Search in sources :

Example 6 with Reference

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

the class TransformerUtils method createIdentifierReference.

/**
 * @param identifierType the {@link gov.cms.bfd.server.war.stu3.providers.IdentifierType}
 * @param identifierValue the {@link Identifier#getValue()} to use in {@link
 *     Reference#getIdentifier()}
 * @return a {@link Reference} with the specified {@link Identifier}
 */
static Reference createIdentifierReference(IdentifierType identifierType, String identifierValue) {
    Reference reference = new Reference();
    Coding coding = new Coding().setSystem(identifierType.getSystem()).setCode(identifierType.getCode()).setDisplay(identifierType.getDisplay());
    List<Coding> codingList = new ArrayList<Coding>();
    codingList.add(coding);
    CodeableConcept codeableConcept = new CodeableConcept().setCoding(codingList);
    return reference.setIdentifier(new Identifier().setSystem(identifierType.getSystem()).setValue(identifierValue).setType(codeableConcept)).setDisplay(retrieveNpiCodeDisplay(identifierValue));
}
Also used : Identifier(org.hl7.fhir.dstu3.model.Identifier) CurrencyIdentifier(gov.cms.bfd.server.war.stu3.providers.BeneficiaryTransformer.CurrencyIdentifier) Coding(org.hl7.fhir.dstu3.model.Coding) Reference(org.hl7.fhir.dstu3.model.Reference) ArrayList(java.util.ArrayList) CodeableConcept(org.hl7.fhir.dstu3.model.CodeableConcept)

Example 7 with Reference

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

the class TransformerUtilsV2 method createAdjudicationCategory.

/**
 * @param ccwVariable the {@link CcwCodebookInterface} being mapped
 * @return the {@link AdjudicationComponent#getCategory()} {@link CodeableConcept} to use for the
 *     specified {@link CcwCodebookInterface}
 */
static CodeableConcept createAdjudicationCategory(CcwCodebookInterface ccwVariable, String carinAdjuCode, String carinAdjuCodeDisplay) {
    /*
     * Adjudication.category is mapped a bit differently than other Codings/CodeableConcepts: they
     * all share the same Coding.system and use the CcwCodebookInterface reference URL as their
     * Coding.code. This looks weird, but makes it easy for API developers to find more information
     * about what the specific adjudication they're looking at means.
     */
    String conceptCode = CCWUtils.calculateVariableReferenceUrl(ccwVariable);
    CodeableConcept categoryConcept = createCodeableConcept(TransformerConstants.CODING_CCW_ADJUDICATION_CATEGORY, conceptCode);
    categoryConcept.getCodingFirstRep().setDisplay(ccwVariable.getVariable().getLabel());
    categoryConcept.addCoding().setSystem(C4BBAdjudication.SUBMITTED.getSystem()).setCode(carinAdjuCode).setDisplay(carinAdjuCodeDisplay);
    return categoryConcept;
}
Also used : CodeableConcept(org.hl7.fhir.r4.model.CodeableConcept)

Example 8 with Reference

use of org.hl7.fhir.r4b.model.Reference 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;
}
Also used : Identifier(org.hl7.fhir.dstu3.model.Identifier) Timer(com.codahale.metrics.Timer) Period(org.hl7.fhir.dstu3.model.Period) Coverage(org.hl7.fhir.dstu3.model.Coverage) Contract(org.hl7.fhir.dstu3.model.Contract) LocalDate(java.time.LocalDate)

Example 9 with Reference

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

the class CoverageTransformer method transformPartC.

