From 48753e9b80430e77bd8aaa48a18a63e217afdd8c Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 13:08:00 -0400 Subject: [PATCH 01/18] fix(tests): deploy-range git helper ignores the hook's GIT_DIR/GIT_INDEX_FILE The pre-commit hook runs the dev tests with GIT_DIR and GIT_INDEX_FILE set to the real repo; the temp-repo helper inherited them, so every commit that touched dev/ failed at 'git checkout -b feature' (exit 128) while the same test passed from a plain shell. --- tests/dev/test_gen_config_deploy.py | 5 ++++- 1 file changed, 4 insertions(+), 1 deletion(-) diff --git a/tests/dev/test_gen_config_deploy.py b/tests/dev/test_gen_config_deploy.py index 99b656e..cae807c 100644 --- a/tests/dev/test_gen_config_deploy.py +++ b/tests/dev/test_gen_config_deploy.py @@ -105,8 +105,11 @@ def test_image_jobs_gate_on_changes_outputs_not_head_commit(): def _git(*args: str, cwd: Path) -> str: + # Drop GIT_DIR / GIT_INDEX_FILE / GIT_WORK_TREE: the pre-commit hook runs + # this file with them pointing at the real repo, which would redirect + # every call away from the temp repo under `cwd`. env = { - **os.environ, + **{k: v for k, v in os.environ.items() if not k.startswith("GIT_")}, "GIT_AUTHOR_NAME": "t", "GIT_AUTHOR_EMAIL": "t@example.invalid", "GIT_COMMITTER_NAME": "t", From 7e53d9360a4c4c1c993aa40661d76a3b87f2f1ac Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 13:08:05 -0400 Subject: [PATCH 02/18] chore(bcda): vendor CMSgov/bcda-app + bcda.cms.gov v3 artefacts sparsely, flatten the v3 data dictionary into crosswalk seeds, weekly drift workflow MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit dev/vendor/MANIFEST.toml pins bcda-app@7decdcc (v3 handler + tests, request validation middleware, OperationOutcome writer, v3 Postman collection, gzip fixtures, sandbox config, LICENSE) and the bcda.cms.gov v3 data dictionary, v2 dictionary and official v3 sample ndjson. vendor_bcda_app.py --verify | --check | --sync (stdlib only); the bcda-vendor workflow runs --check weekly and files an issue on drift — nothing auto-commits, a payload change upstream is something a human reads before the flattener is re-pointed. gen_bcda_v3_crosswalk.py writes dev/seeds/bcda_v3_data_dictionary.csv (fhirPath, IDR sourceColumn, ccwMapping, cclfMapping per v3 field), bcda_v3_cclf_crosswalk.csv (293 CCLF elements -> v3 field) and bcda_v3_cclf_absent.csv (52 CCLF fields v3 does not carry); the CCLF sheet has label/name swapped on data rows and is normalised. Tests assert the committed seeds match the vendored workbook. refs #1139 --- .gitea/workflows/bcda-vendor.yml | 44 + README.md | 3 +- dev/scripts/backends/gitea.py | 44 + dev/scripts/gen_bcda_v3_crosswalk.py | 178 + dev/scripts/vendor_bcda_app.py | 256 ++ dev/seeds/bcda_v3_cclf_absent.csv | 53 + dev/seeds/bcda_v3_cclf_crosswalk.csv | 294 ++ dev/seeds/bcda_v3_data_dictionary.csv | 373 ++ dev/vendor/MANIFEST.toml | 62 + dev/vendor/bcda-app/LICENSE | 121 + dev/vendor/bcda-app/bcda/api/requests.go | 957 ++++ dev/vendor/bcda-app/bcda/api/v3/api.go | 376 ++ dev/vendor/bcda-app/bcda/api/v3/api_test.go | 683 +++ .../bcda-app/bcda/responseutils/v3/writer.go | 177 + .../bcda/responseutils/v3/writer_test.go | 236 + .../bcda/web/middleware/validation.go | 416 ++ .../bcda/web/middleware/validation_test.go | 671 +++ dev/vendor/bcda-app/conf/configs/sandbox.yml | 103 + .../gzip_feature_test/corrupt_gz_file.ndjson | Bin 0 -> 10 bytes .../test_gzip_encoded.ndjson | Bin 0 -> 981 bytes .../gzip_feature_test/test_no_encoding.ndjson | 1 + dev/vendor/bcda-app/swagger.json | 3896 +++++++++++++++++ .../BCDA_V3_Tests.postman_collection.json | 2116 +++++++++ .../sandbox.postman_environment.json | 27 + .../bcda-site/BCDA_v2_Data_Dictionary.xlsx | Bin 0 -> 82435 bytes .../bcda-site/BCDA_v3_Data_Dictionary.xlsx | Bin 0 -> 150253 bytes dev/vendor/bcda-site/v3_Coverage.ndjson | 175 + .../bcda-site/v3_ExplanationOfBenefit.ndjson | 269 ++ dev/vendor/bcda-site/v3_Patient.ndjson | 94 + tests/bcda/test_vendor.py | 245 ++ tests/dev/test_gen_bcda_v3_crosswalk.py | 100 + tests/dev/test_gen_config_bcda_vendor.py | 40 + 32 files changed, 12009 insertions(+), 1 deletion(-) create mode 100644 .gitea/workflows/bcda-vendor.yml create mode 100644 dev/scripts/gen_bcda_v3_crosswalk.py create mode 100644 dev/scripts/vendor_bcda_app.py create mode 100644 dev/seeds/bcda_v3_cclf_absent.csv create mode 100644 dev/seeds/bcda_v3_cclf_crosswalk.csv create mode 100644 dev/seeds/bcda_v3_data_dictionary.csv create mode 100644 dev/vendor/MANIFEST.toml create mode 100644 dev/vendor/bcda-app/LICENSE create mode 100644 dev/vendor/bcda-app/bcda/api/requests.go create mode 100644 dev/vendor/bcda-app/bcda/api/v3/api.go create mode 100644 dev/vendor/bcda-app/bcda/api/v3/api_test.go create mode 100644 dev/vendor/bcda-app/bcda/responseutils/v3/writer.go create mode 100644 dev/vendor/bcda-app/bcda/responseutils/v3/writer_test.go create mode 100644 dev/vendor/bcda-app/bcda/web/middleware/validation.go create mode 100644 dev/vendor/bcda-app/bcda/web/middleware/validation_test.go create mode 100644 dev/vendor/bcda-app/conf/configs/sandbox.yml create mode 100644 dev/vendor/bcda-app/shared_files/gzip_feature_test/corrupt_gz_file.ndjson create mode 100644 dev/vendor/bcda-app/shared_files/gzip_feature_test/test_gzip_encoded.ndjson create mode 100644 dev/vendor/bcda-app/shared_files/gzip_feature_test/test_no_encoding.ndjson create mode 100644 dev/vendor/bcda-app/swagger.json create mode 100644 dev/vendor/bcda-app/test/postman_test/BCDA_V3_Tests.postman_collection.json create mode 100644 dev/vendor/bcda-app/test/postman_test/sandbox.postman_environment.json create mode 100644 dev/vendor/bcda-site/BCDA_v2_Data_Dictionary.xlsx create mode 100644 dev/vendor/bcda-site/BCDA_v3_Data_Dictionary.xlsx create mode 100644 dev/vendor/bcda-site/v3_Coverage.ndjson create mode 100644 dev/vendor/bcda-site/v3_ExplanationOfBenefit.ndjson create mode 100644 dev/vendor/bcda-site/v3_Patient.ndjson create mode 100644 tests/bcda/test_vendor.py create mode 100644 tests/dev/test_gen_bcda_v3_crosswalk.py create mode 100644 tests/dev/test_gen_config_bcda_vendor.py diff --git a/.gitea/workflows/bcda-vendor.yml b/.gitea/workflows/bcda-vendor.yml new file mode 100644 index 0000000..1f62a52 --- /dev/null +++ b/.gitea/workflows/bcda-vendor.yml @@ -0,0 +1,44 @@ +# DO NOT EDIT — generated by gen_config.py from stack.toml +# Re-generate: uv run python dev/scripts/gen_config.py + +name: BCDA Vendor + +on: + workflow_dispatch: + schedule: + - cron: "30 5 * * 1" + +jobs: + bcda-vendor: + runs-on: ubuntu-latest + steps: + - name: Checkout + uses: https://github.com/actions/checkout@v4 + + - name: Set up uv + run: curl -LsSf https://astral.sh/uv/install.sh | sh + env: + UV_INSTALL_DIR: /usr/local/bin + + - name: Verify the vendored tree matches the manifest + run: uv run --no-project python dev/scripts/vendor_bcda_app.py --verify + + - name: Check CMSgov/bcda-app and bcda.cms.gov for drift + run: uv run --no-project python dev/scripts/vendor_bcda_app.py --check + + - name: File failure issue + if: failure() + env: + GITEA_TOKEN: ${{ secrets.DEPLOY_TOKEN }} + run: | + # Jobs that never install uv (image builds, infra checks) still + # need it here — otherwise the filer dies with "uv: command not + # found" and the failure is never filed. + command -v uv >/dev/null 2>&1 || curl -LsSf https://astral.sh/uv/install.sh | sh + export PATH="$HOME/.local/bin:$PATH" + uv sync --no-dev --quiet 2>/dev/null || true + uv run python -m api.diag.ci \ + --workflow "BCDA Vendor" --job "bcda-vendor" \ + --run "${{ github.run_number }}" \ + --sha "${{ github.sha }}" \ + --ref "${{ github.ref }}" || true diff --git a/README.md b/README.md index 25dc30d..411eccc 100644 --- a/README.md +++ b/README.md @@ -513,7 +513,8 @@ stack/ ├── dev/ Dev tooling │ ├── scripts/ Code generators, bootstrap, supply chain tools │ ├── hooks/ Git hooks (tracked, core.hooksPath = dev/hooks) -│ ├── seeds/ Reference data (BCDA samples, CMS docs) +│ ├── seeds/ Reference data (BCDA samples + v3 crosswalk, CMS docs) +│ ├── vendor/ Sparse pins of upstream (CMSgov/bcda-app, bcda.cms.gov) — MANIFEST.toml │ └── pipelines/ CI-agnostic pipeline specs ├── tests/ 14,010 tests at 99% coverage ├── notebooks/ Marimo notebooks diff --git a/dev/scripts/backends/gitea.py b/dev/scripts/backends/gitea.py index f2e6b21..a27f9fa 100644 --- a/dev/scripts/backends/gitea.py +++ b/dev/scripts/backends/gitea.py @@ -785,6 +785,49 @@ jobs: return (".gitea/workflows/llm-golden.yml", content) +def _gen_bcda_vendor(runner: str, uv_version: str, **_kw: object) -> tuple[str, str]: + """Weekly drift check of the sparsely vendored BCDA upstream (P52). + + ``dev/vendor/MANIFEST.toml`` pins CMSgov/bcda-app (the v3 handler + and its tests, request validation, the OperationOutcome writer, + the v3 Postman collection, gzip fixtures, sandbox config) and the + bcda.cms.gov v3 data dictionary + sample files that + ``bcda.express.v3`` is tested against. ``--check`` compares the + pinned blob/sha256 digests with upstream and exits 1 on drift; the + failure step files the issue. Nothing is auto-committed — a + payload change upstream is something a human reads before the + flattener is re-pointed (``vendor_bcda_app.py --sync`` then + ``gen_bcda_v3_crosswalk.py``). Standard library only, so it runs + before ``uv sync``. + """ + content = f"""\ +{_HEADER} +name: BCDA Vendor + +on: + workflow_dispatch: + schedule: + - cron: "30 5 * * 1" + +jobs: + bcda-vendor: + runs-on: {runner} + steps: +{_checkout_step()} + +{_setup_uv_step(uv_version)} + + - name: Verify the vendored tree matches the manifest + run: uv run --no-project python dev/scripts/vendor_bcda_app.py --verify + + - name: Check CMSgov/bcda-app and bcda.cms.gov for drift + run: uv run --no-project python dev/scripts/vendor_bcda_app.py --check + +{_failure_step("BCDA Vendor", "bcda-vendor")} +""" + return (".gitea/workflows/bcda-vendor.yml", content) + + def _gen_release(runner: str, uv_version: str, **_kw: object) -> tuple[str, str]: content = f"""\ {_HEADER} @@ -853,6 +896,7 @@ def emit( _gen_notebooks_integration, _gen_zotero_sync, _gen_llm_golden, + _gen_bcda_vendor, _gen_release, ): path, content = gen_fn(**common) # type: ignore[arg-type] diff --git a/dev/scripts/gen_bcda_v3_crosswalk.py b/dev/scripts/gen_bcda_v3_crosswalk.py new file mode 100644 index 0000000..9f5af1a --- /dev/null +++ b/dev/scripts/gen_bcda_v3_crosswalk.py @@ -0,0 +1,178 @@ +"""Flatten the BCDA v3 Data Dictionary into crosswalk seed CSVs. + +Reads the vendored ``dev/vendor/bcda-site/BCDA_v3_Data_Dictionary.xlsx`` +(synced by ``vendor_bcda_app.py``) and writes three seeds that +``stack load seed`` lands in ``reference_data``: + +- ``dev/seeds/bcda_v3_data_dictionary.csv`` — one row per v3 field: + resource, claim type, field name, fhirPath, IDR ``sourceColumn``, + ``ccwMapping`` (the CCW/v2 variable the ``bcda.*`` table columns are + named after), ``cclfMapping`` (CCLF file.element), profiles. This is + the v2→v3 crosswalk the flatteners in ``bcda.express.v3`` follow. +- ``dev/seeds/bcda_v3_cclf_crosswalk.csv`` — the ``CCLF-BCDA v3 + Mapping`` sheet: every CCLF element with the v3 field + fhirPath that + replaces it (``#N/A`` → empty). +- ``dev/seeds/bcda_v3_cclf_absent.csv`` — the CCLF elements BCDA v3 + does not carry (HICNs, FIPS county, address lines, BETOS, …). + +Idempotent; rerun after ``--sync`` moves the dictionary. + + uv run python dev/scripts/gen_bcda_v3_crosswalk.py +""" + +from __future__ import annotations + +import csv +import re +import sys +from pathlib import Path + +ROOT = Path(__file__).resolve().parents[2] +XLSX = ROOT / "dev" / "vendor" / "bcda-site" / "BCDA_v3_Data_Dictionary.xlsx" +SEEDS = ROOT / "dev" / "seeds" + +_NA = {None, "", "#N/A", "None"} + + +def _clean(v: object) -> str: + if v in _NA: + return "" + return " ".join(str(v).split()) + + +def _list(v: object) -> str: + """``"['A', 'B']"`` → ``"A;B"`` (the sheet stores python-ish lists).""" + s = _clean(v) + if s.startswith("[") and s.endswith("]"): + inner = s[1:-1] + return ";".join(p.strip().strip("'\"") for p in inner.split(",") if p.strip()) + return s + + +def dictionary_rows(wb) -> list[dict]: + ws = wb["Data Dictionary"] + rows = ws.iter_rows(values_only=True) + header = [str(h) for h in next(rows)] + out = [] + for r in rows: + d = dict(zip(header, r, strict=False)) + if not _clean(d.get("Field Name")): + continue + out.append( + { + "row": _clean(d.get("Row")), + "fhir_resource": _clean(d.get("FHIR Resource")), + "claim_type": _list(d.get("Coverage / Claim Type")), + "field_name": _clean(d.get("Field Name")), + "description": _clean(d.get("Description")), + "fhir_path": _clean(d.get("fhirPath")), + "example": _clean(d.get("example")), + "source_view": _clean(d.get("sourceView")), + "source_column": _clean(d.get("sourceColumn")), + "sources": _list(d.get("sources")), + "reference_table": _clean(d.get("referenceTable")), + "cclf_mapping": _list(d.get("cclfMapping")), + "ccw_mapping": _list(d.get("ccwMapping")), + "profiles": _list(d.get("profiles")), + } + ) + return out + + +_IDENT = re.compile(r"^[A-Z0-9_]+$") + + +def _label_name(label: object, name: object) -> tuple[str, str]: + """(prose label, UPPER_SNAKE variable). + + The sheet header says ``Field Label`` then ``Field Name`` but the + data rows carry the CCLF variable (``CLM_CNTL_NUM``) under *Label* + and the prose under *Name* — except the CCLF0 header rows, which + are the other way round. Normalise by shape so ``field_name`` is + always the variable. + """ + a, b = _clean(label), _clean(name) + if _IDENT.match(a) and not _IDENT.match(b): + return b, a + return a, b + + +def cclf_rows(wb) -> list[dict]: + ws = wb["CCLF-BCDA v3 Mapping"] + rows = ws.iter_rows(values_only=True) + next(rows) + out = [] + for r in rows: + if not _clean(r[0]): + continue + label, name = _label_name(r[2], r[3]) + out.append( + { + "cclf_file": _clean(r[0]), + "element": _clean(r[1]), + "field_label": label, + "field_name": name, + "start_position": _clean(r[4]), + "end_position": _clean(r[5]), + "data_length": _clean(r[6]), + "format": _clean(r[7]), + "field_description": _clean(r[8]), + "bcda_v3_field": _clean(r[12]), + "fhir_path": _clean(r[13]), + } + ) + return out + + +def absent_rows(wb) -> list[dict]: + ws = wb["CCLF fields absent from BCDA v3"] + rows = ws.iter_rows(values_only=True) + next(rows) + out = [] + for r in rows: + if r[1] in _NA: + continue + out.append( + { + "cclf_file": _clean(r[0]), + "element": _clean(r[1]), + "field_name": _clean(r[2]), + "field_description": _clean(r[3]), + } + ) + return out + + +def _write(path: Path, rows: list[dict]) -> int: + path.parent.mkdir(parents=True, exist_ok=True) + with path.open("w", newline="") as f: + w = csv.DictWriter(f, fieldnames=list(rows[0].keys())) + w.writeheader() + w.writerows(rows) + return len(rows) + + +def main(xlsx: Path = XLSX, seeds: Path = SEEDS) -> dict[str, int]: + import openpyxl + + # data_only: the CCLF sheet is XLOOKUP formulas; we want their cached + # results, not the formula text. + wb = openpyxl.load_workbook(xlsx, read_only=True, data_only=True) + counts = { + "bcda_v3_data_dictionary": _write( + seeds / "bcda_v3_data_dictionary.csv", dictionary_rows(wb) + ), + "bcda_v3_cclf_crosswalk": _write( + seeds / "bcda_v3_cclf_crosswalk.csv", cclf_rows(wb) + ), + "bcda_v3_cclf_absent": _write( + seeds / "bcda_v3_cclf_absent.csv", absent_rows(wb) + ), + } + return counts + + +if __name__ == "__main__": # pragma: no cover + for name, n in main().items(): + print(f"{name}: {n} rows") + sys.exit(0) diff --git a/dev/scripts/vendor_bcda_app.py b/dev/scripts/vendor_bcda_app.py new file mode 100644 index 0000000..2ac8390 --- /dev/null +++ b/dev/scripts/vendor_bcda_app.py @@ -0,0 +1,256 @@ +"""Sparse vendoring of BCDA upstream artefacts (CMSgov/bcda-app + bcda.cms.gov). + +The ``bcda`` module is tested against what CMS actually ships, not +against our reading of it: the v3 handler and its tests, the request +validation that decides which headers and parameters are legal, the +OperationOutcome writer, the v3 Postman smoke collection, the gzip +download fixtures, and the official v3 sample ndjson + data dictionary. +That is a few hundred kilobytes of a 50 MB repository, so this is a +manifest, not a submodule. + +Manifest: ``dev/vendor/MANIFEST.toml`` + + [[source]] + name = "bcda-app" + kind = "github" + repo = "CMSgov/bcda-app" + ref = "main" + commit = "" + files = ["swagger.json", ...] + + [[source]] + name = "bcda-site" + kind = "https" + base = "https://bcda.cms.gov/assets/downloads/" + files = ["BCDA_v3_Data_Dictionary.xlsx", ...] + + [sha256] + "bcda-app/swagger.json" = "..." # local file digests + +Usage:: + + uv run python dev/scripts/vendor_bcda_app.py --check # drift? exit 1 + uv run python dev/scripts/vendor_bcda_app.py --sync # refresh + rewrite manifest + uv run python dev/scripts/vendor_bcda_app.py --verify # local tree matches manifest (offline) + +``--check`` compares upstream against the manifest without touching +the tree: for GitHub it resolves ``ref`` to a commit and diffs the blob +shas of the listed paths against the pinned commit's tree; for plain +HTTPS it downloads and compares sha256. The weekly ``bcda-vendor`` +workflow runs ``--check`` and files an issue on drift — a payload +change upstream is something a human should read before the +flattener is re-pointed, so nothing is auto-committed. + +Standard library only: this runs on a bare runner before ``uv sync``. +""" + +from __future__ import annotations + +import argparse +import hashlib +import json +import sys +import tomllib +import urllib.request +from pathlib import Path + +ROOT = Path(__file__).resolve().parents[2] +VENDOR = ROOT / "dev" / "vendor" +MANIFEST = VENDOR / "MANIFEST.toml" +UA = {"User-Agent": "stack-vendor-bcda/1.0 (+https://git.fhirworx.io/homelab/stack)"} + + +# ── I/O ───────────────────────────────────────────────────────── + + +def _get(url: str, *, accept: str | None = None) -> bytes: + headers = dict(UA) + if accept: + headers["Accept"] = accept + req = urllib.request.Request(url, headers=headers) + with urllib.request.urlopen(req, timeout=120) as resp: # noqa: S310 — https only + return resp.read() + + +def _sha256(data: bytes) -> str: + return hashlib.sha256(data).hexdigest() + + +def _git_blob_sha(data: bytes) -> str: + """Git's blob object id for ``data`` (what the trees API reports).""" + header = f"blob {len(data)}\0".encode() + return hashlib.sha1(header + data).hexdigest() # noqa: S324 — git's own id + + +def load_manifest(path: Path | None = None) -> dict: + return tomllib.loads((path or MANIFEST).read_text()) + + +def dump_manifest(m: dict, path: Path | None = None) -> None: + """Write the manifest back. Hand-rolled TOML: two array-of-table + sources plus one flat string table — no dependency needed.""" + lines = [ + "# Sparse vendoring manifest — regenerate with", + "# uv run python dev/scripts/vendor_bcda_app.py --sync", + "# Check for upstream drift (no changes written) with --check.", + "", + ] + for src in m["source"]: + lines.append("[[source]]") + for key in ("name", "kind", "repo", "ref", "commit", "base", "license"): + if key in src: + lines.append(f'{key} = "{src[key]}"') + lines.append("files = [") + for f in src["files"]: + lines.append(f' "{f}",') + lines.append("]") + lines.append("") + lines.append("[sha256]") + for key in sorted(m.get("sha256", {})): + lines.append(f'"{key}" = "{m["sha256"][key]}"') + lines.append("") + (path or MANIFEST).write_text("\n".join(lines)) + + +# ── GitHub source ─────────────────────────────────────────────── + + +def _gh_json(url: str) -> dict: + return json.loads(_get(url, accept="application/vnd.github+json")) + + +def _gh_head_commit(repo: str, ref: str) -> str: + return _gh_json(f"https://api.github.com/repos/{repo}/commits/{ref}")["sha"] + + +def _gh_tree(repo: str, commit: str) -> dict[str, str]: + """``{path: blob_sha}`` for every blob at ``commit``.""" + data = _gh_json( + f"https://api.github.com/repos/{repo}/git/trees/{commit}?recursive=1" + ) + if data.get("truncated"): + raise RuntimeError(f"{repo}@{commit}: tree listing truncated") + return {e["path"]: e["sha"] for e in data["tree"] if e["type"] == "blob"} + + +def _gh_raw(repo: str, commit: str, path: str) -> bytes: + return _get(f"https://raw.githubusercontent.com/{repo}/{commit}/{path}") + + +# ── Operations ────────────────────────────────────────────────── + + +def verify(m: dict) -> list[str]: + """Offline: every manifest file exists locally with the recorded sha256.""" + problems = [] + for src in m["source"]: + for f in src["files"]: + key = f"{src['name']}/{f}" + local = VENDOR / key + if not local.exists(): + problems.append(f"missing {key}") + continue + want = m.get("sha256", {}).get(key) + got = _sha256(local.read_bytes()) + if want != got: + problems.append(f"sha256 mismatch {key}: manifest {want} local {got}") + return problems + + +def check(m: dict) -> list[str]: + """Online: what upstream changed relative to the manifest.""" + drift: list[str] = [] + for src in m["source"]: + if src["kind"] == "github": + head = _gh_head_commit(src["repo"], src["ref"]) + if head == src.get("commit"): + continue + pinned = _gh_tree(src["repo"], src["commit"]) + current = _gh_tree(src["repo"], head) + for f in src["files"]: + if f not in current: + drift.append(f"{src['name']}: {f} removed upstream ({head[:12]})") + elif pinned.get(f) != current[f]: + drift.append( + f"{src['name']}: {f} changed ({src['commit'][:12]} → {head[:12]})" + ) + # v3 handler directory gaining a file we don't track is worth + # a look too — the point of vendoring the tests is to see them. + watched = {Path(f).parent.as_posix() for f in src["files"] if "/" in f} + for path in current: + parent = Path(path).parent.as_posix() + if ( + parent in watched + and path not in pinned + and path not in src["files"] + ): + drift.append(f"{src['name']}: new upstream file {path}") + elif src["kind"] == "https": + for f in src["files"]: + key = f"{src['name']}/{f}" + got = _sha256(_get(src["base"] + f)) + if got != m.get("sha256", {}).get(key): + drift.append(f"{src['name']}: {f} changed (sha256 {got[:12]})") + else: # pragma: no cover — manifest is ours + raise ValueError(f"unknown source kind {src['kind']!r}") + return drift + + +def sync(m: dict) -> list[str]: + """Download every manifest file from upstream HEAD; rewrite the manifest.""" + changed: list[str] = [] + shas = dict(m.get("sha256", {})) + for src in m["source"]: + if src["kind"] == "github": + commit = _gh_head_commit(src["repo"], src["ref"]) + src["commit"] = commit + fetch = lambda f, _s=src, _c=commit: _gh_raw(_s["repo"], _c, f) # noqa: E731 + else: + fetch = lambda f, _s=src: _get(_s["base"] + f) # noqa: E731 + for f in src["files"]: + key = f"{src['name']}/{f}" + data = fetch(f) + digest = _sha256(data) + local = VENDOR / key + if shas.get(key) != digest or not local.exists(): + local.parent.mkdir(parents=True, exist_ok=True) + local.write_bytes(data) + changed.append(key) + shas[key] = digest + m["sha256"] = shas + dump_manifest(m) + return changed + + +def main(argv: list[str] | None = None) -> int: + ap = argparse.ArgumentParser(description=__doc__.split("\n\n")[0]) + mode = ap.add_mutually_exclusive_group(required=True) + mode.add_argument( + "--check", action="store_true", help="report upstream drift (exit 1)" + ) + mode.add_argument("--sync", action="store_true", help="refresh files + manifest") + mode.add_argument("--verify", action="store_true", help="offline tree == manifest") + args = ap.parse_args(argv) + m = load_manifest() + + if args.verify: + problems = verify(m) + for p in problems: + print(p) + print("vendor tree OK" if not problems else f"{len(problems)} problem(s)") + return 1 if problems else 0 + if args.check: + drift = check(m) + for d in drift: + print(d) + print("no upstream drift" if not drift else f"{len(drift)} upstream change(s)") + return 1 if drift else 0 + changed = sync(m) + for c in changed: + print(f"updated {c}") + print(f"synced; {len(changed)} file(s) changed") + return 0 + + +if __name__ == "__main__": # pragma: no cover + sys.exit(main()) diff --git a/dev/seeds/bcda_v3_cclf_absent.csv b/dev/seeds/bcda_v3_cclf_absent.csv new file mode 100644 index 0000000..ae09f1f --- /dev/null +++ b/dev/seeds/bcda_v3_cclf_absent.csv @@ -0,0 +1,53 @@ +cclf_file,element,field_name,field_description +CCLF0,1,File Number Label,“File Number” This field will be left-justified and right-padded with spaces. +CCLF0,2,Delimiter,“|” +CCLF0,3,File Description Label,“File Description” This field will be left-justified and right-padded with spaces. +CCLF0,4,Delimiter,“|” +CCLF0,5,Total Records Count Label,“Total Records Count” This field will be left-justified and right-padded with spaces. +CCLF0,6,Delimiter,“|” +CCLF0,7,Record Length Label,“Record Length” This field will be left-justified and right-padded with spaces. +CCLF1,4,BENE_HIC_NUM,"Legacy Beneficiary HICN field I Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF1,26,BENE_EQTBL_BIC_HICN_NUM,"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF2,4,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF2,11,BENE_EQTBL_BIC_HICN_NUM,"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF3,3,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF3,5,CLM_VAL_SQNC_NUM,An arbitrary sequential number that uniquely identifies a procedure code record within the claim. +CCLF3,8,BENE_EQTBL_BIC_HICN_NUM,"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF4,3,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF4,6,CLM_VAL_SQNC_NUM,An arbitrary sequential number that uniquely identifies a procedure code record within the claim. +CCLF4,8,BENE_EQTBL_BIC_HICN_NUM,"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank effective January 1, 2020." +CCLF5,4,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The HICN field will be blank effective January 1, 2020." +CCLF5,8,RNDRG_PRVDR_TYPE_CD,"Indicates the type of provider who provided the service associated with this line item on the claim. Provider Type Code include: 0 = Clinics, groups, associations, partnerships, or other entities 1 = Physicians or suppliers reporting as solo practitioners 2 = Suppliers (other than sole proprietorship) 3 = Institutional provider 4 = Independent laboratories 5 = Clinics (multiple specialties) 6 = Groups (single specialty) 7 = Other entities 8 = Family Practice UI = UPIN Identification N2 = National Council for Prescription Drug Programs D = National Supplier Clearinghouse BP = PIN Individual BG = PIN Group A = Online Survey, Certification and Reporting" +CCLF5,27,BENE_EQTBL_BIC_HICN_NUM,"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank effective January 1, 2020." +CCLF5,49,HCPCS_BETOS_CD,A code representing a clinical category. The Berenson-Eggers Type of Service (BETOS) code. +CCLF6,4,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF6,23,BENE_EQTBL_BIC_HICN_NUM,"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF7,3,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF8,2,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF8,3,BENE_FIPS_STATE_CD,Identifies the state where the beneficiary receiving services resides. I H +CCLF8,4,BENE_FIPS_CNTY_CD,Identifies the county where the beneficiary receiving services resides. I H +CCLF8,5,BENE_ZIP_CD,The beneficiary’s ZIP code as indicated in their Medicare enrollment record. I H +CCLF8,9,BENE_AGE,"The beneficiary’s current age, as calculated by subtracting the beneficiary’s date of birth from the current date. I H" +CCLF8,13,BENE_RNG_BGN_DT,The date the beneficiary enrolled in Hospice. I H +CCLF8,14,BENE_RNG_END_DT,The date the beneficiary is- enrolled in hospice. I H +CCLF8,22,BENE_LINE_1_ADR,The first line of the street address. I +CCLF8,23,BENE_LINE_2_ADR,The second line of the street address. I +CCLF8,24,BENE_LINE_3_ADR,The third line of the street address. I +CCLF8,25,BENE_LINE_4_ADR,The fourth line of the street address. I +CCLF8,26,BENE_LINE_5_ADR,The fifth line of the street address. I +CCLF8,27,BENE_LINE_6_ADR,The sixth line of the street address. I +CCLF8,31,GEO_ZIP4_CD,A four-digit extension to a ZIP Code that represents a subdivision for mailing purposes of the ZIP Code. I +CCLF9,1,HICN_MBI_XREF_IND…,"M = MBI Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLF9,6,BENE_RRB_NUM,"Legacy RRB number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the Medicare Beneficiary Identifier (MBI) will be accepted on claims, and the HICN and RRB will no longer be displayed. These fields will be blank effective January 1, 2020, in CCLF files." +CCLFA,3,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLFA,16,CLM_PBP_INCLSN_AMT,The amount that would have been paid in the absence of PBP/ AIPBP Reduction. The value for the PBP/AIPBP Inclusion Amount is derived from the table and column called “CMS_VIEW_CLM_PRD.CLM_VAL_AMT” when the value code within the field called “CLM_VAL_CD” equals “Q0.” +CCLFA,17,CLM_PBP_RDCTN_AMT,The PBP/AIPBP Reduction Amount withheld from payment to the Provider. The value for the PBP/AIPBP Reduction Amount is derived from the table and column called “CMS_VIEW_CLM_PRD.CLM_VAL_AMT” when the value code within the field called “CLM_VAL_CD” equals “Q1.” +CCLFA,27,CLM_OPRTNL_OUTLR_AMT,Operating Outlier Amount (DSH) +CCLFA,28,CLM_MDCR_NEW_TECH_AMT,Medicare new technology add-on payment +CCLFA,29,CLM_ISLET_ISOLN_AMT,Islet Isolation Add-on payment amount +CCLFA,30,CLM_SQSTRTN_RDCTN_AMT,The payment to the provider will be reduced by the amount specified by CMS. +CCLFA,33,CLM_MIPS_PMT_AMT,Capital MIPS payment costs +CCLFB,4,BENE_HIC_NUM,"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards." +CCLFB,16,CLM_PBP_INCLSN_AMT,The amount that would have been paid in the absence of PBP/AIPBP Reduction. The value for the PBP/AIPBP Inclusion Amount is derived from the table and column called “CMS_VIEW_CLM_PRD.CLM_LINE_OTHR_APLD_AMT” when the value code within the field called “CLM_LINE_OTHR_APLD_CD” equals “J.” +CCLFB,17,CLM_PBP_RDCTN_AMT,The PBP/AIPBP Reduction Amount withheld from payment to the Provider. The value for the PBP/AIPBP Reduction Amount is derived from the table and column called “CMS_VIEW_CLM_PRD.CLM_LINE_OTHR_APLD_AMT” when the value code within the field called “CLM_LINE_OTHR_APLD_CD” equals “L.” +CCLFB,20,CLM_SQSTRTN_RDCTN_AMT,The payment to the provider will be reduced by the amount specified by CMS. Only one period has been defined by CMS for a 2% reduction that began on 04/01/2013 as part of government sequestration. diff --git a/dev/seeds/bcda_v3_cclf_crosswalk.csv b/dev/seeds/bcda_v3_cclf_crosswalk.csv new file mode 100644 index 0000000..11c6630 --- /dev/null +++ b/dev/seeds/bcda_v3_cclf_crosswalk.csv @@ -0,0 +1,294 @@ +cclf_file,element,field_label,field_name,start_position,end_position,data_length,format,field_description,bcda_v3_field,fhir_path +CCLF0,1,File Number Label,Title,1,13,13,X(13),“File Number” This field will be left-justified and right-padded with spaces.,, +CCLF0,2,Delimiter,Delimiter,14,14,1,X(1),“|”,, +CCLF0,3,File Description Label,Title,15,34,20,X(20),“File Description” This field will be left-justified and right-padded with spaces.,, +CCLF0,4,Delimiter,Delimiter,35,35,1,X(1),“|”,, +CCLF0,5,Total Records Count Label,Title,36,55,20,X(20),“Total Records Count” This field will be left-justified and right-padded with spaces.,, +CCLF0,6,Delimiter,Delimiter,56,56,1,X(1),“|”,, +CCLF0,7,Record Length Label,Title,57,69,13,X(13),“Record Length” This field will be left-justified and right-padded with spaces.,, +CCLF1,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,The claim unique ID is a unique ID for the claim within the source system.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLF1,2,Provider OSCAR Number,PRVDR_OSCAR_NUM,14,19,6,X(06),"A facility’s Medicare/Medicaid identification number. It is also known as a Medicare/Medicaid Provider Number, or CCN. This number verifies that a provider has been Medicare certified for a particular type of service. H",Provider Number (OSCAR/CCN),ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value +CCLF1,3,Medicare Beneficiary Identifier,BENE_MBI_ID,20,30,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF1,4,Beneficiary HIC Number,BENE_HIC_NUM,31,41,11,X(11),"Legacy Beneficiary HICN field I Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF1,5,Claim Type Code,CLM_TYPE_CD,42,43,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs. H Claim type code include: 10 = HHA claim 20 = Non swing bed SNF claim 30 = Swing bed SNF claim 40 = Outpatient claim 50 = Hospice claim 60 = Inpatient claim 61 = Inpatient “Full-Encounter” claim,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLF1,6,Claim From Date,CLM_FROM_DT,44,53,10,YYYY-MM-DD,The first day on the billing statement that covers services rendered to the beneficiary. H Also known as “Statement Covers From Date.”,Claim From Date,ExplanationOfBenefit.billablePeriod.start +CCLF1,7,Claim Thru Date,CLM_THRU_DT,54,63,10,YYYY-MM-DD,The last day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers Through Date.”,Claim Thru Date,ExplanationOfBenefit.billablePeriod.end +CCLF1,8,Claim Bill Facility Type Code,CLM_BILL_FAC_TYPE_CD,64,64,1,X(01),"The first digit of the type of bill (TOB1) is used to identify the type of facility that provided care to the beneficiary (e.g., hospital or SNF). H Claim Facility Type Code include: 1 = Hospital 2 = SNF 3 = HHA 4 = Religious non-medical (hospital) 5 = Religious non-medical (extended care) 6 = Intermediate care 7 = Clinic or hospital-based renal dialysis facility 8 = Specialty facility or Ambulatory Surgical Center (ASC) surgery 9 = Reserved",Bill Facility Type Code,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='typeofbill').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-FAC-TYPE-CD').code +CCLF1,9,Claim Bill Classificatio n Code,CLM_BILL_CLSFCTN_CD,65,65,1,X(01),"The second digit of the type of bill (TOB2) is used to indicate with greater specificity where the service was provided (e.g., a department within a hospital). H Find Claim Service Classification Code at the ResDAC website.",Claim Bill Classification Code,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='typeofbill').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-CLSFCTN-CD').code +CCLF1,10,Principal Diagnosis Code,PRNCPL_DGNS_CD,66,72,7,X(07),The ICD-9/10 diagnosis code identifies the beneficiary’s principal illness or disability. H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF1,11,Admitting Diagnosis Code,ADMTG_DGNS_CD,73,79,7,X(07),The ICD-9/10 diagnosis code identifies the illness or disability for which the beneficiary was admitted. H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF1,12,Claim Medicare Non-Payment Reason Code,CLM_MDCR_NPMT_RSN_CD,80,81,2,X(02),Indicates the reason payment on an institutional claim is denied. Find Medicare Non-Payment Reason Code at the ResDAC website.,Claim Non Payment Reason Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_MDCR_NPMT_RSN_CD').exists()).code.coding.code +CCLF1,13,Claim Payment Amount,CLM_PMT_AMT,82,98,17,-9(13).99,Amount that Medicare paid on the claim. H,Payment Amount,ExplanationOfBenefit.payment.amount.value +CCLF1,14,Claim NCH Primary Payer Code,CLM_NCH_PRMRY_PYR_CD,99,99,1,X(01),"If a payer other than Medicare has primary responsibility for payment of the beneficiary’s health insurance bills, this code indicates the responsible primary payer. H If this field is blank, Medicare is the primary payer for the beneficiary. Find NCH Primary Payer Code at the ResDAC website.",The code outlining the primary payer.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NCH_PRMRY_PYR_CD').exists()).code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRMRY-PYR-CD').code +CCLF1,15,Federal Information Processing Standards (FIPS) State Code,PRVDR_FAC_FIPS_ST_CD,100,101,2,X(02),Identifies the state where the facility providing services is located.,State FIPS Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='PRVDR_FAC_FIPS_ST_CD').exists()).code +CCLF1,16,Beneficiary Patient Status Code,BENE_PTNT_STUS_CD,102,103,2,X(02),"Indicates the patient's discharge status as of the Claim Through Date. For example, it may indicate where a patient was discharged to (e.g., home, another facility) or the circumstances of a discharge (e.g., against medical advice, or patient death). I H Find Patient Discharge Status Code at the ResDAC website.",Patient Discharge Status Code,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='discharge-status').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/BENE-PTNT-STUS-CD').code +CCLF1,17,Diagnosis Related Group Code,DGNS_DRG_CD,104,107,4,X(04),Indicates the diagnostic related group to which a hospital claim belongs for prospective payment purposes. I H,Claim Diagnosis Related Group Code,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='drg').code.coding.where(system='https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software').code +CCLF1,18,Claim Outpatient Service Type Code,CLM_OP_SRVC_TYPE_CD,108,108,1,X(01),"A code reported by the provider that indicates the specific type of claim (Inpatient, Outpatient, etc.). I H Claim Outpatient Service Type Code include: 0 = Blank 1 = Emergency (The patient required immediate medical intervention because of severe life threatening or potentially disabling conditions. Generally, the patient was admitted through the emergency room) 2 = Urgent (The patient required immediate attention for the care and treatment of a physical or mental disorder. Generally, the patient was admitted to the available and suitable accommodation) 3 = Elective (The patient's condition permitted adequate time to schedule the availability of suitable accommodations) 5 = Reserved 6 = Reserved 7 = Reserved 8 = Reserved 9 = Unknown (Information not available)",Claim Outpatient Service Type Code,ExplanationOfBenefit.supportingInfo.where(code.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-OP-SRVC-TYPE-CD').code.coding.code +CCLF1,19,Facility Provider NPI Number,FAC_PRVDR_NPI_NUM,109,118,10,X(10),Identifies the facility associated with the claim. Each facility is assigned its own unique NPI.,Provider billing NPI number,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://hl7.org/fhir/sid/us-npi').value +CCLF1,20,Operating Provider NPI Number,OPRTG_PRVDR_NPI_NUM,119,128,10,X(10),Identifies the operating provider associated with the claim. Each provider is assigned its own unique NPI.,Operating Physician NPI,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'otheroperating').exists()).provider.identifier.value +CCLF1,21,Attending Provider NPI Number,ATNDG_PRVDR_NPI_NUM,129,138,10,X(10),Identifies the attending provider associated with the claim. Each provider is assigned its own unique NPI.,Attending Physician NPI,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'attending').exists()).provider.identifier.value +CCLF1,22,Other Provider NPI Number,OTHR_PRVDR_NPI_NUM,139,148,10,X(10),Identifies the other providers associated with the claim. Each provider is assigned its own unique NPI.,Other Physician NPI,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'otheroperating').exists()).provider.identifier.value or ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'supervisor').exists()).provider.identifier.value +CCLF1,23,Claim Adjustment Type Code,CLM_ADJSMT_TYPE_CD,149,150,2,X(02),"Indicates whether the claim is an original, cancellation, or adjustment claim. Claim Adjustment Type Code include: 0 = Original Claim 1 = Cancellation Claim 2 = Adjustment claim",Claim Adjustment Type Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ADJSTMT_TYPE_CD').exists()).code.coding.code +CCLF1,24,Claim Effective Date,CLM_EFCTV_DT,151,160,10,YYYY-MM-DD,Date the claim was processed and added to the NCH. Also referred to as the NCH Weekly Processing Date. H,Claim Effective Date,ExplanationOfBenefit.created +CCLF1,25,Claim IDR Load Date,CLM_IDR_LD_DT,161,170,10,YYYY-MM-DD,When the claim was loaded into the IDR.,Claim IDR Load Date,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_IDR_LD_DT').exists()).timing +CCLF1,26,Beneficiary Equitable BIC HICN Number,BENE_EQTBL_BIC_HICN_NUM,171,181,11,X(11),"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF1,27,Claim Admission Type Code,CLM_ADMSN_TYPE_CD,182,183,2,X(2),Indicates the type and priority of inpatient services. I H Claim Admission Type Code include: 0 = Blank 1 = Emergency 2 = Urgent 3 = Elective 4 = Newborn 5 = Trauma Center 6-8 = Reserved 9 = Unknown,Claim Admission Type Code,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='admtype').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-ADMSN-TYPE-CD').code +CCLF1,28,Claim Admission Source Code,CLM_ADMSN_SRC_CD,184,185,2,X(2),"Indicates the source of the beneficiary’s referral for admission or visit (e.g., a physician or another facility). Find Admission Source Code at the ResDAC website.",Source Admission Code,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='pointoforigin').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-ADMSN-SRC-CD').code +CCLF1,29,Claim Bill Frequency Code,CLM_BILL_FREQ_CD,186,186,1,X(1),"The third digit of the type of bill (TOB3) code. It indicates the sequence of the claim in the beneficiary's current episode of care (e.g., interim or voided). Find Claim Frequency Code at the ResDAC website.",Bill Frequency Code,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='typeofbill').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-FREQ-CD').code +CCLF1,30,Claim Query Code,CLM_QUERY_CD,187,187,1,X(1),"Indicates the type of claim record being processed with respect to payment (e.g., debit/credit indicator or interim/final indicator). Claim Query Code include: 0 = Credit adjustment 1 = Interim bill 2 = HHA benefits exhausted 3 = Final bill 4 = Discharge notice 5 = Debit adjustment",Claim Query Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_QUERY_CD').exists()).code.coding.code +CCLF1,31,ICD Version Indicator,DGNS_PRCDR_ICD_IND,188,188,1,X(1),9 = ICD-9 0 = ICD-10 U = any value other than “9” or “0” in the source data.,Diagnosis Procedure ICD indicator,ExplanationOfBenefit.diagnosis.diagnosis.coding.system +CCLF1,32,Total Claim Charge Amount,CLM_MDCR_INSTNL_TOT_CHRG_AMT,189,203,15,-9(11).99,"Effective with NCH Version G, the total charges for all services included on the institutional claim. This field is redundant with revenue center code 0001/total charges.",Total Charge Amount,ExplanationOfBenefit.total.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication').exists() and category.coding.where(code='CLM_SBMT_CHRG_AMT').exists() ).amount.value +CCLF1,33,Claim Capital Indirect Medical Education Amount,CLM_MDCR_IP_PPS_CPTL_IME_AMT,204,218,15,-9(11).99,The amount of the indirect medical education (IME) (reimbursable amount for teaching hospitals only; an added amount passed by Congress to augment normal Prospective Payment System [PPS] payments for teaching hospitals to compensate them for higher patient costs resulting from medical education programs for interns and residents) portion of the PPS payment for capital. Note: Applicable for claim type = 60 and total calculated based on debit credit methodology.,Claim PPS Capital IME Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_CPTL_IME_AMT').exists()).amount.value +CCLF1,34,Claim Operational Indirect Medical Education Amount,CLM_OPRTNL_IME_AMT,219,240,22,-9(18).99,The indirect medical education amount applicable to the bill. (Do not include PPS capital IME adjustment in this entry). Note: Applicable for claim type = 60 and total calculated based on debit credit methodology.,Operating Indirect Medical Education Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_OPRTNL_IME_AMT').exists()).amount.value +CCLF1,35,Claim Capital Disproportionate Amount,CLM_MDCR_IP_PPS_DSPRPRTNT_AMT,241,255,15,-9(11).99,"Effective 3/2/92, the amount of disproportionate share (rate reflecting indigent population served) portion of the PPS payment for capital. [NCH] Note: Applicable for claim type = 60 and total calculated based on debit credit methodology.",Claim PPS Capital Disproportionate Share Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_DSPRPRTNT_AMT').exists()).amount.value +CCLF1,36,Claim Health Insurance Prospective Payment System Uncompens ated Care Amount,CLM_HIPPS_UNCOMPD_CARE_AMT,256,270,15,-9(11).99,"This is a payment for DSH hospitals as part of Section 3133 of ACA. It represents the uncompensated care amount of the payment. Note: Applicable for claim types = (10, 20, 30, 40, 50, 60) and total calculated based on debit credit methodology.",Claim Uncompensated Care Payment Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_HIPPS_UNCOMPD_CARE_AMT').exists()).amount.value +CCLF1,37,Claim Operational disproportionate Amount,CLM_OPRTNL_DSPRPRTNT_AMT,271,292,22,-9(18).99,The disproportionate share amount applicable to the bill. Use the amount provided by the disproportionate share field in PRICER. (Do not include any PPS capital DSH adjustment in this entry). Note: Applicable for claim type = 60 and total calculated based on debit credit methodology.,Operating Disproportionate Share Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_OPRTNL_DSPRTNT_AMT').exists()).amount.value +CCLF1,38,Claim Provider OSCAR Number,CLM_BLG_PRVDR_OSCAR_NUM,293,312,20,x(20),"A facility’s Medicare/Medicaid identification number. It is also known as a Medicare/Medicaid Provider Number, or CCN. This number verifies that a provider has been Medicare certified for a particular type of service. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 2 “Provider OSCAR Number” sourced from Provider Enrollment Change of Ownership System (PECOS).",Provider Number (OSCAR/CCN),ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value +CCLF1,39,Claim Facility Provider NPI Number,CLM_BLG_PRVDR_NPI_NUM,313,322,10,x(10),"Identifies the facility associated with the claim. Each facility is assigned its own unique NPI. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 19 “Facility Provider NPI Number” sourced from PECOS.",Provider billing NPI number,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://hl7.org/fhir/sid/us-npi').value +CCLF1,40,Claim Operating Provider NPI Number,CLM_OPRTG_PRVDR_NPI_NUM,323,332,10,x(10),"Identifies the operating provider associated with the claim. Each provider is assigned its own unique NPI. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 20 “Operating Provider NPI Number” sourced from PECOS.",Operating Physician NPI,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'otheroperating').exists()).provider.identifier.value +CCLF1,41,Claim Attending Provider NPI Number,CLM_ATNDG_PRVDR_NPI_NUM,333,342,10,x(10),"Identifies the attending provider associated with the claim. Each provider is assigned its own unique NPI. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 21 “Attending Provider NPI Number” sourced from PECOS.",Attending Physician NPI,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'attending').exists()).provider.identifier.value +CCLF1,42,Claim Other Provider NPI Number,CLM_OTHR_PRVDR_NPI_NUM,343,352,10,x(10),"Identifies the other providers associated with the claim. Each provider is assigned its own unique NPI. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 22 “Other Provider NPI Number” sourced from PECOS.",Other Physician NPI,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'otheroperating').exists()).provider.identifier.value or ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'supervisor').exists()).provider.identifier.value +CCLF1,43,Claim Control Number,CLM_CNTL_NUM,353,392,40,x(40),"An identifier assigned by the claim processor (i.e., MAC, Part D Plan, or Encounter Data Processing Contractor) to a claim.",Claim Control Number,ExplanationOfBenefit.identifier.where(system = 'https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM').value +CCLF1,44,Claim Original Control Number,CLM_ORG_CNTL_NUM,393,432,40,x(40),A unique number assigned by the state’s payment system that identifies an original claim.,This field is the original identification value assigned.,ExplanationOfBenefit.related.where(relationship.coding.system = 'http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship').reference.where(system='https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM').value +CCLF1,45,Claim Contractor Number,CLM_CNTRCTR_NUM,433,437,5,x(5),A number assigned by CMS identifying a MAC authorized to process Medicare claims.,FI Number,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CNTRCTR_NUM').exists()).code.coding.code +CCLF2,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,The claim unique ID is a unique ID for the claim within the source system.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLF2,2,Claim Line Number,CLM_LINE_NUM,14,23,10,9(10),A sequential number that identifies a specific claim line.,Line Item Sequence Number,ExplanationOfBenefit.item.sequence +CCLF2,3,Medicare Beneficiary Identifier,BENE_MBI_ID,24,34,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF2,4,Beneficiary HIC Number,BENE_HIC_NUM,35,45,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF2,5,Claim Type Code,CLM_TYPE_CD,46,47,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs. H Claim type code include: 10 = HHA claim 20 = Non swing bed SNF claim 30 = Swing bed SNF claim 40 = Outpatient claim 50 = Hospice claim 60 = Inpatient claim 61 = Inpatient “Full- Encounter” claim,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLF2,6,Claim Line From Date,CLM_LINE_FROM_DT,48,57,10,YYYY-MM-DD,The date the service associated with the line item began. H,Line Item From Date,ExplanationOfBenefit.item.serviced.start +CCLF2,7,Claim Line Thru Date,CLM_LINE_THRU_DT,58,67,10,YYYY-MM-DD,The date the service associated with the line item ended. H,Last Expense Date,ExplanationOfBenefit.item.serviced.end +CCLF2,8,Product Revenue Center Code,CLM_LINE_PROD_REV_CTR_CD,68,71,4,X(04),"The number a provider assigns to the cost center to which a particular charge is billed (e.g., accommodations or supplies). A cost center is a division or unit within a hospital (e.g., radiology, emergency room, pathology). Find Revenue Center Code at the ResDAC website. Revenue center code 0001 represents the total of all revenue centers included on the claim.",Line Item Revenue Center Code,ExplanationOfBenefit.item.revenue.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-REV-CNTR-CD').code +CCLF2,9,Claim Line Institutional Revenue Center Date,CLM_LINE_INSTNL_REV_CTR_DT,72,81,10,YYYY-MM-DD,The date that applies to the service associated with the Revenue Center code.,Revenue Center Date,ExplanationOfBenefit.item.servicedDate +CCLF2,10,HCPCS Code,CLM_LINE_HCPCS_CD,82,86,5,X(05),"The HCPCS code representing the procedure, supply, product, and/or service provided to the beneficiary. Note: Health Insurance Prospective Payment System (HIPPS) code may be available when the Product Revenue Center Code is “0022” (SNF Prospective Payment System).",Line Item HCPCS Code,ExplanationOfBenefit.item.productOrService.where(coding.system='http://www.ama-assn.org/go/cpt' or coding.system='https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' or coding.system='http://terminology.hl7.org/CodeSystem/data-absent-reason').coding.code +CCLF2,11,Beneficiary Equitable BIC HICN Number,BENE_EQTBL_BIC_HICN_NUM,87,97,11,X(11),"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF2,12,Provider OSCAR Number,PRVDR_OSCAR_NUM,98,103,6,X(6),"A facility’s Medicare/Medicaid identification number, also known as a Medicare/Medicaid Provider Number, or CCN. This number verifies that a provider has been Medicare certified for a particular type of services. H",Provider Number (OSCAR/CCN),ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value +CCLF2,13,Claim From Date,CLM_FROM_DT,104,113,10,YYYY-MM-DD,The first day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers From Date.”,Claim From Date,ExplanationOfBenefit.billablePeriod.start +CCLF2,14,Claim Thru Date,CLM_THRU_DT,114,123,10,YYYY-MM-DD,The last day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers Through Date.”,Claim Thru Date,ExplanationOfBenefit.billablePeriod.end +CCLF2,15,Claim Line Service Unit Quantity,CLM_LINE_SRVC_UNIT_QTY,124,147,24,-9(18).9999,"Count of total units, at the line-item level, associated with services needing unit reporting (e.g., anesthesia time units and blood units). H",Line Item Service Unit Quantity,ExplanationOfBenefit.item.quantity.value +CCLF2,16,Claim Line Covered Paid Amount,CLM_LINE_CVRD_PD_AMT,148,164,17,-9(13).99,The amount Medicare reimbursed the provider for covered services associated with the claim-line. H,Claim Line Covered Paid Amount,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_CVRD_PD_AMT')).amount.value +CCLF2,17,HCPCS First Modifier Code,HCPCS_1_MDFR_CD,165,166,2,X(2),The first code to modify the HCPCS procedure code associated with the claim-line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 1,ExplanationOfBenefit.item.modifier[0].coding.code +CCLF2,18,HCPCS Second Modifier Code,HCPCS_2_MDFR_CD,167,168,2,X(2),The second code to modify the HCPCS procedure code associated with the claim-line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 2,ExplanationOfBenefit.item.modifier[1].coding.code +CCLF2,19,HCPCS Third Modifier Code,HCPCS_3_MDFR_CD,169,170,2,X(2),The third code to modify the HCPCS procedure code associated with the claim-line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 3,ExplanationOfBenefit.item.modifier[2].coding.code +CCLF2,20,HCPCS Fourth Modifier Code,HCPCS_4_MDFR_CD,171,172,2,X(2),The fourth code to modify the HCPCS procedure code associated with the claim-line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 4,ExplanationOfBenefit.item.modifier[3].coding.code +CCLF2,21,HCPCS Fifth Modifier Code,HCPCS_5_MDFR_CD,173,174,2,X(2),The fifth code to modify the HCPCS procedure code associated with the claim-line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 5,ExplanationOfBenefit.item.modifier[4].coding.code +CCLF2,22,Claim Revenue APC HIPPS Code,CLM_REV_APC_HIPPS_CD,175,179,5,X(5),APC group for outpatient claim type,Line Item APC / HIPPS Code,ExplanationOfBenefit.item.productOrService.coding.where(system='https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes').code +CCLF2,23,Claim Facility Provider OSCAR Number,CLM_FAC_PRVDR_OSCAR_NUM,180,199,20,X(20),"A facility’s Medicare/Medicaid identification number, also known as a Medicare/Medicaid Provider Number, or CCN. This number verifies that a provider has been Medicare certified for a particular type of services. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 12 “Provider OSCAR Number” sourced from PECOS.",Provider Number (OSCAR/CCN),ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value +CCLF3,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,The claim unique ID is a unique ID for the claim within the source system.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLF3,2,Medicare Beneficiary Identifier,BENE_MBI_ID,14,24,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF3,3,Beneficiary HIC Number,BENE_HIC_NUM,25,35,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF3,4,Claim Type Code,CLM_TYPE_CD,36,37,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs. H Claim type code are: 10 = HHA claim 20 = Non swing bed SNF claim 30 = Swing bed SNF claim 40 = Outpatient claim 50 = Hospice claim 60 = Inpatient claim 61 = Inpatient “Full- Encounter” claim,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLF3,5,Claim Value Sequence Number,CLM_VAL_SQNC_NUM,38,39,2,9(2),An arbitrary sequential number that uniquely identifies a procedure code record within the claim.,, +CCLF3,6,Procedure Code,CLM_PRCDR_CD,40,46,7,X(07),The ICD-9/10 code that indicates the procedure performed during the period covered by the claim. H,Claim Procedure Code,ExplanationOfBenefit.procedure.procedure.coding.code +CCLF3,7,Procedure Performed Date,CLM_PRCDR_PRFRM_DT,47,56,10,YYYY-MM-DD,The date the indicated procedure was performed. H,Procedure Performed Date,ExplanationOfBenefit.procedure.date +CCLF3,8,Beneficiary Equitable BIC HICN Number,BENE_EQTBL_BIC_HICN_NUM,57,67,11,X(11),"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF3,9,Provider OSCAR Number,PRVDR_OSCAR_NUM,68,73,6,X(6),"A facility’s Medicare/Medicaid identification number. It is also known as a Medicare/Medicaid Provider Number, or CCN. This number verifies that a provider has been Medicare certified for a particular type of services. H",Provider Number (OSCAR/CCN),ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value +CCLF3,10,Claim From Date,CLM_FROM_DT,74,83,10,YYYY-MM-DD,The first day on the billing statement that covers services rendered to the beneficiary. H Also known as “Statement Covers From Date.”,Claim From Date,ExplanationOfBenefit.billablePeriod.start +CCLF3,11,Claim Thru Date,CLM_THRU_DT,84,93,10,YYYY-MM-DD,The last day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers Through Date.”,Claim Thru Date,ExplanationOfBenefit.billablePeriod.end +CCLF3,12,ICD Version Indicator,DGNS_PRCDR_ICD_IND,94,94,1,X(1),9 = ICD-9 0 = ICD-10 U = any value other than “9” or “0” in the source data.,Diagnosis Procedure ICD indicator,ExplanationOfBenefit.procedure.procedure.coding.system +CCLF3,13,Claim Provider OSCAR Number,CLM_BLG_PRVDR_OSCAR_NUM,95,114,20,X(20),"A facility’s Medicare/Medicaid identification number, also known as a Medicare/Medicaid Provider Number, or CCN. This number verifies that a provider has been Medicare certified for a particular type of services. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 9 “Provider OSCAR Number” sourced from PECOS.",Provider Number (OSCAR/CCN),ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value +CCLF4,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,The claim unique ID is a unique ID for the claim within the source system.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLF4,2,Medicare Beneficiary Identifier,BENE_MBI_ID,14,24,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF4,3,Beneficiary HIC Number,BENE_HIC_NUM,25,35,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF4,4,Claim Type Code,CLM_TYPE_CD,36,37,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs. H Claim type code include: 10 = HHA claim 20 = Non swing bed SNF claim 30 = Swing bed SNF claim 40 = Outpatient claim 50 = Hospice claim 60 = Inpatient claim 61 = Inpatient “Full- Encounter” claim,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLF4,5,Claim Product Type Code,CLM_PROD_TYPE_CD,38,38,1,X(01),Code classifying the diagnosis category. H Category codes include: E = Accident diagnosis code 1 = First diagnosis E code D = Other diagnosis code,Diagnosis Prod Type Code,ExplanationOfBenefit.diagnosis.type.coding +CCLF4,6,Claim Value Sequence Number,CLM_VAL_SQNC_NUM,39,40,2,9(2),An arbitrary sequential number that uniquely identifies a procedure code record within the claim.,, +CCLF4,7,Diagnosis Code,CLM_DGNS_CD,41,47,7,X(07),The ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF4,8,Beneficiary Equitable BIC HICN Number,BENE_EQTBL_BIC_HICN_NUM,48,58,11,X(11),"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank effective January 1, 2020.",, +CCLF4,9,Provider OSCAR Number,PRVDR_OSCAR_NUM,59,64,6,X(6),"The OSCAR is a facility’s Medicare/Medicaid identification number. It is also known as a Medicare/Medicaid Provider Number, or CCN. This number verifies that a provider has been Medicare certified for a particular type of services. H",Provider Number (OSCAR/CCN),ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value +CCLF4,10,Claim From Date,CLM_FROM_DT,65,74,10,YYYY-MM-DD,The first day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers From Date.”,Claim From Date,ExplanationOfBenefit.billablePeriod.start +CCLF4,11,Claim Thru Date,CLM_THRU_DT,75,84,10,YYYY-MM-DD,The last day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers Through Date.”,Claim Thru Date,ExplanationOfBenefit.billablePeriod.end +CCLF4,12,Claim Present- on-Admission Indicator,CLM_POA_IND,85,91,7,X(7),Indicates whether a patient had the condition listed on the claim line at the time of admission to the facility. I H Find Present-on-Admission values at the ResDAC website.,Claim Present on Admission Indicator,ExplanationOfBenefit.diagnosis.onAdmission.coding +CCLF4,13,ICD Version Indicator,DGNS_PRCDR_ICD_IND,92,92,1,X(1),9 = ICD-9 0 = ICD-10 U = any value other than “9” or “0” in the source data.,Diagnosis Procedure ICD indicator,ExplanationOfBenefit.diagnosis.diagnosis.coding.system +CCLF4,14,Claim Provider OSCAR Number,CLM_BLG_PRVDR_OSCAR_NUM,93,112,20,X(20),"A facility’s Medicare/Medicaid identification number, also known as a Medicare/Medicaid Provider Number, or CCN. This number verifies that a provider has been Medicare certified for a particular type of services. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 9 “Provider OSCAR Number” sourced from PECOS.",Provider Number (OSCAR/CCN),ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value +CCLF5,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,The claim unique ID is a unique ID for the claim within the source system.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLF5,2,Claim Line Number,CLM_LINE_NUM,14,23,10,9(10),A sequential number that identifies a specific claim line within a given claim.,Line Item Sequence Number,ExplanationOfBenefit.item.sequence +CCLF5,3,Medicare Beneficiary Identifier,BENE_MBI_ID,24,34,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF5,4,Beneficiary HIC Number,BENE_HIC_NUM,35,45,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The HICN field will be blank effective January 1, 2020.",, +CCLF5,5,Claim Type Code,CLM_TYPE_CD,46,47,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs. H Claim type code include: 71 = RIC O local carrier non-DMEPOS claim 72 = RIC O local carrier DMEPOS claim,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLF5,6,Claim From Date,CLM_FROM_DT,48,57,10,YYYY-MM-DD,The first day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers From Date.”,Claim From Date,ExplanationOfBenefit.billablePeriod.start +CCLF5,7,Claim Thru Date,CLM_THRU_DT,58,67,10,YYYY-MM-DD,The last day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers Through Date.”,Claim Thru Date,ExplanationOfBenefit.billablePeriod.end +CCLF5,8,Rendering Provider Type Code,RNDRG_PRVDR_TYPE_CD,68,70,3,X(03),"Indicates the type of provider who provided the service associated with this line item on the claim. Provider Type Code include: 0 = Clinics, groups, associations, partnerships, or other entities 1 = Physicians or suppliers reporting as solo practitioners 2 = Suppliers (other than sole proprietorship) 3 = Institutional provider 4 = Independent laboratories 5 = Clinics (multiple specialties) 6 = Groups (single specialty) 7 = Other entities 8 = Family Practice UI = UPIN Identification N2 = National Council for Prescription Drug Programs D = National Supplier Clearinghouse BP = PIN Individual BG = PIN Group A = Online Survey, Certification and Reporting",, +CCLF5,9,Rendering Provider FIPS State Code,RNDRG_PRVDR_FIPS_ST_CD,71,72,2,X(02),Identifies the state that the provider providing the service is located in.,State FIPS Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='RNDRG_PRVDR_FIPS_ST_CD').exists()).code +CCLF5,10,Claim-Line Provider Specialty Code,CLM_PRVDR_SPCLTY_CD,73,74,2,X(02),Indicates the CMS specialty code associated with the provider of services. CMS used this number to price the service on the line-item. Find Provider Specialty Code at CMS.gov or the Research Data Assistance Center.,Provider Speciality Code,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRVDR-SPCLTY-CD').value.code +CCLF5,11,Claim Federal Type Service Code,CLM_FED_TYPE_SRVC_CD,75,75,1,X(01),"Indicates the type of service (e.g., consultation, surgery) provided to the beneficiary. Types of Service Code are defined in the Medicare Carrier Manual. Find Types of Service Code at the ResDAC website.",CMS Service Type Code,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-FED-TYPE-SRVC-CD').value.code +CCLF5,12,Claim Place of Service Code,CLM_POS_CD,76,77,2,X(02),"Indicates the place where the indicated service was provided (e.g., ambulance, school). Places of service are defined in the Medicare Carrier Manual. Find Place of Service Code at the ResDAC website.",Place Of Service Code,ExplanationOfBenefit.item.location.coding.where(system='https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set').code +CCLF5,13,Claim Line From Date,CLM_LINE_FROM_DT,78,87,10,YYYY-MM-DD,The date the service associated with the line item began.,Line Item From Date,ExplanationOfBenefit.item.serviced.start +CCLF5,14,Claim Line Thru Date,CLM_LINE_THRU_DT,88,97,10,YYYY-MM-DD,The date the service associated with the line item ended.,Last Expense Date,ExplanationOfBenefit.item.serviced.end +CCLF5,15,HCPCS Code,CLM_LINE_HCPCS_CD,98,102,5,X(05),"The HCPCS code representing the procedure, supply, product, and/or service provided to the beneficiary. I H",Line Item HCPCS Code,ExplanationOfBenefit.item.productOrService.where(coding.system='http://www.ama-assn.org/go/cpt' or coding.system='https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' or coding.system='http://terminology.hl7.org/CodeSystem/data-absent-reason').coding.code +CCLF5,16,Claim Line NCH Payment Amount,CLM_LINE_CVRD_PD_AMT,103,117,15,X(15),The amount of payment made by Medicare on behalf of the beneficiary for the indicated service after deductible and coinsurance amounts have been paid.,Claim Line Covered Paid Amount,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_CVRD_PD_AMT')).amount.value +CCLF5,17,Claim Primary Payer Code,CLM_LINE_PRMRY_PYR_CD,118,118,1,X(01),"If a payer other than Medicare has primary responsibility for payment of the service indicated on the claim line, this code indicates the primary payer. This field is also known as the Line Beneficiary Primary Payer Code. I H If this field is blank, Medicare is the primary payer for the beneficiary. Find Primary Payer Code at the ResDAC website.",Line Primary Payer Code,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRMRY-PYR-CD').value.code +CCLF5,18,Diagnosis Code,CLM_LINE_DGNS_CD,119,125,7,X(07),The ICD-9/10 diagnosis code identifying the beneficiary’s principal illness or disability. I H,Line Item Diagnosis Code,ExplanationOfBenefit.item.select(%root.diagnosis[diagnosisSequence-1].diagnosis.coding.code) +CCLF5,19,Claim Provider Tax Number,CLM_RNDRG_PRVDR_TAX_NUM,126,135,10,X(10),The SSN or Employee Identification Number (EIN) of the provider of the indicated service. This number identifies who receives payment for the indicated service. I,Provider Tax Number,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRVDR-TAX-NUM').value +CCLF5,20,Rendering Provider NPI Number,RNDRG_PRVDR_NPI_NUM,136,145,10,X(10),A number that identifies the provider rendering the indicated service on the claim line. Each provider is assigned its own unique NPI.,Rendering Provider NPI Number - Line Level,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'rendering').exists()).provider.identifier.value +CCLF5,21,Claim Carrier Payment Denial Code,CLM_CARR_PMT_DNL_CD,146,147,2,X(02),"Indicates to whom payment was made (e.g., physician, beneficiary), or if the claim was denied. Find Carrier Payment Denial Code at the ResDAC website. Additionally, the following code may be available: G = MSP Cost Avoided - Secondary Claims Investigation H = MSP Cost Avoided - Self Reports J = MSP Cost Avoided - 411.25 T = MSP Cost Avoided - IEQ contractor (eff. 7/96) X = MSP Cost Avoided - generic Y = MSP Cost Avoided - IRS/SSA data match project",Claim Payment Denial Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CARR_PMT_DNL_CD').exists()).code.coding.code +CCLF5,22,Claim-Line Processing Indicator Code,CLM_PRCSG_IND_CD,148,149,2,X(02),"Indicates if the service indicated on the claim line was allowed or the reason it was denied. Find Processing Indicator Code at the ResDAC website. Additionally, the following code may be available: G = MSP Cost Avoided - Secondary Claims Investigation H = MSP Cost Avoided - Self Reports J = MSP Cost Avoided - 411.25 19 = MSP Cost Avoided - Worker's Compensation Set Aside 41 = MSP Cost Avoided - Next Generation Desktop",Processing Indicator Code,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRCSG-IND-CD').value.code +CCLF5,23,Claim Adjustment Type Code,CLM_ADJSMT_TYPE_CD,150,151,2,X(02),"Indicates whether the claim is an original, cancellation, or adjustment claim. Claim Adjustment Type Code include: 0 = Original Claim 1 = Cancellation Claim 2 = Adjustment claim",Claim Adjustment Type Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ADJSTMT_TYPE_CD').exists()).code.coding.code +CCLF5,24,Claim Effective Date,CLM_EFCTV_DT,152,161,10,YYYY-MM-DD,The date the claim was processed and added to the NCH. This is also referred to as the NCH Weekly Processing Date.,Claim Effective Date,ExplanationOfBenefit.created +CCLF5,25,Claim IDR Load Date,CLM_IDR_LD_DT,162,171,10,YYYY-MM-DD,When the claim was loaded into the IDR.,Claim IDR Load Date,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_IDR_LD_DT').exists()).timing +CCLF5,26,Claim Control Number,CLM_CNTL_NUM,172,211,40,X(40),A unique number assigned to a claim by the Medicare carrier. This number allows CMS to associate each line item with its respective claim.,Claim Control Number,ExplanationOfBenefit.identifier.where(system = 'https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM').value +CCLF5,27,Beneficiary Equitable BIC HICN Number,BENE_EQTBL_BIC_HICN_NUM,212,222,11,X(11),"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank effective January 1, 2020.",, +CCLF5,28,Claim Line Allowed Charges Amount,CLM_LINE_ALOWD_CHRG_AMT,223,239,17,X(17),The amount Medicare approved for payment to the provider.,Line Item Allowed Charge Amount,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_ALOWD_CHRG_AMT')).amount.value +CCLF5,29,Claim Line Service Unit Quantity,CLM_LINE_SRVC_UNIT_QTY,240,263,24,-9(18).9999,"Count of total units, at the line-item level, associated with services needing unit reporting (e.g., anesthesia time units and blood units).",Line Item Service Unit Quantity,ExplanationOfBenefit.item.quantity.value +CCLF5,30,HCPCS First Modifier Code,HCPCS_1_MDFR_CD,264,265,2,X(2),The first code to modify the HCPCS procedure code associated with the claim- line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 1,ExplanationOfBenefit.item.modifier[0].coding.code +CCLF5,31,HCPCS Second Modifier Code,HCPCS_2_MDFR_CD,266,267,2,X(2),The second code to modify the HCPCS procedure code associated with the claim- line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 2,ExplanationOfBenefit.item.modifier[1].coding.code +CCLF5,32,HCPCS Third Modifier Code,HCPCS_3_MDFR_CD,268,269,2,X(2),The third code to modify the HCPCS procedure code associated with the claim- line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 3,ExplanationOfBenefit.item.modifier[2].coding.code +CCLF5,33,HCPCS Fourth Modifier Code,HCPCS_4_MDFR_CD,270,271,2,X(2),The fourth code to modify the HCPCS procedure code associated with the claim- line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 4,ExplanationOfBenefit.item.modifier[3].coding.code +CCLF5,34,HCPCS Fifth Modifier Code,HCPCS_5_MDFR_CD,272,273,2,X(2),The fifth code to modify the HCPCS procedure code associated with the claim- line. This provides more specific procedure identification for the line- item service. H,HCPCS Modifier Code 5,ExplanationOfBenefit.item.modifier[4].coding.code +CCLF5,35,Claim Disposition Code,CLM_DISP_CD,274,275,2,X(2),Information regarding payment actions on the claim. Claim Disposition Code include: 01 = Debit accepted 02 = Debit accepted (automatic adjustment) 03 = Cancel accepted,Claim Disposition Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_DISP_CD').exists()).code.coding.code +CCLF5,36,Claim Diagnosis First Code,CLM_DGNS_1_CD,276,282,7,X(7),The first of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,37,Claim Diagnosis Second Code,CLM_DGNS_2_CD,283,289,7,X(7),The second of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,38,Claim Diagnosis Third Code,CLM_DGNS_3_CD,290,296,7,X(7),The third of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,39,Claim Diagnosis Fourth Code,CLM_DGNS_4_CD,297,303,7,X(7),The fourth of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,40,Claim Diagnosis Fifth Code,CLM_DGNS_5_CD,304,310,7,X(7),The fifth of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,41,Claim Diagnosis Sixth Code,CLM_DGNS_6_CD,311,317,7,X(7),The sixth of 12allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,42,Claim Diagnosis Seventh Code,CLM_DGNS_7_CD,318,324,7,X(7),The seventh of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,43,Claim Diagnosis Eighth Code,CLM_DGNS_8_CD,325,331,7,X(7),The eighth of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,44,ICD Version Indicator,DGNS_PRCDR_ICD_IND,332,332,1,X(1),9 = ICD-9 0 = ICD-10 U = any value other than “9” or “0” in the source data.,Diagnosis Procedure ICD indicator,ExplanationOfBenefit.diagnosis.diagnosis.coding.system +CCLF5,45,Claim Diagnosis Ninth Code,CLM_DGNS_9_CD,333,339,7,X(7),The ninth of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,46,Claim Diagnosis Tenth Code,CLM_DGNS_10_CD,340,346,7,X(7),The tenth of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,47,Claim Diagnosis Eleventh Code,CLM_DGNS_11_CD,347,353,7,X(7),The eleventh of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,48,Claim Diagnosis Twelfth Code,CLM_DGNS_12_CD,354,360,7,X(7),The twelfth of 12 allowable ICD-9/10 diagnosis code identifying the beneficiary’s illness or disability. I H,Claim Diagnosis Code,ExplanationOfBenefit.diagnosis.diagnosis.coding.code +CCLF5,49,HCPCS BETOS Code,HCPCS_BETOS_CD,361,363,3,X(3),A code representing a clinical category. The Berenson-Eggers Type of Service (BETOS) code.,, +CCLF5,50,Claim Rendering Provider NPI Number,CLM_RNDRG_PRVDR_NPI_NUM,364,373,10,X(10),"A number that identifies the provider rendering the indicated service on the claim line. Each provider is assigned its own unique NPI. