Examples with Coverage org.hl7.fhir.r4.model.Coverage used on opensource projects

Example 81 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project beneficiary-fhir-data by CMSgov.

the class SNFClaimTransformerV2 method transformClaim.

/**
 * @param claimGroup the CCW {@link SNFClaim} to transform
 * @return a FHIR {@link ExplanationOfBenefit} resource that represents the specified {@link
 *     SNFClaim}
 */
private static ExplanationOfBenefit transformClaim(SNFClaim claimGroup) {
    ExplanationOfBenefit eob = new ExplanationOfBenefit();
    // Required values not directly mapped
    eob.getMeta().addProfile(ProfileConstants.C4BB_EOB_INPATIENT_PROFILE_URL);
    // Common group level fields between all claim types
    // Claim Type + Claim ID    => ExplanationOfBenefit.id
    // CLM_ID                   => ExplanationOfBenefit.identifier
    // CLM_GRP_ID               => ExplanationOfBenefit.identifier
    // BENE_ID + Coverage Type  => ExplanationOfBenefit.insurance.coverage
    // BENE_ID                  => ExplanationOfBenefit.patient (reference)
    // FINAL_ACTION             => ExplanationOfBenefit.status
    // CLM_FROM_DT              => ExplanationOfBenefit.billablePeriod.start
    // CLM_THRU_DT              => ExplanationOfBenefit.billablePeriod.end
    // CLM_PMT_AMT              => ExplanationOfBenefit.payment.amount
    TransformerUtilsV2.mapEobCommonClaimHeaderData(eob, claimGroup.getClaimId(), claimGroup.getBeneficiaryId(), ClaimTypeV2.SNF, claimGroup.getClaimGroupId().toPlainString(), MedicareSegment.PART_A, Optional.of(claimGroup.getDateFrom()), Optional.of(claimGroup.getDateThrough()), Optional.of(claimGroup.getPaymentAmount()), claimGroup.getFinalAction());
    // NCH_WKLY_PROC_DT => ExplanationOfBenefit.supportinginfo.timingDate
    TransformerUtilsV2.addInformation(eob, TransformerUtilsV2.createInformationRecievedDateSlice(eob, CcwCodebookVariable.NCH_WKLY_PROC_DT, Optional.of(claimGroup.getWeeklyProcessDate())));
    // map eob type codes into FHIR
    // NCH_CLM_TYPE_CD            => ExplanationOfBenefit.type.coding
    // EOB Type                   => ExplanationOfBenefit.type.coding
    // Claim Type (Professional)  => ExplanationOfBenefit.type.coding
    // NCH_NEAR_LINE_REC_IDENT_CD => ExplanationOfBenefit.extension
    TransformerUtilsV2.mapEobType(eob, ClaimTypeV2.SNF, Optional.of(claimGroup.getNearLineRecordIdCode()), Optional.of(claimGroup.getClaimTypeCode()));
    // PRVDR_NUM => ExplanationOfBenefit.provider.identifier
    TransformerUtilsV2.addProviderSlice(eob, C4BBOrganizationIdentifierType.PRN, claimGroup.getProviderNumber(), claimGroup.getLastUpdated());
    // add EOB information to fields that are common between the Inpatient and SNF claim types
    // CLM_IP_ADMSN_TYPE_CD             => ExplanationOfBenefit.supportingInfo.code
    // CLM_SRC_IP_ADMSN_CD              => ExplanationOfBenefit.supportingInfo.code
    // NCH_VRFD_NCVRD_STAY_FROM_DT      => ExplanationOfBenefit.supportingInfo.timingPeriod
    // NCH_VRFD_NCVRD_STAY_THRU_DT      => ExplanationOfBenefit.supportingInfo.timingPeriod
    // NCH_ACTV_OR_CVRD_LVL_CARE_THRU   => ExplanationOfBenefit.supportingInfo.timingDate