/**
 * @param metricRegistry the {@link MetricRegistry} to use
 * @param beneficiary the {@link Beneficiary} to generate a {@link MedicareSegment#PART_C} {@link
 *     Coverage} resource for
 * @return {@link MedicareSegment#PART_C} {@link Coverage} resource for the specified {@link
 *     Beneficiary}
 */
private static Coverage transformPartC(MetricRegistry metricRegistry, Beneficiary beneficiary) {
    Timer.Context timer = metricRegistry.timer(MetricRegistry.name(CoverageTransformer.class.getSimpleName(), "transform", "part_c")).time();
    Objects.requireNonNull(beneficiary);
    Coverage coverage = new Coverage();
    coverage.setId(TransformerUtils.buildCoverageId(MedicareSegment.PART_C, beneficiary));
    coverage.setStatus(CoverageStatus.ACTIVE);
    coverage.getGrouping().setSubGroup(TransformerConstants.COVERAGE_PLAN).setSubPlan(TransformerConstants.COVERAGE_PLAN_PART_C);
    coverage.setType(TransformerUtils.createCodeableConcept(TransformerConstants.COVERAGE_PLAN, TransformerConstants.COVERAGE_PLAN_PART_C));
    coverage.setBeneficiary(TransformerUtils.referencePatient(beneficiary));
    // Contract Number
    if (beneficiary.getPartCContractNumberJanId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_01, beneficiary.getPartCContractNumberJanId()));
    }
    if (beneficiary.getPartCContractNumberFebId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_02, beneficiary.getPartCContractNumberFebId()));
    }
    if (beneficiary.getPartCContractNumberMarId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_03, beneficiary.getPartCContractNumberMarId()));
    }
    if (beneficiary.getPartCContractNumberAprId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_04, beneficiary.getPartCContractNumberAprId()));
    }
    if (beneficiary.getPartCContractNumberMayId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_05, beneficiary.getPartCContractNumberMayId()));
    }
    if (beneficiary.getPartCContractNumberJunId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_06, beneficiary.getPartCContractNumberJunId()));
    }
    if (beneficiary.getPartCContractNumberJulId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_07, beneficiary.getPartCContractNumberJulId()));
    }
    if (beneficiary.getPartCContractNumberAugId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_08, beneficiary.getPartCContractNumberAugId()));
    }
    if (beneficiary.getPartCContractNumberSeptId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_09, beneficiary.getPartCContractNumberSeptId()));
    }
    if (beneficiary.getPartCContractNumberOctId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_10, beneficiary.getPartCContractNumberOctId()));
    }
    if (beneficiary.getPartCContractNumberNovId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_11, beneficiary.getPartCContractNumberNovId()));
    }
    if (beneficiary.getPartCContractNumberDecId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_CNTRCT_ID_12, beneficiary.getPartCContractNumberDecId()));
    }
    // PBP
    if (beneficiary.getPartCPbpNumberJanId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_01, beneficiary.getPartCPbpNumberJanId()));
    }
    if (beneficiary.getPartCPbpNumberFebId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_02, beneficiary.getPartCPbpNumberFebId()));
    }
    if (beneficiary.getPartCPbpNumberMarId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_03, beneficiary.getPartCPbpNumberMarId()));
    }
    if (beneficiary.getPartCPbpNumberAprId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_04, beneficiary.getPartCPbpNumberAprId()));
    }
    if (beneficiary.getPartCPbpNumberMayId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_05, beneficiary.getPartCPbpNumberMayId()));
    }
    if (beneficiary.getPartCPbpNumberJunId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_06, beneficiary.getPartCPbpNumberJunId()));
    }
    if (beneficiary.getPartCPbpNumberJulId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_07, beneficiary.getPartCPbpNumberJulId()));
    }
    if (beneficiary.getPartCPbpNumberAugId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_08, beneficiary.getPartCPbpNumberAugId()));
    }
    if (beneficiary.getPartCPbpNumberSeptId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_09, beneficiary.getPartCPbpNumberSeptId()));
    }
    if (beneficiary.getPartCPbpNumberOctId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_10, beneficiary.getPartCPbpNumberOctId()));
    }
    if (beneficiary.getPartCPbpNumberNovId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_11, beneficiary.getPartCPbpNumberNovId()));
    }
    if (beneficiary.getPartCPbpNumberDecId().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PBP_ID_12, beneficiary.getPartCPbpNumberDecId()));
    }
    // Plan Type
    if (beneficiary.getPartCPlanTypeJanCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_01, beneficiary.getPartCPlanTypeJanCode()));
    }
    if (beneficiary.getPartCPlanTypeFebCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_02, beneficiary.getPartCPlanTypeFebCode()));
    }
    if (beneficiary.getPartCPlanTypeMarCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_03, beneficiary.getPartCPlanTypeMarCode()));
    }
    if (beneficiary.getPartCPlanTypeAprCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_04, beneficiary.getPartCPlanTypeAprCode()));
    }
    if (beneficiary.getPartCPlanTypeMayCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_05, beneficiary.getPartCPlanTypeMayCode()));
    }
    if (beneficiary.getPartCPlanTypeJunCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_06, beneficiary.getPartCPlanTypeJunCode()));
    }
    if (beneficiary.getPartCPlanTypeJulCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_07, beneficiary.getPartCPlanTypeJulCode()));
    }
    if (beneficiary.getPartCPlanTypeAugCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_08, beneficiary.getPartCPlanTypeAugCode()));
    }
    if (beneficiary.getPartCPlanTypeSeptCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_09, beneficiary.getPartCPlanTypeSeptCode()));
    }
    if (beneficiary.getPartCPlanTypeOctCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_10, beneficiary.getPartCPlanTypeOctCode()));
    }
    if (beneficiary.getPartCPlanTypeNovCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_11, beneficiary.getPartCPlanTypeNovCode()));
    }
    if (beneficiary.getPartCPlanTypeDecCode().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.PTC_PLAN_TYPE_CD_12, beneficiary.getPartCPlanTypeDecCode()));
    }
    // Monthly Medicare Advantage (MA) enrollment indicators:
    if (beneficiary.getHmoIndicatorJanInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_01, beneficiary.getHmoIndicatorJanInd()));
    }
    if (beneficiary.getHmoIndicatorFebInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_02, beneficiary.getHmoIndicatorFebInd()));
    }
    if (beneficiary.getHmoIndicatorMarInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_03, beneficiary.getHmoIndicatorMarInd()));
    }
    if (beneficiary.getHmoIndicatorAprInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_04, beneficiary.getHmoIndicatorAprInd()));
    }
    if (beneficiary.getHmoIndicatorMayInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_05, beneficiary.getHmoIndicatorMayInd()));
    }
    if (beneficiary.getHmoIndicatorJunInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_06, beneficiary.getHmoIndicatorJunInd()));
    }
    if (beneficiary.getHmoIndicatorJulInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_07, beneficiary.getHmoIndicatorJulInd()));
    }
    if (beneficiary.getHmoIndicatorAugInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_08, beneficiary.getHmoIndicatorAugInd()));
    }
    if (beneficiary.getHmoIndicatorSeptInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_09, beneficiary.getHmoIndicatorSeptInd()));
    }
    if (beneficiary.getHmoIndicatorOctInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_10, beneficiary.getHmoIndicatorOctInd()));
    }
    if (beneficiary.getHmoIndicatorNovInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_11, beneficiary.getHmoIndicatorNovInd()));
    }
    if (beneficiary.getHmoIndicatorDecInd().isPresent()) {
        coverage.addExtension(TransformerUtils.createExtensionCoding(coverage, CcwCodebookVariable.HMO_IND_12, beneficiary.getHmoIndicatorDecInd()));
    }
    TransformerUtils.setLastUpdated(coverage, beneficiary.getLastUpdated());
    // 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()));
    }
    timer.stop();
    return coverage;
}
Also used : Timer(com.codahale.metrics.Timer) Coverage(org.hl7.fhir.dstu3.model.Coverage)

