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

Example 31 with Resource

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

the class HHAClaimTransformerV2 method transformClaim.

/**
 * @param claimGroup the CCW {@link HHAClaim} to transform
 * @return a FHIR {@link ExplanationOfBenefit} resource that represents the specified {@link
 *     HHAClaim}
 */
private static ExplanationOfBenefit transformClaim(HHAClaim claimGroup) {
    ExplanationOfBenefit eob = new ExplanationOfBenefit();
    // Required values not directly mapped
    eob.getMeta().addProfile(ProfileConstants.C4BB_EOB_NONCLINICIAN_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.HHA, claimGroup.getClaimGroupId().toPlainString(), MedicareSegment.PART_B, 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                 => ExplanationOfBenefit.type.coding
    // NCH_NEAR_LINE_REC_IDENT_CD => ExplanationOfBenefit.extension
    TransformerUtilsV2.mapEobType(eob, ClaimTypeV2.HHA, Optional.of(claimGroup.getNearLineRecordIdCode()), Optional.of(claimGroup.getClaimTypeCode()));
    // PRVDR_NUM => ExplanationOfBenefit.provider.identifier
    TransformerUtilsV2.addProviderSlice(eob, C4BBOrganizationIdentifierType.PRN, claimGroup.getProviderNumber(), claimGroup.getLastUpdated());
    // 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());
    // CLM_PPS_IND_CODE => ExplanationOfBenefit.supportingInfo
    TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.CLM_PPS_IND_CD, CcwCodebookVariable.CLM_PPS_IND_CD, claimGroup.getProspectivePaymentCode());
    // ICD_DGNS_E_VRSN_CD(1-12) => diagnosis.diagnosisCodeableConcept
    for (Diagnosis diagnosis : DiagnosisUtilV2.extractDiagnoses(claimGroup)) {
        DiagnosisUtilV2.addDiagnosisCode(eob, diagnosis, ClaimTypeV2.HHA);
    }
    // Map care team
    // AT_PHYSN_NPI     => ExplanationOfBenefit.careTeam.provider
    // AT_PHYSN_UPIN    => ExplanationOfBenefit.careTeam.provider
    TransformerUtilsV2.mapCareTeam(eob, claimGroup.getAttendingPhysicianNpi(), Optional.empty(), Optional.empty(), claimGroup.getAttendingPhysicianUpin(), Optional.empty(), Optional.empty());
    // CLM_HHA_LUPA_IND_CD => ExplanationOfBenefit.supportinginfo.code
    claimGroup.getClaimLUPACode().ifPresent(c -> TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.CLM_HHA_LUPA_IND_CD, CcwCodebookVariable.CLM_HHA_LUPA_IND_CD, c));
    // CLM_HHA_RFRL_CD => ExplanationOfBenefit.supportinginfo.code
    claimGroup.getClaimReferralCode().ifPresent(c -> TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.CLM_HHA_RFRL_CD, CcwCodebookVariable.CLM_HHA_RFRL_CD, c));
    // CLM_HHA_TOT_VISIT_CNT => ExplanationOfBenefit.supportinginfo.value[x]
    TransformerUtilsV2.addInformation(eob, CcwCodebookVariable.CLM_HHA_TOT_VISIT_CNT).setValue(new Quantity(claimGroup.getTotalVisitCount().intValue()));
    // CLM_ADMSN_DT => ExplanationOfBenefit.supportingInfo:admissionperiod
    TransformerUtilsV2.addInformation(eob, TransformerUtilsV2.createInformationAdmPeriodSlice(eob, claimGroup.getCareStartDate(), Optional.empty()));
    for (HHAClaimLine 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
        // HCPCS_1ST_MDFR_CD  => ExplanationOfBenefit.item.modifier
        // HCPCS_2ND_MDFR_CD  => ExplanationOfBenefit.item.modifier
        TransformerUtilsV2.mapHcpcs(eob, item, line.getHcpcsCode(), Optional.empty(), Arrays.asList(line.getHcpcsInitialModifierCode(), line.getHcpcsSecondModifierCode()));
        // REV_CNTR_1ST_ANSI_CD => ExplanationOfBenefit.item.adjudication
        TransformerUtilsV2.addAdjudication(item, TransformerUtilsV2.createAdjudicationDenialReasonSlice(eob, CcwCodebookVariable.REV_CNTR_1ST_ANSI_CD, line.getRevCntr1stAnsiCd()));
        // 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.getRevenueCenterCode(), line.getRateAmount(), line.getTotalChargeAmount(), Optional.of(line.getNonCoveredChargeAmount()), line.getNationalDrugCodeQuantity(), line.getNationalDrugCodeQualifierCode());
        // Common item level fields between Outpatient, HHA and Hospice
        // REV_CNTR_DT              => ExplanationOfBenefit.item.servicedDate
        // REV_CNTR_PMT_AMT_AMT     => ExplanationOfBenefit.item.adjudication
        TransformerUtilsV2.mapEobCommonItemRevenueOutHHAHospice(item, line.getRevenueCenterDate(), line.getPaymentAmount());
        // 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, C4BBClaimProfessionalAndNonClinicianCareTeamRole.PERFORMING, line.getRevenueCenterRenderingPhysicianUPIN());
        // RNDRNG_PHYSN_NPI => ExplanationOfBenefit.careTeam.provider
        TransformerUtilsV2.addCareTeamMember(eob, item, C4BBPractitionerIdentifierType.NPI, C4BBClaimProfessionalAndNonClinicianCareTeamRole.PERFORMING, line.getRevenueCenterRenderingPhysicianNPI());
        // REV_CNTR_STUS_IND_CD => ExplanationOfBenefit.item.revenue.extension
        TransformerUtilsV2.mapEobCommonItemRevenueStatusCode(item, eob, line.getStatusCode());
    }
    TransformerUtilsV2.setLastUpdated(eob, claimGroup.getLastUpdated());
    return eob;
}