    // NCH_BENE_MDCR_BNFTS_EXHTD_DT_I   => ExplanationOfBenefit.supportingInfo.timingDate
    // CLM_DRG_CD                       => ExplanationOfBenefit.supportingInfo.code
    TransformerUtilsV2.addCommonEobInformationInpatientSNF(eob, claimGroup.getAdmissionTypeCd(), claimGroup.getSourceAdmissionCd(), claimGroup.getNoncoveredStayFromDate(), claimGroup.getNoncoveredStayThroughDate(), claimGroup.getCoveredCareThroughDate(), claimGroup.getMedicareBenefitsExhaustedDate(), claimGroup.getDiagnosisRelatedGroupCd());
    // NCH_PTNT_STUS_IND_CD => ExplanationOfBenefit.supportingInfo.code
    claimGroup.getPatientStatusCd().ifPresent(c -> TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.NCH_PTNT_STUS_IND_CD, CcwCodebookVariable.NCH_PTNT_STUS_IND_CD, c));
    // CLM_ADMSN_DT       => ExplanationOfBenefit.supportingInfo:admissionperiod
    // NCH_BENE_DSCHRG_DT => ExplanationOfBenefit.supportingInfo:admissionperiod
    TransformerUtilsV2.addInformation(eob, TransformerUtilsV2.createInformationAdmPeriodSlice(eob, claimGroup.getClaimAdmissionDate(), claimGroup.getBeneficiaryDischargeDate()));
    // CLM_UTLZTN_DAY_CNT => ExplanationOfBenefit.benefitBalance.financial
    TransformerUtilsV2.addBenefitBalanceFinancialMedicalInt(eob, CcwCodebookVariable.CLM_UTLZTN_DAY_CNT, claimGroup.getUtilizationDayCount());
    // NCH_QLFYD_STAY_THRU_DT => ExplanationOfBenefit.supportingInfo
    if (claimGroup.getQualifiedStayFromDate().isPresent() || claimGroup.getQualifiedStayThroughDate().isPresent()) {
        TransformerUtilsV2.validatePeriodDates(claimGroup.getQualifiedStayFromDate(), claimGroup.getQualifiedStayThroughDate());
        Period period = new Period();
        // NCH_QLFYD_STAY_FROM_DT
        claimGroup.getQualifiedStayFromDate().ifPresent(c -> period.setStart(TransformerUtilsV2.convertToDate(c), TemporalPrecisionEnum.DAY));
        // NCH_QLFYD_STAY_THRU_DT
        claimGroup.getQualifiedStayThroughDate().ifPresent(c -> period.setEnd(TransformerUtilsV2.convertToDate(c), TemporalPrecisionEnum.DAY));
        // Add to EOB
        TransformerUtilsV2.addInformation(eob, CcwCodebookVariable.NCH_QLFYD_STAY_FROM_DT).setTiming(period);
    }
    // CLM_PPS_IND_CODE => ExplanationOfBenefit.supportingInfo
    claimGroup.getProspectivePaymentCode().ifPresent(c -> TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.CLM_PPS_IND_CD, CcwCodebookVariable.CLM_PPS_IND_CD, c));
    /*
     * add field values to the benefit balances that are common between the
     * Inpatient and SNF claim types
     */
    // BENE_TOT_COINSRNC_DAYS_CNT       => ExplanationOfBenefit.benefitBalance.financial
    // CLM_NON_UTLZTN_DAYS_CNT          => ExplanationOfBenefit.benefitBalance.financial
    // NCH_BENE_IP_DDCTBL_AMT           => ExplanationOfBenefit.benefitBalance.financial
    // NCH_BENE_PTA_COINSRNC_LBLTY_AMT  => ExplanationOfBenefit.benefitBalance.financial
    // NCH_BLOOD_PNTS_FRNSHD_QTY        => ExplanationOfBenefit.supportingInfo.valueQuantity
    // NCH_IP_NCVRD_CHRG_AMT            => ExplanationOfBenefit.benefitBalance.financial
    // NCH_IP_TOT_DDCTN_AMT             => ExplanationOfBenefit.benefitBalance.financial
    // CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT   => ExplanationOfBenefit.benefitBalance.financial