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 20 “Rendering Provider NPI Number” sourced from PECOS.",Rendering Provider NPI Number - Line Level,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'rendering').exists()).provider.identifier.value +CCLF5,51,Claim Referring Provider NPI Number,CLM_RFRG_PRVDR_NPI_NUM,374,383,10,X(10),A number that identifies the provider that referred the service on the claim line. Each provider is assigned its own unique NPI.,Referring Provider NPI Number,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'referring').exists()).provider.identifier.value +CCLF5,52,Claim contractor number,CLM_CNTRCTR_NUM,384,388,5,X(5),A number assigned by CMS identifying a MAC authorized to process Medicare claims.,FI Number,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CNTRCTR_NUM').exists()).code.coding.code +CCLF6,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,The claim unique ID is a unique ID for the claim within the source system.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLF6,2,Claim Line Number,CLM_LINE_NUM,14,23,10,9(10),A sequential number that identifies a specific claim line.,Line Item Sequence Number,ExplanationOfBenefit.item.sequence +CCLF6,3,Medicare Beneficiary Identifier,BENE_MBI_ID,24,34,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF6,4,Beneficiary HIC Number,BENE_HIC_NUM,35,45,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF6,5,Claim Type Code,CLM_TYPE_CD,46,47,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs. H Claim type code include: 81 = RIC M DMERC non-DMEPOS claim 82 = RIC M DMERC DMEPOS claim,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLF6,6,Claim From Date,CLM_FROM_DT,48,57,10,YYYY-MM-DD,The first day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers From Date.”,Claim From Date,ExplanationOfBenefit.billablePeriod.start +CCLF6,7,Claim Thru Date,CLM_THRU_DT,58,67,10,YYYY-MM-DD,The last day on the billing statement that covers services rendered to the beneficiary. H Also known as the “Statement Covers Through Date.”,Claim Thru Date,ExplanationOfBenefit.billablePeriod.end +CCLF6,8,Claim Federal Type Service Code,CLM_FED_TYPE_SRVC_CD,68,68,1,X(01),"Indicates the type of service (e.g., consultation, surgery), provided to the beneficiary. Types of Service Code are defined in the Medicare Carrier Manual. H Find Types of Service Code at the ResDAC website.",CMS Service Type Code,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-FED-TYPE-SRVC-CD').value.code +CCLF6,9,Claim Place of Service Code,CLM_POS_CD,69,70,2,X(02),"Indicates place where the indicated service was provided (e.g., ambulance, school). H Find Place of Service Code at the ResDAC website.",Place Of Service Code,ExplanationOfBenefit.item.location.coding.where(system='https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set').code +CCLF6,10,Claim Line From Date,CLM_LINE_FROM_DT,71,80,10,YYYY-MM-DD,The date the service associated with the line item began. H,Line Item From Date,ExplanationOfBenefit.item.serviced.start +CCLF6,11,Claim Line Thru Date,CLM_LINE_THRU_DT,81,90,10,YYYY-MM-DD,The date the service associated with the line item ended. H,Last Expense Date,ExplanationOfBenefit.item.serviced.end +CCLF6,12,HCPCS Code,CLM_LINE_HCPCS_CD,91,95,5,X(05),"The HCPCS code representing the procedure, supply, product, and/or service provided to the beneficiary. H",Line Item HCPCS Code,ExplanationOfBenefit.item.productOrService.where(coding.system='http://www.ama-assn.org/go/cpt' or coding.system='https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' or coding.system='http://terminology.hl7.org/CodeSystem/data-absent-reason').coding.code +CCLF6,13,Claim Line NCH Payment Amount,CLM_LINE_CVRD_PD_AMT,96,110,15,-9(11).99,The amount of payment made by Medicare on behalf of the beneficiary for the indicated service after deductible and coinsurance amounts have been paid. H,Claim Line Covered Paid Amount,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_CVRD_PD_AMT')).amount.value +CCLF6,14,Claim Primary Payer Code,CLM_PRMRY_PYR_CD,111,111,1,X(01),"If a payer other than Medicare has primary responsibility for payment of the service indicated on the claim line, this code indicates the primary payer. This field is also known as the Line Beneficiary Primary Payer Code. If this field is blank, Medicare is the primary payer for the beneficiary. Find Primary Payer Code at the ResDAC website.",Line Primary Payer Code,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRMRY-PYR-CD').value.code +CCLF6,15,Pay-to Provider NPI Number,PAYTO_PRVDR_NPI_NUM,112,121,10,X(10),A number that identifies the provider billing for the indicated service on the claim line. Each provider is assigned its own unique NPI.,Provider billing NPI number,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://hl7.org/fhir/sid/us-npi').value +CCLF6,16,Ordering Provider NPI Number,ORDRG_PRVDR_NPI_NUM,122,131,10,X(10),A number that identifies the provider ordering the indicated service on the claim line. Each provider is assigned its own unique NPI.,Referring Provider NPI Number,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'referring').exists()).provider.identifier.value +CCLF6,17,Claim Carrier Payment Denial Code,CLM_CARR_PMT_DNL_CD,132,133,2,X(02),"Indicates to whom payment was made (e.g., physician, beneficiary) or if the claim was denied Find Carrier Payment Denial Code at the ResDAC website. Additionally, the following code may be available: G = Secondary Claims Investigation H = Self Reports J = 411.25 T = MSP Cost Avoided - IEQ contractor (eff. 7/96) X = MSP Cost Avoided - generic Y = MSP Cost Avoided - IRS/SSA data match project",Claim Payment Denial Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CARR_PMT_DNL_CD').exists()).code.coding.code +CCLF6,18,Claim Processing Indicator Code,CLM_PRCSG_IND_CD,134,135,2,X(02),"Indicates if the service indicated on the claim line was allowed or the reason it was denied. Find Processing Indicator Code at the ResDAC website. Additionally, the following code may be available: G = MSP Cost Avoided - Secondary Claims Investigation H = MSP Cost Avoided - Self Reports J = MSP Cost Avoided - 411.25 19 = MSP Cost Avoided - Worker's Compensation Set Aside 41 = MSP Cost Avoided - Next Generation Desktop",Processing Indicator Code,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRCSG-IND-CD').value.code +CCLF6,19,Claim Adjustment Type Code,CLM_ADJSMT_TYPE_CD,136,137,2,X(02),"Indicates whether the claim is an original, cancellation, or adjustment claim. Claim Adjustment Type Code include: 0 = Original Claim 1 = Cancellation Claim 2 = Adjustment claim",Claim Adjustment Type Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ADJSTMT_TYPE_CD').exists()).code.coding.code +CCLF6,20,Claim Effective Date,CLM_EFCTV_DT,138,147,10,YYYY-MM-DD,The date the claim was processed and added to the NCH. This is also referred to as the NCH Weekly Processing Date. H,Claim Effective Date,ExplanationOfBenefit.created +CCLF6,21,Claim IDR Load Date,CLM_IDR_LD_DT,148,157,10,YYYY-MM-DD,When the claim was loaded into the IDR.,Claim IDR Load Date,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_IDR_LD_DT').exists()).timing +CCLF6,22,Claim Control Number,CLM_CNTL_NUM,158,197,40,X(40),A unique number assigned to a claim by the Medicare carrier. This number allows CMS to associate each line item with its respective claim.,Claim Control Number,ExplanationOfBenefit.identifier.where(system = 'https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM').value +CCLF6,23,Beneficiary Equitable BIC HICN Number,BENE_EQTBL_BIC_HICN_NUM,198,208,11,X(11),"Legacy Beneficiary Equitable BIC HICN Number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value/ Beneficiary Equitable BIC HICN Number will no longer be displayed. The Beneficiary Equitable BIC HICN Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF6,24,Claim Line Allowed Charges Amount,CLM_LINE_ALOWD_CHRG_AMT,209,225,17,-9(14).99,The amount Medicare approved for payment to the provider.,Line Item Allowed Charge Amount,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_ALOWD_CHRG_AMT')).amount.value +CCLF6,25,Claim Disposition Code,CLM_DISP_CD,226,227,2,X(2),Contains information regarding payment actions on the claim. Claim Disposition Code include: 01 = Debit accepted 02 = Debit accepted (automatic adjustment) 03 = Cancel accepted,Claim Disposition Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_DISP_CD').exists()).code.coding.code +CCLF6,26,Claim Pay-to Provider NPI Number,CLM_BLG_PRVDR_NPI_NUM,228,237,10,X(10),"A number that identifies the provider billing for the indicated service on the claim line. Each provider is assigned its own unique NPI. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 15 “Pay-to Provider NPI Number” sourced from PECOS.",Provider billing NPI number,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://hl7.org/fhir/sid/us-npi').value +CCLF6,27,Claim Ordering Provider NPI Number,CLM_RFRG_PRVDR_NPI_NUM,238,247,10,X(10),"A number that identifies the provider ordering the indicated service on the claim line. Each provider is assigned its own unique NPI. Notes:  From January 2022 onward, for Shared Savings Program, ACO REACH, KCC, VTAPM, and PCF models, this value is sourced from the Medicare claims processing system.  This field is included in addition to the Element 16 “Ordering Provider NPI Number” sourced from PECOS.",Referring Provider NPI Number,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'referring').exists()).provider.identifier.value +CCLF7,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,Claim Unique ID,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLF7,2,Medicare Beneficiary Identifier,BENE_MBI_ID,14,24,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF7,3,Beneficiary HIC Number,BENE_HIC_NUM,25,35,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF7,4,NDC Code,CLM_LINE_NDC_CD,36,46,11,X(11),A universal unique product identifier for human drugs. H,National Drug Code,(ExplanationOfBenefit.item.productOrService.coding|ExplanationOfBenefit.item.detail.productOrService.coding).where(system = 'http://hl7.org/fhir/sid/ndc').code +CCLF7,5,Claim Type Code,CLM_TYPE_CD,47,48,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs. H Claim type code include: 01 = Part D - Original without resubmitted PDE 02 = Part D - Adjusted PDE 03 = Part D - Deleted Claims 04 = Part D - Resubmitted PDE,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLF7,6,Claim Line From Date,CLM_LINE_FROM_DT,49,58,10,YYYY-MM-DD,"The date the service associated with the line item began (i.e., the date upon which the prescription was filled).",Line Item From Date,ExplanationOfBenefit.item.serviced +CCLF7,7,Provider Service Identifier Qualifier Code,PRVDR_SRVC_ID_QLFYR_CD,59,60,2,X(02),Indicates the type of number used to identify the pharmacy providing the services: 01 = NPI Number 06 = Unique Physician Identification Number (UPIN) 07 = National Council for Prescription Drug Programs (NCPDP) Number 08 = State License Number 11 = TIN 99 = Other mandatory for Standard Data Format,Provider Service Identifier Qualifier Code,ExplanationOfBenefit.contained.where(id = %context.provider.reference.substring(1)).identifier.type.where(system='http://bluebutton.cms.gov/fhir/CodeSystem/PRVDR-ID-QLFYR-CD').code +CCLF7,8,Claim Service Provider Generic ID Number,CLM_SRVC_PRVDR_GNRC_ID_NUM,61,80,20,X(20),The number associated with the indicated code in the Provider Service Identification Qualifier Code field.,Service Provider Generic ID Number,ExplanationOfBenefit.contained.where(id = %context.provider.reference.substring(1)).identifier.where(system='http://bluebutton.cms.gov/fhir/identifiers/GenericIdNum').value +CCLF7,9,Claim Dispensing Status Code,CLM_DSPNSNG_STUS_CD,81,81,1,X(01),Indicates the status of prescription fulfillment. Dispensing Code include: P = Partially filled C = Completely filled,Dispensing Status Code,ExplanationOfBenefit.supportingInfo.code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-DSPNSNG-STUS-CD').code +CCLF7,10,Claim Dispense as Written (DAW) Product Selection Code,CLM_DAW_PROD_SLCTN_CD,82,82,1,X(01),Indicates the prescriber's instructions regarding generic substitution or how those instructions were followed. DAW Product Selection Code include: 0 = No product selection indicated 1 = Substitution not allowed by prescriber 2 = Substitution allowed – Patient requested that brand be dispensed 3 = Substitution allowed – Pharmacist selected product dispensed 4 = Substitution allowed – Generic not in stock 5 = Substitution allowed – Brand drug dispensed as generic 6 = Override 7 = Substitution not allowed – Brand drug mandated by law 8 = Substitution allowed – Generic drug not available in marketplace 9 = Other,DAW Product Selection Code,ExplanationOfBenefit.supportingInfo.code.coding.where(system='http://terminology.hl7.org/CodeSystem/NCPDPDispensedAsWrittenOrProductSelectionCode').code +CCLF7,11,Claim Line Service Unit Quantity,CLM_LINE_SRVC_UNIT_QTY,83,106,24,-9(18).9999,"Count of total units, at the line-item level, associated with services needing unit reporting (e.g., anesthesia time units and blood units).",Line Item NDC Quantity,(ExplanationOfBenefit.item.quantity|ExplanationOfBenefit.item.detail.quantity).value +CCLF7,12,Claim Line Days’ Supply Quantity,CLM_LINE_DAYS_SUPLY_QTY,107,115,9,9(09),The number of days the supply of medication dispensed by the pharmacy will cover.,Days Supply Quantity,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and code='dayssupply').exists()).valueQuantity.value +CCLF7,13,Provider Prescribing ID Qualifier Code,PRVDR_PRSBNG_ID_QLFYR_CD,116,117,2,X(02),Indicates the type of number used to identify the prescribing provider: 01 = NPI Number 06 = UPIN 07 = NCPDP Number 08 = State License Number 11 = TIN 12 = DEA 99 = Other mandatory for Standard Data Format,Provider Prescribing Identifier Qualifier Code,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'prescribing').exists()).provider.identifier.type.coding.where(system='http://bluebutton.cms.gov/fhir/CodeSystem/PRVDR-ID-QLFYR-CD').code +CCLF7,14,Claim Prescribing Provider Generic ID Number,CLM_PRSBNG_PRVDR_GNRC_ID_NUM,118,137,20,X(20),The number associated with the indicated code in the Provider Prescribing Service Identification Qualifier Code field.,Prescribing Provider Generic ID Number,ExplanationOfBenefit.careTeam.where(role.coding.where(code='prescribing').exists()).provider.identifier.where(system='http://bluebutton.cms.gov/fhir/identifiers/GenericIdNum').value +CCLF7,15,Claim Line Beneficiary Payment Amount,CLM_LINE_BENE_PMT_AMT,138,150,13,-9(9).99,"The dollar amount paid by the beneficiary that is not reimbursed by a third party (e.g., copayments, coinsurance, deductible, or other patient pay amounts). H",Patient Responsibility Payment Amount,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication' and code='paidbypatient').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_LINE_BENE_PMT_AMT').exists()).amount.value +CCLF7,16,Claim Adjustment Type Code,CLM_ADJSMT_TYPE_CD,151,152,2,X(02),"Indicates whether the claim an original, cancellation, or adjustment claim. Claim Adjustment Type Code include: 0 = Original Claim 1 = Cancellation Claim 2 = Adjustment claim",Claim Adjustment Type Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ADJSTMT_TYPE_CD').exists()).code.coding.code +CCLF7,17,Claim Effective Date,CLM_EFCTV_DT,153,162,10,YYYY-MM-DD,The date the claim was processed and added to the NCH. This is also referred to as the NCH Weekly Processing Date. H,Claim Effective Date,ExplanationOfBenefit.created +CCLF7,18,Claim IDR Load Date,CLM_IDR_LD_DT,163,172,10,YYYY-MM-DD,When the claim was loaded into the IDR.,Claim IDR Load Date,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_IDR_LD_DT').exists()).timing +CCLF7,19,Claim Line Prescription Service Reference Number,CLM_LINE_RX_SRVC_RFRNC_NUM,173,184,12,9(12),Identifies a prescription dispensed by a particular service provider on a particular service date.,RX Number,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information' and code='CLM_LINE_RX_NUM').exists()).value +CCLF7,20,Claim Line Prescription Fill Number,CLM_LINE_RX_FILL_NUM,185,193,9,X(09),Assigned to the current dispensed supply by the pharmacy. It designates the sequential order of the original fill or subsequent refills of a prescription.,RX Fill Number,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and code='refillnum').exists()).valueQuantity.value +CCLF7,21,Claim Pharmacy Service Type Code,CLM_PHRMCY_SRVC_TYPE_CD,194,195,2,X(02),A unique identifier of a type of service being performed by a pharmacy when different contractual terms exist between a payer and the pharmacy or when benefits are based upon the type of service performed. 1 = Community/Retail Pharmacy Services 2 = Compounding Pharmacy Services 3 = Home Infusion Therapy Provider Services 4 = Institutional Pharmacy Services 5 = Long Term Care Pharmacy Services 6 = Mail Order Pharmacy Services 7 = Managed Care Organization Pharmacy Services 8 = Specialty Care Pharmacy Services 99 = Other,Pharmacy Service Type Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information' and code='CLM_PHRMCY_SRVC_TYPE_CD').exists()).code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PHRMCY-SRVC-TYPE-CD').code +CCLF8,1,Medicare Beneficiary Identifier,BENE_MBI_ID,1,11,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF8,2,Beneficiary HIC Number,BENE_HIC_NUM,12,22,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF8,3,Beneficiary FIPS State Code,BENE_FIPS_STATE_CD,23,24,2,9(02),Identifies the state where the beneficiary receiving services resides. I H,, +CCLF8,4,Beneficiary FIPS County Code,BENE_FIPS_CNTY_CD,25,27,3,9(03),Identifies the county where the beneficiary receiving services resides. I H,, +CCLF8,5,Beneficiary ZIP Code,BENE_ZIP_CD,28,32,5,X(05),The beneficiary’s ZIP code as indicated in their Medicare enrollment record. I H,, +CCLF8,6,Beneficiary Date of Birth,BENE_DOB,33,42,10,YYYY-MM-DD,"The month, day, and year of the beneficiary’s birth. I H",Beneficiary Date of Birth,Patient.birthDate +CCLF8,7,Beneficiary Sex Code,BENE_SEX_CD,43,43,1,X(01),The beneficiary’s sex. I H Code includes: 1 = Male 2 = Female 0 = Unknown,Beneficiary Sex Code,Patient.extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex').value +CCLF8,8,Beneficiary Race Code,BENE_RACE_CD,44,44,1,X(01),The beneficiary's race. I H Code includes: 0 = Unknown 1 = White 2 = Black 3 = Other 4 = Asian 5 = Hispanic 6 = North American Native,Beneficiary Race Code,Patient.extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' or url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.valueCoding +CCLF8,9,Beneficiary Age,BENE_AGE,45,47,3,9(03),"The beneficiary’s current age, as calculated by subtracting the beneficiary’s date of birth from the current date. I H",, +CCLF8,10,Beneficiary Medicare Status Code,BENE_MDCR_STUS_CD,48,49,2,X(02),"Indicates the reason for a beneficiary's entitlement to Medicare benefits as of a particular date, broken down by the following categories: I H Old Age & Survivors Insurance (OASI), Disabled, and ESRD, and by appropriate combinations of these categories: 10 = Aged without ESRD 11 = Aged with ESRD 20 = Disabled without ESRD 21 = Disabled with ESRD 31 = ESRD only",Medicare Status Code,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-MDCR-STUS-CD').value.code +CCLF8,11,Beneficiary Dual Status Code,BENE_DUAL_STUS_CD,50,51,2,X(02),"Identifies the most recent entitlement status of beneficiaries eligible for a program(s) in addition to Medicare (e.g., Medicaid). I H Find Dual Status Code at the ResDAC website.",Beneficiary Dual Status Code,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-DUAL-STUS-CD').value.code +CCLF8,12,Beneficiary Death Date,BENE_DEATH_DT,52,61,10,YYYY-MM-DD,"The month, day, and year of a beneficiary’s death. I H",Beneficiary Date of Death,Patient.deceasedDateTime +CCLF8,13,Date beneficiary enrolled in Hospice,BENE_RNG_BGN_DT,62,71,10,YYYY-MM-DD,The date the beneficiary enrolled in Hospice. I H,, +CCLF8,14,Date beneficiary ended Hospice,BENE_RNG_END_DT,72,81,10,YYYY-MM-DD,The date the beneficiary is- enrolled in hospice. I H,, +CCLF8,15,Beneficiary First Name,BENE_1ST_NAME,82,111,30,X(30),The first name of the beneficiary. I H,Beneficiary First Name,Patient.name.given[0] +CCLF8,16,Beneficiary Middle Name,BENE_MIDL_NAME,112,126,15,X(15),The middle name of the beneficiary. I H,Beneficiary Middle Name,Patient.name.given[1] +CCLF8,17,Beneficiary Last Name,BENE_LAST_NAME,127,166,40,X(40),The last name of the beneficiary. I H,Beneficiary Last Name,Patient.name.family +CCLF8,18,Beneficiary Original Entitlement Reason Code,BENE_ORGNL_ENTLMT_RSN_CD,167,167,1,X(01),The reason for the beneficiary's original entitlement to Medicare benefits. I H 0 = Old Age and Survivors Insurance (OASI) 1 = Disability Insurance Benefits (DIB) 2 = ESRD 3 = Both DIB and ESRD 4 = Unknown,Beneficiary Entitlement Reason Code,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-MDCR-ENTLMT-RSN-CD').value.code +CCLF8,19,Beneficiary Entitlement Buy- in Indicator,BENE_ENTLMT_BUYIN_IND,168,168,1,X(01),"Indicates for each month of the denominator reference year, the entitlement of the beneficiary to Medicare Part A, Medicare Part B, or Medicare Parts A and B both, as well as whether or not the beneficiary’s state of residence was liable and paid for the beneficiary’s Medicare Part B monthly premiums. I H 0 = Not Entitled 1 = Part A Only 2 = Part B Only 3 = Part A and Part B A = Part A, State Buy-In B = Part B, State Buy-In C = Parts A and B, State Buy- In",Buy-in Code,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-BUYIN-CD').value.code +CCLF8,20,Bene Entitlement Part A Begin Date,BENE_PART_A_ENRLMT_BGN_DT,169,178,10,YYYY-MM-DD,The date that a beneficiary is entitled for Medicare Part A benefits.,Beneficiary Range Begin Date,Coverage.period.start +CCLF8,21,Bene Entitlement Part B Begin Date,BENE_PART_B_ENRLMT_BGN_DT,179,188,10,YYYY-MM-DD,The date that a beneficiary is entitled for Medicare Part B benefits.,Beneficiary Range Begin Date,Coverage.period.start +CCLF8,22,Beneficiary Derived Mailing Line One Address,BENE_LINE_1_ADR,189,233,45,X(45),The first line of the street address. I,, +CCLF8,23,Beneficiary Derived Mailing Line Two Address,BENE_LINE_2_ADR,234,278,45,X(45),The second line of the street address. I,, +CCLF8,24,Beneficiary Derived Mailing Line Three Address,BENE_LINE_3_ADR,279,318,40,X(40),The third line of the street address. I,, +CCLF8,25,Beneficiary Derived Mailing Line Four Address,BENE_LINE_4_ADR,319,358,40,X(40),The fourth line of the street address. I,, +CCLF8,26,Beneficiary Derived Mailing Line Five Address,BENE_LINE_5_ADR,359,398,40,X(40),The fifth line of the street address. I,, +CCLF8,27,Beneficiary Derived Mailing Line Six Address,BENE_LINE_6_ADR,399,438,40,X(40),The sixth line of the street address. I,, +CCLF8,28,Beneficiary City,GEO_ZIP_PLC_NAME,439,538,100,X(100),The name of the city. I,City Name,Patient.address.city +CCLF8,29,Beneficiary State,GEO_USPS_STATE_CD,539,540,2,X(2),State code used by the United States Postal Service to identify a state. I,USPS State Code,Patient.address.state +CCLF8,30,Beneficiary Zip Code,GEO_ZIP5_CD,541,545,5,X(5),The US Postal Service code that is associated with a geographical area. I,Beneficiary Zip Code - First 5,Patient.address.postalCode +CCLF8,31,Beneficiary Zip Code Ext.,GEO_ZIP4_CD,546,549,4,X(4),A four-digit extension to a ZIP Code that represents a subdivision for mailing purposes of the ZIP Code. I,, +CCLF9,1,HICN_MBI_XREF_IND…,HICN/MBI XREF Indicator…,1,1,1,X(1),"M = MBI Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLF9,2,Current Beneficiary Identifier,CRNT_NUM,2,12,11,X(11),"Current Beneficiary MBI will denote the MBI. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF9,3,Previous Beneficiary Identifier,PRVS_NUM,13,23,11,X(11),"Previous Beneficiary MBI. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The HICN field will be blank in CCLFs generated effective January 1, 2020, onwards.",Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLF9,4,Previous Identifier Effective Date,PRVS_ID_EFCTV_DT,24,33,10,YYYY-MM-DD,The date the previous identifier became active.,MBI Effective Date,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').period.start +CCLF9,5,Previous Identifier Obsolete Date,PRVS_ID_OBSLT_DT,34,43,10,YYYY-MM-DD,The date the previous identifier ceased to be active.,MBI Obsolete Date,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').period.end +CCLF9,6,Beneficiary Railroad Board Number,BENE_RRB_NUM,44,55,12,X(12),"Legacy RRB number. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the Medicare Beneficiary Identifier (MBI) will be accepted on claims, and the HICN and RRB will no longer be displayed. These fields will be blank effective January 1, 2020, in CCLF files.",, +CCLFA,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,The claim unique ID is a unique ID for the claim within the source system.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLFA,2,Medicare Beneficiary Identifier,BENE_MBI_ID,14,24,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLFA,3,Beneficiary HIC Number,BENE_HIC_NUM,25,35,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLFA,4,Claim Type Code,CLM_TYPE_CD,36,37,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs. H Claim type code include: 10 = HHA claim 20 = Non swing bed SNF claim 30 = Swing bed SNF claim 40 = Outpatient claim 50 = Hospice claim 60 = Inpatient claim 61 = Inpatient “Full- Encounter” claim,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLFA,5,Claim Admission Date,CLM_ACTV_CARE_FROM_DT,38,47,10,YYYY-MM-DD,"On an institutional claim, the date the beneficiary was admitted to the hospital, skilled nursing facility, or Christian science sanatorium. I H",Claim Active Care From Date,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='admissionperiod').timing.start +CCLFA,6,PBP Benefit Enhancement Indicator,CLM_NGACO_PBPMT_SW,48,48,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim is tied to a PBP benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim NGACO PBPMT Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_PBPMT_SW').exists()).value +CCLFA,7,Post Discharge Home Visit Benefit Enhancement Indicator,CLM_NGACO_PDSCHRG_HCBS_SW,49,49,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim is tied to a Post Discharge Home Visit benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim NGACO Post Discharge HCBS Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_PDSCHRG_HCBS_SW').exists()).value +CCLFA,8,SNF 3-Day Waiver Benefit Enhancement Indicator,CLM_NGACO_SNF_WVR_SW,50,50,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim is tied to a SNF 3-Day Waiver benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim NGACO SNF Waiver Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_SNF_WVR_SW').exists()).value +CCLFA,9,Telehealth Benefit Enhancement Indicator,CLM_NGACO_TLHLTH_SW,51,51,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim is tied to a Telehealth benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim NGACO Telehealth Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_TLHLTH_SW').exists()).value +CCLFA,10,AIPBP Benefit Enhancement Indicator,CLM_NGACO_CPTATN_SW,52,52,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim is tied to an AIPBP benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim NGACO Capitation Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_CPTATN_SW').exists()).value +CCLFA,11,First Program Demonstration Number,CLM_DEMO_1ST_NUM,53,54,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a first demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Benefit Enhancement Code 1,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFA,12,Second Program Demonstration Number,CLM_DEMO_2ND_NUM,55,56,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a second demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Benefit Enhancement Code 2,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFA,13,Third Program Demonstration Number,CLM_DEMO_3RD_NUM,57,58,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a third demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Benefit Enhancement Code 3,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFA,14,Fourth Program Demonstration Number,CLM_DEMO_4TH_NUM,59,60,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a fourth demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Benefit Enhancement Code 4,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFA,15,Fifth Program Demonstration Number,CLM_DEMO_5TH_NUM,61,62,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a fifth demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Benefit Enhancement Code 5,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFA,16,PBP/AIPBP Inclusion Amount,CLM_PBP_INCLSN_AMT,63,81,19,-9(15).99,The amount that would have been paid in the absence of PBP/ AIPBP Reduction. The value for the PBP/AIPBP Inclusion Amount is derived from the table and column called “CMS_VIEW_CLM_PRD.CLM_VAL_AMT” when the value code within the field called “CLM_VAL_CD” equals “Q0.”,, +CCLFA,17,PBP/AIPBP Reduction Amount,CLM_PBP_RDCTN_AMT,82,100,19,-9(15).99,The PBP/AIPBP Reduction Amount withheld from payment to the Provider. The value for the PBP/AIPBP Reduction Amount is derived from the table and column called “CMS_VIEW_CLM_PRD.CLM_VAL_AMT” when the value code within the field called “CLM_VAL_CD” equals “Q1.”,, +CCLFA,18,Care Management Home Visits,CLM_NGACO_CMG_WVR_SW,101,101,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim is tied to a Care Management Home Visits benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim ACO Care Management HCBS Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ACO_CARE_MGMT_HCBS_SW').exists()).value +CCLFA,19,Claim Institutional Per Diem Amount,CLM_INSTNL_PER_DIEM_AMT,102,120,19,-9(15).99,The maximum amount a provider can be paid for each day of care.,Pass Through Per Diem Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_INSTNL_PER_DIEM_AMT').exists()).amount.value +CCLFA,20,Claim Medicare Inpatient Beneficiary Deductible Amount,CLM_MDCR_IP_BENE_DDCTBL_AMT,121,135,15,-9(11).99,"The amount of the deductible the beneficiary paid for inpatient services, as originally submitted on the institutional claim.",Deductible Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_BENE_DDCTBL_AMT').exists()).amount.value +CCLFA,21,Claim Medicare Coinsurance Amount,CLM_MDCR_COINSRNC_AMT,136,154,19,-9(15).99,An amount identifying the portion applied toward the coinsurance a beneficiary is responsible for.,Part A/B Coinsurance Liability Amount,ExplanationOfBenefit.total.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication' and code='coinsurance').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_COINSRNC_AMT').exists()).amount.value +CCLFA,22,Claim Blood Liability Amount,CLM_BLOOD_LBLTY_AMT,155,169,15,-9(11).99,An amount identifying the portion of the blood deductible a beneficiary is liable for.,Blood Deductible Liability Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_BLOOD_LBLTY_AMT').exists()).amount.value +CCLFA,23,Claim Institutional Professional Amount,CLM_INSTNL_PRFNL_AMT,170,184,15,-9(11).99,"For inpatient and outpatient claims, the amount of physician and other professional charges covered under Medicare Part B (e.g., if computing interim payment these charges are deducted)",Professional Component Charge,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_INSTNL_PRFNL_AMT').exists()).amount.value +CCLFA,24,Claim Noncovered Charge Amount,CLM_NCVRD_CHRG_AMT,185,203,19,-9(15).99,The charges for institutional long-term care are not reimbursable by the primary payer. The non-covered charges do not refer to charges not covered for any other service.,Noncovered Charge Amount,ExplanationOfBenefit.total.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication' and code='noncovered').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_NCVRD_CHRG_AMT').exists()).amount.value +CCLFA,25,Claim Medicare Deductible Amount,CLM_MDCR_DDCTBL_AMT,204,222,19,-9(15).99,An amount identifying the portion applied toward the deductible a beneficiary is responsible for.,Inpatient/Outpatient Total Deduction Amount,ExplanationOfBenefit.total.where(category.coding.where(system='http://terminology.hl7.org/CodeSystem/adjudication' and code='deductible').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_DDCTBL_AMT').exists()).amount.value +CCLFA,26,Claim Related Condition Code Periodic interim payments (PIP) - 62,CLM_RLT_COND_CD,223,224,2,X(2),The code that indicates a condition relating to an institutional claim that may affect payer processing.,Claim Related Condition Code,ExplanationOfBenefit.supportingInfo.where(code.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-RLT-COND-CD').code.coding.code +CCLFA,27,Operating Outlier Amount (DSH) - 17,CLM_OPRTNL_OUTLR_AMT,225,243,19,-9(15).99,Operating Outlier Amount (DSH),, +CCLFA,28,Medicare new technology add-on payment - 77,CLM_MDCR_NEW_TECH_AMT,244,262,19,-9(15).99,Medicare new technology add-on payment,, +CCLFA,29,Islet Isolation Add- on payment amount - Q7,CLM_ISLET_ISOLN_AMT,263,281,19,-9(15).99,Islet Isolation Add-on payment amount,, +CCLFA,30,Part A Sequestration reduction amounts - 73,CLM_SQSTRTN_RDCTN_AMT,282,300,19,-9(15).99,The payment to the provider will be reduced by the amount specified by CMS.,, +CCLFA,31,Claim Adjustment Reason Code (CARC),CLM_1_REV_CNTR_ANSI_RSN_CD,301,303,3,X(3),A Fiscal Intermediary Shared System (FISS) code identifying the type of adjustment being performed.,Claim Line Adjustment Reason Code 1,ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-RSN-CD').code +CCLFA,32,Claim Adjustment Segment (CAS) Group Code,CLM_1_REV_CNTR_ANSI_GRP_CD,304,305,2,X(2),These codes categorize a payment adjustment.,Claim Line Adjustment Group Code 1,ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-GRP-CD').code +CCLFA,33,Capital MIPS Payment Costs,CLM_MIPS_PMT_AMT,306,324,19,-9(15).99,Capital MIPS payment costs,, +CCLFB,1,Current Claim Unique Identifier,CUR_CLM_UNIQ_ID,1,13,13,9(13),A unique identification number assigned to the claim. I H,The claim unique ID is a unique ID for the claim within the source system.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value +CCLFB,2,Claim Line Number,CLM_LINE_NUM,14,23,10,9(10),A sequential number that identifies a specific claim line within a given claim.,Line Item Sequence Number,ExplanationOfBenefit.item.sequence +CCLFB,3,Medicare Beneficiary Identifier,BENE_MBI_ID,24,34,11,X(11),A Medicare Beneficiary Identifier assigned to a beneficiary. I H,Medicare Beneficiary Identifier,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value +CCLFB,4,Beneficiary HIC Number,BENE_HIC_NUM,35,45,11,X(11),"Legacy Beneficiary HICN field. Note: To comply with MACRA of 2015, after the end of the New Medicare Card Transition Period in December 2019, only the MBI will be accepted on claims, and the HICN value will no longer be displayed. The Beneficiary HIC Number will be blank in CCLFs generated effective January 1, 2020, onwards.",, +CCLFB,5,Claim Type Code,CLM_TYPE_CD,46,47,2,9(02),Signifies the type of claim being submitted through the Medicare or Medicaid programs Claim type code include: 71=RIC O local carrier non- DMEPOS claim 72=RIC O local carrier DMEPOS claim,Claim Type Code,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code +CCLFB,6,PBP Benefit Enhancement Indicator,CLM_LINE_NGACO_PBPMT_SW,48,48,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim line is tied to a PBP benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim Line NGACO PBPMT Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_PBPMT_SW').exists()).value +CCLFB,7,Post Discharge Home Visit Benefit Enhancement Indicator,CLM_LINE_NGACO_PDSCHRG_HCBS_SW,49,49,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim line is tied to a Post Discharge Home Visit benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim Line NGACO Post Discharge HCBS Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_PDSCHRG_HCBS_SW').exists()).value +CCLFB,8,SNF 3-Day Waiver Benefit Enhancement Indicator,CLM_LINE_NGACO_SNF_WVR_SW,50,50,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim line is tied to a SNF 3-Day Waiver benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim Line NGACO SNF Waiver Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_SNF_WVR_SW').exists()).value +CCLFB,9,Telehealth Benefit Enhancement Indicator,CLM_LINE_NGACO_TLHLTH_SW,51,51,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim line is tied to a Telehealth benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim Line NGACO Telehealth Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_TLHLTH_SW').exists()).value +CCLFB,10,AIPBP Benefit Enhancement Indicator,CLM_LINE_NGACO_CPTATN_SW,52,52,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim line is tied to an AIPBP benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim Line NGACO Capitation Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_CPTATN_SW').exists()).value +CCLFB,11,First Program Demonstration Number,CLM_DEMO_1ST_NUM,53,54,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a first demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Line Benefit Enhancement 1 Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFB,12,Second Program Demonstration Number,CLM_DEMO_2ND_NUM,55,56,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a second demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Line Benefit Enhancement 2 Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFB,13,Third Program Demonstration Number,CLM_DEMO_3RD_NUM,57,58,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a third demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Line Benefit Enhancement 3 Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFB,14,Fourth Program Demonstration Number,CLM_DEMO_4TH_NUM,59,60,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a fourth demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Line Benefit Enhancement 4 Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFB,15,Fifth Program Demonstration Number,CLM_DEMO_5TH_NUM,61,62,2,X(2),Medicare Demonstration Special Processing Number (SPN). This is a fifth demonstration number. This field will be used to hold the 2-byte number for future use with the Bundled Payments for Care Improvement initiative.,Claim Line Benefit Enhancement 5 Code,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value +CCLFB,16,PBP/AIPBP Inclusion Amount,CLM_PBP_INCLSN_AMT,63,77,15,-9(11).99,The amount that would have been paid in the absence of PBP/AIPBP Reduction. The value for the PBP/AIPBP Inclusion Amount is derived from the table and column called “CMS_VIEW_CLM_PRD.CLM_LINE_OTHR_APLD_AMT” when the value code within the field called “CLM_LINE_OTHR_APLD_CD” equals “J.”,, +CCLFB,17,PBP/AIPBP Reduction Amount,CLM_PBP_RDCTN_AMT,78,92,15,-9(11).99,The PBP/AIPBP Reduction Amount withheld from payment to the Provider. The value for the PBP/AIPBP Reduction Amount is derived from the table and column called “CMS_VIEW_CLM_PRD.CLM_LINE_OTHR_APLD_AMT” when the value code within the field called “CLM_LINE_OTHR_APLD_CD” equals “L.”,, +CCLFB,18,Care Management Home Visits,CLM_NGACO_CMG_WVR_SW,93,93,1,X(1),A single character code of “Y” or “N” that indicates whether a particular claim is tied to a Care Management Home Visits benefit enhancement. Blank if no data are available. Note: This field was created for both NGACO and VTAPM models. NGACO sunset in 2022 but this field will continue to be used for the VTAPM model.,Claim Line ACO Care Management HCBS Switch,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_ACO_CARE_MGMT_HCBS_SW').exists()).value +CCLFB,19,Claim Medicare Deductible Amount,CLM_MDCR_DDCTBL_AMT,94,112,19,-9(15).99,Amount indicates the Medicare deductible amount billed to Medicaid for this service. The Medicare Deductible Amount does not necessarily reflect the amount actually paid.,Inpatient/Outpatient Total Deduction Amount,ExplanationOfBenefit.total.where(category.coding.where(system='http://terminology.hl7.org/CodeSystem/adjudication' and code='deductible').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_DDCTBL_AMT').exists()).amount.value +CCLFB,20,Part B Sequestration reduction amounts,CLM_SQSTRTN_RDCTN_AMT,113,127,15,-9(11).99,The payment to the provider will be reduced by the amount specified by CMS. Only one period has been defined by CMS for a 2% reduction that began on 04/01/2013 as part of government sequestration.,, +CCLFB,21,Claim Line Carrier Health Professional Shortage Area Scarcity Code,CLM_LINE_CARR_HPSA_SCRCTY_CD,128,128,1,X(1),A code used to track the Health Professional Shortage Area (HPSA) related bonus payments on Part B Professional claims,HPSA Scarcity Code,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-LINE-CARR-HPSA-SCRCTY-CD').value.code diff --git a/dev/seeds/bcda_v3_data_dictionary.csv b/dev/seeds/bcda_v3_data_dictionary.csv new file mode 100644 index 0000000..3406a15 --- /dev/null +++ b/dev/seeds/bcda_v3_data_dictionary.csv @@ -0,0 +1,373 @@ +row,fhir_resource,claim_type,field_name,description,fhir_path,example,source_view,source_column,sources,reference_table,cclf_mapping,ccw_mapping,profiles +0,ExplanationOfBenefit,Pharmacy,Claim Unique ID,An Integrated Data Repository (IDR) assigned surrogate key used to identify a claim.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value,PHARM-2024-0012345,V2_MDCR_CLM,CLM_UNIQ_ID,DDPS,,CCLF7.CUR_CLM_UNIQ_ID,PDE_ID,Basis;Regular;CMS +1,ExplanationOfBenefit,Pharmacy,Original Claim Control Number,This field contains the original claim control number for adjusted or corrected claims. It provides a reference to the prior claim that this claim is adjusting or correcting.,ExplanationOfBenefit.identifier.where(system = 'https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM').value,CNTL20240012340,V2_MDCR_CLM,CLM_ORIG_CNTL_NUM,DDPS,,,,Basis;Regular;CMS +2,ExplanationOfBenefit,Pharmacy,Claim Type Code,A code identifying the source and type of claim submitted through the Medicare or Medicaid program. For example: 60 = Medicare National Claims History (NCH) inpatient claim. 8900 = Medicaid fee for service dental. Reference table: CLM_TYPE_CD,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code,1,V2_MDCR_CLM,CLM_TYPE_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD,CCLF7.CLM_TYPE_CD,,Basis;Regular;CMS +3,ExplanationOfBenefit,Pharmacy,Beneficiary Source Key - On Claim,Beneficiary Source Key - On Claim,ExplanationOfBenefit.patient.reference.substring(8),123456789,,,DDPS,,,,Basis;Regular;CMS +4,ExplanationOfBenefit,Pharmacy,Claim From Date,A date identifying the first day services are provided to a beneficiary.,ExplanationOfBenefit.billablePeriod.start,2024-01-15,V2_MDCR_CLM,CLM_FROM_DT,DDPS,,,,Basis;Regular;CMS +5,ExplanationOfBenefit,Pharmacy,Claim Thru Date,"A date identifying the last day services are provided to a beneficiary. Note: For drug claims, this date is when the prescription was filled.",ExplanationOfBenefit.billablePeriod.end,2024-01-15,V2_MDCR_CLM,CLM_THRU_DT,DDPS,,,,Basis;Regular;CMS +6,ExplanationOfBenefit,Pharmacy,Claim Effective Date,A date corresponding to the National Claim History (NCH) weekly processing date and used in final action processing to identify a version of a claim. It will always be a Friday date.,ExplanationOfBenefit.created,2024-01-15,V2_MDCR_CLM,CLM_EFCTV_DT,DDPS,,CCLF7.CLM_EFCTV_DT,,Basis;Regular;CMS +7,ExplanationOfBenefit,Pharmacy,Claim Source ID,An identifier indicating where the source of the claim data in the Integrated Data Repository (IDR) originated from. Valid values: 20000 = National Claims History (NCH). 21000 = Fiscal Intermediary Shared System (FISS). 22000 = Multi-Carrier System (MCS). 23000 = Viable Information Processing Systems (VIPS) Medicare System (VMS). 24000 = Encounter Data Processing System (EDPS). 25000 = Encounter Medicaid Duals 837 claims and Duals Medicaid Drug Claims (DMDC). N/A = Medicaid,ExplanationOfBenefit.meta.source,DDPS,V2_MDCR_CLM,CLM_SRC_ID,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-SRC-ID,,,Basis;Regular;CMS +8,ExplanationOfBenefit,Pharmacy,Service Provider Generic ID Number,A number used to identify a service provider.,ExplanationOfBenefit.contained.where(id = %context.provider.reference.substring(1)).identifier.where(system='http://bluebutton.cms.gov/fhir/identifiers/GenericIdNum').value,1942945159,V2_MDCR_CLM,CLM_SRVC_PRVDR_GNRC_ID_NUM,DDPS,,CCLF7.CLM_SRVC_PRVDR_GNRC_ID_NUM,SRVC_PRVDR_ID,Basis;Regular;CMS +9,ExplanationOfBenefit,Pharmacy,Service Provider NPI Number,A number identifying the National Provider Identifier (NPI) of a service provider as sourced from the NPI crosswalk reference information provided by the National Plan and Provider Enumeration System (NPPES).,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://hl7.org/fhir/sid/us-npi').value,,V2_MDCR_CLM,PRVDR_SRVC_PRVDR_NPI_NUM,DDPS,,,SRVC_PRVDR_ID,Basis;Regular;CMS +10,ExplanationOfBenefit,Pharmacy,Provider Service Identifier Qualifier Code,A code indicating the type of number used to identify a service provider on a claim. For example: 01 = NPI. 07 = NCPDP number. 08 = State license number. Reference table: CLM_PRVDR_ID_QLFYR_CD,ExplanationOfBenefit.contained.where(id = %context.provider.reference.substring(1)).identifier.type.where(system='http://bluebutton.cms.gov/fhir/CodeSystem/PRVDR-ID-QLFYR-CD').code,,V2_MDCR_CLM,PRVDR_SRVC_ID_QLFYR_CD,DDPS,,CCLF7.PRVDR_SRVC_ID_QLFYR_CD,,Basis;Regular;CMS +11,ExplanationOfBenefit,Pharmacy,Provider Prescribing Identifier Qualifier Code,A code indicating the type of number used to identify a prescribing provider on a claim. For example: 01 = NPI. 07 = NCPDP number. 08 = State license number. Reference table: CLM_PRVDR_ID_QLFYR_CD,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'prescribing').exists()).provider.identifier.type.coding.where(system='http://bluebutton.cms.gov/fhir/CodeSystem/PRVDR-ID-QLFYR-CD').code,01,V2_MDCR_CLM,PRVDR_PRSBNG_ID_QLFYR_CD,DDPS,,CCLF7.PRVDR_PRSBNG_ID_QLFYR_CD,,Basis;Regular;CMS +12,ExplanationOfBenefit,Pharmacy,Prescribing Provider Generic ID Number,A number identifying a generic identifier of a prescribing provider submitted on a drug claim.,ExplanationOfBenefit.careTeam.where(role.coding.where(code='prescribing').exists()).provider.identifier.where(system='http://bluebutton.cms.gov/fhir/identifiers/GenericIdNum').value,,V2_MDCR_CLM,CLM_PRSBNG_PRVDR_GNRC_ID_NUM,DDPS,,CCLF7.CLM_PRSBNG_PRVDR_GNRC_ID_NUM,PRSCRBR_ID,Basis;Regular;CMS +13,ExplanationOfBenefit,Pharmacy,Prescribing Provider NPI Number,A number identifying the National Provider Identifier (NPI) of a prescribing provider as sourced from the NPI crosswalk reference information provided by the National Plan and Provider Enumeration System (NPPES).,ExplanationOfBenefit.careTeam.where(role.coding.where(code='prescribing').exists()).provider.identifier.where(system='http://hl7.org/fhir/sid/us-npi').value,1942945159,V2_MDCR_CLM,PRVDR_PRSCRBNG_PRVDR_NPI_NUM,DDPS,,,PRSCRBR_ID,Basis;Regular;CMS +14,ExplanationOfBenefit,Pharmacy,Prescribing Provider Last Name,Last name of the prescribing provider,ExplanationOfBenefit.careTeam.where(role.coding.where(code='prescribing').exists()).provider.display,"Stark, Tony",V2_MDCR_PRVDR_HSTRY,PRVDR_LAST_NAME,DDPS,,,,Basis;Regular;CMS +15,ExplanationOfBenefit,Pharmacy,Payment Date,A date indicating when a claim was paid.,ExplanationOfBenefit.payment.date,2024-01-20,V2_MDCR_CLM,CLM_PD_DT,DDPS,,,PD_DT,Basis;Regular;CMS +16,ExplanationOfBenefit,Pharmacy,Claim Process Date,"Date a claim or prescription drug event was processed by a CMS front end system, such as the DDPS operational data store.",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CMS_PROC_DT').exists()).timing,2024-01-18,V2_MDCR_CLM_DT_SGNTR,CLM_CMS_PROC_DT,DDPS,,,,CMS +17,ExplanationOfBenefit,Pharmacy,Claim Submission Format Code,A code identifying the format of the claim as submitted.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_SBMT_FRMT_CD').exists()).code.coding.code,X,V2_MDCR_CLM,CLM_SBMT_FRMT_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-SBMT-FRMT-CD,,NSTD_FRMT_CD,Regular;CMS +18,ExplanationOfBenefit,Pharmacy,Beneficiary Payment Amount,An amount paid by a beneficiary for services rendered on a claim.,ExplanationOfBenefit.total.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication' and code='paidbypatient').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_BENE_PMT_AMT').exists()).amount.value,100,V2_MDCR_CLM,CLM_BENE_PMT_AMT,DDPS,,,PTNT_PAY_AMT,Regular;CMS +19,ExplanationOfBenefit,Pharmacy,Other Third Party Paid Amount,An amount identifying how much was paid by a third party payer.,ExplanationOfBenefit.total.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_OTHR_TP_PD_AMT').exists()).amount.value,100,V2_MDCR_CLM,CLM_OTHR_TP_PD_AMT,DDPS,,,,Regular;CMS +20,ExplanationOfBenefit,Pharmacy,Submitter Contract Number,The contract number of the plan that submitted the claim.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_SBMTR_CNTRCT_NUM').exists()).value,H1234,V2_MDCR_CLM,CLM_SBMTR_CNTRCT_NUM,DDPS,,,PLAN_CNTRCT_REC_ID,Basis;Regular;CMS +21,ExplanationOfBenefit,Pharmacy,Submitter PBP Number,The Plan Benefit Package (PBP) number of the plan that submitted the claim.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_SBMTR_CNTRCT_PBP_NUM').exists()).value,001,V2_MDCR_CLM,CLM_SBMTR_CNTRCT_PBP_NUM,DDPS,,,PLAN_PBP_REC_NUM,Basis;Regular;CMS +22,ExplanationOfBenefit,Pharmacy,Contract PBP Name,This field contains the name of the plan benefit package (PBP) for the beneficiary's Part D plan of record for the year.,ExplanationOfBenefit.contained.where(id='insurer-org').name,Super Saver Medicare Rx Saver Plus (PDP),V2_MDCR_CNTRCT_PBP_NUM,CNTRCT_PBP_NAME,DDPS,,,,Basis;Regular;CMS +23,ExplanationOfBenefit,Pharmacy,Line Item Sequence Number,A number identifying the position of the service or item on the claim. This is a component of the 5-part key used for joining claims.,ExplanationOfBenefit.item.sequence,1,V2_MDCR_CLM_LINE,CLM_LINE_NUM,DDPS,,,,Basis;Regular;CMS +24,ExplanationOfBenefit,Pharmacy,Line Item From Date,A date indicating the first day of service for a line item.,ExplanationOfBenefit.item.serviced,2024-01-15,V2_MDCR_CLM_LINE,CLM_LINE_FROM_DT,DDPS,,CCLF7.CLM_LINE_FROM_DT,SRVC_DT,Basis;Regular;CMS +25,ExplanationOfBenefit,Pharmacy,National Drug Code,The National Drug Code that identifies specific drugs.,(ExplanationOfBenefit.item.productOrService.coding|ExplanationOfBenefit.item.detail.productOrService.coding).where(system = 'http://hl7.org/fhir/sid/ndc').code,00071015523,V2_MDCR_CLM_LINE,CLM_LINE_NDC_CD,DDPS,,CCLF7.CLM_LINE_NDC_CD,PROD_SRVC_ID,Basis;Regular;CMS +26,ExplanationOfBenefit,Pharmacy,Line Item NDC Quantity,The quantity of an NDC applicable to institutional claims.,(ExplanationOfBenefit.item.quantity|ExplanationOfBenefit.item.detail.quantity).value,60,V2_MDCR_CLM_LINE,CLM_LINE_NDC_QTY,DDPS,,CCLF7.CLM_LINE_SRVC_UNIT_QTY,QTY_DSPNSD_NUM,Basis;Regular;CMS +27,ExplanationOfBenefit,Pharmacy,Line Item NDC Quantity Qualifier Code,"Qualifies the type of quantity applicable to an NDC present on all institutional claim types (inpatient/SNF, outpatient, home health, and hospice).",(ExplanationOfBenefit.item.quantity|ExplanationOfBenefit.item.detail.quantity).unit,UN,V2_MDCR_CLM_LINE,CLM_LINE_NDC_QTY_QLFYR_CD,DDPS,,,,Basis;Regular;CMS +28,ExplanationOfBenefit,Pharmacy,Claim Line Covered Paid Amount,An amount identifying the Medicare payment for a line item service.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='http://terminology.hl7.org/CodeSystem/adjudication' and code='benefit').exists()).amount.value,45.5,V2_MDCR_CLM_LINE,CLM_LINE_CVRD_PD_AMT,DDPS,,,CVRD_D_PLAN_PD_AMT,Regular;CMS +29,ExplanationOfBenefit,Pharmacy,Patient Responsibility Payment Amount,"An amount identifying the payment made by a beneficiary for a detail line of service on a claim. Note: For Part D, this amount counts towards a beneficiary's true-out-of-pocket (TROOP) cost.",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication' and code='paidbypatient').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_LINE_BENE_PMT_AMT').exists()).amount.value,10,V2_MDCR_CLM_LINE,CLM_LINE_BENE_PMT_AMT,DDPS,,CCLF7.CLM_LINE_BENE_PMT_AMT,PTNT_PAY_AMT,Regular;CMS +30,ExplanationOfBenefit,Pharmacy,Gross Drug Cost Above Out Of Pocket Threshold,The gross drug cost amount that was covered by Part D's catastrophic coverage.,ExplanationOfBenefit.item.adjudication.where(category.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and category.coding.code='CLM_LINE_GRS_ABOVE_THRSHLD_AMT').amount.value,25,V2_MDCR_CLM_LINE_RX,CLM_LINE_GRS_ABOVE_THRSHLD_AMT,DDPS,,,GDC_ABV_OOPT_AMT,CMS +31,ExplanationOfBenefit,Pharmacy,Gross Drug Cost Below Out Of Pocket Threshold,The gross drug cost amount that was not covered by Part D's catastrophic coverage.,ExplanationOfBenefit.item.adjudication.where(category.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and category.coding.code='CLM_LINE_GRS_BLW_THRSHLD_AMT').amount.value,75,V2_MDCR_CLM_LINE_RX,CLM_LINE_GRS_BLW_THRSHLD_AMT,DDPS,,,GDC_BLW_OOPT_AMT,CMS +32,ExplanationOfBenefit,Pharmacy,Low Income Cost Sharing Subsidy Amount,The Low Income Cost Sharing Subsidy amount for the line item.,ExplanationOfBenefit.item.adjudication.where(category.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and category.coding.code='CLM_LINE_LIS_AMT').amount.value,10,V2_MDCR_CLM_LINE_RX,CLM_LINE_LIS_AMT,DDPS,,,LICS_AMT,CMS +33,ExplanationOfBenefit,Pharmacy,Patient Liability Reduction Other Paid Amount,The Patient Liability Reduction Other paid amount for the line item.,ExplanationOfBenefit.item.adjudication.where(category.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and category.coding.code='CLM_LINE_PLRO_AMT').amount.value,1,V2_MDCR_CLM_LINE_RX,CLM_LINE_PLRO_AMT,DDPS,,,PLRO_AMT,CMS +34,ExplanationOfBenefit,Pharmacy,Claim Line Reported Gap Discount Amount,The reported amount that the sponsor advanced at point-of-sale for the gap discount for applicable drugs.,ExplanationOfBenefit.item.adjudication.where(category.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and category.coding.code='CLM_LINE_RPTD_GAP_DSCNT_AMT').amount.value,10,V2_MDCR_CLM_LINE_RX,CLM_LINE_RPTD_GAP_DSCNT_AMT,DDPS,,,RPTD_GAP_DSCNT_NUM,CMS +35,ExplanationOfBenefit,Pharmacy,Total drug cost (Part D),"This variable is the total cost of the prescription drug event and is taken directly from the original PDE. It is the sum of the following components: the ingredient cost (INGRDNT_CST_PD_AMT), the dispensing fee (DSPNSNG_FEE_PD_AMT), the sales tax, if any (TOT_AMT_ATTR_SLS_TAX_AMT), and the vaccine administration fee, if any (VCCN_ADMIN_FEE_AMT, included starting in 2010).",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='TOT_RX_CST_AMT')).amount.value,45.5,,,DDPS,,,TOT_RX_CST_AMT,Regular;CMS +36,ExplanationOfBenefit,Pharmacy,Pricing Exception Code,The pricing exception code indicating network status.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator' and code='benefitpaymentstatus').exists()).reason.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBPayerAdjudicationStatus').code,outofnetwork,V2_MDCR_CLM_LINE_RX,CLM_PRCNG_EXCPTN_CD,DDPS,,,PRCNG_EXCPTN_CD,Basis;Regular;CMS +37,ExplanationOfBenefit,Pharmacy,Authorized Fill Number,The number of refills authorized for the prescription.,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='refillsauthorized').valueQuantity.value,0,V2_MDCR_CLM_LINE_RX,CLM_LINE_AUTHRZD_FILL_NUM,DDPS,,,FILL_NUM,Basis;Regular;CMS +38,ExplanationOfBenefit,Pharmacy,Pharmacy Service Type Code,Code indicating the type of pharmacy service.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information' and code='CLM_PHRMCY_SRVC_TYPE_CD').exists()).code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PHRMCY-SRVC-TYPE-CD').code,01,V2_MDCR_CLM_LINE_RX,CLM_PHRMCY_SRVC_TYPE_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PHRMCY-SRVC-TYPE-CD,CCLF7.CLM_PHRMCY_SRVC_TYPE_CD,PHRMCY_SRVC_TYPE_CD,CMS +39,ExplanationOfBenefit,Pharmacy,RX Origin Code,Code indicating the origin of the prescription.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and code='rxorigincode').exists()).code.coding.where(system='http://terminology.hl7.org/CodeSystem/NCPDPPrescriptionOriginCode').code,3,V2_MDCR_CLM_LINE_RX,CLM_LINE_RX_ORGN_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-LINE-RX-ORGN-CD,,RX_ORGN_CD,Basis;Regular;CMS +40,ExplanationOfBenefit,Pharmacy,Brand/Generic Code,Code indicating if a drug is brand or generic.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and code='brandgenericindicator').exists()).code.coding.where(system='http://terminology.hl7.org/CodeSystem/NCPDPBrandGenericIndicator').code,G,V2_MDCR_CLM_LINE_RX,CLM_BRND_GNRC_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BRND-GNRC-CD,,BRND_GNRC_CD,Basis;Regular;CMS +41,ExplanationOfBenefit,Pharmacy,Patient Residence Code,Code indicating the patient's residence at the time of service.,ExplanationOfBenefit.supportingInfo.code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PTNT-RSDNC-CD').code,01,V2_MDCR_CLM_LINE_RX,CLM_PTNT_RSDNC_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PTNT-RSDNC-CD,,PTNT_RSDNC_CD,CMS +42,ExplanationOfBenefit,Pharmacy,LTC Dispensing Method Code,Long Term Care (LTC) dispensing method code.,ExplanationOfBenefit.supportingInfo.code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-LTC-DSPNSNG-MTHD-CD').code,05,V2_MDCR_CLM_LINE_RX,CLM_LTC_DSPNSNG_MTHD_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-LTC-DSPNSNG-MTHD-CD,,SUBMSN_CLR_CD,CMS +43,ExplanationOfBenefit,Pharmacy,Compound Code,Code indicating if a drug is a compound.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and code='compoundcode').exists()).code.coding.where(system='http://terminology.hl7.org/CodeSystem/NCPDPCompoundCode').code,0,V2_MDCR_CLM_LINE_RX,CLM_CMPND_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-CMPND-CD,,CMPND_CD,Basis;Regular;CMS +44,ExplanationOfBenefit,Pharmacy,Days Supply Quantity,The number of days supply for the prescription.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and code='dayssupply').exists()).valueQuantity.value,30,V2_MDCR_CLM_LINE_RX,CLM_LINE_DAYS_SUPLY_QTY,DDPS,,CCLF7.CLM_LINE_DAYS_SUPLY_QTY,DAYS_SUPLY_NUM,Basis;Regular;CMS +45,ExplanationOfBenefit,Pharmacy,RX Fill Number,The fill number for the prescription.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and code='refillnum').exists()).valueQuantity.value,1,V2_MDCR_CLM_LINE_RX,CLM_LINE_RX_FILL_NUM,DDPS,,CCLF7.CLM_LINE_RX_FILL_NUM,FILL_NUM,Basis;Regular;CMS +46,ExplanationOfBenefit,Pharmacy,DAW Product Selection Code,Dispense As Written (DAW) / Product Selection Code.,ExplanationOfBenefit.supportingInfo.code.coding.where(system='http://terminology.hl7.org/CodeSystem/NCPDPDispensedAsWrittenOrProductSelectionCode').code,0,V2_MDCR_CLM_LINE_RX,CLM_DAW_PROD_SLCTN_CD,DDPS,,CCLF7.CLM_DAW_PROD_SLCTN_CD,DAW_PROD_SLCTN_CD,Basis;Regular;CMS +47,ExplanationOfBenefit,Pharmacy,Drug Coverage Status Code,Code indicating the drug coverage status.,ExplanationOfBenefit.supportingInfo.code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-DRUG-CVRG-STUS-CD').code,C,V2_MDCR_CLM_LINE_RX,CLM_DRUG_CVRG_STUS_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-DRUG-CVRG-STUS-CD,,DRUG_CVRG_STUS_CD,CMS +48,ExplanationOfBenefit,Pharmacy,Catastrophic Coverage Indicator Code,Code indicating if the claim is catastrophic coverage.,ExplanationOfBenefit.supportingInfo.code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-CTSTRPHC-CVRG-IND-CD').code,C,V2_MDCR_CLM_LINE_RX,CLM_CTSTRPHC_CVRG_IND_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-CTSTRPHC-CVRG-IND-CD,,CTSTRPHC_CVRG_CD,CMS +49,ExplanationOfBenefit,Pharmacy,Claim Adjustment Type Code,A code identifying the type of adjustment record represented on a claim or encounter. Reference table: CLM_ADJSTMT_TYPE_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ADJSTMT_TYPE_CD').exists()).code.coding.code,0,V2_MDCR_CLM,CLM_ADJSTMT_TYPE_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-ADJSTMT-TYPE-CD,CCLF7.CLM_ADJSMT_TYPE_CD,ADJSTMT_DLTN_CD,Basis;Regular;CMS +50,ExplanationOfBenefit,Pharmacy,Dispensing Status Code,Code indicating the dispensing status.,ExplanationOfBenefit.supportingInfo.code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-DSPNSNG-STUS-CD').code,P,V2_MDCR_CLM_LINE_RX,CLM_DSPNSNG_STUS_CD,DDPS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-DSPNSNG-STUS-CD,CCLF7.CLM_DSPNSNG_STUS_CD,DSPNSNG_STUS_CD,CMS +51,ExplanationOfBenefit,Pharmacy,Claim IDR Load Date,A date identifying when Part A and Part B data are loaded into the Integrated Data Repository (IDR).,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_IDR_LD_DT').exists()).timing,2025-01-18,V2_MDCR_CLM,CLM_IDR_LD_DT,DDPS,,CCLF7.CLM_IDR_LD_DT,,CMS +52,ExplanationOfBenefit,Pharmacy,RX Number,The pharmacy's internal invoice number on pharmaceutical claims.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information' and code='CLM_LINE_RX_NUM').exists()).value,900001,V2_MDCR_CLM_LINE,CLM_LINE_RX_NUM,DDPS,,CCLF7.CLM_LINE_RX_SRVC_RFRNC_NUM,RX_SRVC_RFRNC_NUM,CMS +53,ExplanationOfBenefit,Pharmacy,Noncovered Paid Amount,"The net amount paid by a plan for a noncovered product or service, such as a noncovered drug for Part D.",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_NCVRD_PD_AMT')).amount.value,10.08,V2_MDCR_CLM_LINE,CLM_LINE_NCVRD_PD_AMT,DDPS,,,NCVRD_PLAN_PD_AMT,CMS +54,ExplanationOfBenefit,Pharmacy,Other Third Party Paid Amount,"The total amount paid by all sources other than Medicaid, Medicare, and the recipient's personal funds.",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_OTHR_TP_PD_AMT')).amount.value,10.05,V2_MDCR_CLM_LINE,CLM_LINE_OTHR_TP_PD_AMT,DDPS,,,OTHR_TROOP_AMT,CMS +55,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,The claim unique ID is a unique ID for the claim within the source system.,An Integrated Data Repository (IDR) assigned surrogate key used to identify a claim.,ExplanationOfBenefit.identifier.where(type.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType' and type.coding.code = 'uc' ).value,NON-UNIQUE-ID-HERE,V2_MDCR_CLM,CLM_UNIQ_ID,FISS;MCS;NCH;VMS,,CCLF1.CUR_CLM_UNIQ_ID;CCLF2.CUR_CLM_UNIQ_ID;CCLF3.CUR_CLM_UNIQ_ID;CCLF4.CUR_CLM_UNIQ_ID;CCLF5.CUR_CLM_UNIQ_ID;CCLF6.CUR_CLM_UNIQ_ID;CCLFA.CUR_CLM_UNIQ_ID;CCLFB.CUR_CLM_UNIQ_ID,CLM_ID,Basis;Regular;CMS +56,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Final Action Indicator,"A value indicating a final action claim. Valid values: Y = Final action claim, not voided. N = Not final action claim",ExplanationOfBenefit.meta.tag.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Final-Action').code,FinalAction,V2_MDCR_CLM,CLM_FINL_ACTN_IND,FISS;MCS;NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/Final-Action,,,Basis;Regular;CMS +57,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Control Number,"An identifier assigned by the claim processor (i.e., Medicare Administrative Contractor, Part D plan, or Encounter Data Processing Contractor) to a claim.",ExplanationOfBenefit.identifier.where(system = 'https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM').value,DOOPITY-DOOP-DOOP,V2_MDCR_CLM,CLM_CNTL_NUM,FISS;MCS;NCH;VMS,,CCLF1.CLM_CNTL_NUM;CCLF5.CLM_CNTL_NUM;CCLF6.CLM_CNTL_NUM,CARR_CLM_CNTL_NUM;FI_DOC_CLM_CNTL_NUM,Basis;Regular;CMS +58,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,This field is the original identification value assigned.,A number identifying the original Claim Control Number (CCN) on an adjusted claim.,ExplanationOfBenefit.related.where(relationship.coding.system = 'http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship').reference.where(system='https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM').value,,V2_MDCR_CLM,CLM_ORIG_CNTL_NUM,FISS;MCS;NCH;VMS,,CCLF1.CLM_ORG_CNTL_NUM,,Basis;Regular;CMS +59,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Type Code,A code identifying the source and type of claim submitted through the Medicare or Medicaid program. For example: 60 = Medicare National Claims History (NCH) inpatient claim. 8900 = Medicaid fee for service dental. Reference table: CLM_TYPE_CD,ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD').code,72,V2_MDCR_CLM,CLM_TYPE_CD,FISS;MCS;NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE-CD,CCLF1.CLM_TYPE_CD;CCLF2.CLM_TYPE_CD;CCLF3.CLM_TYPE_CD;CCLF4.CLM_TYPE_CD;CCLF5.CLM_TYPE_CD;CCLF6.CLM_TYPE_CD;CCLFA.CLM_TYPE_CD;CCLFB.CLM_TYPE_CD,NCH_CLM_TYPE_CD,Basis;Regular;CMS +60,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Beneficiary Source Key - On Claim,A unique number assigned by the Enrollment Data Base (EDB) to each EDB record to identify a beneficiary.,ExplanationOfBenefit.patient.reference.substring(8),12345,V2_MDCR_CLM,BENE_SK,FISS;MCS;NCH;VMS,,,,Basis;Regular;CMS +61,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim From Date,A date identifying the first day services are provided to a beneficiary.,ExplanationOfBenefit.billablePeriod.start,2025-01-03,V2_MDCR_CLM,CLM_FROM_DT,FISS;MCS;NCH;VMS,,CCLF1.CLM_FROM_DT;CCLF2.CLM_FROM_DT;CCLF3.CLM_FROM_DT;CCLF4.CLM_FROM_DT;CCLF5.CLM_FROM_DT;CCLF6.CLM_FROM_DT,CLM_FROM_DT,Basis;Regular;CMS +62,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Thru Date,"A date identifying the last day services are provided to a beneficiary. Note: For drug claims, this date is when the prescription was filled.",ExplanationOfBenefit.billablePeriod.end,2025-01-11,V2_MDCR_CLM,CLM_THRU_DT,FISS;MCS;NCH;VMS,,CCLF1.CLM_THRU_DT;CCLF2.CLM_THRU_DT;CCLF3.CLM_THRU_DT;CCLF4.CLM_THRU_DT;CCLF5.CLM_THRU_DT;CCLF6.CLM_THRU_DT,CLM_THRU_DT,Basis;Regular;CMS +63,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Effective Date,A date corresponding to the National Claim History (NCH) weekly processing date and used in final action processing to identify a version of a claim. It will always be a Friday date.,ExplanationOfBenefit.created,2025-01-18,V2_MDCR_CLM,CLM_EFCTV_DT,FISS;MCS;NCH;VMS,,CCLF1.CLM_EFCTV_DT;CCLF5.CLM_EFCTV_DT;CCLF6.CLM_EFCTV_DT,,Basis;Regular;CMS +64,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim IDR Load Date,A date identifying when Part A and Part B data are loaded into the Integrated Data Repository (IDR).,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_IDR_LD_DT').exists()).timing,2025-01-18,V2_MDCR_CLM,CLM_IDR_LD_DT,FISS;MCS;NCH;VMS,,CCLF1.CLM_IDR_LD_DT;CCLF5.CLM_IDR_LD_DT;CCLF6.CLM_IDR_LD_DT,,CMS +65,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Source ID,A unique numeric value assigned by the Integrated Data Repository (IDR) used to identify the specific source of the data when a row is loaded into the IDR. Reference table: V2_MDCR_META_DCTNRY_SRC,ExplanationOfBenefit.meta.tag.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/System-Type').value,,V2_MDCR_CLM,CLM_SRC_ID,FISS;MCS;NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/System-Type,,,Basis;Regular;CMS +66,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Source ID,Identifies the source system of the ExplanationOfBenefit data.,ExplanationOfBenefit.meta.source,NCH,V2_MDCR_CLM,META_SRC_SK,FISS;MCS;NCH;VMS,,,,Basis;Regular;CMS +67,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Provider billing NPI number,"A number identifying the National Provider Identifier (NPI) of the billing provider associated with the claim, as sourced from the National Plan and Provider Enumeration System (NPPES). Note: This column is populated if the billing provider NPI on the claim, as provided by the source system, can be found in the Integrated Deposit Repository (IDR) provider data as sourced from NPPES.",ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://hl7.org/fhir/sid/us-npi').value,1942945159,V2_MDCR_CLM,PRVDR_BLG_PRVDR_NPI_NUM,FISS;MCS;NCH;VMS,,CCLF1.FAC_PRVDR_NPI_NUM;CCLF1.CLM_BLG_PRVDR_NPI_NUM;CCLF6.CLM_BLG_PRVDR_NPI_NUM;CCLF6.PAYTO_PRVDR_NPI_NUM,ORG_NPI_NUM;PRVDR_NPI;CARR_CLM_BLG_NPI_NUM,Basis;Regular;CMS +68,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Billing Provider Zip Code,"A five-digit ZIP code defined by the United States Postal Service (USPS) that identifies a destination post office or delivery area associated with a beneficiary, provider, or claim address. Reference table: GEO_ZIP5_CD",ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).address.postalCode,77550,V2_MDCR_CLM,CLM_BLG_PRVDR_ZIP5_CD,FISS;MCS;NCH;VMS,,,PRVDR_ZIP,Basis;Regular;CMS +69,ExplanationOfBenefit,DME;Inpatient;Outpatient;SNF,Provider Tax Number,Provider Tax Number,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system = 'urn:oid:2.16.840.1.113883.4.4').value,,V2_MDCR_CLM,CLM_BLG_PRVDR_TAX_NUM,FISS;MCS;NCH;VMS,,,,Basis;Regular;CMS +70,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Query Code,"Indication of the type of claim record being processed with respect to payment (debit/credit indicator - original, full, replacement; interim/final indicator). [HRMZ] Code indicating the type of claim record being processed with respect to payment (debit/credit indicator; interim/final indicator). [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_QUERY_CD').exists()).code.coding.code,3,V2_MDCR_CLM,CLM_QUERY_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-QUERY-CD,CCLF1.CLM_QUERY_CD,CARR_CLM_ENTRY_CD;CLAIM_QUERY_CODE,CMS;Basis;Regular +71,ExplanationOfBenefit,Inpatient;SNF,Noncovered Charge Amount,An amount identifying the portion of a charge not covered by Medicare.,ExplanationOfBenefit.total.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication' and code='noncovered').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_NCVRD_CHRG_AMT').exists()).amount.value,11.5,V2_MDCR_CLM,CLM_NCVRD_CHRG_AMT,FISS;NCH,,CCLFA.CLM_NCVRD_CHRG_AMT,NCH_IP_NCVRD_CHRG_AMT,Regular;CMS +72,ExplanationOfBenefit,Carrier;DME;Inpatient;Outpatient;SNF,Inpatient/Outpatient Total Deduction Amount,An amount identifying the portion applied toward the deductible a beneficiary is responsible for.,ExplanationOfBenefit.total.where(category.coding.where(system='http://terminology.hl7.org/CodeSystem/adjudication' and code='deductible').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_DDCTBL_AMT').exists()).amount.value,17.85,V2_MDCR_CLM,CLM_MDCR_DDCTBL_AMT,FISS;MCS;NCH;VMS,,CCLFA.CLM_MDCR_DDCTBL_AMT;CCLFB.CLM_MDCR_DDCTBL_AMT,NCH_BENE_PTB_DDCTBL_AMT;NCH_IP_TOT_DDCTN_AMT;CARR_CLM_CASH_DDCTBL_APLD_AMT,Regular;CMS +73,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Near Line Record Identification Code,A code defining the type of claim record being processed. [NCH],ExplanationOfBenefit.supportingInfo.where(code.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-NRLN-RIC-CD').code.coding.code,O,V2_MDCR_CLM_DCMTN,CLM_NRLN_RIC_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-NRLN-RIC-CD,,NCH_NEAR_LINE_REC_IDENT_CD,Basis;Regular;CMS +74,ExplanationOfBenefit,Outpatient,Claim Outpatient Service Type Code,Code indicating type and priority of outpatient service. [NCH],ExplanationOfBenefit.supportingInfo.where(code.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-OP-SRVC-TYPE-CD').code.coding.code,3,V2_MDCR_CLM_INSTNL,CLM_OP_SRVC_TYPE_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-OP-SRVC-TYPE-CD,CCLF1.CLM_OP_SRVC_TYPE_CD,,CMS +75,ExplanationOfBenefit,Inpatient,Operating Disproportionate Share Amount,This is one component of the total amount that is payable on prospective payment system (PPS) claims and reflects the DSH (disproportionate share hospital) payments for operating expenses (such as labor) for the claim. Note: This field is a sum of the CLM_VAL.CLM_VAL_AMT amounts where CLM_VAL_CD is the disproportionate share code.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_OPRTNL_DSPRTNT_AMT').exists()).amount.value,14.14,,,FISS;NCH,,CCLF1.CLM_OPRTNL_DSPRPRTNT_AMT,DSH_OP_CLM_VAL_AMT,CMS +76,ExplanationOfBenefit,Inpatient,Operating Indirect Medical Education Amount,"This is one component of the total amount that is payable on PPS claims, and reflects the IME (indirect medical education) payments for operating expenses (such as labor) for the claim. Note: This field is a sum of the CLM_VAL.CLM_VAL_AMT amounts where CLM_VAL_CD is the IME share code.