Example 32 with Resource

use of org.hl7.fhir.r4b.model.Resource 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 33 with Resource

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

the class TransformerUtilsV2 method findOrCreateContainedObservation.

static Observation findOrCreateContainedObservation(ExplanationOfBenefit eob, String id) {
    Optional<Resource> observation = eob.getContained().stream().filter(r -> r.getId() == id).findFirst();
    // If it isn't there, add one
    if (!observation.isPresent()) {
        observation = Optional.of(new Observation().setId(id));
        eob.getContained().add(observation.get());
    }
    // At this point `observation.get()` will always return
    if (!Observation.class.isInstance(observation.get())) {
        throw new BadCodeMonkeyException();
    }
    return (Observation) observation.get();
}

Example 34 with Resource

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

the class TransformerUtilsV2 method addResourcesToBundle.

/**
 * @param bundle a {@link Bundle} to add the list of {@link ExplanationOfBenefit} resources to.
 * @param resources a list of either {@link ExplanationOfBenefit}s, {@link Coverage}s, or {@link
 *     Patient}s, of which a portion will be added to the bundle based on the paging values
 * @return Returns a {@link Bundle} of {@link ExplanationOfBenefit}s, {@link Coverage}s, or {@link
 *     Patient}s, which may contain multiple matching resources, or may also be empty.
 */
public static Bundle addResourcesToBundle(Bundle bundle, List<IBaseResource> resources) {
    Set<String> beneIds = new HashSet<String>();
    for (IBaseResource res : resources) {
        BundleEntryComponent entry = bundle.addEntry();
        entry.setResource((Resource) res);
        if (entry.getResource().getResourceType() == ResourceType.ExplanationOfBenefit) {
            ExplanationOfBenefit eob = ((ExplanationOfBenefit) entry.getResource());
            if (eob != null && eob.getPatient() != null && !Strings.isNullOrEmpty(eob.getPatient().getReference())) {
                String reference = eob.getPatient().getReference().replace("Patient/", "");
                if (!Strings.isNullOrEmpty(reference)) {
                    beneIds.add(reference);
                }
            }
        } else if (entry.getResource().getResourceType() == ResourceType.Patient) {
            Patient patient = ((Patient) entry.getResource());
            if (patient != null && !Strings.isNullOrEmpty(patient.getId())) {
                beneIds.add(patient.getId());
            }
        } else if (entry.getResource().getResourceType() == ResourceType.Coverage) {
            Coverage coverage = ((Coverage) entry.getResource());
            if (coverage != null && coverage.getBeneficiary() != null && !Strings.isNullOrEmpty(coverage.getBeneficiary().getReference())) {
                String reference = coverage.getBeneficiary().getReference().replace("Patient/", "");
                if (!Strings.isNullOrEmpty(reference)) {
                    beneIds.add(reference);
                }
            }
        }
    }
    logBeneIdToMdc(beneIds);
    return bundle;
}

Example 35 with Resource

use of org.hl7.fhir.r4b.model.Resource 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;
}