Examples with Identifier org.hl7.fhir.r4b.model.Identifier used on opensource projects

Example 21 with Identifier

use of org.hl7.fhir.r4b.model.Identifier 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 22 with Identifier

use of org.hl7.fhir.r4b.model.Identifier in project beneficiary-fhir-data by CMSgov.

the class BeneficiaryTransformerV2 method transform.

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

Example 23 with Identifier

use of org.hl7.fhir.r4b.model.Identifier in project beneficiary-fhir-data by CMSgov.

the class TransformerTestUtils method assertExtensionIdentifierEqualsString.

/**
 * Tests that the specified extension list contains a single Identifier with the expected string
 * value
 *
 * @param extension a {@link List}<{@link Extension}> containing an Identifier
 * @param expected a {@link String} containing the expected value of the Identifier
 */
static void assertExtensionIdentifierEqualsString(List<Extension> extension, String expected) {
    assertEquals(1, extension.size());
    assertTrue(extension.get(0).getValue() instanceof Identifier);
    Identifier identifier = (Identifier) extension.get(0).getValue();
    assertEquals(expected, identifier.getValue());
}

Example 24 with Identifier

use of org.hl7.fhir.r4b.model.Identifier in project beneficiary-fhir-data by CMSgov.

the class PatientResourceProviderIT method readExistingPatientWithNoHistoryIncludeIdentifiersTrue.

/**
 * Verifies that {@link
 * gov.cms.bfd.server.war.stu3.providers.PatientResourceProvider#read(org.hl7.fhir.dstu3.model.IdType)}
 * works as expected for a {@link Patient} that does exist in the DB but has no {@link
 * BeneficiaryHistory} or {@link MedicareBeneficiaryIdHistory} records when include identifiers
 * value = ["true"].
 */
@Test
public void readExistingPatientWithNoHistoryIncludeIdentifiersTrue() {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResource.SAMPLE_A_BENES));
    RequestHeaders requestHeader = RequestHeaders.getHeaderWrapper(PatientResourceProvider.HEADER_NAME_INCLUDE_IDENTIFIERS, "true", PatientResourceProvider.HEADER_NAME_INCLUDE_ADDRESS_FIELDS, "true");
    IGenericClient fhirClient = createFhirClient(requestHeader);
    Beneficiary beneficiary = loadedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    Patient patient = fhirClient.read().resource(Patient.class).withId(beneficiary.getBeneficiaryId()).execute();
    assertNotNull(patient);
    BeneficiaryTransformerTest.assertMatches(beneficiary, patient, requestHeader);
    /*
     * Ensure the unhashed values for HICN and MBI are present.
     */
    Boolean hicnUnhashedPresent = false;
    Boolean mbiUnhashedPresent = false;
    Iterator<Identifier> identifiers = patient.getIdentifier().iterator();
    while (identifiers.hasNext()) {
        Identifier identifier = identifiers.next();
        if (identifier.getSystem().equals(TransformerConstants.CODING_BBAPI_BENE_HICN_UNHASHED))
            hicnUnhashedPresent = true;
        if (identifier.getSystem().equals(TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED))
            mbiUnhashedPresent = true;
    }
    assertTrue(hicnUnhashedPresent);
    assertTrue(mbiUnhashedPresent);
}

Example 25 with Identifier

use of org.hl7.fhir.r4b.model.Identifier in project beneficiary-fhir-data by CMSgov.

the class PatientResourceProviderIT method searchForExistingPatientByMbiHashIncludeIdentifiersFalse.

/**
 * Verifies that {@link
 * gov.cms.bfd.server.war.stu3.providers.PatientResourceProvider#searchByIdentifier(ca.uhn.fhir.rest.param.TokenParam)}
 * works as expected for a {@link Patient} that does exist in the DB, including identifiers to
 * return the unhashed HICN and MBI.
 */
@Test
public void searchForExistingPatientByMbiHashIncludeIdentifiersFalse() {
    List<Object> loadedRecords = ServerTestUtils.get().loadData(Arrays.asList(StaticRifResourceGroup.SAMPLE_A.getResources()));
    IGenericClient fhirClient = createFhirClient("false", "true");
    Beneficiary beneficiary = loadedRecords.stream().filter(r -> r instanceof Beneficiary).map(r -> (Beneficiary) r).findFirst().get();
    Bundle searchResults = fhirClient.search().forResource(Patient.class).where(Patient.IDENTIFIER.exactly().systemAndIdentifier(TransformerConstants.CODING_BBAPI_BENE_MBI_HASH, beneficiary.getMbiHash().get())).returnBundle(Bundle.class).execute();
    assertNotNull(searchResults);
    Patient patientFromSearchResult = (Patient) searchResults.getEntry().get(0).getResource();
    /*
     * Ensure the unhashed values for HICN and MBI are *not* present.
     */
    Boolean hicnUnhashedPresent = false;
    Boolean mbiUnhashedPresent = false;
    Iterator<Identifier> identifiers = patientFromSearchResult.getIdentifier().iterator();
    while (identifiers.hasNext()) {
        Identifier identifier = identifiers.next();
        if (identifier.getSystem().equals(TransformerConstants.CODING_BBAPI_BENE_HICN_UNHASHED))
            hicnUnhashedPresent = true;
        if (identifier.getSystem().equals(TransformerConstants.CODING_BBAPI_MEDICARE_BENEFICIARY_ID_UNHASHED))
            mbiUnhashedPresent = true;
    }
    assertFalse(hicnUnhashedPresent);
    assertFalse(mbiUnhashedPresent);
}