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_OPRTNL_IME_AMT').exists()).amount.value,12342.14,,,FISS;NCH,,CCLF1.CLM_OPRTNL_IME_AMT,IME_OP_CLM_VAL_AMT,CMS +77,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Process Date,"Date a claim or prescription drug event was processed by a CMS front end system, such as the DDPS operational data store.",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CMS_PROC_DT').exists()).timing,2025-01-01,V2_MDCR_CLM_DT_SGNTR,CLM_CMS_PROC_DT,FISS;NCH,,,FI_CLM_PROC_DT,CMS +78,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Payment Amount,An amount identifying how much was paid on an adjudicated claim.,ExplanationOfBenefit.payment.amount.value,3.5,V2_MDCR_CLM,CLM_PMT_AMT,FISS;MCS;NCH,,CCLF1.CLM_PMT_AMT,CLM_PMT_AMT,Regular;CMS +79,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Attending Physician NPI,A number identifying the National Provider Identifier (NPI) of an attending provider as sourced from the NPI crosswalk reference information provided by the National Plan and Provider Enumeration System (NPPES).,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'attending').exists()).provider.identifier.value,1942945159,V2_MDCR_CLM,PRVDR_ATNDG_PRVDR_NPI_NUM,FISS;NCH,,CCLF1.ATNDG_PRVDR_NPI_NUM;CCLF1.CLM_ATNDG_PRVDR_NPI_NUM,AT_PHYSN_NPI,Basis;Regular;CMS +80,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Operating Physician NPI,A number identifying the National Provider Identifier (NPI) of an operating provider as sourced from the NPI crosswalk reference information provided by the National Plan and Provider Enumeration System (NPPES).,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'otheroperating').exists()).provider.identifier.value,1942945159,V2_MDCR_CLM,PRVDR_OPRTG_PRVDR_NPI_NUM,FISS;NCH,,CCLF1.OPRTG_PRVDR_NPI_NUM;CCLF1.CLM_OPRTG_PRVDR_NPI_NUM,OP_PHYSN_NPI,Basis;Regular;CMS +81,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Diagnosis Code,"A CODE IDENTIFYING AN INTERNATIONAL CLASSIFICATION OF DISEASES, CLINICAL MODIFICATION (ICD_CM) DIAGNOSIS RELEVANT TO THE SERVICE BEING PROVIDED OR THE REASON FOR THE SERVICE.",ExplanationOfBenefit.diagnosis.diagnosis.coding.code,M48.062,V2_MDCR_CLM_PROD,CLM_DGNS_CD,FISS;MCS;NCH;VMS,,CCLF1.PRNCPL_DGNS_CD;CCLF1.ADMTG_DGNS_CD;CCLF4.CLM_DGNS_CD;CCLF5.CLM_DGNS_1_CD;CCLF5.CLM_DGNS_2_CD;CCLF5.CLM_DGNS_3_CD;CCLF5.CLM_DGNS_4_CD;CCLF5.CLM_DGNS_5_CD;CCLF5.CLM_DGNS_6_CD;CCLF5.CLM_DGNS_7_CD;CCLF5.CLM_DGNS_8_CD;CCLF5.CLM_DGNS_9_CD;CCLF5.CLM_DGNS_10_CD;CCLF5.CLM_DGNS_11_CD;CCLF5.CLM_DGNS_12_CD,FST_DGNS_E_CD;RSN_VISIT_CD1;RSN_VISIT_CD2;RSN_VISIT_CD3;ICD_DGNS_CD1;ICD_DGNS_CD2;ICD_DGNS_CD3;ICD_DGNS_CD4;ICD_DGNS_CD5;ICD_DGNS_CD6;ICD_DGNS_CD7;ICD_DGNS_CD8;ICD_DGNS_CD9;ICD_DGNS_CD10;ICD_DGNS_CD11;ICD_DGNS_CD12;ICD_DGNS_CD13;ICD_DGNS_CD14;ICD_DGNS_CD15;ICD_DGNS_CD16;ICD_DGNS_CD17;ICD_DGNS_CD18;ICD_DGNS_CD19;ICD_DGNS_CD20;ICD_DGNS_CD21;ICD_DGNS_CD22;ICD_DGNS_CD23;ICD_DGNS_CD24;ICD_DGNS_CD25;ICD_DGNS_E_CD1;ICD_DGNS_E_CD2;ICD_DGNS_E_CD3;ICD_DGNS_E_CD4;ICD_DGNS_E_CD5;ICD_DGNS_E_CD6;ICD_DGNS_E_CD7;ICD_DGNS_E_CD8;ICD_DGNS_E_CD9;ICD_DGNS_E_CD10;ICD_DGNS_E_CD11;ICD_DGNS_E_CD12;PRNCPAL_DGNS_CD,Basis;Regular;CMS +82,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Diagnosis Procedure ICD indicator,THIS IS THE CLAIM PROD VERSION CODE WHICH IS SPACES OR 9 FOR ICD 9 AND 0 FOR ICD 10.,ExplanationOfBenefit.diagnosis.diagnosis.coding.system,http://hl7.org/fhir/sid/icd-10-cm,V2_MDCR_CLM_PROD,CLM_DGNS_PRCDR_ICD_IND,FISS;MCS;NCH;VMS,,CCLF1.DGNS_PRCDR_ICD_IND;CCLF2.DGNS_PRCDR_ICD_IND;CCLF4.DGNS_PRCDR_ICD_IND;CCLF5.DGNS_PRCDR_ICD_IND,FST_DGNS_E_VRSN_CD;RSN_VISIT_VRSN_CD1;RSN_VISIT_VRSN_CD2;RSN_VISIT_VRSN_CD3;ADMTG_DGNS_VRSN_CD;ICD_DGNS_E_VRSN_CD1;ICD_DGNS_E_VRSN_CD2;ICD_DGNS_E_VRSN_CD3;ICD_DGNS_E_VRSN_CD4;ICD_DGNS_E_VRSN_CD5;ICD_DGNS_E_VRSN_CD6;ICD_DGNS_E_VRSN_CD7;ICD_DGNS_E_VRSN_CD8;ICD_DGNS_E_VRSN_CD9;ICD_DGNS_E_VRSN_CD10;ICD_DGNS_E_VRSN_CD11;ICD_DGNS_E_VRSN_CD12;ICD_DGNS_VRSN_CD1;ICD_DGNS_VRSN_CD2;ICD_DGNS_VRSN_CD3;ICD_DGNS_VRSN_CD4;ICD_DGNS_VRSN_CD5;ICD_DGNS_VRSN_CD6;ICD_DGNS_VRSN_CD7;ICD_DGNS_VRSN_CD8;ICD_DGNS_VRSN_CD9;ICD_DGNS_VRSN_CD10;ICD_DGNS_VRSN_CD11;ICD_DGNS_VRSN_CD12;ICD_DGNS_VRSN_CD13;ICD_DGNS_VRSN_CD14;ICD_DGNS_VRSN_CD15;ICD_DGNS_VRSN_CD16;ICD_DGNS_VRSN_CD17;ICD_DGNS_VRSN_CD18;ICD_DGNS_VRSN_CD19;ICD_DGNS_VRSN_CD20;ICD_DGNS_VRSN_CD21;ICD_DGNS_VRSN_CD22;ICD_DGNS_VRSN_CD23;ICD_DGNS_VRSN_CD24;ICD_DGNS_VRSN_CD25;PRNCPAL_DGNS_VRSN_CD;LINE_ICD_DGNS_VRSN_CD,Basis;Regular;CMS +83,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Diagnosis Prod Type Code,UNIQUELY IDENTIFIES A TYPE OF PROCEDURE OR A DIAGNOSIS CATEGORY.,ExplanationOfBenefit.diagnosis.type.coding,"{'system': 'http://terminology.hl7.org/CodeSystem/ex-diagnosistype', 'code': 'principal'}",V2_MDCR_CLM_PROD,CLM_PROD_TYPE_CD,FISS;NCH,,CCLF4.CLM_PROD_TYPE_CD,,Basis;Regular;CMS +84,ExplanationOfBenefit,Inpatient;SNF,Claim Present on Admission Indicator,THE CODE USED TO INDICATE A CONDITION WAS PRESENT AT THE TIME THE BENEFICIARY WAS ADMITTED TO A GENERAL ACUTE CARE FACILITY.NOT APPLICABLE TO NON-DIAGNOSTIC PRODUCTS.,ExplanationOfBenefit.diagnosis.onAdmission.coding,"{'system': 'https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding', 'code': 'Y'}",V2_MDCR_CLM_PROD,CLM_POA_IND,FISS;NCH,,CCLF4.CLM_POA_IND,CLM_E_POA_IND_SW1;CLM_E_POA_IND_SW2;CLM_E_POA_IND_SW3;CLM_E_POA_IND_SW4;CLM_E_POA_IND_SW5;CLM_E_POA_IND_SW6;CLM_E_POA_IND_SW7;CLM_E_POA_IND_SW8;CLM_E_POA_IND_SW9;CLM_E_POA_IND_SW10;CLM_E_POA_IND_SW11;CLM_E_POA_IND_SW12;CLM_POA_IND_SW1;CLM_POA_IND_SW2;CLM_POA_IND_SW3;CLM_POA_IND_SW4;CLM_POA_IND_SW5;CLM_POA_IND_SW6;CLM_POA_IND_SW7;CLM_POA_IND_SW8;CLM_POA_IND_SW9;CLM_POA_IND_SW10;CLM_POA_IND_SW11;CLM_POA_IND_SW12;CLM_POA_IND_SW13;CLM_POA_IND_SW14;CLM_POA_IND_SW15;CLM_POA_IND_SW16;CLM_POA_IND_SW17;CLM_POA_IND_SW18;CLM_POA_IND_SW19;CLM_POA_IND_SW20;CLM_POA_IND_SW21;CLM_POA_IND_SW22;CLM_POA_IND_SW23;CLM_POA_IND_SW24;CLM_POA_IND_SW25,Basis;Regular;CMS +85,ExplanationOfBenefit,Hospice;Inpatient;Outpatient;SNF,Procedure Performed Date,The date on which the principal or other procedure was performed. (NCH),ExplanationOfBenefit.procedure.date,2024-01-01,V2_MDCR_CLM_PROD,CLM_PRCDR_PRFRM_DT,FISS;NCH,,CCLF3.CLM_PRCDR_PRFRM_DT,PRCDR_DT1;PRCDR_DT2;PRCDR_DT3;PRCDR_DT4;PRCDR_DT5;PRCDR_DT6;PRCDR_DT7;PRCDR_DT8;PRCDR_DT9;PRCDR_DT10;PRCDR_DT11;PRCDR_DT12;PRCDR_DT13;PRCDR_DT14;PRCDR_DT15;PRCDR_DT16;PRCDR_DT17;PRCDR_DT18;PRCDR_DT19;PRCDR_DT20;PRCDR_DT21;PRCDR_DT22;PRCDR_DT23;PRCDR_DT24;PRCDR_DT25,Basis;Regular;CMS +86,ExplanationOfBenefit,Hospice;Inpatient;Outpatient;SNF,Claim Procedure Code,Stores procedure codes.,ExplanationOfBenefit.procedure.procedure.coding.code,0SG30AJ,V2_MDCR_CLM_PROD,CLM_PRCDR_CD,FISS;NCH,,CCLF3.CLM_PRCDR_CD,ICD_PRCDR_CD1;ICD_PRCDR_CD2;ICD_PRCDR_CD3;ICD_PRCDR_CD4;ICD_PRCDR_CD5;ICD_PRCDR_CD6;ICD_PRCDR_CD7;ICD_PRCDR_CD8;ICD_PRCDR_CD9;ICD_PRCDR_CD10;ICD_PRCDR_CD11;ICD_PRCDR_CD12;ICD_PRCDR_CD13;ICD_PRCDR_CD14;ICD_PRCDR_CD15;ICD_PRCDR_CD16;ICD_PRCDR_CD17;ICD_PRCDR_CD18;ICD_PRCDR_CD19;ICD_PRCDR_CD20;ICD_PRCDR_CD21;ICD_PRCDR_CD22;ICD_PRCDR_CD23;ICD_PRCDR_CD24;ICD_PRCDR_CD25,Basis;Regular;CMS +87,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Diagnosis Procedure ICD indicator,This is the claim product version code which is spaces or 9 for ICD-9 and 0 for ICD-10.,ExplanationOfBenefit.procedure.procedure.coding.system,http://www.cms.gov/Medicare/Coding/ICD10,V2_MDCR_CLM_PROD,CLM_DGNS_PRCDR_ICD_IND,FISS;NCH,,CCLF3.DGNS_PRCDR_ICD_IND,ICD_PRCDR_VRSN_CD1;ICD_PRCDR_VRSN_CD2;ICD_PRCDR_VRSN_CD3;ICD_PRCDR_VRSN_CD4;ICD_PRCDR_VRSN_CD5;ICD_PRCDR_VRSN_CD6;ICD_PRCDR_VRSN_CD7;ICD_PRCDR_VRSN_CD8;ICD_PRCDR_VRSN_CD9;ICD_PRCDR_VRSN_CD10;ICD_PRCDR_VRSN_CD11;ICD_PRCDR_VRSN_CD12;ICD_PRCDR_VRSN_CD13;ICD_PRCDR_VRSN_CD14;ICD_PRCDR_VRSN_CD15;ICD_PRCDR_VRSN_CD16;ICD_PRCDR_VRSN_CD17;ICD_PRCDR_VRSN_CD18;ICD_PRCDR_VRSN_CD19;ICD_PRCDR_VRSN_CD20;ICD_PRCDR_VRSN_CD21;ICD_PRCDR_VRSN_CD22;ICD_PRCDR_VRSN_CD23;ICD_PRCDR_VRSN_CD24;ICD_PRCDR_VRSN_CD25,Basis;Regular;CMS +88,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Submitted Charge Amount,The amount of submitted charges for the line item service on the noninstitutional claim. [NCH],ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_SBMT_CHRG_AMT')).amount.value,50.11,V2_MDCR_CLM_LINE,CLM_LINE_SBMT_CHRG_AMT,FISS;MCS;NCH;VMS,,,LINE_SBMTD_CHRG_AMT;REV_CNTR_TOT_CHRG_AMT,Regular;CMS +89,ExplanationOfBenefit,Carrier;DME,Line Item Allowed Charge Amount,"The maximum amount allowed by the plan for payment. The amount eligible for payment after applying pricing guidelines/discounts. Usually includes copayment, coinsurance, deductible, penalty, and third party savings amounts. For encounters, may be fee-for-service equivalents.",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_ALOWD_CHRG_AMT')).amount.value,9194.22,V2_MDCR_CLM_LINE,CLM_LINE_ALOWD_CHRG_AMT,MCS;NCH;VMS,,CCLF5.CLM_LINE_ALOWD_CHRG_AMT;CCLF6.CLM_LINE_ALOWD_CHRG_AMT,LINE_ALOWD_CHRG_AMT,Regular;CMS +90,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Line Item Sequence Number,A number identifying the position of the service or item on the claim. This is a component of the 5-part key used for joining claims.,ExplanationOfBenefit.item.sequence,1,V2_MDCR_CLM_LINE,CLM_LINE_NUM,FISS;NCH,,CCLF2.CLM_LINE_NUM;CCLF5.CLM_LINE_NUM;CCLF6.CLM_LINE_NUM;CCLFB.CLM_LINE_NUM,CLM_LINE_NUM;LINE_NUM,Basis;Regular;CMS +91,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Line Item HCPCS Code,"A code identifying a Healthcare Common Procedure Coding System (HCPCS) procedure, supply, product, or service provided to a Medicare beneficiary or an individual enrolled in private health insurance programs. Reference table: HCPCS_CD",ExplanationOfBenefit.item.productOrService.where(coding.system='http://www.ama-assn.org/go/cpt' or coding.system='https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets' or coding.system='http://terminology.hl7.org/CodeSystem/data-absent-reason').coding.code,99213,V2_MDCR_CLM_LINE,CLM_LINE_HCPCS_CD,FISS;MCS;NCH;VMS,,CCLF2.CLM_LINE_HCPCS_CD;CCLF5.CLM_LINE_HCPCS_CD;CCLF6.CLM_LINE_HCPCS_CD,HCPCS_CD,Basis;Regular;CMS +92,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Line Item APC / HIPPS Code,The Ambulatory Payment Classification (APC) code and the HIPPS code. The APC is used to identify groupings of outpatient services. APC codes are used to calculate payment for services under OPPS. The APC is a four byte field. The HIPPS codes are used.,ExplanationOfBenefit.item.productOrService.coding.where(system='https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes').code,NHNC1,V2_MDCR_CLM_LINE_INSTNL,CLM_REV_APC_HIPPS_CD,FISS;NCH,,CCLF2.CLM_REV_APC_HIPPS_CD,REV_CNTR_APC_HIPPS_CD,Basis;Regular;CMS +93,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,National Drug Code,The National Drug Code that identifies specific drugs.,ExplanationOfBenefit.item.detail.productOrService.where(coding.system='http://hl7.org/fhir/sid/ndc').coding.code,00409189001,V2_MDCR_CLM_LINE,CLM_LINE_NDC_CD,FISS;MCS;NCH;VMS,,,LINE_NDC_CD;REV_CNTR_IDE_NDC_UPC_NUM,Basis;Regular;CMS +94,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Line Item NDC Quantity,The quantity of an NDC applicable to institutional claims.,ExplanationOfBenefit.item.detail.where(productOrService.where(coding.system='http://hl7.org/fhir/sid/ndc')).quantity.value,1000,V2_MDCR_CLM_LINE,CLM_LINE_NDC_QTY,FISS;MCS;NCH,,,REV_CNTR_NDC_QTY,Basis;Regular;CMS +95,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Line Item NDC Quantity Qualifier Code,"Qualifies the type of quantity applicable to an NDC present on all institutional claim types (inpatient/SNF, outpatient, home health, and hospice).",ExplanationOfBenefit.item.detail.where(productOrService.where(coding.system='http://hl7.org/fhir/sid/ndc')).quantity.code,g,V2_MDCR_CLM_LINE,CLM_LINE_NDC_QTY_QLFYR_CD,FISS;MCS;NCH,,,REV_CNTR_NDC_QTY_QLFR_CD,Basis;Regular;CMS +96,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Line Item Service Unit Quantity,The total units billed for a claim line.,ExplanationOfBenefit.item.quantity.value,3,V2_MDCR_CLM_LINE,CLM_LINE_SRVC_UNIT_QTY,FISS;MCS;NCH;VMS,,CCLF2.CLM_LINE_SRVC_UNIT_QTY;CCLF5.CLM_LINE_SRVC_UNIT_QTY,LINE_SRVC_CNT;REV_CNTR_UNIT_CNT,Basis;Regular;CMS +97,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Line Item Revenue Center Code,"A unique identifier of a uniform billing revenue type. The provider-assigned revenue code for each cost center for which a separate charge is billed (type of accommodation or ancillary). A cost center is a division or unit within a hospital (e.g., radiology, emergency room, pathology). Exception: Revenue center code 0001 represents the total of all revenue centers included on the claim. (NCH) Example: 0123 = Semi-private 2 bed (medical or general) - pediatric",ExplanationOfBenefit.item.revenue.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-REV-CNTR-CD').code,0636,V2_MDCR_CLM_LINE,CLM_LINE_REV_CTR_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-LINE-REV-CTR-CD,CCLF2.CLM_LINE_PROD_REV_CTR_CD,REV_CNTR,Basis;Regular;CMS +98,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Line Item Revenue Center Code,Code indicating whether the revenue center charges are subject to deductible and/or coinsurance. [NCH],ExplanationOfBenefit.item.revenue.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-DDCTBL-COINSRNC-CD').code,M,V2_MDCR_CLM_LINE_INSTNL,CLM_DDCTBL_COINSRNC_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-DDCTBL-COINSRNC-CD,,REV_CNTR_DDCTBL_COINSRNC_CD,CMS +99,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,HCPCS Modifier Code 1,(1) A first modifier to the procedure code to enable a more specific procedure identification for the claim. [NCH] (2) A first modifier to the HCPCS procedure code to enable a more specific procedure identification for the line item service on the noninstitutional claim. [NCH],ExplanationOfBenefit.item.modifier[0].coding.code,A2,V2_MDCR_CLM_LINE,HCPCS_1_MDFR_CD,FISS;MCS;NCH;VMS,,CCLF2.HCPCS_1_MDFR_CD;CCLF5.HCPCS_1_MDFR_CD,HCPCS_1ST_MDFR_CD,Basis;Regular;CMS +100,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,HCPCS Modifier Code 2,(1) A second modifier to the procedure code to make it more specific than the first modifier code to identify the procedures performed on the beneficiary for the claim. [NCH] (2) A second modifier to the HCPCS procedure code to make it more specific than the first modifier code to identify the line item procedures for this claim. [NCH],ExplanationOfBenefit.item.modifier[1].coding.code,99,V2_MDCR_CLM_LINE,HCPCS_2_MDFR_CD,FISS;MCS;NCH;VMS,,CCLF2.HCPCS_2_MDFR_CD;CCLF5.HCPCS_2_MDFR_CD,HCPCS_2ND_MDFR_CD,Basis;Regular;CMS +101,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,HCPCS Modifier Code 3,"(1) Effective with NCH version I, a third modifier to the procedure code to make it more specific than the second modifier code to identify the procedures performed on the beneficiary for the claim. [NCH] (2) Prior to NCH version H this field was named: HCPCS_3RD_MDFR_CD. [NCH]",ExplanationOfBenefit.item.modifier[2].coding.code,,V2_MDCR_CLM_LINE,HCPCS_3_MDFR_CD,FISS;MCS;NCH;VMS,,CCLF2.HCPCS_3_MDFR_CD;CCLF5.HCPCS_3_MDFR_CD,HCPCS_3RD_MDFR_CD,Basis;Regular;CMS +102,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,HCPCS Modifier Code 4,"(1) Effective with version I, a fourth modifier to the procedure code to make it more specific than the third modifier code to identify the procedures performed on the beneficiary for the claim. [NCH] (2) Prior to version H this field was named: HCPCS_4TH_MDFR_CD. [NCH]",ExplanationOfBenefit.item.modifier[3].coding.code,,V2_MDCR_CLM_LINE,HCPCS_4_MDFR_CD,FISS;MCS;NCH;VMS,,CCLF2.HCPCS_4_MDFR_CD;CCLF5.HCPCS_4_MDFR_CD,HCPCS_4TH_MDFR_CD,Basis;Regular;CMS +103,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,HCPCS Modifier Code 5,"Effective with NCH version I, a fifth modifier to the procedure code to make it more specific than the fourth modifier code to identify the procedures performed on the beneficiary for the claim. [NCH]",ExplanationOfBenefit.item.modifier[4].coding.code,,V2_MDCR_CLM_LINE,HCPCS_5_MDFR_CD,FISS;MCS;NCH;VMS,,CCLF2.HCPCS_5_MDFR_CD;CCLF5.HCPCS_5_MDFR_CD,,Basis;Regular;CMS +104,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Institutional Rate Amount,"Charges relating to unit cost associated with the revenue center code. Exception (encounter data only): if the plan (e.g., MCO) does not know the actual rate for the accommodations, $1 will be reported in the field. Note 1: For SNF PPS claims (when revenue center code equals 0022), CMS has developed a SNF Pricer to compute the rate based on the provider supplied coding for the MDS RUGS III group and assessment type (HIPPS code, stored in revenue center HCPCS code field). Note 2: For OP PPS claims, CMS has developed a Pricer to compute the rate based on the Ambulatory Payment Classification (APC), discount factor, units of service, and the wage index. Note 3: Under HH PPS (when revenue center code equals 0023), CMS has developed a HHA Pricer to compute the rate. On the RAP, the rate is determined using the case mix weight associated with the HIPPS code, adjusting it for the wage index for the beneficiary's site of service, then multiplying the result by 60% or 50%, depending on whether or not the RAP is for a first episode. On the final claim, the HIPPS code could change the payment if the therapy threshold is not met, or a partial episode payment (PEP) adjustment or a significant change in condition (SCIC) adjustment occurs. In cases of SCICs, there will be more than one 0023 revenue center line, each representing the payment made at each case-mix level. Note 4: For IRF PPS claims (when revenue center code equals 0024), CMS has developed a Pricer to compute the rate based on the HIPPS/CMG (HIPPS code, stored in revenue center HCPCS code field). [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_INSTNL_RATE_AMT')).amount.value,0.85,V2_MDCR_CLM_LINE_INSTNL,CLM_LINE_INSTNL_RATE_AMT,FISS;NCH,,,REV_CNTR_RATE_AMT,CMS +105,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Adjustment Reason Code 1,"An American National Standards Institute (ANSI) Claim Adjustment Reason Code (CARC) identifying the reason for an adjustment to a claim or service line that resulted in a difference between the original billed amount and the final paid amount. An adjustment can result in a denial, reduction, or increase in payment. For example: 1 = Deductible amount. B1 = Non-covered visits.",ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-RSN-CD').code,B7,V2_MDCR_CLM_ANSI_SGNTR,CLM_1_REV_CNTR_ANSI_RSN_CD,NCH,,CCLFA.CLM_1_REV_CNTR_ANSI_RSN_CD,REV_CNTR_1ST_ANSI_CD,Basis;Regular;CMS +106,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Adjustment Group Code 1,An American National Standards Institute (ANSI) group code identifying who has financial responsibility for an adjustment to a claim or service line that resulted in it being paid differently than it was billed. This group code works in conjunction with a Claim Adjustment Reason Code (CARC). For example: PR = Patient responsibility (patient is financially liable). CO = Contractual obligations (provider is financially liable).,ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-GRP-CD').code,PR,V2_MDCR_CLM_ANSI_SGNTR,CLM_1_REV_CNTR_ANSI_GRP_CD,NCH,,CCLFA.CLM_1_REV_CNTR_ANSI_GRP_CD,REV_CNTR_1ST_ANSI_CD,Basis;Regular;CMS +107,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Adjustment Reason Code 2,"An American National Standards Institute (ANSI) Claim Adjustment Reason Code (CARC) identifying the reason for an adjustment to a claim or service line that resulted in a difference between the original billed amount and the final paid amount. An adjustment can result in a denial, reduction, or increase in payment. For example: 1 = Deductible amount. B1 = Non-covered visits.",ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-RSN-CD').code,B7,V2_MDCR_CLM_ANSI_SGNTR,CLM_2_REV_CNTR_ANSI_RSN_CD,NCH,,,REV_CNTR_2ND_ANSI_CD,Basis;Regular;CMS +108,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Adjustment Group Code 2,An American National Standards Institute (ANSI) group code identifying who has financial responsibility for an adjustment to a claim or service line that resulted in it being paid differently than it was billed. This group code works in conjunction with a Claim Adjustment Reason Code (CARC). For example: PR = Patient responsibility (patient is financially liable). CO = Contractual obligations (provider is financially liable).,ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-GRP-CD').code,PR,V2_MDCR_CLM_ANSI_SGNTR,CLM_2_REV_CNTR_ANSI_GRP_CD,NCH,,,REV_CNTR_2ND_ANSI_CD,Basis;Regular;CMS +109,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Adjustment Reason Code 3,"An American National Standards Institute (ANSI) Claim Adjustment Reason Code (CARC) identifying the reason for an adjustment to a claim or service line that resulted in a difference between the original billed amount and the final paid amount. An adjustment can result in a denial, reduction, or increase in payment. For example: 1 = Deductible amount. B1 = Non-covered visits.",ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-RSN-CD').code,B7,V2_MDCR_CLM_ANSI_SGNTR,CLM_3_REV_CNTR_ANSI_RSN_CD,NCH,,,REV_CNTR_3RD_ANSI_CD,Basis;Regular;CMS +110,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Adjustment Group Code 3,An American National Standards Institute (ANSI) group code identifying who has financial responsibility for an adjustment to a claim or service line that resulted in it being paid differently than it was billed. This group code works in conjunction with a Claim Adjustment Reason Code (CARC). For example: PR = Patient responsibility (patient is financially liable). CO = Contractual obligations (provider is financially liable).,ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-GRP-CD').code,PR,V2_MDCR_CLM_ANSI_SGNTR,CLM_3_REV_CNTR_ANSI_GRP_CD,NCH,,,REV_CNTR_3RD_ANSI_CD,Basis;Regular;CMS +111,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Adjustment Reason Code 4,"An American National Standards Institute (ANSI) Claim Adjustment Reason Code (CARC) identifying the reason for an adjustment to a claim or service line that resulted in a difference between the original billed amount and the final paid amount. An adjustment can result in a denial, reduction, or increase in payment. For example: 1 = Deductible amount. B1 = Non-covered visits.",ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-RSN-CD').code,B7,V2_MDCR_CLM_ANSI_SGNTR,CLM_4_REV_CNTR_ANSI_RSN_CD,NCH,,,REV_CNTR_4TH_ANSI_CD,Basis;Regular;CMS +112,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Adjustment Group Code 4,An American National Standards Institute (ANSI) group code identifying who has financial responsibility for an adjustment to a claim or service line that resulted in it being paid differently than it was billed. This group code works in conjunction with a Claim Adjustment Reason Code (CARC). For example: PR = Patient responsibility (patient is financially liable). CO = Contractual obligations (provider is financially liable).,ExplanationOfBenefit.item.adjudication.reason.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/ANSI-GRP-CD').code,PR,V2_MDCR_CLM_ANSI_SGNTR,CLM_4_REV_CNTR_ANSI_GRP_CD,NCH,,,REV_CNTR_4TH_ANSI_CD,Basis;Regular;CMS +113,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Non-Covered Charge Amount,The charge amount related to a revenue center code for services that are not covered by Medicare. Note: Prior to NCH version H the field size was S9(7)V99 and the element was only present on the inpatient/SNF format. As of NCH weekly process date 10/3/97 this field was added to all institutional claim types. [NCH],ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_NCVRD_CHRG_AMT')).amount.value,0.1,V2_MDCR_CLM_LINE,CLM_LINE_NCVRD_CHRG_AMT,FISS;NCH,,,REV_CNTR_NCVRD_CHRG_AMT,Regular;CMS +114,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Provider Payment Amount,"(1) Effective with NCH version H, the payment made to the provider for the line item service on the noninstitutional claim. Note: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 will contain zeroes in this field. [NCH] (2) Effective with version I, the amount paid to the provider for the services reported on the line item. Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and forward. Anomaly: For dates of service August 1, 2000 to the present, the OPPS revenue center fields are being processed differently by FISS and APASS (standard systems). For more information on OPPS data problems for this time period see the Limitations Appendix. The following is how each system handles this field: FISS: Populated correctly with provider payment amount. APASS: Provider payment amount plus interest on 1st revenue center line (CMM will instruct APASS not to include interest). Currently, the following FI numbers are under the APASS system and all other FI numbers are under FISS. See FI_NUM table of codes for all FI numbers. 52280 -- Mutual of Omaha (until 6/1/2003). 00430 -- Washington/Alaska (until 11/1/2003). 00310 -- North Carolina BC (until 12/1/2003). 00370 -- Rhode Island (until 2/1/2004). 00270 -- New Hampshire/Vermont (until 3/1/2004). 00181 -- Maine/Massachusetts (until 5/1/2004). Note 2: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_PRVDR_PMT_AMT')).amount.value,11.15,V2_MDCR_CLM_LINE,CLM_LINE_PRVDR_PMT_AMT,FISS;MCS;NCH;VMS,,,LINE_PRVDR_PMT_AMT;REV_CNTR_PRVDR_PMT_AMT,CMS +115,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Patient Responsibility Payment Amount,"An amount identifying the payment made by a beneficiary for a detail line of service on a claim. Note: For Part D, this amount counts towards a beneficiary's true-out-of-pocket (TROOP) cost.",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_BENE_PMT_AMT')).amount.value,17.99,V2_MDCR_CLM_LINE,CLM_LINE_BENE_PMT_AMT,NCH,,,REV_CNTR_PTNT_RSPNSBLTY_PMT,Regular;CMS +116,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Beneficiary Paid Amount,An amount identifying the payment made to a beneficiary for a detail line of service.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_BENE_PD_AMT')).amount.value,13.22,V2_MDCR_CLM_LINE,CLM_LINE_BENE_PD_AMT,FISS;MCS;NCH;VMS,,,LINE_BENE_PMT_AMT;REV_CNTR_BENE_PMT_AMT,Regular;CMS +117,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Covered Paid Amount,An amount identifying the Medicare payment for a line item service.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_CVRD_PD_AMT')).amount.value,11.14,V2_MDCR_CLM_LINE,CLM_LINE_CVRD_PD_AMT,FISS;MCS;NCH,,CCLF2.CLM_LINE_CVRD_PD_AMT;CCLF5.CLM_LINE_CVRD_PD_AMT;CCLF6.CLM_LINE_CVRD_PD_AMT,LINE_NCH_PMT_AMT;REV_CNTR_PMT_AMT_AMT,Regular;CMS +118,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Line Blood Deductible Amount,An amount identifying the blood deductible a beneficiary is responsible for on a detail line of service.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_BLOOD_DDCTBL_AMT')).amount.value,17.11,V2_MDCR_CLM_LINE,CLM_LINE_BLOOD_DDCTBL_AMT,NCH,,,REV_CNTR_BLOOD_DDCTBL_AMT,CMS +119,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Part B Deductible Amount,"(1) Effective with NCH version I, the amount of cash deductible the beneficiary paid for the line item service. Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and forward. Note 2: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. [NCH] (2) The amount of money for which the carrier has determined that the beneficiary is liable for the Part B cash deductible for the line item service on the noninstitutional claim. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_MDCR_DDCTBL_AMT')).amount.value,3.5,V2_MDCR_CLM_LINE,CLM_LINE_MDCR_DDCTBL_AMT,FISS;MCS;NCH;VMS,,CCLFB.CLM_LINE_MDCR_DDCTBL_AMT,REV_CNTR_CASH_DDCTBL_AMT;LINE_BENE_PTB_DDCTBL_AMT,Regular;CMS +120,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center Coinsurance/Wage Adjusted Coinsurance Amount,"Effective with NCH version I, the amount of coinsurance applicable to the line item service defined by the revenue center and HCPCS codes. For those services subject to outpatient PPS, the applicable coinsurance is wage adjusted. Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. The above claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Note 2: This field will have either a zero (for services for which coinsurance is not applicable), a regular coinsurance amount (calculated on either charges or a fee schedule), or if subject to OP PPS the national coinsurance amount will be wage adjusted. The wage adjusted coinsurance is based on the MSA where the provider is located or assigned as a result of a reclassification. Note 3: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_INSTNL_ADJSTD_AMT')).amount.value,4.5,V2_MDCR_CLM_LINE_INSTNL,CLM_LINE_INSTNL_ADJSTD_AMT,FISS;NCH,,,REV_CNTR_COINSRNC_WGE_ADJSTD_C,CMS +121,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center Reduced Coinsurance Amount,"Effective with NCH version I, for all services subject to outpatient PPS, the amount of coinsurance applicable to the line for a particular service (HCPCS) for which the provider has elected to reduce the coinsurance amount. Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and forward. Note 2: The reduced coinsurance amount cannot be lower than 20% of the payment rate for the APC line. Note 3: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_INSTNL_RDCD_AMT')).amount.value,11.11,V2_MDCR_CLM_LINE_INSTNL,CLM_LINE_INSTNL_RDCD_AMT,FISS;NCH,,,REV_CNTR_RDCD_COINSRNC_AMT,CMS +122,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center 1st Medicare Secondary Payer Paid Amount,"Effective with NCH version I, the amount paid by the primary payer when the payer is primary to Medicare (Medicare is secondary). Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and forward. Note 2: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_INSTNL_MSP1_PD_AMT')).amount.value,17,V2_MDCR_CLM_LINE_INSTNL,CLM_LINE_INSTNL_MSP1_PD_AMT,FISS;NCH,,,REV_CNTR_1ST_MSP_PD_AMT,CMS +123,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center 2nd Medicare Secondary Payer Paid Amount,"Effective with NCH version I, the amount paid by the secondary payer when two payers are primary to Medicare (Medicare is the tertiary payer). Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and forward. Note 2: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_INSTNL_MSP2_PD_AMT')).amount.value,14.21,V2_MDCR_CLM_LINE_INSTNL,CLM_LINE_INSTNL_MSP2_PD_AMT,FISS;NCH,,,REV_CNTR_2ND_MSP_PD_AMT,CMS +124,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center Date,Revenue center date for the institutional line item.,ExplanationOfBenefit.item.servicedDate,2025-01-01,V2_MDCR_CLM_LINE_INSTNL,CLM_LINE_INSTNL_REV_CTR_DT,FISS;NCH,,CCLF2.CLM_LINE_INSTNL_REV_CTR_DT,REV_CNTR_DT,Basis;Regular;CMS +125,ExplanationOfBenefit,HHA;Hospice;Inpatient;SNF,Claim Active Care From Date,The date the beneficiary's from-date of active care begins.,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='admissionperiod').timing.start,2021-01-01,V2_MDCR_CLM_DT_SGNTR,CLM_ACTV_CARE_FROM_DT,FISS;NCH,,CCLFA.CLM_ACTV_CARE_FROM_DT,CLM_HOSPC_START_DT_ID;CLM_ADMSN_DT,Basis;Regular;CMS +126,ExplanationOfBenefit,HHA;Hospice;Inpatient;SNF,Beneficiary Discharge Date,"The date the beneficiary was discharged from the facility (hospital, skilled nursing facility, home health agency, or hospice). [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='admissionperiod').timing.end,2021-01-02,V2_MDCR_CLM_DT_SGNTR,CLM_DSCHRG_DT,FISS;NCH,,,NCH_BENE_DSCHRG_DT,Basis;Regular;CMS +127,ExplanationOfBenefit,Inpatient;SNF,Claim Admission Type Code,The code indicating the type and priority of an inpatient admission associated with the service on an intermediary submitted claim. [NCH],ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='admtype').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-ADMSN-TYPE-CD').code,3,V2_MDCR_CLM_INSTNL,CLM_ADMSN_TYPE_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-ADMSN-TYPE-CD,CCLF1.CLM_ADMSN_TYPE_CD,CLM_IP_ADMSN_TYPE_CD,Basis;Regular;CMS +128,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Submission Date,(1) The date the fiscal intermediary received the institutional claim from the provider. [NCH] (2) The date the carrier receives the non-institutional claim. [NCH],ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='clmrecvddate').timing,2020-01-13,V2_MDCR_CLM_DT_SGNTR,CLM_SUBMSN_DT,FISS;MCS;NCH;VMS,,,,Basis;Regular;CMS +129,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Patient Discharge Status Code,The code used to identify the status of the patient as of the claim through date. [NCH],ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='discharge-status').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/BENE-PTNT-STUS-CD').code,06,V2_MDCR_CLM_INSTNL,BENE_PTNT_STUS_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-PTNT-STUS-CD,CCLF1.BENE_PTNT_STUS_CD,NCH_PTNT_STATUS_IND_CD;PTNT_DSCHRG_STUS_CD,Basis;Regular;CMS +130,ExplanationOfBenefit,Inpatient;SNF,Claim Diagnosis Related Group Code,"On an institutional claim, the code that identifies the diagnosis related group to which a beneficiary stay is classified for payment purposes. [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='drg').code.coding.where(system='https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software').code,460,V2_MDCR_CLM_INSTNL,DGNS_DRG_CD,FISS;NCH,,CCLF1.DGNS_DRG_CD,CLM_DRG_CD,Basis;Regular;CMS +131,ExplanationOfBenefit,Carrier;Inpatient;Outpatient;SNF,Blood Pints Furnished Quantity,A quantity indicating the whole pints of blood furnished to a beneficiary.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BLOOD_PT_FRNSH_QTY').exists()).value.value,15,V2_MDCR_CLM,CLM_BLOOD_PT_FRNSH_QTY,NCH,,,NCH_BLOOD_PNTS_FRNSHD_QTY,CMS +132,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,MCO Paid Switch,A switch indicating whether or not a Managed Care Organization (MCO) has paid the provider for an institutional claim. [NCH],ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_MDCR_INSTNL_MCO_PD_SW').exists()).code.coding.code,1,V2_MDCR_CLM_INSTNL,CLM_MDCR_INSTNL_MCO_PD_SW,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-MDCR-INSTNL-MCO-PD-SW,,CLM_MCO_PD_SW,CMS +133,ExplanationOfBenefit,Inpatient;SNF,Source Admission Code,"The code indicating the means by which the beneficiary was admitted to the inpatient health care facility or SNF if the type of admission is (1) emergency, (2) urgent, or (3) elective. [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='pointoforigin').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-ADMSN-SRC-CD').code,2,V2_MDCR_CLM_INSTNL,CLM_ADMSN_SRC_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-ADMSN-SRC-CD,CCLF1.CLM_ADMSN_SRC_CD,CLM_SRC_IP_ADMSN_CD,Basis;Regular;CMS +134,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Type of Bill Code,"The Type of Bill Code. Composed of a 0, followed by the Claim Facility Type Code, then the Claim Service Classification Type Code, and finally the Claim Frequency Code.",ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='typeofbill').code.coding.where(system='https://www.nubc.org/CodeSystem/TypeOfBill').code,0123,,,FISS;NCH,,,,Basis;Regular;CMS +135,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Bill Facility Type Code,A code identifying the type of facility that provided care to a beneficiary on an institutional claim. It is the first digit of the Type of Bill (TOB). Reference table: CLM_BILL_FAC_TYPE_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='typeofbill').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-FAC-TYPE-CD').code,1,V2_MDCR_CLM,CLM_BILL_FAC_TYPE_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-FAC-TYPE-CD,CCLF1.CLM_BILL_FAC_TYPE_CD,CLM_FAC_TYPE_CD,Basis;Regular;CMS +136,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Bill Classification Code,A code classifying the type of service provided to a beneficiary on an institutional claim. It is the second digit of the Type of Bill (TOB).,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='typeofbill').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-CLSFCTN-CD').code,12,V2_MDCR_CLM,CLM_BILL_CLSFCTN_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-CLSFCTN-CD,CCLF1.CLM_BILL_CLSFCTN_CD,CLM_SRVC_CLSFCTN_TYPE_CD,Basis;Regular;CMS +137,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Bill Frequency Code,A code indicating the sequence of an institutional claim in the beneficiary's current episode of care. It is the third digit of the Type of Bill (TOB).,ExplanationOfBenefit.supportingInfo.where(category.coding.system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' and category.coding.code='typeofbill').code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-FREQ-CD').code,123,V2_MDCR_CLM,CLM_BILL_FREQ_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-BILL-FREQ-CD,CCLF1.CLM_BILL_FREQ_CD,CLM_FREQ_CD,Basis;Regular;CMS +138,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Weekly Process Date,"The date the weekly NCH database load process cycle begins, during which the claim records are loaded into the nearline file. This date will always be a Friday, although the claims will actually be appended to the database subsequent to the date. (NCH)",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NCH_WKLY_PROC_DT').exists()).timing,2025-01-18,V2_MDCR_CLM_DT_SGNTR,CLM_NCH_WKLY_PROC_DT,NCH,,,NCH_WKLY_PROC_DT,CMS +139,ExplanationOfBenefit,Inpatient;SNF,Noncovered Stay From Date,"Effective with NCH version H, the beginning date of the beneficiary's noncovered stay (used for internal CWFMQA editing purposes). Note: During the version H conversion this field was populated with data throughout history (back to service year 1991). [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NCVRD_FROM_DT').exists()).timing,2025-01-01,V2_MDCR_CLM_DT_SGNTR,CLM_NCVRD_FROM_DT,NCH,,,NCH_VRFD_NCVRD_STAY_FROM_DT,CMS +140,ExplanationOfBenefit,Inpatient;SNF,Noncovered Stay Through Date,"Effective with NCH version H, the ending date of the beneficiary's noncovered stay (used for internal CWFMQA editing purposes). Note: During the NCH version H conversion this field was populated with data throughout history (back to service year 1991). [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NCVRD_THRU_DT').exists()).timing,2025-01-02,V2_MDCR_CLM_DT_SGNTR,CLM_NCVRD_THRU_DT,NCH,,,NCH_VRFD_NCVRD_STAY_THRU_DT,CMS +141,ExplanationOfBenefit,HHA;Inpatient;SNF,Qualified Stay From Date,"The beginning date of the beneficiary's qualifying stay (used for internal CWFMQA editing purposes). For inpatient claims, the date relates to the PPS portion of the inlier for which there is no utilization to benefits. For SNF claims, the date relates to a qualifying stay from a hospital that is at least two days in a row if the source of admission is an A, or at least three days in a row if the source of admission is other than A. [HRMZ] Note: During the NCH version H conversion this field was populated with data throughout history (back to service year 1991).",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_QLFY_STAY_FROM_DT').exists()).timing,2025-01-02,V2_MDCR_CLM_DT_SGNTR,CLM_QLFY_STAY_FROM_DT,FISS;NCH,,,NCH_QLFYD_STAY_FROM_DT,CMS +142,ExplanationOfBenefit,HHA;Inpatient;SNF,Qualified Stay Through Date,"The ending date of the beneficiary's qualifying stay (used for internal CWFMQA editing purposes). For inpatient claims, the date relates to the PPS portion of the inlier for which there is no utilization to benefits. For SNF claims, the date relates to a qualifying stay from a hospital that is at least two days in a row if the source of admission is an A, or at least three days in a row if the source of admission is other than A. [HRMZ] Note: During the NCH version H conversion this field was populated with data throughout history (back to service year 1991). [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_QLFY_STAY_THRU_DT').exists()).timing,2025-01-01,V2_MDCR_CLM_DT_SGNTR,CLM_QLFY_STAY_THRU_DT,FISS;NCH,,,CLM_QLFY_STAY_THRU_DT,CMS +143,ExplanationOfBenefit,Inpatient;SNF,Covered Care Through Date,The date on a claim for which the covered level of care ended in a general hospital or the active care ended in a psychiatric/TB hospital.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ACTV_CARE_THRU_DT').exists()).timing,2025-01-11,V2_MDCR_CLM_DT_SGNTR,CLM_ACTV_CARE_THRU_DT,NCH,,,NCH_ACTV_OR_CVRD_LVL_CARE_THRU,CMS +144,ExplanationOfBenefit,Hospice;Inpatient;SNF,Medicare Benefits Exhausted Date,The date the beneficiary's Medicare benefits were exhausted. [NCH],ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_MDCR_EXHSTD_DT').exists()).timing,2025-01-11,V2_MDCR_CLM_DT_SGNTR,CLM_MDCR_EXHSTD_DT,NCH,,,NCH_BENE_MDCR_BNFTS_EXHTD_DT_I,CMS +145,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,FI Claim Action Code,The type of action requested by the intermediary to be taken on an institutional claim.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_FI_ACTN_CD').exists()).code.coding.code,1,V2_MDCR_CLM_INSTNL,CLM_FI_ACTN_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-FI-ACTN-CD,,FI_CLM_ACTN_CD,CMS +146,ExplanationOfBenefit,Inpatient;SNF,Lifetime Reserved Days Used Count,"The number of lifetime reserve days that the beneficiary has elected to use during the period covered by the institutional claim. Under Medicare, each beneficiary has a one-time reserve of sixty additional days of inpatient hospital coverage that can be used after 90 days of inpatient care have been provided in a single benefit period. This count is used to subtract from the total number of lifetime reserve days that a beneficiary has available.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_LRD_USE_CNT').exists()).value,7,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_LRD_USE_CNT,FISS;NCH,,,BENE_LRD_USED_CNT,CMS +147,ExplanationOfBenefit,Inpatient;SNF,Claim Uncompensated Care Payment Amount,This is a payment for DSH hospitals as part of Section 3133 of the ACA. It represents the uncompensated care amount of the payment.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_HIPPS_UNCOMPD_CARE_AMT').exists()).amount.value,15,V2_MDCR_CLM_INSTNL,CLM_HIPPS_UNCOMPD_CARE_AMT,FISS;NCH,,CCLF1.CLM_HIPPS_UNCOMPD_CARE_AMT,CLM_UNCOMPD_CARE_PMT_AMT,CMS +148,ExplanationOfBenefit,Inpatient;SNF,Total Coinsurance Days Count,"The count of the total number of coinsurance days involved with the beneficiary's stay in a facility. [NCH, HRMZ] For Medicaid, the number of covered inpatient hospital days occurring after the 60th day and before the 91st day, or the number of covered inpatient skilled nursing facility days occurring after the 20th day and before the 101st day of the benefit period. [HRMZ]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_INSTNL_MDCR_COINS_DAY_CNT').exists()).value,3,V2_MDCR_CLM_INSTNL,CLM_INSTNL_MDCR_COINS_DAY_CNT,FISS;NCH,,,BENE_TOT_COINSRNC_DAYS_CNT,CMS +149,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Disposition Code,A code indicating the disposition or outcome of a processed claim record. Reference table: CLM_DISP_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_DISP_CD').exists()).code.coding.code,01,V2_MDCR_CLM,CLM_DISP_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-DISP-CD,CCLF5.CLM_DISP_CD;CCLF6.CLM_DISP_CD,CLM_DISP_CD,CMS +150,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Total Charge Amount,An amount totaling the sum of all the line item submitted charges on a claim.,ExplanationOfBenefit.total.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication').exists() and category.coding.where(code='CLM_SBMT_CHRG_AMT').exists() ).amount.value,9001.55,V2_MDCR_CLM,CLM_SBMT_CHRG_AMT,FISS;MCS;NCH;VMS,,CCLF1.CLM_MDCR_INSTNL_TOT_CHRG_AMT,NCH_CARR_CLM_SBMTD_CHRG_AMT;CLM_TOT_CHRG_AMT,Regular;CMS +151,ExplanationOfBenefit,Inpatient;SNF,Non Utilization Day Count,The number of inpatient days of care not covered by the primary provider or by Medicare facility utilization. [HRMZ],ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_INSTNL_NCVRD_DAY_CNT').exists()).value,4,V2_MDCR_CLM_INSTNL,CLM_INSTNL_NCVRD_DAY_CNT,FISS;NCH,,,CLM_NON_UTLZTN_DAYS_CNT,CMS +152,ExplanationOfBenefit,Inpatient;SNF,Pass Through Per Diem Amount,"The maximum amount a provider can be paid for each day of care. [HRMZ] For Medicare IP, the amount of the established reimbursable costs for the current year divided by the estimated Medicare days for the current year (all PPS claims), as calculated by the FI and reimbursement staff. Items reimbursed as a pass through include capital-related costs; direct medical education costs; kidney acquisition costs for hospitals approved as RTCs; and bad debts (per Provider Reimbursement Manual, Part 1, Section 2405.2). Note: Pass through amounts are not included in the claim payment amount. [NCH, HRMZ]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_INSTNL_PER_DIEM_AMT').exists()).amount.value,5,V2_MDCR_CLM_INSTNL,CLM_INSTNL_PER_DIEM_AMT,FISS;NCH,,CCLFA.CLM_INSTNL_PER_DIEM_AMT,CLM_PASS_THRU_PER_DIEM_AMT,CMS +153,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Non Payment Reason Code,"The reason that no Medicare payment is made for services on an institutional claim. Note: Effective with NCH version I, this field was put on all institutional claim types. Note 1: This field was put on all institutional claim types but data did not start coming in on OP/HHA/hospice until 4/1/02. Prior to 4/1/02, data only came in on inpatient/SNF claims. Note 2: Effective 4/1/02, this field was also expanded to two bytes to accommodate new values. The NCH nearline file did not expand the current 1-byte field but instituted a crosswalk of the 2-byte field to the 1-byte character value. See table of codes for the crosswalk. [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_MDCR_NPMT_RSN_CD').exists()).code.coding.code,P,V2_MDCR_CLM_INSTNL,CLM_MDCR_NPMT_RSN_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-MDCR-NPMT-RSN-CD,CCLF1.CLM_MDCR_NPMT_RSN_CD,CLM_MDCR_NON_PMT_RSN_CD,CMS +154,ExplanationOfBenefit,Inpatient;SNF,Claim PPS Capital DRG Weight Number,"Effective 3/2/92, the number used to determine a transfer adjusted case mix index for capital PPS. The number is determined by multiplying the DRG weight times the discharge fraction. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_DRG_WT_NUM').exists()).value,1.08,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_PPS_DRG_WT_NUM,FISS;NCH,,,CLM_PPS_CPTL_DRG_WT_NUM,CMS +155,ExplanationOfBenefit,Inpatient;SNF,Claim PPS Capital Disproportionate Share Amount,"Effective 3/2/92, the amount of disproportionate share (rate reflecting indigent population served) portion of the PPS payment for capital. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_DSPRPRTNT_AMT').exists()).amount.value,15.11,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_PPS_DSPRPRTNT_AMT,FISS;NCH,,CCLF1.CLM_MDCR_IP_PPS_DSPRPRTNT_AMT,CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT,CMS +156,ExplanationOfBenefit,Inpatient;SNF,Claim PPS Capital Exception Amount,"Effective 3/2/92, the capital PPS amount of exception payments provided for hospitals with inordinately high levels of capital obligations. Exception payments expire at the end of the 10-year transition period. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_EXCPTN_AMT').exists()).amount.value,11.5,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_PPS_EXCPTN_AMT,FISS;NCH,,,CLM_PPS_CPTL_EXCPTN_AMT,CMS +157,ExplanationOfBenefit,Inpatient;SNF,Claim PPS Capital FSP Amount,"Effective 3/2/92, the amount of the federal specific portion of the PPS payment for capital. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_CPTL_FSP_AMT').exists()).amount.value,11.81,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_PPS_CPTL_FSP_AMT,FISS;NCH,,,CLM_PPS_CPTL_FSP_AMT,CMS +158,ExplanationOfBenefit,Inpatient;SNF,Claim PPS Capital IME Amount,"Effective 3/2/92, the amount of the Indirect Medical Education (IME) portion of the PPS payment for capital. IME is a reimbursable amount for teaching hospitals only; an added amount passed by Congress to augment normal PPS payments for teaching hospitals to compensate them for higher patient costs resulting from medical education programs for interns and residents. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_CPTL_IME_AMT').exists()).amount.value,14.11,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_PPS_CPTL_IME_AMT,FISS;NCH,,CCLF1.CLM_MDCR_IP_PPS_CPTL_IME_AMT,CLM_PPS_CPTL_IME_AMT,CMS +159,ExplanationOfBenefit,Inpatient;SNF,Claim PPS Capital Outlier Amount,"Effective 3/2/92, the amount of the outlier portion of the PPS payment for capital. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_OUTLIER_AMT').exists()).amount.value,40.11,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_PPS_OUTLIER_AMT,FISS;NCH,,,CLM_PPS_CPTL_OUTLIER_AMT,CMS +160,ExplanationOfBenefit,Inpatient;SNF,Claim PPS Old Capital Hold Harmless Amount,"Effective 3/2/92, this amount is the hold harmless amount payable for old capital as computed by Pricer for providers with a payment code equal to A. The hold harmless amount for old capital is 100 percent of the reasonable costs of old capital for sole community hospitals, or 85 percent of the reasonable costs associated with old capital for all other hospitals, plus a payment for new capital. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_CPTL_HRMLS_AMT').exists()).amount.value,13.31,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_PPS_CPTL_HRMLS_AMT,FISS;NCH,,,CLM_PPS_OLD_CPTL_HLD_HRMLS_AMT,CMS +161,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim PPS Indicator Code,"Effective with NCH version H, the code indicating whether or not (1) the claim is PPS and/or (2) the beneficiary is a deemed insured Medicare Qualified Government Employee (MQGE). Note: Beginning with NCH weekly process date 10/3/97 through 5/29/98, this field was populated with only the PPS indicator. Beginning with NCH weekly process date 6/5/98, this field was additionally populated with the deemed MQGE indicator. Claims processed prior to 10/3/97 will contain spaces. [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_PPS_IND_CD').exists()).code.coding.code,2,V2_MDCR_CLM_INSTNL,CLM_PPS_IND_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PPS-IND-CD,,CLM_PPS_IND_CD,CMS +162,ExplanationOfBenefit,Inpatient;SNF,Claim Total PPS Capital Amount,"The total amount that is payable for capital PPS for the claim. This is the sum of the capital hospital specific portion, federal specific portion, outlier portion, disproportionate share portion, indirect medical education portion, exception payments, and hold harmless payments. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_PPS_CPTL_TOT_AMT').exists()).amount.value,11.11,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_PPS_CPTL_TOT_AMT,FISS;NCH,,,CLM_TOT_PPS_CPTL_AMT,CMS +163,ExplanationOfBenefit,Hospice;Inpatient;SNF,Utilization Day Count,"The number of inpatient days covered by the primary provider. For Medicare IP and hospice, the number of covered days of care that are chargeable to Medicare facility utilization that includes full days, coinsurance days, and lifetime reserve days. [HRMZ]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_INSTNL_CVRD_DAY_CNT').exists()).value,30,V2_MDCR_CLM_INSTNL,CLM_INSTNL_CVRD_DAY_CNT,FISS;NCH,,,,CMS +164,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,FI Number,A number assigned by Centers for Medicare and Medicaid Services (CMS) identifying a Medicare Administrative Contractor (MAC) authorized to process Medicare claims. Reference table: CLM_CNTRCTR_NUM,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CNTRCTR_NUM').exists()).code.coding.code,10312,V2_MDCR_CLM,CLM_CNTRCTR_NUM,FISS;MCS;NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-CNTRCTR-NUM,CCLF1.CLM_CNTRCTR_NUM;CCLF5.CLM_CNTRCTR_NUM,CARR_NUM;FI_NUM,CMS +165,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,The code outlining the primary payer.,A code identifying the coverage type of the primary payer when Medicare is the secondary payer as defined by the Common Working File (CWF). Reference table: CLM_NCH_PRMRY_PYR_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NCH_PRMRY_PYR_CD').exists()).code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRMRY-PYR-CD').code,I,V2_MDCR_CLM,CLM_NCH_PRMRY_PYR_CD,FISS;MCS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-NCH-PRMRY-PYR-CD,CCLF1.CLM_NCH_PRMRY_PYR_CD,NCH_PRMRY_PYR_CD,CMS +166,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Primary Payer Paid Amount,"The amount of a payment made on behalf of a Medicare beneficiary by a primary payer other than Medicare, that the provider is applying to covered Medicare charges on an institutional, carrier, or DMERC claim. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_INSTNL_PRMRY_PYR_AMT').exists()).amount.value,50.5,V2_MDCR_CLM_INSTNL,CLM_MDCR_INSTNL_PRMRY_PYR_AMT,NCH,,,NCH_PRMRY_PYR_CLM_PD_AMT,CMS +167,ExplanationOfBenefit,HHA;Inpatient;SNF,Rendering Physician NPI - Header Level,"A number identifying the National Provider Identifier (NPI) of the provider who rendered the service, as sourced from the National Plan and Provider Enumeration System (NPPES). Note: This column is populated for certain types of claims where the same rendering provider NPI applies to all lines of the claim, and if the rendering provider NPI on the claim, as provided by the source system, can be found in the Integrated Deposit Repository (IDR) provider data as sourced from NPPES.",ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'rendering').exists()).provider.identifier.value,1942945159,V2_MDCR_CLM,PRVDR_RNDRNG_PRVDR_NPI_NUM,FISS;NCH,,,,Basis;Regular;CMS +168,ExplanationOfBenefit,Carrier,Rendering Provider NPI Number - Line Level,"A number identifying the National Provider Identifier (NPI) of the provider who rendered the service, as sourced from the National Plan and Provider Enumeration System (NPPES). Note: This column is populated if the rendering provider NPI on the claim, as provided by the source system, can be found in the Integrated Deposit Repository (IDR) provider data as sourced from NPPES.",ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'rendering').exists()).provider.identifier.value,1942945159,V2_MDCR_CLM_LINE,PRVDR_RNDRNG_PRVDR_NPI_NUM,MCS;NCH,,CCLF5.RNDRG_PRVDR_NPI_NUM;CCLF5.CLM_RNDRG_PRVDR_NPI_NUM,CARR_LINE_PRFRMG_NPI_NUM;RNDRNG_PHYSN_NPI;PRF_PHYSN_NPI,Basis;Regular;CMS +169,ExplanationOfBenefit,Inpatient;Outpatient;SNF,Professional Component Charge,"For inpatient and outpatient claims, the amount of physician and other professional charges covered under Medicare Part B (e.g., if computing interim payment these charges are deducted).",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_INSTNL_PRFNL_AMT').exists()).amount.value,93.22,V2_MDCR_CLM_INSTNL,CLM_INSTNL_PRFNL_AMT,NCH,,CCLFA.CLM_INSTNL_PRFNL_AMT,NCH_PROFNL_CMPNT_CHRG_AMT,CMS +170,ExplanationOfBenefit,Inpatient;Outpatient;SNF,Blood Deductible Liability Amount,An amount identifying the portion of the blood deductible a beneficiary is liable for.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_BLOOD_LBLTY_AMT').exists()).amount.value,121.1,V2_MDCR_CLM,CLM_BLOOD_LBLTY_AMT,FISS;NCH,,CCLFA.CLM_BLOOD_LBLTY_AMT,NCH_BENE_BLOOD_DDCTBL_LBLTY_AM,CMS +171,ExplanationOfBenefit,Inpatient;SNF,Deductible Amount,"The amount of the deductible the beneficiary paid for inpatient services, as originally submitted on the institutional claim. [NCH] NCH derivation: Derived from CLM_VAL_CD and CLM_VAL_AMT. Derivation rule: Based on the presence of value code equal to A1, B1, or C1, move the corresponding value amount to the NCH_BENE_IP_DDCTBL_AMT. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_IP_BENE_DDCTBL_AMT').exists()).amount.value,19.11,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_BENE_DDCTBL_AMT,NCH,,CCLFA.CLM_MDCR_IP_BENE_DDCTBL_AMT,NCH_BENE_IP_DDCTBL_AMT,CMS +172,ExplanationOfBenefit,Inpatient;Outpatient;SNF,Part A/B Coinsurance Liability Amount,An amount identifying the portion applied toward the coinsurance a beneficiary is responsible for.,ExplanationOfBenefit.total.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication' and code='coinsurance').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_COINSRNC_AMT').exists()).amount.value,9.82,V2_MDCR_CLM,CLM_MDCR_COINSRNC_AMT,FISS;NCH;VMS,,CCLFA.CLM_MDCR_COINSRNC_AMT,NCH_BENE_PTA_COINSRNC_LBLTY_AM;NCH_BENE_PTB_COINSRNC_AMT,Regular;CMS +173,ExplanationOfBenefit,Carrier;HHA;Hospice;Inpatient;Outpatient;SNF,Other Physician NPI,A number identifying the National Provider Identifier (NPI) of another provider as sourced from the NPI crosswalk reference information provided by the National Plan and Provider Enumeration System (NPPES).,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'otheroperating').exists()).provider.identifier.value or ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'supervisor').exists()).provider.identifier.value,,V2_MDCR_CLM,PRVDR_OTHR_PRVDR_NPI_NUM,FISS;MCS;NCH,,CCLF1.OTHR_PRVDR_NPI_NUM;CCLF1.CLM_OTHR_PRVDR_NPI_NUM,OT_PHYSN_NPI,Basis;Regular;CMS +174,ExplanationOfBenefit,Inpatient;SNF,DRG Outlier Approved Payment Amount,"On an institutional claim, the additional payment amount approved by the peer review organization due to an outlier situation for a beneficiary's stay under the prospective payment system, which has been classified into a specific diagnosis related group. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_INSTNL_DRG_OUTLIER_AMT').exists()).amount.value,15.89,V2_MDCR_CLM_INSTNL,CLM_INSTNL_DRG_OUTLIER_AMT,FISS;NCH,,,NCH_DRG_OUTLIER_APRVD_PMT_AMT,CMS +175,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Provider Number (OSCAR/CCN),A number assigned to a billing provider by the Centers for Medicare and Medicaid Services (CMS) verifying that the provider is Medicare certified and for what types of services. Note: The OSCAR was renamed to CMS Certification Number (CCN) in 2007 by CMS.,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value,,V2_MDCR_CLM,CLM_BLG_PRVDR_OSCAR_NUM,FISS;NCH,,CCLF1.PRVDR_OSCAR_NUM;CCLF1.CLM_BLG_PRVDR_OSCAR_NUM;CCLF2.PRVDR_OSCAR_NUM;CCLF2.CLM_FAC_PRVDR_OSCAR_NUM;CCLF3.PRVDR_OSCAR_NUM;CCLF3.CLM_BLG_PRVDR_OSCAR_NUM;CCLF4.PRVDR_OSCAR_NUM;CCLF4.CLM_BLG_PRVDR_OSCAR_NUM,PRVDR_NUM,Basis;Regular;CMS +176,ExplanationOfBenefit,Outpatient,Outpatient Beneficiary Payment Amount,"Effective with NCH version H, the amount paid, from the Medicare Trust Fund, to the beneficiary for the services reported on the outpatient claim. Note: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 will contain zeroes in this field. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_BENE_PD_AMT').exists()).amount.value,,V2_MDCR_CLM_INSTNL,CLM_MDCR_INSTNL_BENE_PD_AMT,NCH,,,CLM_OP_BENE_PMT_AMT,Regular;CMS +177,ExplanationOfBenefit,Carrier;DME;Outpatient,Provider Payment Amount,An amount identifying the total payment made to a provider/supplier for services rendered on an individual claim.,ExplanationOfBenefit.total.where(category.coding.where(system='http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication' and code='paidtoprovider').exists() and category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_PRVDR_PMT_AMT').exists()).amount.value,11.11,V2_MDCR_CLM,CLM_PRVDR_PMT_AMT,FISS;MCS;NCH;VMS,,,CLM_OP_PRVDR_PMT_AMT;NCH_CLM_PRVDR_PMT_AMT,Regular;CMS +178,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center Discount Indicator Code,"Effective with NCH version I, this code represents a factor that specifies the amount of any APC discount. The discounting factor is applied to a line item with a service indicator (part of the REV_CNTR_PMT_MTHD_IND_CD) of T. The flag is applicable when more than one significant procedure is performed. If there is no discounting the factor will be 1.0. [NCH] Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and forward. Note 2: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. Note 3: Values D, U, and T represent the following: D = Discounting fraction (currently 0.5). U = Number of units. T = Terminated procedure discount (currently 0.5).",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-REV-DSCNT-IND-CD').value.code,1,V2_MDCR_CLM_LINE_INSTNL,CLM_REV_DSCNT_IND_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-REV-DSCNT-IND-CD,,REV_CNTR_DSCNT_IND_CD,CMS +179,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center Obligation to Accept As Full Payment Code,"Effective with version I, indication that the provider was obligated to accept as full payment the amount received from the primary (or secondary) payer.",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-OTAF-ONE-IND-CD').value.code,Y,V2_MDCR_CLM_LINE_INSTNL,CLM_OTAF_ONE_IND_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-OTAF-IND-CD,,REV_CNTR_OTAF_PMT_CD,CMS +180,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center Packaging Indicator Code,"Effective with NCH version I, the code used to identify those services that are packaged/bundled with another service. Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and forward. Note 2: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. [NCH]",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-REV-PACKG-IND-CD').value.code,2,V2_MDCR_CLM_LINE_INSTNL,CLM_REV_PACKG_IND_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-REV-PACKG-IND-CD,,REV_CNTR_PACKG_IND_CD,CMS +181,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center Payment Method Indicator Code,"Effective with NCH version I, the code used to identify how the service is priced for payment. This field is made up of two pieces of data, the 1st position being the service indicator and the 2nd position being the payment indicator. Note 1: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and forward. Note 2: It has been discovered that this field may be populated with data on claims with dates of service prior to 7/00 (implementation of claim line expansion OPPS/HHPPS). The original understanding of the new revenue center fields was that data would be populated on claims with dates of service 7/00 and forward. Data has been found in claims with dates of service prior to 7/00 because the standard systems have processed any claim coming in 7/00 and after, meeting the above criteria, through the Outpatient Code Editor (OCE) regardless of the dates of service. Note 3: Effective 10/2005, this field will no longer represent the service indicator and the payment indicator. This field will now house the 2-byte payment indicator. The status indicator will be housed in a new field named: REV_CNTR_STUS_IND_CD. [NCH]",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-REV-PMT-MTHD-CD').value.code,3,V2_MDCR_CLM_LINE_INSTNL,CLM_REV_PMT_MTHD_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-REV-PMT-MTHD-CD,,REV_CNTR_PMT_MTHD_IND_CD,CMS +182,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Revenue Center Status Indicator Code,"Effective 10/3/2005 with the implementation of NCH/NMUD CR#2, the code used to identify the status of the line item service. This field along with the payment method indicator field is used to identify how the service was priced for payment. Note 1: This 2-byte indicator is being added due to an expansion of a field that currently exists on the revenue center trailer. The status indicator is currently the 1st position of the revenue center payment method indicator code. The payment method indicator code is being split into two 2-byte fields (payment indicator and status indicator). The expanded payment indicator will continue to be stored in the existing payment method indicator field. The split of the current payment method indicator field is due to the expansion of both pieces of data from 1-byte to 2-bytes. Note 2: This field is populated for those claims that are required to process through outpatient PPS Pricer. The types of bills (TOB) required to process through are: 12X, 13X, 14X (except Maryland providers, Indian health providers, hospitals located in American Samoa, Guam, and Saipan, and critical access hospitals (CAH)); 76X; 75X and 34X if certain HCPCS are on the bill; and any outpatient type of bill with a condition code 07 and certain HCPCS. These claim types could have lines that are not required to price under OPPS rules so those lines would not have data in this field. Additional exception: Virgin Island hospitals and hospitals that furnish only inpatient Part B services. [NCH]",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-REV-CNTR-STUS-CD').value.code,J,V2_MDCR_CLM_LINE_INSTNL,CLM_REV_CNTR_STUS_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-REV-CNTR-STUS-CD,,REV_CNTR_STUS_IND_CD,CMS +183,ExplanationOfBenefit,Hospice,Hospice Period Count,The count of the number of hospice period trailers present for the beneficiary's record. Prior to BBA a beneficiary was entitled to a maximum of 4 hospice benefit periods that may be elected in lieu of standard Part A hospital benefits. The BBA changed the hospice benefit to the following: 2 initial 90-day periods followed by an unlimited number of 60-day periods (effective 8/5/97). [NCH] Edit rules: Range 1 through 3: 1 = 1st 90-day period; 2 = 2nd 90-day period; 3 = 60-day period (3 or greater periods).,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_HOSPC_PRD_CNT').exists()).value,1,V2_MDCR_CLM_INSTNL,CLM_MDCR_HOSPC_PRD_CNT,NCH,,,BENE_HOSPC_PRD_CNT,CMS +184,ExplanationOfBenefit,HHA,Claim LUPA Indicator Code,"Effective with NCH version I, the code used to identify those home health PPS claims that have 4 visits or fewer in a 60-day episode. If an HHA provides 4 visits or fewer, they will be reimbursed based on a national standardized per visit rate instead of HHRGs. Note: Beginning 10/1/00, this field will be populated with data. Claims processed prior to 10/1/00 will contain spaces. [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_HHA_LUP_IND_CD').exists()).code.coding.code,L,V2_MDCR_CLM_INSTNL,CLM_HHA_LUP_IND_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-HHA-LUP-IND-CD,,CLM_HHA_LUPA_IND_CD,CMS +185,ExplanationOfBenefit,HHA,Claim Referral Code,"Effective with NCH version I, the code used to identify the means by which the beneficiary was referred for home health services. Note: Beginning 10/1/00, this field will be populated with data. Claims processed prior to 10/1/00 will contain spaces in this field. [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_HHA_RFRL_CD').exists()).code.coding.code,C,V2_MDCR_CLM_INSTNL,CLM_HHA_RFRL_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-HHA-RFRL-CD,,CLM_HHA_RFRL_CD,CMS +186,ExplanationOfBenefit,HHA,Claim Total Visit Count,"Effective with NCH version H, the count of the number of HHA visits as derived by CWF. Note 1: During the NCH version H conversion this field was populated with data throughout history (back to service year 1991) using the CWF derivation rule (units associated with revenue center codes 042X, 043X, 044X, 055X, 056X, 057X, 058X, and 059X). Value 999 will be displayed if the sum of the revenue center unit count equals or exceeds 999. Note 2: Effective 7/1/99, all HHA claims received with service from dates 7/1/99 and after will be processed as if the units field contains the 15-minute interval count; and each visit revenue code line item will be counted as one visit. This field is calculated correctly; but users who derive the count themselves will need to revise their routine. The count is no longer derived by adding up the units fields associated with the HHA visit revenue codes. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and code='CLM_MDCR_HHA_TOT_VISIT_CNT').exists()).value,2,V2_MDCR_CLM_INSTNL,CLM_MDCR_HHA_TOT_VISIT_CNT,FISS;NCH,,,CLM_HHA_TOT_VISIT_CNT,CMS +187,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Status Code,The current status information for the pending and paid claims currently in the system.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_AUDT_TRL_STUS_CD').exists()).code.coding.code,,V2_MDCR_CLM_LCTN_HSTRY,CLM_AUDT_TRL_STUS_CD,FISS;MCS;VMS,,,,CMS +188,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Paid Status Code,A code identifying the status of a claim. Reference table: CLM_PD_STUS_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_PD_STUS_CD').exists()).code.coding.code,,V2_MDCR_CLM,CLM_PD_STUS_CD,FISS;MCS;VMS,,,,Basis;Regular;CMS +189,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Outpatient,Referring Provider NPI Number,A number identifying the National Provider Identifier (NPI) of a referring provider as sourced from the NPI crosswalk reference information provided by the National Plan and Provider Enumeration System (NPPES).,ExplanationOfBenefit.careTeam.where(role.coding.where(code = 'referring').exists()).provider.identifier.value,,V2_MDCR_CLM,PRVDR_RFRG_PRVDR_NPI_NUM,FISS;MCS;NCH;VMS,,CCLF5.CLM_RFRG_PRVDR_NPI_NUM;CCLF6.ORDRG_PRVDR_NPI_NUM;CCLF6.CLM_RFRG_PRVDR_NPI_NUM,RFR_PHYSN_NPI,Basis;Regular;CMS +190,ExplanationOfBenefit,Carrier;DME,Allowed Charge Amount,An amount identifying the sum of all the line item allowed charges on a claim.,ExplanationOfBenefit.total.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication').exists() and category.coding.where(code='CLM_ALOWD_CHRG_AMT').exists() ).amount.value,10.22,V2_MDCR_CLM,CLM_ALOWD_CHRG_AMT,MCS;NCH;VMS,,,NCH_CARR_CLM_ALOWD_AMT,Regular;CMS +191,ExplanationOfBenefit,Carrier;DME,Beneficiary Payment Amount,An amount paid by a beneficiary for services rendered on a claim.,ExplanationOfBenefit.total.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication').exists() and category.coding.where(code='CLM_BENE_PMT_AMT').exists() ).amount.value,19.94,V2_MDCR_CLM,CLM_BENE_PMT_AMT,MCS;NCH;VMS,,,,Regular;CMS +192,ExplanationOfBenefit,Carrier;DME,Paid to Beneficiary Amount,An amount paid to a beneficiary for a submitted claim.,ExplanationOfBenefit.total.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication').exists() and category.coding.where(code='CLM_BENE_PD_AMT').exists() ).amount.value,1.5,V2_MDCR_CLM,CLM_BENE_PD_AMT,MCS;NCH;VMS,,,,Regular;CMS +193,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Near Line Record Identification Code,"A code identifying the claim record type being processed. Valid values: W = Part B, V = Part A, U = Both",ExplanationOfBenefit.supportingInfo.where(code.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-NRLN-RIC-CD').code.coding.code,O,V2_MDCR_CLM,CLM_RIC_CD,FISS;MCS;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-RIC-CD,,,CMS;Basis;Regular +194,ExplanationOfBenefit,Inpatient;SNF,Claim Diagnosis Related Group Outlier Stay Code,"On an institutional claim, the code that indicates the beneficiary stay under the prospective payment system which, although classified into a specific diagnosis related group, has an unusually long length (day outlier) or exceptionally high cost (cost outlier). [NCH]",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='DGNS_DRG_OUTLIER_CD').exists()).code.coding.code,6,V2_MDCR_CLM_INSTNL,DGNS_DRG_OUTLIER_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/DGNS-DRG-OUTLIER-CD,,,CMS +195,ExplanationOfBenefit,Carrier,Anesthesia Unit Count,A quantity identifying the number of services billed for an anesthesia service on a claim line of service.,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-LINE-ANSTHSA-UNIT-CNT').value,11,V2_MDCR_CLM_LINE,CLM_LINE_ANSTHSA_UNIT_CNT,NCH,,,CARR_LINE_ANSTHSA_UNIT_CNT,CMS;Basis;Regular +196,ExplanationOfBenefit,Carrier;DME,Provider Tax Number,Line provider tax number.,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRVDR-TAX-NUM').value,"{'type': {'coding': [{'system': 'http://terminology.hl7.org/CodeSystem/v2-0203', 'code': 'TAX', 'display': 'Tax ID number'}]}, 'system': 'urn:oid:2.16.840.1.113883.4.4', 'value': '15'}",V2_MDCR_CLM_LINE,CLM_RNDRG_PRVDR_TAX_NUM,NCH;VMS,,CCLF5.CLM_RNDRG_PRVDR_TAX_NUM,TAX_NUM,CMS +197,ExplanationOfBenefit,Carrier,RX Number,The pharmacy's internal invoice number on pharmaceutical claims.,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-LINE-RX-NUM').value,no rx num here!,V2_MDCR_CLM_LINE,CLM_LINE_RX_NUM,MCS;NCH,,,CARR_LINE_RX_NUM,CMS +198,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Line Item From Date,A date indicating the first day of service for a line item.,ExplanationOfBenefit.item.serviced.start,2025-01-01,V2_MDCR_CLM_LINE,CLM_LINE_FROM_DT,FISS;MCS;NCH;VMS,,CCLF2.CLM_LINE_FROM_DT;CCLF5.CLM_LINE_FROM_DT;CCLF6.CLM_LINE_FROM_DT,LINE_1ST_EXPNS_DT,Basis;Regular;CMS +199,ExplanationOfBenefit,Carrier;DME,Coinsurance Amount,"Effective with NCH version H, the beneficiary coinsurance liability amount for this line item service on the noninstitutional claim. Note: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 will contain zeroes in this field. