannel, practitionerRoleDisplay, practitionerRoleCode, appointment.getExtension());
    // dates valid?
    // #203
    Date firstSlotStart = slots.get(0).getStartDateTime();
    Date lastSlotEnd = slots.get(slots.size() - 1).getEndDateTime();
    // need to insert a colon in the timezone string
    String firstSlotStartStr = TIMESTAMP_FORMAT.format(firstSlotStart).replaceFirst("([0-9]{2})([0-9]{2})$", "$1:$2");
    String lastSlotEndStr = TIMESTAMP_FORMAT.format(lastSlotEnd).replaceFirst("([0-9]{2})([0-9]{2})$", "$1:$2");
    VC.execute(new VC[] { new VC(() -> appointment.getStart().compareTo(firstSlotStart) != 0, () -> String.format("Start date '%s' must match start date of first slot '%s'", appointment.getStart(), firstSlotStart)), new VC(() -> appointment.getEnd().compareTo(lastSlotEnd) != 0, () -> String.format("End date '%s' must match end date of last slot '%s'", appointment.getEnd(), lastSlotEnd)), // #218 strings should match exactly
    new VC(() -> !appointment.getStartElement().getValueAsString().equals(firstSlotStartStr), () -> String.format("Start date '%s' must lexically match start date of first slot '%s'", appointment.getStartElement().getValueAsString(), firstSlotStartStr)), new VC(() -> !appointment.getEndElement().getValueAsString().equals(lastSlotEndStr), () -> String.format("End date '%s' must lexically match end date of last slot '%s'", appointment.getEndElement().getValueAsString(), lastSlotEndStr)), new VC(() -> appointment.getSlot().size() != slots.size(), () -> String.format("Slot count mismatch %d provided appointment has %d", appointment.getSlot().size(), slots.size())) });
    // check the slots match
    HashSet<String> hs = new HashSet<>();
    for (SlotDetail slotDetail : slots) {
        hs.add("Slot/" + slotDetail.getId());
    }
    for (Reference reference : appointment.getSlot()) {
        if (!hs.contains(reference.getReference())) {
            throwUnprocessableEntity422_InvalidResourceException(String.format("Provided slot id %s does not exist in booked appointment", reference.getReference()));
        }
    }
    // Update version and
    appointmentDetail.setLastUpdated(new Date());
    // lastUpdated timestamp
    appointmentDetail = appointmentStore.saveAppointment(appointmentDetail, slots);
    methodOutcome.setId(new IdDt("Appointment", appointmentDetail.getId()));
    methodOutcome.setResource(appointmentDetailToAppointmentResourceConverter(appointmentDetail));
    return methodOutcome;
}

Example 3 with CURRENT

use of org.hl7.fhir.dstu3.model.ListResource.ListStatus.CURRENT 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 4 with CURRENT

use of org.hl7.fhir.dstu3.model.ListResource.ListStatus.CURRENT in project beneficiary-fhir-data by CMSgov.

the class TransformerUtilsV2 method addProviderSlice.

/**
 * Looks up or adds a contained {@link Organization} object to the current {@link
 * ExplanationOfBenefit}. This is used to store Identifier slices related to the Provider
 * organization.
 *
 * @param eob The {@link ExplanationOfBenefit} to provider org details to
 * @param type The {@link C4BBIdentifierType} of the identifier slice
 * @param value The value of the identifier. If empty, this call is a no-op
 */
static void addProviderSlice(ExplanationOfBenefit eob, C4BBOrganizationIdentifierType type, Optional<String> value, Optional<Instant> lastUpdated) {
    if (value.isPresent()) {
        Resource providerResource = findOrCreateContainedOrg(eob, PROVIDER_ORG_ID);
        // We are assuming that the contained resource with an id of "provider-org" is an Organization
        if (!Organization.class.isInstance(providerResource)) {
            throw new BadCodeMonkeyException();
        }
        Organization provider = (Organization) providerResource;
        // Add the new Identifier to the Organization
        Identifier id = new Identifier().setType(createCodeableConcept(type.getSystem(), type.toCode())).setValue(value.get());
        // Certain types have specific systems
        if (type == C4BBOrganizationIdentifierType.NPI) {
            id.setSystem(TransformerConstants.CODING_NPI_US);
        }
        provider.addIdentifier(id);
        // Set active to value of true
        provider.setActive(true);
        setLastUpdated(provider, lastUpdated);
        // This gets updated for every call, but always set to the same value
        eob.getProvider().setReference(PROVIDER_ORG_REFERENCE);
    }
}

Example 5 with CURRENT

use of org.hl7.fhir.dstu3.model.ListResource.ListStatus.CURRENT 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;
}