    // CLM_PPS_CPTL_EXCPTN_AMT          => ExplanationOfBenefit.benefitBalance.financial
    // CLM_PPS_CPTL_FSP_AMT             => ExplanationOfBenefit.benefitBalance.financial
    // CLM_PPS_CPTL_IME_AMT             => ExplanationOfBenefit.benefitBalance.financial
    // CLM_PPS_CPTL_OUTLIER_AMT         => ExplanationOfBenefit.benefitBalance.financial
    // CLM_PPS_OLD_CPTL_HLD_HRMLS_AMT   => ExplanationOfBenefit.benefitBalance.financial
    TransformerUtilsV2.addCommonGroupInpatientSNF(eob, claimGroup.getCoinsuranceDayCount(), claimGroup.getNonUtilizationDayCount(), claimGroup.getDeductibleAmount(), claimGroup.getPartACoinsuranceLiabilityAmount(), claimGroup.getBloodPintsFurnishedQty(), claimGroup.getNoncoveredCharge(), claimGroup.getTotalDeductionAmount(), claimGroup.getClaimPPSCapitalDisproportionateShareAmt(), claimGroup.getClaimPPSCapitalExceptionAmount(), claimGroup.getClaimPPSCapitalFSPAmount(), claimGroup.getClaimPPSCapitalIMEAmount(), claimGroup.getClaimPPSCapitalOutlierAmount(), claimGroup.getClaimPPSOldCapitalHoldHarmlessAmount());
    // Map care team
    // AT_PHYSN_NPI     => ExplanationOfBenefit.careTeam.provider (Primary)
    // AT_PHYSN_UPIN    => ExplanationOfBenefit.careTeam.provider
    // OP_PHYSN_NPI     => ExplanationOfBenefit.careTeam.provider (Assisting)
    // OP_PHYSN_NPI     => ExplanationOfBenefit.careTeam.provider
    // OT_PHYSN_NPI     => ExplanationOfBenefit.careTeam.provider (Other)
    // OT_PHYSN_UPIN    => ExplanationOfBenefit.careTeam.provider
    TransformerUtilsV2.mapCareTeam(eob, claimGroup.getAttendingPhysicianNpi(), claimGroup.getOperatingPhysicianNpi(), claimGroup.getOtherPhysicianNpi(), claimGroup.getAttendingPhysicianUpin(), claimGroup.getOperatingPhysicianUpin(), claimGroup.getOtherPhysicianUpin());
    // Common group level fields between Inpatient, Outpatient and SNF
    // NCH_BENE_BLOOD_DDCTBL_LBLTY_AM   => ExplanationOfBenefit.benefitBalance.financial
    // CLAIM_QUERY_CODE                 => ExplanationOfBenefit.billablePeriod.extension
    // CLM_MCO_PD_SW                    => ExplanationOfBenefit.supportingInfo.code
    TransformerUtilsV2.mapEobCommonGroupInpOutSNF(eob, claimGroup.getBloodDeductibleLiabilityAmount(), claimGroup.getClaimQueryCode(), claimGroup.getMcoPaidSw());
    // Common group level fields between Inpatient, Outpatient Hospice, HHA and SNF
    // ORG_NPI_NUM              => ExplanationOfBenefit.provider
    // CLM_FAC_TYPE_CD          => ExplanationOfBenefit.facility.extension
    // CLM_FREQ_CD              => ExplanationOfBenefit.supportingInfo
    // CLM_MDCR_NON_PMT_RSN_CD  => ExplanationOfBenefit.extension
    // PTNT_DSCHRG_STUS_CD      => ExplanationOfBenefit.supportingInfo
    // CLM_SRVC_CLSFCTN_TYPE_CD => ExplanationOfBenefit.extension
    // NCH_PRMRY_PYR_CD         => ExplanationOfBenefit.supportingInfo
    // CLM_TOT_CHRG_AMT         => ExplanationOfBenefit.total.amount
    // NCH_PRMRY_PYR_CLM_PD_AMT => ExplanationOfBenefit.benefitBalance.financial
