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

Example 11 with Identifier

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

the class ExplanationOfBenefitResourceProvider method findByPatient.

/**
 * Adds support for the FHIR "search" operation for {@link ExplanationOfBenefit}s, allowing users
 * to search by {@link ExplanationOfBenefit#getPatient()}.
 *
 * <p>The {@link Search} annotation indicates that this method supports the search operation.
 * There may be many different methods annotated with this {@link Search} annotation, to support
 * many different search criteria.
 *
 * @param patient a {@link ReferenceParam} for the {@link ExplanationOfBenefit#getPatient()} to
 *     try and find matches for {@link ExplanationOfBenefit}s
 * @param type a list of {@link ClaimType} to include in the result. Defaults to all types.
 * @param startIndex an {@link OptionalParam} for the startIndex (or offset) used to determine
 *     pagination
 * @param excludeSamhsa an {@link OptionalParam} that, if <code>"true"</code>, will use {@link
 *     Stu3EobSamhsaMatcher} to filter out all SAMHSA-related claims from the results
 * @param lastUpdated an {@link OptionalParam} that specifies a date range for the lastUpdated
 *     field.
 * @param serviceDate an {@link OptionalParam} that specifies a date range for {@link
 *     ExplanationOfBenefit}s that completed
 * @param requestDetails a {@link RequestDetails} containing the details of the request URL, used
 *     to parse out pagination values
 * @return Returns a {@link Bundle} of {@link ExplanationOfBenefit}s, which may contain multiple
 *     matching resources, or may also be empty.
 */
@Search
@Trace
public Bundle findByPatient(@RequiredParam(name = ExplanationOfBenefit.SP_PATIENT) @Description(shortDefinition = "The patient identifier to search for") ReferenceParam patient, @OptionalParam(name = "type") @Description(shortDefinition = "A list of claim types to include") TokenAndListParam type, @OptionalParam(name = "startIndex") @Description(shortDefinition = "The offset used for result pagination") String startIndex, @OptionalParam(name = "excludeSAMHSA") @Description(shortDefinition = "If true, exclude all SAMHSA-related resources") String excludeSamhsa, @OptionalParam(name = "_lastUpdated") @Description(shortDefinition = "Include resources last updated in the given range") DateRangeParam lastUpdated, @OptionalParam(name = "service-date") @Description(shortDefinition = "Include resources that completed in the given range") DateRangeParam serviceDate, RequestDetails requestDetails) {
    /*
     * startIndex is an optional parameter here because it must be declared in the
     * event it is passed in. However, it is not being used here because it is also
     * contained within requestDetails and parsed out along with other parameters
     * later.
     */
    String beneficiaryId = patient.getIdPart();
    Set<ClaimType> claimTypes = parseTypeParam(type);
    Boolean includeTaxNumbers = returnIncludeTaxNumbers(requestDetails);
    OffsetLinkBuilder paging = new OffsetLinkBuilder(requestDetails, "/ExplanationOfBenefit?");
    Operation operation = new Operation(Operation.Endpoint.V1_EOB);
    operation.setOption("by", "patient");
    operation.setOption("types", (claimTypes.size() == ClaimType.values().length) ? "*" : claimTypes.stream().sorted(Comparator.comparing(ClaimType::name)).collect(Collectors.toList()).toString());
    operation.setOption("IncludeTaxNumbers", "" + includeTaxNumbers);
    operation.setOption("pageSize", paging.isPagingRequested() ? "" + paging.getPageSize() : "*");
    operation.setOption("_lastUpdated", Boolean.toString(lastUpdated != null && !lastUpdated.isEmpty()));
    operation.setOption("service-date", Boolean.toString(serviceDate != null && !serviceDate.isEmpty()));
    operation.publishOperationName();
    List<IBaseResource> eobs = new ArrayList<IBaseResource>();
    // Optimize when the lastUpdated parameter is specified and result set is empty
    if (loadedFilterManager.isResultSetEmpty(beneficiaryId, lastUpdated)) {
        return TransformerUtils.createBundle(paging, eobs, loadedFilterManager.getTransactionTime());
    }
    /*
     * The way our JPA/SQL schema is setup, we have to run a separate search for
     * each claim type, then combine the results. It's not super efficient, but it's
     * also not so inefficient that it's worth fixing.
     */
    if (claimTypes.contains(ClaimType.CARRIER))
        eobs.addAll(transformToEobs(ClaimType.CARRIER, findClaimTypeByPatient(ClaimType.CARRIER, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
    if (claimTypes.contains(ClaimType.DME))
        eobs.addAll(transformToEobs(ClaimType.DME, findClaimTypeByPatient(ClaimType.DME, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
    if (claimTypes.contains(ClaimType.HHA))
        eobs.addAll(transformToEobs(ClaimType.HHA, findClaimTypeByPatient(ClaimType.HHA, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
    if (claimTypes.contains(ClaimType.HOSPICE))
        eobs.addAll(transformToEobs(ClaimType.HOSPICE, findClaimTypeByPatient(ClaimType.HOSPICE, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
    if (claimTypes.contains(ClaimType.INPATIENT))
        eobs.addAll(transformToEobs(ClaimType.INPATIENT, findClaimTypeByPatient(ClaimType.INPATIENT, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
    if (claimTypes.contains(ClaimType.OUTPATIENT))
        eobs.addAll(transformToEobs(ClaimType.OUTPATIENT, findClaimTypeByPatient(ClaimType.OUTPATIENT, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
    if (claimTypes.contains(ClaimType.PDE))
        eobs.addAll(transformToEobs(ClaimType.PDE, findClaimTypeByPatient(ClaimType.PDE, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
    if (claimTypes.contains(ClaimType.SNF))
        eobs.addAll(transformToEobs(ClaimType.SNF, findClaimTypeByPatient(ClaimType.SNF, beneficiaryId, lastUpdated, serviceDate), Optional.of(includeTaxNumbers)));
    if (Boolean.parseBoolean(excludeSamhsa))
        filterSamhsa(eobs);
    eobs.sort(ExplanationOfBenefitResourceProvider::compareByClaimIdThenClaimType);
    // Add bene_id to MDC logs
    TransformerUtils.logBeneIdToMdc(Arrays.asList(beneficiaryId));
    return TransformerUtils.createBundle(paging, eobs, loadedFilterManager.getTransactionTime());
}