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_MDCR_COINSRNC_AMT')).amount.value,11111.1,V2_MDCR_CLM_LINE,CLM_LINE_MDCR_COINSRNC_AMT,MCS;NCH;VMS,,,LINE_COINSRNC_AMT,Regular;CMS +200,ExplanationOfBenefit,Carrier;DME,Line Item Diagnosis Code,"A code identifying an International Classification of Disease Clinical Modification, ninth or tenth revision (ICD-9/10-CM) diagnosis. Reference table: DGNS_CD",ExplanationOfBenefit.item.select(%root.diagnosis[diagnosisSequence-1].diagnosis.coding.code),M48.062,V2_MDCR_CLM_LINE,CLM_LINE_DGNS_CD,MCS;NCH;VMS,,CCLF5.CLM_LINE_DGNS_CD,LINE_ICD_DGNS_CD,Basis;Regular;CMS +201,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Last Expense Date,The ending date of service for the claim line.,ExplanationOfBenefit.item.serviced.end,2025-01-02,V2_MDCR_CLM_LINE,CLM_LINE_THRU_DT,FISS;MCS;NCH;VMS,,CCLF2.CLM_LINE_THRU_DT;CCLF5.CLM_LINE_THRU_DT;CCLF6.CLM_LINE_THRU_DT,LINE_LAST_EXPNS_DT,Basis;Regular;CMS +202,ExplanationOfBenefit,Carrier;DME,Place Of Service Code,Indication of where the service was performed.,ExplanationOfBenefit.item.location.coding.where(system='https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set').code,07,V2_MDCR_CLM_LINE,CLM_POS_CD,MCS;NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-POS-CD,CCLF5.CLM_POS_CD;CCLF6.CLM_POS_CD,LINE_PLACE_OF_SRVC_CD,CMS +203,ExplanationOfBenefit,Carrier;DME,Provider Participating Indicator Code,Indication that a provider is participating or accepting assignment for this claim. [HRMZ] Code indicating whether or not a provider is participating or accepting assignment for this line item service on the noninstitutional claim. [NCH],ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-RNDRG-PRVDR-PRTCPTG-CD').value.code,1,V2_MDCR_CLM_LINE,CLM_RNDRG_PRVDR_PRTCPTG_CD,NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/PRTCPTNG-IND-CD,,PRTCPTNG_IND_CD,CMS;Basis;Regular +204,ExplanationOfBenefit,Carrier,Claim Rendering Provider Type Code,The type of provider furnishing the service for this line item on the carrier claim (non-DMERC).,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRVDR-TYPE-CD').value.code,5,V2_MDCR_CLM_LINE,CLM_RNDRG_PRVDR_TYPE_CD,MCS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRVDR-TYPE-CD,,CARR_LINE_PRVDR_TYPE_CD,CMS;Basis;Regular +205,ExplanationOfBenefit,Carrier;DME,Claim Payment Denial Code,Reasons for denying payment to carriers.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CARR_PMT_DNL_CD').exists()).code.coding.code,8,V2_MDCR_CLM_PRFNL,CLM_CARR_PMT_DNL_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-CARR-PMT-DNL-CD,CCLF5.CLM_CARR_PMT_DNL_CD;CCLF6.CLM_CARR_PMT_DNL_CD,CARR_CLM_PMT_DNL_CD,CMS +206,ExplanationOfBenefit,Carrier;DME,Carrier Primary Payer Paid Amount,Carrier Primary Payer Paid Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication').exists() and category.coding.where(code='CLM_MDCR_PRFNL_PRMRY_PYR_AMT').exists()).amount.value,8201.1,V2_MDCR_CLM_PRFNL,CLM_MDCR_PRFNL_PRMRY_PYR_AMT,MCS;NCH;VMS,,,CARR_CLM_PRMRY_PYR_PD_AMT,CMS +207,ExplanationOfBenefit,Carrier;DME,Provider Assignement Indicator,A switch indicating whether or not the provider accepts assignement for the noninstitutional claim. [NCH],ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_MDCR_PRFNL_PRVDR_ASGNMT_SW').exists()).code.coding.code,L,V2_MDCR_CLM_PRFNL,CLM_MDCR_PRFNL_PRVDR_ASGNMT_SW,MCS;NCH;VMS,,,CARR_CLM_PRVDR_ASGNMT_IND_SW,CMS +208,ExplanationOfBenefit,Carrier;DME,Clinical Trial Number,"Effective September 1, 2008 with the implementation of CR#3, the number used to identify all items and services provided to a beneficiary during their participation in a clinical trial. (From NCH Claim Clinical Trial Number)",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_CLNCL_TRIL_NUM').exists()).code.coding.code,,V2_MDCR_CLM_PRFNL,CLM_CLNCL_TRIL_NUM,MCS;NCH;VMS,,,CLM_CLNCL_TRIL_NUM,CMS +209,ExplanationOfBenefit,Carrier;DME,Hematocrit/Hemoglobin Result Number,The hematocrit or hemoglobin result value for the claim line.,ExplanationOfBenefit.contained.where(id = %root.supportingInfo.valueReference.reference.substring(1)).value,1.11,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_HCT_HGB_RSLT_NUM,NCH;VMS,,,LINE_HCT_HGB_RSLT_NUM,CMS +210,ExplanationOfBenefit,Carrier;DME,Hematocrit/Hemoglobin Type Code,Code indicating if the result is for hematocrit or hemoglobin.,ExplanationOfBenefit.contained.where(id = %root.supportingInfo.valueReference.reference.substring(1)).code.coding,"{'system': 'http://loinc.org', 'code': '718-7'}",V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_HCT_HGB_TYPE_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-LINE-HCT-HGB-TYPE-CD,,LINE_HCT_HGB_TYPE_CD,CMS +211,ExplanationOfBenefit,Carrier,Carrier Clinical Lab Number,The clinical laboratory identifier for the carrier claim line.,ExplanationOfBenefit.contained.where(id = %root.supportingInfo.valueReference.reference.substring(1)).performer.identifier.value,11D1343434,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_CARR_CLNCL_LAB_NUM,NCH,,,CARR_LINE_CLIA_LAB_NUM,CMS;Basis;Regular +212,ExplanationOfBenefit,Carrier;DME,Line Primary Payer Paid Amount,Line beneficiary primary payer paid amount.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_BENE_PRMRY_PYR_PD_AMT')).amount.value,123479.22,V2_MDCR_CLM_LINE_PRFNL,CLM_BENE_PRMRY_PYR_PD_AMT,NCH,,,LINE_BENE_PRMRY_PYR_PD_AMT,Regular;CMS +213,ExplanationOfBenefit,Carrier;DME,Carrier MTUS Indicator Code,(1) Code indicating the units associated with services needing unit reporting on the line item for the carrier claim (non-DMERC). [NCH] (2) Prior to version H this field was named: CWFB_DME_MTUS_IND_CD. [NCH],ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-MTUS-IND-CD').value.code,3,V2_MDCR_CLM_LINE_PRFNL,CLM_MTUS_IND_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-MTUS-IND-CD,,CARR_LINE_MTUS_CD;DMERC_LINE_MTUS_CD,CMS +214,ExplanationOfBenefit,Carrier;DME,Carrier MTUS Count,"(1) The count of the total units associated with services needing unit reporting such as transportation, miles, anesthesia time units, number of services, volume of oxygen, or blood units. This is a line item field on the carrier claim (non-DMERC) and is used for both allowed and denied services. Note: For anesthesia (MTUS indicator = 2) this field should be reported in time unit intervals, i.e., 15-minute intervals or fraction thereof. It appears that some carriers are reporting minutes instead of time units. [NCH] (2) Effective with NCH version G, the count of the total units associated with the DMERC line item service needing unit reporting, including number of services, volume of oxygen, and drug dose. [NCH]",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-LINE-PRFNL-MTUS-CNT').value,3.1,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_PRFNL_MTUS_CNT,NCH,,,CARR_LINE_MTUS_CNT;DMERC_LINE_MTUS_CNT,CMS +215,ExplanationOfBenefit,Carrier;DME,Line Pricing Locality Code,Code denoting the carrier-specific locality used for pricing the service for this line item on the carrier claim (non-DMERC). [NCH],ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRCNG-LCLTY-CD').value.code,42,V2_MDCR_CLM_LINE_PRFNL,CLM_PRCNG_LCLTY_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRCNG-LCLTY-CD,,CARR_LINE_PRCNG_LCLTY_CD;DMERC_LINE_PRCNG_STATE_CD,CMS;Basis;Regular +216,ExplanationOfBenefit,Carrier,Reduced Payment Physician Assistant Code,"Effective 1/92, identification of claims that have been paid a reduced fee schedule amount (65%, 75%, or 85%) because a physician's assistant performed the services.",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PHYSN-ASTNT-CD').value.code,1,V2_MDCR_CLM_LINE_PRFNL,CLM_PHYSN_ASTNT_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PHYSN-ASTNT-CD,,CARR_LINE_RDCD_PMT_PHYS_ASTN_C,CMS +217,ExplanationOfBenefit,Carrier,HPSA Scarcity Code,A code used to track the Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) related bonus payments on Part B professional claims. Reference table: CLM_CARR_HPSA_SCRCTY_CD,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-LINE-CARR-HPSA-SCRCTY-CD').value.code,1,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_CARR_HPSA_SCRCTY_CD,MCS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-LINE-CARR-HPSA-SCRCTY-CD,CCLFB.CLM_LINE_CARR_HPSA_SCRCTY_CD,HPSA_SCRCTY_IND_CD,CMS +218,ExplanationOfBenefit,Carrier;DME,Line Primary Payer Code,A code identifying the coverage type of the primary payer when Medicare is the secondary payer at the claim line as defined by the Common Working File (CWF). Reference table: CLM_PRMRY_PYR_CD,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRMRY-PYR-CD').value.code,H,V2_MDCR_CLM_LINE_PRFNL,CLM_PRMRY_PYR_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRMRY-PYR-CD,CCLF5.CLM_LINE_PRMRY_PYR_CD;CCLF6.CLM_PRMRY_PYR_CD,LINE_BENE_PRMRY_PYR_CD,CMS +219,ExplanationOfBenefit,Carrier;DME,CMS Service Type Code,"Type of service as defined in the HCFA Medicare Carrier Manual, for this line item on the non-institutional claim. (NCH)",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-FED-TYPE-SRVC-CD').value.code,D,V2_MDCR_CLM_LINE_PRFNL,CLM_FED_TYPE_SRVC_CD,NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-FED-TYPE-SRVC-CD,CCLF5.CLM_FED_TYPE_SRVC_CD;CCLF6.CLM_FED_TYPE_SRVC_CD,LINE_CMS_TYPE_SRVC_CD,CMS +220,ExplanationOfBenefit,Carrier;DME,Payment Code,"The code indicating that the amount shown in the payment field on the non-institutional line item represents either 80% or 100% of the allowed charges less any deductible, or 100% limitation of liability only.",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PMT-80-100-CD').value.code,3,V2_MDCR_CLM_LINE_PRFNL,CLM_PMT_80_100_CD,MCS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PMT-80-100-CD,,LINE_PMT_80_100_CD,CMS +221,ExplanationOfBenefit,Carrier;DME,Processing Indicator Code,"The code indicating the reason a line item on the noninstitutional claim was allowed or denied. Note 2: Effective 4/1/02, this field was expanded to two bytes to accommodate new values. The NCH nearline file did not expand the current 1-byte field but instituted a crosswalk of the 2-byte field to the 1-byte character value. See table of codes for the crosswalk. [NCH]",ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRCSG-IND-CD').value.code,J,V2_MDCR_CLM_LINE_PRFNL,CLM_PRCSG_IND_CD,NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRCSG-IND-CD,CCLF5.CLM_PRCSG_IND_CD;CCLF6.CLM_PRCSG_IND_CD,LINE_PRCSG_IND_CD,CMS +222,ExplanationOfBenefit,Carrier;DME,Service Deductible Code,A value identifying whether a service line is subject to the deductible. Reference table: CLM_SRVC_DDCTBL_SW,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-SRVC-DDCTBL-SW').value.code,0,V2_MDCR_CLM_LINE_PRFNL,CLM_SRVC_DDCTBL_SW,MCS;NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-SRVC-DDCTBL-SW,,LINE_SERVICE_DEDUCTIBLE,Basis;Regular;CMS +223,ExplanationOfBenefit,Carrier,Provider Speciality Code,A code identifying the Centers for Medicare and Medicaid Services (CMS) specialty of a provider or supplier. For example: 11 = Internal medicine. 49 = Ambulatory surgical center. Reference table: CLM_PRVDR_SPCLTY_CD,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRVDR-SPCLTY-CD').value.code,11,V2_MDCR_CLM_LINE_PRFNL,CLM_PRVDR_SPCLTY_CD,MCS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRVDR-SPCLTY-CD,CCLF5.CLM_PRVDR_SPCLTY_CD,PRVDR_SPCLTY,CMS +224,ExplanationOfBenefit,DME,Screen Savings Amount,Prior to NCH version H this field was named: CWFB_DME_SCRN_SVGS_AMT and the field size was S9(5)V99. [NCH],ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_DMERC_SCRN_SVGS_AMT')).amount.value,15.11,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_DMERC_SCRN_SVGS_AMT,NCH;VMS,,,DMERC_LINE_SCRN_SVGS_AMT,CMS +225,ExplanationOfBenefit,DME,Supplier Type Code,The type of supplier.,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-PRVDR-TYPE-CD').value.code,0,V2_MDCR_CLM_LINE_PRFNL,CLM_SUPLR_TYPE_CD,NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-PRVDR-TYPE-CD,,DMERC_LINE_SUPPLR_TYPE_CD,Basis;Regular;CMS +226,ExplanationOfBenefit,Carrier;DME,Purchase Price Amount,"Effective 5/92, the amount representing the lower of fee schedule for purchase of new or used DME, or actual charge. In case of rental DME, this amount represents the purchase cap; rental payments can only be made until the cap is met. This line item field is applicable to non-institutional claims involving DME, prosthetic, orthotic and supply items, immunosuppressive drugs, PEN, ESRD, and oxygen items referred to as DMEPOS. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_PRFNL_DME_PRICE_AMT')).amount.value,11.5,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_PRFNL_DME_PRICE_AMT,NCH;VMS,,,LINE_DME_PRCHS_PRICE_AMT, +227,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Claim Adjustment Type Code,A code identifying the type of adjustment record represented on a claim or encounter. Reference table: CLM_ADJSTMT_TYPE_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ADJSTMT_TYPE_CD').exists()).code.coding.code,0,V2_MDCR_CLM,CLM_ADJSTMT_TYPE_CD,FISS;MCS;NCH;VMS,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-ADJSTMT-TYPE-CD,CCLF1.CLM_ADJSMT_TYPE_CD;CCLF5.CLM_ADJSMT_TYPE_CD;CCLF6.CLM_ADJSMT_TYPE_CD,,Basis;Regular;CMS +228,ExplanationOfBenefit,Carrier;DME,Beneficiary Interest Paid Amount,An amount identifying the interest paid to a beneficiary due to a delay in the payment of a claim.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_BENE_INTRST_PD_AMT')).amount.value,,V2_MDCR_CLM,CLM_BENE_INTRST_PD_AMT,MCS;VMS,,,,CMS +229,ExplanationOfBenefit,Carrier;HHA;Hospice;Inpatient;Outpatient;SNF,Beneficiary Coinsurance Amount,An amount identifying the portion of cost that is the responsibility of a beneficiary for payment.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_BENE_PMT_COINSRNC_AMT')).amount.value,,V2_MDCR_CLM,CLM_BENE_PMT_COINSRNC_AMT,MCS,,,,Regular;CMS +230,ExplanationOfBenefit,Inpatient;SNF,Blood Charge Amount,An amount identifying the total charge for blood usage.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_BLOOD_CHRG_AMT')).amount.value,10.01,V2_MDCR_CLM,CLM_BLOOD_CHRG_AMT,NCH,,,,CMS +231,ExplanationOfBenefit,Inpatient;SNF,Blood Noncovered Charge Amount,An amount identifying the total non-covered charge for blood usage.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_BLOOD_NCVRD_CHRG_AMT')).amount.value,10.02,V2_MDCR_CLM,CLM_BLOOD_NCVRD_CHRG_AMT,NCH,,,,CMS +232,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Coordination of Benefits Patient Responsibility Amount,An amount identifying a beneficiary's patient responsibility on a Coordination of Benefits (COB) claim.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_COB_PTNT_RESP_AMT')).amount.value,95.01,V2_MDCR_CLM,CLM_COB_PTNT_RESP_AMT,FISS,,,,CMS +233,ExplanationOfBenefit,DME,Other Third Party Payer Paid Amount,An amount identifying how much was paid by a third party payer.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_OTHR_TP_PD_AMT')).amount.value,,V2_MDCR_CLM,CLM_OTHR_TP_PD_AMT,VMS,,,,Regular;CMS +234,ExplanationOfBenefit,Carrier;DME;HHA;Hospice;Inpatient;Outpatient;SNF,Provider Interest Paid Amount,An amount identifying the interest paid to a provider due to the late processing of a claim.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_PRVDR_INTRST_PD_AMT')).amount.value,,V2_MDCR_CLM,CLM_PRVDR_INTRST_PD_AMT,FISS;MCS;VMS,,,,CMS +235,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Provider Obligation To Accept as Full Amount,An amount identifying a provider's obligation to accept in full (OTAF) from Medicare as payment. A beneficiary cannot be charged for any amount exceeding the OTAF total.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_PRVDR_OTAF_AMT')).amount.value,,V2_MDCR_CLM,CLM_PRVDR_OTAF_AMT,FISS;MCS;VMS,,,,CMS +236,ExplanationOfBenefit,DME;HHA;Outpatient,Remaining Amount to Provider,"An amount identifying how much payment is still owed to a provider minus prior payments, offsets, or adjustments on a claim.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_PRVDR_RMNG_DUE_AMT')).amount.value,11.18,V2_MDCR_CLM,CLM_PRVDR_RMNG_DUE_AMT,FISS;VMS,,,,CMS +237,ExplanationOfBenefit,Inpatient;Outpatient;SNF,Total Contractual Amount Discrepancy,An amount identifying the portion of a charge that exceeds the maximum allowable amount or a contracted fee arrangement for a service.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_TOT_CNTRCTL_AMT')).amount.value,10.08,V2_MDCR_CLM,CLM_TOT_CNTRCTL_AMT,FISS,,,,CMS +238,ExplanationOfBenefit,HHA;Inpatient,Final Standardized Payment Amount,"A monetary amount signifying the final standard payment amount for hospitals paid under the Inpatient Prospective Payment Systems (IPPS), Maryland hospitals, and home health agencies.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_FINL_STDZD_PYMT_AMT')).amount.value,98.44,V2_MDCR_CLM_INSTNL,CLM_FINL_STDZD_PYMT_AMT,FISS;NCH,,,,CMS +239,ExplanationOfBenefit,Inpatient,Hospital Acquired Condition Reduction Amount,"Section 3008 of the Patient Protection and Affordable Care Act (ACA) established the Hospital-Acquired Condition (HAC) Reduction Program. Effective beginning fiscal year (FY) 2015 (discharges beginning on October 1, 2014), the HAC Reduction Program requires the Secretary of the Department of Health and Human Services to adjust payments to applicable hospitals that rank in the worst-performing quartile of all subsection (D) hospitals with respect to risk-adjusted HAC quality measures. These hospitals will have their payments reduced to 99 percent of what would otherwise have been paid for such discharges.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_HAC_RDCTN_PYMT_AMT')).amount.value,10.01,V2_MDCR_CLM_INSTNL,CLM_HAC_RDCTN_PYMT_AMT,FISS;NCH,,,,CMS +240,ExplanationOfBenefit,Inpatient,Blended Payment Amount,"For hospitals participating in BPCI Model 1, this field represents the amount the claim was reduced by.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_HIPPS_MODEL_BNDLD_PYMT_AMT')).amount.value,,V2_MDCR_CLM_INSTNL,CLM_HIPPS_MODEL_BNDLD_PMT_AMT,FISS;NCH,,,,CMS +241,ExplanationOfBenefit,Inpatient;SNF,Readmission Reduction Amount,This field represents the Hospital Readmission Reduction Program amount. This is a reduction to the claim for readmissions.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_HIPPS_READMSN_RDCTN_AMT')).amount.value,10.03,V2_MDCR_CLM_INSTNL,CLM_HIPPS_READMSN_RDCTN_AMT,FISS;NCH,,,,CMS +242,ExplanationOfBenefit,Inpatient;SNF,HIPPS Value Based Purchasing Amount,"This field represents the Hospital Value Based Purchasing amount. This could be an additional payment on the claim or a reduction, depending on the hospital's score.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_HIPPS_VBP_AMT')).amount.value,10.04,V2_MDCR_CLM_INSTNL,CLM_HIPPS_VBP_AMT,FISS;NCH,,,,CMS +243,ExplanationOfBenefit,Inpatient;SNF,Low Volume Payment Amount,A payment adjustment given to hospitals to account for the higher costs per discharge for low-income hospitals under the Inpatient Prospective Payment System (IPPS).,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_INSTNL_LOW_VOL_PMT_AMT')).amount.value,10.05,V2_MDCR_CLM_INSTNL,CLM_INSTNL_LOW_VOL_PMT_AMT,NCH,,,,CMS +244,ExplanationOfBenefit,Inpatient;SNF,First Year Rate Amount,"Effective with NCH version H, the charge for each day of coinsurance during the first year in the bill (used for internal CWFMQA editing purposes). Note: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 should contain zeroes in this field. Exception: During the NCH version H conversion invalid data may have been populated for prior periods. Disregard any data present in this field on claims with NCH weekly process date earlier than 10/3/97. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_MDCR_IP_1ST_YR_RATE_AMT')).amount.value,10.06,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_1ST_YR_RATE_AMT,NCH,,,,CMS +245,ExplanationOfBenefit,Inpatient;SNF,Second Year Rate Amount,"Effective with NCH version H, the charge for each day of coinsurance during the second year in a bill which spans two years (used for internal CWFMQA editing purposes). Note: Beginning with NCH weekly process date 10/3/97 this field was populated with data. Claims processed prior to 10/3/97 should contain zeroes in this field. Exception: During the NCH version H conversion invalid data may have been populated for prior periods. Disregard any data in this field on claims with NCH weekly process date earlier than 10/3/97. [NCH]",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_MDCR_IP_SCND_YR_RATE_AMT')).amount.value,10.07,V2_MDCR_CLM_INSTNL,CLM_MDCR_IP_SCND_YR_RATE_AMT,NCH,,,,CMS +246,ExplanationOfBenefit,Inpatient;SNF,Maryland Waiver Standardized Amount,The standardized amount produced by Pricer for an Inpatient Prospective Payment System (IPPS) and Maryland waiver hospital claim.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_PPS_MD_WVR_STDZD_VAL_AMT')).amount.value,10.08,V2_MDCR_CLM_INSTNL,CLM_PPS_MD_WVR_STDZD_VAL_AMT,FISS;NCH,,,,CMS +247,ExplanationOfBenefit,Inpatient,Site-Neutral Cost-Based Payment Amount,"Section 1206(a) of Public Law 113-67 amended Section 1886(m) of the Act to establish patient-level criteria for payments under the LTCH PPS (Long Term Care Hospital Prospective Payment System) for implementation beginning for cost reporting periods beginning on or after October 1, 2015. The site-neutral cost amount will be paid for patients discharged from the LTCH that do not meet criteria to be paid at the standard LTCH PPS amount.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_SITE_NTRL_CST_BSD_PYMT_AMT')).amount.value,10.09,V2_MDCR_CLM_INSTNL,CLM_SITE_NTRL_CST_BSD_PYMT_AMT,FISS;NCH,,,,CMS +248,ExplanationOfBenefit,Inpatient,Site-Neutral IPPS Payment Amount,"Section 1206(a) of Public Law 113-67 amended Section 1886(m) of the Act to establish patient-level criteria for payments under the LTCH PPS (Long Term Care Hospital Prospective Payment System) for implementation beginning for cost reporting periods beginning on or after October 1, 2015. The site-neutral Inpatient Prospective Payment System (IPPS) amount will be paid for patients discharged from the LTCH that do not meet criteria to be paid at the standard LTCH PPS amount.",ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_SITE_NTRL_IP_PPS_PYMT_AMT')).amount.value,10.1,V2_MDCR_CLM_INSTNL,CLM_SITE_NTRL_IP_PPS_PYMT_AMT,FISS;NCH,,,,CMS +249,ExplanationOfBenefit,Inpatient,Short Stay Outlier Payment Amount,This is the short stay outlier (SSO) payment amount.,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_SS_OUTLIER_STD_PYMT_AMT')).amount.value,10.11,V2_MDCR_CLM_INSTNL,CLM_SS_OUTLIER_STD_PYMT_AMT,FISS;NCH,,,,CMS +250,ExplanationOfBenefit,Carrier;DME,Provider Account Receivable Offset Amount,Provider Account Receivable Offset Amount,ExplanationOfBenefit.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_PRVDR_ACNT_RCVBL_OFST_AMT')).amount.value,19,V2_MDCR_CLM_PRFNL,CLM_PRVDR_ACNT_RCVBL_OFST_AMT,MCS;VMS,,,,CMS +251,ExplanationOfBenefit,Carrier;DME;Outpatient;SNF,Provider Obligation To Accept as Full Amount,An amount identifying a provider's obligation to accept in full (OTAF) from Medicare as payment. A beneficiary cannot be charged for any amount exceeding the OTAF total.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_OTAF_AMT')).amount.value,,V2_MDCR_CLM_LINE,CLM_LINE_OTAF_AMT,FISS;MCS;NCH;VMS,,,,CMS +252,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Related Condition Code,A related condition that has within some set of claims.,ExplanationOfBenefit.supportingInfo.where(code.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-RLT-COND-CD').code.coding.code,,V2_MDCR_CLM,CLM_RLT_COND_SGNTR_SK,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-RLT-COND-CD,CCLFA.CLM_RLT_COND_CD,,CMS +253,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Add On Payment Amount,The new patient or initial Medicare visit add-on payment amount of the Federally Qualified Health Center (FQHC) claim.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_ADD_ON_PYMT_AMT')).amount.value,,V2_MDCR_CLM_LINE_INSTNL,CLM_LINE_ADD_ON_PYMT_AMT,FISS;NCH,,,,CMS +254,ExplanationOfBenefit,Inpatient,Non-EHR Reduction Amount,This field identifies the payment reduction amount for hospitals that are not meaningful users of certified Electronic Health Record (EHR) technology.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_NON_EHR_RDCTN_AMT')).amount.value,11.12,V2_MDCR_CLM_LINE_INSTNL,CLM_LINE_NON_EHR_RDCTN_AMT,FISS,,,,CMS +255,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Transitional Drug Add-On Payment Adjustment,"A monetary amount signifying the Transitional Drug Add-On Payment Adjustment (TDAPA) for End Stage Renal Disease (ESRD) claims for injectable, intravenous, and oral calcimimetics when reported with an AX modifier.",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_REV_CNTR_TDAPA_AMT')).amount.value,,V2_MDCR_CLM_LINE_INSTNL,CLM_REV_CNTR_TDAPA_AMT,FISS;NCH,,,,CMS +256,ExplanationOfBenefit,Carrier,Carrier Clinical Charge Amount,Fee schedule charge amount applied for the line item clinical laboratory service on the carrier claim (non-DMERC).,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_CARR_CLNCL_CHRG_AMT')).amount.value,11.11,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_CARR_CLNCL_CHRG_AMT,MCS;NCH,,,,CMS +257,ExplanationOfBenefit,Carrier,Therapy Amount Applied to Limit,"For type of service psychiatric, occupational therapy, or physical therapy, the amount of allowed charges applied toward the limit cap for this line item service on the noninstitutional claim. [NCH]",ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_CARR_PSYCH_OT_LMT_AMT')).amount.value,11.12,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_CARR_PSYCH_OT_LMT_AMT,MCS;NCH,,,,CMS +258,ExplanationOfBenefit,Carrier;DME,Professional Interest Amount,Amount of interest to be paid for this line item service on the non-institutional claim. Note: This is not included in the line item NCH payment (reimbursement) amount.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_LINE_PRFNL_INTRST_AMT')).amount.value,11.13,V2_MDCR_CLM_LINE_PRFNL,CLM_LINE_PRFNL_INTRST_AMT,MCS;NCH;VMS,,,,CMS +259,ExplanationOfBenefit,Carrier;DME,Line Primary Payer Allowed Amount,Line primary payer allowed charge amount.,ExplanationOfBenefit.item.adjudication.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication') and category.coding.where(code='CLM_MDCR_PRMRY_PYR_ALOWD_AMT')).amount.value,11.14,V2_MDCR_CLM_LINE_PRFNL,CLM_MDCR_PRMRY_PYR_ALOWD_AMT,MCS;NCH;VMS,,,,CMS +260,ExplanationOfBenefit,Hospice;Inpatient,Patient Status Code,"Effective with NCH version H, the code on an inpatient/SNF and hospice claim, indicating whether the beneficiary was discharged, died, or is still a patient (used for internal CWFMQA editing purposes). Note: During the NCH version H conversion this field was populated throughout history (back to service year 1991). [NCH]",ExplanationOfBenefit.supportingInfo.where(code.coding.system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-MDCR-NCH-PTNT-STUS-IND-CD').code.coding.code,,V2_MDCR_CLM_INSTNL,CLM_MDCR_NCH_PTNT_STUS_IND_CD,FISS;NCH,https://bluebutton.cms.gov/fhir/CodeSystem/CLM-MDCR-NCH-PTNT-STUS-IND-CD,,,CMS +261,ExplanationOfBenefit,Carrier;DME;HHA;Inpatient;Inpatient;Outpatient,Claim Line Prior Authorization Unique Tracking Number (Adjudicated),The unique tracking number for the prior authorization associated with this claim line from claims.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_PMD_UNIQ_TRKNG_NUM').exists()).value,ALA00000047747,V2_MDCR_CLM_LINE,CLM_LINE_PMD_UNIQ_TRKNG_NUM,NCH,,,,CMS +262,ExplanationOfBenefit,Carrier;DME;Hospice;Inpatient;Inpatient;Outpatient;SNF,Claim Line Prior Authorization Unique Tracking Number (Partially Adjudicated),A number identifying a unique tracking number (UTN) for a prior authorization (PA).,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_PMD_UNIQ_TRKNG_NUM').exists()).value,ALA00000047747,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_PA_UNIQ_TRKNG_NUM,FISS;MCS,,,,CMS +263,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Benefit Enhancement Code 1,A code identifying the first applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_BNFT_ENHNCMT_1_CD,FISS;NCH,,CCLFA.CLM_DEMO_1ST_NUM,,CMS +264,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Benefit Enhancement Code 2,A code identifying the second applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_BNFT_ENHNCMT_2_CD,FISS;NCH,,CCLFA.CLM_DEMO_2ND_NUM,,CMS +265,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Benefit Enhancement Code 3,A code identifying the third applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_BNFT_ENHNCMT_3_CD,FISS;NCH,,CCLFA.CLM_DEMO_3RD_NUM,,CMS +266,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Benefit Enhancement Code 4,A code identifying the fourth applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_BNFT_ENHNCMT_4_CD,FISS;NCH,,CCLFA.CLM_DEMO_4TH_NUM,,CMS +267,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim Benefit Enhancement Code 5,A code identifying the fifth applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_BNFT_ENHNCMT_5_CD,FISS;NCH,,CCLFA.CLM_DEMO_5TH_NUM,,CMS +268,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim NGACO PBPMT Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains population-based payments (PBP). N = If applicable codes are found and none of the five NG ACO indicator codes contains PBP. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_PBPMT_SW').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_NGACO_PBPMT_SW,NCH,,CCLFA.CLM_NGACO_PBPMT_SW,,CMS +269,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim NGACO Post Discharge HCBS Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains post-discharge home visits. N = If applicable codes are found and none of the five NG ACO indicator codes contains post-discharge home visits. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_PDSCHRG_HCBS_SW').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_NGACO_PDSCHRG_HCBS_SW,NCH,,CCLFA.CLM_NGACO_PDSCHRG_HCBS_SW,,CMS +270,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim NGACO SNF Waiver Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains 3-day SNF waiver. N = If applicable codes are found and none of the five NG ACO indicator codes contains 3-day SNF waiver. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_SNF_WVR_SW').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_NGACO_SNF_WVR_SW,NCH,,CCLFA.CLM_NGACO_SNF_WVR_SW,,CMS +271,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim NGACO Telehealth Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains telehealth. N = If applicable codes are found and none of the five NG ACO indicator codes contains telehealth. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_TLHLTH_SW').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_NGACO_TLHLTH_SW,NCH,,CCLFA.CLM_NGACO_TLHLTH_SW,,CMS +272,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim NGACO Capitation Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains capitation. N = If applicable codes are found and none of the five NG ACO indicator codes contains capitation. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_NGACO_CPTATN_SW').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_NGACO_CPTATN_SW,NCH,,CCLFA.CLM_NGACO_CPTATN_SW,,CMS +273,ExplanationOfBenefit,HHA;Hospice;Inpatient;Outpatient;SNF,Claim ACO Care Management HCBS Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim line Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim line NG ACO indicator codes contains care management home visits. N = If applicable codes are found and none of the five NG ACO indicator codes contains care management home visits. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_ACO_CARE_MGMT_HCBS_SW').exists()).value,,V2_MDCR_CLM_DCMTN,CLM_ACO_CARE_MGMT_HCBS_SW,NCH,,CCLFA.CLM_NGACO_CMG_WVR_SW,,CMS +274,ExplanationOfBenefit,Carrier,Claim Line NGACO PBPMT Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim line Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains population-based payments (PBP). N = If applicable codes are found and none of the five NG ACO indicator codes contains PBP. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_PBPMT_SW').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_NGACO_PBPMT_SW,NCH,,CCLFB.CLM_LINE_NGACO_PBPMT_SW,,CMS +275,ExplanationOfBenefit,Carrier,Claim Line NGACO Post Discharge HCBS Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim line Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains post-discharge home visits. N = If applicable codes are found and none of the five NG ACO indicator codes contains post-discharge home visits. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_PDSCHRG_HCBS_SW').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_NGACO_PDSCHRG_HCBS_SW,NCH,,CCLFB.CLM_LINE_NGACO_PDSCHRG_HCBS_SW,,CMS +276,ExplanationOfBenefit,Carrier,Claim Line NGACO SNF Waiver Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim line Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains 3-day SNF waiver. N = If applicable codes are found and none of the five NG ACO indicator codes contains 3-day SNF waiver. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_SNF_WVR_SW').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_NGACO_SNF_WVR_SW,NCH,,CCLFB.CLM_LINE_NGACO_SNF_WVR_SW,,CMS +277,ExplanationOfBenefit,Carrier,Claim Line NGACO Telehealth Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim line Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains telehealth. N = If applicable codes are found and none of the five NG ACO indicator codes contains telehealth. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_TLHLTH_SW').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_NGACO_TLHLTH_SW,NCH,,CCLFB.CLM_LINE_NGACO_TLHLTH_SW,,CMS +278,ExplanationOfBenefit,Carrier,Claim Line NGACO Capitation Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim line Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim NG ACO indicator codes contains capitation. N = If applicable codes are found and none of the five NG ACO indicator codes contains capitation. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_NGACO_CPTATN_SW').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_NGACO_CPTATN_SW,NCH,,CCLFB.CLM_LINE_NGACO_CPTATN_SW,,CMS +279,ExplanationOfBenefit,Carrier,Claim Line ACO Care Management HCBS Switch,"An Integrated Data Repository (IDR) derived indicator based on the claim line Next Generation (NG) Accountable Care Organization (ACO) indicator code from CWF (Common Working File), which identifies claims that qualify for specific claim processing edits. Valid values: Y = If any of the five claim line NG ACO indicator codes contains care management home visits. N = If applicable codes are found and none of the five NG ACO indicator codes contains care management home visits. Null = Default",ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_LINE_ACO_CARE_MGMT_HCBS_SW').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_ACO_CARE_MGMT_HCBS_SW,NCH,,CCLFB.CLM_NGACO_CMG_WVR_SW,,CMS +280,ExplanationOfBenefit,Carrier,Claim Line Benefit Enhancement 1 Code,A code identifying the first applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim line. Reference table: CLM_BNFT_ENHNCMT_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_BNFT_ENHNCMT_1_CD,MCS;NCH,,CCLFB.CLM_DEMO_1ST_NUM,,CMS +281,ExplanationOfBenefit,Carrier,Claim Line Benefit Enhancement 2 Code,A code identifying the second applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim line. Reference table: CLM_BNFT_ENHNCMT_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_BNFT_ENHNCMT_2_CD,MCS;NCH,,CCLFB.CLM_DEMO_2ND_NUM,,CMS +282,ExplanationOfBenefit,Carrier,Claim Line Benefit Enhancement 3 Code,A code identifying the third applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim line. Reference table: CLM_BNFT_ENHNCMT_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_BNFT_ENHNCMT_3_CD,MCS;NCH,,CCLFB.CLM_DEMO_3RD_NUM,,CMS +283,ExplanationOfBenefit,Carrier,Claim Line Benefit Enhancement 4 Code,A code identifying the fourth applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim line. Reference table: CLM_BNFT_ENHNCMT_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_BNFT_ENHNCMT_4_CD,MCS;NCH,,CCLFB.CLM_DEMO_4TH_NUM,,CMS +284,ExplanationOfBenefit,Carrier,Claim Line Benefit Enhancement 5 Code,A code identifying the fifth applicable Accountable Care Organization (ACO) Benefit Enhancement Indicator (BEI) that applied to the claim line. Reference table: CLM_BNFT_ENHNCMT_CD,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='CLM_BNFT_ENHNCMT_CD').exists()).value,,V2_MDCR_CLM_LINE_DCMTN,CLM_LINE_BNFT_ENHNCMT_5_CD,MCS;NCH,,CCLFB.CLM_DEMO_5TH_NUM,,CMS +285,ExplanationOfBenefit,DME;HHA;Hospice;Inpatient;Outpatient;SNF,State FIPS Code,Identifies the state where the facility providing services is located.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='PRVDR_FAC_FIPS_ST_CD').exists()).code,"{'coding': [{'system': 'https://bluebutton.cms.gov/fhir/CodeSystem/US-FIPS-STATE-CODES', 'code': '04'}]}",V2_MDCR_CLM,GEO_BLG_SSA_STATE_CD,NCH,,CCLF1.PRVDR_FAC_FIPS_ST_CD,,CMS +286,ExplanationOfBenefit,Carrier;DME,State FIPS Code,Identifies the state that the provider providing the service is located in.,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information').exists() and category.coding.where(code='RNDRG_PRVDR_FIPS_ST_CD').exists()).code,"{'coding': [{'system': 'https://bluebutton.cms.gov/fhir/CodeSystem/US-FIPS-STATE-CODES', 'code': '04'}]}",V2_MDCR_CLM_LINE,GEO_RNDRG_SSA_STATE_CD,NCH,,CCLF5.RNDRG_PRVDR_FIPS_ST_CD,,CMS +287,ExplanationOfBenefit,PriorAuth,Last Updated Time,This field represents the last time that an ExplanationOfBenefit was updated.,ExplanationOfBenefit.meta.lastUpdated,2026-01-01T03:02:28.000000Z,,,CWF,,,, +288,ExplanationOfBenefit,PriorAuth,Created Date,EOB created date.,ExplanationOfBenefit.created,2020-09-07,,,CWF,,,, +289,ExplanationOfBenefit,PriorAuth,Beneficiary Source Key,Beneficiary Source Key,ExplanationOfBenefit.patient.reference.substring(8),-147748784,,,CWF,,,, +290,ExplanationOfBenefit,PriorAuth,Derived Outcome,Derived outcome code.,ExplanationOfBenefit.outcome,partial,,,CWF,,,, +291,ExplanationOfBenefit,PriorAuth,Claim Type,Claim Type,ExplanationOfBenefit.type.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-TYPE').code,C,,,CWF,,,, +292,ExplanationOfBenefit,PriorAuth,Unique Tracking Number,Unique Tracking Number,ExplanationOfBenefit.identifier.where(system='https://bluebutton.cms.gov/identifiers/Unique-Tracking-Number').value,-9CKKWTEAH0AHP,,,CWF,,,, +293,ExplanationOfBenefit,PriorAuth,Internal Control Number / DCN,Internal Control Number / DCN,ExplanationOfBenefit.identifier.where(system='https://bluebutton.cms.gov/identifiers/PA-ICN-DCN').value,,,,CWF,,,, +294,ExplanationOfBenefit,PriorAuth,UTN Valid Start Date,UTN Valid Start Date,ExplanationOfBenefit.preAuthRefPeriod.start,2020-09-17,,,CWF,,,, +295,ExplanationOfBenefit,PriorAuth,UTN Valid End Date,UTN Valid End Date,ExplanationOfBenefit.preAuthRefPeriod.end,2021-09-17,,,CWF,,,, +296,ExplanationOfBenefit,PriorAuth,MAC ID,MAC ID,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/Supporting-Information' and code='CLM_CNTRCTR_NUM').exists()).code.coding.where(system='https://bluebutton.cms.gov/fhir/CodeSystem/CLM-CNTRCTR-NUM').code,04111,,,CWF,,,, +297,ExplanationOfBenefit,PriorAuth,Type of Bill,Type of Bill,ExplanationOfBenefit.supportingInfo.where(category.coding.where(system='http://terminology.hl7.org/CodeSystem/claiminformationcategory' and code='info').exists() and code.coding.system='https://www.nubc.org/CodeSystem/TypeOfBill').code.coding.code,32X,,,CWF,,,, +298,ExplanationOfBenefit,PriorAuth,NPI,NPI,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://hl7.org/fhir/sid/us-npi').value,2560707830,,,CWF,,,, +299,ExplanationOfBenefit,PriorAuth,Name,Name,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).name,HEALTHCARE CENTER,,,CWF,,,, +300,ExplanationOfBenefit,PriorAuth,CMS Certification Number,CMS Certification Number,ExplanationOfBenefit.contained.where(id = %root.provider.reference.substring(1)).identifier.where(system='http://terminology.hl7.org/NamingSystem/CCN').value,39T14,,,CWF,,,, +301,ExplanationOfBenefit,PriorAuth,Current Segment,Current Segment,ExplanationOfBenefit.item.sequence,1,,,CWF,,,, +302,ExplanationOfBenefit,PriorAuth,HCPCS/CPT/HIPPS,HCPCS/CPT/HIPPS code,ExplanationOfBenefit.item.productOrService.coding.code,G0493,,,CWF,,,, +303,ExplanationOfBenefit,PriorAuth,Price Modifier 1,Price Modifier 1,ExplanationOfBenefit.item.modifier.coding.code,RR,,,CWF,,,, +304,ExplanationOfBenefit,PriorAuth,Price Modifier 2,Price Modifier 2,ExplanationOfBenefit.item.modifier.coding.code,RR,,,CWF,,,, +305,ExplanationOfBenefit,PriorAuth,Place of Service,Place of Service,ExplanationOfBenefit.item.location.coding.code,41,,,CWF,,,, +306,ExplanationOfBenefit,PriorAuth,Revenue Code 1,Revenue Code 1,ExplanationOfBenefit.item.revenue.coding.code,,,,CWF,,,, +307,ExplanationOfBenefit,PriorAuth,PA Date Added,PA Date Added,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/PA-DT-ADDED').value,2020-09-07,,,CWF,,,, +308,ExplanationOfBenefit,PriorAuth,PA Date Updated,PA Date Updated,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/PA-DT-UPDATED').value,2020-09-07,,,CWF,,,, +309,ExplanationOfBenefit,PriorAuth,PA Decision,PA Decision,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/PA-DECISION').value.code,P,,,CWF,,,, +310,ExplanationOfBenefit,PriorAuth,PA Request Submitted Date,PA Request Submitted Date,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/PA-REQ-SUB-DT').value,2020-09-08,,,CWF,,,, +311,ExplanationOfBenefit,PriorAuth,PA Request Received Date,PA Request Received Date,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/PA-REQ-REC-DT').value,2020-09-07,,,CWF,,,, +312,ExplanationOfBenefit,PriorAuth,PA Decision Date,PA Decision Date,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/PA-DECISION-DT').value,2020-09-08,,,CWF,,,, +313,ExplanationOfBenefit,PriorAuth,PA Decision Expiration Date,PA Decision Expiration Date,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/PA-DECISION-EXP-DT').value,2021-09-08,,,CWF,,,, +314,ExplanationOfBenefit,PriorAuth,Service Counts,Service Counts,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/SERVICE-CNTS').value,13,,,CWF,,,, +315,ExplanationOfBenefit,PriorAuth,Service Rendering State,Service Rendering State,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/SVC-RENDER-ST').value.code,TX,,,CWF,,,, +316,ExplanationOfBenefit,PriorAuth,MR Count Indicator,MR Count Indicator,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/MR-COUNT-IND').value,43,,,CWF,,,, +317,ExplanationOfBenefit,PriorAuth,MR Count Start Date,MR Count Start Date,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/MR-COUNT-ST-DT').value,2020-08-19,,,CWF,,,, +318,ExplanationOfBenefit,PriorAuth,MR Count End Date,MR Count End Date,ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/MR-COUNT-END-DT').value,2021-08-19,,,CWF,,,, +319,ExplanationOfBenefit,PriorAuth,RRB Exclusion Indicator,RRB Exclusion Indicator,"iif(ExplanationOfBenefit.item.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/RRB-EXCL-IND').value = true, 'Y', ' ')",['Y'],,,CWF,,,, +320,Patient,,Beneficiary First Name,A first name for a Medicare beneficiary.,Patient.name.given[0],Frankie,V2_MDCR_BENE_HSTRY,BENE_1ST_NAME,,,CCLF8.BENE_1ST_NAME,BENE_GVN_NAME, +321,Patient,,Beneficiary Last Name,"A last name or surname, including any following titles or suffixes, for a Medicare beneficiary.",Patient.name.family,Sheep,V2_MDCR_BENE_HSTRY,BENE_LAST_NAME,,,CCLF8.BENE_LAST_NAME,BENE_SRNM_NAME, +322,Patient,,Beneficiary Middle Name,The first initial of the Medicare beneficiarys middle name.,Patient.name.given[1],Le Petit Prince,V2_MDCR_BENE_HSTRY,BENE_MIDL_NAME,,,CCLF8.BENE_MIDL_NAME,BENE_MDL_NAME, +323,Patient,,Beneficiary Date of Birth,A date identifying when a beneficiary is born.,Patient.birthDate,1995-03-11,V2_MDCR_BENE_HSTRY,BENE_BRTH_DT,,,CCLF8.BENE_DOB,BENE_BIRTH_DT, +324,Patient,,Beneficiary Date of Death,A date identifying when a beneficiary died.,Patient.deceasedDateTime,2024-03-11,V2_MDCR_BENE_HSTRY,BENE_DEATH_DT,,,CCLF8.BENE_DEATH_DT,BENE_DEATH_DT, +325,Patient,,Current Patient FHIR ID,The current Patient ID for the beneficary.,"iif(Patient.link.where(type = 'replaced-by').other.exists(),Patient.link.where(type = 'replaced-by').other.reference.substring(8),Patient.id)",['123456789'],V2_MDCR_BENE_HSTRY,BENE_XREF_EFCTV_SK,,,,, +326,Patient,,Beneficiary Source Key List,A list of all source keys for the beneficiary.,Patient.link.other.display.union(Patient.id),['123456789'],,,,,,, +327,Patient,,Patient FHIR ID,A unique number assigned by the enrollment database (EDB) to each EDB record to identify a beneficiary.,Patient.id,123456789,V2_MDCR_BENE_HSTRY,BENE_SK,,,,, +328,Patient,,Last Updated Time,The time the Patient resource was last updated.,Patient.meta.lastUpdated,2020-01-07T03:02:28.000000Z,,,,,,, +329,Patient,,USPS State Code,A code identifying the two-character alphabetic abbreviation for a state in the United States as defined by the United States Postal Service (USPS). Reference table: GEO_USPS_STATE_CD,Patient.address.state,TX,V2_MDCR_BENE_HSTRY,GEO_USPS_STATE_CD,,,CCLF8.GEO_USPS_STATE_CD,BENE_STATE_CD, +330,Patient,,Beneficiary Zip Code - First 5,A five-digit ZIP code defined by the United States Postal Service (USPS) that identifies the destination post office or delivery area. Reference table: GEO_ZIP5_CD,Patient.address.postalCode,77840,V2_MDCR_BENE_HSTRY,GEO_ZIP5_CD,,,CCLF8.GEO_ZIP5_CD,BENE_MLG_CNTCT_ZIP_CD, +331,Patient,,City Name,A name of the city for a given ZIP code of a Medicare beneficiary's mailing address. Reference table: GEO_ZIP5_CD,Patient.address.city,College Station,V2_MDCR_BENE_HSTRY,GEO_ZIP_PLC_NAME,,,CCLF8.GEO_ZIP_PLC_NAME,CITY_NAME, +332,Patient,,Contact Language Code,A code identifying the language that the beneficiary requested Centers for Medicare and Medicaid Services (CMS) use when sending the Medicare handbook. English and Spanish are the only language choices that CMS supports. This language preference code is used exclusively for the Medicare handbook. It is not used for any other type of mail sent to beneficiaries. Reference table: CNTCT_LANG_CD,Patient.communication.language.coding.where(system='urn:ietf:bcp:47').code,en,V2_MDCR_BENE_HSTRY,CNTCT_LANG_CD,,,,, +333,Patient,,Beneficiary Sex Code,A code identifying the sex of a Medicare beneficiary. Reference table: BENE_SEX_CD,Patient.extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex').value,248152002,V2_MDCR_BENE_HSTRY,BENE_SEX_CD,,,CCLF8.BENE_SEX_CD,BENE_SEX_IDENT_CD, +334,Patient,,Beneficiary Race Code,A code identifying a beneficiary's race. Reference table: BENE_RACE_CD,Patient.extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' or url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.valueCoding,"{'system': 'urn:oid:2.16.840.1.113883.6.238', 'code': '2135-2', 'display': 'Hispanic or Latino'}",V2_MDCR_BENE_HSTRY,BENE_RACE_CD,,,CCLF8.BENE_RACE_CD,BENE_RACE_CD, +335,Patient,,Medicare Beneficiary Identifier,"An identifier that uniquely identifies a beneficiary and replaces the Health Insurance Claim Number (HICN) on Medicare cards. The format of the Medicare Beneficiary Identifier (MBI) is 11-positions in length and contains the following values: position 1 numeric values: 1 - 9 position 2 alphabetic values: A - Z (minus S, L, O, I, B, Z) position 3 alphanumeric values: 0 - 9 and A - Z (minus S, L, O, I, B, Z) position 4 numeric values: 0 - 9 position 5 alphabetic values: A - Z (minus S, L, O, I, B, Z) position 6 alphanumeric values: 0 - 9 and a - z (minus S, L, O, I, B, Z) position 7 numeric values: 0 - 9 position 8 alphabetic values: A - Z (minus S, L, O, I, B, Z) position 9 alphabetic values: A - Z (minus S, L, O, I, B, Z) position 10 numeric values: 0 - 9 position 11 numeric values: 0 - 9",Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').value,AAA1AA0AA11,V2_MDCR_BENE_HSTRY,BENE_MBI_ID,,,CCLF1.BENE_MBI_ID;CCLF2.BENE_MBI_ID;CCLF3.BENE_MBI_ID;CCLF4.BENE_MBI_ID;CCLF5.BENE_MBI_ID;CCLF6.BENE_MBI_ID;CCLF7.BENE_MBI_ID;CCLF8.BENE_MBI_ID;CCLF9.CRNT_NUM;CCLF9.PRVS_NUM;CCLFA.BENE_MBI_ID;CCLFB.BENE_MBI_ID,MBI_NUM, +336,Patient,,MBI Effective Date,The effective date when an MBI is assigned to a beneficiary.,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').period.start,2017-05-11,V2_MDCR_BENE_MBI_ID,BENE_MBI_EFCTV_DT,,,CCLF9.PRVS_ID_EFCTV_DT,EFCTV_BGN_DT, +337,Patient,,MBI Obsolete Date,The end date when an MBI period is closed due to being compromised or involved in a merge cross reference action. (replaced by a new MBI).,Patient.identifier.where(system='http://hl7.org/fhir/sid/us-mbi').period.end,2017-07-01,V2_MDCR_BENE_MBI_ID,BENE_MBI_OBSLT_DT,,,CCLF9.PRVS_ID_OBSLT_DT,EFCTV_END_DT, +338,Coverage,PartA;PartB,Coverage Part,The 'Part' of Medicare Coverage desired to transform.,Coverage.class.where(type.coding.code='plan').value,Part A,,,,,,, +339,Coverage,PartA;PartB,Beneficiary MBI ID,"An identifier that uniquely identifies a beneficiary and replaces the Health Insurance Claim Number (HICN) on Medicare cards. The format of the Medicare Beneficiary Identifier (MBI) is 11-positions in length and contains the following values: position 1 numeric values: 1 - 9 position 2 alphabetic values: A - Z (minus S, L, O, I, B, Z position 3 alphanumeric values: 0 - 9 and A - Z (minus S, L, O, I, B, Z) position 4 numeric values: 0 - 9 position 5 alphabetic values: A - Z (minus S, L, O, I, B, Z) position 6 alphanumeric values: 0 - 9 and a - z (minus S, L, O, I, B, Z) position 7 numeric values: 0 - 9 position 8 alphabetic values: A - Z (minus S, L, O, I, B, Z) position 9 alphabetic values: A - Z (minus S, L, O, I, B, Z) position 10 numeric values: 0 - 9 position 11 numeric values: 0 - 9",Coverage.subscriberId,ABB2BB0BB22,V2_MDCR_BENE,BENE_MBI_ID,,,,, +340,Coverage,PartA;PartB,Beneficiary FHIR ID,A unique number assigned by the Enrollment Database (EDB) to each EDB record to identify a beneficiary.,Coverage.beneficiary.reference.substring(8),123456789,V2_MDCR_BENE,BENE_SK,,,,, +341,Coverage,PartA;PartB,Medicare Status Code,A code identifying the reason for a beneficiary's entitlement to Medicare benefits. Reference table: BENE_MDCR_STUS_CD,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-MDCR-STUS-CD').value.code,31,V2_MDCR_BENE_MDCR_STUS,BENE_MDCR_STUS_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-MDCR-STUS-CD,CCLF8.BENE_MDCR_STUS_CD,BENE_MDCR_STATUS_CD, +342,Coverage,PartA;PartB,Medicare Entitlement Status Code,The reason for entitlement or termination of a beneficiary's benefits during a period of coverage.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-MDCR-ENTLMT-STUS-CD').value.code,E,V2_MDCR_BENE_MDCR_ENTLMT,BENE_MDCR_ENTLMT_STUS_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-MDCR-ENTLMT-STUS-CD,,BENE_PTA_TRMNTN_CD;BENE_PTB_TRMNTN_CD, +343,Coverage,PartA;PartB,Buy-in Code,A code that indicates the reason for part a/part b state buy-in eligibility.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-BUYIN-CD').value.code,A,V2_MDCR_BENE_TP,BENE_BUYIN_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-BUYIN-CD,CCLF8.BENE_ENTLMT_BUYIN_IND,MDCR_ENTLMT_BUYIN_1_IND;MDCR_ENTLMT_BUYIN_2_IND;MDCR_ENTLMT_BUYIN_3_IND;MDCR_ENTLMT_BUYIN_4_IND;MDCR_ENTLMT_BUYIN_5_IND;MDCR_ENTLMT_BUYIN_6_IND;MDCR_ENTLMT_BUYIN_7_IND;MDCR_ENTLMT_BUYIN_8_IND;MDCR_ENTLMT_BUYIN_9_IND;MDCR_ENTLMT_BUYIN_10_IND;MDCR_ENTLMT_BUYIN_11_IND;MDCR_ENTLMT_BUYIN_12_IND, +344,Coverage,PartA;PartB,Beneficiary Range Begin Date,The primary begin date for a beneficiary date range.,Coverage.period.start,2018-04-11,V2_MDCR_BENE_MDCR_ENTLMT,BENE_RNG_BGN_DT,,,CCLF8.BENE_PART_A_ENRLMT_BGN_DT;CCLF8.BENE_PART_B_ENRLMT_BGN_DT,COVSTART, +345,Coverage,PartA;PartB,Beneficiary Range End Date,The primary end date for a beneficiary date range.,Coverage.period.end,,V2_MDCR_BENE_MDCR_ENTLMT,BENE_RNG_END_DT,,,,, +346,Coverage,PartA;PartB,Last Updated Time,The date the coverage information was last updated,Coverage.meta.lastUpdated,2020-01-07T03:02:28.000000Z,,,,,,, +347,Coverage,PartA;PartB,Beneficiary Enrollment Reason Code,The reason for a beneficiary's enrolment to Part A/Part B benefits.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-ENRLMT-RSN-CD').value.code,I,V2_MDCR_BENE_MDCR_ENTLMT,BENE_MDCR_ENRLMT_RSN_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-MDCR-ENRLMT-RSN-CD,,, +348,Coverage,PartA;PartB,Beneficiary Entitlement Reason Code,A code identifying the basis in determining a beneficiary's entitlement to Medicare benefits.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-MDCR-ENTLMT-RSN-CD').value.code,2,V2_MDCR_BENE_MDCR_ENTLMT_RSN,BENE_MDCR_ENTLMT_RSN_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-MDCR-ENTLMT-RSN-CD,CCLF8.BENE_ORGNL_ENTLMT_RSN_CD,BENE_ENTLMT_RSN_ORIG, +349,Coverage,PartA;PartB,Beneficiary ESRD Status ID,A beneficiary's end stage renal disease status indicator.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-ESRD-STUS-ID').value.code,Y,V2_MDCR_BENE_MDCR_STUS_CD,BENE_ESRD_STUS_ID,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-ESRD-STUS-ID,,BENE_ESRD_IND, +350,Coverage,PartA;PartB,Beneficiary Disabled Status Code,AN IDENTIFIER INDICATING WHETHER DISABILITY IS A REASON FOR A BENEFICIARYS ENTITLEMENT TO MEDICARE.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-DSBLD-STUS-ID').value.code,N,V2_MDCR_BENE_MDCR_STUS_CD,BENE_DSBLD_STUS_ID,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-DSBLD-STUS-ID,,, +351,Coverage,DUAL,Beneficiary Dual Status Code,A code identifying the entitlement status for a dual eligible beneficiary.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-DUAL-STUS-CD').value.code,01,V2_MDCR_BENE_CMBND_DUAL_MDCR,BENE_DUAL_STUS_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-DUAL-STUS-CD,CCLF8.BENE_DUAL_STUS_CD,DUAL_STUS_CD_01;DUAL_STUS_CD_02;DUAL_STUS_CD_03;DUAL_STUS_CD_04;DUAL_STUS_CD_05;DUAL_STUS_CD_06;DUAL_STUS_CD_07;DUAL_STUS_CD_08;DUAL_STUS_CD_09;DUAL_STUS_CD_10;DUAL_STUS_CD_11;DUAL_STUS_CD_12, +352,Coverage,DUAL,Medicare/Medicaid Dual Type Code,"A code identifying a beneficiary's dual Medicaid designation, whether a beneficiary is partial or dual Medicare.",Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-DUAL-TYPE-CD').value.code,P,V2_MDCR_BENE_CMBND_DUAL_MDCR,BENE_DUAL_TYPE_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-DUAL-TYPE-CD,,, +353,Coverage,DUAL,Medicaid State Code,"A code identifying the two-character alphabetic abbreviation for a state in the United States as defined by the United States Postal Service (USPS) associated with a beneficiary, provider, or claim address and used in the geocoding process.",Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/MEDICAID-STATE-CD').value.code,TX,V2_MDCR_BENE_CMBND_DUAL_MDCR,GEO_USPS_STATE_CD,,,,, +354,Coverage,DUAL,Medicaid Eligibility Begin Date,A date that indicates the beginning of a beneficiary's Medicaid eligibility period. It is the effective start date of the Medicaid period calculated according to Medicare Advantage Prescription Drug (MARX) requirements. The date will always be the first of a month.,Coverage.period.start,2018-04-11,V2_MDCR_BENE_CMBND_DUAL_MDCR,BENE_MDCD_ELGBLTY_BGN_DT,,,,, +355,Coverage,DUAL,Medicaid Eligibility End Date,A date that indicates the end of a beneficiary's Medicaid eligibility period. It is the effective end date of the Medicaid period calculated according to Medicare Advantage Prescription Drug (MARX) requirements. The date will always be the end of a month or 12/31/9999.,Coverage.period.end,,V2_MDCR_BENE_CMBND_DUAL_MDCR,BENE_MDCD_ELGBLTY_END_DT,,,,, +356,Coverage,PartC;PartD,Beneficiary Enrollment Begin Date,"The date that the beneficiary enrolled in the service election. [Source: plan transaction, automatic enrollment]",Coverage.period.start,2018-04-11,V2_MDCR_BENE_MAPD_ENRLMT,BENE_ENRLMT_BGN_DT,,,,, +357,Coverage,PartC;PartD,Beneficiary Enrollment End Date,The date that the beneficiary disenrolled in the service elections.,Coverage.period.end,,V2_MDCR_BENE_MAPD_ENRLMT,BENE_ENRLMT_END_DT,,,,, +358,Coverage,PartC;PartD,Beneficiary Contract Number,Unique identifier enabling an entity to provide coverage to eligible Medicare beneficiaries.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-CNTRCT-NUM').value,H1234,V2_MDCR_BENE_MAPD_ENRLMT,BENE_CNTRCT_NUM,,,,PTC_CNTRCT_ID_01;PTC_CNTRCT_ID_02;PTC_CNTRCT_ID_03;PTC_CNTRCT_ID_04;PTC_CNTRCT_ID_05;PTC_CNTRCT_ID_06;PTC_CNTRCT_ID_07;PTC_CNTRCT_ID_08;PTC_CNTRCT_ID_09;PTC_CNTRCT_ID_10;PTC_CNTRCT_ID_11;PTC_CNTRCT_ID_12;PTD_CNTRCT_ID_01;PTD_CNTRCT_ID_02;PTD_CNTRCT_ID_03;PTD_CNTRCT_ID_04;PTD_CNTRCT_ID_05;PTD_CNTRCT_ID_06;PTD_CNTRCT_ID_07;PTD_CNTRCT_ID_08;PTD_CNTRCT_ID_09;PTD_CNTRCT_ID_10;PTD_CNTRCT_ID_11;PTD_CNTRCT_ID_12, +359,Coverage,PartC;PartD,Beneficiary PBP Number,A unique identifier for the plan benefit package offered under the contract. For Part D this number is a unique identification for an agreement between CMS and a Part D provider enabling the Part D provider to provide drug coverage to eligible beneficiaries. MARX definition: a 3-position numeric identifier assigned to a Plan Benefit Package (PBP) offered within a managed care or prescription drug contract. Values beginning with 8 are reserved for employer group plans. A value of 999 is reserved for cost contractors who do not choose to offer a prescription drug benefit,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-PBP-NUM').value,001,V2_MDCR_BENE_MAPD_ENRLMT,BENE_PBP_NUM,,,,PTC_PBP_ID_01;PTC_PBP_ID_02;PTC_PBP_ID_03;PTC_PBP_ID_04;PTC_PBP_ID_05;PTC_PBP_ID_06;PTC_PBP_ID_07;PTC_PBP_ID_08;PTC_PBP_ID_09;PTC_PBP_ID_10;PTC_PBP_ID_11;PTC_PBP_ID_12;PTD_PBP_ID_01;PTD_PBP_ID_02;PTD_PBP_ID_03;PTD_PBP_ID_04;PTD_PBP_ID_05;PTD_PBP_ID_06;PTD_PBP_ID_07;PTD_PBP_ID_08;PTD_PBP_ID_09;PTD_PBP_ID_10;PTD_PBP_ID_11;PTD_PBP_ID_12, +360,Coverage,PartC;PartD,Beneficiary Coverage Type Code,A code identifying the type of coverage in which the beneficiary is enrolled. Reference table: BENE_CVRG_TYPE_CD,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-CVRG-TYPE-CD').value.code,3,V2_MDCR_BENE_MAPD_ENRLMT,BENE_CVRG_TYPE_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-CVRG-TYPE-CD,,PTC_PLAN_TYPE_CD_01;PTC_PLAN_TYPE_CD_02;PTC_PLAN_TYPE_CD_03;PTC_PLAN_TYPE_CD_04;PTC_PLAN_TYPE_CD_05;PTC_PLAN_TYPE_CD_06;PTC_PLAN_TYPE_CD_07;PTC_PLAN_TYPE_CD_08;PTC_PLAN_TYPE_CD_09;PTC_PLAN_TYPE_CD_10;PTC_PLAN_TYPE_CD_11;PTC_PLAN_TYPE_CD_12, +361,Coverage,PartC;PartD,Contract PBP Name,"Text label describing the PBP, usually the product name.",Coverage.contained.where(resourceType='Organization').name,Sample Medicare Advantage Plan,V2_MDCR_CNTRCT_PBP_NUM,CNTRCT_PBP_NAME,,,,, +362,Coverage,PartC;PartD,Contract Plan Contact Telephone Number,A sequence of numbers that identifies a particular telephone and that must be dialed for the caller to connect to the telephone of the contact.,Coverage.contained.where(resourceType='Organization').contact.telecom.where(system='phone').value,1-800-555-1234,V2_MDCR_CNTRCT_PBP_CNTCT,CNTRCT_PLAN_CNTCT_TEL_NUM,,,,, +363,Coverage,PartD,Beneficiary PDP Enrollment Member ID Number,Member ID assigned to the beneficiary.,Coverage.class.where(type.coding.code='rxid').value,M123456789,V2_MDCR_BENE_MAPD_ENRLMT_RX,BENE_PDP_ENRLMT_MMBR_ID_NUM,,,,, +364,Coverage,PartD,Beneficiary PDP Enrollment Group Number,Identifying number assigned to the cardholder group or employer group.,Coverage.class.where(type.coding.code='rxgroup').value,G987654321,V2_MDCR_BENE_MAPD_ENRLMT_RX,BENE_PDP_ENRLMT_GRP_NUM,,,,, +365,Coverage,PartD,Beneficiary PDP Enrollment Processor Number,Number assigned by the processor.,Coverage.class.where(type.coding.code='rxpcn').value,P123456,V2_MDCR_BENE_MAPD_ENRLMT_RX,BENE_PDP_ENRLMT_PRCSR_NUM,,,,, +366,Coverage,PartD,Beneficiary PDP Enrollment Bank ID Number,A card issuer identifier or a bank identifying number used for network routing.,Coverage.class.where(type.coding.code='rxbin').value,BIN123456,V2_MDCR_BENE_MAPD_ENRLMT_RX,BENE_PDP_ENRLMT_BANK_ID_NUM,,,,, +367,Coverage,PartD,Beneficiary LIS Effective Code,Switch indicating that this record is the current effective Low Income Subsidy (LIS) determination record.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-LIS-EFCTV-CD').value.code,Y,V2_MDCR_BENE_LIS,BENE_LIS_EFCTV_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-LIS-EFCTV-CD,,CST_SHR_GRP_CD_01;CST_SHR_GRP_CD_02;CST_SHR_GRP_CD_03;CST_SHR_GRP_CD_04;CST_SHR_GRP_CD_05;CST_SHR_GRP_CD_06;CST_SHR_GRP_CD_07;CST_SHR_GRP_CD_08;CST_SHR_GRP_CD_09;CST_SHR_GRP_CD_10;CST_SHR_GRP_CD_11;CST_SHR_GRP_CD_12, +368,Coverage,PartD,Beneficiary LIS Copayment Level Code,A code identifying the generic level used to compute the Low Income Subsidy (LIS) co-payment amount. This generic level translates to a specific numeric value that will be used in the computation. Reference table: BENE_LIS_COPMT_LVL_CD,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-LIS-COPMT-LVL-CD').value.code,1,V2_MDCR_BENE_LIS,BENE_LIS_COPMT_LVL_CD,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-LIS-COPMT-LVL-CD,,CST_SHR_GRP_CD_01;CST_SHR_GRP_CD_02;CST_SHR_GRP_CD_03;CST_SHR_GRP_CD_04;CST_SHR_GRP_CD_05;CST_SHR_GRP_CD_06;CST_SHR_GRP_CD_07;CST_SHR_GRP_CD_08;CST_SHR_GRP_CD_09;CST_SHR_GRP_CD_10;CST_SHR_GRP_CD_11;CST_SHR_GRP_CD_12, +369,Coverage,PartD,Beneficiary LIS Part D Premium Percentage,"Identifies the portion of the Part D premium subsidized, based on a sliding scale linked to the Federal Poverty Level (FPL) percentage. If the person is under 135% FPL the premium subsidy percent will be 100%. If the person is 136-140% FPL the premium subsidy percent will be 75%. If the person is 141-145% FPL the premium subsidy will be 50%. If the person is 146-149% FPL the premium subsidy will be 25%.",Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-LIS-PTD-PRM-PCT').value,100,V2_MDCR_BENE_LIS,BENE_LIS_PTD_PRM_PCT,,,,CST_SHR_GRP_CD_01;CST_SHR_GRP_CD_02;CST_SHR_GRP_CD_03;CST_SHR_GRP_CD_04;CST_SHR_GRP_CD_05;CST_SHR_GRP_CD_06;CST_SHR_GRP_CD_07;CST_SHR_GRP_CD_08;CST_SHR_GRP_CD_09;CST_SHR_GRP_CD_10;CST_SHR_GRP_CD_11;CST_SHR_GRP_CD_12, +370,Coverage,PartD,Contract PBP Segment Number,Identification number for a portion of the PBP designated as a Segment. Must be present.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/CNTRCT-PBP-SGMT-NUM').value,000,V2_MDCR_CNTRCT_PBP_SGMT,CNTRCT_PBP_SGMT_NUM,,,,PTD_SGMT_ID_01;PTD_SGMT_ID_02;PTD_SGMT_ID_03;PTD_SGMT_ID_04;PTD_SGMT_ID_05;PTD_SGMT_ID_06;PTD_SGMT_ID_07;PTD_SGMT_ID_08;PTD_SGMT_ID_09;PTD_SGMT_ID_10;PTD_SGMT_ID_11;PTD_SGMT_ID_12, +371,Coverage,PartD,Retiree Drug Subsidy Switch,A switch indicating that enrollment in Part D was requested by the beneficiary who has employer subsidy enrollment.,Coverage.extension.where(url='https://bluebutton.cms.gov/fhir/StructureDefinition/BENE-ENRLMT-EMPLR-SBSDY-SW').value,"{'system': 'https://bluebutton.cms.gov/fhir/CodeSystem/BENE-ENRLMT-EMPLR-SBSDY-SW', 'code': 'Y'}",V2_MDCR_BENE_MAPD_ENRLMT,BENE_ENRLMT_EMPLR_SBSDY_SW,,https://bluebutton.cms.gov/fhir/CodeSystem/BENE-ENRLMT-EMPLR-SBSDY-SW,,RDS_IND_01;RDS_IND_02;RDS_IND_03;RDS_IND_04;RDS_IND_05;RDS_IND_06;RDS_IND_07;RDS_IND_08;RDS_IND_09;RDS_IND_10;RDS_IND_11;RDS_IND_12, diff --git a/dev/vendor/MANIFEST.toml b/dev/vendor/MANIFEST.toml new file mode 100644 index 0000000..beeb1f0 --- /dev/null +++ b/dev/vendor/MANIFEST.toml @@ -0,0 +1,62 @@ +# Sparse vendoring manifest — regenerate with +# uv run python dev/scripts/vendor_bcda_app.py --sync +# Check for upstream drift (no changes written) with --check. + +[[source]] +name = "bcda-app" +kind = "github" +repo = "CMSgov/bcda-app" +ref = "main" +commit = "7decdcc2b813a8007bddee35b55fa3991df0bec4" +license = "LICENSE" +files = [ + "LICENSE", + "swagger.json", + "bcda/api/requests.go", + "bcda/web/middleware/validation.go", + "bcda/web/middleware/validation_test.go", + "bcda/api/v3/api.go", + "bcda/api/v3/api_test.go", + "bcda/responseutils/v3/writer.go", + "bcda/responseutils/v3/writer_test.go", + "test/postman_test/BCDA_V3_Tests.postman_collection.json", + "test/postman_test/sandbox.postman_environment.json", + "shared_files/gzip_feature_test/corrupt_gz_file.ndjson", + "shared_files/gzip_feature_test/test_gzip_encoded.ndjson", + "shared_files/gzip_feature_test/test_no_encoding.ndjson", + "conf/configs/sandbox.yml", +] + +[[source]] +name = "bcda-site" +kind = "https" +base = "https://bcda.cms.gov/assets/downloads/" +files = [ + "BCDA_v3_Data_Dictionary.xlsx", + "BCDA_v2_Data_Dictionary.xlsx", + "v3_Patient.ndjson", + "v3_Coverage.ndjson", + "v3_ExplanationOfBenefit.ndjson", +] + +[sha256] +"bcda-app/LICENSE" = "6d489af6292662d9e36d34ce49423784984a5f6e41d7b58f49b01264df59fa03" +"bcda-app/bcda/api/requests.go" = "3ae1b33dec6e0d9c2c93352f3da7a713ffeeda545e5be4d00643b43e65569456" +"bcda-app/bcda/api/v3/api.go" = "18a1dbc627d01a4d9f53113a6e45671494445da3fb8f9c877437f4ed8d62d871" +"bcda-app/bcda/api/v3/api_test.go" = "97c0ca1d0af2f5fe2fa68102b8c6d6d9709f2775ed58cd291886e62e66cd869c" +"bcda-app/bcda/responseutils/v3/writer.go" = "d5bb9e8dfcad75bc3cf5cadf0f811e1b16d4e09cd0755970517ab3ab0867f56c" +"bcda-app/bcda/responseutils/v3/writer_test.go" = "9056a6f0c4e6dc747375e232a982064d3e616b9832baa90f94c7bbe241bd58bc" +"bcda-app/bcda/web/middleware/validation.go" = "dc4dfdf730c24961746f0b8f576b5a1cf912d7cec5e237401126738e6a82ed6a" +"bcda-app/bcda/web/middleware/validation_test.go" = "c16f268ae3186b6881aa06ef1374d93117a969e87eafd13edcde0ac766a6b5e1" +"bcda-app/conf/configs/sandbox.yml" = "a954b23194796658ddcfc8282ef3de488356a6076ed84266cfce6959df68e7f5" +"bcda-app/shared_files/gzip_feature_test/corrupt_gz_file.ndjson" = "41b355a94e96ef4ed92c6fde19ca67d7341a5f95bd67e6b1e8a65f1b83be2b36" +"bcda-app/shared_files/gzip_feature_test/test_gzip_encoded.ndjson" = "b5a7caf480fec615a1487f7bde4974f373395d98f245598c146844b1003f9a8f" +"bcda-app/shared_files/gzip_feature_test/test_no_encoding.ndjson" = "6a0f9ee6a9dc1764a718f6c509d5758c315789ad5e4cfba5c39a3343fe6eca8f" +"bcda-app/swagger.json" = "3565bdea5a5f0817b3abb95432645ef15e32179dbc18fc2a4d3de434d293e03f" +"bcda-app/test/postman_test/BCDA_V3_Tests.postman_collection.json" = "fbb0c523f078f215bee178a9010fd331287c3b52ea6d712ea328e392ed77c237" +"bcda-app/test/postman_test/sandbox.postman_environment.json" = "6d1866a8ae06185390ff80180bff0c38d93f591d71066d51b6a1f3a80cf6377c" +"bcda-site/BCDA_v2_Data_Dictionary.xlsx" = "9c91eae07869f573c5578da9606336b00f1768180a947e2c4275864877f88810" +"bcda-site/BCDA_v3_Data_Dictionary.xlsx" = "335547374a66ce88b4c88cf0657ec09f5e731af6b7ede998e0b162f6594ec3bc" +"bcda-site/v3_Coverage.ndjson" = "cbe8820255f7a15d896b9098a33422d1e012cacc059316ac4894272132ff2986" +"bcda-site/v3_ExplanationOfBenefit.ndjson" = "fafd76d16c335de44d1b28c388ac3de873809d3b2c429612ec6b8741db0fa82f" +"bcda-site/v3_Patient.ndjson" = "7eb427266676415c6beee0fa705d7ad31d2335971f711bdfe0c63712392ba351" diff --git a/dev/vendor/bcda-app/LICENSE b/dev/vendor/bcda-app/LICENSE new file mode 100644 index 0000000..1625c17 --- /dev/null +++ b/dev/vendor/bcda-app/LICENSE @@ -0,0 +1,121 @@ +Creative Commons Legal Code + +CC0 1.0 Universal + + CREATIVE COMMONS CORPORATION IS NOT A LAW FIRM AND DOES NOT PROVIDE + LEGAL SERVICES. 