    TransformerUtilsV2.mapEobCommonGroupInpOutHHAHospiceSNF(eob, claimGroup.getOrganizationNpi(), claimGroup.getClaimFacilityTypeCode(), claimGroup.getClaimFrequencyCode(), claimGroup.getClaimNonPaymentReasonCode(), claimGroup.getPatientDischargeStatusCode(), claimGroup.getClaimServiceClassificationTypeCode(), claimGroup.getClaimPrimaryPayerCode(), claimGroup.getTotalChargeAmount(), claimGroup.getPrimaryPayerPaidAmount(), claimGroup.getFiscalIntermediaryNumber(), claimGroup.getLastUpdated());
    // ICD_DGNS_E_VRSN_CD(1-12) => diagnosis.diagnosisCodeableConcept
    for (Diagnosis diagnosis : DiagnosisUtilV2.extractDiagnoses(claimGroup)) {
        DiagnosisUtilV2.addDiagnosisCode(eob, diagnosis, ClaimTypeV2.SNF);
    }
    // Handle Procedures
    // ICD_PRCDR_CD(1-25)        => ExplanationOfBenefit.procedure.procedureCodableConcept
    // ICD_PRCDR_VRSN_CD(1-25)   => ExplanationOfBenefit.procedure.procedureCodableConcept
    // PRCDR_DT(1-25)            => ExplanationOfBenefit.procedure.date
    final int FIRST_PROCEDURE = 1;
    final int LAST_PROCEDURE = 25;
    IntStream.range(FIRST_PROCEDURE, LAST_PROCEDURE + 1).mapToObj(i -> TransformerUtilsV2.extractCCWProcedure(i, claimGroup)).filter(p -> p.isPresent()).forEach(p -> TransformerUtilsV2.addProcedureCode(eob, p.get()));
    for (SNFClaimLine line : claimGroup.getLines()) {
        ItemComponent item = eob.addItem();
        // Override the default sequence
        // CLM_LINE_NUM => item.sequence
        item.setSequence(line.getLineNumber().intValue());
        // PRVDR_STATE_CD => item.location
        TransformerUtilsV2.addLocationState(item, claimGroup.getProviderStateCode());
        // HCPCS_CD => ExplanationOfBenefit.item.productOrService
        TransformerUtilsV2.mapHcpcs(eob, item, line.getHcpcsCode(), Optional.empty(), Collections.emptyList());
        // REV_CNTR                   => ExplanationOfBenefit.item.revenue
        // REV_CNTR_RATE_AMT          => ExplanationOfBenefit.item.adjudication
        // REV_CNTR_TOT_CHRG_AMT      => ExplanationOfBenefit.item.adjudication
        // REV_CNTR_NCVRD_CHRG_AMT    => ExplanationOfBenefit.item.adjudication
        // REV_CNTR_NDC_QTY           => ExplanationOfBenefit.item.quantity
        // REV_CNTR_NDC_QTY_QLFR_CD   => ExplanationOfBenefit.modifier
        TransformerUtilsV2.mapEobCommonItemRevenue(item, eob, line.getRevenueCenter(), line.getRateAmount(), line.getTotalChargeAmount(), Optional.of(line.getNonCoveredChargeAmount()), line.getNationalDrugCodeQuantity(), line.getNationalDrugCodeQualifierCode());
        // REV_CNTR_DDCTBL_COINSRNC_CD => item.revenue
        TransformerUtilsV2.addItemRevenue(item, eob, CcwCodebookVariable.REV_CNTR_DDCTBL_COINSRNC_CD, line.getDeductibleCoinsuranceCd());
        // RNDRNG_PHYSN_UPIN => ExplanationOfBenefit.careTeam.provider
        TransformerUtilsV2.addCareTeamMember(eob, item, C4BBPractitionerIdentifierType.UPIN, C4BBClaimInstitutionalCareTeamRole.PERFORMING, line.getRevenueCenterRenderingPhysicianUPIN());
        // RNDRNG_PHYSN_NPI => ExplanationOfBenefit.careTeam.provider
        TransformerUtilsV2.addCareTeamMember(eob, item, C4BBPractitionerIdentifierType.NPI, C4BBClaimInstitutionalCareTeamRole.PERFORMING, line.getRevenueCenterRenderingPhysicianNPI());
    }
    // Last Updated => ExplanationOfBenefit.meta.lastUpdated
    TransformerUtilsV2.setLastUpdated(eob, claimGroup.getLastUpdated());
    return eob;
}

