use of org.hl7.fhir.r5.model.Patient 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());
}
use of org.hl7.fhir.r5.model.Patient 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;
}
use of org.hl7.fhir.r5.model.Patient in project beneficiary-fhir-data by CMSgov.
the class FissClaimResponseTransformerV2 method transformClaim.
/**
* @param claimGroup the {@link PreAdjFissClaim} to transform
* @return a FHIR {@link ClaimResponse} resource that represents the specified {@link
* PreAdjFissClaim}
*/
private static ClaimResponse transformClaim(PreAdjFissClaim claimGroup) {
ClaimResponse claim = new ClaimResponse();
claim.setId("f-" + claimGroup.getDcn());
claim.setContained(List.of(getContainedPatient(claimGroup)));
claim.setExtension(getExtension(claimGroup));
claim.setIdentifier(getIdentifier(claimGroup));
claim.setStatus(ClaimResponse.ClaimResponseStatus.ACTIVE);
claim.setOutcome(STATUS_TO_OUTCOME.get(Character.toLowerCase(claimGroup.getCurrStatus())));
claim.setType(getType());
claim.setUse(ClaimResponse.Use.CLAIM);
claim.setInsurer(new Reference().setIdentifier(new Identifier().setValue("CMS")));
claim.setPatient(new Reference("#patient"));
claim.setRequest(new Reference(String.format("Claim/f-%s", claimGroup.getDcn())));
claim.setMeta(new Meta().setLastUpdated(Date.from(claimGroup.getLastUpdated())));
claim.setCreated(new Date());
return claim;
}
use of org.hl7.fhir.r5.model.Patient in project beneficiary-fhir-data by CMSgov.
the class FissClaimTransformerV2 method transformClaim.
/**
* @param claimGroup the {@link PreAdjFissClaim} to transform
* @return a FHIR {@link Claim} resource that represents the specified {@link PreAdjFissClaim}
*/
private static Claim transformClaim(PreAdjFissClaim claimGroup) {
Claim claim = new Claim();
boolean isIcd9 = claimGroup.getStmtCovToDate() != null && claimGroup.getStmtCovToDate().isBefore(ICD_9_CUTOFF_DATE);
claim.setId("f-" + claimGroup.getDcn());
claim.setContained(List.of(getContainedPatient(claimGroup), getContainedProvider(claimGroup)));
claim.setIdentifier(getIdentifier(claimGroup));
claim.setExtension(getExtension(claimGroup));
claim.setStatus(Claim.ClaimStatus.ACTIVE);
claim.setType(getType(claimGroup));
claim.setSupportingInfo(getSupportingInfo(claimGroup));
claim.setBillablePeriod(getBillablePeriod(claimGroup));
claim.setUse(Claim.Use.CLAIM);
claim.setPriority(getPriority());
claim.setTotal(getTotal(claimGroup));
claim.setProvider(new Reference("#provider-org"));
claim.setPatient(new Reference("#patient"));
claim.setFacility(getFacility(claimGroup));
claim.setDiagnosis(getDiagnosis(claimGroup, isIcd9));
claim.setProcedure(getProcedure(claimGroup, isIcd9));
claim.setInsurance(getInsurance(claimGroup));
claim.setMeta(new Meta().setLastUpdated(Date.from(claimGroup.getLastUpdated())));
claim.setCreated(new Date());
return claim;
}
use of org.hl7.fhir.r5.model.Patient in project beneficiary-fhir-data by CMSgov.
the class DMEClaimTransformerV2Test method shouldHaveLineItemLocationCodeableConcept.
@Test
public void shouldHaveLineItemLocationCodeableConcept() {
CodeableConcept location = eob.getItemFirstRep().getLocationCodeableConcept();
CodeableConcept compare = new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/variables/line_place_of_srvc_cd", "12", "Home. Location, other than a hospital or other facility, where the patient receives care in a private residence.")));
compare.setExtension(Arrays.asList(new Extension("https://bluebutton.cms.gov/resources/variables/prvdr_state_cd", new Coding("https://bluebutton.cms.gov/resources/variables/prvdr_state_cd", "MO", null))));
assertTrue(compare.equalsDeep(location));
}
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