Example 12 with Identifier

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

the class PatientResourceProvider method searchByIdentifier.

/**
 * Adds support for the FHIR "search" operation for {@link Patient}s, allowing users to search by
 * {@link Patient#getIdentifier()}. Specifically, the following criteria are supported:
 *
 * <ul>
 *   <li>Matching a {@link Beneficiary#getHicn()} hash value: when {@link TokenParam#getSystem()}
 *       matches one of the {@link #SUPPORTED_HASH_IDENTIFIER_SYSTEMS} entries.
 * </ul>
 *
 * <p>Searches that don't match one of the above forms are not supported.
 *
 * <p>The {@link Search} annotation indicates that this method supports the search operation.
 * There may be many different methods annotated with this {@link Search} annotation, to support
 * many different search criteria.
 *
 * @param identifier an {@link Identifier} {@link TokenParam} for the {@link
 *     Patient#getIdentifier()} to try and find a matching {@link Patient} for
 * @param startIndex an {@link OptionalParam} for the startIndex (or offset) used to determine
 *     pagination
 * @param lastUpdated an {@link OptionalParam} to filter the results based on the passed date
 *     range
 * @param requestDetails a {@link RequestDetails} containing the details of the request URL, used
 *     to parse out pagination values
 * @return Returns a {@link List} of {@link Patient}s, which may contain multiple matching
 *     resources, or may also be empty.
 */
@Search
@Trace
public Bundle searchByIdentifier(@RequiredParam(name = Patient.SP_IDENTIFIER) @Description(shortDefinition = "The patient identifier to search for") TokenParam identifier, @OptionalParam(name = "startIndex") @Description(shortDefinition = "The offset used for result pagination") String startIndex, @OptionalParam(name = "_lastUpdated") @Description(shortDefinition = "Include resources last updated in the given range") DateRangeParam lastUpdated, RequestDetails requestDetails) {
    if (identifier.getQueryParameterQualifier() != null)
        throw new InvalidRequestException("Unsupported query parameter qualifier: " + identifier.getQueryParameterQualifier());
    if (!SUPPORTED_HASH_IDENTIFIER_SYSTEMS.contains(identifier.getSystem()))
        throw new InvalidRequestException("Unsupported identifier system: " + identifier.getSystem());
    RequestHeaders requestHeader = RequestHeaders.getHeaderWrapper(requestDetails);
    Operation operation = new Operation(Operation.Endpoint.V1_PATIENT);
    operation.setOption("by", "identifier");
    requestHeader.getNVPairs().forEach((n, v) -> operation.setOption(n, v.toString()));
    operation.setOption("_lastUpdated", Boolean.toString(lastUpdated != null && !lastUpdated.isEmpty()));
    operation.publishOperationName();
    List<IBaseResource> patients;
    try {
        Patient patient;
        switch(identifier.getSystem()) {
            case TransformerConstants.CODING_BBAPI_BENE_HICN_HASH:
            case TransformerConstants.CODING_BBAPI_BENE_HICN_HASH_OLD:
                patient = queryDatabaseByHicnHash(identifier.getValue(), requestHeader);
                break;
            case TransformerConstants.CODING_BBAPI_BENE_MBI_HASH:
                patient = queryDatabaseByMbiHash(identifier.getValue(), requestHeader);
                break;
            default:
                throw new InvalidRequestException("Unsupported identifier system: " + identifier.getSystem());
        }
        patients = QueryUtils.isInRange(patient.getMeta().getLastUpdated().toInstant(), lastUpdated) ? Collections.singletonList(patient) : Collections.emptyList();
    } catch (NoResultException e) {
        patients = new LinkedList<>();
    }
    OffsetLinkBuilder paging = new OffsetLinkBuilder(requestDetails, "/Patient?");
    Bundle bundle = TransformerUtils.createBundle(paging, patients, loadedFilterManager.getTransactionTime());
    return bundle;
}