Example 82 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project beneficiary-fhir-data by CMSgov.

the class CoverageResourceProvider method read.

/**
 * Adds support for the FHIR "read" operation, for {@link Coverage}s. The {@link Read} annotation
 * indicates that this method supports the read operation.
 *
 * <p>Read operations take a single parameter annotated with {@link IdParam}, and should return a
 * single resource instance.
 *
 * @param coverageId The read operation takes one parameter, which must be of type {@link IdType}
 *     and must be annotated with the {@link IdParam} annotation.
 * @return Returns a resource matching the specified {@link IdDt}, or <code>null</code> if none
 *     exists.
 */
@Read(version = false)
@Trace
public Coverage read(@IdParam IdType coverageId) {
    if (coverageId == null)
        throw new IllegalArgumentException();
    if (coverageId.getVersionIdPartAsLong() != null)
        throw new IllegalArgumentException();
    String coverageIdText = coverageId.getIdPart();
    if (coverageIdText == null || coverageIdText.trim().isEmpty())
        throw new IllegalArgumentException();
    Operation operation = new Operation(Operation.Endpoint.V1_COVERAGE);
    operation.setOption("by", "id");
    operation.publishOperationName();
    Matcher coverageIdMatcher = COVERAGE_ID_PATTERN.matcher(coverageIdText);
    if (!coverageIdMatcher.matches())
        throw new IllegalArgumentException("Unsupported ID pattern: " + coverageIdText);
    String coverageIdSegmentText = coverageIdMatcher.group(1);
    Optional<MedicareSegment> coverageIdSegment = MedicareSegment.selectByUrlPrefix(coverageIdSegmentText);
    if (!coverageIdSegment.isPresent())
        throw new ResourceNotFoundException(coverageId);
    String coverageIdBeneficiaryIdText = coverageIdMatcher.group(2);
    Beneficiary beneficiaryEntity;
    try {
        beneficiaryEntity = findBeneficiaryById(coverageIdBeneficiaryIdText, null);
        if (!beneficiaryEntity.getBeneEnrollmentReferenceYear().isPresent()) {
            throw new ResourceNotFoundException("Cannot find coverage for non present enrollment year");
        }
    } catch (NoResultException e) {
        throw new ResourceNotFoundException(new IdDt(Beneficiary.class.getSimpleName(), coverageIdBeneficiaryIdText));
    }
    Coverage coverage = CoverageTransformer.transform(metricRegistry, coverageIdSegment.get(), beneficiaryEntity);
    return coverage;
}

Example 83 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project beneficiary-fhir-data by CMSgov.

the class CoverageTransformer method transformPartD.

/**
 * @param metricRegistry the {@link MetricRegistry} to use
 * @param beneficiary the {@link Beneficiary} to generate a {@link MedicareSegment#PART_D} {@link
 *     Coverage} resource for
 * @return {@link MedicareSegment#PART_D} {@link Coverage} resource for the specified {@link
 *     Beneficiary}
 */
private static Coverage transformPartD(MetricRegistry metricRegistry, Beneficiary beneficiary) {
    Timer.Context timer = metricRegistry.timer(MetricRegistry.name(CoverageTransformer.class.getSimpleName(), "transform", "part_d")).time();
    Objects.requireNonNull(beneficiary);
    Coverage coverage = new Coverage();
    coverage.setId(TransformerUtils.buildCoverageId(MedicareSegment.PART_D, beneficiary));
    coverage.getGrouping().setSubGroup(TransformerConstants.COVERAGE_PLAN).setSubPlan(TransformerConstants.COVERAGE_PLAN_PART_D);
    coverage.setType(TransformerUtils.createCodeableConcept(TransformerConstants.COVERAGE_PLAN, TransformerConstants.COVERAGE_PLAN_PART_D));
    coverage.setStatus(CoverageStatus.ACTIVE);
    coverage.setBeneficiary(TransformerUtils.referencePatient(beneficiary));
    if (beneficiary.getMedicareEnrollmentStatusCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.MS_CD, beneficiary.getMedicareEnrollmentStatusCode()));
    }
    // Contract Number
    if (beneficiary.getPartDContractNumberJanId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT01, beneficiary.getPartDContractNumberJanId()));
    }
    if (beneficiary.getPartDContractNumberFebId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT02, beneficiary.getPartDContractNumberFebId()));
    }
    if (beneficiary.getPartDContractNumberMarId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT03, beneficiary.getPartDContractNumberMarId()));
    }
    if (beneficiary.getPartDContractNumberAprId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT04, beneficiary.getPartDContractNumberAprId()));
    }
    if (beneficiary.getPartDContractNumberMayId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT05, beneficiary.getPartDContractNumberMayId()));
    }
    if (beneficiary.getPartDContractNumberJunId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT06, beneficiary.getPartDContractNumberJunId()));
    }
    if (beneficiary.getPartDContractNumberJulId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT07, beneficiary.getPartDContractNumberJulId()));
    }
    if (beneficiary.getPartDContractNumberAugId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT08, beneficiary.getPartDContractNumberAugId()));
    }
    if (beneficiary.getPartDContractNumberSeptId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT09, beneficiary.getPartDContractNumberSeptId()));
    }
    if (beneficiary.getPartDContractNumberOctId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT10, beneficiary.getPartDContractNumberOctId()));
    }
    if (beneficiary.getPartDContractNumberNovId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT11, beneficiary.getPartDContractNumberNovId()));
    }
    if (beneficiary.getPartDContractNumberDecId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDCNTRCT12, beneficiary.getPartDContractNumberDecId()));
    }
    // Beneficiary Monthly Data
    beneficiary.getBeneficiaryMonthlys().forEach(beneMonthly -> {
        int month = beneMonthly.getYearMonth().getMonthValue();
        String yearMonth = String.format("%s-%s", String.valueOf(beneMonthly.getYearMonth().getYear()), String.valueOf(month));
        Map<Integer, CcwCodebookVariable> mapOfMonth = new HashMap<Integer, CcwCodebookVariable>() {