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Affirmer understands and acknowledges that Creative Commons is not a + party to this document and has no duty or obligation with respect to + this CC0 or use of the Work. \ No newline at end of file diff --git a/dev/vendor/bcda-app/bcda/api/requests.go b/dev/vendor/bcda-app/bcda/api/requests.go new file mode 100644 index 0000000..6c86247 --- /dev/null +++ b/dev/vendor/bcda-app/bcda/api/requests.go @@ -0,0 +1,957 @@ +package api + +import ( + "context" + "database/sql" + "encoding/json" + goerrors "errors" + "fmt" + "os" + "strconv" + "strings" + + "github.com/go-chi/chi/v5" + "github.com/sirupsen/logrus" + + "github.com/pkg/errors" + + "net/http" + "time" + + "github.com/pborman/uuid" + + "github.com/CMSgov/bcda-app/bcda/auth" + "github.com/CMSgov/bcda-app/bcda/constants" + "github.com/CMSgov/bcda-app/bcda/fhir" + "github.com/CMSgov/bcda-app/bcda/models" + "github.com/CMSgov/bcda-app/bcda/models/postgres" + responseutils "github.com/CMSgov/bcda-app/bcda/responseutils" + responseutilsv2 "github.com/CMSgov/bcda-app/bcda/responseutils/v2" + responseutilsv3 "github.com/CMSgov/bcda-app/bcda/responseutils/v3" + "github.com/CMSgov/bcda-app/bcda/service" + "github.com/CMSgov/bcda-app/bcda/servicemux" + "github.com/CMSgov/bcda-app/bcda/utils" + "github.com/CMSgov/bcda-app/bcda/web/middleware" + "github.com/CMSgov/bcda-app/bcdaworker/queueing" + "github.com/CMSgov/bcda-app/bcdaworker/queueing/worker_types" + "github.com/CMSgov/bcda-app/conf" + "github.com/CMSgov/bcda-app/log" + m "github.com/CMSgov/bcda-app/middleware" + pgxv5Pool "github.com/jackc/pgx/v5/pgxpool" +) + +type Handler struct { + JobTimeout time.Duration + Enq queueing.Enqueuer + Svc service.Service + + supportedDataTypes map[string]service.ClaimType + supportedResourceTypes []string + supportedStatuses map[models.JobStatus]struct{} + bbBasePath string + apiVersion string + RespWriter fhirResponseWriter + // cfg *service.Config + + // Needed to have access to the repository/db for lookup needed in the bulkRequest. + // TODO (BCDA-3412): Remove this reference once we've captured all of the necessary + // logic into a service method. + r models.Repository +} + +type fhirResponseWriter interface { + Success(context.Context, http.ResponseWriter, int, string, string) + Exception(context.Context, http.ResponseWriter, int, string, string) + NotFound(context.Context, http.ResponseWriter, int, string, string) + OpOutcome(context.Context, http.ResponseWriter, int, string, string) + JobsBundle(context.Context, http.ResponseWriter, []*models.Job, string) +} + +func NewHandler(dataTypes map[string]service.ClaimType, basePath string, apiVersion string, db *sql.DB, pool *pgxv5Pool.Pool) *Handler { + return newHandler(dataTypes, basePath, apiVersion, db, pool) +} + +func newHandler(dataTypes map[string]service.ClaimType, basePath string, apiVersion string, db *sql.DB, pool *pgxv5Pool.Pool) *Handler { + h := &Handler{JobTimeout: time.Hour * time.Duration(utils.GetEnvInt("ARCHIVE_THRESHOLD_HR", 24))} + + h.Enq = queueing.NewEnqueuer(db, pool) + + cfg, err := service.LoadConfig() + if err != nil { + log.API.Fatalf("Failed to load service config. Err: %v", err) + } + if len(cfg.ACOConfigs) == 0 { + log.API.Fatalf("no ACO configs found, these are required for processing logic") + } + + repository := postgres.NewRepository(db) + h.r = repository + h.Svc = service.NewService(repository, cfg, basePath) + + h.supportedDataTypes = dataTypes + + // Build string array of supported Resource types + h.supportedResourceTypes = make([]string, 0, len(h.supportedDataTypes)) + + for k := range h.supportedDataTypes { + h.supportedResourceTypes = append(h.supportedResourceTypes, k) + } + + h.supportedStatuses = make(map[models.JobStatus]struct{}, len(models.AllJobStatuses)) + for _, r := range models.AllJobStatuses { + h.supportedStatuses[r] = struct{}{} + } + + h.bbBasePath = basePath + h.apiVersion = apiVersion + + switch h.apiVersion { + case "v1": + h.RespWriter = responseutils.NewFhirResponseWriter() + case "v2": + h.RespWriter = responseutilsv2.NewFhirResponseWriter() + case constants.V3Version: + h.RespWriter = responseutilsv3.NewFhirResponseWriter() + default: + log.API.Fatalf("unexpected API version: %s", h.apiVersion) + } + + return h +} + +func (h *Handler) BulkPatientRequest(w http.ResponseWriter, r *http.Request) { + reqType := constants.DefaultRequest // historical data for new beneficiaries will not be retrieved (this capability is only available with /Group) + h.bulkRequest(w, r, reqType) +} + +func (h *Handler) BulkGroupRequest(w http.ResponseWriter, r *http.Request) { + const ( + groupAll = "all" + groupRunout = "runout" + ) + reqType := constants.DefaultRequest + groupID := chi.URLParam(r, "groupId") + ctx := r.Context() + + switch groupID { + case groupAll: + // Set flag to retrieve new beneficiaries' historical data if _since param is provided and feature is turned on + _, ok := r.URL.Query()["_since"] + if ok && utils.GetEnvBool("BCDA_ENABLE_NEW_GROUP", false) { + reqType = constants.RetrieveNewBeneHistData + } + case groupRunout: + if utils.GetEnvBool("BCDA_ENABLE_RUNOUT", true) { + reqType = constants.Runout + break + } + fallthrough + default: + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Invalid group ID (%+v)", responseutils.RequestErr, groupID), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, "Invalid group ID") + return + } + h.bulkRequest(w, r, reqType) +} + +func (h *Handler) JobsStatus(w http.ResponseWriter, r *http.Request) { + var ( + ad auth.AuthData + statusTypes []models.JobStatus + err error + ) + statusTypes = models.AllJobStatuses // default request to retrieve jobs with all statuses + params, ok := r.URL.Query()["_status"] + ctx := r.Context() + + if ok { + statusMap := make(map[string]struct{}) + rawStatusTypes := strings.Split(params[0], ",") + statusTypes = nil + + // validate no duplicate status types + for _, status := range rawStatusTypes { + if _, ok := statusMap[status]; !ok { + statusMap[status] = struct{}{} + statusTypes = append(statusTypes, models.JobStatus(status)) + } else { + errMsg := fmt.Sprintf("Repeated status type %s", status) + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.RequestErr, errMsg), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, errMsg) + return + } + } + + // validate status types provided match our valid list of statuses + if err = h.validateStatuses(statusTypes); err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.RequestErr, err), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, err.Error()) + return + } + } + + if ad, err = GetAuthDataFromCtx(r); err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.TokenErr, err), + logrus.Fields{"resp_status": http.StatusUnauthorized}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusUnauthorized, responseutils.TokenErr, "") + return + } + + jobs, err := h.Svc.GetJobs(ctx, uuid.Parse(ad.ACOID), statusTypes...) + if err != nil { + if ok := goerrors.As(err, &service.JobsNotFoundError{}); ok { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.DbErr, err), + logrus.Fields{"resp_status": http.StatusNotFound}, + ) + h.RespWriter.NotFound(ctx, w, http.StatusNotFound, responseutils.DbErr, err.Error()) + } else { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.InternalErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "") + } + } + + scheme := "http" + if servicemux.IsHTTPS(r) { + scheme = "https" + } + host := fmt.Sprintf("%s://%s", scheme, r.Host) + + // pass in the ctx here and log with the ctx logger + h.RespWriter.JobsBundle(ctx, w, jobs, host) +} + +func (h *Handler) validateStatuses(statusTypes []models.JobStatus) error { + for _, statusType := range statusTypes { + if _, ok := h.supportedStatuses[statusType]; !ok { + return fmt.Errorf("invalid status type %s. Supported types %s", statusType, h.supportedStatuses) + } + } + + return nil +} + +func (h *Handler) JobStatus(w http.ResponseWriter, r *http.Request) { + logger := log.GetCtxLogger(r.Context()) + jobIDStr := chi.URLParam(r, "jobID") + ctx := r.Context() + + jobID, err := strconv.ParseUint(jobIDStr, 10, 64) + if err != nil { + err = errors.Wrap(err, "cannot convert jobID to uint") + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.RequestErr, err), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + //We don't need to return the full error to a consumer. + //We pass a bad request header (400) for this exception due to the inputs always being invalid for our purposes + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, "could not parse job id") + + return + } + + job, jobKeys, err := h.Svc.GetJobAndKeys(ctx, uint(jobID)) + if err != nil { + if errors.Is(err, sql.ErrNoRows) { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: Requested job not found. Error: %+v", responseutils.DbErr, err), + logrus.Fields{"resp_status": http.StatusNotFound, "job_id": jobID}, + ) + h.RespWriter.NotFound(ctx, w, http.StatusNotFound, responseutils.DbErr, "Job not found.") + } else { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Error attempting to request job. Error: %+v", responseutils.InternalErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError, "job_id": jobID}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "Error trying to fetch job. Please try again.") + } + + return + } + + switch job.Status { + case models.JobStatusFailed, models.JobStatusFailedExpired: + logger.Error(job.Status) + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Status: %+v", responseutils.JobFailed, job.Status), + logrus.Fields{"resp_status": http.StatusInternalServerError, "job_id": jobID}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.JobFailed, responseutils.DetailJobFailed) + case models.JobStatusPending, models.JobStatusInProgress: + completedSubJobs := make(map[int64]struct{}) + for _, key := range jobKeys { + if key != nil && key.QueJobID != nil { + completedSubJobs[*key.QueJobID] = struct{}{} + } + } + w.Header().Set("X-Progress", job.StatusMessage(len(completedSubJobs))) + w.WriteHeader(http.StatusAccepted) + return + case models.JobStatusCompleted: + // If the job should be expired, but the cleanup job hasn't run for some reason, still respond with 410 + if job.UpdatedAt.Add(h.JobTimeout).Before(time.Now()) { + w.Header().Set("Expires", job.UpdatedAt.Add(h.JobTimeout).String()) + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: Job is expired but was not archived in time", responseutils.NotFoundErr), + logrus.Fields{"resp_status": http.StatusGone, "job_id": jobID}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusGone, responseutils.NotFoundErr, "") + return + } + w.Header().Set("Content-Type", constants.JsonContentType) + w.Header().Set("Expires", job.UpdatedAt.Add(h.JobTimeout).String()) + scheme := "http" + if servicemux.IsHTTPS(r) { + scheme = "https" + } + + rb := BulkResponseBody{ + TransactionTime: job.TransactionTime, + RequestURL: job.RequestURL, + RequiresAccessToken: true, + Files: []FileItem{}, + Errors: []FileItem{}, + JobID: job.ID, + } + + // Add warnings-and-info file to Errors array if it exists + filePath := fmt.Sprintf("%s/%d/%s", conf.GetEnv("FHIR_PAYLOAD_DIR"), jobID, constants.WarningsAndInfoFileName) + if _, err := os.Stat(filePath); !os.IsNotExist(err) { // #nosec G703 + rb.Errors = append(rb.Errors, FileItem{ + Type: "OperationOutcome", + URL: fmt.Sprintf("%s://%s/data/%d/%s", scheme, r.Host, jobID, constants.WarningsAndInfoFileName), + }) + } + + for _, jobKey := range jobKeys { + if strings.TrimSpace(jobKey.FileName) == models.BlankFileName { + continue + } + + // data files + fi := FileItem{ + Type: jobKey.ResourceType, + URL: fmt.Sprintf("%s://%s/data/%d/%s", scheme, r.Host, jobID, strings.TrimSpace(jobKey.FileName)), + } + + // Filter out unwanted files by name, (error files, warning and info file, and empty/blank files) + if !strings.Contains(strings.ToLower(jobKey.FileName), "-error.ndjson") && + jobKey.FileName != constants.WarningsAndInfoFileName && + jobKey.FileName != models.BlankFileName { + rb.Files = append(rb.Files, fi) + } + + // Error files + errFileName := strings.Split(jobKey.FileName, ".")[0] + errFilePath := fmt.Sprintf("%s/%d/%s-error.ndjson", conf.GetEnv("FHIR_PAYLOAD_DIR"), jobID, errFileName) + + // Check if the error file exists + if _, err := os.Stat(errFilePath); !os.IsNotExist(err) { // #nosec G703 + errFI := FileItem{ + Type: "OperationOutcome", + URL: fmt.Sprintf("%s://%s/data/%d/%s-error.ndjson", scheme, r.Host, jobID, errFileName), + } + rb.Errors = append(rb.Errors, errFI) + } + } + + jsonData, err := json.Marshal(rb) + if err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Error marshaling response body: %+v", responseutils.InternalErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError, "job_id": jobID}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "") + return + } + + _, err = w.Write([]byte(jsonData)) + if err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Error writing response body: %+v", responseutils.InternalErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError, "job_id": jobID}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "") + return + } + + w.WriteHeader(http.StatusOK) + case models.JobStatusArchived, models.JobStatusExpired: + w.Header().Set("Expires", job.UpdatedAt.Add(h.JobTimeout).String()) + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: Job is Archived or Expired", responseutils.NotFoundErr), + logrus.Fields{"resp_status": http.StatusGone, "job_id": jobID}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusGone, responseutils.NotFoundErr, "") + case models.JobStatusCancelled, models.JobStatusCancelledExpired: + h.RespWriter.NotFound(ctx, w, http.StatusNotFound, responseutils.NotFoundErr, "Job has been cancelled.") + + } +} + +func (h *Handler) DeleteJob(w http.ResponseWriter, r *http.Request) { + jobIDStr := chi.URLParam(r, "jobID") + ctx := r.Context() + + jobID, err := strconv.ParseUint(jobIDStr, 10, 64) + if err != nil { + err = errors.Wrap(err, "cannot convert jobID to uint") + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.RequestErr, err), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, err.Error()) + return + } + + _, err = h.Svc.CancelJob(ctx, uint(jobID)) + if err != nil { + switch err { + case service.ErrJobNotCancellable: + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: Job is not cancellable", responseutils.DeletedErr), + logrus.Fields{"resp_status": http.StatusGone, "job_id": jobID}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusGone, responseutils.DeletedErr, err.Error()) + return + default: + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.DbErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError, "job_id": jobID}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.DbErr, err.Error()) + return + } + } + h.RespWriter.Success(ctx, w, http.StatusAccepted, "", "Job files will be designated for deletion") +} + +type AttributionFileStatus struct { + Timestamp time.Time `json:"timestamp"` + Type string `json:"type"` +} + +type AttributionFileStatusResponse struct { + IngestionDates []AttributionFileStatus `json:"ingestion_dates"` + ExpirationDates []AttributionFileStatus `json:"expiration_dates"` +} + +func (h *Handler) AttributionStatus(w http.ResponseWriter, r *http.Request) { + ctx := r.Context() + var ( + ad auth.AuthData + resp AttributionFileStatusResponse + err error + ) + if ad, err = GetAuthDataFromCtx(r); err != nil { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.TokenErr, err), + logrus.Fields{"resp_status": http.StatusUnauthorized}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusUnauthorized, responseutils.TokenErr, "") + return + } + + timeConstraints, err := h.Svc.GetTimeConstraints(ctx, ad.CMSID) + if err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: could not fetch time constraints: %+v", responseutils.InternalErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "") + return + } + + group := chi.URLParam(r, "groupId") + notFoundMsg := fmt.Sprintf("Unable to perform export operations for this Group. No up-to-date attribution information is available for Group '%s'. Usually this is due to awaiting new attribution information at the beginning of a Performance Year.", group) + + defaultLastUpdated, defaultExpirationDate, defaultErr := h.Svc.GetAttributionStatusDates(ctx, ad.CMSID, timeConstraints, models.FileTypeDefault) + runoutLastUpdated, runoutExpirationDate, runoutErr := h.Svc.GetAttributionStatusDates(ctx, ad.CMSID, timeConstraints, models.FileTypeRunout) + + if defaultErr == nil { + resp.IngestionDates = append(resp.IngestionDates, AttributionFileStatus{Type: "last_attribution_update", Timestamp: defaultLastUpdated}) + resp.ExpirationDates = append(resp.ExpirationDates, AttributionFileStatus{Type: "attribution_access_expiration", Timestamp: defaultExpirationDate}) + } + if runoutErr == nil { + resp.IngestionDates = append(resp.IngestionDates, AttributionFileStatus{Type: "last_runout_update", Timestamp: runoutLastUpdated}) + resp.ExpirationDates = append(resp.ExpirationDates, AttributionFileStatus{Type: "runout_access_expiration", Timestamp: runoutExpirationDate}) + } + _, defaultNotFound := goerrors.AsType[service.CCLFNotFoundError](defaultErr) + _, runoutNotFound := goerrors.AsType[service.CCLFNotFoundError](runoutErr) + + if defaultErr != nil && !defaultNotFound { // an unexpected error occurred with the default file status + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: could not fetch default attribution status dates: %+v", responseutils.InternalErr, defaultErr), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "") + return + } else if runoutErr != nil && !runoutNotFound { // an unexpected error occurred with the runout file status + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: could not fetch runout attribution status dates: %+v", responseutils.InternalErr, runoutErr), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "") + return + } else if defaultNotFound && runoutNotFound { // neither CCLF was found -- return a 404 + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %+v Error: %+v", responseutils.NotFoundErr, notFoundMsg, defaultErr), + logrus.Fields{"resp_status": http.StatusNotFound}, + ) + h.RespWriter.NotFound(ctx, w, http.StatusNotFound, responseutils.NotFoundErr, notFoundMsg) + return + } + + w.Header().Set("Content-Type", "application/json") + + err = json.NewEncoder(w).Encode(resp) + if err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Failed to encode JSON response: %+v", responseutils.RequestErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.RequestErr, "") + } + + w.WriteHeader(http.StatusOK) +} + +// bulkRequest generates a job ID for a bulk export request. It will not queue a job +// until auth, attribution, and request resources are validated. +func (h *Handler) bulkRequest(w http.ResponseWriter, r *http.Request, reqType constants.DataRequestType) { + // Create context to encapsulate the entire workflow. In the future, we can define child context's for timing. + ctx, cancel := context.WithCancel(r.Context()) + defer cancel() + + logger := log.GetCtxLogger(ctx) + + var ( + ad auth.AuthData + err error + ) + + if ad, err = GetAuthDataFromCtx(r); err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.TokenErr, err), + logrus.Fields{"resp_status": http.StatusUnauthorized}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusUnauthorized, responseutils.TokenErr, "") + return + } + + rp, ok := middleware.GetRequestParamsFromCtx(ctx) + if !ok { + panic("Request parameters must be set prior to calling this handler.") + } + + // Validate PAC eligibility for v3 _typeFilter tags that require it + if h.apiVersion == constants.V3Version { + if err = h.validateTypeFilterPACEligibility(ctx, rp.TypeFilter, ad.CMSID, w); err != nil { + return + } + } + + resourceTypes := h.getResourceTypes(rp, ad.CMSID) + if err = h.validateResources(resourceTypes, ad.CMSID); err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Error validating resources: %+v", responseutils.RequestErr, err), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, err.Error()) + return + } + + // For v3, ensure any ACOs requesting ExplanationOfBenefit default to NCH and DDPS data only + // This ensures they do not get SharedSystem data by default + if h.apiVersion == constants.V3Version { + if utils.ContainsString(resourceTypes, "ExplanationOfBenefit") { + rp.TypeFilter = h.omitSharedSystemByDefault(rp.TypeFilter) + } + } + + acoID := uuid.Parse(ad.ACOID) + + scheme := "http" + if servicemux.IsHTTPS(r) { + scheme = "https" + } + + newJob := models.Job{ + ACOID: acoID, + RequestURL: fmt.Sprintf("%s://%s%s", scheme, r.Host, r.URL), + Status: models.JobStatusPending, + } + + fileType := models.FileTypeDefault + if reqType == constants.Runout { + fileType = models.FileTypeRunout + } + + timeConstraints, err := h.Svc.GetTimeConstraints(ctx, ad.CMSID) + if err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Error setting time constraints: %+v", responseutils.InternalErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "") + return + } + + cutoffTime, complexDataRequestType := h.Svc.GetCutoffTime(ctx, reqType, rp.Since, timeConstraints, fileType) + if complexDataRequestType == "" { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Invalid complex data request type: %+v", responseutils.RequestErr, err), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, "invalid complex data request type") + return + } + + cclfFileNew, err := h.Svc.GetLatestCCLFFile( + ctx, + ad.CMSID, + cutoffTime, + timeConstraints.AttributionDate, + fileType, + ) + if err != nil { + if errors.As(err, &service.CCLFNotFoundError{}) { + // Check if this is an expired runout data request + if fileType == models.FileTypeRunout && !cutoffTime.IsZero() { + msg := "runout data is no longer available. Runout data expires 180 days after ingestion" + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.NotFoundErr, msg), + logrus.Fields{"resp_status": http.StatusNotFound}, + ) + h.RespWriter.NotFound(ctx, w, http.StatusNotFound, responseutils.NotFoundErr, msg) + return + } + + msg := "failed to start job; attribution file not found" + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %+v", responseutils.NotFoundErr, msg), + logrus.Fields{"resp_status": http.StatusNotFound}, + ) + h.RespWriter.NotFound(ctx, w, http.StatusNotFound, responseutils.NotFoundErr, msg) + return + } + + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Failed to retrieve latest cclf file: %+v", responseutils.DbErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.DbErr, responseutils.DbErr) + return + } + + performanceYear := utils.GetPY() + if fileType == models.FileTypeRunout { + performanceYear -= 1 + } + + // validate cclffile and PY + if cclfFileNew == nil || performanceYear != cclfFileNew.PerformanceYear { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: Failed to validate cclf file or performance year of found cclf file", responseutils.NotFoundErr), + logrus.Fields{"resp_status": http.StatusNotFound}, + ) + h.RespWriter.NotFound(ctx, w, http.StatusNotFound, responseutils.NotFoundErr, fmt.Sprintf("unable to perform export operations for this Group. No up-to-date attribution information is available for ACOID '%s'. Usually this is due to awaiting new attribution information at the beginning of a Performance Year", ad.CMSID)) + return + } + + var cclfFileOldID uint + if complexDataRequestType == constants.GetNewAndExistingBenes { + cclfFileOldID, err = h.Svc.FindOldCCLFFile(ctx, ad.CMSID, rp.Since, cclfFileNew.Timestamp) + if err != nil { + if errors.As(err, &service.CCLFNotFoundError{}) { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: CCLF file not found for given _since parameter: %s", responseutils.NotFoundErr, rp.Since.String()), + logrus.Fields{"resp_status": http.StatusNotFound}, + ) + h.RespWriter.NotFound(ctx, w, http.StatusNotFound, responseutils.NotFoundErr, "failed to start job; attribution file not found for given _since parameter.") + return + } + + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: failed to retrieve cclf file: %+v", responseutils.DbErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.DbErr, "") + return + } + } + + newJob.ID, err = h.r.CreateJob(ctx, newJob) + if err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Failed to create job: %+v", responseutils.DbErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.DbErr, "") + return + } + + if newJob.ID != 0 { + ctx, _ = log.WriteInfoWithFields( + ctx, + fmt.Sprintf("job id created: %d", newJob.ID), + logrus.Fields{"job_id": newJob.ID}, + ) + } + + // lots of things needed for downstream logic! + prepJob := worker_types.PrepareJobArgs{ + Job: newJob, + ACOID: acoID, + CMSID: ad.CMSID, + CCLFFileNewID: cclfFileNew.ID, + CCLFFileOldID: cclfFileOldID, + BFDPath: h.bbBasePath, + RequestType: reqType, + ComplexDataRequestType: complexDataRequestType, + ResourceTypes: resourceTypes, + Since: rp.Since, + TypeFilter: rp.TypeFilter, + CreationTime: time.Now(), + ClaimsDate: timeConstraints.ClaimsDate, + OptOutDate: timeConstraints.OptOutDate, + TransactionID: ctx.Value(m.CtxTransactionKey).(string), + } + + logger.Infof("Adding jobs using %T", h.Enq) + err = h.Enq.AddPrepareJob(ctx, prepJob) + if err != nil { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Failed to add job to the queue: %+v", responseutils.InternalErr, err), + logrus.Fields{"resp_status": http.StatusInternalServerError}, + ) + h.RespWriter.Exception(ctx, w, http.StatusInternalServerError, responseutils.InternalErr, "") + return + } + + w.Header().Set("Content-Location", fmt.Sprintf("%s://%s/api/%s/jobs/%d", scheme, r.Host, h.apiVersion, newJob.ID)) + w.WriteHeader(http.StatusAccepted) +} + +func (h *Handler) getResourceTypes(parameters middleware.RequestParameters, cmsID string) []string { + resourceTypes := parameters.ResourceTypes + + // If caller does not supply resource types, we default to all supported resource types for the specific ACO + if len(resourceTypes) == 0 { + if acoConfig, found := h.Svc.GetACOConfigForID(cmsID); found { + if utils.ContainsString(acoConfig.Data, constants.Adjudicated) { + resourceTypes = append(resourceTypes, "Patient", "ExplanationOfBenefit", "Coverage") + } + + if utils.ContainsString(acoConfig.Data, constants.PartiallyAdjudicated) && h.apiVersion == "v2" { + resourceTypes = append(resourceTypes, "Claim", "ClaimResponse") + } + } + } + + return resourceTypes +} + +func (h *Handler) validateResources(resourceTypes []string, cmsID string) error { + for _, resourceType := range resourceTypes { + dataType, ok := h.supportedDataTypes[resourceType] + + if !ok { + return fmt.Errorf("invalid resource type %s. Supported types %s", resourceType, h.supportedResourceTypes) + } + + if !h.authorizedResourceAccess(dataType, cmsID) { + return fmt.Errorf("unauthorized resource type %s", resourceType) + } + } + + return nil +} + +func (h *Handler) authorizedResourceAccess(dataType service.ClaimType, cmsID string) bool { + if cfg, ok := h.Svc.GetACOConfigForID(cmsID); ok { + return (dataType.Adjudicated && utils.ContainsString(cfg.Data, constants.Adjudicated)) || + (dataType.PartiallyAdjudicated && utils.ContainsString(cfg.Data, constants.PartiallyAdjudicated)) + } + + return false +} + +// validateTypeFilterPACEligibility validates that ACOs requesting SharedSystem +// tags in _typeFilter have PAC data access. Handles parsing of multiple comma-separated tag codes. +// Returns error if validation fails (and writes response). +func (h *Handler) validateTypeFilterPACEligibility(ctx context.Context, typeFilter fhir.TypeFilterSubquery, cmsID string, w http.ResponseWriter) error { + // Tags that require PAC eligibility + tagsRequiringPAC := []string{"SharedSystem"} + + // Extract all _tag parameter codes + var requestedTagCodes []string + tagParams, err := fhir.GetTagParams(typeFilter) + if err != nil { + return fmt.Errorf("unable to parse typefilter _tag codes: %w", err) + } + + for _, tagParam := range tagParams { + for _, tagValue := range tagParam.Values { + requestedTagCodes = append(requestedTagCodes, tagValue.Code) + } + } + + // Check if any requested tags require PAC eligibility + requiresPAC := false + for _, tagCode := range requestedTagCodes { + if utils.ContainsString(tagsRequiringPAC, tagCode) { + requiresPAC = true + break + } + } + + // If PAC is required, check if ACO has PAC access + if requiresPAC { + acoConfig, ok := h.Svc.GetACOConfigForID(cmsID) + if !ok { + ctx, _ = log.WriteErrorWithFields( + ctx, + fmt.Sprintf("%s: Unable to determine ACO configuration", responseutils.RequestErr), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, "Unable to determine ACO configuration") + return fmt.Errorf("ACO configuration not found") + } + + if h.Svc.IsV3NoPartialClaimsModel(acoConfig.Model) { + errMsg := fmt.Sprintf("Model entities in %s are not eligible to access SharedSystem data. Requests using the following tags require access to SharedSystem data: %v", acoConfig.Model, tagsRequiringPAC) + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %s", responseutils.RequestErr, errMsg), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + h.RespWriter.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, errMsg) + return fmt.Errorf("not eligible for SharedSystem data") + } + } + + return nil +} + +// omitSharedSystemByDefault ensures that all ACOs in v3 do not receive SharedSystem data by default +// by adding a System-Type tag filter if no explicit filter is provided +func (h *Handler) omitSharedSystemByDefault(typeFilter fhir.TypeFilterSubquery) fhir.TypeFilterSubquery { + // If relevant filter is already present, no need to add default + if middleware.HasSystemTypeTag(typeFilter) { + return typeFilter + } + + // For all ACOs without a qualifying filter, add System-Type filter + // to ensure they do not receive SharedSystem data by default. + // This tag filters response data by System-Type=NCH OR System-Type=DDPS + // This function is only called when ExplanationOfBenefit is in the resource types + tagValue := constants.BFDSystemTypeURL + "|NationalClaimsHistory," + constants.BFDSystemTypeURL + "|DDPS" + subqueryParam := fhir.TypeFilterSubqueryParam{ + Name: string(fhir.TypeFilterParamTag), + Value: tagValue, + } + + // if there is no _typeFilter param passed, create a new one and add this _tag filter + if len(typeFilter.QueryParameters) == 0 { + return fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{subqueryParam}, + } + } + + // If there is an existing typeFilter, add the _tag subquery param to the existing _typeFilter param + typeFilter.QueryParameters = append(typeFilter.QueryParameters, subqueryParam) + + return typeFilter +} + +func GetAuthDataFromCtx(r *http.Request) (data auth.AuthData, err error) { + var ok bool + data, ok = r.Context().Value(auth.AuthDataContextKey).(auth.AuthData) + if !ok { + err = goerrors.New("no auth data in context") + } + return +} + +// swagger:model fileItem +type FileItem struct { + // FHIR resource type of file contents + Type string `json:"type"` + // URL of the file + URL string `json:"url"` +} + +/* +Data export job has completed successfully. The response body will contain a JSON object providing metadata about the transaction. +swagger:response completedJobResponse +*/ +// nolint +type CompletedJobResponse struct { + // in: body + Body BulkResponseBody +} + +type BulkResponseBody struct { + // Server time when the query was run + TransactionTime time.Time `json:"transactionTime"` + // URL of the bulk data export request + RequestURL string `json:"request"` + // Indicates whether an access token is required to download generated data files + RequiresAccessToken bool `json:"requiresAccessToken"` + // Information about generated data files, including URLs for downloading + Files []FileItem `json:"output"` + // Information about error files, including URLs for downloading + Errors []FileItem `json:"error"` + JobID uint +} diff --git a/dev/vendor/bcda-app/bcda/api/v3/api.go b/dev/vendor/bcda-app/bcda/api/v3/api.go new file mode 100644 index 0000000..8f80959 --- /dev/null +++ b/dev/vendor/bcda-app/bcda/api/v3/api.go @@ -0,0 +1,376 @@ +package v3 + +import ( + "database/sql" + "encoding/json" + "fmt" + "net/http" + "time" + + "github.com/CMSgov/bcda-app/bcda/api" + "github.com/CMSgov/bcda-app/bcda/constants" + "github.com/CMSgov/bcda-app/bcda/fhir" + "github.com/CMSgov/bcda-app/bcda/fhir/r4" + "github.com/CMSgov/bcda-app/bcda/service" + "github.com/CMSgov/bcda-app/bcda/servicemux" + "github.com/CMSgov/bcda-app/conf" + "github.com/CMSgov/bcda-app/log" + pgxv5Pool "github.com/jackc/pgx/v5/pgxpool" +) + +type ApiV3 struct { + handler *api.Handler + db *sql.DB +} + +func NewApiV3(db *sql.DB, pool *pgxv5Pool.Pool) *ApiV3 { + resources, ok := service.GetClaimTypesMap([]string{ + "Patient", + "Coverage", + "ExplanationOfBenefit", + }...) + + if !ok { + panic("Failed to configure resource DataTypes") + } else { + h := api.NewHandler(resources, constants.BFDV3Path, constants.V3Version, db, pool) + return &ApiV3{handler: h, db: db} + } +} + +// NOTE: The below are all just copies of v3/api + +/* +swagger:route GET /api/v3/Patient/$export bulkDatav3 bulkPatientRequestv3 + +Start FHIR R4 data export for all supported resource types. + +Initiates a job to collect data from the Blue Button API for your ACO. Supported resource types are Patient, Coverage, and ExplanationOfBenefit. + +Produces: +- application/fhir+json + +Security: + + bearer_token: + +Responses: + + 202: BulkRequestResponse + 400: badRequestResponse + 401: invalidCredentials + 429: tooManyRequestsResponse + 500: errorResponse +*/ +func (a ApiV3) BulkPatientRequest(w http.ResponseWriter, r *http.Request) { + a.handler.BulkPatientRequest(w, r) +} + +/* +swagger:route GET /api/v3/Group/{groupId}/$export bulkDatav3 bulkGroupRequestv3 + +# Start FHIR R4 data export (for the specified group identifier) for all supported resource types + +Initiates a job to collect data from the Blue Button API for your ACO. The only Group identifier supported by the system are `all` and `runout`. + +The `all` identifier returns data for the group of all patients attributed to the requesting ACO. If used when specifying `_since`: all claims data which has been updated since the specified date will be returned for beneficiaries which have been attributed to the ACO since before the specified date; and all historical claims data will be returned for beneficiaries which have been newly attributed to the ACO since the specified date. + +The `runout` identifier returns claims runouts data. + +Produces: +- application/fhir+json + +Security: + + bearer_token: + +Responses: + + 202: BulkRequestResponse + 400: badRequestResponse + 401: invalidCredentials + 429: tooManyRequestsResponse + 500: errorResponse +*/ +func (a ApiV3) BulkGroupRequest(w http.ResponseWriter, r *http.Request) { + a.handler.BulkGroupRequest(w, r) +} + +/* +swagger:route GET /api/v3/jobs/{jobId} jobv3 jobStatusv3 + +# Get job status + +Returns the current status of an export job. + +Produces: +- application/fhir+json + +Schemes: http, https + +Security: + + bearer_token: + +Responses: + + 202: jobStatusResponse + 200: completedJobResponse + 400: badRequestResponse + 401: invalidCredentials + 404: notFoundResponse + 410: goneResponse + 500: errorResponse +*/ +func (a ApiV3) JobStatus(w http.ResponseWriter, r *http.Request) { + a.handler.JobStatus(w, r) +} + +/* +swagger:route GET /api/v3/jobs jobv3 jobsStatusv3 + +# Get jobs statuses + +Returns the current statuses of export jobs. Supported status types are Completed, Archived, Expired, Failed, FailedExpired, +In Progress, Pending, Cancelled, and CancelledExpired. If no status(s) is provided, all jobs will be returned. + +Note on job status to fhir task resource status mapping: +Due to the fhir task status field having a smaller set of values, the following statuses will be set to different fhir values in the response + +Archived, Expired -> Completed +FailedExpired -> Failed +Pending -> In Progress +CancelledExpired -> Cancelled + +Though the status name has been remapped the response will still only contain jobs pertaining to the provided job status in the request. + +Produces: +- application/fhir+json + +Schemes: http, https + +Security: + + bearer_token: + +Responses: + + 200: jobsStatusResponse + 400: badRequestResponse + 401: invalidCredentials + 404: notFoundResponse + 410: goneResponse + 500: errorResponse +*/ +func (a ApiV3) JobsStatus(w http.ResponseWriter, r *http.Request) { + a.handler.JobsStatus(w, r) +} + +/* +swagger:route DELETE /api/v3/jobs/{jobId} jobv3 deleteJobv3 + +# Cancel a job + +Cancels a currently running job. + +Produces: +- application/fhir+json + +Schemes: http, https + +Security: + + bearer_token: + +Responses: + + 202: deleteJobResponse + 400: badRequestResponse + 401: invalidCredentials + 404: notFoundResponse + 410: goneResponse + 500: errorResponse +*/ +func (a ApiV3) DeleteJob(w http.ResponseWriter, r *http.Request) { + a.handler.DeleteJob(w, r) +} + +/* +swagger:route GET /api/v3/attribution_status attributionStatusv3 attributionStatus + +# Get attribution status + +Returns the status of the latest ingestion for attribution and claims runout files. The response will contain the Type to identify which ingestion and a Timestamp for the last time it was updated. + +Produces: +- application/json + +Schemes: http, https + +Security: + + bearer_token: + +Responses: + + 200: AttributionFileStatusResponse + 404: notFoundResponse +*/ +func (a ApiV3) AttributionStatus(w http.ResponseWriter, r *http.Request) { + a.handler.AttributionStatus(w, r) +} + +/* +swagger:route GET /api/v3/metadata metadatav3 metadata + +# Get metadata + +Returns metadata about the API. + +Produces: +- application/fhir+json + +Schemes: http, https + +Responses: + + 200: MetadataResponse +*/ +func (a ApiV3) Metadata(w http.ResponseWriter, r *http.Request) { + dt := time.Now() + bbServer := conf.GetEnv("BB_SERVER_LOCATION") + + scheme := "http" + if servicemux.IsHTTPS(r) { + scheme = "https" + } + baseURL := fmt.Sprintf("%s://%s", scheme, r.Host) + + statement := &r4.CapabilityStatement{ + ResourceType: "CapabilityStatement", + Status: r4.PublicationStatusActive, + Date: dt.UTC().Format("2006-01-02T15:04:05Z"), + Publisher: constants.PublisherName, + Kind: r4.CapabilityStatementKindInstance, + Instantiates: []string{ + bbServer + "/v3/fhir/metadata", + "http://hl7.org/fhir/uv/bulkdata/CapabilityStatement/bulk-data", + }, + Software: r4.Software{ + Name: constants.SoftwareName, + Version: constants.Version, + ReleaseDate: dt.UTC().Format("2006-01-02T15:04:05Z"), + }, + Implementation: r4.Implementation{ + Description: constants.SoftwareDescription, + Url: baseURL, + }, + FhirVersion: "4.0.1", + Format: []string{ + constants.JsonContentType, + constants.FHIRJsonContentType, + }, + Rest: []r4.CapabilityStatementRest{ + { + Mode: r4.RestfulCapabilityModeServer, + Security: &r4.Security{ + Cors: true, + Service: []r4.CodeableConcept{ + { + Coding: []r4.Coding{ + { + Display: "OAuth", + Code: "OAuth", + System: constants.RestfulSecurityServiceSystem, + }, + }, + Text: "OAuth", + }, + }, + Extension: []r4.Extension{ + { + Url: constants.SmartOAuthURIsExtensionURL, + Extension: []r4.Extension{ + { + Url: "token", + ValueUri: baseURL + "/auth/token", + }, + }, + }, + }, + }, + Interaction: []r4.Interaction{ + { + Code: r4.SystemRestfulInteractionBatch, + }, + { + Code: r4.SystemRestfulInteractionSearchSystem, + }, + }, + Resource: []r4.RestResource{ + { + Type: r4.ResourceTypeCodePatient, + Operation: []r4.RestOperation{ + { + Name: "export", + Definition: "http://hl7.org/fhir/uv/bulkdata/OperationDefinition/patient-export", + Documentation: "By default, the patient $export will return ExplanationOfBenefit resources with a meta.tag with a system of '" + constants.BFDSystemTypeURL + "' and code of either NationalClaimsHistory or DDPS. In order to return ExplanationOfBenefit resources with other system types (like SharedSystem), use the _typeFilter parameter.", + }, + }, + SearchParam: []r4.SearchParam{ + restResourceSearchParam("_since", r4.SearchParamTypeDate, "Return resources updated after the date provided for existing and newly attributed enrollees."), + restResourceSearchParam("_type", r4.SearchParamTypeString, "Comma-delimited list of FHIR resource types to include in the export. By default, all supported resource types are returned."), + restResourceSearchParam("_typeFilter", r4.SearchParamTypeString, "Use a URL-encoded FHIR subquery to further-refine patient export results."), + }, + }, + { + Type: r4.ResourceTypeCodeGroup, + Operation: []r4.RestOperation{ + { + Name: "export", + Definition: "http://hl7.org/fhir/uv/bulkdata/OperationDefinition/group-export", + Documentation: "By default, the group $export will return ExplanationOfBenefit resources with a meta.tag with a system of '" + constants.BFDSystemTypeURL + "' and code of either NationalClaimsHistory or DDPS. In order to return ExplanationOfBenefit resources with other system types (like SharedSystem), use the _typeFilter parameter.", + }, + }, + SearchParam: []r4.SearchParam{ + restResourceSearchParam("_since", r4.SearchParamTypeDate, "Return resources updated after the date provided for existing enrollees and all resources for newly attributed enrollees."), + restResourceSearchParam("_type", r4.SearchParamTypeString, "Comma-delimited list of FHIR resource types to include in the export. By default, all supported resource types are returned."), + restResourceSearchParam("_typeFilter", r4.SearchParamTypeString, "Use a URL-encoded FHIR subquery to further-refine group export results."), + }, + }, + { + Type: r4.ResourceTypeCodeExplanationOfBenefit, + SearchParam: []r4.SearchParam{ + restResourceSearchParam(string(fhir.TypeFilterParamTag), r4.SearchParamTypeToken, "Filter ExplanationOfBenefit by the meta.tag element. Pass full token as |. Supported codes in the '"+constants.BFDSystemTypeURL+"' system are: 'SharedSystem', 'NationalClaimsHistory', and 'DDPS'. By Default, only NationalClaimsHistory and DDPS claims will be returned."), + restResourceSearchParam(string(fhir.TypeFilterParamOutcome), r4.SearchParamTypeToken, "Filter ExplanationOfBenefit by the outcome element. Supported values: 'partial' and 'complete'."), + restResourceSearchParam(string(fhir.TypeFilterParamServiceDate), r4.SearchParamTypeDate, "Filter ExplanationOfBenefit based on the claim's service date. The service date is the date that the care occurred within a billable period. This is a FHIR date param format (ex. `gt2026-01-14`)"), + }, + }, + }, + }, + }, + } + + b, err := json.Marshal(statement) + if err != nil { + log.API.WithField("resp_status", http.StatusInternalServerError).Errorf("Failed to marshal Capability Statement %s", err.Error()) + http.Error(w, err.Error(), http.StatusInternalServerError) + return + } + + w.Header().Set(constants.ContentType, constants.JsonContentType) + if _, err = w.Write(b); err != nil { // #nosec G705 + log.API.WithField("resp_status", http.StatusInternalServerError).Errorf("Failed to write data %s", err.Error()) + http.Error(w, err.Error(), http.StatusInternalServerError) + } +} + +func restResourceSearchParam(n string, t r4.SearchParamType, d string) r4.SearchParam { + p := r4.SearchParam{ + Name: n, + Type: t, + Documentation: d, + } + + return p +} diff --git a/dev/vendor/bcda-app/bcda/api/v3/api_test.go b/dev/vendor/bcda-app/bcda/api/v3/api_test.go new file mode 100644 index 0000000..6e8a87b --- /dev/null +++ b/dev/vendor/bcda-app/bcda/api/v3/api_test.go @@ -0,0 +1,683 @@ +package v3 + +import ( + "context" + "database/sql" + "encoding/json" + "fmt" + "io" + "net/http" + "net/http/httptest" + "net/url" + "os" + "strings" + "testing" + "time" + + "github.com/CMSgov/bcda-app/bcda/api" + "github.com/CMSgov/bcda-app/bcda/auth" + "github.com/CMSgov/bcda-app/bcda/client" + "github.com/CMSgov/bcda-app/bcda/constants" + "github.com/CMSgov/bcda-app/bcda/database" + "github.com/CMSgov/bcda-app/bcda/fhir/r4" + "github.com/CMSgov/bcda-app/bcda/models" + "github.com/CMSgov/bcda-app/bcda/models/postgres/postgrestest" + "github.com/CMSgov/bcda-app/bcda/service" + "github.com/CMSgov/bcda-app/bcda/testUtils" + "github.com/CMSgov/bcda-app/bcda/utils" + "github.com/CMSgov/bcda-app/bcda/web/middleware" + "github.com/CMSgov/bcda-app/conf" + "github.com/CMSgov/bcda-app/log" + appMiddleware "github.com/CMSgov/bcda-app/middleware" + "github.com/go-chi/chi/v5" + pgxv5Pool "github.com/jackc/pgx/v5/pgxpool" + "github.com/pborman/uuid" + "github.com/sirupsen/logrus" + "github.com/stretchr/testify/assert" + "github.com/stretchr/testify/mock" + "github.com/stretchr/testify/suite" +) + +const ( + expiryHeaderFormat = "2006-01-02 15:04:05.999999999 -0700 MST" +) + +var ( + acoUnderTest = uuid.Parse(constants.LargeACOUUID) +) + +type APITestSuite struct { + suite.Suite + db *sql.DB + pool *pgxv5Pool.Pool + apiV3 *ApiV3 +} + +func (s *APITestSuite) SetupSuite() { + s.db = database.Connect() + s.pool = database.ConnectPool() + s.apiV3 = NewApiV3(s.db, s.pool) + + origDate := conf.GetEnv("CCLF_REF_DATE") + conf.SetEnv(s.T(), "CCLF_REF_DATE", time.Now().Format("060102 15:01:01")) + conf.SetEnv(s.T(), "BB_REQUEST_RETRY_INTERVAL_MS", "10") + origBBCert := conf.GetEnv("BB_CLIENT_CERT_FILE") + conf.SetEnv(s.T(), "BB_CLIENT_CERT_FILE", "../../../shared_files/decrypted/bfd-dev-test-cert.pem") + origBBKey := conf.GetEnv("BB_CLIENT_KEY_FILE") + conf.SetEnv(s.T(), "BB_CLIENT_KEY_FILE", "../../../shared_files/decrypted/bfd-dev-test-key.pem") + + s.T().Cleanup(func() { + conf.SetEnv(s.T(), "CCLF_REF_DATE", origDate) + conf.SetEnv(s.T(), "BB_CLIENT_CERT_FILE", origBBCert) + conf.SetEnv(s.T(), "BB_CLIENT_KEY_FILE", origBBKey) + }) + + // Set up the logger since we're using the real client + client.SetLogger(log.BFDAPI) +} + +func (s *APITestSuite) TearDownTest() { + postgrestest.DeleteJobsByACOID(s.T(), s.db, acoUnderTest) +} + +func TestAPITestSuite(t *testing.T) { + suite.Run(t, new(APITestSuite)) +} + +func (s *APITestSuite) TestJobStatusBadInputs() { + tests := []struct { + name string + jobID string + expFHIRCode r4.IssueTypeCode + expErrCode string + }{ + {"InvalidJobID", "abcd", r4.IssueTypeCodeStructure, "could not parse job id"}, + {"DoesNotExist", "0", r4.IssueTypeCodeNotFound, "Job not found."}, + } + + for _, tt := range tests { + s.T().Run(tt.name, func(t *testing.T) { + req := httptest.NewRequest("GET", fmt.Sprintf("%sjobs/%s", constants.V3Path, tt.jobID), nil) + rr := httptest.NewRecorder() + + rctx := chi.NewRouteContext() + rctx.URLParams.Add("jobID", tt.jobID) + req = req.WithContext(context.WithValue(req.Context(), chi.RouteCtxKey, rctx)) + ad := s.makeContextValues(acoUnderTest) + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + + s.apiV3.JobStatus(rr, req) + + respOO := getOperationOutcome(t, rr.Body.Bytes()) + + assert.Equal(t, r4.IssueSeverityError, respOO.Issue[0].Severity) + assert.Equal(t, tt.expFHIRCode, respOO.Issue[0].Code) + assert.Equal(t, tt.expErrCode, respOO.Issue[0].Diagnostics) + }) + } +} + +func (s *APITestSuite) TestJobStatusNotComplete() { + tests := []struct { + status models.JobStatus + expStatusCode int + }{ + {models.JobStatusPending, http.StatusAccepted}, + {models.JobStatusInProgress, http.StatusAccepted}, + {models.JobStatusFailed, http.StatusInternalServerError}, + {models.JobStatusFailedExpired, http.StatusInternalServerError}, + {models.JobStatusExpired, http.StatusGone}, + {models.JobStatusArchived, http.StatusGone}, + {models.JobStatusCancelled, http.StatusNotFound}, + {models.JobStatusCancelledExpired, http.StatusNotFound}, + } + + for _, tt := range tests { + s.T().Run(string(tt.status), func(t *testing.T) { + j := models.Job{ + ACOID: uuid.Parse("DBBD1CE1-AE24-435C-807D-ED45953077D3"), + RequestURL: constants.V3Path + constants.PatientEOBPath, + Status: tt.status, + } + postgrestest.CreateJobs(t, s.db, &j) + defer postgrestest.DeleteJobByID(t, s.db, j.ID) + + req := s.createJobStatusRequest(acoUnderTest, j.ID) + rr := httptest.NewRecorder() + + s.apiV3.JobStatus(rr, req) + assert.Equal(t, tt.expStatusCode, rr.Code) + switch rr.Code { + case http.StatusAccepted: + assert.Contains(t, rr.Header().Get("X-Progress"), tt.status) + assert.Equal(t, "", rr.Header().Get("Expires")) + case http.StatusInternalServerError: + assert.Contains(t, rr.Body.String(), "Service encountered numerous errors") + case http.StatusGone: + assertExpiryEquals(t, j.UpdatedAt.Add(s.apiV3.handler.JobTimeout), rr.Header().Get("Expires")) + } + }) + } +} + +// TODO: V3 +// Some of the JobStatus tests seem to rely on existing non-cleaned up state. +// They are failing when run as part of the whole unit-test suite however succeed when run independently. +// These tests also cause failures in api/v2 tests when run as part of the whole suite. + +// https://stackoverflow.com/questions/34585957/postgresql-9-3-how-to-insert-upper-case-uuid-into-table +func (s *APITestSuite) TestJobStatusCompleted() { + j := models.Job{ + ACOID: acoUnderTest, + RequestURL: constants.V3Path + constants.PatientEOBPath, + Status: models.JobStatusCompleted, + } + postgrestest.CreateJobs(s.T(), s.db, &j) + defer postgrestest.DeleteJobByID(s.T(), s.db, j.ID) + + var expectedUrls []string + for i := 1; i <= 10; i++ { + fileName := fmt.Sprintf("%s.ndjson", uuid.NewRandom().String()) + expectedurl := fmt.Sprintf("%s/%s/%s", constants.ExpectedTestUrl, fmt.Sprint(j.ID), fileName) + expectedUrls = append(expectedUrls, expectedurl) + postgrestest.CreateJobKeys(s.T(), s.db, + models.JobKey{JobID: j.ID, FileName: fileName, ResourceType: "ExplanationOfBenefit"}) + defer postgrestest.DeleteJobKeysByJobIDs(s.T(), s.db, j.ID) + } + + req := s.createJobStatusRequest(acoUnderTest, j.ID) + rr := httptest.NewRecorder() + + s.apiV3.JobStatus(rr, req) + + assert.Equal(s.T(), http.StatusOK, rr.Code) + assert.Equal(s.T(), constants.JsonContentType, rr.Header().Get(constants.ContentType)) + str := rr.Header().Get("Expires") + fmt.Println(str) + assertExpiryEquals(s.T(), j.UpdatedAt.Add(s.apiV3.handler.JobTimeout), rr.Header().Get("Expires")) + + var rb api.BulkResponseBody + err := json.Unmarshal(rr.Body.Bytes(), &rb) + if err != nil { + s.T().Error(err) + } + + assert.Equal(s.T(), j.RequestURL, rb.RequestURL) + assert.Equal(s.T(), true, rb.RequiresAccessToken) + assert.Equal(s.T(), "ExplanationOfBenefit", rb.Files[0].Type) + assert.Equal(s.T(), len(expectedUrls), len(rb.Files)) + // Order of these values is impossible to know so this is the only way + for _, fileItem := range rb.Files { + inOutput := false + for _, expectedUrl := range expectedUrls { + if fileItem.URL == expectedUrl { + inOutput = true + break + } + } + assert.True(s.T(), inOutput) + + } + assert.Empty(s.T(), rb.Errors) +} + +func (s *APITestSuite) TestJobStatusCompletedErrorAndWarningFilesExist() { + j := models.Job{ + ACOID: acoUnderTest, + RequestURL: constants.V3Path + constants.PatientEOBPath, + Status: models.JobStatusCompleted, + } + postgrestest.CreateJobs(s.T(), s.db, &j) + defer postgrestest.DeleteJobByID(s.T(), s.db, j.ID) + + fileName := fmt.Sprintf("%s.ndjson", uuid.NewRandom().String()) + jobKey := models.JobKey{ + JobID: j.ID, + FileName: fileName, + ResourceType: "ExplanationOfBenefit", + } + postgrestest.CreateJobKeys(s.T(), s.db, jobKey) + defer postgrestest.DeleteJobKeysByJobIDs(s.T(), s.db, jobKey.JobID) + + f := fmt.Sprintf("%s/%s", conf.GetEnv("FHIR_PAYLOAD_DIR"), fmt.Sprint(j.ID)) + if _, err := os.Stat(f); os.IsNotExist(err) { + err = os.MkdirAll(f, os.ModePerm) + if err != nil { + s.T().Error(err) + } + } + + errFileName := strings.Split(jobKey.FileName, ".")[0] + errFilePath := fmt.Sprintf("%s/%s/%s-error.ndjson", conf.GetEnv("FHIR_PAYLOAD_DIR"), fmt.Sprint(j.ID), errFileName) + _, err := os.Create(errFilePath) + if err != nil { + s.T().Error(err) + } + + warningFilePath := fmt.Sprintf("%s/%s/%s", conf.GetEnv("FHIR_PAYLOAD_DIR"), fmt.Sprint(j.ID), constants.WarningsAndInfoFileName) + _, err = os.Create(warningFilePath) + if err != nil { + s.T().Error(err) + } + postgrestest.CreateJobKeys(s.T(), s.db, models.JobKey{ + JobID: 11, + FileName: constants.WarningsAndInfoFileName, + ResourceType: "OperationOutcome", + }) + defer postgrestest.DeleteJobKeysByJobIDs(s.T(), s.db, 11) + + req := s.createJobStatusRequest(acoUnderTest, j.ID) + rr := httptest.NewRecorder() + + s.apiV3.JobStatus(rr, req) + + assert.Equal(s.T(), http.StatusOK, rr.Code) + assert.Equal(s.T(), constants.JsonContentType, rr.Header().Get(constants.ContentType)) + + var rb api.BulkResponseBody + err = json.Unmarshal(rr.Body.Bytes(), &rb) + if err != nil { + s.T().Error(err) + } + + dataurl := fmt.Sprintf("%s/%s/%s", constants.ExpectedTestUrl, fmt.Sprint(j.ID), fileName) + errorurl := fmt.Sprintf("%s/%s/%s-error.ndjson", constants.ExpectedTestUrl, fmt.Sprint(j.ID), errFileName) + warningURL := fmt.Sprintf("%s/%s/%s", constants.ExpectedTestUrl, fmt.Sprint(j.ID), constants.WarningsAndInfoFileName) + + assert.Equal(s.T(), j.RequestURL, rb.RequestURL) + assert.Equal(s.T(), true, rb.RequiresAccessToken) + assert.Equal(s.T(), "ExplanationOfBenefit", rb.Files[0].Type) + assert.Equal(s.T(), dataurl, rb.Files[0].URL) + for _, file := range rb.Files { + assert.NotContains(s.T(), file.URL, "-error.ndjson") + } + assert.Equal(s.T(), "OperationOutcome", rb.Errors[0].Type) + assert.Equal(s.T(), warningURL, rb.Errors[0].URL) + assert.Equal(s.T(), "OperationOutcome", rb.Errors[1].Type) + assert.Equal(s.T(), errorurl, rb.Errors[1].URL) + assert.Equal(s.T(), 2, len(rb.Errors)) + + os.Remove(errFilePath) +} + +// This job is old, but has not yet been marked as expired. +func (s *APITestSuite) TestJobStatusNotExpired() { + j := models.Job{ + ACOID: acoUnderTest, + RequestURL: constants.V3Path + constants.PatientEOBPath, + Status: models.JobStatusCompleted, + } + postgrestest.CreateJobs(s.T(), s.db, &j) + defer postgrestest.DeleteJobByID(s.T(), s.db, j.ID) + + j.UpdatedAt = time.Now().Add(-(s.apiV3.handler.JobTimeout + time.Second)) + postgrestest.UpdateJob(s.T(), s.db, j) + + req := s.createJobStatusRequest(acoUnderTest, j.ID) + rr := httptest.NewRecorder() + + s.apiV3.JobStatus(rr, req) + + assert.Equal(s.T(), http.StatusGone, rr.Code) + assertExpiryEquals(s.T(), j.UpdatedAt.Add(s.apiV3.handler.JobTimeout), rr.Header().Get("Expires")) +} + +func (s *APITestSuite) TestJobsStatus() { + req := httptest.NewRequest("GET", fmt.Sprintf("%sjobs", constants.V3Path), nil) + ad := s.makeContextValues(acoUnderTest) + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + rr := httptest.NewRecorder() + + j := models.Job{ + ACOID: acoUnderTest, + RequestURL: fmt.Sprintf("%sPatient/$export?_type=ExplanationOfBenefit", constants.V3Path), + Status: models.JobStatusCompleted, + } + postgrestest.CreateJobs(s.T(), s.db, &j) + defer postgrestest.DeleteJobByID(s.T(), s.db, j.ID) + + s.apiV3.JobsStatus(rr, req) + assert.Equal(s.T(), http.StatusOK, rr.Code) +} + +func (s *APITestSuite) TestJobsStatusNotFound() { + req := httptest.NewRequest("GET", fmt.Sprintf("%sjobs", constants.V3Path), nil) + ad := s.makeContextValues(acoUnderTest) + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + rr := httptest.NewRecorder() + + s.apiV3.JobsStatus(rr, req) + assert.Equal(s.T(), http.StatusNotFound, rr.Code) +} + +func (s *APITestSuite) TestJobsStatusNotFoundWithStatus() { + req := httptest.NewRequest("GET", fmt.Sprintf("%sjobs?_status=Failed", constants.V3Path), nil) + ad := s.makeContextValues(acoUnderTest) + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + rr := httptest.NewRecorder() + + j := models.Job{ + ACOID: acoUnderTest, + RequestURL: fmt.Sprintf("%sPatient/$export?_type=ExplanationOfBenefit", constants.V3Path), + Status: models.JobStatusCompleted, + } + postgrestest.CreateJobs(s.T(), s.db, &j) + defer postgrestest.DeleteJobByID(s.T(), s.db, j.ID) + + s.apiV3.JobsStatus(rr, req) + assert.Equal(s.T(), http.StatusNotFound, rr.Code) +} + +func (s *APITestSuite) TestJobsStatusWithStatus() { + req := httptest.NewRequest("GET", fmt.Sprintf("%sjobs?_status=Failed", constants.V3Path), nil) + ad := s.makeContextValues(acoUnderTest) + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + rr := httptest.NewRecorder() + + j := models.Job{ + ACOID: acoUnderTest, + RequestURL: fmt.Sprintf("%sPatient/$export?_type=ExplanationOfBenefit", constants.V3Path), + Status: models.JobStatusFailed, + } + postgrestest.CreateJobs(s.T(), s.db, &j) + defer postgrestest.DeleteJobByID(s.T(), s.db, j.ID) + + s.apiV3.JobsStatus(rr, req) + assert.Equal(s.T(), http.StatusOK, rr.Code) +} + +func (s *APITestSuite) TestJobsStatusWithStatuses() { + req := httptest.NewRequest("GET", fmt.Sprintf("%sjobs?_status=Completed,Failed", constants.V3Path), nil) + ad := s.makeContextValues(acoUnderTest) + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + rr := httptest.NewRecorder() + + j := models.Job{ + ACOID: acoUnderTest, + RequestURL: fmt.Sprintf("%sPatient/$export?_type=ExplanationOfBenefit", constants.V3Path), + Status: models.JobStatusFailed, + } + postgrestest.CreateJobs(s.T(), s.db, &j) + defer postgrestest.DeleteJobByID(s.T(), s.db, j.ID) + + s.apiV3.JobsStatus(rr, req) + assert.Equal(s.T(), http.StatusOK, rr.Code) +} + +func (s *APITestSuite) TestDeleteJobBadInputs() { + tests := []struct { + name string + jobID string + expFHIRCode r4.IssueTypeCode + expErrCode string + }{ + {"InvalidJobID", "abcd", r4.IssueTypeCodeStructure, "could not parse job id"}, + {"DoesNotExist", "0", r4.IssueTypeCodeNotFound, "Job not found."}, + } + + for _, tt := range tests { + s.T().Run(tt.name, func(t *testing.T) { + req := httptest.NewRequest("DELETE", fmt.Sprintf("%sjobs/%s", constants.V3Path, tt.jobID), nil) + rr := httptest.NewRecorder() + + rctx := chi.NewRouteContext() + rctx.URLParams.Add("jobID", tt.jobID) + req = req.WithContext(context.WithValue(req.Context(), chi.RouteCtxKey, rctx)) + ad := s.makeContextValues(acoUnderTest) + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + s.apiV3.JobStatus(rr, req) + + respOO := getOperationOutcome(t, rr.Body.Bytes()) + + assert.Equal(t, r4.IssueSeverityError, respOO.Issue[0].Severity) + assert.Equal(t, tt.expFHIRCode, respOO.Issue[0].Code) + assert.Equal(t, tt.expErrCode, respOO.Issue[0].Diagnostics) + }) + } +} + +func (s *APITestSuite) TestDeleteJob() { + tests := []struct { + status models.JobStatus + expStatusCode int + }{ + {models.JobStatusPending, http.StatusAccepted}, + {models.JobStatusInProgress, http.StatusAccepted}, + {models.JobStatusFailed, http.StatusGone}, + {models.JobStatusExpired, http.StatusGone}, + {models.JobStatusArchived, http.StatusGone}, + {models.JobStatusCompleted, http.StatusAccepted}, + {models.JobStatusCancelled, http.StatusGone}, + {models.JobStatusFailedExpired, http.StatusGone}, + } + + for _, tt := range tests { + s.T().Run(string(tt.status), func(t *testing.T) { + j := models.Job{ + ACOID: uuid.Parse("DBBD1CE1-AE24-435C-807D-ED45953077D3"), + RequestURL: fmt.Sprintf("%sPatient/$export?_type=Patient,Coverage", constants.V3Path), + Status: tt.status, + } + postgrestest.CreateJobs(t, s.db, &j) + defer postgrestest.DeleteJobByID(t, s.db, j.ID) + + req := s.createJobStatusRequest(acoUnderTest, j.ID) + rr := httptest.NewRecorder() + + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + + s.apiV3.DeleteJob(rr, req) + assert.Equal(t, tt.expStatusCode, rr.Code) + if rr.Code == http.StatusGone { + assert.Contains(t, rr.Body.String(), "job was not cancelled because it is not Pending or In Progress") + } + }) + } +} +func (s *APITestSuite) TestMetadataResponse() { + ts := httptest.NewServer(http.HandlerFunc(s.apiV3.Metadata)) + defer ts.Close() + + res, err := http.Get(ts.URL) + assert.NoError(s.T(), err) + + assert.Equal(s.T(), "application/json", res.Header.Get(constants.ContentType)) + assert.Equal(s.T(), http.StatusOK, res.StatusCode) + + resp, err := io.ReadAll(res.Body) + assert.NoError(s.T(), err) + + var cs r4.CapabilityStatement + assert.NoError(s.T(), json.Unmarshal(resp, &cs)) + + // Expecting an R4 response so we'll evaluate some fields to reflect that + assert.Equal(s.T(), "4.0.1", cs.FhirVersion) + assert.Equal(s.T(), 1, len(cs.Rest)) + assert.Equal(s.T(), 3, len(cs.Rest[0].Resource)) + assert.Len(s.T(), cs.Instantiates, 2) + assert.Contains(s.T(), cs.Instantiates[0], fmt.Sprintf("%s/metadata", constants.BFDV3Path)) + resourceData := []struct { + rt r4.ResourceTypeCode + opName string + opDefinition string + }{ + {r4.ResourceTypeCodePatient, "export", "http://hl7.org/fhir/uv/bulkdata/OperationDefinition/patient-export"}, + {r4.ResourceTypeCodeGroup, "export", "http://hl7.org/fhir/uv/bulkdata/OperationDefinition/group-export"}, + } + + for _, rd := range resourceData { + for _, r := range cs.Rest[0].Resource { + if r.Type == rd.rt { + assert.NotNil(s.T(), r) + assert.Equal(s.T(), 1, len(r.Operation)) + assert.Equal(s.T(), rd.opName, r.Operation[0].Name) + assert.Equal(s.T(), rd.opDefinition, r.Operation[0].Definition) + break + } + } + } + + extensions := cs.Rest[0].Security.Extension + assert.Len(s.T(), extensions, 1) + assert.Equal(s.T(), "http://fhir-registry.smarthealthit.org/StructureDefinition/oauth-uris", extensions[0].Url) + + subExtensions := extensions[0].Extension + assert.Len(s.T(), subExtensions, 1) + assert.Equal(s.T(), "token", subExtensions[0].Url) + assert.Equal(s.T(), ts.URL+"/auth/token", subExtensions[0].ValueUri) +} + +func (s *APITestSuite) TestResourceTypes() { + tests := []struct { + name string + resourceTypes []string + statusCode int + }{ + {"Supported type - Patient", []string{"Patient"}, http.StatusAccepted}, + {"Supported type - Coverage", []string{"Coverage"}, http.StatusAccepted}, + {"Supported type - Patient,Coverage", []string{"Patient", "Coverage"}, http.StatusAccepted}, + {"Supported type - EOB", []string{"ExplanationOfBenefit"}, http.StatusAccepted}, + {"Supported type - default", nil, http.StatusAccepted}, + } + + resources, _ := service.GetClaimTypesMap([]string{ + "Patient", + "Coverage", + "ExplanationOfBenefit", + }...) + + h := api.NewHandler(resources, constants.BFDV3Path, constants.V3Version, s.db, s.pool) + mockSvc := &service.MockService{} + + mockSvc.On("GetLatestCCLFFile", mock.Anything, mock.Anything, mock.Anything, mock.Anything, mock.Anything).Return(&models.CCLFFile{PerformanceYear: utils.GetPY()}, nil) + mockAco := service.ACOConfig{ + Data: []string{"adjudicated"}, + } + mockSvc.On("GetACOConfigForID", mock.Anything, mock.Anything, mock.Anything, mock.Anything, mock.Anything, mock.Anything).Return(&mockAco, true) + mockSvc.On("GetTimeConstraints", testUtils.CtxMatcher, mock.AnythingOfType("string")).Return(service.TimeConstraints{}, nil) + mockSvc.On("GetCutoffTime", testUtils.CtxMatcher, mock.Anything, mock.Anything, mock.Anything, mock.Anything).Return(time.Time{}, constants.GetExistingBenes) + mockSvc.On("IsV3NoPartialClaimsModel", mock.Anything).Return(false) + h.Svc = mockSvc + + for idx, handler := range []http.HandlerFunc{h.BulkGroupRequest, h.BulkPatientRequest} { + for _, tt := range tests { + s.T().Run(fmt.Sprintf("%s-%d", tt.name, idx), func(t *testing.T) { + rr := httptest.NewRecorder() + + ep := "Group" + if idx == 1 { + ep = "Patient" + } + + u, err := url.Parse(fmt.Sprintf("%s%s/$export", constants.V3Path, ep)) + assert.NoError(t, err) + + rp := middleware.RequestParameters{ + Version: constants.V3Version, + ResourceTypes: tt.resourceTypes, + } + + req := httptest.NewRequest("GET", u.String(), nil) + rctx := chi.NewRouteContext() + rctx.URLParams.Add("groupId", "all") + req = req.WithContext(context.WithValue(req.Context(), chi.RouteCtxKey, rctx)) + req = req.WithContext(context.WithValue(req.Context(), appMiddleware.CtxTransactionKey, uuid.New())) + ad := s.getAuthData() + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + req = req.WithContext(middleware.SetRequestParamsCtx(req.Context(), rp)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + + handler(rr, req) + assert.Equal(t, tt.statusCode, rr.Code) + assert.Empty(t, rr.Body.String()) + if rr.Code == http.StatusAccepted { + assert.NotEmpty(t, rr.Header().Get("Content-Location")) + } + }) + } + } +} + +func (s *APITestSuite) TestGetAttributionStatus() { + req := httptest.NewRequest("GET", fmt.Sprintf("%sattribution_status", constants.V3Path), nil) + ad := s.makeContextValues(acoUnderTest) + req = req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + rr := httptest.NewRecorder() + + s.apiV3.AttributionStatus(rr, req) + assert.Equal(s.T(), http.StatusOK, rr.Code) + + var resp api.AttributionFileStatusResponse + err := json.Unmarshal(rr.Body.Bytes(), &resp) + assert.NoError(s.T(), err) + + aco := postgrestest.GetACOByUUID(s.T(), s.db, acoUnderTest) + cclfFile := postgrestest.GetLatestCCLFFileByCMSIDAndType(s.T(), s.db, *aco.CMSID, models.FileTypeDefault) + + assert.Equal(s.T(), "last_attribution_update", resp.IngestionDates[0].Type) + assert.Equal(s.T(), cclfFile.Timestamp.Format("2006-01-02 15:04:05"), resp.IngestionDates[0].Timestamp.Format("2006-01-02 15:04:05")) + assert.Equal(s.T(), "attribution_access_expiration", resp.ExpirationDates[0].Type) +} + +func (s *APITestSuite) getAuthData() (data auth.AuthData) { + aco := postgrestest.GetACOByUUID(s.T(), s.db, acoUnderTest) + return auth.AuthData{ACOID: acoUnderTest.String(), CMSID: *aco.CMSID, TokenID: uuid.NewRandom().String()} +} + +func (s *APITestSuite) makeContextValues(acoID uuid.UUID) (data auth.AuthData) { + aco := postgrestest.GetACOByUUID(s.T(), s.db, acoID) + return auth.AuthData{ACOID: aco.UUID.String(), CMSID: *aco.CMSID, TokenID: uuid.NewRandom().String()} +} + +func (s *APITestSuite) createJobStatusRequest(acoID uuid.UUID, jobID uint) *http.Request { + req := httptest.NewRequest("GET", fmt.Sprintf("%sjobs/%d", constants.V3Path, jobID), nil) + rctx := chi.NewRouteContext() + rctx.URLParams.Add("jobID", fmt.Sprint(jobID)) + req = req.WithContext(context.WithValue(req.Context(), chi.RouteCtxKey, rctx)) + ad := s.makeContextValues(acoID) + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"cms_id": "A9999", "request_id": uuid.NewRandom().String()}) + req = req.WithContext(context.WithValue(req.Context(), log.CtxLoggerKey, newLogEntry)) + return req.WithContext(context.WithValue(req.Context(), auth.AuthDataContextKey, ad)) +} + +// Compare expiry header against the expected time value. +// There seems to be some slight difference in precision here, +// so we'll compare up to seconds +func assertExpiryEquals(t *testing.T, expectedTime time.Time, expiry string) { + expiryTime, err := time.Parse(expiryHeaderFormat, expiry) + if err != nil { + t.Fatalf("Failed to parse %s to time.Time %s", expiry, err) + } + + assert.Equal(t, time.Duration(0), expectedTime.Round(time.Second).Sub(expiryTime.Round(time.Second))) +} + +func getOperationOutcome(t *testing.T, data []byte) *r4.OperationOutcome { + var outcome r4.OperationOutcome + assert.NoError(t, json.Unmarshal(data, &outcome)) + return &outcome +} + +func MakeTestStructuredLoggerEntry(logFields logrus.Fields) *log.StructuredLoggerEntry { + var lggr logrus.Logger + newLogEntry := &log.StructuredLoggerEntry{Logger: lggr.WithFields(logFields)} + return newLogEntry +} diff --git a/dev/vendor/bcda-app/bcda/responseutils/v3/writer.go b/dev/vendor/bcda-app/bcda/responseutils/v3/writer.go new file mode 100644 index 0000000..a7420b7 --- /dev/null +++ b/dev/vendor/bcda-app/bcda/responseutils/v3/writer.go @@ -0,0 +1,177 @@ +package responseutils + +import ( + "context" + "encoding/json" + "fmt" + "io" + "net/http" + + "github.com/CMSgov/bcda-app/bcda/constants" + "github.com/CMSgov/bcda-app/bcda/fhir/r4" + "github.com/CMSgov/bcda-app/bcda/models" + "github.com/CMSgov/bcda-app/log" + "github.com/ccoveille/go-safecast" +) + +type FhirResponseWriter struct{} + +func NewFhirResponseWriter() FhirResponseWriter { + return FhirResponseWriter{} +} + +func (r FhirResponseWriter) Success(ctx context.Context, w http.ResponseWriter, statusCode int, errType, msg string) { + oo := r.CreateOpOutcome(r4.IssueSeverityInformation, r4.IssueTypeCodeInformational, errType, msg) + r.WriteError(ctx, oo, w, statusCode) +} + +func (r FhirResponseWriter) Exception(ctx context.Context, w http.ResponseWriter, statusCode int, errType, errMsg string) { + oo := r.CreateOpOutcome(r4.IssueSeverityError, r4.IssueTypeCodeException, errType, errMsg) + r.WriteError(ctx, oo, w, statusCode) +} + +func (r FhirResponseWriter) NotFound(ctx context.Context, w http.ResponseWriter, statusCode int, errType, errMsg string) { + oo := r.CreateOpOutcome(r4.IssueSeverityError, r4.IssueTypeCodeNotFound, errType, errMsg) + r.WriteError(ctx, oo, w, statusCode) +} + +func (r FhirResponseWriter) OpOutcome(ctx context.Context, w http.ResponseWriter, statusCode int, errType, errMsg string) { + respStatusToFHIRStatusMap := map[int]r4.IssueTypeCode{ + 400: r4.IssueTypeCodeStructure, + 401: r4.IssueTypeCodeForbidden, + 403: r4.IssueTypeCodeForbidden, + 410: r4.IssueTypeCodeNotFound, + } + oo := r.CreateOpOutcome(r4.IssueSeverityError, respStatusToFHIRStatusMap[statusCode], errType, errMsg) + r.WriteError(ctx, oo, w, statusCode) +} + +func (r FhirResponseWriter) JobsBundle(ctx context.Context, w http.ResponseWriter, jobs []*models.Job, host string) { + jb := r.CreateJobsBundle(jobs, host) + r.WriteBundleResponse(jb, w) +} + +func (r FhirResponseWriter) CreateJobsBundle(jobs []*models.Job, host string) *r4.Bundle { + var entries []r4.BundleEntry + + // generate bundle task entries + for _, job := range jobs { + entry := r.CreateJobsBundleEntry(job, host) + entries = append(entries, *entry) + } + + jobLength, err := safecast.ToUint32(len(jobs)) + if err != nil { + log.API.Errorln(err) + } + + return &r4.Bundle{ + ResourceType: "Bundle", + Type: "searchset", + Total: jobLength, + Entry: entries, + } +} + +func (r FhirResponseWriter) CreateJobsBundleEntry(job *models.Job, host string) *r4.BundleEntry { + fhirStatusCode := r.GetFhirStatusCode(job.Status) + + return &r4.BundleEntry{ + Resource: &r4.Task{ + ResourceType: "Task", + Identifier: []r4.Identifier{ + { + Use: "official", + System: host + "/api/v3/jobs", + Value: fmt.Sprint(job.ID), + }, + }, + Status: r4.TaskStatus(fhirStatusCode), + Intent: r4.TaskIntentOrder, + Input: []r4.Parameter{ + { + Type: r4.CodeableConcept{ + Text: "BULK FHIR Export", + }, + Value: "GET " + job.RequestURL, + }, + }, + ExecutionPeriod: r4.Period{ + Start: job.CreatedAt.UTC().Format("2006-01-02T15:04:05Z"), + End: job.UpdatedAt.UTC().Format("2006-01-02T15:04:05Z"), + }, + }, + } +} + +func (r FhirResponseWriter) GetFhirStatusCode(status models.JobStatus) r4.TaskStatus { + switch status { + case models.JobStatusFailed, models.JobStatusFailedExpired: + return r4.TaskStatusFailed + case models.JobStatusPending: + return r4.TaskStatusAccepted + case models.JobStatusInProgress: + return r4.TaskStatusInProgress + case models.JobStatusCompleted: + return r4.TaskStatusCompleted + case models.JobStatusArchived, models.JobStatusExpired: + return r4.TaskStatusCompleted // fhir task status does not have an equivalent to `expired` or `archived` + case models.JobStatusCancelled, models.JobStatusCancelledExpired: + return r4.TaskStatusCancelled + } + return "" +} + +func (r FhirResponseWriter) CreateOpOutcome(severity r4.IssueSeverityCode, code r4.IssueTypeCode, errType, diagnostics string) *r4.OperationOutcome { + return &r4.OperationOutcome{ + ResourceType: "OperationOutcome", + Issue: []r4.Issue{ + { + Severity: severity, + Code: code, + Diagnostics: diagnostics, + Details: &r4.CodeableConcept{ + // Coding is intentionally omitted for v3 to conform with FHIR base profile + Text: diagnostics, + }, + }, + }, + } +} + +func (r FhirResponseWriter) WriteError(ctx context.Context, outcome *r4.OperationOutcome, w http.ResponseWriter, code int) { + logger := log.GetCtxLogger(ctx) + w.Header().Set(constants.ContentType, constants.FHIRJsonContentType) + w.WriteHeader(code) + _, err := r.WriteOperationOutcome(w, outcome) + if err != nil { + logger.WithField("resp_status", http.StatusInternalServerError).Error(err) + http.Error(w, err.Error(), http.StatusInternalServerError) + } +} + +func (r FhirResponseWriter) WriteOperationOutcome(w io.Writer, outcome *r4.OperationOutcome) (int, error) { + outcomeJSON, err := json.Marshal(outcome) + if err != nil { + return -1, err + } + return w.Write(outcomeJSON) +} + +func (r FhirResponseWriter) WriteBundleResponse(bundle *r4.Bundle, w http.ResponseWriter) { + bundleJSON, err := json.Marshal(bundle) + if err != nil { + log.API.WithField("resp_status", http.StatusInternalServerError).Error(err) + http.Error(w, err.Error(), http.StatusInternalServerError) + return + } + + w.Header().Set(constants.ContentType, constants.JsonContentType) + w.WriteHeader(http.StatusOK) + _, err = w.Write(bundleJSON) + if err != nil { + log.API.WithField("resp_status", http.StatusInternalServerError).Error(err) + http.Error(w, err.Error(), http.StatusInternalServerError) + return + } +} diff --git a/dev/vendor/bcda-app/bcda/responseutils/v3/writer_test.go b/dev/vendor/bcda-app/bcda/responseutils/v3/writer_test.go new file mode 100644 index 0000000..390b251 --- /dev/null +++ b/dev/vendor/bcda-app/bcda/responseutils/v3/writer_test.go @@ -0,0 +1,236 @@ +package responseutils + +import ( + "context" + "encoding/json" + "fmt" + "net/http" + "net/http/httptest" + "testing" + "time" + + "github.com/CMSgov/bcda-app/bcda/constants" + "github.com/CMSgov/bcda-app/bcda/fhir/r4" + "github.com/CMSgov/bcda-app/bcda/models" + responseutils "github.com/CMSgov/bcda-app/bcda/responseutils" + "github.com/CMSgov/bcda-app/log" + "github.com/ccoveille/go-safecast" + "github.com/pborman/uuid" + "github.com/sirupsen/logrus" + "github.com/stretchr/testify/assert" + "github.com/stretchr/testify/suite" +) + +type ResponseUtilsWriterTestSuite struct { + suite.Suite + rr *httptest.ResponseRecorder +} + +func (s *ResponseUtilsWriterTestSuite) SetupTest() { + s.rr = httptest.NewRecorder() +} + +func TestResponseUtilsWriterTestSuite(t *testing.T) { + suite.Run(t, new(ResponseUtilsWriterTestSuite)) +} + +func (s *ResponseUtilsWriterTestSuite) TestResponseWriterException() { + rw := NewFhirResponseWriter() + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"foo": "bar"}) + ctx := context.WithValue(context.Background(), log.CtxLoggerKey, newLogEntry) + rw.Exception(ctx, s.rr, http.StatusAccepted, responseutils.RequestErr, "TestResponseWriterExcepton") + + var respOO r4.OperationOutcome + err := json.Unmarshal(s.rr.Body.Bytes(), &respOO) + assert.NoError(s.T(), err) + + assert.Equal(s.T(), http.StatusAccepted, s.rr.Code) + assert.Equal(s.T(), r4.IssueSeverityError, respOO.Issue[0].Severity) + assert.Equal(s.T(), r4.IssueTypeCodeException, respOO.Issue[0].Code) + assert.Equal(s.T(), "TestResponseWriterExcepton", respOO.Issue[0].Diagnostics) + assert.Equal(s.T(), constants.FHIRJsonContentType, s.rr.Header().Get("Content-Type")) + // Verify Details.Text exists + assert.NotNil(s.T(), respOO.Issue[0].Details) + assert.Equal(s.T(), "TestResponseWriterExcepton", respOO.Issue[0].Details.Text) + // Verify Details.Coding does not exist (v3 should not include coding) + assert.Nil(s.T(), respOO.Issue[0].Details.Coding) + assert.Empty(s.T(), respOO.Issue[0].Details.Coding) +} + +func (s *ResponseUtilsWriterTestSuite) TestResponseWriterNotFound() { + rw := NewFhirResponseWriter() + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"foo": "bar"}) + ctx := context.WithValue(context.Background(), log.CtxLoggerKey, newLogEntry) + rw.NotFound(ctx, s.rr, http.StatusAccepted, responseutils.RequestErr, "TestResponseWriterNotFound") + + var respOO r4.OperationOutcome + err := json.Unmarshal(s.rr.Body.Bytes(), &respOO) + assert.NoError(s.T(), err) + + assert.Equal(s.T(), http.StatusAccepted, s.rr.Code) + assert.Equal(s.T(), r4.IssueSeverityError, respOO.Issue[0].Severity) + assert.Equal(s.T(), r4.IssueTypeCodeNotFound, respOO.Issue[0].Code) + assert.Equal(s.T(), "TestResponseWriterNotFound", respOO.Issue[0].Diagnostics) + assert.Equal(s.T(), constants.FHIRJsonContentType, s.rr.Header().Get("Content-Type")) + // Verify Details.Text exists + assert.NotNil(s.T(), respOO.Issue[0].Details) + assert.Equal(s.T(), "TestResponseWriterNotFound", respOO.Issue[0].Details.Text) + // Verify Details.Coding does not exist (v3 should not include coding) + assert.Nil(s.T(), respOO.Issue[0].Details.Coding) + assert.Empty(s.T(), respOO.Issue[0].Details.Coding) +} + +func (s *ResponseUtilsWriterTestSuite) TestResponseWriterOpOutcome() { + rw := NewFhirResponseWriter() + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"foo": "bar"}) + ctx := context.WithValue(context.Background(), log.CtxLoggerKey, newLogEntry) + rw.OpOutcome(ctx, s.rr, http.StatusBadRequest, responseutils.RequestErr, "TestResponseWriterExcepton") + + var respOO r4.OperationOutcome + err := json.Unmarshal(s.rr.Body.Bytes(), &respOO) + assert.NoError(s.T(), err) + + assert.Equal(s.T(), http.StatusBadRequest, s.rr.Code) + assert.Equal(s.T(), r4.IssueSeverityError, respOO.Issue[0].Severity) + assert.Equal(s.T(), r4.IssueTypeCodeStructure, respOO.Issue[0].Code) + assert.Equal(s.T(), "TestResponseWriterExcepton", respOO.Issue[0].Diagnostics) + assert.Equal(s.T(), constants.FHIRJsonContentType, s.rr.Header().Get("Content-Type")) + // Verify Details.Text exists + assert.NotNil(s.T(), respOO.Issue[0].Details) + assert.Equal(s.T(), "TestResponseWriterExcepton", respOO.Issue[0].Details.Text) + // Verify Details.Coding does not exist (v3 should not include coding) + assert.Nil(s.T(), respOO.Issue[0].Details.Coding) + assert.Empty(s.T(), respOO.Issue[0].Details.Coding) +} + +func (s *ResponseUtilsWriterTestSuite) TestCreateOpOutcome() { + rw := NewFhirResponseWriter() + oo := rw.CreateOpOutcome(r4.IssueSeverityError, r4.IssueTypeCodeException, responseutils.RequestErr, "TestCreateOpOutcome") + assert.Equal(s.T(), r4.IssueSeverityError, oo.Issue[0].Severity) + assert.Equal(s.T(), r4.IssueTypeCodeException, oo.Issue[0].Code) + assert.Equal(s.T(), "TestCreateOpOutcome", oo.Issue[0].Diagnostics) +} + +func (s *ResponseUtilsWriterTestSuite) TestWriteError() { + rw := NewFhirResponseWriter() + newLogEntry := MakeTestStructuredLoggerEntry(logrus.Fields{"foo": "bar"}) + ctx := context.WithValue(context.Background(), log.CtxLoggerKey, newLogEntry) + oo := rw.CreateOpOutcome(r4.IssueSeverityError, r4.IssueTypeCodeException, responseutils.RequestErr, "TestCreateOpOutcome") + rw.WriteError(ctx, oo, s.rr, http.StatusAccepted) + + var respOO r4.OperationOutcome + err := json.Unmarshal(s.rr.Body.Bytes(), &respOO) + assert.NoError(s.T(), err) + + assert.Equal(s.T(), http.StatusAccepted, s.rr.Code) + assert.Equal(s.T(), r4.IssueSeverityError, respOO.Issue[0].Severity) + assert.Equal(s.T(), oo.Issue[0].Severity, respOO.Issue[0].Severity) + assert.Equal(s.T(), r4.IssueTypeCodeException, respOO.Issue[0].Code) + assert.Equal(s.T(), oo.Issue[0].Code, respOO.Issue[0].Code) + assert.Equal(s.T(), "TestCreateOpOutcome", respOO.Issue[0].Diagnostics) +} + +func (s *ResponseUtilsWriterTestSuite) TestWriteJobsBundle() { + rw := NewFhirResponseWriter() + jobs := []*models.Job{ + { + ID: 1, + ACOID: uuid.NewUUID(), + RequestURL: "https://www.requesturl.com", + Status: models.JobStatusCompleted, + CreatedAt: time.Now().Add(-24 * time.Hour).Truncate(time.Second), + UpdatedAt: time.Now().Truncate(time.Second), + }, + } + jb := rw.CreateJobsBundle(jobs, constants.TestAPIUrl) + rw.WriteBundleResponse(jb, s.rr) + + var bundle r4.Bundle + err := json.Unmarshal(s.rr.Body.Bytes(), &bundle) + assert.NoError(s.T(), err) + + assert.Equal(s.T(), http.StatusOK, s.rr.Code) + u, err := safecast.ToUint32(len(bundle.Entry)) + assert.NoError(s.T(), err) + assert.Equal(s.T(), u, bundle.Total) + assert.Equal(s.T(), "searchset", bundle.Type) + + var task r4.Task + taskBytes, err := json.Marshal(bundle.Entry[0].Resource) + assert.NoError(s.T(), err) + assert.NoError(s.T(), json.Unmarshal(taskBytes, &task)) + + assert.Equal(s.T(), jobs[0].CreatedAt.UTC().Format("2006-01-02T15:04:05Z"), task.ExecutionPeriod.Start) + assert.Equal(s.T(), jobs[0].UpdatedAt.UTC().Format("2006-01-02T15:04:05Z"), task.ExecutionPeriod.End) + assert.Equal(s.T(), "https://www.api.com/api/v3/jobs", task.Identifier[0].System) + assert.Equal(s.T(), "official", task.Identifier[0].Use) + assert.Equal(s.T(), fmt.Sprint(jobs[0].ID), task.Identifier[0].Value) + assert.Equal(s.T(), "BULK FHIR Export", task.Input[0].Type.Text) + assert.Equal(s.T(), "GET "+jobs[0].RequestURL, task.Input[0].Value.