Example 10 with Reference

use of org.hl7.fhir.r4b.model.Reference 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;
}
Also used : BeneficiaryHistory(gov.cms.bfd.model.rif.BeneficiaryHistory) ArrayList(java.util.ArrayList) Patient(org.hl7.fhir.dstu3.model.Patient) Period(org.hl7.fhir.dstu3.model.Period) MedicareBeneficiaryIdHistory(gov.cms.bfd.model.rif.MedicareBeneficiaryIdHistory) Extension(org.hl7.fhir.dstu3.model.Extension) HumanName(org.hl7.fhir.dstu3.model.HumanName) DateTimeType(org.hl7.fhir.dstu3.model.DateTimeType)

Aggregations

Reference (org.hl7.fhir.r4.model.Reference)363 Test (org.junit.Test)251 ArrayList (java.util.ArrayList)190 Reference (org.hl7.fhir.dstu3.model.Reference)156 CodeableConcept (org.hl7.fhir.r4.model.CodeableConcept)91 BundleEntryComponent (org.hl7.fhir.r4.model.Bundle.BundleEntryComponent)85 Resource (org.hl7.fhir.r4.model.Resource)85 Test (org.junit.jupiter.api.Test)85 Bundle (org.hl7.fhir.r4.model.Bundle)82 MockHttpServletResponse (org.springframework.mock.web.MockHttpServletResponse)80 Coding (org.hl7.fhir.r4.model.Coding)76 Observation (org.hl7.fhir.r4.model.Observation)69 FHIRException (org.hl7.fhir.exceptions.FHIRException)67 Date (java.util.Date)62 Identifier (org.hl7.fhir.r4.model.Identifier)58 List (java.util.List)57 IBaseResource (org.hl7.fhir.instance.model.api.IBaseResource)49 Encounter (org.hl7.fhir.r4.model.Encounter)48 HashMap (java.util.HashMap)45 XhtmlNode (org.hl7.fhir.utilities.xhtml.XhtmlNode)44