            {
                put(1, CcwCodebookVariable.PTDCNTRCT01);
                put(2, CcwCodebookVariable.PTDCNTRCT02);
                put(3, CcwCodebookVariable.PTDCNTRCT03);
                put(4, CcwCodebookVariable.PTDCNTRCT04);
                put(5, CcwCodebookVariable.PTDCNTRCT05);
                put(6, CcwCodebookVariable.PTDCNTRCT06);
                put(7, CcwCodebookVariable.PTDCNTRCT07);
                put(8, CcwCodebookVariable.PTDCNTRCT08);
                put(9, CcwCodebookVariable.PTDCNTRCT09);
                put(10, CcwCodebookVariable.PTDCNTRCT10);
                put(11, CcwCodebookVariable.PTDCNTRCT11);
                put(12, CcwCodebookVariable.PTDCNTRCT12);
            }
        };
        if (mapOfMonth.containsKey(month)) {
            if (!beneMonthly.getPartDContractNumberId().isPresent() || beneMonthly.getPartDContractNumberId().get().isEmpty()) {
                beneMonthly.setPartDContractNumberId(Optional.of("0"));
            }
            coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, mapOfMonth.get(month), yearMonth, beneMonthly.getPartDContractNumberId()));
        }
    });
    // PBP
    if (beneficiary.getPartDPbpNumberJanId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID01, beneficiary.getPartDPbpNumberJanId()));
    }
    if (beneficiary.getPartDPbpNumberFebId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID02, beneficiary.getPartDPbpNumberFebId()));
    }
    if (beneficiary.getPartDPbpNumberMarId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID03, beneficiary.getPartDPbpNumberMarId()));
    }
    if (beneficiary.getPartDPbpNumberAprId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID04, beneficiary.getPartDPbpNumberAprId()));
    }
    if (beneficiary.getPartDPbpNumberMayId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID05, beneficiary.getPartDPbpNumberMayId()));
    }
    if (beneficiary.getPartDPbpNumberJunId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID06, beneficiary.getPartDPbpNumberJunId()));
    }
    if (beneficiary.getPartDPbpNumberJulId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID07, beneficiary.getPartDPbpNumberJulId()));
    }
    if (beneficiary.getPartDPbpNumberAugId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID08, beneficiary.getPartDPbpNumberAugId()));
    }
    if (beneficiary.getPartDPbpNumberSeptId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID09, beneficiary.getPartDPbpNumberSeptId()));
    }
    if (beneficiary.getPartDPbpNumberOctId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID10, beneficiary.getPartDPbpNumberOctId()));
    }
    if (beneficiary.getPartDPbpNumberNovId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID11, beneficiary.getPartDPbpNumberNovId()));
    }
    if (beneficiary.getPartDPbpNumberDecId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTDPBPID12, beneficiary.getPartDPbpNumberDecId()));
    }
    // Segment Number
    if (beneficiary.getPartDSegmentNumberJanId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID01, beneficiary.getPartDSegmentNumberJanId()));
    }
    if (beneficiary.getPartDSegmentNumberFebId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID02, beneficiary.getPartDSegmentNumberFebId()));
    }
    if (beneficiary.getPartDSegmentNumberMarId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID03, beneficiary.getPartDSegmentNumberMarId()));
    }
    if (beneficiary.getPartDSegmentNumberAprId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID04, beneficiary.getPartDSegmentNumberAprId()));
    }
    if (beneficiary.getPartDSegmentNumberMayId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID05, beneficiary.getPartDSegmentNumberMayId()));
    }
    if (beneficiary.getPartDSegmentNumberJunId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID06, beneficiary.getPartDSegmentNumberJunId()));
    }
    if (beneficiary.getPartDSegmentNumberJulId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID07, beneficiary.getPartDSegmentNumberJulId()));
    }
    if (beneficiary.getPartDSegmentNumberAugId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID08, beneficiary.getPartDSegmentNumberAugId()));
    }
    if (beneficiary.getPartDSegmentNumberSeptId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID09, beneficiary.getPartDSegmentNumberSeptId()));
    }
    if (beneficiary.getPartDSegmentNumberOctId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID10, beneficiary.getPartDSegmentNumberOctId()));
    }