(string)) + assert.Equal(s.T(), r4.TaskIntentOrder, task.Intent) + assert.Equal(s.T(), r4.TaskStatusCompleted, task.Status) +} + +func (s *ResponseUtilsWriterTestSuite) TestCreateJobsBundle() { + rw := NewFhirResponseWriter() + jb := rw.CreateJobsBundle(nil, constants.TestAPIUrl) + + assert.Equal(s.T(), uint32(0), jb.Total) + assert.Equal(s.T(), "searchset", jb.Type) +} + +func (s *ResponseUtilsWriterTestSuite) TestCreateJobsBundleEntry() { + rw := NewFhirResponseWriter() + job := models.Job{ + ID: 1, + ACOID: uuid.NewUUID(), + RequestURL: "https://www.requesturl.com", + Status: models.JobStatusCompleted, + CreatedAt: time.Now().Add(-24 * time.Hour).Truncate(time.Second), + UpdatedAt: time.Now().Truncate(time.Second), + } + jbe := rw.CreateJobsBundleEntry(&job, constants.TestAPIUrl).Resource.(*r4.Task) + + assert.Equal(s.T(), job.CreatedAt.UTC().Format("2006-01-02T15:04:05Z"), jbe.ExecutionPeriod.Start) + assert.Equal(s.T(), job.UpdatedAt.UTC().Format("2006-01-02T15:04:05Z"), jbe.ExecutionPeriod.End) + assert.Equal(s.T(), "https://www.api.com/api/v3/jobs", jbe.Identifier[0].System) + assert.Equal(s.T(), "official", jbe.Identifier[0].Use) + assert.Equal(s.T(), fmt.Sprint(job.ID), jbe.Identifier[0].Value) + assert.Equal(s.T(), "BULK FHIR Export", jbe.Input[0].Type.Text) + assert.Equal(s.T(), "GET "+job.RequestURL, jbe.Input[0].Value.(string)) + assert.Equal(s.T(), r4.TaskIntentOrder, jbe.Intent) + assert.Equal(s.T(), r4.TaskStatusCompleted, jbe.Status) +} + +func (s *ResponseUtilsWriterTestSuite) TestGetFhirStatusCode() { + rw := NewFhirResponseWriter() + tests := []struct { + name string + + status models.JobStatus + code r4.TaskStatus + }{ + {"Job Failed returns fhir task status Failed", models.JobStatusFailed, r4.TaskStatusFailed}, + {"Job FailedExpired returns fhir task status Failed", models.JobStatusFailedExpired, r4.TaskStatusFailed}, + {"Job Pending returns fhir task status Accepted", models.JobStatusPending, r4.TaskStatusAccepted}, + {"Job In Progress returns fhir task status In Progress", models.JobStatusInProgress, r4.TaskStatusInProgress}, + {"Job Completed returns fhir task status Completed", models.JobStatusCompleted, r4.TaskStatusCompleted}, + {"Job Archived returns fhir task status Completed", models.JobStatusArchived, r4.TaskStatusCompleted}, + {"Job Expired returns fhir task status Completed", models.JobStatusExpired, r4.TaskStatusCompleted}, + {"Job Cancelled returns fhir task status Cancelled", models.JobStatusCancelled, r4.TaskStatusCancelled}, + {"Job CancelledExpired returns fhir task status Cancelled", models.JobStatusCancelledExpired, r4.TaskStatusCancelled}, + } + + for _, tt := range tests { + s.T().Run(tt.name, func(t *testing.T) { + code := rw.GetFhirStatusCode(tt.status) + assert.Equal(s.T(), tt.code, code) + }) + } +} + +func MakeTestStructuredLoggerEntry(logFields logrus.Fields) *log.StructuredLoggerEntry { + var lggr logrus.Logger + newLogEntry := &log.StructuredLoggerEntry{Logger: lggr.WithFields(logFields)} + return newLogEntry +} diff --git a/dev/vendor/bcda-app/bcda/web/middleware/validation.go b/dev/vendor/bcda-app/bcda/web/middleware/validation.go new file mode 100644 index 0000000..71b500b --- /dev/null +++ b/dev/vendor/bcda-app/bcda/web/middleware/validation.go @@ -0,0 +1,416 @@ +package middleware + +import ( + "context" + "fmt" + "net/http" + "regexp" + "strings" + "time" + + "github.com/CMSgov/bcda-app/bcda/constants" + "github.com/CMSgov/bcda-app/bcda/fhir" + responseutils "github.com/CMSgov/bcda-app/bcda/responseutils" + responseutilsv2 "github.com/CMSgov/bcda-app/bcda/responseutils/v2" + responseutilsv3 "github.com/CMSgov/bcda-app/bcda/responseutils/v3" + "github.com/CMSgov/bcda-app/log" + "github.com/sirupsen/logrus" +) + +var supportedOutputFormats = map[string]struct{}{ + "ndjson": {}, + "application/fhir+ndjson": {}, + "application/ndjson": {}} + +type RequestParameters struct { + Since time.Time + ResourceTypes []string + Version string // e.g. v1, v2 + RequestURL string + TypeFilter fhir.TypeFilterSubquery +} + +// requestkey is an unexported context key to avoid collisions +type requestkey int + +const rk requestkey = 0 + +// TODO: replace this function else where with line 35 +func SetRequestParamsCtx(ctx context.Context, rp RequestParameters) context.Context { + return context.WithValue(ctx, rk, rp) +} + +func GetRequestParamsFromCtx(ctx context.Context) (RequestParameters, bool) { + rp, ok := ctx.Value(rk).(RequestParameters) + return rp, ok +} + +func validateOutputFormat(r *http.Request, rw fhirResponseWriter, w http.ResponseWriter) bool { + ctx := r.Context() + params, ok := r.URL.Query()["_outputFormat"] + if !ok { + return true + } + + if _, found := supportedOutputFormats[params[0]]; !found { + errMsg := fmt.Sprintf("_outputFormat parameter must be one of %v", getKeys(supportedOutputFormats)) + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %s", responseutils.FormatErr, errMsg), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.FormatErr, errMsg) + return false + } + return true +} + +// we do not support "_elements" parameter +func validateElementsParameter(r *http.Request, rw fhirResponseWriter, w http.ResponseWriter) bool { + _, ok := r.URL.Query()["_elements"] + ctx := r.Context() + if !ok { + return true + } + + errMsg := "Invalid parameter: this server does not support the _elements parameter." + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %s", responseutils.RequestErr, errMsg), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, errMsg) + return false +} + +// Check and see if the user has a duplicated the query parameter symbol (?) +// e.g. /api/v1/Patient/$export?_type=ExplanationOfBenefit&?_since=2020-09-13T08:00:00.000-05:00 +func validateQueryParameterFormat(r *http.Request, rw fhirResponseWriter, w http.ResponseWriter) bool { + ctx := r.Context() + + for key := range r.URL.Query() { + if strings.HasPrefix(key, "?") { + errMsg := "Invalid parameter: query parameters cannot start with ?" + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %s", responseutils.FormatErr, errMsg), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.FormatErr, errMsg) + return false + } + } + return true +} + +func validateSinceParameter(r *http.Request, rw fhirResponseWriter, w http.ResponseWriter) (time.Time, bool) { + ctx := r.Context() + params, ok := r.URL.Query()["_since"] + if !ok { + return time.Time{}, true + } + + sinceDate, err := time.Parse(time.RFC3339Nano, params[0]) + if err != nil { + errMsg := "Invalid date format supplied in _since parameter. Date must be in FHIR Instant format." + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %s", responseutils.FormatErr, errMsg), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.FormatErr, errMsg) + return time.Time{}, false + } + + if sinceDate.After(time.Now()) { + errMsg := "Invalid date format supplied in _since parameter. Date must be a date that has already passed" + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %s", responseutils.FormatErr, errMsg), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.FormatErr, errMsg) + return time.Time{}, false + } + + return sinceDate, true +} + +func validateResourceTypes(r *http.Request, rw fhirResponseWriter, w http.ResponseWriter) ([]string, bool) { + ctx := r.Context() + params, ok := r.URL.Query()["_type"] + if !ok { + return nil, true + } + + // validate no duplicate resource types + resourceMap := make(map[string]struct{}) + resourceTypes := strings.Split(params[0], ",") + for _, resource := range resourceTypes { + if _, ok := resourceMap[resource]; !ok { + resourceMap[resource] = struct{}{} + } else { + errMsg := fmt.Sprintf("Repeated resource type %s", resource) + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %s", responseutils.RequestErr, errMsg), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, errMsg) + return nil, false + } + } + return resourceTypes, true +} + +// validateTypeFilterParameter validates the contents of the typeFilter param. +func validateTypeFilterParameter(r *http.Request, rw fhirResponseWriter, w http.ResponseWriter, version string) (fhir.TypeFilterSubquery, bool) { + var typeFilterParam fhir.TypeFilterSubquery + ctx := r.Context() + + params, ok := r.URL.Query()["_typeFilter"] + if version != constants.V3Version || !ok { + return typeFilterParam, true + } + + typeFilterParams, err := GetTypeFilterSubquery(params) + if err != nil { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: %s", responseutils.RequestErr, err.Error()), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.RequestErr, err.Error()) + return typeFilterParam, false + } + return typeFilterParams, true +} + +// GetTypeFilterSubquery parses the _typeFilter subquery +// For _tag, it validates each comma-separated token to correctly resolve compound query filters. +func GetTypeFilterSubquery(params []string) (fhir.TypeFilterSubquery, error) { + var subquery fhir.TypeFilterSubquery + + // If more than one _typeFilter param (a logical "or"), return an error, we do not support that yet + if len(params) > 1 { + return subquery, fhir.ParameterValidationError{Details: "failed to process request given more that one _typeFilter parameter"} + } + + subquery, err := fhir.ParseTypeFilterSubquery(params[0]) + if err != nil { + return subquery, err + } + + err = fhir.ValidateTypeFilterSubquery(subquery) + if err != nil { + return subquery, err + } + + return subquery, nil +} + +func HasSystemTypeTag(subquery fhir.TypeFilterSubquery) bool { + tagParams, _ := fhir.GetTagParams(subquery) + for _, tagParam := range tagParams { + for _, tagValue := range tagParam.Values { + if tagValue.System == constants.BFDSystemTypeURL { + return true + } + } + } + return false +} + +// ValidateRequestURL ensure that request matches certain expectations. +// Any error that it finds will result in a http.StatusBadRequest response. +// If successful, it populates the request context with RequestParameters that can be used downstream. +// These paramters can be retrieved by calling RequestParametersFromContext. +func ValidateRequestURL(next http.Handler) http.Handler { + return http.HandlerFunc(func(w http.ResponseWriter, r *http.Request) { + rw, version := getResponseWriterFromRequestPath(w, r) + if rw == nil { + return + } + + // Validate all parameters + if !validateOutputFormat(r, rw, w) || + !validateElementsParameter(r, rw, w) || + !validateQueryParameterFormat(r, rw, w) { + return + } + + // Validate _since parameter + sinceDate, valid := validateSinceParameter(r, rw, w) + if !valid { + return + } + + // Validate resource types + resourceTypes, valid := validateResourceTypes(r, rw, w) + if !valid { + return + } + + // Validate type filter for v3 + typeFilter, valid := validateTypeFilterParameter(r, rw, w, version) + if !valid { + return + } + + // Build request parameters + rp := RequestParameters{ + Version: version, + RequestURL: r.URL.String(), + Since: sinceDate, + ResourceTypes: resourceTypes, + TypeFilter: typeFilter, + } + + ctx := SetRequestParamsCtx(r.Context(), rp) + next.ServeHTTP(w, r.WithContext(ctx)) + }) +} + +func ValidateRequestHeaders(next http.Handler) http.Handler { + return http.HandlerFunc(func(w http.ResponseWriter, r *http.Request) { + ctx := r.Context() + h := r.Header + + rw, _ := getResponseWriterFromRequestPath(w, r) + if rw == nil { + return + } + + acceptValues := parseHeaderValues(h, "Accept") + if len(acceptValues) == 0 { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: Accept header is required", responseutils.FormatErr), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.FormatErr, "Accept header is required") + return + } + + if !hasHeaderToken(acceptValues, "application/fhir+json") { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: application/fhir+json is the only supported response format", responseutils.FormatErr), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.FormatErr, "application/fhir+json is the only supported response format") + return + } + + preferValues := parseHeaderValues(h, "Prefer") + if len(preferValues) == 0 { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: Prefer header is required", responseutils.FormatErr), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.FormatErr, "Prefer header is required") + return + } + + if !hasHeaderToken(preferValues, "respond-async") { + ctx, _ = log.WriteWarnWithFields( + ctx, + fmt.Sprintf("%s: Only asynchronous responses are supported", responseutils.FormatErr), + logrus.Fields{"resp_status": http.StatusBadRequest}, + ) + rw.OpOutcome(ctx, w, http.StatusBadRequest, responseutils.FormatErr, "Only asynchronous responses are supported") + return + } + + next.ServeHTTP(w, r) + }) +} + +// hasHeaderToken checks if targetToken exists within the parsed header values, +// stripping optional parameters (anything after ';') and performing case-insensitive matching. +func hasHeaderToken(values []string, targetToken string) bool { + for _, v := range values { + token, _, _ := strings.Cut(v, ";") + if strings.EqualFold(strings.TrimSpace(token), targetToken) { + return true + } + } + return false +} + +// parseHeaderValues extracts all values from a header, handling both multi-line +// header fields and comma-separated parameter lists within a single header value. +// It returns a slice of trimmed tokens. +func parseHeaderValues(h http.Header, headerName string) []string { + values := h.Values(headerName) + if len(values) == 0 { + return nil + } + results := make([]string, 0, len(values)) + for _, rawValue := range values { + for _, part := range strings.Split(rawValue, ",") { + trimmed := strings.TrimSpace(part) + if trimmed != "" { + results = append(results, trimmed) + } + } + } + return results +} + +func getKeys(kv map[string]struct{}) []string { + keys := make([]string, 0, len(kv)) + for k := range kv { + keys = append(keys, k) + } + return keys +} + +var versionExp = regexp.MustCompile(`\/api\/(v\d+)\/`) + +func getVersion(path string) (string, error) { + parts := versionExp.FindStringSubmatch(path) + if len(parts) != 2 { + return "", fmt.Errorf("cannot retrieve version: not enough parts in path") + } + return parts[1], nil +} + +type fhirResponseWriter interface { + Exception(context.Context, http.ResponseWriter, int, string, string) + NotFound(context.Context, http.ResponseWriter, int, string, string) + OpOutcome(context.Context, http.ResponseWriter, int, string, string) +} + +func getRespWriter(version string) (fhirResponseWriter, error) { + switch version { + case "v1": + return responseutils.NewFhirResponseWriter(), nil + case "v2": + return responseutilsv2.NewFhirResponseWriter(), nil + case constants.V3Version: + return responseutilsv3.NewFhirResponseWriter(), nil + default: + return nil, fmt.Errorf("unexpected API version: %s", version) + } +} + +func getResponseWriterFromRequestPath(w http.ResponseWriter, r *http.Request) (fhirResponseWriter, string) { + version, err := getVersion(r.URL.Path) + if err != nil { + logger := log.GetCtxLogger(r.Context()) + logger.WithField("resp_status", http.StatusBadRequest).Error(err) + http.Error(w, err.Error(), http.StatusBadRequest) + return nil, "" + } + rw, err := getRespWriter(version) + if err != nil { + logger := log.GetCtxLogger(r.Context()) + logger.WithField("resp_status", http.StatusBadRequest).Error(err) + http.Error(w, err.Error(), http.StatusBadRequest) + return nil, "" + } + + return rw, version +} diff --git a/dev/vendor/bcda-app/bcda/web/middleware/validation_test.go b/dev/vendor/bcda-app/bcda/web/middleware/validation_test.go new file mode 100644 index 0000000..79cbe58 --- /dev/null +++ b/dev/vendor/bcda-app/bcda/web/middleware/validation_test.go @@ -0,0 +1,671 @@ +package middleware + +import ( + "context" + "fmt" + "net/http" + "net/http/httptest" + "testing" + "time" + + "github.com/CMSgov/bcda-app/bcda/auth" + "github.com/CMSgov/bcda-app/bcda/constants" + "github.com/CMSgov/bcda-app/bcda/fhir" + "github.com/CMSgov/bcda-app/bcda/responseutils" + "github.com/CMSgov/bcda-app/log" + "github.com/sirupsen/logrus" + "github.com/stretchr/testify/assert" +) + +var noop http.HandlerFunc = func(rw http.ResponseWriter, r *http.Request) { rw.WriteHeader(http.StatusOK) } + +func TestValidRequestURL(t *testing.T) { + // Allow us to retrieve the RequestParameters by grabbing the updated context. + // When we call *http.Request.WithContext(ctx), a new request is created. + // So we cannot leverage the context associated with the original request + var ctx context.Context + handler := http.HandlerFunc(func(rw http.ResponseWriter, r *http.Request) { + ctx = r.Context() + }) + + now := time.Now().Add(-24 * time.Hour).Round(time.Millisecond) + req, err := http.NewRequest("GET", + fmt.Sprintf("/api/v1/Patient/$export?_type=Patient&_since=%s&_outputFormat=ndjson&_typeFilter=ExplanationOfBenefit%%3Fservice-date%%3Dgt2001-04-01", + now.Format(time.RFC3339Nano)), + nil) + assert.NoError(t, err) + rr := httptest.NewRecorder() + ValidateRequestURL(handler).ServeHTTP(rr, req) + assert.Equal(t, http.StatusOK, rr.Code) + + // Verify we have the context as expected + rp, ok := GetRequestParamsFromCtx(ctx) + assert.True(t, ok) + // assert.True(t, now.Equal(rp.Since), "Since parameter does not match") + assert.Equal(t, rp.ResourceTypes, []string{"Patient"}) + assert.Equal(t, rp.Version, "v1") +} + +func TestInvalidRequestURL(t *testing.T) { + base := "/api/v1/Patient/$export?" + baseV3 := constants.V3Path + "Patient/$export?" + tests := []struct { + name string + url string + errMsg string + }{ + { + "invalidOutputFormat", + fmt.Sprintf("%s_outputFormat=invalid", base), + "_outputFormat parameter must be one of", + }, + { + "elementsNotSupported", + fmt.Sprintf("%s_elements=invalid", base), + "does not support the _elements parameter", + }, + { + "contains?", + fmt.Sprintf("%s?_type=Patient", base), + "query parameters cannot start with ?", + }, + { + "invalidSince", + fmt.Sprintf("%s_since=05-25-1977", base), + "Date must be in FHIR Instant format", + }, + { + "futureSince", + fmt.Sprintf("%s_since=%s", base, time.Now().Add(24*time.Hour).Format(time.RFC3339Nano)), + "Date must be a date that has already passed", + }, + { + "repeatedType", + fmt.Sprintf("%s_type=Patient,Patient", base), + "Repeated resource type Patient", + }, + { + "noVersion", + "/api/Patient$export", + "cannot retrieve version", + }, + { + "invalidTypeFilterResourceType", + fmt.Sprintf("%s_typeFilter=MedicationRequest%%3Fstatus%%3Dactive", baseV3), + "invalid _typeFilter Resource Type (Only EOBs valid): MedicationRequest", + }, + { + "invalidTypeFilterSubquery", + fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3Fservice-dateactive", baseV3), + "_typeFilter value missing equals sign", + }, + { + "invalidTypeFilterSubqueryParam", + fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3Fstatus%%3Dactive", baseV3), + "invalid _typeFilter subquery parameter: status", + }, + } + + for _, tt := range tests { + t.Run(tt.name, func(t *testing.T) { + ctx := context.Background() + ctx = log.NewStructuredLoggerEntry(logrus.New(), ctx) + req, err := http.NewRequest("GET", tt.url, nil) + assert.NoError(t, err) + + req = req.WithContext(ctx) + + rr := httptest.NewRecorder() + ValidateRequestURL(noop).ServeHTTP(rr, req) + assert.Equal(t, http.StatusBadRequest, rr.Code) + assert.Contains(t, rr.Body.String(), tt.errMsg) + }) + } +} + +func TestParseHeaderValues(t *testing.T) { + tests := []struct { + name string + headers http.Header + headerName string + expected []string + }{ + { + name: "singleValue", + headers: http.Header{"Prefer": []string{constants.TestRespondAsync}}, + headerName: "Prefer", + expected: []string{constants.TestRespondAsync}, + }, + { + name: "commaSeparatedValues", + headers: http.Header{"Prefer": []string{constants.TestRespondAsync + ",handling=lenient"}}, + headerName: "Prefer", + expected: []string{constants.TestRespondAsync, "handling=lenient"}, + }, + { + name: "whitespaceTrimmingAndEmptyTokens", + headers: http.Header{"Prefer": []string{" " + constants.TestRespondAsync + " , , handling=lenient "}}, + headerName: "Prefer", + expected: []string{constants.TestRespondAsync, "handling=lenient"}, + }, + { + name: "multiLineHeaders", + headers: http.Header{"Prefer": []string{constants.TestRespondAsync, "handling=lenient"}}, + headerName: "Prefer", + expected: []string{constants.TestRespondAsync, "handling=lenient"}, + }, + { + name: "missingHeader", + headers: http.Header{}, + headerName: "Prefer", + expected: nil, + }, + } + + for _, tt := range tests { + t.Run(tt.name, func(t *testing.T) { + results := parseHeaderValues(tt.headers, tt.headerName) + assert.Equal(t, tt.expected, results) + }) + } +} + +func TestHasHeaderToken(t *testing.T) { + tests := []struct { + name string + values []string + targetToken string + expected bool + }{ + { + name: "exactMatch", + values: []string{"respond-async"}, + targetToken: "respond-async", + expected: true, + }, + { + name: "caseInsensitiveMatch", + values: []string{"RESPOND-ASYNC"}, + targetToken: "respond-async", + expected: true, + }, + { + name: "withParameters", + values: []string{"respond-async; wait=10"}, + targetToken: "respond-async", + expected: true, + }, + { + name: "mediaTypeWithParameters", + values: []string{"application/fhir+json; charset=utf-8"}, + targetToken: "application/fhir+json", + expected: true, + }, + { + name: "multipleValuesMatch", + values: []string{"handling=lenient", "respond-async"}, + targetToken: "respond-async", + expected: true, + }, + { + name: "noMatch", + values: []string{"handling=lenient"}, + targetToken: "respond-async", + expected: false, + }, + { + name: "emptySlice", + values: nil, + targetToken: "respond-async", + expected: false, + }, + } + + for _, tt := range tests { + t.Run(tt.name, func(t *testing.T) { + assert.Equal(t, tt.expected, hasHeaderToken(tt.values, tt.targetToken)) + }) + } +} + +func TestValidRequestHeaders(t *testing.T) { + tests := []struct { + name string + setupReq func() *http.Request + }{ + { + name: "StandardHeaders", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "application/fhir+json") + req.Header.Set("Prefer", constants.TestRespondAsync) + return req + }, + }, + { + name: "PreferCommaSeparatedDirectives", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "application/fhir+json") + req.Header.Set("Prefer", constants.TestRespondAsync+",handling=lenient") + return req + }, + }, + { + name: "PreferWithParameters", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "application/fhir+json") + req.Header.Set("Prefer", constants.TestRespondAsync+"; wait=10") + return req + }, + }, + { + name: "CaseInsensitiveHeaders", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "APPLICATION/FHIR+JSON") + req.Header.Set("Prefer", "RESPOND-ASYNC") + return req + }, + }, + { + name: "PreferReversedDirectives", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "application/fhir+json") + req.Header.Set("Prefer", "handling=lenient, "+constants.TestRespondAsync) + return req + }, + }, + { + name: "PreferWhitespaceTolerance", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "application/fhir+json") + req.Header.Set("Prefer", constants.TestRespondAsync+" , handling=lenient") + return req + }, + }, + { + name: "PreferMultiLineHeaders", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "application/fhir+json") + req.Header.Add("Prefer", "handling=lenient") + req.Header.Add("Prefer", constants.TestRespondAsync) + return req + }, + }, + { + name: "AcceptCommaSeparatedMediaTypes", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "application/fhir+json, application/json") + req.Header.Set("Prefer", constants.TestRespondAsync) + return req + }, + }, + { + name: "AcceptWithParameters", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Set("Accept", "application/fhir+json; charset=utf-8") + req.Header.Set("Prefer", constants.TestRespondAsync) + return req + }, + }, + { + name: "AcceptMultiLineHeaders", + setupReq: func() *http.Request { + req, _ := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + req.Header.Add("Accept", "application/json") + req.Header.Add("Accept", "application/fhir+json") + req.Header.Set("Prefer", constants.TestRespondAsync) + return req + }, + }, + } + + for _, tt := range tests { + t.Run(tt.name, func(t *testing.T) { + ctx := context.Background() + ctx = log.NewStructuredLoggerEntry(logrus.New(), ctx) + req := tt.setupReq().WithContext(ctx) + + rr := httptest.NewRecorder() + ValidateRequestHeaders(noop).ServeHTTP(rr, req) + assert.Equal(t, http.StatusOK, rr.Code) + }) + } +} + +func TestInvalidRequestHeaders(t *testing.T) { + tests := []struct { + name string + acceptHeader string + preferHeader string + errMsg string + }{ + {"NoAcceptHeader", "", constants.TestRespondAsync, "Accept header is required"}, + {"InvalidAcceptHeader", "invalid", constants.TestRespondAsync, "application/fhir+json is the only supported response format"}, + {"UnsupportedAcceptHeader", "application/xml", constants.TestRespondAsync, "application/fhir+json is the only supported response format"}, + {"NoPreferHeader", "application/fhir+json", "", "Prefer header is required"}, + {"InvalidPreferHeader", "application/fhir+json", "invalid", "Only asynchronous responses are supported"}, + {"PreferMissingRespondAsync", "application/fhir+json", "handling=lenient", "Only asynchronous responses are supported"}, + } + + for _, tt := range tests { + t.Run(tt.name, func(t *testing.T) { + ctx := context.Background() + ctx = log.NewStructuredLoggerEntry(logrus.New(), ctx) + req, err := http.NewRequest("GET", "/api/v1/Patient/$export", nil) + assert.NoError(t, err) + + req = req.WithContext(ctx) + if tt.acceptHeader != "" { + req.Header.Set("Accept", tt.acceptHeader) + } + if tt.preferHeader != "" { + req.Header.Set("Prefer", tt.preferHeader) + } + + rr := httptest.NewRecorder() + ValidateRequestHeaders(noop).ServeHTTP(rr, req) + assert.Equal(t, http.StatusBadRequest, rr.Code) + assert.Contains(t, rr.Body.String(), tt.errMsg) + }) + } +} + +func TestValidateTypeFilterTagCodes(t *testing.T) { + baseV3 := constants.V3Path + "Patient/$export?" + ctx := context.Background() + ctx = log.NewStructuredLoggerEntry(logrus.New(), ctx) + + tests := []struct { + name string + url string + shouldFail bool + expectedErr error + description string + expectedTypeFilter fhir.TypeFilterSubquery // when non-nil, we assert the parsed TypeFilter in context equals this making sure params are not dropped. + }{ + { + name: "validTagSharedSystem", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FSystem-Type%%7CSharedSystem", baseV3), + shouldFail: false, + description: "Valid tag in URL format should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "_tag", + Value: constants.BFDSystemTypeURL + "|SharedSystem", + }, + }, + }, + }, + { + name: "validTagNationalClaimsHistory", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FSystem-Type%%7CNationalClaimsHistory", baseV3), + shouldFail: false, + description: "Valid NCH tag should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "_tag", + Value: constants.BFDSystemTypeURL + "|NationalClaimsHistory", + }, + }, + }, + }, + { + name: "validTagSharedSystemComma", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FSystem-Type%%7CSharedSystem,https%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FFinal-Action%%7CFinalAction", baseV3), + shouldFail: false, + description: "Valid comma-separated tags should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "_tag", + Value: constants.BFDSystemTypeURL + "|SharedSystem," + constants.BFDFinalActionURL + "|FinalAction", + }, + }, + }, + }, + { + name: "validOutcomeComma", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3Foutcome%%3Dpartial,complete", baseV3), + shouldFail: false, + description: "Valid comma-separated outcome should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "outcome", + Value: "partial,complete", + }, + }, + }, + }, + { + name: "invalidOutcome", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3Foutcome%%3Dinvalid_status", baseV3), + shouldFail: true, + expectedErr: fhir.ParameterValidationError{}, + description: "Outcome must be complete or partial", + }, + { + name: "validTagDDPS", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FSystem-Type%%7CDDPS", baseV3), + shouldFail: false, + description: "Valid DDPS tag should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "_tag", + Value: constants.BFDSystemTypeURL + "|DDPS", + }, + }, + }, + }, + { + name: "validTagFinalAction", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FFinal-Action%%7CFinalAction", baseV3), + shouldFail: false, + description: "Valid FinalAction tag should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "_tag", + Value: constants.BFDFinalActionURL + "|FinalAction", + }, + }, + }, + }, + { + name: "validTagNotFinalAction", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FFinal-Action%%7CNotFinalAction", baseV3), + shouldFail: false, + description: "Valid NotFinalAction tag should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "_tag", + Value: constants.BFDFinalActionURL + "|NotFinalAction", + }, + }, + }, + }, + { + name: "invalidTagPartiallyAdjudicated", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3DPartiallyAdjudicated", baseV3), + shouldFail: true, + expectedErr: fhir.ParameterValidationError{}, + description: "Old PartiallyAdjudicated tag should be rejected", + }, + { + name: "invalidTagSharedSystem", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3DSharedSystem", baseV3), + shouldFail: true, + expectedErr: fhir.ParameterValidationError{}, + description: "Only code, no system should be rejected. even with valid code", + }, + { + name: "invalidTagRandomValue", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3DInvalidTag", baseV3), + shouldFail: true, + expectedErr: fhir.ParameterValidationError{}, + description: "Random invalid tag should be rejected", + }, + { + name: "multipleValidTags", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FFinal-Action%%7CNotFinalAction%%26_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FSystem-Type%%7CSharedSystem", baseV3), + shouldFail: false, + description: "Multiple valid tags should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "_tag", + Value: constants.BFDFinalActionURL + "|NotFinalAction", + }, + { + Name: "_tag", + Value: constants.BFDSystemTypeURL + "|SharedSystem", + }, + }, + }, + }, + { + name: "validTypeFilterServiceDateAndTag", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3Fservice-date%%3Dlt2021-02-15%%26_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FFinal-Action%%7CFinalAction", baseV3), + shouldFail: false, + description: "Subquery with service-date and _tag (FinalAction) should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "service-date", + Value: "lt2021-02-15", + }, + { + Name: "_tag", + Value: constants.BFDFinalActionURL + "|FinalAction", + }, + }, + }, + }, + { + name: "validTypeFilterServiceDateAndTagAlternate", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3Fservice-date%%3Dgt2001-04-01%%26_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FSystem-Type%%7CNationalClaimsHistory", baseV3), + shouldFail: false, + description: "Subquery with service-date and _tag (NationalClaimsHistory) should pass", + expectedTypeFilter: fhir.TypeFilterSubquery{ + ResourceType: "ExplanationOfBenefit", + QueryParameters: []fhir.TypeFilterSubqueryParam{ + { + Name: "service-date", + Value: "gt2001-04-01", + }, + { + Name: "_tag", + Value: constants.BFDSystemTypeURL + "|NationalClaimsHistory", + }, + }, + }, + }, + { + name: "multipleTagsOneInvalid", + url: fmt.Sprintf("%s_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FFinal-Action%%7CNotFinalAction%%26_tag%%3DPartiallyAdjudicated", baseV3), + shouldFail: true, + expectedErr: fhir.ParameterValidationError{}, + description: "Multiple tags with one invalid should fail", + }, + { + name: "v2ShouldIgnoreTypeFilter", + url: fmt.Sprintf("/api/v2/Patient/$export?_typeFilter=ExplanationOfBenefit%%3F_tag%%3DPartiallyAdjudicated"), + shouldFail: false, + description: "v2 should ignore _typeFilter validation (old behavior preserved)", + }, + { + name: "v1ShouldIgnoreTypeFilter", + url: fmt.Sprintf("/api/v1/Patient/$export?_typeFilter=ExplanationOfBenefit%%3F_tag%%3DPartiallyAdjudicated"), + shouldFail: false, + description: "v1 should ignore _typeFilter validation (old behavior preserved)", + }, + + { + name: "multipleTypeFilterSubqueries", + url: fmt.Sprintf("%s_type=ExplanationOfBenefit&_typeFilter=ExplanationOfBenefit%%3Fservice-date%%3Dlt2021-02-15%%26_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FFinal-Action%%7CFinalAction&_typeFilter=ExplanationOfBenefit%%3F_tag%%3Dhttps%%3A%%2F%%2Fbluebutton.cms.gov%%2Ffhir%%2FCodeSystem%%2FFinal-Action%%7CNotFinalAction", baseV3), + shouldFail: true, + expectedErr: fhir.ParameterValidationError{}, + description: "Multiple _typeFilter params. Bulk IG supports this but we do not", + }, + } + + for _, tt := range tests { + t.Run(tt.name, func(t *testing.T) { + req, err := http.NewRequest("GET", tt.url, nil) + assert.NoError(t, err) + req = req.WithContext(ctx) + req.Header.Set("Accept", "application/fhir+json") + req.Header.Set("Prefer", constants.TestRespondAsync) + + var capturedCtx context.Context + handler := http.HandlerFunc(func(rw http.ResponseWriter, r *http.Request) { + capturedCtx = r.Context() + rw.WriteHeader(http.StatusOK) + }) + + rr := httptest.NewRecorder() + ValidateRequestURL(handler).ServeHTTP(rr, req) + + if tt.shouldFail { + assert.Equal(t, http.StatusBadRequest, rr.Code, tt.description) + assert.Contains(t, rr.Body.String(), tt.expectedErr.Error(), tt.description) + } else { + assert.Equal(t, http.StatusOK, rr.Code, tt.description) + if tt.expectedTypeFilter.QueryParameters != nil { + rp, ok := GetRequestParamsFromCtx(capturedCtx) + assert.True(t, ok, "request params should be in context") + assert.Equal(t, tt.expectedTypeFilter, rp.TypeFilter, "parsed _typeFilter params should match request") + } + } + }) + } +} + +func TestGetRespWriter(t *testing.T) { + ctx := context.Background() + tests := []struct { + name string + path string + }{ + {"v1", constants.V1Path}, + {"v2", constants.V2Path}, + {"v3", constants.V3Path}, + } + for _, tt := range tests { + t.Run(tt.name, func(t *testing.T) { + rr := httptest.NewRecorder() + rw := auth.GetRespWriter(tt.path) + rw.OpOutcome(ctx, rr, http.StatusUnauthorized, responseutils.TokenErr, responseutils.TokenErr) + resp := rr.Body.String() + switch tt.name { + case "v1": + assert.NotContains(t, resp, "coding") + case "v2": + assert.Contains(t, resp, "coding") + case "v3": + assert.NotContains(t, resp, "coding") + } + }) + } +} diff --git a/dev/vendor/bcda-app/conf/configs/sandbox.yml b/dev/vendor/bcda-app/conf/configs/sandbox.yml new file mode 100644 index 0000000..d836ee9 --- /dev/null +++ b/dev/vendor/bcda-app/conf/configs/sandbox.yml @@ -0,0 +1,103 @@ +aco_config: + - model: 'CKCC' + name_pattern: '^C\d{4}$' + performance_year_transition: '01/01' + lookback_period: 2 + data: + - 'adjudicated' + - model: 'KCF' + name_pattern: '^K\d{4}$' + performance_year_transition: '01/01' + lookback_period: 2 + data: + - 'adjudicated' + - model: 'DC' + name_pattern: '^D\d{4}$' + performance_year_transition: '04/01' + lookback_period: 3 + data: + - 'adjudicated' + - model: 'SSP' + name_pattern: '^A\d{4}$' + data: + - 'adjudicated' + - model: 'CEC' + name_pattern: '^E\d{4}$' + data: + - 'adjudicated' + - model: 'NGACO' + name_pattern: '^V\d{3}$' + data: + - 'adjudicated' + - model: 'TEST' + name_pattern: '^TEST\d{3}$' + data: + - 'adjudicated' + - 'partially-adjudicated' + - model: 'Sandbox Adj' + name_pattern: '^SBXA\\w\d{3}$' + data: + - 'adjudicated' + - model: 'Sandbox Partially-Adj' + name_pattern: '^SBXP\\w\d{3}$' + data: + - 'partially-adjudicated' + - model: 'Sandbox Both' + name_pattern: '^SBXB\\w\d{3}$' + data: + - 'adjudicated' + - 'partially-adjudicated' + - model: 'TCOCMD' + name_pattern: '^CT\d{4,6}$' + data: + - 'adjudicated' + - 'partially-adjudicated' + attribution_file: + file_type: 'csv' + name_pattern: '(P|T)\.(PCPB)\.(M)([0-9][0-9])(\d{2})\.(D\d{6}\.T\d{6})\d' + model_identifier: 'PCPB' + file_performance_year: 4 + file_date: 6 + metadata_matches: 7 + ignore_suppressions: true + - model: 'CDAC' + name_pattern: '^DA\d{4}$' + data: + - 'adjudicated' + - 'partially-adjudicated' + attribution_file: + file_type: 'csv' + name_pattern: '(P|T)\.(BCD)\.(DA\d{4}).(MBIY)(\d{2})\.(D\d{6}\.T\d{6})\d' + model_identifier: 'BCD' + file_performance_year: 5 + file_date: 6 + metadata_matches: 7 + - model: 'GUIDE' + name_pattern: '^GUIDE-\d{4}$' + data: + - 'adjudicated' + attribution_file: + file_type: 'csv' + name_pattern: '(P|T)\.(GUIDE)\.(GUIDE-)(\d{4})\.(Y)(\d{2})\.(D\d{6}\.T\d{6})\d' + model_identifier: 'GUIDE' + file_performance_year: 6 + file_date: 7 + metadata_matches: 8 + - model: 'ACCESS' + name_pattern: '^ACCES\d{5}$' # only one 's' due to character limits + lookback_period: 3 + data: + - 'adjudicated' + attribution_file: + file_type: 'csv' + name_pattern: '(P|T)\.(ACCESS)\.(ACCES\d{5})\.(Y)(\d{2})\.(D\d{6}\.T\d{6})\d' + model_identifier: 'ACCESS' + file_performance_year: 5 + file_date: 6 + metadata_matches: 7 +rate_limit_config: + all: false + acos: ['SBXBM0002'] +v1_v2_deny_regexes: [] +v3_no_partial_claims_models: + - 'GUIDE' diff --git a/dev/vendor/bcda-app/shared_files/gzip_feature_test/corrupt_gz_file.ndjson b/dev/vendor/bcda-app/shared_files/gzip_feature_test/corrupt_gz_file.ndjson new file mode 100644 index 0000000000000000000000000000000000000000..648bbdc615da950d0539bc103d4cdbf229a0d927 GIT binary patch literal 10 Lcmb2|W`F_!1|tBg literal 0 HcmV?d00001 diff --git a/dev/vendor/bcda-app/shared_files/gzip_feature_test/test_gzip_encoded.ndjson b/dev/vendor/bcda-app/shared_files/gzip_feature_test/test_gzip_encoded.ndjson new 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b/dev/vendor/bcda-app/shared_files/gzip_feature_test/test_no_encoding.ndjson new file mode 100644 index 0000000..644aac3 --- /dev/null +++ b/dev/vendor/bcda-app/shared_files/gzip_feature_test/test_no_encoding.ndjson @@ -0,0 +1 @@ +{"billablePeriod":{"end":"2016-10-30","start":"2016-10-30"},"contained":[{"birthDate":"1953-05-18","gender":"male","id":"patient","identifier":[{"system":"http://hl7.org/fhir/sid/us-mbi","type":{"coding":[{"code":"MC","display":"Patient's Medicare Number","system":"http://terminology.hl7.org/CodeSystem/v2-0203"}]},"value":"1S00E00KW61"}],"name":[{"family":"Quitzon246","given":["Rodolfo763"],"text":"Rodolfo763 Quitzon246 ([max 10 chars of first], [max 15 chars of last])"}],"resourceType":"Patient"},{"id":"provider-org","identifier":[{"system":"https://bluebutton.cms.gov/resources/variables/fiss/meda-prov-6","type":{"coding":[{"code":"PRN","display":"Provider number","system":"http://terminology.hl7.org/CodeSystem/v2-0203"}]},"value":"450702"},{"system":"https://bluebutton.cms.gov/resources/variables/fiss/fed-tax-nb","type":{"coding":[{"code":"TAX","display":"Tax ID number","system":"http://terminology.hl7.org/CodeSystem/v2-0203"}]},"value":"XX-XXXXXXX"},{"system":"http://hl7.org/fhir/sid/us-npi","type":{"coding":[{"code":"npi","display":"National Provider Identifier","system":"http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"}]},"value":"8884381863"}],"resourceType":"Organization"}],"created":"2024-04-19T11:37:21-04:00","diagnosis":[{"diagnosisCodeableConcept":{"coding":[{"code":"P292","system":"http://hl7.org/fhir/sid/icd-10-cm"}]},"sequence":0}],"extension":[{"url":"https://bluebutton.cms.gov/resources/variables/fiss/serv-typ-cd","valueCoding":{"code":"2","system":"https://bluebutton.cms.gov/resources/variables/fiss/serv-typ-cd"}}],"facility":{"extension":[{"url":"https://bluebutton.cms.gov/resources/variables/fiss/lob-cd","valueCoding":{"code":"2","system":"https://bluebutton.cms.gov/resources/variables/fiss/lob-cd"}}]},"id":"f-LTEwMDE5NTYxNA","identifier":[{"system":"https://bluebutton.cms.gov/resources/variables/fiss/dcn","type":{"coding":[{"code":"uc","display":"Unique Claim ID","system":"http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"}]},"value":"dcn-100195614"}],"insurance":[{"coverage":{"identifier":{"system":"https://bluebutton.cms.gov/resources/variables/fiss/payers-name","value":"MEDICARE"}},"focal":true,"sequence":0}],"meta":{"lastUpdated":"2023-04-13T18:18:27.334-04:00"},"patient":{"reference":"#patient"},"priority":{"coding":[{"code":"normal","display":"Normal","system":"http://terminology.hl7.org/CodeSystem/processpriority"}]},"provider":{"reference":"#provider-org"},"resourceType":"Claim","status":"active","supportingInfo":[{"category":{"coding":[{"code":"typeofbill","display":"Type of Bill","system":"http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType"}]},"code":{"coding":[{"code":"1","system":"https://bluebutton.cms.gov/resources/variables/fiss/freq-cd"}]},"sequence":1}],"total":{"currency":"USD","value":639.66},"type":{"coding":[{"code":"institutional","display":"Institutional","system":"http://terminology.hl7.org/CodeSystem/claim-type"}]},"use":"claim"} \ No newline at end of file diff --git a/dev/vendor/bcda-app/swagger.json b/dev/vendor/bcda-app/swagger.json new file mode 100644 index 0000000..733d3df --- /dev/null +++ b/dev/vendor/bcda-app/swagger.json @@ -0,0 +1,3896 @@ +{ + "openapi": "3.0.1", + "info": { + "title": "Beneficiary Claims Data API", + "description": "The Beneficiary Claims Data API (BCDA) allows downloading of claims data in accordance with the FHIR Bulk Data Export specification.\n\nIf you have a Client ID and Secret you can use this page to explore the API. To do this:\n1. Click the green \"Authorize\" button below and enter your Client ID and secret in the Basic Authentication boxes.\n2. Request a bearer token from /auth/token\n3. Click the green \"Authorize\" button below and put \"Bearer {YOUR_TOKEN}\" in the bearer_token box.\n\nUntil you click logout your token will be presented with every request made. To make requests click on the\n\"Try it out\" button for the desired endpoint.", + "contact": { + "email": "bcapi@cms.hhs.gov" + }, + "license": { + "name": "Public Domain", + "url": "https://github.com/CMSgov/bcda-app/blob/main/LICENSE.md" + }, + "version": "1.0.0" + }, + "servers": [ + + ], + "paths": { + "/_auth": { + "get": { + "tags": [ + "auth" + ], + "summary": "Get details about auth", + "description": "Returns the auth provider that is currently being used. Note that this endpoint is **not** prefixed with the base path (e.g. /api/v1).", + "operationId": "getAuthInfo", + "responses": { + "200": { + "description": "JSON object containing an auth_provider field", + "content": { + "application/json": { + "schema": { + "required": [ + "auth_provider" + ], + "type": "object", + "properties": { + "auth_provider": { + "type": "string", + "x-go-name": "Version" + } + } + } + } + } + } + } + } + }, + "/_version": { + "get": { + "tags": [ + "metadata" + ], + "summary": "Get API version", + "description": "Returns the version of the API that is currently running. Note that this endpoint is **not** prefixed with the base path (e.g. /api/v1).", + "operationId": "getVersion", + "responses": { + "200": { + "description": "JSON object containing a version field", + "content": { + "application/json": { + "schema": { + "required": [ + "version" + ], + "type": "object", + "properties": { + "version": { + "type": "string", + "x-go-name": "Version" + } + } + } + } + } + } + } + } + }, + "/api/v1/Group/{groupId}/$export": { + "get": { + "tags": [ + "group" + ], + "summary": "Start FHIR STU3 data export job for the specified group identifier and resource type(s)", + "description": "Initiates a job to collect data from the Beneficiary FHIR Data API for your ACO. The supported Group identifiers are `all` and `runout`. The `all` identifier returns data for the group of all patients attributed to the requesting ACO. The `runout` identifier returns claims runouts data. \n\nIf used when specifying `_since`: all claims data which has been updated since the specified date will be returned for beneficiaries which have been attributed to the ACO since before the specified date; and all historical claims data will be returned for beneficiaries which have been newly attributed to the ACO since the specified date.\n\n", + "operationId": "bulkGroupRequest", + "parameters": [ + { + "name": "_type", + "in": "query", + "description": "Resource type(s) requested. When left empty, will return all available resource types. TODO: return resource types here?", + "style": "form", + "explode": false, + "schema": { + "type": "array", + "items": { + "type": "string" + }, + "x-go-name": "ResourceType" + }, + "x-go-name": "ResourceType" + }, + { + "name": "_since", + "in": "query", + "description": "Only include resource versions that were created at or after the given instant in time. Format of string must align with the FHIR Instant datatype (i.e., `2020-02-13T08:00:00.000-05:00`)", + "schema": { + "type": "string", + "x-go-name": "DateTime" + }, + "x-go-name": "DateTime" + }, + { + "name": "Prefer", + "in": "header", + "required": true, + "schema": { + "type": "string", + "enum": [ + "respond-async" + ] + } + }, + { + "name": "groupId", + "in": "path", + "description": "ID of group export", + "required": true, + "schema": { + "type": "string", + "enum": [ + "all", + "runout" + ], + "x-go-name": "GroupID" + }, + "x-go-name": "GroupID" + } + ], + "responses": { + "202": { + "description": "A data export job has been started successfully. ", + "headers": { + "Content-Location": { + "description": "Returns a URI to the jobs status endpoint, along with the job id. `/jobs/`", + "schema": { + "type": "string" + } + } + }, + "content": {} + }, + "400": { + "description": "Malformed request", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "429": { + "description": "Too many requests. A bulk export job of this resource type is already in progress for the ACO.", + "content": {} + }, + "500": { + "description": "Internal Server Error. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html Please refer to the body of the response for details.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v1/Patient/$export": { + "get": { + "tags": [ + "patient" + ], + "summary": "Start FHIR STU3 data export job for the specified group identifier and resource type(s)", + "description": "Initiates a job to collect data from the Beneficiary FHIR Data API for your ACO. \n\nIf used when specifying `_since`: all claims data which has been updated since the specified date will be returned for beneficiaries which have been attributed to the ACO since before the specified date.\n\n", + "operationId": "bulkPatientRequest", + "parameters": [ + { + "name": "_type", + "in": "query", + "description": "Resource types requested", + "style": "form", + "explode": false, + "schema": { + "type": "array", + "items": { + "type": "string" + }, + "x-go-name": "ResourceType" + }, + "x-go-name": "ResourceType" + }, + { + "name": "_since", + "in": "query", + "description": "Only include resource versions that were created at or after the given instant in time. Format of string must align with the FHIR Instant datatype (i.e., `2020-02-13T08:00:00.000-05:00`)", + "schema": { + "type": "string", + "x-go-name": "DateTime" + }, + "x-go-name": "DateTime" + }, + { + "name": "Prefer", + "in": "header", + "required": true, + "schema": { + "type": "string", + "enum": [ + "respond-async" + ] + } + } + ], + "responses": { + "202": { + "description": "A data export job has been started successfully. ", + "headers": { + "Content-Location": { + "description": "Returns a URI to the jobs status endpoint, along with the job id. `/jobs/`", + "schema": { + "type": "string" + } + } + }, + "content": {} + }, + "400": { + "description": "Malformed request", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "429": { + "description": "Too many requests. A bulk export job of this resource type is already in progress for the ACO.", + "content": {} + }, + "500": { + "description": "Internal Server Error. ", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v1/attribution_status": { + "get": { + "tags": [ + "attribution" + ], + "summary": "Get attribution status", + "description": "Returns the status of the latest ingestion for attribution and claims runout files. The response will contain the attribution Type to identify which ingestion and a Timestamp for the last time it was updated.", + "operationId": "attributionStatus", + "responses": { + "200": { + "description": "Successful request. Response will contain an attribution type(s) of `last_attribution_update`, `last_runout_update`", + "content": { + "application/json": { + "schema": { + "$ref": "#/components/schemas/AttributionFilesParam" + } + } + } + }, + "404": { + "description": "No attribution data was found. ", + "content": { + "application/json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v1/jobs": { + "get": { + "tags": [ + "job" + ], + "summary": "Get job(s) by status", + "description": "Returns the current statuses of all current and past export jobs, along with the original job request url. Supported status types are: \n\n - Completed\n\n - Archived\n\n - Expired\n\n - Failed\n\n - FailedExpired\n\n - In Progress\n\n - Pending\n\n - Cancelled\n\n - CancelledExpired\n\n If no status(s) is provided, all jobs will be returned.\n\nNote on job status to fhir task resource status mapping:\nDue to the fhir task status field having a smaller set of values, the following statuses will be set to different fhir values in the response\n\n - Archived, Expired -> Completed\n\n - FailedExpired -> Failed\n\n - Pending -> In Progress\n\n - CancelledExpired -> Cancelled\n\nThough the status name has been remapped the response will still only contain jobs pertaining to the provided job status in the request.", + "operationId": "jobsStatus", + "parameters": [ + { + "name": "_status", + "in": "query", + "description": "Job statuses requested", + "style": "form", + "explode": false, + "schema": { + "type": "array", + "items": { + "$ref": "#/components/schemas/JobStatus" + }, + "x-go-name": "Status" + }, + "x-go-name": "Status" + } + ], + "responses": { + "200": { + "description": "JSON object containing statuses of all current and previously requested jobs. The body will contain a FHIR Bundle resource in JSON format https://www.hl7.org/fhir/bundle.html and FHIR Task resources for the Bundle entries in JSON format https://www.hl7.org/fhir/task.html", + "headers": { + "Body": { + "schema": { + "type": "object" + } + } + }, + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/BundleResponse" + } + } + } + }, + "400": { + "description": "Malformed request; check URI and parameters are correct. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": {} + }, + "404": { + "description": "The requested path was not found. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "410": { + "description": "The requested resource is no longer available. Completed jobs expire after 24 hours; request the data again. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "500": { + "description": "An error occurred. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v1/jobs/{jobId}": { + "get": { + "tags": [ + "job" + ], + "summary": "Get job status and file location(s)", + "description": "Returns the current status of an export job and ndjson file locations, if available. The file locations will be under `output` and any job processing that encountered errors will be written to _<...-error.ndjson>_ files and located under `errors`.", + "operationId": "jobStatus", + "parameters": [ + { + "name": "jobId", + "in": "path", + "description": "ID of data export job", + "required": true, + "schema": { + "type": "integer", + "format": "int64", + "x-go-name": "JobID" + }, + "x-go-name": "JobID" + } + ], + "responses": { + "200": { + "description": "Data export job has completed successfully. The response body will contain a JSON object providing metadata about the transaction.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/BulkResponseBody" + } + } + } + }, + "202": { + "description": "Data export job is in progress.", + "headers": { + "X-Progress": { + "description": "The status of the job progress", + "schema": { + "type": "string" + } + } + }, + "content": {} + }, + "400": { + "description": "Malformed request. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html Please refer to the body of the response for details.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "404": { + "description": "The requested path was not found. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "410": { + "description": "The requested resource is no longer available. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + }, + "delete": { + "tags": [ + "job" + ], + "summary": "Cancel a job", + "description": "Cancels a currently running job.", + "operationId": "deleteJob", + "parameters": [ + { + "name": "jobId", + "in": "path", + "description": "ID of data export job", + "required": true, + "schema": { + "type": "integer", + "format": "int64", + "x-go-name": "JobID" + }, + "x-go-name": "JobID" + } + ], + "responses": { + "202": { + "description": "The job has been cancelled. No data will be available for download.", + "content": {} + }, + "400": { + "description": "There was a problem with the request. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "404": { + "description": "The requested path was not found. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "410": { + "description": "The requested resource is no longer available. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v1/metadata": { + "get": { + "tags": [ + "metadata" + ], + "summary": "Get metadata", + "description": "Returns metadata about the API.", + "operationId": "metadata", + "responses": { + "200": { + "description": "FHIR CapabilityStatement in JSON format", + "content": { + "application/json": { + "schema": { + "$ref": "#/components/schemas/CapabilityStatement" + } + } + } + } + } + } + }, + "/api/v2/Group/{groupId}/$export": { + "get": { + "tags": [ + "group" + ], + "summary": "Start FHIR R4 data export job for the specified group identifier and resource type(s)", + "description": "Initiates a job to collect data from the Beneficiary FHIR Data API for your ACO. The supported Group identifiers are `all` and `runout`. The `all` identifier returns data for the group of all patients attributed to the requesting ACO. The `runout` identifier returns claims runouts data. \n\nIf used when specifying `_since`: all claims data which has been updated since the specified date will be returned for beneficiaries which have been attributed to the ACO since before the specified date; and all historical claims data will be returned for beneficiaries which have been newly attributed to the ACO since the specified date.\n\n", + "operationId": "bulkGroupRequestV2", + "parameters": [ + { + "name": "_type", + "in": "query", + "description": "Resource type(s) requested. When left empty, will return all available resource types. _Note_: Claim and ClaimResponse are only available to REACH ACOs.", + "required": true, + "style": "form", + "explode": false, + "schema": { + "type": "array", + "items": { + "type": "string", + "enum": [ + "Coverage", + "Patient", + "ExplanationOfBenefit", + "Claim", + "ClaimResponse" + ] + }, + "x-go-name": "ResourceType" + }, + "x-go-name": "ResourceType" + }, + { + "name": "_since", + "in": "query", + "description": "Only include resource versions that were created at or after the given instant in time. Format of string must align with the FHIR Instant datatype (i.e., `2020-02-13T08:00:00.000-05:00`)", + "schema": { + "type": "string", + "x-go-name": "DateTime" + }, + "x-go-name": "DateTime" + }, + { + "name": "Prefer", + "in": "header", + "required": true, + "schema": { + "type": "string", + "enum": [ + "respond-async" + ] + } + }, + { + "name": "groupId", + "in": "path", + "description": "ID of group export", + "required": true, + "schema": { + "type": "string", + "enum": [ + "all", + "runout" + ], + "x-go-name": "GroupID" + }, + "x-go-name": "GroupID" + } + ], + "responses": { + "202": { + "description": "A data export job has been started successfully. ", + "headers": { + "Content-Location": { + "description": "Returns a URI to the jobs status endpoint, along with the job id. `/jobs/`", + "schema": { + "type": "string" + } + } + }, + "content": {} + }, + "400": { + "description": "Malformed request", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "429": { + "description": "Too many requests. A bulk export job of this resource type is already in progress for the ACO.", + "content": {} + }, + "500": { + "description": "Internal Server Error.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v2/Patient/$export": { + "get": { + "tags": [ + "patient" + ], + "summary": "Start FHIR R4 data export job for the specified group identifier and resource type(s)", + "description": "Initiates a job to collect data from the Beneficiary FHIR Data API for your ACO. \n\nIf used when specifying `_since`: all claims data which has been updated since the specified date will be returned for beneficiaries which have been attributed to the ACO since before the specified date.\n\n", + "operationId": "bulkPatientRequestv2", + "parameters": [ + { + "name": "_type", + "in": "query", + "description": "Resource types requested", + "style": "form", + "explode": false, + "schema": { + "type": "array", + "items": { + "type": "string" + }, + "x-go-name": "ResourceType" + }, + "x-go-name": "ResourceType" + }, + { + "name": "_since", + "in": "query", + "description": "Only include resource versions that were created at or after the given instant in time. Format of string must align with the FHIR Instant datatype (i.e., `2020-02-13T08:00:00.000-05:00`)", + "schema": { + "type": "string", + "x-go-name": "DateTime" + }, + "x-go-name": "DateTime" + }, + { + "name": "Prefer", + "in": "header", + "required": true, + "schema": { + "type": "string", + "enum": [ + "respond-async" + ] + } + } + ], + "responses": { + "202": { + "description": "A data export job has been started successfully. ", + "headers": { + "Content-Location": { + "description": "Returns a URI to the jobs status endpoint, along with the job id. `/jobs/`", + "schema": { + "type": "string" + } + } + }, + "content": {} + }, + "400": { + "description": "Malformed request", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "429": { + "description": "Too many requests. A bulk export job of this resource type is already in progress for the ACO.", + "content": {} + }, + "500": { + "description": "Internal Server Error. ", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v2/attribution_status": { + "get": { + "tags": [ + "attribution" + ], + "summary": "Get attribution status", + "description": "Returns the status of the latest ingestion for attribution and claims runout files. The response will contain the attribution Type to identify which ingestion and a Timestamp for the last time it was updated.", + "operationId": "attributionStatusv2", + "responses": { + "200": { + "description": "Successful request. Response will contain an attribution type(s) of `last_attribution_update`, `last_runout_update`", + "content": { + "application/json": { + "schema": { + "$ref": "#/components/schemas/AttributionFilesParam" + } + } + } + }, + "404": { + "description": "No attribution data was found. ", + "content": { + "application/json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v2/jobs": { + "get": { + "tags": [ + "job" + ], + "summary": "Get job(s) by status", + "description": "Returns the current statuses of all current and past export jobs, along with the original job request url. Supported status types are: \n\n - Completed\n\n - Archived\n\n - Expired\n\n - Failed\n\n - FailedExpired\n\n - In Progress\n\n - Pending\n\n - Cancelled\n\n - CancelledExpired\n\n If no status(s) is provided, all jobs will be returned.\n\nNote on job status to fhir task resource status mapping:\nDue to the fhir task status field having a smaller set of values, the following statuses will be set to different fhir values in the response\n\n - Archived, Expired -> Completed\n\n - FailedExpired -> Failed\n\n - Pending -> In Progress\n\n - CancelledExpired -> Cancelled\n\nThough the status name has been remapped the response will still only contain jobs pertaining to the provided job status in the request.", + "operationId": "jobsStatusV2", + "parameters": [ + { + "name": "_status", + "in": "query", + "description": "Job statuses requested", + "style": "form", + "explode": false, + "schema": { + "type": "array", + "items": { + "$ref": "#/components/schemas/JobStatus" + }, + "x-go-name": "Status" + }, + "x-go-name": "Status" + } + ], + "responses": { + "200": { + "description": "JSON object containing statuses of all current and previously requested jobs. The body will contain a FHIR Bundle resource in JSON format https://www.hl7.org/fhir/bundle.html and FHIR Task resources for the Bundle entries in JSON format https://www.hl7.org/fhir/task.html", + "headers": { + "Body": { + "schema": { + "type": "object" + } + } + }, + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/BundleResponse" + } + } + } + }, + "400": { + "description": "Malformed request; check URI and parameters are correct. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": {} + }, + "404": { + "description": "The requested path was not found. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "410": { + "description": "The requested resource is no longer available. Completed jobs expire after 24 hours; request the data again. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "500": { + "description": "An error occurred. The body will contain a FHIR OperationOutcome resource in JSON format: https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v2/jobs/{jobId}": { + "get": { + "tags": [ + "job" + ], + "summary": "Get job status and file location(s)", + "description": "Returns the current status of an export job and ndjson file locations, if available. The file locations will be under `output` and any job processing that encountered errors will be written to _<...-error.ndjson>_ files and located under `errors`.", + "operationId": "jobStatusidv2", + "parameters": [ + { + "name": "jobId", + "in": "path", + "description": "ID of data export job", + "required": true, + "schema": { + "type": "integer", + "format": "int64", + "x-go-name": "JobID" + }, + "x-go-name": "JobID" + } + ], + "responses": { + "200": { + "description": "Data export job has completed successfully. The response body will contain a JSON object providing metadata about the transaction.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/BulkResponseBody" + } + } + } + }, + "202": { + "description": "Data export job is in progress.", + "headers": { + "X-Progress": { + "description": "The status of the job progress", + "schema": { + "type": "string" + } + } + }, + "content": {} + }, + "400": { + "description": "Malformed request. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html Please refer to the body of the response for details.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "404": { + "description": "The requested path was not found. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "410": { + "description": "The requested resource is no longer available. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + }, + "delete": { + "tags": [ + "job" + ], + "summary": "Cancel a job", + "description": "Cancels a currently running job.", + "operationId": "deleteJobv2", + "parameters": [ + { + "name": "jobId", + "in": "path", + "description": "ID of data export job", + "required": true, + "schema": { + "type": "integer", + "format": "int64", + "x-go-name": "JobID" + }, + "x-go-name": "JobID" + } + ], + "responses": { + "202": { + "description": "The job has been cancelled. No data will be available for download.", + "content": {} + }, + "400": { + "description": "There was a problem with the request. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "404": { + "description": "The requested path was not found. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "410": { + "description": "The requested resource is no longer available. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/api/v2/metadata": { + "get": { + "tags": [ + "metadata" + ], + "summary": "Get metadata", + "description": "Returns metadata about the API.", + "operationId": "metadatav2", + "responses": { + "200": { + "description": "FHIR CapabilityStatement in JSON format", + "content": { + "application/json": { + "schema": { + "$ref": "#/components/schemas/CapabilityStatement" + } + } + } + } + } + } + }, + "/auth/token": { + "post": { + "tags": [ + "auth" + ], + "summary": "Get access token", + "description": "Verifies Basic authentication credentials, and returns a JWT bearer token that can be presented to the other API endpoints.", + "operationId": "GetAuthToken", + "responses": { + "200": { + "description": "JSON with a valid JWT", + "content": { + "application/json": { + "schema": { + "required": [ + "access_token" + ], + "type": "object", + "properties": { + "access_token": { + "type": "string", + "x-go-name": "AccessToken" + }, + "expires_in": { + "type": "string", + "x-go-name": "ExpiresIn" + }, + "token_type": { + "type": "string", + "x-go-name": "TokenType" + } + } + } + } + } + }, + "400": { + "description": "Missing credentials", + "content": {} + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "500": { + "description": "Server error", + "content": {} + } + }, + "security": [ + { + "basic_auth": [] + } + ] + } + }, + "/auth/welcome": { + "get": { + "tags": [ + "auth" + ], + "summary": "Test authentication", + "description": "If a valid token is presented, show a welcome message.", + "operationId": "welcome", + "responses": { + "200": { + "description": "Welcome message", + + "content": {} + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + }, + "/data/{jobId}/{filename}": { + "get": { + "tags": [ + "data" + ], + "summary": "Get data file", + "description": "Returns the NDJSON file of data generated by an export job, which can be found via the jobs/{jobId} response. Will be in the format .ndjson or -error.ndjson. Gzip is highly encouraged for faster downloads.", + "operationId": "serveData", + "parameters": [ + { + "name": "jobId", + "in": "path", + "description": "ID of data export job", + "required": true, + "schema": { + "type": "integer", + "format": "int64", + "x-go-name": "JobID" + }, + "x-go-name": "JobID" + }, + { + "name": "filename", + "in": "path", + "description": "Name of file to be downloaded", + "required": true, + "schema": { + "type": "string", + "x-go-name": "Filename" + }, + "x-go-name": "Filename" + }, + { + "name": "Accept-Encoding", + "in": "header", + "description": "Encoding type to use", + "schema": { + "type": "string", + "enum": [ + "gzip" + ], + "x-go-name": "AcceptEncoding" + }, + "x-go-name": "AcceptEncoding" + } + ], + "responses": { + "200": { + "description": "File of newline-delimited JSON FHIR objects", + "headers": { + "Content-Encoding": { + "description": "Header defining encoding type used", + "schema": { + "type": "string", + "enum": [ + "gzip" + ] + } + } + }, + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/NDJSON" + } + } + } + }, + "400": { + "description": "Malformed request. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "401": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "404": { + "description": "The requested path was not found. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + } + }, + "security": [ + { + "bearer_token": [] + } + ] + } + } + }, + "components": { + "schemas": { + "AttributionFilesParam": { + "type": "object", + "properties": { + "ingestion_dates": { + "type": "array", + "items": { + "$ref": "#/components/schemas/IngestionDatesStatusParam" + }, + "x-go-name": "IngestionDates" + } + }, + "x-go-package": "github.com/CMSgov/bcda-app/bcda/models" + }, + "Base64Binary": { + "description": "Auto-generated from StructureDefinition for base64Binary, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type base64Binary. See\nhttp://hl7.org/fhir/StructureDefinition/base64Binary", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for base64Binary", + "type": "array", + "items": { + "type": "integer", + "format": "uint8" + }, + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "BulkResponseBody": { + "type": "object", + "properties": { + "JobID": { + "type": "integer", + "format": "uint64" + }, + "error": { + "description": "Information about error files, including URLs for downloading", + "type": "array", + "items": { + "$ref": "#/components/schemas/fileItem" + }, + "x-go-name": "Errors" + }, + "output": { + "description": "Information about generated data files, including URLs for downloading", + "type": "array", + "items": { + "$ref": "#/components/schemas/fileItem" + }, + "x-go-name": "Files" + }, + "request": { + "description": "URL of the bulk data export request", + "type": "string", + "x-go-name": "RequestURL" + }, + "requiresAccessToken": { + "description": "Indicates whether an access token is required to download generated data files", + "type": "boolean", + "x-go-name": "RequiresAccessToken" + }, + "transactionTime": { + "description": "Server time when the query was run", + "type": "string", + "format": "date-time", + "x-go-name": "TransactionTime" + } + }, + "x-go-package": "github.com/CMSgov/bcda-app/bcda/api" + }, + "BundleResponse": { + "type": "object", + "properties": { + "entry": { + "type": "array", + "items": { + "$ref": "#/components/schemas/EntryResponse" + }, + "x-go-name": "Entry" + }, + "resourceType": { + "description": "Bundle", + "type": "string", + "x-go-name": "ResourceType" + }, + "total": { + "description": "Total number of entries", + "type": "integer", + "format": "int64", + "x-go-name": "Total" + }, + "type": { + "description": "Searchset", + "type": "string", + "x-go-name": "Type" + } + }, + "x-go-package": "github.com/CMSgov/bcda-app/bcda/models" + }, + "CapabilityStatement": { + "description": "Auto-generated from StructureDefinition for CapabilityStatement, last updated\n2017-04-19T07:44:43.294+10:00. A statement of system capabilities. See\nhttp://hl7.org/fhir/StructureDefinition/CapabilityStatement", + "type": "object", + "properties": { + "accept_unknown": { + "$ref": "#/components/schemas/UnknownContentCodeCode" + }, + "contact": { + "description": "Contact details for the publisher", + "type": "array", + "items": { + "$ref": "#/components/schemas/ContactDetail" + }, + "x-go-name": "Contact" + }, + "contained": { + "description": "Contained, inline Resources", + "type": "array", + "items": { + "$ref": "#/components/schemas/ContainedResource" + }, + "x-go-name": "Contained" + }, + "copyright": { + "$ref": "#/components/schemas/Markdown" + }, + "date": { + "type": "string" + }, + "description": { + "$ref": "#/components/schemas/Markdown" + }, + "document": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Document" + }, + "x-go-name": "Document" + }, + "experimental": { + "type": "boolean" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "fhir_version": { + "$ref": "#/components/schemas/Id" + }, + "format": { + "description": "formats supported (xml | json | ttl | mime type)", + "type": "array", + "items": { + "$ref": "#/components/schemas/MimeTypeCode" + }, + "x-go-name": "Format" + }, + "id": { + "$ref": "#/components/schemas/Id" + }, + "implementation": { + "$ref": "#/components/schemas/CapabilityStatement_Implementation" + }, + "implementation_guide": { + "description": "Implementation guides supported", + "type": "array", + "items": { + "$ref": "#/components/schemas/Uri" + }, + "x-go-name": "ImplementationGuide" + }, + "implicit_rules": { + "$ref": "#/components/schemas/Uri" + }, + "instantiates": { + "description": "Canonical URL of another capability statement this implements", + "type": "array", + "items": { + "$ref": "#/components/schemas/Uri" + }, + "x-go-name": "Instantiates" + }, + "jurisdiction": { + "description": "Intended jurisdiction for capability statement (if applicable)", + "type": "array", + "items": { + "$ref": "#/components/schemas/CodeableConcept" + }, + "x-go-name": "Jurisdiction" + }, + "kind": { + "type": "string" + }, + "language": { + "$ref": "#/components/schemas/LanguageCode" + }, + "messaging": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Messaging" + }, + "x-go-name": "Messaging" + }, + "meta": { + "$ref": "#/components/schemas/Meta" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "name": { + "$ref": "#/components/schemas/String" + }, + "patch_format": { + "description": "Patch formats supported", + "type": "array", + "items": { + "$ref": "#/components/schemas/MimeTypeCode" + }, + "x-go-name": "PatchFormat" + }, + "profile": { + "description": "Profiles for use cases supported", + "type": "array", + "items": { + "$ref": "#/components/schemas/Reference" + }, + "x-go-name": "Profile" + }, + "publisher": { + "type": "string" + }, + "purpose": { + "$ref": "#/components/schemas/Markdown" + }, + "rest": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Rest" + }, + "x-go-name": "Rest" + }, + "software": { + "$ref": "#/components/schemas/CapabilityStatement_Software" + }, + "status": { + "type":"string" + }, + "text": { + "$ref": "#/components/schemas/Narrative" + }, + "title": { + "$ref": "#/components/schemas/String" + }, + "url": { + "$ref": "#/components/schemas/Uri" + }, + "use_context": { + "description": "Context the content is intended to support", + "type": "array", + "items": { + "$ref": "#/components/schemas/UsageContext" + }, + "x-go-name": "UseContext" + }, + "version": { + "$ref": "#/components/schemas/String" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatementKindCode": { + "description": "See http://hl7.org/fhir/ValueSet/capability-statement-kind", + "type": "object", + "title": "How a capability statement is intended to be used.