Example 13 with Identifier

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

the class CoverageResourceProvider method searchByBeneficiary.

/**
 * Adds support for the FHIR "search" operation for {@link Coverage}s, allowing users to search by
 * {@link Coverage#getBeneficiary()}.
 *
 * <p>The {@link Search} annotation indicates that this method supports the search operation.
 * There may be many different methods annotated with this {@link Search} annotation, to support
 * many different search criteria.
 *
 * @param beneficiary a {@link ReferenceParam} for the {@link Coverage#getBeneficiary()} to try
 *     and find matches for
 * @param startIndex an {@link OptionalParam} for the startIndex (or offset) used to determine
 *     pagination
 * @param lastUpdated an {@link OptionalParam} to filter the results based on the passed date
 *     range
 * @param requestDetails a {@link RequestDetails} containing the details of the request URL, used
 *     to parse out pagination values
 * @return Returns a {@link List} of {@link Coverage}s, which may contain multiple matching
 *     resources, or may also be empty.
 */
@Search
@Trace
public Bundle searchByBeneficiary(@RequiredParam(name = Coverage.SP_BENEFICIARY) @Description(shortDefinition = "The patient identifier to search for") ReferenceParam beneficiary, @OptionalParam(name = "startIndex") @Description(shortDefinition = "The offset used for result pagination") String startIndex, @OptionalParam(name = "_lastUpdated") @Description(shortDefinition = "Include resources last updated in the given range") DateRangeParam lastUpdated, RequestDetails requestDetails) {
    List<IBaseResource> coverages;
    try {
        Beneficiary beneficiaryEntity = findBeneficiaryById(beneficiary.getIdPart(), lastUpdated);
        if (!beneficiaryEntity.getBeneEnrollmentReferenceYear().isPresent()) {
            throw new ResourceNotFoundException("Cannot find coverage for non present enrollment year");
        }
        coverages = CoverageTransformer.transform(metricRegistry, beneficiaryEntity);
    } catch (NoResultException e) {
        coverages = new LinkedList<IBaseResource>();
    }
    OffsetLinkBuilder paging = new OffsetLinkBuilder(requestDetails, "/Coverage?");
    Operation operation = new Operation(Operation.Endpoint.V1_COVERAGE);
    operation.setOption("by", "beneficiary");
    operation.setOption("pageSize", paging.isPagingRequested() ? "" + paging.getPageSize() : "*");
    operation.setOption("_lastUpdated", Boolean.toString(lastUpdated != null && !lastUpdated.isEmpty()));
    operation.publishOperationName();
    // Add bene_id to MDC logs
    TransformerUtils.logBeneIdToMdc(Arrays.asList(beneficiary.getIdPart()));
    return TransformerUtils.createBundle(paging, coverages, loadedFilterManager.getTransactionTime());
}

Example 14 with Identifier

use of org.hl7.fhir.r4.model.Identifier 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 15 with Identifier

use of org.hl7.fhir.r4.model.Identifier 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;
}