    if (beneficiary.getPartDSegmentNumberNovId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID11, beneficiary.getPartDSegmentNumberNovId()));
    }
    if (beneficiary.getPartDSegmentNumberDecId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.SGMTID12, beneficiary.getPartDSegmentNumberDecId()));
    }
    // Monthly cost sharing group
    if (beneficiary.getPartDLowIncomeCostShareGroupJanCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR01, beneficiary.getPartDLowIncomeCostShareGroupJanCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupFebCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR02, beneficiary.getPartDLowIncomeCostShareGroupFebCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupMarCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR03, beneficiary.getPartDLowIncomeCostShareGroupMarCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupAprCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR04, beneficiary.getPartDLowIncomeCostShareGroupAprCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupMayCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR05, beneficiary.getPartDLowIncomeCostShareGroupMayCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupJunCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR06, beneficiary.getPartDLowIncomeCostShareGroupJunCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupJulCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR07, beneficiary.getPartDLowIncomeCostShareGroupJulCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupAugCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR08, beneficiary.getPartDLowIncomeCostShareGroupAugCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupSeptCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR09, beneficiary.getPartDLowIncomeCostShareGroupSeptCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupOctCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR10, beneficiary.getPartDLowIncomeCostShareGroupOctCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupNovCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR11, beneficiary.getPartDLowIncomeCostShareGroupNovCode()));
    }
    if (beneficiary.getPartDLowIncomeCostShareGroupDecCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.CSTSHR12, beneficiary.getPartDLowIncomeCostShareGroupDecCode()));
    }
    // Monthly Part D Retiree Drug Subsidy Indicators
    if (beneficiary.getPartDRetireeDrugSubsidyJanInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND01, beneficiary.getPartDRetireeDrugSubsidyJanInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyFebInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND02, beneficiary.getPartDRetireeDrugSubsidyFebInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyMarInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND03, beneficiary.getPartDRetireeDrugSubsidyMarInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyAprInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND04, beneficiary.getPartDRetireeDrugSubsidyAprInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyMayInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND05, beneficiary.getPartDRetireeDrugSubsidyMayInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyJunInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND06, beneficiary.getPartDRetireeDrugSubsidyJunInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyJulInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND07, beneficiary.getPartDRetireeDrugSubsidyJulInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyAugInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND08, beneficiary.getPartDRetireeDrugSubsidyAugInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidySeptInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND09, beneficiary.getPartDRetireeDrugSubsidySeptInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyOctInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND10, beneficiary.getPartDRetireeDrugSubsidyOctInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyNovInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND11, beneficiary.getPartDRetireeDrugSubsidyNovInd()));
    }
    if (beneficiary.getPartDRetireeDrugSubsidyDecInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.RDSIND12, beneficiary.getPartDRetireeDrugSubsidyDecInd()));
    }
    // 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()));
    }
    TransformerUtils.setLastUpdated(coverage, beneficiary.getLastUpdated());
    timer.stop();
    return coverage;
}