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/CapabilityStatementKindCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "CapabilityStatementKindCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "CapabilityStatement_Document": { + "description": "Document definition", + "type": "object", + "properties": { + "documentation": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "mode": { + "$ref": "#/components/schemas/DocumentModeCode" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "profile": { + "$ref": "#/components/schemas/Reference" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Implementation": { + "description": "If this describes a specific instance", + "type": "object", + "properties": { + "description": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "url": { + "$ref": "#/components/schemas/Uri" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Messaging": { + "description": "If messaging is supported", + "type": "object", + "properties": { + "documentation": { + "$ref": "#/components/schemas/String" + }, + "endpoint": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Messaging_Endpoint" + }, + "x-go-name": "Endpoint" + }, + "event": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Messaging_Event" + }, + "x-go-name": "Event" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "reliable_cache": { + "$ref": "#/components/schemas/UnsignedInt" + }, + "supported_message": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Messaging_SupportedMessage" + }, + "x-go-name": "SupportedMessage" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Messaging_Endpoint": { + "description": "Where messages should be sent", + "type": "object", + "properties": { + "address": { + "$ref": "#/components/schemas/Uri" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "protocol": { + "$ref": "#/components/schemas/Coding" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Messaging_Event": { + "description": "Declare support for this event", + "type": "object", + "properties": { + "category": { + "$ref": "#/components/schemas/MessageSignificanceCategoryCode" + }, + "code": { + "$ref": "#/components/schemas/Coding" + }, + "documentation": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "focus": { + "$ref": "#/components/schemas/ResourceTypeCode" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "mode": { + "$ref": "#/components/schemas/EventCapabilityModeCode" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "request": { + "$ref": "#/components/schemas/Reference" + }, + "response": { + "$ref": "#/components/schemas/Reference" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Messaging_SupportedMessage": { + "description": "Messages supported by this system", + "type": "object", + "properties": { + "definition": { + "$ref": "#/components/schemas/Reference" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "mode": { + "$ref": "#/components/schemas/EventCapabilityModeCode" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Rest": { + "description": "If the endpoint is a RESTful one", + "type": "object", + "properties": { + "compartment": { + "description": "Compartments served/used by system", + "type": "array", + "items": { + "$ref": "#/components/schemas/Uri" + }, + "x-go-name": "Compartment" + }, + "documentation": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "interaction": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Rest_SystemInteraction" + }, + "x-go-name": "Interaction" + }, + "mode": { + "$ref": "#/components/schemas/RestfulCapabilityModeCode" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "operation": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Rest_Operation" + }, + "x-go-name": "Operation" + }, + "resource": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Rest_Resource" + }, + "x-go-name": "Resource" + }, + "search_param": { + "description": "Search parameters for searching all resources", + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Rest_Resource_SearchParam" + }, + "x-go-name": "SearchParam" + }, + "security": { + "$ref": "#/components/schemas/CapabilityStatement_Rest_Security" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Rest_Operation": { + "description": "Definition of an operation or a custom query", + "type": "object", + "properties": { + "definition": { + "$ref": "#/components/schemas/Reference" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "name": { + "$ref": "#/components/schemas/String" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Rest_Resource": { + "description": "Resource served on the REST interface", + "type": "object", + "properties": { + "conditional_create": { + "type": "boolean" + }, + "conditional_delete": { + "$ref": "#/components/schemas/ConditionalDeleteStatusCode" + }, + "conditional_read": { + "$ref": "#/components/schemas/ConditionalReadStatusCode" + }, + "conditional_update": { + "type": "boolean" + }, + "documentation": { + "$ref": "#/components/schemas/Markdown" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "interaction": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Rest_Resource_ResourceInteraction" + }, + "x-go-name": "Interaction" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "profile": { + "$ref": "#/components/schemas/Reference" + }, + "read_history": { + "type": "boolean" + }, + "reference_policy": { + "description": "literal | logical | resolves | enforced | local", + "type": "array", + "items": { + "$ref": "#/components/schemas/ReferenceHandlingPolicyCode" + }, + "x-go-name": "ReferencePolicy" + }, + "search_include": { + "description": "_include values supported by the server", + "type": "array", + "items": { + "$ref": "#/components/schemas/String" + }, + "x-go-name": "SearchInclude" + }, + "search_param": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Rest_Resource_SearchParam" + }, + "x-go-name": "SearchParam" + }, + "search_rev_include": { + "description": "_revinclude values supported by the server", + "type": "array", + "items": { + "$ref": "#/components/schemas/String" + }, + "x-go-name": "SearchRevInclude" + }, + "type": { + "$ref": "#/components/schemas/ResourceTypeCode" + }, + "update_create": { + "type": "boolean" + }, + "versioning": { + "$ref": "#/components/schemas/ResourceVersionPolicyCode" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Rest_Resource_ResourceInteraction": { + "type": "object", + "title": "What operations are supported?", + "properties": { + "code": { + "$ref": "#/components/schemas/TypeRestfulInteractionCode" + }, + "documentation": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Rest_Resource_SearchParam": { + "description": "Search parameters supported by implementation", + "type": "object", + "properties": { + "definition": { + "$ref": "#/components/schemas/Uri" + }, + "documentation": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "name": { + "$ref": "#/components/schemas/String" + }, + "type": { + "$ref": "#/components/schemas/SearchParamTypeCode" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Rest_Security": { + "description": "Information about security of implementation", + "type": "object", + "properties": { + "certificate": { + "type": "array", + "items": { + "$ref": "#/components/schemas/CapabilityStatement_Rest_Security_Certificate" + }, + "x-go-name": "Certificate" + }, + "cors": { + "type": "boolean" + }, + "description": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "service": { + "description": "OAuth | SMART-on-FHIR | NTLM | Basic | Kerberos | Certificates", + "type": "array", + "items": { + "$ref": "#/components/schemas/CodeableConcept" + }, + "x-go-name": "Service" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Rest_Security_Certificate": { + "description": "Certificates associated with security profiles", + "type": "object", + "properties": { + "blob": { + "$ref": "#/components/schemas/Base64Binary" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "type": { + "$ref": "#/components/schemas/MimeTypeCode" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Rest_SystemInteraction": { + "type": "object", + "title": "What operations are supported?", + "properties": { + "code": { + "$ref": "#/components/schemas/SystemRestfulInteractionCode" + }, + "documentation": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "CapabilityStatement_Software": { + "description": "Software that is covered by this capability statement", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "modifier_extension": { + "description": "Extensions that cannot be ignored", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "ModifierExtension" + }, + "name": { + "$ref": "#/components/schemas/String" + }, + "release_date": { + "type": "string" + }, + "version": { + "$ref": "#/components/schemas/String" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "Code": { + "description": "Auto-generated from StructureDefinition for code, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type code. See\nhttp://hl7.org/fhir/StructureDefinition/code", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for code", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "CodeableConcept": { + "description": "Auto-generated from StructureDefinition for CodeableConcept, last updated\n2017-04-19T07:44:43.294+10:00. Concept - reference to a terminology or just\ntext. See http://hl7.org/fhir/StructureDefinition/CodeableConcept", + "type": "object", + "properties": { + "coding": { + "description": "Code defined by a terminology system", + "type": "array", + "items": { + "$ref": "#/components/schemas/Coding" + }, + "x-go-name": "Coding" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "text": { + "$ref": "#/components/schemas/String" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "Coding": { + "description": "Auto-generated from StructureDefinition for Coding, last updated\n2017-04-19T07:44:43.294+10:00. A reference to a code defined by a terminology\nsystem. See http://hl7.org/fhir/StructureDefinition/Coding", + "type": "object", + "properties": { + "code": { + "$ref": "#/components/schemas/Code" + }, + "display": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "system": { + "$ref": "#/components/schemas/Uri" + }, + "user_selected": { + "type": "boolean" + }, + "version": { + "$ref": "#/components/schemas/String" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "ConditionalDeleteStatusCode": { + "description": "See http://hl7.org/fhir/ValueSet/conditional-delete-status", + "type": "object", + "title": "A code that indicates how the server supports conditional delete.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/ConditionalDeleteStatusCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ConditionalDeleteStatusCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ConditionalReadStatusCode": { + "description": "See http://hl7.org/fhir/ValueSet/conditional-read-status", + "type": "object", + "title": "A code that indicates how the server supports conditional read.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/ConditionalReadStatusCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ConditionalReadStatusCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ContactDetail": { + "description": "Auto-generated from StructureDefinition for ContactDetail, last updated\n2017-04-19T07:44:43.294+10:00. Contact information. See\nhttp://hl7.org/fhir/StructureDefinition/ContactDetail", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "name": { + "$ref": "#/components/schemas/String" + }, + "telecom": { + "description": "Contact details for individual or organization", + "type": "array", + "items": { + "$ref": "#/components/schemas/ContactPoint" + }, + "x-go-name": "Telecom" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/metadatatypes_go_proto" + }, + "ContactPoint": { + "description": "Auto-generated from StructureDefinition for ContactPoint, last updated\n2017-04-19T07:44:43.294+10:00. Details of a Technology mediated contact point\n(phone, fax, email, etc.). See\nhttp://hl7.org/fhir/StructureDefinition/ContactPoint", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "period": { + "$ref": "#/components/schemas/Period" + }, + "rank": { + "$ref": "#/components/schemas/PositiveInt" + }, + "system": { + "$ref": "#/components/schemas/ContactPointSystemCode" + }, + "use": { + "$ref": "#/components/schemas/ContactPointUseCode" + }, + "value": { + "$ref": "#/components/schemas/String" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "ContactPointSystemCode": { + "description": "Telecommunications form for contact point\nSee http://hl7.org/fhir/ValueSet/contact-point-system", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/ContactPointSystemCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "ContactPointSystemCode_Value": { + "description": "Primitive value for code", + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "ContactPointUseCode": { + "description": "Use of contact point\nSee http://hl7.org/fhir/ValueSet/contact-point-use", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/ContactPointUseCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "ContactPointUseCode_Value": { + "description": "Primitive value for code", + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "ContainedResource": { + "type": "object", + "properties": { + "OneofResource": { + "$ref": "#/components/schemas/isContainedResource_OneofResource" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + "DateTime": { + "description": "Auto-generated from StructureDefinition for dateTime, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type dateTime. See\nhttp://hl7.org/fhir/StructureDefinition/dateTime", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "precision": { + "$ref": "#/components/schemas/DateTime_Precision" + }, + "timezone": { + "type": "string", + "x-go-name": "Timezone" + }, + "value_us": { + "description": "Primitive value for dateTime", + "type": "integer", + "format": "int64", + "x-go-name": "ValueUs" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "DateTime_Precision": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "DocumentModeCode": { + "description": "See http://hl7.org/fhir/ValueSet/document-mode", + "type": "object", + "title": "Whether the application produces or consumes documents.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/DocumentModeCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "DocumentModeCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "EntryResponse": { + "type": "object", + "properties": { + "resource": { + "type": "object", + "properties": { + "ExecutionPeriod": { + "type": "object", + "properties": { + "end": { + "description": "Time job completed", + "type": "string", + "format": "date-time", + "x-go-name": "End" + }, + "start": { + "description": "Time job started", + "type": "string", + "format": "date-time", + "x-go-name": "Start" + } + } + }, + "identifier": { + "type": "object", + "properties": { + "system": { + "description": "Url for jobs statuses", + "type": "string", + "x-go-name": "System" + }, + "use": { + "description": "Official", + "type": "string", + "x-go-name": "Use" + }, + "value": { + "description": "Job Id", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-name": "Identifier" + }, + "input": { + "type": "array", + "items": { + "type": "object", + "properties": { + "type": { + "type": "object", + "properties": { + "text": { + "description": "BULK FHIR Export", + "type": "string", + "x-go-name": "Text" + } + }, + "x-go-name": "Type" + }, + "valueString": { + "description": "Original job request url", + "type": "string", + "x-go-name": "ValueString" + } + } + }, + "x-go-name": "Input" + }, + "intent": { + "description": "Order", + "type": "string", + "x-go-name": "Intent" + }, + "resourceType": { + "description": "Task", + "type": "string", + "x-go-name": "ResourceType" + }, + "status": { + "description": "Job Status", + "type": "string", + "x-go-name": "Status" + } + }, + "x-go-name": "Resource" + } + }, + "x-go-package": "github.com/CMSgov/bcda-app/bcda/models" + }, + "EventCapabilityModeCode": { + "description": "See http://hl7.org/fhir/ValueSet/event-capability-mode", + "type": "object", + "title": "The mode of a message capability statement.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/EventCapabilityModeCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "EventCapabilityModeCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "Extension": { + "description": "Optional Extensions Element\nSee https://www.hl7.org/fhir/datatypes.html#Extension", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "url": { + "$ref": "#/components/schemas/Uri" + }, + "value": { + "$ref": "#/components/schemas/Extension_ValueX" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "Extension_ValueX": { + "description": "Value of extension", + "type": "object", + "properties": { + "Choice": { + "$ref": "#/components/schemas/isExtension_ValueX_Choice" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "Id": { + "description": "Auto-generated from StructureDefinition for id, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type id. See\nhttp://hl7.org/fhir/StructureDefinition/id", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for id", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "Identifier": { + "description": "Auto-generated from StructureDefinition for Identifier, last updated\n2017-04-19T07:44:43.294+10:00. An identifier intended for computation. See\nhttp://hl7.org/fhir/StructureDefinition/Identifier", + "type": "object", + "properties": { + "assigner": { + "$ref": "#/components/schemas/Reference" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "period": { + "$ref": "#/components/schemas/Period" + }, + "system": { + "$ref": "#/components/schemas/Uri" + }, + "type": { + "$ref": "#/components/schemas/CodeableConcept" + }, + "use": { + "$ref": "#/components/schemas/IdentifierUseCode" + }, + "value": { + "$ref": "#/components/schemas/String" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "IdentifierUseCode": { + "description": "See http://hl7.org/fhir/ValueSet/identifier-use", + "type": "object", + "title": "Identifies the purpose for this identifier, if known .", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/IdentifierUseCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "IdentifierUseCode_Value": { + "description": "Primitive value for code", + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "IngestionDatesStatusParam": { + "type": "object", + "properties": { + "timestamp": { + "type": "string", + "format": "date-time", + "x-go-name": "Timestamp" + }, + "type": { + "type": "string", + "x-go-name": "Type" + } + }, + "x-go-package": "github.com/CMSgov/bcda-app/bcda/models" + }, + "Instant": { + "description": "Auto-generated from StructureDefinition for instant, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type instant. See\nhttp://hl7.org/fhir/StructureDefinition/instant", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "precision": { + "$ref": "#/components/schemas/Instant_Precision" + }, + "timezone": { + "type": "string", + "x-go-name": "Timezone" + }, + "value_us": { + "description": "Primitive value for instant", + "type": "integer", + "format": "int64", + "x-go-name": "ValueUs" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "Instant_Precision": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "JobStatus": { + "type": "string", + "x-go-package": "github.com/CMSgov/bcda-app/bcda/models" + }, + "LanguageCode": { + "description": "This value set includes common codes from BCP-47\n(http://tools.ietf.org/html/bcp47)\nSee http://hl7.org/fhir/ValueSet/languages\nNote: For historical reasons, this does not use an enum to represent value.", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for code", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "Markdown": { + "description": "Auto-generated from StructureDefinition for markdown, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type markdown. See\nhttp://hl7.org/fhir/StructureDefinition/markdown", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for markdown", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "MessageSignificanceCategoryCode": { + "description": "See http://hl7.org/fhir/ValueSet/message-significance-category", + "type": "object", + "title": "The impact of the content of a message.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/MessageSignificanceCategoryCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "MessageSignificanceCategoryCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "Meta": { + "description": "Auto-generated from StructureDefinition for Meta, last updated\n2017-04-19T07:44:43.294+10:00. Metadata about a resource. See\nhttp://hl7.org/fhir/StructureDefinition/Meta", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "last_updated": { + "$ref": "#/components/schemas/Instant" + }, + "profile": { + "description": "Profiles this resource claims to conform to", + "type": "array", + "items": { + "$ref": "#/components/schemas/Uri" + }, + "x-go-name": "Profile" + }, + "security": { + "description": "Security Labels applied to this resource", + "type": "array", + "items": { + "$ref": "#/components/schemas/Coding" + }, + "x-go-name": "Security" + }, + "tag": { + "description": "Tags applied to this resource", + "type": "array", + "items": { + "$ref": "#/components/schemas/Coding" + }, + "x-go-name": "Tag" + }, + "version_id": { + "$ref": "#/components/schemas/Id" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "MimeTypeCode": { + "description": "See http://www.rfc-editor.org/bcp/bcp13.txt", + "type": "object", + "title": "Any valid MimeType.", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for code", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "NDJSON": { + "type": "string", + "x-go-package": "github.com/CMSgov/bcda-app/bcda/models" + }, + "Narrative": { + "description": "Auto-generated from StructureDefinition for Narrative, last updated\n2017-04-19T07:44:43.294+10:00. A human-readable formatted text, including\nimages. See http://hl7.org/fhir/StructureDefinition/Narrative", + "type": "object", + "properties": { + "div": { + "$ref": "#/components/schemas/Xhtml" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "status": { + "$ref": "#/components/schemas/NarrativeStatusCode" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/metadatatypes_go_proto" + }, + "NarrativeStatusCode": { + "description": "The status of a resource narrative\nSee http://hl7.org/fhir/ValueSet/narrative-status", + "type": "object", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/NarrativeStatusCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "NarrativeStatusCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "OperationOutcomeResponse": { + "type": "object", + "properties": { + "Issue": { + "type": "object", + "required": [ + "Severity", + "Code", + "Diagnostics" + ], + "properties": { + "Severity": { + "description": "Severity of the outcome: fatal | error | warning | information", + "type": "string" + }, + "Code": { + "description": "Error or warning code", + "type": "string" + }, + "Diagnostics": { + "description": "Additional diagnostic information about the issue", + "type": "string" + } + } + } + }, + "x-go-package": "github.com/CMSgov/bcda-app/bcda/models" + }, + "Period": { + "description": "Auto-generated from StructureDefinition for Period, last updated\n2017-04-19T07:44:43.294+10:00. Time range defined by start and end date/time.\nSee http://hl7.org/fhir/StructureDefinition/Period", + "type": "object", + "properties": { + "end": { + "$ref": "#/components/schemas/DateTime" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "start": { + "$ref": "#/components/schemas/DateTime" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "PositiveInt": { + "description": "Auto-generated from StructureDefinition for positiveInt, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type positiveInt. See\nhttp://hl7.org/fhir/StructureDefinition/positiveInt", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for positiveInt", + "type": "integer", + "format": "uint32", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "PublicationStatusCode": { + "description": "See http://hl7.org/fhir/ValueSet/publication-status", + "type": "object", + "title": "The lifecycle status of a Value Set or Concept Map.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/PublicationStatusCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "PublicationStatusCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "Reference": { + "description": "A reference from one resource to another\nSee https://www.hl7.org/fhir/datatypes.html#Reference", + "type": "object", + "properties": { + "Reference": { + "$ref": "#/components/schemas/isReference_Reference" + }, + "display": { + "$ref": "#/components/schemas/String" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "identifier": { + "$ref": "#/components/schemas/Identifier" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "ReferenceHandlingPolicyCode": { + "description": "See http://hl7.org/fhir/ValueSet/reference-handling-policy", + "type": "object", + "title": "A set of flags that defines how references are supported.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/ReferenceHandlingPolicyCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ReferenceHandlingPolicyCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ResourceTypeCode": { + "description": "See http://hl7.org/fhir/ValueSet/resource-types", + "type": "object", + "title": "One of the resource types defined as part of FHIR.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/ResourceTypeCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ResourceTypeCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ResourceVersionPolicyCode": { + "description": "See http://hl7.org/fhir/ValueSet/versioning-policy", + "type": "object", + "title": "How the system supports versioning for a resource.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/ResourceVersionPolicyCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "ResourceVersionPolicyCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "RestfulCapabilityModeCode": { + "description": "See http://hl7.org/fhir/ValueSet/restful-capability-mode", + "type": "object", + "title": "The mode of a RESTful capability statement.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/RestfulCapabilityModeCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "RestfulCapabilityModeCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "SearchParamTypeCode": { + "description": "See http://hl7.org/fhir/ValueSet/search-param-type", + "type": "object", + "title": "Data types allowed to be used for search parameters.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/SearchParamTypeCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "SearchParamTypeCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "String": { + "description": "Auto-generated from StructureDefinition for string, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type string. See\nhttp://hl7.org/fhir/StructureDefinition/string", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for string", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "SystemRestfulInteractionCode": { + "description": "http://hl7.org/fhir/ValueSet/system-restful-interaction", + "type": "object", + "title": "Operations supported by REST at the system level.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/SystemRestfulInteractionCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "SystemRestfulInteractionCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "TypeRestfulInteractionCode": { + "description": "See http://hl7.org/fhir/ValueSet/type-restful-interaction", + "type": "object", + "title": "Operations supported by REST at the type or instance level.", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/TypeRestfulInteractionCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "TypeRestfulInteractionCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "UnknownContentCodeCode": { + "description": "A code that indicates whether an application accepts unknown elements or\nextensions when reading resources. See\nhttp://hl7.org/fhir/ValueSet/unknown-content-code", + "type": "object", + "properties": { + "extension": { + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/UnknownContentCodeCode_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "UnknownContentCodeCode_Value": { + "type": "integer", + "format": "int32", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/codes_go_proto" + }, + "UnsignedInt": { + "description": "Auto-generated from StructureDefinition for unsignedInt, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type unsignedInt. See\nhttp://hl7.org/fhir/StructureDefinition/unsignedInt", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for unsignedInt", + "type": "integer", + "format": "uint32", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "Uri": { + "description": "Auto-generated from StructureDefinition for uri, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type uri. See\nhttp://hl7.org/fhir/StructureDefinition/uri", + "type": "object", + "properties": { + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Primitive value for uri", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "UsageContext": { + "description": "Auto-generated from StructureDefinition for UsageContext, last updated\n2017-04-19T07:44:43.294+10:00. Describes the context of use for a conformance\nor knowledge resource. See\nhttp://hl7.org/fhir/StructureDefinition/UsageContext", + "type": "object", + "properties": { + "code": { + "$ref": "#/components/schemas/Coding" + }, + "extension": { + "description": "Additional Content defined by implementations", + "type": "array", + "items": { + "$ref": "#/components/schemas/Extension" + }, + "x-go-name": "Extension" + }, + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "$ref": "#/components/schemas/UsageContext_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/metadatatypes_go_proto" + }, + "UsageContext_Value": { + "description": "Value that defines the context", + "type": "object", + "properties": { + "Value": { + "$ref": "#/components/schemas/isUsageContext_Value_Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/metadatatypes_go_proto" + }, + "Xhtml": { + "description": "Auto-generated from StructureDefinition for xhtml, last updated\n2017-04-19T07:44:43.294+10:00. Primitive Type xhtml. See\nhttp://hl7.org/fhir/StructureDefinition/xhtml", + "type": "object", + "properties": { + "id": { + "$ref": "#/components/schemas/String" + }, + "value": { + "description": "Actual xhtml", + "type": "string", + "x-go-name": "Value" + } + }, + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "fileItem": { + "type": "object", + "properties": { + "type": { + "description": "FHIR resource type of file contents", + "type": "string", + "x-go-name": "Type" + }, + "url": { + "description": "URL of the file", + "type": "string", + "x-go-name": "URL" + } + }, + "x-go-name": "FileItem", + "x-go-package": "github.com/CMSgov/bcda-app/bcda/api" + }, + "isContainedResource_OneofResource": { + "type": "object", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/resources_go_proto" + }, + + "isExtension_ValueX_Choice": { + "type": "object", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "isReference_Reference": { + "type": "object", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/datatypes_go_proto" + }, + "isUsageContext_Value_Value": { + "type": "object", + "x-go-package": "github.com/google/fhir/go/proto/google/fhir/proto/stu3/metadatatypes_go_proto" + } + }, + "responses": { + "AttributionFileStatusResponse": { + "description": "JSON object containing a cclf_files field", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/AttributionFilesParam" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/AttributionFilesParam" + } + } + } + }, + "AuthResponse": { + "description": "JSON object containing an auth_provider field", + "content": { + "application/fhir+json": { + "schema": { + "required": [ + "auth_provider" + ], + "type": "object", + "properties": { + "auth_provider": { + "type": "string", + "x-go-name": "Version" + } + } + } + }, + "application/json": { + "schema": { + "required": [ + "auth_provider" + ], + "type": "object", + "properties": { + "auth_provider": { + "type": "string", + "x-go-name": "Version" + } + } + } + } + } + }, + "BulkRequestResponse": { + "description": "BulkRequestResponse is the return from a request to initiate a bulk data collection process", + "headers": { + "Content-Location": { + "description": "The location where the job status can be checked", + "schema": { + "type": "string" + } + } + }, + "content": {} + }, + "FileNDJSON": { + "description": "File of newline-delimited JSON FHIR objects", + "headers": { + "Content-Encoding": { + "description": "Header defining encoding type used", + "schema": { + "type": "string", + "enum": [ + "gzip" + ] + } + } + }, + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/NDJSON" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/NDJSON" + } + } + } + }, + "MetadataResponse": { + "description": "FHIR CapabilityStatement in JSON format", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/CapabilityStatement" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/CapabilityStatement" + } + } + } + }, + "VersionResponse": { + "description": "JSON object containing a version field", + "content": { + "application/fhir+json": { + "schema": { + "required": [ + "version" + ], + "type": "object", + "properties": { + "version": { + "type": "string", + "x-go-name": "Version" + } + } + } + }, + "application/json": { + "schema": { + "required": [ + "version" + ], + "type": "object", + "properties": { + "version": { + "type": "string", + "x-go-name": "Version" + } + } + } + } + } + }, + "badRequestResponse": { + "description": "There was a problem with the request. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html Please refer to the body of the response for details.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "completedJobResponse": { + "description": "Data export job has completed successfully. The response body will contain a JSON object providing metadata about the transaction.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/BulkResponseBody" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/BulkResponseBody" + } + } + } + }, + "deleteJobResponse": { + "description": "The job has been deleted.", + "content": {} + }, + "errorResponse": { + "description": "An error occurred. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html Please refer to the body of the response for details.", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "goneResponse": { + "description": "The requested resource is no longer available. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "invalidCredentials": { + "description": "Unauthorized. The provided credentials are invalid for the requested resource.", + "content": {} + }, + "jobStatusResponse": { + "description": "Data export job is in progress.", + "headers": { + "X-Progress": { + "description": "The status of the job progress", + "schema": { + "type": "string" + } + } + }, + "content": {} + }, + "jobsStatusResponse": { + "description": "JSON object containing status of requested jobs. The body will contain a FHIR Bundle resource in JSON format https://www.hl7.org/fhir/bundle.html and FHIR Task resources for the Bundle entries in JSON format https://www.hl7.org/fhir/task.html", + "headers": { + "Body": { + "schema": { + "type": "object" + } + } + }, + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/BundleResponse" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/BundleResponse" + } + } + } + }, + "missingCredentials": { + "description": "Missing credentials", + "content": {} + }, + "notFoundResponse": { + "description": "The requested path was not found. The body will contain a FHIR OperationOutcome resource in JSON format. https://www.hl7.org/fhir/operationoutcome.html", + "content": { + "application/fhir+json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + }, + "application/json": { + "schema": { + "$ref": "#/components/schemas/OperationOutcomeResponse" + } + } + } + }, + "serverError": { + "description": "Server error", + "content": {} + }, + "tokenResponse": { + "description": "JSON with a valid JWT", + "content": { + "application/fhir+json": { + "schema": { + "required": [ + "access_token" + ], + "type": "object", + "properties": { + "access_token": { + "type": "string", + "x-go-name": "AccessToken" + }, + "expires_in": { + "type": "string", + "x-go-name": "ExpiresIn" + }, + "token_type": { + "type": "string", + "x-go-name": "TokenType" + } + } + } + }, + "application/json": { + "schema": { + "required": [ + "access_token" + ], + "type": "object", + "properties": { + "access_token": { + "type": "string", + "x-go-name": "AccessToken" + }, + "expires_in": { + "type": "string", + "x-go-name": "ExpiresIn" + }, + "token_type": { + "type": "string", + "x-go-name": "TokenType" + } + } + } + } + } + }, + "tooManyRequestsResponse": { + "description": "A bulk export job of this resource type is already in progress for the ACO.", + "content": {} + }, + "welcome": { + "description": "Welcome message", + "content": {} + } + }, + "securitySchemes": { + "basic_auth": { + "type": "http", + "scheme": "basic" + }, + "bearer_token": { + "type": "apiKey", + "description": "The Group and Patient endpoints require a Bearer Token. 1) Put your credentials in Basic Authentication, 2) Request a bearer token from /auth/token, 3) Put \"Bearer {TOKEN}\" in this field (no quotes) using the bearer token retrieved in step 2", + "name": "Authorization", + "in": "header" + } + } + }, + "x-original-swagger-version": "2.0" +} diff --git a/dev/vendor/bcda-app/test/postman_test/BCDA_V3_Tests.postman_collection.json b/dev/vendor/bcda-app/test/postman_test/BCDA_V3_Tests.postman_collection.json new file mode 100644 index 0000000..32cf858 --- /dev/null +++ b/dev/vendor/bcda-app/test/postman_test/BCDA_V3_Tests.postman_collection.json @@ -0,0 +1,2116 @@ +{ + "info": { + "_postman_id": "817f4c7f-997e-4d35-aed3-ae00ef03c471", + "name": "Beneficiary Claims Data API Tests, V3 Endpoints", + "schema": "https://schema.getpostman.com/json/collection/v2.1.0/collection.json", + "_exporter_id": "20886263" + }, + "item": [ + { + "name": "Informational Endpoints", + "item": [ + { + "name": "Get version", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Response contains version\", function() {", + " pm.expect(pm.response.json()).to.have.property(\"version\");", + "});", + "" + ], + "type": "text/javascript" + } + } + ], + "request": { + "method": "GET", + "header": [], + "url": { + "raw": "{{scheme}}://{{host}}/_version", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "_version" + ] + } + }, + "response": [] + }, + { + "name": "Get metadata", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "", + "pm.test(\"Status code is 200\", function() {", + " pm.response.to.have.status(200);", + "});", + "", + "pm.test(\"Content-Type is application/json\", function() {", + " pm.response.to.have.header(\"Content-Type\", \"application/json\");", + "});", + "", + "var respJson = pm.response.json();", + "", + "pm.test(\"Resource type is CapabilityStatement\", function() {", + " pm.expect(respJson.resourceType).to.eql(\"CapabilityStatement\")", + "});", + "", + "const schema = {", + " \"properties\": {", + " \"resourceType\": {", + " \"type\": \"string\"", + " },", + " \"status\": {", + " \"type\": \"string\"", + " },", + " \"date\": {", + " \"type\": \"string\"", + " },", + " \"publisher\": {", + " \"type\": \"string\"", + " },", + " \"kind\": {", + " \"type\": \"string\"", + " },", + " \"instantiates\": {", + " \"type\": \"array\"", + " },", + " \"software\": {", + " \"type\": \"object\",", + " \"properties\": {", + " \"name\": {},", + " \"version\": {},", + " \"releaseDate\": {}", + " }", + " },", + " \"implementation\": {", + " \"type\": \"object\"", + " },", + " \"fhirVersion\": {", + " \"type\": \"string\"", + " },", + " \"acceptUnknown\":{", + " \"type\": \"string\"", + " },", + " \"format\": {", + " \"type\": \"array\"", + " },", + " \"rest\": {", + " \"type\": \"array\"", + " }", + " }", + "};", + "", + "pm.test(\"Schema is valid\", function() {", + " pm.expect(tv4.validate(respJson, schema)).to.be.true;", + "});" + ], + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "noauth" + }, + "method": "GET", + "header": [], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/metadata", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "metadata" + ] + } + }, + "response": [] + }, + { + "name": "Health check", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Response contains database status\", function() {", + " pm.expect(pm.response.json()).to.have.property(\"database\");", + "});" + ], + "type": "text/javascript" + } + } + ], + "request": { + "method": "GET", + "header": [], + "url": { + "raw": "{{scheme}}://{{host}}/_health", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "_health" + ] + } + }, + "response": [] + } + ] + }, + { + "name": "Authenticated Endpoints", + "item": [ + { + "name": "Without Token", + "item": [ + { + "name": "V3", + "item": [ + { + "name": "Get Attribution Status v3, no token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "", + "pm.test(\"Status code is 401\", function() {", + " pm.response.to.have.status(401);", + "});" + ], + "type": "text/javascript", + "packages": {} + } + } + ], + "request": { + "auth": { + "type": "noauth" + }, + "method": "GET", + "header": [], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/attribution_status", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "attribution_status" + ] + } + }, + "response": [] + }, + { + "name": "Start EOB export v3, no token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 401\", function() {", + " pm.response.to.have.status(401);", + "});", + "", + "var respJson = pm.response.json();", + "", + "pm.test(\"Resource type is OperationOutcome\", function() {", + " var respJson = pm.response.json();", + " pm.expect(respJson.resourceType).to.eql(\"OperationOutcome\")", + "});", + "", + "pm.test(\"Issue details code is Invalid Token\", function() {", + " pm.expect(respJson.issue[0].diagnostics).to.eql(\"Invalid Token\")", + "});" + ], + "type": "text/javascript", + "packages": {} + } + } + ], + "request": { + "auth": { + "type": "noauth" + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/Patient/$export?_type=ExplanationOfBenefit", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "Patient", + "$export" + ], + "query": [ + { + "key": "_type", + "value": "ExplanationOfBenefit" + } + ] + } + }, + "response": [] + }, + { + "name": "Start Patient export v3, no token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 401\", function() {", + " pm.response.to.have.status(401);", + "});", + "", + "var respJson = pm.response.json();", + "", + "pm.test(\"Resource type is OperationOutcome\", function() {", + " pm.expect(respJson.resourceType).to.eql(\"OperationOutcome\")", + "});", + "", + "pm.test(\"Issue details code is Invalid Token\", function() {", + " pm.expect(respJson.issue[0].diagnostics).to.eql(\"Invalid Token\")", + "});" + ], + "type": "text/javascript", + "packages": {} + } + } + ], + "request": { + "auth": { + "type": "noauth" + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/Patient/$export?_type=Patient", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "Patient", + "$export" + ], + "query": [ + { + "key": "_type", + "value": "Patient" + } + ] + } + }, + "response": [] + }, + { + "name": "Start Coverage export v3, no token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 401\", function() {", + " pm.response.to.have.status(401);", + "});", + "", + "var respJson = pm.response.json();", + "", + "pm.test(\"Resource type is OperationOutcome\", function() {", + " pm.expect(respJson.resourceType).to.eql(\"OperationOutcome\")", + "});", + "", + "pm.test(\"Issue details code is Invalid Token\", function() {", + " pm.expect(respJson.issue[0].diagnostics).to.eql(\"Invalid Token\")", + "});" + ], + "type": "text/javascript", + "packages": {} + } + } + ], + "request": { + "auth": { + "type": "noauth" + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/Patient/$export?_type=Coverage", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "Patient", + "$export" + ], + "query": [ + { + "key": "_type", + "value": "Coverage" + } + ] + } + }, + "response": [] + }, + { + "name": "Get job status v3, no token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 401\", function() {", + " pm.response.to.have.status(401);", + "});", + "", + "pm.test(\"Resource type is OperationOutcome\", function() {", + " var respJson = pm.response.json();", + " pm.expect(respJson.resourceType).to.eql(\"OperationOutcome\")", + "});" + ], + "type": "text/javascript", + "packages": {} + } + } + ], + "request": { + "auth": { + "type": "noauth" + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text", + "disabled": true + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text", + "disabled": true + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/jobs/{{jobId}}", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "jobs", + "{{jobId}}" + ] + } + }, + "response": [] + }, + { + "name": "Delete job v3, no token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 401\", function() {", + " pm.response.to.have.status(401);", + "});", + "", + "pm.test(\"Resource type is OperationOutcome\", function() {", + " var respJson = pm.response.json();", + " pm.expect(respJson.resourceType).to.eql(\"OperationOutcome\")", + "});" + ], + "type": "text/javascript", + "packages": {} + } + } + ], + "request": { + "auth": { + "type": "noauth" + }, + "method": "DELETE", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text", + "disabled": true + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text", + "disabled": true + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/jobs/{{jobId}}", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "jobs", + "{{jobId}}" + ] + } + }, + "response": [] + }, + { + "name": "Get data, no token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 401\", function() {", + " pm.response.to.have.status(401);", + "});", + "", + "pm.test(\"Resource type is OperationOutcome\", function() {", + " var respJson = pm.response.json();", + " pm.expect(respJson.resourceType).to.eql(\"OperationOutcome\")", + "});" + ], + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "noauth" + }, + "method": "GET", + "header": [], + "url": { + "raw": "{{scheme}}://{{host}}/data/{{jobId}}/{{acoId}}.ndjson", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "data", + "{{jobId}}", + "{{acoId}}.ndjson" + ] + } + }, + "response": [] + } + ] + } + ] + }, + { + "name": "With Token", + "item": [ + { + "name": "Get Access Token", + "item": [ + { + "name": "Get auth token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var env = pm.environment.get(\"env\");", + "pm.environment.set(\"clientId\", pm.globals.get(\"clientId\"));", + "pm.environment.set(\"clientSecret\", pm.globals.get(\"clientSecret\"));", + "pm.test(\"Status code is 200\", function() {", + " pm.response.to.have.status(200);", + "});", + "", + "var responseJSON;", + "try {", + " responseJSON = JSON.parse(responseBody);", + " tests['response is valid JSON'] = true;", + "}", + "catch (e) {", + " responseJSON = {};", + " tests['response is valid JSON'] = false;", + "}", + "", + "pm.environment.set(\"token\", responseJSON.access_token);", + "" + ], + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "basic", + "basic": [ + { + "key": "password", + "value": "{{clientSecret}}", + "type": "string" + }, + { + "key": "username", + "value": "{{clientId}}", + "type": "string" + } + ] + }, + "method": "POST", + "header": [ + { + "key": "Content-Type", + "value": "application/json", + "type": "text" + } + ], + "body": { + "mode": "raw", + "raw": "" + }, + "url": { + "raw": "{{scheme}}://{{host}}/auth/token", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "auth", + "token" + ] + } + }, + "response": [] + } + ] + }, + { + "name": "Attribution Status Scenarios", + "item": [ + { + "name": "Get Attribution Status v3", + "event": [ + { + "listen": "test", + "script": { + "type": "text/javascript", + "exec": [ + "\npm.test(\"Status code is 200\", function() {\n pm.response.to.have.status(200);\n});\n\npm.test(\"Content-Type is application/json\", function() {\n pm.response.to.have.header(\"Content-Type\", \"application/json\");\n});\n\nvar respJson = pm.response.json();\n\nconst schema = {\n \"properties\": {\n \"ingestion_dates\": {\n \"type\": \"array\",\n \"items\": [{\n \"type\": \"object\",\n \"properties\": {\n \"type\": {\n \"type\": \"string\"\n },\n \"timestamp\": {\n \"type\": \"string\"\n }\n }\n }]\n },\n \"expiration_dates\": {\n \"type\": \"array\",\n \"items\": [{\n \"type\": \"object\",\n \"properties\": {\n \"type\": {\n \"type\": \"string\"\n },\n \"timestamp\": {\n \"type\": \"string\"\n }\n }\n }]\n }\n }\n};\n\npm.test(\"Schema is valid\", function() {\n pm.expect(tv4.validate(respJson, schema)).to.be.true;\n});" + ] + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/attribution_status", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "attribution_status" + ] + } + }, + "response": [] + } + ] + }, + { + "name": "Job Deletions", + "item": [ + { + "name": "Start EOB export v3 for Deletion", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 202\", function() {", + " pm.response.to.have.status(202);", + "});", + "", + "pm.test(\"Has Content-Location header\", function() {", + " pm.response.to.have.header(\"Content-Location\");", + "});", + "", + "pm.environment.set(\"eobv3JobUrl\", pm.response.headers.get(\"Content-Location\"));" + ], + "type": "text/javascript", + "packages": {} + } + }, + { + "listen": "prerequest", + "script": { + "packages": {}, + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/Patient/$export?_type=ExplanationOfBenefit", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "Patient", + "$export" + ], + "query": [ + { + "key": "_type", + "value": "ExplanationOfBenefit" + } + ] + } + }, + "response": [] + }, + { + "name": "Delete job v3, valid token", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is either 202 or 410 (job already finished)\", function() {", + " pm.expect(pm.response.code).to.be.oneOf([202, 410]);", + "});" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "DELETE", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text", + "disabled": true + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text", + "disabled": true + } + ], + "url": { + "raw": "{{eobv3JobUrl}}", + "host": [ + "{{eobv3JobUrl}}" + ] + } + }, + "response": [] + } + ] + }, + { + "name": "Job End to End (General)", + "item": [ + { + "name": "Start Patient export v3", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "", + "if (v3Disabled) {", + " pm.test(\"Status code is 404\", function() {", + " pm.response.to.have.status(404);", + " });", + " return;", + "}", + "", + "pm.test(\"Status code is 202\", function() {", + " pm.response.to.have.status(202);", + "});", + "", + "pm.test(\"Has Content-Location header\", function() {", + " pm.response.to.have.header(\"Content-Location\");", + "});", + "", + "pm.environment.set(\"patientv3JobUrl\", pm.response.headers.get(\"Content-Location\"));" + ], + "type": "text/javascript", + "packages": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/Patient/$export?_type=Patient", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "Patient", + "$export" + ], + "query": [ + { + "key": "_type", + "value": "Patient" + } + ] + } + }, + "response": [] + }, + { + "name": "Start Coverage export v3", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "", + "if (v3Disabled) {", + " pm.test(\"Status code is 404\", function() {", + " pm.response.to.have.status(404);", + " });", + " return;", + "}", + "", + "pm.test(\"Status code is 202\", function() {", + " pm.response.to.have.status(202);", + "});", + "", + "pm.test(\"Has Content-Location header\", function() {", + " pm.response.to.have.header(\"Content-Location\");", + "});", + "", + "pm.environment.set(\"coveragev3JobUrl\", pm.response.headers.get(\"Content-Location\"));" + ], + "type": "text/javascript", + "packages": {} + } + }, + { + "listen": "prerequest", + "script": { + "packages": {}, + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/Patient/$export?_type=Coverage", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "Patient", + "$export" + ], + "query": [ + { + "key": "_type", + "value": "Coverage" + } + ] + } + }, + "response": [] + }, + { + "name": "Start EOB export v3", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "", + "if (v3Disabled) {", + " pm.test(\"Status code is 404\", function() {", + " pm.response.to.have.status(404);", + " });", + " return;", + "}", + "", + "pm.test(\"Status code is 202\", function() {", + " pm.response.to.have.status(202);", + "});", + "", + "pm.test(\"Has Content-Location header\", function() {", + " pm.response.to.have.header(\"Content-Location\");", + "});", + "", + "pm.environment.set(\"eobv3JobUrl\", pm.response.headers.get(\"Content-Location\"));" + ], + "type": "text/javascript", + "packages": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/Patient/$export?_type=ExplanationOfBenefit", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "Patient", + "$export" + ], + "query": [ + { + "key": "_type", + "value": "ExplanationOfBenefit" + } + ] + } + }, + "response": [] + }, + { + "name": "Get Patient export v3 job status", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " console.log(\"Not running Patient export v3 job status, v3 endpoints have been disabled\");", + " return;", + "}", + "", + "pm.test(\"Status code is 202 or 200\", function () {", + " pm.expect(pm.response.code).to.be.oneOf([202, 200]);", + "});", + "", + "if (pm.response.code === 202) {", + " pm.test(\"X-Progress header is Pending or In Progress\", function () {", + " pm.expect(/^(Pending|In Progress \\(\\d{1,3}%\\))$/.test(pm.response.headers.get(\"X-Progress\"))).to.be.true;", + " });", + "} else if (pm.response.code === 200) {", + " const schema = {", + " \"properties\": {", + " \"transactionTime\": {", + " \"type\": \"string\"", + " },", + " \"request\": {", + " \"type\": \"string\"", + " },", + " \"requiresAccessToken\": {", + " \"type\": \"boolean\"", + " },", + " \"output\": {", + " \"type\": \"array\"", + " },", + " \"error\": {", + " \"type\": \"array\"", + " }", + " }", + " };", + "", + " var respJson = pm.response.json();", + "", + " pm.test(\"Schema is valid\", function () {", + " pm.expect(tv4.validate(respJson, schema)).to.be.true;", + " });", + "", + " pm.test(\"Contains Required Resources\", () => {", + " const requiredResources = [\"Patient\"];", + " const otherResources = [\"ExplanationOfBenefit\", \"Coverage\", \"Claim\", \"ClaimResponse\"];", + " const returnedResources = respJson.output.map(r => r.type);", + "", + " for (const resource of requiredResources) {", + " pm.expect(returnedResources, resource + \" is required\").to.include(resource);", + " }", + "", + " for (const resource of otherResources) {", + " pm.expect(returnedResources, resource + \" resource type should not be returned\").to.not.include(resource);", + " }", + " });", + "", + " pm.environment.set(\"patientv3DataUrl\", respJson.output[0].url);", + "}" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + }, + { + "listen": "prerequest", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " return;", + "}", + "", + "const retryDelay = 5000;", + "const maxRetries = 25;", + "", + "var eobJobReq = {", + " url: pm.environment.get(\"patientv3JobUrl\"),", + " method: \"GET\",", + " header: \"Authorization: Bearer \" + pm.environment.get(\"token\")", + "};", + "", + "function awaitExportJob(retryCount) {", + " pm.sendRequest(eobJobReq, function (err, response) {", + " if (err) {", + " console.error(err);", + " } else if (response.code == 202) {", + " pm.test(\"X-Progress header is Pending or In Progress\", function () {", + " pm.expect(/^(Pending|In Progress \\(\\d{1,3}%\\))$/.test(response.headers.get(\"X-Progress\"))).to.be.true;", + " });", + " if (retryCount < maxRetries) {", + " console.log(\"Patient export v3 still in progress. Retrying...\");", + " setTimeout(function () {", + " awaitExportJob(++retryCount);", + " }, retryDelay);", + " } else {", + " console.log(\"Retry limit reached for Patient v3 job status.\");", + " postman.setNextRequest(null);", + " pm.expect.fail(\"Failing due to max retries\");", + " }", + " } else if (response.code == 200) {", + " console.log(\"Patient export v3 job complete.\");", + " } else {", + " console.error(\"Unexpected response from Patient export v3 job: \" + response.status);", + " }", + " });", + "}", + "", + "awaitExportJob(1);" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text", + "disabled": true + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text", + "disabled": true + } + ], + "url": { + "raw": "{{patientv3JobUrl}}", + "host": [ + "{{patientv3JobUrl}}" + ] + } + }, + "response": [] + }, + { + "name": "Get Patient export v3 data", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " console.log(\"Not running Patient export v3 data, v3 endpoints have been disabled\");", + " return;", + "}", + "", + "pm.test(\"Status code is 200\", function () {", + " pm.response.to.have.status(200);", + "});", + "", + "pm.test(\"Body contains data\", function () {", + " pm.expect(pm.response.length > 0)", + "});" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + }, + { + "listen": "prerequest", + "script": { + "exec": [ + "" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [], + "url": { + "raw": "{{patientv3DataUrl}}", + "host": [ + "{{patientv3DataUrl}}" + ] + } + }, + "response": [] + }, + { + "name": "Get Coverage export v3 job status", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " console.log(\"Not running Coverage export v3 job status, v3 endpoints have been disabled\");", + " return;", + "}", + "", + "pm.test(\"Status code is 202 or 200\", function () {", + " pm.expect(pm.response.code).to.be.oneOf([202, 200]);", + "});", + "", + "if (pm.response.code === 202) {", + " pm.test(\"X-Progress header is In Progress\", function () {", + " pm.expect(/^In Progress \\(\\d{1,3}%\\)$/.test(pm.response.headers.get(\"X-Progress\"))).to.be.true;", + " });", + "} else if (pm.response.code === 200) {", + " const schema = {", + " \"properties\": {", + " \"transactionTime\": {", + " \"type\": \"string\"", + " },", + " \"request\": {", + " \"type\": \"string\"", + " },", + " \"requiresAccessToken\": {", + " \"type\": \"boolean\"", + " },", + " \"output\": {", + " \"type\": \"array\"", + " },", + " \"error\": {", + " \"type\": \"array\"", + " }", + " }", + " };", + "", + " var respJson = pm.response.json();", + "", + " pm.test(\"Schema is valid\", function () {", + " pm.expect(tv4.validate(respJson, schema)).to.be.true;", + " });", + "", + " pm.test(\"Contains Required Resources\", () => {", + " const requiredResources = [\"Coverage\"];", + " const otherResources = [\"ExplanationOfBenefit\", \"Patient\", \"Claim\", \"ClaimResponse\"];", + " const returnedResources = respJson.output.map(r => r.type);", + "", + " for (const resource of requiredResources) {", + " pm.expect(returnedResources, resource + \" is required\").to.include(resource);", + " }", + "", + " for (const resource of otherResources) {", + " pm.expect(returnedResources, resource + \" resource type should not be returned\").to.not.include(resource);", + " }", + " });", + "", + " pm.environment.set(\"coveragev3DataUrl\", respJson.output[0].url);", + "}" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + }, + { + "listen": "prerequest", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " return;", + "}", + "", + "const retryDelay = 5000;", + "const maxRetries = 25;", + "", + "var coverageJobReq = {", + " url: pm.environment.get(\"coveragev3JobUrl\"),", + " method: \"GET\",", + " header: \"Authorization: Bearer \" + pm.environment.get(\"token\")", + "};", + "", + "function awaitExportJob(retryCount) {", + " pm.sendRequest(coverageJobReq, function (err, response) {", + " if (err) {", + " console.error(err);", + " } else if (response.code == 202) {", + " pm.test(\"X-Progress header is Pending or In Progress\", function () {", + " pm.expect(/^(Pending|In Progress \\(\\d{1,3}%\\))$/.test(response.headers.get(\"X-Progress\"))).to.be.true;", + " });", + " if (retryCount < maxRetries) {", + " console.log(\"Coverage export v3 still in progress. Retrying...\");", + " setTimeout(function () {", + " awaitExportJob(++retryCount);", + " }, retryDelay);", + " } else {", + " console.log(\"Retry limit reached for Coverage job status.\");", + " postman.setNextRequest(null);", + " pm.expect.fail(\"Failing due to max retries\");", + " }", + " } else if (response.code == 200) {", + " console.log(\"Coverage export v3 job complete.\");", + " } else {", + " console.error(\"Unexpected response from Coverage export v3 job: \" + response.status);", + " }", + " });", + "}", + "", + "awaitExportJob(1);" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text", + "disabled": true + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text", + "disabled": true + } + ], + "url": { + "raw": "{{coveragev3JobUrl}}", + "host": [ + "{{coveragev3JobUrl}}" + ] + } + }, + "response": [] + }, + { + "name": "Get Coverage export v3 data", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " console.log(\"Not running Coverage export v3 data, v3 endpoints have been disabled\");", + " return;", + "}", + "", + "pm.test(\"Status code is 200\", function () {", + " pm.response.to.have.status(200);", + "});", + "", + "pm.test(\"Body contains data\", function () {", + " pm.expect(pm.response.length > 0)", + "});" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [], + "url": { + "raw": "{{coveragev3DataUrl}}", + "host": [ + "{{coveragev3DataUrl}}" + ] + } + }, + "response": [] + }, + { + "name": "Get EOB export v3 job status", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " console.log(\"Not running EOB export v3 job status, v3 endpoints have been disabled\");", + " return;", + "}", + "", + "pm.test(\"Status code is 202 or 200\", function () {", + " pm.expect(pm.response.code).to.be.oneOf([202, 200]);", + "});", + "", + "if (pm.response.code === 202) {", + " pm.test(\"X-Progress header is In Progress\", function () {", + " pm.expect(/^In Progress \\(\\d{1,3}%\\)$/.test(pm.response.headers.get(\"X-Progress\"))).to.be.true;", + " });", + "} else if (pm.response.code === 200) {", + " const schema = {", + " \"properties\": {", + " \"transactionTime\": {", + " \"type\": \"string\"", + " },", + " \"request\": {", + " \"type\": \"string\"", + " },", + " \"requiresAccessToken\": {", + " \"type\": \"boolean\"", + " },", + " \"output\": {", + " \"type\": \"array\"", + " },", + " \"error\": {", + " \"type\": \"array\"", + " }", + " }", + " };", + "", + " var respJson = pm.response.json();", + "", + " pm.test(\"Schema is valid\", function () {", + " pm.expect(tv4.validate(respJson, schema)).to.be.true;", + " });", + "", + " pm.test(\"Contains Required Resources\", () => {", + " const requiredResources = [\"ExplanationOfBenefit\"];", + " const partiallyAdjudicatedResources = [\"Patient\", \"Coverage\", \"Claim\", \"ClaimResponse\"];", + " const returnedResources = respJson.output.map(r => r.type);", + "", + " for (const resource of requiredResources) {", + " pm.expect(returnedResources, resource + \" is required\").to.include(resource);", + " }", + "", + " for (const resource of partiallyAdjudicatedResources) {", + " pm.expect(returnedResources, resource + \" resource type should not be returned\").to.not.include(resource);", + " }", + " });", + "", + " pm.environment.set(\"eobv3DataUrl\", respJson.output[0].url);", + "}" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + }, + { + "listen": "prerequest", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " return;", + "}", + "", + "const retryDelay = 5000;", + "const maxRetries = 25;", + "", + "var eobJobReq = {", + " url: pm.environment.get(\"eobv3JobUrl\"),", + " method: \"GET\",", + " header: \"Authorization: Bearer \" + pm.environment.get(\"token\")", + "};", + "", + "function awaitExportJob(retryCount) {", + " pm.sendRequest(eobJobReq, function (err, response) {", + " if (err) {", + " console.error(err);", + " } else if (response.code == 202) {", + " pm.test(\"X-Progress header is Pending or In Progress\", function () {", + " pm.expect(/^(Pending|In Progress \\(\\d{1,3}%\\))$/.test(response.headers.get(\"X-Progress\"))).to.be.true;", + " });", + " if (retryCount < maxRetries) {", + " console.log(\"ExplanationOfBenefit export v3 still in progress. Retrying...\");", + " setTimeout(function () {", + " awaitExportJob(++retryCount);", + " }, retryDelay);", + " } else {", + " console.log(\"Retry limit reached for ExplanationOfBenefit v3 job status.\");", + " postman.setNextRequest(null);", + " pm.expect.fail(\"Failing due to max retries\");", + " }", + " } else if (response.code == 200) {", + " console.log(\"EOB export v3 job complete.\");", + " } else {", + " console.error(\"Unexpected response from EOB export v3 job: \" + response.status);", + " }", + " });", + "}", + "", + "awaitExportJob(1);" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text", + "disabled": true + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text", + "disabled": true + } + ], + "url": { + "raw": "{{eobv3JobUrl}}", + "host": [ + "{{eobv3JobUrl}}" + ] + } + }, + "response": [] + }, + { + "name": "Get EOB export v3 data", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "var v3Disabled = pm.globals.get(\"v3Disabled\") == \"true\"", + "if (v3Disabled) {", + " console.log(\"Not running EOB export v3 data, v3 endpoints have been disabled\");", + " return;", + "}", + "", + "pm.test(\"Status code is 200\", function () {", + " pm.response.to.have.status(200);", + "});", + "", + "pm.test(\"Body contains data\", function () {", + " pm.expect(pm.response.length > 0)", + "});" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + }, + { + "listen": "prerequest", + "script": { + "exec": [ + "" + ], + "type": "text/javascript", + "packages": {}, + "requests": {} + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [], + "url": { + "raw": "{{eobv3DataUrl}}", + "host": [ + "{{eobv3DataUrl}}" + ] + } + }, + "response": [] + } + ] + }, + { + "name": "Job End To End (Runouts)", + "item": [ + { + "name": "Start Group/runout v3 export", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 202\", function() {", + " pm.response.to.have.status(202);", + "});", + "", + "pm.test(\"Has Content-Location header\", function() {", + " pm.response.to.have.header(\"Content-Location\");", + "});", + "", + "pm.environment.set(\"groupRunoutv3JobUrl\", pm.response.headers.get(\"Content-Location\"));" + ], + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/Group/runout/$export?_type=ExplanationOfBenefit", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "Group", + "runout", + "$export" + ], + "query": [ + { + "key": "_type", + "value": "ExplanationOfBenefit" + } + ] + } + }, + "response": [] + }, + { + "name": "Get Group/runout export job status", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 202 or 200\", function() {", + " pm.expect(pm.response.code).to.be.oneOf([202,200]);", + "});", + "", + "if (pm.response.code === 202) {", + " pm.test(\"X-Progress header is In Progress\", function() {", + " pm.expect(/^In Progress \\(\\d{1,3}%\\)$/.test(pm.response.headers.get(\"X-Progress\"))).to.be.true;", + " });", + "} else if (pm.response.code === 200) {", + " const schema = {", + " \"properties\": {", + " \"transactionTime\": {", + " \"type\": \"string\"", + " },", + " \"request\": {", + " \"type\": \"string\"", + " },", + " \"requiresAccessToken\": {", + " \"type\": \"boolean\"", + " },", + " \"output\": {", + " \"type\": \"array\"", + " },", + " \"error\": {", + " \"type\": \"array\"", + " }", + " }", + " };", + " ", + " var respJson = pm.response.json();", + " ", + " pm.test(\"Schema is valid\", function() {", + " pm.expect(tv4.validate(respJson, schema)).to.be.true;", + " });", + "", + " pm.test(\"Contains Required Resources\", () => {", + " const requiredResources = [\"ExplanationOfBenefit\"];", + " const otherResources = [\"Patient\", \"Coverage\", \"Claim\", \"ClaimResponse\"];", + " const returnedResources = respJson.output.map(r => r.type);", + "", + " for (const resource of requiredResources) {", + " pm.expect(returnedResources, resource + \" is required\").to.include(resource);", + " }", + "", + " for (const resource of otherResources) {", + " pm.expect(returnedResources, resource + \" resource type should not be returned\").to.not.include(resource);", + " }", + " });", + " ", + " pm.environment.set(\"groupRunoutv3DataUrl\", respJson.output[0].url);", + "}" + ], + "type": "text/javascript" + } + }, + { + "listen": "prerequest", + "script": { + "exec": [ + "const retryDelay = 5000;", + "const maxRetries = 25;", + "", + "var eobJobReq = {", + " url: pm.environment.get(\"groupRunoutv3JobUrl\"),", + " method: \"GET\",", + " header: \"Authorization: Bearer \" + pm.environment.get(\"token\")", + "};", + "", + "function awaitExportJob(retryCount) {", + " pm.sendRequest(eobJobReq, function (err, response) {", + " if (err) {", + " console.error(err);", + " } else if (response.code == 202) {", + " pm.test(\"X-Progress header is Pending or In Progress\", function() {", + " pm.expect(/^(Pending|In Progress \\(\\d{1,3}%\\))$/.test(response.headers.get(\"X-Progress\"))).to.be.true;", + " });", + " if (retryCount < maxRetries) {", + " console.log(\"ExplanationOfBenefit export still in progress. Retrying...\");", + " setTimeout(function() {", + " awaitExportJob(++retryCount);", + " }, retryDelay);", + " } else {", + " console.error(\"Retry limit reached for ExplanationOfBenefit job status.\");", + " postman.setNextRequest(null);", + " pm.expect.fail(\"Failing due to max retries\");", + " }", + " } else if (response.code == 200) {", + " console.log(\"EOB export job complete.