Example 84 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project beneficiary-fhir-data by CMSgov.

the class CoverageTransformer method transformPartB.

/**
 * @param metricRegistry the {@link MetricRegistry} to use
 * @param beneficiary the {@link Beneficiary} to generate a {@link MedicareSegment#PART_B} {@link
 *     Coverage} resource for
 * @return {@link MedicareSegment#PART_B} {@link Coverage} resource for the specified {@link
 *     Beneficiary}
 */
private static Coverage transformPartB(MetricRegistry metricRegistry, Beneficiary beneficiary) {
    Timer.Context timer = metricRegistry.timer(MetricRegistry.name(CoverageTransformer.class.getSimpleName(), "transform", "part_b")).time();
    Objects.requireNonNull(beneficiary);
    Coverage coverage = new Coverage();
    coverage.setId(TransformerUtils.buildCoverageId(MedicareSegment.PART_B, beneficiary));
    if (beneficiary.getPartBTerminationCode().isPresent() && beneficiary.getPartBTerminationCode().get().equals('0'))
        coverage.setStatus(CoverageStatus.ACTIVE);
    else
        coverage.setStatus(CoverageStatus.CANCELLED);
    if (beneficiary.getMedicareCoverageStartDate().isPresent()) {
        TransformerUtils.setPeriodStart(coverage.getPeriod(), beneficiary.getMedicareCoverageStartDate().get());
    }
    coverage.getGrouping().setSubGroup(TransformerConstants.COVERAGE_PLAN).setSubPlan(TransformerConstants.COVERAGE_PLAN_PART_B);
    coverage.setType(TransformerUtils.createCodeableConcept(TransformerConstants.COVERAGE_PLAN, TransformerConstants.COVERAGE_PLAN_PART_B));
    coverage.setBeneficiary(TransformerUtils.referencePatient(beneficiary));
    if (beneficiary.getMedicareEnrollmentStatusCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.MS_CD, beneficiary.getMedicareEnrollmentStatusCode()));
    }
    if (beneficiary.getPartBTerminationCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.B_TRM_CD, beneficiary.getPartBTerminationCode()));
    }
    // 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 85 with Coverage

use of org.hl7.fhir.r4.model.Coverage in project beneficiary-fhir-data by CMSgov.

the class CoverageTransformerV2 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 = getTimerContext(metricRegistry, "part_a");
    Coverage coverage = new Coverage();
    coverage.getMeta().addProfile(ProfileConstants.C4BB_COVERAGE_URL);
    coverage.setId(TransformerUtilsV2.buildCoverageId(MedicareSegment.PART_A, beneficiary));
    setCoverageStatus(coverage, beneficiary.getPartATerminationCode());
    beneficiary.getMedicareCoverageStartDate().ifPresent(value -> TransformerUtilsV2.setPeriodStart(coverage.getPeriod(), value));
    // deh start
    coverage.addContract().setId("contract1");
    Contract newContract = new Contract();
    newContract.addIdentifier(new Identifier().setSystem("part C System").setValue("contract 5555")).setApplies((new Period().setStart((TransformerUtilsV2.convertToDate(LocalDate.now())), TemporalPrecisionEnum.DAY)));
    coverage.addContained(newContract);
    coverage.addContract(TransformerUtilsV2.referenceCoverage("contract1", MedicareSegment.PART_A));
    beneficiary.getMedicareBeneficiaryId().ifPresent(value -> coverage.setSubscriberId(value));
    setTypeAndIssuer(coverage);
    setCoverageRelationship(coverage, SubscriberPolicyRelationship.SELF);
    createCoverageClass(coverage, CoverageClass.GROUP, TransformerConstants.COVERAGE_PLAN, Optional.empty());
    createCoverageClass(coverage, CoverageClass.PLAN, TransformerConstants.COVERAGE_PLAN_PART_A, Optional.empty());
    coverage.setBeneficiary(TransformerUtilsV2.referencePatient(beneficiary));
    addCoverageExtension(coverage, CcwCodebookVariable.MS_CD, beneficiary.getMedicareEnrollmentStatusCode());
    addCoverageCodeExtension(coverage, CcwCodebookVariable.OREC, beneficiary.getEntitlementCodeOriginal());
    addCoverageCodeExtension(coverage, CcwCodebookVariable.CREC, beneficiary.getEntitlementCodeCurrent());
    addCoverageCodeExtension(coverage, CcwCodebookVariable.ESRD_IND, beneficiary.getEndStageRenalDiseaseCode());
    addCoverageCodeExtension(coverage, CcwCodebookVariable.A_TRM_CD, beneficiary.getPartATerminationCode());
    addCoverageDecimalExtension(coverage, CcwCodebookVariable.RFRNC_YR, beneficiary.getBeneEnrollmentReferenceYear());
    // Monthly Medicare-Medicaid dual eligibility codes
    transformEntitlementDualEligibility(coverage, beneficiary);
    // Medicare Entitlement Buy In Indicator
    transformEntitlementBuyInIndicators(coverage, beneficiary);
    // update Coverage.meta.lastUpdated
    TransformerUtilsV2.setLastUpdated(coverage, beneficiary.getLastUpdated());
    timer.stop();
    return coverage;
}