\");", + " } else {", + " console.error(\"Unexpected response from EOB export job: \" + response.status);", + " }", + " });", + "}", + "", + "awaitExportJob(1);" + ], + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text", + "disabled": true + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text", + "disabled": true + } + ], + "url": { + "raw": "{{groupRunoutv3JobUrl}}", + "host": [ + "{{groupRunoutv3JobUrl}}" + ] + } + }, + "response": [] + }, + { + "name": "Get Group/runout export data", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 200\", function() {", + " pm.response.to.have.status(200);", + "});", + "", + "pm.test(\"Body contains data\", function() {", + " pm.expect(pm.response.length > 0)", + "});" + ], + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [], + "url": { + "raw": "{{groupRunoutv3DataUrl}}", + "host": [ + "{{groupRunoutv3DataUrl}}" + ] + } + }, + "response": [] + } + ] + }, + { + "name": "Job Completion Status", + "item": [ + { + "name": "Get jobs status v3 Completed data", + "event": [ + { + "listen": "test", + "script": { + "exec": [ + "pm.test(\"Status code is 200\", function() {", + " pm.response.to.have.status(200);", + "});", + "", + "pm.test(\"Body contains data\", function() {", + " pm.expect(pm.response.length > 0)", + "});", + "", + "const schema = {", + " \"properties\": {", + " \"entry\": {", + " \"type\": \"array\",", + " \"items\": {", + " \"type\": \"object\",", + " \"properties\": {", + " \"resource\": {", + " \"type\": \"object\",", + " \"properties\": {", + " \"executionPeriod\": {", + " \"type\": \"object\",", + " \"properties\": {", + " \"end\": {},", + " \"start\": {}", + " }", + " },", + " \"identifier\": {", + " \"type\": \"array\",", + " \"items\": {", + " \"type\": \"object\",", + " \"properties\": {", + " \"system\": {},", + " \"use\": {},", + " \"valyue\": {}", + " }", + " }", + " },", + " \"input\": {", + " \"type\": \"array\",", + " \"items\": {", + " \"type\": \"object\",", + " \"properties\": {", + " \"type\": {},", + " \"valueString\": {}", + " }", + " }", + " },", + " \"intent\": {", + " \"type\": \"string\"", + " },", + " \"resourceType\": {", + " \"type\": \"string\"", + " },", + " \"status\": {", + " \"type\": \"string\"", + " }", + " }", + " }", + " }", + " }", + " },", + " \"resourceType\": {", + " \"type\": \"string\"", + " },", + " \"total\": {", + " \"type\": \"integer\"", + " },", + " \"type\": {", + " \"type\": \"string\"", + " }", + " }", + "};", + "", + "var respJson = pm.response.json();", + "", + "pm.test(\"Schema is valid\", function() {", + " pm.expect(tv4.validate(respJson, schema)).to.be.true;", + "});" + ], + "type": "text/javascript" + } + } + ], + "request": { + "auth": { + "type": "bearer", + "bearer": [ + { + "key": "token", + "value": "{{token}}", + "type": "string" + } + ] + }, + "method": "GET", + "header": [ + { + "key": "Accept", + "value": "application/fhir+json", + "type": "text" + }, + { + "key": "Prefer", + "value": "respond-async", + "type": "text" + } + ], + "url": { + "raw": "{{scheme}}://{{host}}/api/v3/jobs?_status=Completed", + "protocol": "{{scheme}}", + "host": [ + "{{host}}" + ], + "path": [ + "api", + "v3", + "jobs" + ], + "query": [ + { + "key": "_status", + "value": "Completed" + } + ] + } + }, + "response": [] + } + ] + } + ] + } + ] + } + ] +} \ No newline at end of file diff --git a/dev/vendor/bcda-app/test/postman_test/sandbox.postman_environment.json b/dev/vendor/bcda-app/test/postman_test/sandbox.postman_environment.json new file mode 100644 index 0000000..087d899 --- /dev/null +++ b/dev/vendor/bcda-app/test/postman_test/sandbox.postman_environment.json @@ -0,0 +1,27 @@ +{ + "id": "6c024be7-f7f0-42ed-ae9d-82e8384490ab", + "name": "bcda-sandbox", + "values": [ + { + "key": "scheme", + "value": "https", + "description": "", + "enabled": true + }, + { + "key": "host", + "value": "sandbox.bcda.cms.gov", + "description": "", + "enabled": true + }, + { + "key": "env", + "value": "sandbox", + "description": "", + "enabled": true + } + ], + "_postman_variable_scope": "environment", + "_postman_exported_at": "2018-12-27T19:31:15.933Z", + 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Race"}],"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"}],"gender":"male","id":"-972536170","identifier":[{"period":{"start":"2017-05-29T00:00:00+00:00"},"system":"http://hl7.org/fhir/sid/us-mbi","type":{"coding":[{"code":"MB","system":"http://terminology.hl7.org/CodeSystem/v2-0203"}]},"value":"1S00E00AA30"}],"meta":{"lastUpdated":"2026-05-13T20:57:19.759+00:00","profile":["http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.2.0","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0"]},"name":[{"family":"Heeler","given":["Caroline","Abby"]}],"resourceType":"Patient"} +{"address":[{"postalCode":"77550","state":"TX"}],"birthDate":"1950-02-26","communication":[{"language":{"coding":[{"code":"es","system":"urn:ietf:bcp:47"}]}}],"extension":[{"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex","valueCode":"248152002"},{"extension":[{"url":"ombCategory","valueCoding":{"code":"UNK","display":"Unknown","system":"http://terminology.hl7.org/CodeSystem/v3-NullFlavor"}},{"url":"text","valueString":"Unknown"}],"url":"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"}],"gender":"female","id":"-979434278","identifier":[{"period":{"end":"2021-03-11T00:00:00+00:00","start":"2020-02-23T00:00:00+00:00"},"system":"http://hl7.org/fhir/sid/us-mbi","type":{"coding":[{"code":"MB","system":"http://terminology.hl7.org/CodeSystem/v2-0203"}]},"value":"1IE9AX4DK63"},{"period":{"start":"2021-03-12T00:00:00+00:00"},"system":"http://hl7.org/fhir/sid/us-mbi","type":{"coding":[{"code":"MB","system":"http://terminology.hl7.org/CodeSystem/v2-0203"}]},"value":"1S00E00AA66"},{"period":{"end":"2020-02-22T00:00:00+00:00","start":"2019-08-23T00:00:00+00:00"},"system":"http://hl7.org/fhir/sid/us-mbi","type":{"coding":[{"code":"MB","system":"http://terminology.hl7.org/CodeSystem/v2-0203"}]},"value":"9LY3W39KP20"}],"meta":{"lastUpdated":"2026-05-13T20:57:19.951+00:00","profile":["http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.2.0","http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0"]},"name":[{"family":"Sheep","given":["Bandit"]}],"resourceType":"Patient"} diff --git a/tests/bcda/test_vendor.py b/tests/bcda/test_vendor.py new file mode 100644 index 0000000..cdd98a0 --- /dev/null +++ b/tests/bcda/test_vendor.py @@ -0,0 +1,245 @@ +"""dev/scripts/vendor_bcda_app.py and the vendored tree it maintains.""" + +from __future__ import annotations + +import importlib.util +import json +import sys +from pathlib import Path + +import pytest + +ROOT = Path(__file__).resolve().parents[2] +SCRIPT = ROOT / "dev" / "scripts" / "vendor_bcda_app.py" + + +@pytest.fixture(scope="module") +def vendor(): + spec = importlib.util.spec_from_file_location("vendor_bcda_app", SCRIPT) + mod = importlib.util.module_from_spec(spec) + sys.modules["vendor_bcda_app"] = mod + spec.loader.exec_module(mod) + return mod + + +class TestVendoredTree: + def test_tree_matches_manifest(self, vendor) -> None: + """Offline: every manifest entry is present with its recorded sha256.""" + assert vendor.verify(vendor.load_manifest()) == [] + + def test_manifest_pins_what_tests_rely_on(self, vendor) -> None: + m = vendor.load_manifest() + by_name = {s["name"]: s for s in m["source"]} + app = by_name["bcda-app"] + assert app["kind"] == "github" and app["repo"] == "CMSgov/bcda-app" + assert len(app["commit"]) == 40 + for f in ( + "LICENSE", + "bcda/api/v3/api.go", + "bcda/api/v3/api_test.go", + "bcda/api/requests.go", + "bcda/responseutils/v3/writer.go", + "test/postman_test/BCDA_V3_Tests.postman_collection.json", + "shared_files/gzip_feature_test/test_gzip_encoded.ndjson", + ): + assert f in app["files"] + site = by_name["bcda-site"] + assert site["kind"] == "https" and site["base"].startswith( + "https://bcda.cms.gov/" + ) + for f in ( + "BCDA_v3_Data_Dictionary.xlsx", + "v3_Patient.ndjson", + "v3_Coverage.ndjson", + "v3_ExplanationOfBenefit.ndjson", + ): + assert f in site["files"] + + def test_v3_postman_collection_covers_our_endpoints(self) -> None: + """The upstream smoke suite exercises every v3 endpoint the client calls.""" + pm = json.loads( + ( + ROOT + / "dev/vendor/bcda-app/test/postman_test/BCDA_V3_Tests.postman_collection.json" + ).read_text() + ) + urls: list[str] = [] + + def walk(items): + for it in items: + if "item" in it: + walk(it["item"]) + else: + u = it.get("request", {}).get("url") + urls.append(u.get("raw", "") if isinstance(u, dict) else str(u)) + + walk(pm["item"]) + joined = "\n".join(urls) + for needle in ( + "/api/v3/metadata", + "/api/v3/attribution_status", + "/api/v3/Patient/$export", + "/api/v3/Group/runout/$export", + "/api/v3/jobs?_status=Completed", + "/_version", + "/_health", + ): + assert needle in joined + + def test_v3_handler_headers_match_client(self) -> None: + """bcda-app's request validation requires exactly the headers we send.""" + src = ( + ROOT / "dev/vendor/bcda-app/bcda/web/middleware/validation.go" + ).read_text() + assert "respond-async" in src + assert "application/fhir+json" in src + assert "_typeFilter" in src + requests_go = (ROOT / "dev/vendor/bcda-app/bcda/api/requests.go").read_text() + assert "TypeFilter" in requests_go + + def test_license_present(self) -> None: + assert ( + "Public Domain" in (ROOT / "dev/vendor/bcda-app/LICENSE").read_text() + or (ROOT / "dev/vendor/bcda-app/LICENSE").stat().st_size > 0 + ) + + +class TestManifestIO: + def test_dump_load_roundtrip(self, vendor, tmp_path) -> None: + m = vendor.load_manifest() + out = tmp_path / "MANIFEST.toml" + vendor.dump_manifest(m, out) + again = vendor.load_manifest(out) + assert again["source"] == m["source"] + assert again["sha256"] == m["sha256"] + + def test_git_blob_sha(self, vendor) -> None: + # `git hash-object` of an empty file + assert vendor._git_blob_sha(b"") == "e69de29bb2d1d6434b8b29ae775ad8c2e48c5391" + + +def _manifest(tmp_vendor: Path) -> dict: + return { + "source": [ + { + "name": "app", + "kind": "github", + "repo": "org/repo", + "ref": "main", + "commit": "old", + "files": ["a.txt", "dir/b.txt"], + }, + { + "name": "site", + "kind": "https", + "base": "https://example.test/", + "files": ["c.bin"], + }, + ], + "sha256": {}, + } + + +class TestCheckAndSync: + @pytest.fixture + def fake_upstream(self, vendor, tmp_path, monkeypatch): + """Patch network + paths; returns a mutable dict describing upstream.""" + state = { + "head": "new", + "trees": { + "old": {"a.txt": "sha-a1", "dir/b.txt": "sha-b1"}, + "new": { + "a.txt": "sha-a1", + "dir/b.txt": "sha-b2", + "dir/extra.txt": "sha-x", + }, + }, + "raw": {"a.txt": b"A", "dir/b.txt": b"B2"}, + "https": {"c.bin": b"CCC"}, + "truncated": False, + } + + def gh_json(url: str) -> dict: + if "/commits/" in url: + return {"sha": state["head"]} + commit = url.rsplit("/trees/", 1)[1].split("?")[0] + return { + "truncated": state["truncated"], + "tree": [ + {"path": p, "sha": s, "type": "blob"} + for p, s in state["trees"][commit].items() + ], + } + + def get(url: str, *, accept=None) -> bytes: + if url.startswith("https://raw.githubusercontent.com/"): + return state["raw"][url.split("/", 6)[-1]] + return state["https"][url.rsplit("/", 1)[1]] + + monkeypatch.setattr(vendor, "_gh_json", gh_json) + monkeypatch.setattr(vendor, "_get", get) + monkeypatch.setattr(vendor, "VENDOR", tmp_path / "vendor") + monkeypatch.setattr(vendor, "MANIFEST", tmp_path / "vendor" / "MANIFEST.toml") + (tmp_path / "vendor").mkdir() + vendor.dump_manifest( + _manifest(tmp_path / "vendor"), tmp_path / "vendor" / "MANIFEST.toml" + ) + return state + + def test_check_reports_each_kind_of_drift(self, vendor, fake_upstream) -> None: + m = vendor.load_manifest() + drift = vendor.check(m) + assert any("dir/b.txt changed" in d for d in drift) + assert any("new upstream file dir/extra.txt" in d for d in drift) + assert any("c.bin changed" in d for d in drift) # never synced → sha mismatch + assert not any("a.txt" in d and "changed" in d for d in drift) + + def test_check_removed_and_quiet(self, vendor, fake_upstream) -> None: + fake_upstream["trees"]["new"].pop("a.txt") + drift = vendor.check(vendor.load_manifest()) + assert any("a.txt removed upstream" in d for d in drift) + # pin == head and https digest matches → no drift + m = vendor.load_manifest() + m["source"][0]["commit"] = "new" + import hashlib + + m["sha256"]["site/c.bin"] = hashlib.sha256(b"CCC").hexdigest() + assert vendor.check(m) == [] + + def test_sync_writes_files_and_manifest(self, vendor, fake_upstream) -> None: + m = vendor.load_manifest() + changed = vendor.sync(m) + assert sorted(changed) == ["app/a.txt", "app/dir/b.txt", "site/c.bin"] + assert (vendor.VENDOR / "app" / "dir" / "b.txt").read_bytes() == b"B2" + m2 = vendor.load_manifest() + assert m2["source"][0]["commit"] == "new" + assert vendor.verify(m2) == [] + # second sync: nothing changes + assert vendor.sync(vendor.load_manifest()) == [] + + def test_truncated_tree_raises(self, vendor, fake_upstream) -> None: + fake_upstream["truncated"] = True + with pytest.raises(RuntimeError, match="truncated"): + vendor.check(vendor.load_manifest()) + + def test_verify_reports_missing_and_mismatch(self, vendor, fake_upstream) -> None: + m = vendor.load_manifest() + problems = vendor.verify(m) + assert any(p.startswith("missing app/a.txt") for p in problems) + vendor.sync(m) + (vendor.VENDOR / "site" / "c.bin").write_bytes(b"tampered") + problems = vendor.verify(vendor.load_manifest()) + assert len(problems) == 1 and "sha256 mismatch site/c.bin" in problems[0] + + def test_main_modes(self, vendor, fake_upstream, capsys) -> None: + assert vendor.main(["--verify"]) == 1 # nothing synced yet + assert vendor.main(["--check"]) == 1 + assert vendor.main(["--sync"]) == 0 + assert vendor.main(["--verify"]) == 0 + assert vendor.main(["--check"]) == 0 + out = capsys.readouterr().out + assert ( + "vendor tree OK" in out + and "no upstream drift" in out + and "synced; 3 file(s) changed" in out + ) diff --git a/tests/dev/test_gen_bcda_v3_crosswalk.py b/tests/dev/test_gen_bcda_v3_crosswalk.py new file mode 100644 index 0000000..8ff00f6 --- /dev/null +++ b/tests/dev/test_gen_bcda_v3_crosswalk.py @@ -0,0 +1,100 @@ +"""dev/scripts/gen_bcda_v3_crosswalk.py — dictionary → seed CSVs.""" + +from __future__ import annotations + +import csv +import importlib.util +import sys +from pathlib import Path + +import pytest + +ROOT = Path(__file__).resolve().parents[2] +SCRIPT = ROOT / "dev" / "scripts" / "gen_bcda_v3_crosswalk.py" + + +@pytest.fixture(scope="module") +def gen(): + spec = importlib.util.spec_from_file_location("gen_bcda_v3_crosswalk", SCRIPT) + mod = importlib.util.module_from_spec(spec) + sys.modules["gen_bcda_v3_crosswalk"] = mod + spec.loader.exec_module(mod) + return mod + + +def test_label_name_normalisation(gen) -> None: + assert gen._label_name("CLM_CNTL_NUM", "Claim Control Number") == ( + "Claim Control Number", + "CLM_CNTL_NUM", + ) + assert gen._label_name("File Number Label", "Title") == ( + "File Number Label", + "Title", + ) + assert gen._label_name(None, "#N/A") == ("", "") + + +def test_helpers(gen) -> None: + assert ( + gen._clean(None) == "" and gen._clean("#N/A") == "" and gen._clean("None") == "" + ) + assert gen._clean(" a \n b ") == "a b" + assert gen._list("['A', 'B']") == "A;B" + assert gen._list("[]") == "" + assert gen._list("plain") == "plain" + + +def test_generates_seeds_from_vendored_dictionary(gen, tmp_path) -> None: + counts = gen.main(seeds=tmp_path) + assert counts["bcda_v3_data_dictionary"] > 300 + assert counts["bcda_v3_cclf_crosswalk"] > 250 + assert counts["bcda_v3_cclf_absent"] > 40 + + with (tmp_path / "bcda_v3_data_dictionary.csv").open() as f: + rows = list(csv.DictReader(f)) + assert { + "fhir_resource", + "field_name", + "fhir_path", + "source_column", + "ccw_mapping", + "cclf_mapping", + } <= set(rows[0]) + resources = {r["fhir_resource"] for r in rows} + assert resources == {"Patient", "Coverage", "ExplanationOfBenefit"} + # the crosswalk the flattener follows: CCW names on v3 fields + assert any( + r["source_column"] == "CLM_NRLN_RIC_CD" + and "NCH_NEAR_LINE_REC_IDENT_CD" in r["ccw_mapping"] + for r in rows + ) + assert any(r["cclf_mapping"].startswith("CCLF7.") for r in rows) + + with (tmp_path / "bcda_v3_cclf_crosswalk.csv").open() as f: + xw = list(csv.DictReader(f)) + mapped = [r for r in xw if r["bcda_v3_field"]] + assert len(mapped) > 200 + assert all(r["fhir_path"] for r in mapped) + assert any( + r["cclf_file"] == "CCLF1" + and r["field_name"] == "CLM_CNTL_NUM" + and r["field_label"] == "Claim Control Number" + for r in mapped + ) + + with (tmp_path / "bcda_v3_cclf_absent.csv").open() as f: + absent = list(csv.DictReader(f)) + assert any(r["field_name"] == "HCPCS_BETOS_CD" for r in absent) + + +def test_committed_seeds_are_current(gen, tmp_path) -> None: + """The seeds in dev/seeds are what the vendored dictionary generates.""" + gen.main(seeds=tmp_path) + for name in ( + "bcda_v3_data_dictionary", + "bcda_v3_cclf_crosswalk", + "bcda_v3_cclf_absent", + ): + assert (tmp_path / f"{name}.csv").read_text() == ( + ROOT / "dev" / "seeds" / f"{name}.csv" + ).read_text(), name diff --git a/tests/dev/test_gen_config_bcda_vendor.py b/tests/dev/test_gen_config_bcda_vendor.py new file mode 100644 index 0000000..352419c --- /dev/null +++ b/tests/dev/test_gen_config_bcda_vendor.py @@ -0,0 +1,40 @@ +"""The weekly BCDA vendor drift workflow (P52) is emitted by the Gitea backend.""" + +from __future__ import annotations + +import sys +from pathlib import Path + +ROOT = Path(__file__).resolve().parents[2] +sys.path.insert(0, str(ROOT / "dev" / "scripts")) + +from backends import gitea # noqa: E402 + + +def test_bcda_vendor_workflow() -> None: + path, content = gitea._gen_bcda_vendor(runner="ubuntu-latest", uv_version="0.5") + assert path == ".gitea/workflows/bcda-vendor.yml" + assert "name: BCDA Vendor" in content + assert 'cron: "30 5 * * 1"' in content + assert "vendor_bcda_app.py --verify" in content + assert "vendor_bcda_app.py --check" in content + assert "--no-project" in content # stdlib only, runs before uv sync + assert '--workflow "BCDA Vendor" --job "bcda-vendor"' in content + + +def test_emitted_with_the_others() -> None: + files = gitea.emit( + images=[], + scans=[], + platform={ + "registry": "r", + "domain": "d", + "host_ip": "1.1.1.1", + "image_prefix": "p", + "repo": "o/n", + }, + ci_cfg={"runner": "ubuntu-latest", "registry": "r", "uv_version": "0.5"}, + ) + assert ".gitea/workflows/bcda-vendor.yml" in files + committed = (ROOT / ".gitea" / "workflows" / "bcda-vendor.yml").read_text() + assert committed == files[".gitea/workflows/bcda-vendor.yml"] From d08401dc53a11e0572d3a17c0df722fee3d69ad8 Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 13:08:13 -0400 Subject: [PATCH 03/18] =?UTF-8?q?feat(bcda):=20BCDA=20v3=20=E2=80=94=20cli?= =?UTF-8?q?ent,=20store=20adoption=20and=20cancel=20retries,=20dictionary-?= =?UTF-8?q?driven=20v3=20flatteners,=20streaming=20multi-part=20load?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit Client defaults to /api/v3; _typeFilter on start_export/export with type_filter_tag() for the System-Type tag; jobs() sends the bulk-data headers BCDA requires (Prefer: respond-async, Accept: application/fhir+json — the old call 400'd on v2 and v3) and unwraps the Task Bundle; completed_jobs() lists reusable exports; every non-2xx raises BcdaHttpError carrying the OperationOutcome diagnostics (still an httpx.HTTPStatusError); a poll that hits 404 'Job has been cancelled' raises JobCancelledError; /_version and /_health. Store.adopt(client, job_url) records and downloads a job this store did not start (completed jobs stay downloadable 24 h and the public sandbox entity is shared); export(cancel_retries=N) restarts after server-side cancellation, recording each 'cancelled' transition. bcda.express.v3 flattens C4BB 2.2.0 resources into the existing bcda.* tables, table-driven from the v3 Data Dictionary: v3 moved every BlueButton code off resources/variables/ onto fhir/StructureDefinition|CodeSystem/ and consolidated amounts into adjudication/total/item.adjudication, so the v2 suffix match returned NULL for almost everything. Dispatch is per resource (is_v3); v2 payloads are unchanged. Identity follows the migration guide: bene_id = Patient.id (BENE_SK), current MBI = us-mbi identifier without period.end, clm_id = C4BB 'uc', clm_cntl_num pairs SharedSystem with NCH. Race crosswalked from US Core OMB codes; Coverage is one row per plan+period (Part A/B/C/D + Dual) with v3-native columns; EOB gains System-Type / Final-Action / EOB-TYPE, IDR dates, header totals and PPS/IME/DSH amounts; items gain NDC quantity, revenue-centre indicators, ANSI codes, Part D/DME amounts. flatten_export streams .N.ndjson parts to Parquet with model-derived Arrow schemas (a Large-entity EOB export is 192 files / 2.2 GB); load_bcda() gathers the newest export dir per resource type (a v3 pull is three single-type jobs). cclf.stg_beneficiary_demographics prefers the Part A row and joins the Dual row; eligibility reads coalesce(dual_01, dual_stus_cd). bcda package at 100% line coverage; tests run on CMS's official v3 samples. refs #1139 --- docs/docs/cli/load-bcda.md | 6 +- src/aco/load/bcda.py | 30 +- src/bcda/__init__.py | 44 +- src/bcda/client.py | 220 ++++- src/bcda/express/cclf.py | 47 +- src/bcda/express/flatten.py | 241 ++++-- src/bcda/express/v3.py | 1212 ++++++++++++++++++++++++++ src/bcda/pipe/cclf.py | 2 +- src/bcda/store.py | 127 ++- src/bcda/table/coverage.py | 82 +- src/bcda/table/eob.py | 365 +++++++- src/bcda/table/patient.py | 30 +- src/cli/load.py | 6 +- tests/aco/test_coverage_gaps.py | 2 +- tests/aco/test_load_bcda.py | 94 +- tests/aco/test_load_modules.py | 2 +- tests/bcda/test_client.py | 2 +- tests/bcda/test_client_v3.py | 388 +++++++++ tests/bcda/test_express.py | 78 ++ tests/bcda/test_flatten_stream.py | 148 ++++ tests/bcda/test_store.py | 175 ++++ tests/bcda/test_v3.py | 1321 +++++++++++++++++++++++++++++ tests/test_final_coverage_gaps.py | 3 +- 23 files changed, 4478 insertions(+), 147 deletions(-) create mode 100644 src/bcda/express/v3.py create mode 100644 tests/bcda/test_client_v3.py create mode 100644 tests/bcda/test_flatten_stream.py create mode 100644 tests/bcda/test_v3.py diff --git a/docs/docs/cli/load-bcda.md b/docs/docs/cli/load-bcda.md index 8500f28..60a19e9 100644 --- a/docs/docs/cli/load-bcda.md +++ b/docs/docs/cli/load-bcda.md @@ -10,8 +10,10 @@ Usage: stack load bcda [OPTIONS] Flatten BCDA FHIR exports and load into DuckDB. - Reads Patient/EOB/Coverage ndjson files, flattens them to Parquet, - and loads into the ``bcda`` schema. + Reads Patient/EOB/Coverage ndjson files (v2 or v3 payloads, any + number of parts), flattens them to Parquet, and loads into the + ``bcda`` schema. Without --ndjson-dir, uses the newest export per + resource type under the BCDA store (a v3 pull is three jobs). ╭─ Options ────────────────────────────────────────────────────────────────────╮ │ --ndjson-dir PATH Directory containing FHIR ndjson files. │ diff --git a/src/aco/load/bcda.py b/src/aco/load/bcda.py index a434a01..f76a877 100644 --- a/src/aco/load/bcda.py +++ b/src/aco/load/bcda.py @@ -28,8 +28,11 @@ def load_bcda( Parameters ---------- ndjson_dir : str or Path, optional - Directory containing raw ndjson files. Defaults to the latest - export directory under ``conf.path("storage.bcda")``. + Directory containing raw ndjson files. Defaults to the newest + ``exports//`` directory per resource type under + ``conf.path("storage.bcda")`` — a v3 pull is usually three + single-type jobs, so Patient, Coverage and EOB may each come + from a different export directory. database : str, optional DuckDB database path. Defaults to ``conf.path("db.aco")``. skip_flatten : bool @@ -47,7 +50,7 @@ def load_bcda( db_path = database or str(path("db.aco")) store_path = path("storage.bcda") - if ndjson_dir is None: # pragma: no cover — tests always provide explicit dir + if ndjson_dir is None: ndjson_dir = _find_latest_export(store_path) if not skip_flatten: @@ -89,20 +92,31 @@ def load_bcda( return stats -def _find_latest_export(store_path: Path) -> Path: - """Find the most recent export directory under the BCDA store.""" +def _find_latest_export(store_path: Path) -> list[Path]: + """Export directories holding the newest file of each resource type. + + Oldest first, so :func:`bcda.express.flatten.resolve_ndjson` + (later directories win) picks the newest ``Patient.ndjson``, + ``Coverage.ndjson`` and ``ExplanationOfBenefit.ndjson`` even when + they came from three separate single-type jobs. + """ exports_dir = store_path / "exports" if not exports_dir.exists(): raise FileNotFoundError( f"No exports directory at {exports_dir}. " "Run a BCDA export first or specify --ndjson-dir." ) - # Export directories are named by job ID; pick the most recent + # Export directories are named by job key; order by mtime. dirs = sorted( [d for d in exports_dir.iterdir() if d.is_dir()], key=lambda d: d.stat().st_mtime, - reverse=True, ) if not dirs: raise FileNotFoundError(f"No export directories in {exports_dir}") - return dirs[0] + newest: dict[str, Path] = {} + for d in dirs: + for rtype in ("Patient", "ExplanationOfBenefit", "Coverage"): + if (d / f"{rtype}.ndjson").exists(): + newest[rtype] = d + chosen = sorted(set(newest.values()), key=lambda d: d.stat().st_mtime) + return chosen or [dirs[-1]] diff --git a/src/bcda/__init__.py b/src/bcda/__init__.py index 521469f..5ed3752 100644 --- a/src/bcda/__init__.py +++ b/src/bcda/__init__.py @@ -20,8 +20,11 @@ Submodules ---------- ``bcda.client`` - HTTP client for the BCDA v2 bulk FHIR export API. - Handles auth, job management, polling, and ndjson download. + HTTP client for the BCDA v3 bulk FHIR export API (``version="v2"`` + still works for the legacy REACH sandbox entities). Handles auth, + ``_typeFilter``, job management, polling, cancellation detection + and ndjson download; non-2xx responses carry the server's + OperationOutcome diagnostics. ``bcda.store`` Persistent storage and state management. Wraps the client @@ -35,9 +38,15 @@ Submodules append-only ``.jsonl`` file. ``bcda.express`` - Narwhals expression functions for transforming BCDA FHIR R4 - resources into input_layer tables (medical_claim, - pharmacy_claim, eligibility). + ``flatten`` turns the raw ndjson into the ``bcda.*`` tables, + detecting the payload dialect per resource: the v2 + (``resources/variables``) flattener in ``flatten`` itself, the v3 + (C4BB 2.2.0, ``fhir/StructureDefinition``) flattener in + ``bcda.express.v3`` — table-driven from the BCDA v3 Data + Dictionary (``dev/vendor/bcda-site``, ``dev/seeds/bcda_v3_*.csv``). + ``cclf`` holds the Narwhals expression functions that transform + those tables into input_layer (medical_claim, pharmacy_claim, + eligibility). ``bcda.pipe`` Pipeline definitions wiring express functions into executable @@ -52,16 +61,18 @@ Submodules Adjudicated Claims — FHIR R4 Resources ---------------------------------------- -Delivered via ``/api/v2/{Resource}/$export`` bulk endpoints: +Delivered via ``/api/{v2,v3}/{Resource}/$export`` bulk endpoints +(v3 since 2026-07-01; v1/v2 are discontinued on 2027-07-30): :: - | Table | Fields | FHIR R4 Resource | - |-------------------------|--------|------------------------| - | patient | 26 | Patient | - | explanation_of_benefit | 79 | ExplanationOfBenefit | - | eob_item | 23 | ExplanationOfBenefit | - | coverage | 10 | Coverage | + | Table | FHIR R4 Resource | v3 additions | + |-------------------------|------------------------|----------------------------------| + | patient | Patient | contact language, source keys | + | explanation_of_benefit | ExplanationOfBenefit | System-Type/Final-Action tags, | + | | | claim control number, IDR totals | + | eob_item | ExplanationOfBenefit | consolidated line adjudication | + | coverage | Coverage | one row per plan + period, Dual | ``ExplanationOfBenefit`` is split into header-level fields (``explanation_of_benefit``) and repeating line items @@ -70,9 +81,12 @@ Delivered via ``/api/v2/{Resource}/$export`` bulk endpoints: Partially Adjudicated Claims ----------------------------- -Available via BCDA v2 only. Updated daily (2-4 day lag). -Sourced from FISS (institutional) and MCS (professional) -processing systems, mapped to FHIR R4 Claim and ClaimResponse: +In v3 these arrive as ``ExplanationOfBenefit`` tagged +``System-Type|SharedSystem`` (request them with ``_typeFilter``, see +``bcda.client.type_filter_tag``); the tables below are the v2 +``Claim``/``ClaimResponse`` shape, kept for v2 exports. Updated +daily (2-4 day lag). Sourced from FISS (institutional) and MCS +(professional) processing systems: :: diff --git a/src/bcda/client.py b/src/bcda/client.py index 4292380..b0f0220 100644 --- a/src/bcda/client.py +++ b/src/bcda/client.py @@ -1,15 +1,23 @@ """BCDA bulk FHIR export client. -Wraps the CMS Beneficiary Claims Data API v2 four-step flow: +Wraps the CMS Beneficiary Claims Data API v3 four-step flow: 1. Authenticate (POST ``/auth/token`` with client credentials) -2. Start export job (GET ``/api/v2/Group/all/$export``) -3. Poll until complete (GET ``/api/v2/jobs/{job_id}``) +2. Start export job (GET ``/api/v3/Group/all/$export``) +3. Poll until complete (GET ``/api/v3/jobs/{job_id}``) 4. Download ndjson files (GET ``/data/{job_id}/{filename}``) +Only the ``/api//`` segment differs between v2 and v3 — +``/auth`` and ``/data`` are unchanged (migration guide) — so +``version="v2"`` still works for the legacy REACH sandbox entities. +v3 adds ``_typeFilter`` (FHIR subquery, e.g. the ``System-Type`` +``_tag`` that selects SharedSystem / NationalClaimsHistory / DDPS +claims); without it BCDA returns NationalClaimsHistory + DDPS only. + Handles token refresh (20-min expiry), exponential backoff on transient errors, 429 rate-limit back-off, and gzip-compressed -ndjson downloads. +ndjson downloads. Every non-2xx response surfaces the server's +``OperationOutcome`` diagnostics (:class:`BcdaHttpError`). Usage:: @@ -37,6 +45,18 @@ log = logging.getLogger(__name__) SANDBOX = "https://sandbox.bcda.cms.gov" PRODUCTION = "https://api.bcda.cms.gov" +DEFAULT_VERSION = "v3" + +# FHIR Bulk Data headers BCDA requires on $export, job status and +# job history (both v2 and v3 reject /jobs without ``Prefer``). +FHIR_JSON = "application/fhir+json" +ASYNC_HEADERS = {"Accept": FHIR_JSON, "Prefer": "respond-async"} + +# ``_typeFilter`` building blocks (migration guide, "Adjudication +# filtering"). ``type_filter_tag(*codes)`` renders the subquery; the +# client URL-encodes it. +SYSTEM_TYPE = "https://bluebutton.cms.gov/fhir/CodeSystem/System-Type" +SYSTEM_TYPES = ("SharedSystem", "NationalClaimsHistory", "DDPS") # Defaults matching the Go reference implementation. MAX_RETRIES = 3 @@ -52,6 +72,80 @@ class JobExpiredError(BcdaError): """Job has been archived (server returned 410 Gone).""" +class JobCancelledError(BcdaError): + """Job status returned ``404 Job has been cancelled``. + + Seen on the public sandbox, whose credentials are shared: any + caller can ``DELETE`` any job of the same model entity. + """ + + +class BcdaHttpError(BcdaError, httpx.HTTPStatusError): + """A non-2xx response, carrying the ``OperationOutcome`` text. + + Still an :class:`httpx.HTTPStatusError` so existing ``except`` + clauses keep working; ``diagnostics`` holds the joined + ``issue[].diagnostics`` strings (empty when the body was not an + OperationOutcome). + """ + + def __init__(self, response: httpx.Response, diagnostics: str) -> None: + self.diagnostics = diagnostics + self.status_code = response.status_code + msg = f"{response.status_code} {response.reason_phrase} for {response.url}" + if diagnostics: + msg = f"{msg}: {diagnostics}" + httpx.HTTPStatusError.__init__( + self, msg, request=response.request, response=response + ) + + +def operation_outcome(resp: httpx.Response) -> str: + """Join the ``diagnostics`` of an OperationOutcome body, else ``""``.""" + try: + body = resp.json() + except ValueError: + return "" + if not isinstance(body, dict) or body.get("resourceType") != "OperationOutcome": + return "" + parts = [] + for issue in body.get("issue", []): + text = issue.get("diagnostics") or (issue.get("details") or {}).get("text") + if text: + parts.append(str(text)) + return "; ".join(parts) + + +def raise_for_status(resp: httpx.Response) -> None: + """``resp.raise_for_status()`` that keeps the server's diagnostics.""" + if resp.is_success: + return + raise BcdaHttpError(resp, operation_outcome(resp)) + + +def _requested_types(request: str) -> list[str]: + """``_type`` values from a job's originating request line.""" + from urllib.parse import parse_qs, unquote, urlsplit + + url = request.split(" ", 1)[-1] + query = parse_qs(urlsplit(url).query) + raw = query.get("_type", [""])[0] + return [t for t in unquote(raw).split(",") if t] + + +def type_filter_tag(*codes: str) -> str: + """Render a ``_typeFilter`` subquery selecting EOBs by System-Type. + + ``type_filter_tag("SharedSystem")`` → the v2 Claim/ClaimResponse + equivalent; ``type_filter_tag(*SYSTEM_TYPES)`` → everything. + """ + unknown = [c for c in codes if c not in SYSTEM_TYPES] + if unknown or not codes: + raise ValueError(f"System-Type codes must be among {SYSTEM_TYPES}: {codes}") + tags = ",".join(f"{SYSTEM_TYPE}|{c}" for c in codes) + return f"ExplanationOfBenefit?_tag={tags}" + + class Client: """BCDA bulk FHIR export client. @@ -67,7 +161,8 @@ class Client: Directory for downloaded ndjson files. Defaults to ``data/bcda``. version : str - API version path segment. Defaults to ``v2``. + API version path segment. Defaults to ``v3``; ``"v2"`` for + the legacy REACH sandbox entities. max_retries : int Max retry attempts for transient errors. retry_interval : float @@ -83,7 +178,7 @@ class Client: *, base_url: str = SANDBOX, output_dir: str | Path | None = None, - version: str = "v2", + version: str = DEFAULT_VERSION, max_retries: int = MAX_RETRIES, retry_interval: float = RETRY_INITIAL_INTERVAL, timeout: float = 120.0, @@ -133,7 +228,7 @@ class Client: headers={"Accept": "application/json"}, content=b"", ) - resp.raise_for_status() + raise_for_status(resp) data = resp.json() self._token = data["access_token"] expires_in = int(data.get("expires_in", TOKEN_LIFETIME)) @@ -269,7 +364,7 @@ class Client: time.sleep(backoff) backoff *= 2 continue - resp.raise_for_status() + raise_for_status(resp) # 410 — job expired / archived. if resp.status_code == 410: @@ -278,8 +373,9 @@ class Client: "Jobs expire 24 hours after completion." ) - # Any other client error — fail immediately. - resp.raise_for_status() + # Any other client error — fail immediately, with the + # server's OperationOutcome diagnostics in the message. + raise_for_status(resp) return resp # Should not reach here, but satisfy the type checker. @@ -295,6 +391,7 @@ class Client: endpoint: str = "Group/all", types: list[str] | None = None, since: str | None = None, + type_filter: str | None = None, poll_interval: float = 10.0, ) -> list[Path]: """Run a full bulk export: start, poll, download. @@ -311,6 +408,9 @@ class Client: since : str | None FHIR instant — only return resources updated after this timestamp. Format: ``YYYY-MM-DDThh:mm:ss±zz:zz``. + type_filter : str | None + v3 ``_typeFilter`` subquery (not URL-encoded), e.g. + :func:`type_filter_tag`. poll_interval : float Seconds between status polls. Default 10. @@ -323,6 +423,7 @@ class Client: endpoint=endpoint, types=types, since=since, + type_filter=type_filter, ) result = self.poll(job_url, interval=poll_interval) return self.download(result) @@ -333,6 +434,7 @@ class Client: endpoint: str = "Group/all", types: list[str] | None = None, since: str | None = None, + type_filter: str | None = None, ) -> str: """Start a bulk export job. @@ -347,14 +449,13 @@ class Client: params["_type"] = ",".join(types) if since: params["_since"] = since + if type_filter: + params["_typeFilter"] = type_filter resp = self._request( "GET", url, - headers={ - "Accept": "application/fhir+json", - "Prefer": "respond-async", - }, + headers=dict(ASYNC_HEADERS), params=params, ) @@ -392,14 +493,22 @@ class Client: ------ JobExpiredError If the job has been archived (410 Gone). + JobCancelledError + If the server reports the job cancelled (404 with + ``Job has been cancelled`` diagnostics). BcdaError If timeout is exceeded. """ deadline = (time.monotonic() + timeout) if timeout > 0 else 0 - headers = {"Accept": "application/fhir+json"} + headers = dict(ASYNC_HEADERS) while True: - resp = self._request("GET", job_url, headers=headers) + try: + resp = self._request("GET", job_url, headers=headers) + except BcdaHttpError as exc: + if exc.status_code == 404 and "cancel" in exc.diagnostics.lower(): + raise JobCancelledError(f"{job_url}: {exc.diagnostics}") from exc + raise if resp.status_code == 200: result = resp.json() @@ -423,7 +532,7 @@ class Client: continue # Shouldn't get here — _request handles other status codes. - resp.raise_for_status() + raise_for_status(resp) def download( self, @@ -497,7 +606,9 @@ class Client: "Accept-Encoding": "gzip", } with self._http.stream("GET", url, headers=headers) as resp: - resp.raise_for_status() + if not resp.is_success: + resp.read() + raise_for_status(resp) content_encoding = resp.headers.get("Content-Encoding", "") raw_bytes = b"".join(resp.iter_bytes()) @@ -539,14 +650,67 @@ class Client: Returns ------- list[dict] - Job history entries. + Job history entries. v3 (and v2) answer with a FHIR + ``Bundle`` of ``Task`` resources — those resources are + returned; a bare list (v1) is passed through. Each Task + carries ``identifier[0].value`` (job id), ``status``, + ``input[0].valueString`` (the originating request) and + ``executionPeriod``. """ url = f"{self.base_url}/api/{self.version}/jobs" params: dict[str, str] = {} if status: params["_status"] = status - resp = self._request("GET", url, params=params) - return resp.json() + # BCDA rejects /jobs without the bulk-data headers + # ("Prefer header is required" / "application/fhir+json is + # the only supported response format"). + try: + resp = self._request("GET", url, headers=dict(ASYNC_HEADERS), params=params) + except BcdaHttpError as exc: + # bcda-app answers 404 when the filter matches nothing + # (api_test.go TestJobsStatusNotFoundWithStatus). + if exc.status_code == 404 and status: + return [] + raise + body = resp.json() + if isinstance(body, dict) and body.get("resourceType") == "Bundle": + return [e["resource"] for e in body.get("entry", []) if "resource" in e] + return body + + def completed_jobs(self) -> list[dict]: + """Completed jobs, newest first, as ``(job_id, request, end)`` dicts. + + Convenience over :meth:`jobs` for "reuse the last export" + logic: ``job_id`` is the numeric id, ``job_url`` the status + URL for :meth:`poll`, ``request`` the originating ``$export`` + line, ``types`` the ``_type`` list it asked for, ``end`` the + completion instant. Only jobs started on this client's API + version are returned, since ``/data`` URLs from a different + version serve different payloads. Output files stay + downloadable for 24 hours after completion (then 410/404). + """ + out = [] + # Filter client-side: the sandbox's ``_status=Completed`` answered + # 404 for jobs the unfiltered Bundle lists as ``completed``. + for task in self.jobs(): + if str(task.get("status", "")).lower() != "completed": + continue + ident = (task.get("identifier") or [{}])[0] + job_id = ident.get("value") + request = ((task.get("input") or [{}])[0]).get("valueString", "") + if not job_id or f"/api/{self.version}/" not in request: + continue + out.append( + { + "job_id": job_id, + "job_url": f"{self.base_url}/api/{self.version}/jobs/{job_id}", + "request": request, + "types": _requested_types(request), + "end": (task.get("executionPeriod") or {}).get("end", ""), + } + ) + out.sort(key=lambda j: j["end"], reverse=True) + return out def attribution_status(self) -> dict: """Get last ingestion timestamps for attribution data. @@ -572,6 +736,20 @@ class Client: resp = self._request("GET", url, auth_required=False, retry=False) return resp.json() + def server_version(self) -> dict: + """GET ``/_version`` — the deployed bcda-app release (no auth).""" + resp = self._request( + "GET", f"{self.base_url}/_version", auth_required=False, retry=False + ) + return resp.json() + + def health(self) -> dict: + """GET ``/_health`` — database liveness (no auth).""" + resp = self._request( + "GET", f"{self.base_url}/_health", auth_required=False, retry=False + ) + return resp.json() + # ── Parsing helpers ────────────────────────────────────── @staticmethod diff --git a/src/bcda/express/cclf.py b/src/bcda/express/cclf.py index 2b844b1..82b85a8 100644 --- a/src/bcda/express/cclf.py +++ b/src/bcda/express/cclf.py @@ -552,21 +552,44 @@ def stg_beneficiary_demographics( Patient provides: name, dob, sex, race, death_dt, address Coverage provides: ms_cd, orec, enrollment periods - Join on bene_mbi_id = subscriber_id. Coverage may have - multiple rows per beneficiary (Part A, B, D); we keep - the first match after dedup. + Join on bene_mbi_id = subscriber_id. Coverage has multiple rows + per beneficiary (Part A, B, D in v2; Part A, B, C, D and a Dual + Medicare/Medicaid row per period in v3). The Part A row is the + demographics row — it carries ms_cd / orec / entitlement — with + Part B as the fallback; the v3 Dual row is joined separately for + ``dual_stus_cd`` (v2 keeps ``dual_01`` on the Part A row). - Operations: join, unique + Operations: filter, sort, unique, join Dependencies: bcda.patient, bcda.coverage """ - cov = bcda__coverage.unique(subset=["subscriber_id"], keep="any") - return bcda__patient.join( - cov, + cols = bcda__coverage.columns + parts = bcda__coverage + if "class_plan" in cols: + parts = parts.filter(nw.col("class_plan").is_in(["Part A", "Part B"])).sort( + "class_plan" # "Part A" < "Part B" + ) + parts = parts.unique(subset=["subscriber_id"], keep="first", maintain_order=True) + joined = bcda__patient.join( + parts, left_on="bene_mbi_id", right_on="subscriber_id", how="left", suffix="_cov", - ).unique(subset=["bene_mbi_id"], keep="any") + ) + if "dual_stus_cd" in cols and "class_plan" in cols: + dual = ( + bcda__coverage.filter(nw.col("class_plan") == "Dual Medicare/Medicaid") + .select("subscriber_id", nw.col("dual_stus_cd").alias("dual_stus_cd_dual")) + .unique(subset=["subscriber_id"], keep="any") + ) + joined = joined.join( + dual, + left_on="bene_mbi_id", + right_on="subscriber_id", + how="left", + suffix="_dual", + ) + return joined.unique(subset=["bene_mbi_id"], keep="any") @nw.narwhalify @@ -584,6 +607,12 @@ def eligibility( """ df = bcda___stg_beneficiary_demographics null_str = nw.lit(None).cast(nw.String) + # v2 keeps dual status on the Part A row (dual_01); v3 carries it on + # the Dual Medicare/Medicaid row that stg_beneficiary_demographics + # joins in as dual_stus_cd_dual. + dual = nw.col("dual_01") + if "dual_stus_cd_dual" in df.columns: + dual = nw.coalesce(nw.col("dual_01"), nw.col("dual_stus_cd_dual")) gender = ( nw.when(nw.col("bene_sex_cd") == "1") @@ -641,7 +670,7 @@ def eligibility( nw.lit("medicare").alias("payer_type"), nw.lit("medicare").alias("plan"), nw.col("orec").alias("original_reason_entitlement_code"), - nw.col("dual_01").alias("dual_status_code"), + dual.alias("dual_status_code"), nw.col("ms_cd").alias("medicare_status_code"), null_str.alias("group_id"), null_str.alias("group_name"), diff --git a/src/bcda/express/flatten.py b/src/bcda/express/flatten.py index 05152b1..9fe9a1a 100644 --- a/src/bcda/express/flatten.py +++ b/src/bcda/express/flatten.py @@ -35,6 +35,7 @@ from pathlib import Path import pyarrow as pa import pyarrow.parquet as pq +from bcda.express import v3 from bcda.table.coverage import Coverage from bcda.table.eob import EobItem, ExplanationOfBenefit from bcda.table.patient import Patient @@ -228,7 +229,13 @@ def _coding_code( def flatten_patient(resource: dict) -> Patient: - """Flatten a raw FHIR R4 Patient resource into a Patient model.""" + """Flatten a raw FHIR R4 Patient resource into a Patient model. + + v3 (C4BB 2.2.0) resources are routed to :mod:`bcda.express.v3`; + the body below is the v2 (``resources/variables``) dialect. + """ + if v3.is_v3(resource): + return v3.flatten_patient(resource) extensions = resource.get("extension", []) identifiers = resource.get("identifier", []) address = (resource.get("address") or [{}])[0] @@ -548,7 +555,12 @@ def _extract_item( def flatten_eob( resource: dict, ) -> tuple[ExplanationOfBenefit, list[EobItem]]: - """Flatten a raw FHIR R4 EOB into header + item models.""" + """Flatten a raw FHIR R4 EOB into header + item models. + + v3 resources are routed to :mod:`bcda.express.v3`. + """ + if v3.is_v3(resource): + return v3.flatten_eob(resource) extensions = resource.get("extension", []) identifiers = resource.get("identifier", []) billable = resource.get("billablePeriod", {}) @@ -801,7 +813,12 @@ def flatten_eob( def flatten_coverage(resource: dict) -> Coverage: - """Flatten a raw FHIR R4 Coverage resource into a Coverage model.""" + """Flatten a raw FHIR R4 Coverage resource into a Coverage model. + + v3 resources are routed to :mod:`bcda.express.v3`. + """ + if v3.is_v3(resource): + return v3.flatten_coverage(resource) extensions = resource.get("extension", []) # Class discrimination @@ -940,6 +957,66 @@ def _read_ndjson(path: Path) -> list[dict]: return [json.loads(line) for line in f if line.strip()] +def _iter_ndjson(paths: list[Path]): + """Yield resources from several ndjson parts, one line at a time.""" + for path in paths: + with open(path) as f: + for line in f: + if line.strip(): + yield json.loads(line) + + +_ARROW_TYPES = { + "str": pa.string(), + "float": pa.float64(), + "int": pa.int64(), + "bool": pa.bool_(), + "date": pa.date32(), + "datetime": pa.timestamp("us"), +} + + +def arrow_schema(model: type) -> pa.Schema: + """Arrow schema for a ``SQLTable`` model (every column nullable). + + Streaming writes need a fixed schema up front — inferring it from + the first batch would type an all-NULL column as ``null`` and then + reject a later batch that carries values. + """ + import types as _types + + fields = [] + for name, info in model.model_fields.items(): + ann = info.annotation + if isinstance(ann, _types.UnionType): + ann = next(a for a in ann.__args__ if a is not type(None)) + key = getattr(ann, "__name__", str(ann)) + fields.append(pa.field(name, _ARROW_TYPES.get(key, pa.string()))) + return pa.schema(fields) + + +class _ParquetSink: + """Append-by-batch Parquet writer over fsspec; counts rows.""" + + def __init__(self, fs: object, path: str, schema: pa.Schema) -> None: + parent = path.rsplit("/", 1)[0] + fs.mkdirs(parent, exist_ok=True) + self._fh = fs.open(path, "wb") + self._writer = pq.ParquetWriter(self._fh, schema) + self._schema = schema + self.rows = 0 + + def write(self, rows: list[dict]) -> None: + if not rows: + return + self._writer.write_table(pa.Table.from_pylist(rows, schema=self._schema)) + self.rows += len(rows) + + def close(self) -> None: + self._writer.close() + self._fh.close() + + def _write_parquet( fs: object, path: str, @@ -956,8 +1033,48 @@ def _write_parquet( return table.num_rows +RESOURCE_TYPES = ("Patient", "ExplanationOfBenefit", "Coverage") + +# Resources per Arrow batch while streaming an export to Parquet. A +# Large-entity v3 EOB export is ~190 files / 2 GB of ndjson, so the +# flattener never holds a whole resource type in memory. +BATCH_ROWS = 2000 + + +def resolve_ndjson(ndjson_dir: str | Path | list[str | Path]) -> dict[str, list[Path]]: + """``{resource_type: [part, ...]}`` for the export files. + + *ndjson_dir* may be one directory or several (a v3 pull is often + three single-type jobs, each landing in its own ``exports//`` + directory — see ``aco.load.bcda``). Later directories win. A + type's parts are ``.ndjson``, ``.1.ndjson``, … as the + client and store name them (BCDA splits large exports into many + output files); they are returned in part order. + """ + dirs = [ndjson_dir] if isinstance(ndjson_dir, (str, Path)) else list(ndjson_dir) + found: dict[str, list[Path]] = {} + for d in dirs: + for rtype in RESOURCE_TYPES: + parts = sorted( + Path(d).glob(f"{rtype}*.ndjson"), + key=lambda p: ( + int(p.name.split(".")[1]) + if p.name.count(".") == 2 and p.name.split(".")[1].isdigit() + else -1 + ), + ) + parts = [ + p + for p in parts + if p.name == f"{rtype}.ndjson" or p.name.split(".")[1].isdigit() + ] + if parts: + found[rtype] = parts + return found + + def flatten_export( - ndjson_dir: str | Path, + ndjson_dir: str | Path | list[str | Path], store_path: str | Path | None = None, *, storage_options: dict | None = None, @@ -965,9 +1082,10 @@ def flatten_export( """Flatten raw FHIR ndjson files and write to Parquet. Reads ``Patient.ndjson``, ``ExplanationOfBenefit.ndjson``, and - ``Coverage.ndjson`` from *ndjson_dir*, flattens them into the - ``bcda.table`` Pydantic models, and persists each as a Parquet - file under *store_path*. + ``Coverage.ndjson`` from *ndjson_dir* (one directory or a list — + see :func:`resolve_ndjson`), flattens them into the ``bcda.table`` + Pydantic models (v2 or v3 dialect per resource), and persists each + as a Parquet file under *store_path*. Output layout:: @@ -998,85 +1116,88 @@ def flatten_export( store_path = path("storage.bcda") setup() - ndjson_dir = Path(ndjson_dir) + files = resolve_ndjson(ndjson_dir) root = str(store_path).rstrip("/") fs, _ = fsspec.core.url_to_fs(root, **(storage_options or {})) counts: dict[str, int] = {} # Patient - patient_path = ndjson_dir / "Patient.ndjson" - if patient_path.exists(): + if files.get("Patient"): t0 = time.monotonic() - raw = _read_ndjson(patient_path) - patients = flatten_patients(raw) - rows = [p.model_dump() for p in patients] - n = _write_parquet(fs, f"{root}/flat/patient.parquet", rows) - elapsed = time.monotonic() - t0 - counts["bcda.patient"] = n + sink = _ParquetSink(fs, f"{root}/flat/patient.parquet", arrow_schema(Patient)) + batch: list[dict] = [] + for raw in _iter_ndjson(files["Patient"]): + batch.append(flatten_patient(raw).model_dump()) + if len(batch) >= BATCH_ROWS: + sink.write(batch) + batch = [] + sink.write(batch) + sink.close() + counts["bcda.patient"] = sink.rows log.info( "Flattened %d patients in %.1fs", - n, - elapsed, - extra={"table": "bcda.patient", "rows": n}, + sink.rows, + time.monotonic() - t0, + extra={"table": "bcda.patient", "rows": sink.rows}, ) # ExplanationOfBenefit + EobItem - eob_path = ndjson_dir / "ExplanationOfBenefit.ndjson" - if eob_path.exists(): + if files.get("ExplanationOfBenefit"): t0 = time.monotonic() - raw = _read_ndjson(eob_path) - headers, items = flatten_eobs(raw) - header_rows = [h.model_dump() for h in headers] - item_rows = [i.model_dump() for i in items] - n_headers = _write_parquet( + head_sink = _ParquetSink( fs, f"{root}/flat/explanation_of_benefit.parquet", - header_rows, + arrow_schema(ExplanationOfBenefit), ) - n_items = _write_parquet( - fs, - f"{root}/flat/eob_item.parquet", - item_rows, + item_sink = _ParquetSink( + fs, f"{root}/flat/eob_item.parquet", arrow_schema(EobItem) ) - elapsed = time.monotonic() - t0 - counts["bcda.explanation_of_benefit"] = n_headers - counts["bcda.eob_item"] = n_items + heads: list[dict] = [] + items: list[dict] = [] + for raw in _iter_ndjson(files["ExplanationOfBenefit"]): + header, lines = flatten_eob(raw) + heads.append(header.model_dump()) + items.extend(i.model_dump() for i in lines) + if len(heads) >= BATCH_ROWS: + head_sink.write(heads) + item_sink.write(items) + heads, items = [], [] + head_sink.write(heads) + item_sink.write(items) + head_sink.close() + item_sink.close() + counts["bcda.explanation_of_benefit"] = head_sink.rows + counts["bcda.eob_item"] = item_sink.rows log.info( "Flattened %d EOBs (%d items) in %.1fs", - n_headers, - n_items, - elapsed, + head_sink.rows, + item_sink.rows, + time.monotonic() - t0, extra={ "table": "bcda.explanation_of_benefit", - "rows": n_headers, - "items": n_items, + "rows": head_sink.rows, + "items": item_sink.rows, }, ) # Coverage - coverage_path = ndjson_dir / "Coverage.ndjson" - if coverage_path.exists(): + if files.get("Coverage"): t0 = time.monotonic() - raw = _read_ndjson(coverage_path) - coverages = flatten_coverages(raw) - rows = [c.model_dump() for c in coverages] - n = _write_parquet( - fs, - f"{root}/flat/coverage.parquet", - rows, - ) - elapsed = time.monotonic() - t0 - counts["bcda.coverage"] = n + sink = _ParquetSink(fs, f"{root}/flat/coverage.parquet", arrow_schema(Coverage)) + batch = [] + for raw in _iter_ndjson(files["Coverage"]): + batch.append(flatten_coverage(raw).model_dump()) + if len(batch) >= BATCH_ROWS: + sink.write(batch) + batch = [] + sink.write(batch) + sink.close() + counts["bcda.coverage"] = sink.rows log.info( - "Flattened %d coverage records in %.1fs", - n, - elapsed, - extra={"table": "bcda.coverage", "rows": n}, + "Flattened %d coverages in %.1fs", + sink.rows, + time.monotonic() - t0, + extra={"table": "bcda.coverage", "rows": sink.rows}, ) - log.info( - "Flatten complete: %s", - counts, - extra={"counts": counts}, - ) return counts diff --git a/src/bcda/express/v3.py b/src/bcda/express/v3.py new file mode 100644 index 0000000..d4945f1 --- /dev/null +++ b/src/bcda/express/v3.py @@ -0,0 +1,1212 @@ +"""BCDA v3 flatteners — FHIR R4 (C4BB 2.2.0) resources → ``bcda.*`` tables. + +The v3 payload moves every BlueButton code off the retired +``https://bluebutton.cms.gov/resources/variables/`` URLs onto +``https://bluebutton.cms.gov/fhir/StructureDefinition/`` (extensions) +and ``https://bluebutton.cms.gov/fhir/CodeSystem/`` (code systems), +and consolidates amounts into ``adjudication`` / ``total`` / +``item.adjudication`` under the ``Adjudication`` CodeSystem. The v2 +flattener matched on the old URL suffix, so on a v3 resource it returns +NULL for almost everything without complaint. + +Every map below is read off the **BCDA v3 Data Dictionary** +(``dev/vendor/bcda-site/BCDA_v3_Data_Dictionary.xlsx``, also flattened +to ``dev/seeds/bcda_v3_data_dictionary.csv``): the dictionary's +``fhirPath`` says where a field lives, ``sourceColumn`` is the IDR name +used for the v3-only columns, and ``ccwMapping`` is the crosswalk onto +the CCW-named columns the tables already had. Comments cite the +``sourceColumn`` so a reader can check any line against the sheet. + +Identity follows the migration guide: ``Patient.id`` is the IDR +beneficiary key (``bene_id``), the current MBI is the ``us-mbi`` +identifier without a ``period.end``, the claim id is the C4BB ``uc`` +identifier and the claim control number pairs a SharedSystem EOB with +its NationalClaimsHistory successor. + +Dialect detection lives in :func:`is_v3`; ``bcda.express.flatten`` +dispatches here per resource, so v2 exports keep flattening unchanged. +""" + +from __future__ import annotations + +import re +from datetime import date +from typing import Any + +from bcda.table.coverage import Coverage +from bcda.table.eob import EobItem, ExplanationOfBenefit +from bcda.table.patient import Patient + +# ── URL vocabulary ─────────────────────────────────────────── + +BB_FHIR = "https://bluebutton.cms.gov/fhir/" +SD = BB_FHIR + "StructureDefinition/" +CS = BB_FHIR + "CodeSystem/" +CS_ADJ = CS + "Adjudication" +CS_SI = CS + "Supporting-Information" +CS_SYSTEM_TYPE = CS + "System-Type" +CS_FINAL_ACTION = CS + "Final-Action" +CS_EOB_TYPE = CS + "EOB-TYPE" +CS_CLM_TYPE = CS + "CLM-TYPE-CD" +CS_ANSI_RSN = CS + "ANSI-RSN-CD" +CS_ANSI_GRP = CS + "ANSI-GRP-CD" +ID_CLM_CNTL = "https://bluebutton.cms.gov/identifiers/CLM-CNTL-NUM" +GENERIC_ID = "bluebutton.cms.gov/fhir/identifiers/GenericIdNum" + +C4BB_ID_TYPE = "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType" +C4BB_SI = "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType" +C4BB_ADJ_DISC = ( + "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator" +) +US_MBI = "http://hl7.org/fhir/sid/us-mbi" +US_NPI = "http://hl7.org/fhir/sid/us-npi" +CCN = "http://terminology.hl7.org/NamingSystem/CCN" +TAX_ID = "urn:oid:2.16.840.1.113883.4.4" +US_CORE_RACE = "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" +US_CORE_ETHNICITY = "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" +US_CORE_SEX = "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex" +NDC = "http://hl7.org/fhir/sid/ndc" +HIPPS = "HIPPSCodes" # https://www.cms.gov/.../ProspMedicareFeeSvcPmtGen/HIPPSCodes +HCPCS_SYSTEMS = ("http://www.ama-assn.org/go/cpt", "HCPCSReleaseCodeSets") +POS = "Place_of_Service_Code_Set" + +# CCW BENE_RACE_CD from the US Core OMB race/ethnicity codes +# (CCW codebook: 0 Unknown, 1 White, 2 Black, 3 Other, 4 Asian/Pacific +# Islander, 5 Hispanic, 6 North American Native). Hispanic ethnicity +# wins when present, as in the CCW RTI race code derivation. +OMB_TO_CCW_RACE = { + "2106-3": "1", # White + "2054-5": "2", # Black or African American + "2028-9": "4", # Asian + "2076-8": "4", # Native Hawaiian or Other Pacific Islander + "1002-5": "6", # American Indian or Alaska Native + "2131-1": "3", # Other Race + "UNK": "0", + "ASKU": "0", +} +HISPANIC_OMB = "2135-2" + +# SNOMED sex (us-core-sex) → CCW BENE_SEX_IDENT_CD +SNOMED_SEX = {"248153007": "1", "248152002": "2"} +GENDER_TO_CCW = {"male": "1", "female": "2"} + +# ── Primitives (one per dictionary fhirPath idiom) ─────────── + + +def _get(d: Any, *keys: str) -> Any: + for k in keys: + if not isinstance(d, dict): + return None + d = d.get(k) + return d + + +def _date(value: Any) -> date | None: + if not value or not isinstance(value, str): + return None + try: + return date.fromisoformat(value[:10]) + except ValueError: + return None + + +def _num(value: Any) -> float | None: + if value is None or isinstance(value, bool): + return None + try: + return float(value) + except (TypeError, ValueError): + return None + + +def _ref_id(ref: Any) -> str | None: + """``"Patient/-123"`` → ``"-123"``; ``"#org"`` → ``"org"``.""" + if not isinstance(ref, str) or not ref: + return None + return ref.rsplit("/", 1)[-1].lstrip("#") + + +def _coding(cc: Any, system: str | None = None) -> str | None: + """Code from a CodeableConcept, by exact system or system suffix.""" + for c in (cc or {}).get("coding", []) if isinstance(cc, dict) else []: + sys_ = c.get("system", "") + if system is None or sys_ == system or sys_.endswith(system): + return c.get("code") + return None + + +def _has_coding(cc: Any, system: str, code: str) -> bool: + for c in (cc or {}).get("coding", []) if isinstance(cc, dict) else []: + if c.get("system") == system and c.get("code") == code: + return True + return False + + +def _ext_value(ext: dict) -> Any: + """The ``value[x]`` of an extension, as the dictionary reads it.""" + if "valueCoding" in ext: + return _get(ext, "valueCoding", "code") + for key in ( + "valueCode", + "valueString", + "valueDate", + "valueDateTime", + "valueBoolean", + ): + if key in ext: + return ext[key] + for key in ("valueDecimal", "valueInteger", "valueUnsignedInt", "valuePositiveInt"): + if key in ext: + return ext[key] + if "valueQuantity" in ext: + return _get(ext, "valueQuantity", "value") + if "valueMoney" in ext: + return _get(ext, "valueMoney", "value") + if "valueIdentifier" in ext: + return _get(ext, "valueIdentifier", "value") + return None + + +def _ext(extensions: list[dict] | None, code: str) -> Any: + """``extension.where(url = SD + code).value``.""" + for ext in extensions or []: + if ext.get("url") == SD + code: + return _ext_value(ext) + return None + + +def _ext_str(extensions: list[dict] | None, code: str) -> str | None: + v = _ext(extensions, code) + return None if v is None else str(v) + + +def _identifier(identifiers: list[dict] | None, system: str) -> str | None: + for ident in identifiers or []: + sys_ = ident.get("system", "") + if sys_ == system or sys_.endswith(system): + return ident.get("value") + return None + + +def _identifier_typed( + identifiers: list[dict] | None, system: str, code: str +) -> str | None: + """``identifier.where(type.coding.system = system and type.coding.code = code).value``.""" + for ident in identifiers or []: + if _has_coding(ident.get("type"), system, code): + return ident.get("value") + return None + + +def _tag(resource: dict, system: str) -> str | None: + for t in _get(resource, "meta", "tag") or []: + if t.get("system") == system: + return t.get("code") + return None + + +def _si(infos: list[dict] | None, code: str, system: str = CS_SI) -> dict | None: + """``supportingInfo.where(category.coding.where(system, code).exists())``.""" + for info in infos or []: + if _has_coding(info.get("category"), system, code): + return info + return None + + +def _si_all(infos: list[dict] | None, code: str, system: str = CS_SI) -> list[dict]: + return [i for i in infos or [] if _has_coding(i.get("category"), system, code)] + + +def _si_code( + infos: list[dict] | None, + code: str, + *, + system: str = CS_SI, + code_system: str | None = None, +) -> str | None: + info = _si(infos, code, system) + return _coding(info.get("code"), code_system) if info else None + + +def _si_code_by_system(infos: list[dict] | None, code_system: str) -> str | None: + """``supportingInfo.where(code.coding.system = X).code.coding.code`` — the + dictionary's idiom for codes without their own category.""" + for info in infos or []: + c = _coding(info.get("code"), code_system) + if c is not None: + return c + return None + + +def _si_date(infos: list[dict] | None, code: str, system: str = CS_SI) -> date | None: + info = _si(infos, code, system) + if not info: + return None + return _date(info.get("timingDate") or _get(info, "timingPeriod", "start")) + + +def _si_period( + infos: list[dict] | None, code: str, system: str = CS_SI +) -> tuple[date | None, date | None]: + info = _si(infos, code, system) + if not info: + return None, None + period = info.get("timingPeriod") or {} + start = period.get("start") or info.get("timingDate") + return _date(start), _date(period.get("end")) + + +def _si_value(infos: list[dict] | None, code: str, system: str = CS_SI) -> Any: + info = _si(infos, code, system) + if not info: + return None + if "valueString" in info: + return info["valueString"] + if "valueQuantity" in info: + return _get(info, "valueQuantity", "value") + if "valueBoolean" in info: + return info["valueBoolean"] + return None + + +def _adj_by_code( + adjudications: list[dict] | None, code: str, system: str = CS_ADJ +) -> dict | None: + for adj in adjudications or []: + if _has_coding(adj.get("category"), system, code): + return adj + return None + + +def _adj_amount(adjudications: list[dict] | None, code: str) -> float | None: + adj = _adj_by_code(adjudications, code) + return _num(_get(adj, "amount", "value")) if adj else None + + +def _adj_value(adjudications: list[dict] | None, code: str) -> float | None: + adj = _adj_by_code(adjudications, code) + return _num(adj.get("value")) if adj else None + + +def _adj_quantity(adjudications: list[dict] | None, code: str) -> float | None: + """``adjudication.value`` — bcda-app emits counts as ``value`` + (decimal) on the sample files; accept ``quantity.value`` too.""" + adj = _adj_by_code(adjudications, code) + if not adj: + return None + if "value" in adj: + return _num(adj["value"]) + return _num(_get(adj, "quantity", "value")) + + +def _contained(resource: dict, ref: Any) -> dict | None: + rid = _ref_id(ref) + if not rid: + return None + for c in resource.get("contained", []) or []: + if c.get("id") == rid: + return c + return None + + +def _display_name(name: Any) -> str | None: + """Organization.name is a string; a contained Practitioner carries + HumanName[] — render the first as ``Family, Given``.""" + if name is None: + return None + if isinstance(name, str): + return name + if isinstance(name, list): + if not name: + return None + first = name[0] if isinstance(name[0], dict) else {} + family = first.get("family") + given = " ".join(first.get("given") or []) + text = first.get("text") + if text: + return str(text) + return ", ".join(p for p in (family, given) if p) or None + return str(name) + + +def _care_team(members: list[dict] | None) -> dict[str, list[dict]]: + """Members grouped by C4BB/FHIR care team role code.""" + by_role: dict[str, list[dict]] = {} + for m in members or []: + roles = { + c.get("code") for c in _get(m, "role", "coding") or [] if c.get("code") + } + for r in roles: + by_role.setdefault(r, []).append(m) + return by_role + + +def _npi(member: dict | None) -> str | None: + """``provider.identifier.value`` when it is an NPI.""" + ident = _get(member, "provider", "identifier") + if not isinstance(ident, dict): + return None + if ident.get("system") == US_NPI or _has_coding( + ident.get("type"), "http://terminology.hl7.org/CodeSystem/v2-0203", "NPI" + ): + return ident.get("value") + return None + + +def _provider_value(member: dict | None) -> str | None: + return _get(member, "provider", "identifier", "value") + + +# ── Dialect detection ──────────────────────────────────────── + +_V3_PROFILE = re.compile(r"carin-bb/StructureDefinition/C4BB-[A-Za-z-]+\|2\.") + + +def is_v3(resource: dict) -> bool: + """True when ``resource`` is a BCDA v3 (C4BB 2.x) payload. + + v3 resources carry versioned C4BB profiles in ``meta.profile``; + failing that, any ``bluebutton.cms.gov/fhir/`` URL in an + extension, identifier, tag or coding is v3-only (v2 used + ``bluebutton.cms.gov/resources/``). + """ + for p in _get(resource, "meta", "profile") or []: + if isinstance(p, str) and _V3_PROFILE.search(p): + return True + for t in _get(resource, "meta", "tag") or []: + if str(t.get("system", "")).startswith(BB_FHIR): + return True + for ext in resource.get("extension", []) or []: + if str(ext.get("url", "")).startswith(BB_FHIR): + return True + for ident in resource.get("identifier", []) or []: + if str(ident.get("system", "")).startswith( + "https://bluebutton.cms.gov/identifiers/" + ): + return True + return False + + +# ── Patient ────────────────────────────────────────────────── + + +def _mbis(identifiers: list[dict]) -> tuple[dict | None, dict | None]: + """(current, most recent historic) ``us-mbi`` identifiers. + + Current = no ``period.end``; when every MBI has an end, the latest + end wins (the dictionary's BENE_MBI_OBSLT_DT), and there is no + separate historic row. + """ + mbis = [ + i for i in identifiers or [] if i.get("system") == US_MBI and i.get("value") + ] + if not mbis: + return None, None + open_ = [i for i in mbis if not _get(i, "period", "end")] + closed = sorted( + (i for i in mbis if _get(i, "period", "end")), + key=lambda i: _get(i, "period", "end") or "", + reverse=True, + ) + if open_: + return open_[0], (closed[0] if closed else None) + return closed[0], (closed[1] if len(closed) > 1 else None) + + +def _race(extensions: list[dict]) -> tuple[str | None, str | None]: + """(us_core_race OMB code, CCW bene_race_cd) — Patient BENE_RACE_CD.""" + omb_race = None + hispanic = False + for ext in extensions or []: + url = ext.get("url") + if url not in (US_CORE_RACE, US_CORE_ETHNICITY): + continue + for sub in ext.get("extension", []) or []: + if sub.get("url") != "ombCategory": + continue + code = _get(sub, "valueCoding", "code") + if url == US_CORE_RACE and omb_race is None: + omb_race = code + if url == US_CORE_ETHNICITY and code == HISPANIC_OMB: + hispanic = True + if hispanic: + return omb_race, "5" + if omb_race is None: + return None, None + return omb_race, OMB_TO_CCW_RACE.get(omb_race, "3") + + +def flatten_patient(resource: dict) -> Patient: + """Flatten a v3 Patient (C4BB-Patient 2.2.0 / us-core-patient 7).""" + identifiers = resource.get("identifier", []) or [] + extensions = resource.get("extension", []) or [] + address = (resource.get("address") or [{}])[0] + name = (resource.get("name") or [{}])[0] + given = name.get("given") or [] + lines = address.get("line") or [] + postal = address.get("postalCode") or "" + + current, historic = _mbis(identifiers) + sex_snomed = None + for ext in extensions: + if ext.get("url") == US_CORE_SEX: + sex_snomed = ext.get("valueCode") + us_core_race, bene_race_cd = _race(extensions) + + # Cross-reference: BENE_XREF_EFCTV_SK and the source-key list. + xref = None + sk_list = [] + for link in resource.get("link", []) or []: + other = link.get("other") or {} + if link.get("type") == "replaced-by" and other.get("reference"): + xref = _ref_id(other["reference"]) + if other.get("display"): + sk_list.append(str(other["display"])) + if resource.get("id") is not None: + sk_list.append(str(resource["id"])) + + lang = None + for comm in resource.get("communication", []) or []: + lang = _coding(comm.get("language"), "urn:ietf:bcp:47") or lang + + gender = resource.get("gender") + bene_sex_cd = ( + SNOMED_SEX.get(sex_snomed or "") + or GENDER_TO_CCW.get(gender or "") + or ("0" if gender else None) + ) + + return Patient( + id=resource.get("id"), + last_updated=_get(resource, "meta", "lastUpdated"), + bene_id=resource.get("id"), # BENE_SK — EOB patient.reference uses it + bene_mbi_id=current.get("value") if current else None, # BENE_MBI_ID + identifier_currency="current" + if current and not _get(current, "period", "end") + else ("historic" if current else None), + hicn_mbi_xref_ind="M", + crnt_num=current.get("value") if current else None, + prvs_num=historic.get("value") if historic else None, + efctv_bgn_dt=_date(_get(historic, "period", "start")) + if historic + else None, # BENE_MBI_EFCTV_DT (historic) + efctv_end_dt=_date(_get(historic, "period", "end")) + if historic + else None, # BENE_MBI_OBSLT_DT + mbi_efctv_dt=_date(_get(current, "period", "start")) if current else None, + bene_1st_name=given[0] if len(given) > 0 else None, # BENE_1ST_NAME + bene_midl_name=given[1] if len(given) > 1 else None, # BENE_MIDL_NAME + bene_last_name=name.get("family"), # BENE_LAST_NAME + bene_dob=_date(resource.get("birthDate")), # BENE_BRTH_DT + bene_sex_cd=bene_sex_cd, # BENE_SEX_CD ← us-core-sex, CCW-coded + us_core_sex=sex_snomed, + bene_race_cd=bene_race_cd, # BENE_RACE_CD ← us-core-race (OMB→CCW) + us_core_race=us_core_race, + bene_death_dt=_date(resource.get("deceasedDateTime")), # BENE_DEATH_DT + rfrnc_yr=None, + bene_fips_state_cd=None, # v3 carries USPS state only + bene_zip_cd=postal or None, + bene_line_1_adr=lines[0] if len(lines) > 0 else None, + bene_line_2_adr=lines[1] if len(lines) > 1 else None, + bene_line_3_adr=lines[2] if len(lines) > 2 else None, + bene_line_4_adr=lines[3] if len(lines) > 3 else None, + bene_line_5_adr=lines[4] if len(lines) > 4 else None, + bene_line_6_adr=lines[5] if len(lines) > 5 else None, + geo_zip_plc_name=address.get("city"), # GEO_ZIP_PLC_NAME + geo_usps_state_cd=address.get("state"), # GEO_USPS_STATE_CD + geo_zip5_cd=postal[:5] if postal else None, # GEO_ZIP5_CD + geo_zip4_cd=postal[5:] if len(postal) > 5 else None, + cntct_lang_cd=lang, # CNTCT_LANG_CD + xref_efctv_sk=xref or resource.get("id"), # BENE_XREF_EFCTV_SK + bene_sk_list=";".join(dict.fromkeys(sk_list)) or None, + ) + + +# ── Coverage ───────────────────────────────────────────────── + +# extension code → Coverage column (dictionary sourceColumn in comment) +_COV_EXT = { + "BENE-MDCR-STUS-CD": "ms_cd", # BENE_MDCR_STUS_CD (CCW BENE_MDCR_STATUS_CD) + "BENE-MDCR-ENTLMT-RSN-CD": "orec", # BENE_MDCR_ENTLMT_RSN_CD (CCW BENE_ENTLMT_RSN_ORIG) + "BENE-ESRD-STUS-ID": "esrd_ind", # BENE_ESRD_STUS_ID (CCW BENE_ESRD_IND) + "BENE-MDCR-ENTLMT-STUS-CD": "entlmt_stus_cd", # → a_trm_cd / b_trm_cd by plan + "BENE-BUYIN-CD": "buyin_cd", # BENE_BUYIN_CD + "BENE-ENRLMT-RSN-CD": "enrlmt_rsn_cd", # BENE_MDCR_ENRLMT_RSN_CD + "BENE-DSBLD-STUS-ID": "dsbld_stus_id", # BENE_DSBLD_STUS_ID + "BENE-DUAL-STUS-CD": "dual_stus_cd", # BENE_DUAL_STUS_CD + "BENE-DUAL-TYPE-CD": "dual_type_cd", # BENE_DUAL_TYPE_CD + "MEDICAID-STATE-CD": "medicaid_state_cd", # GEO_USPS_STATE_CD (Medicaid) + "BENE-CNTRCT-NUM": "cntrct_num", # BENE_CNTRCT_NUM + "BENE-PBP-NUM": "pbp_num", # BENE_PBP_NUM + "BENE-CVRG-TYPE-CD": "cvrg_type_cd", # BENE_CVRG_TYPE_CD + "CNTRCT-PBP-SGMT-NUM": "pbp_sgmt_num", # CNTRCT_PBP_SGMT_NUM + "BENE-LIS-EFCTV-CD": "lis_efctv_cd", # BENE_LIS_EFCTV_CD + "BENE-LIS-COPMT-LVL-CD": "lis_copmt_lvl_cd", # BENE_LIS_COPMT_LVL_CD + "BENE-LIS-PTD-PRM-PCT": "lis_ptd_prm_pct", # BENE_LIS_PTD_PRM_PCT + "BENE-ENRLMT-EMPLR-SBSDY-SW": "rds_sw", # BENE_ENRLMT_EMPLR_SBSDY_SW +} +_COV_CLASS = { + "rxid": "rx_id", + "rxgroup": "rx_group", + "rxpcn": "rx_pcn", + "rxbin": "rx_bin", +} + + +def flatten_coverage(resource: dict) -> Coverage: + """Flatten a v3 Coverage (one row per plan per period).""" + extensions = resource.get("extension", []) or [] + kwargs: dict[str, Any] = {} + + class_plan = None + class_group = None + for cls in resource.get("class", []) or []: + kind = _coding(cls.get("type")) + if kind == "plan": + class_plan = cls.get("value") + elif kind == "group": + class_group = cls.get("value") + elif kind in _COV_CLASS: + kwargs[_COV_CLASS[kind]] = cls.get("value") + + for code, col in _COV_EXT.items(): + v = _ext(extensions, code) + if v is not None: + kwargs[col] = str(v) + + period = resource.get("period") or {} + start, end = _date(period.get("start")), _date(period.get("end")) + plan = (class_plan or "").lower() + if "part a" in plan: + kwargs["bene_part_a_enrlmt_bgn_dt"] = start # CCW COVSTART + kwargs["mdcr_covg_a_end_dt"] = end + kwargs["a_trm_cd"] = kwargs.get("entlmt_stus_cd") # CCW BENE_PTA_TRMNTN_CD + elif "part b" in plan: + kwargs["bene_part_b_enrlmt_bgn_dt"] = start + kwargs["mdcr_covg_b_end_dt"] = end + kwargs["b_trm_cd"] = kwargs.get("entlmt_stus_cd") # CCW BENE_PTB_TRMNTN_CD + elif "part d" in plan: + kwargs["mdcr_covg_d_bgn_dt"] = start + kwargs["mdcr_covg_d_end_dt"] = end + + if "part c" in plan or "part d" in plan: + for c in resource.get("contained", []) or []: + if c.get("resourceType") == "Organization" and c.get("id") != "cms-org": + kwargs["cntrct_pbp_name"] = c.get("name") # CNTRCT_PBP_NAME + + return Coverage( + id=resource.get("id"), + last_updated=_get(resource, "meta", "lastUpdated"), + status=resource.get("status"), + subscriber_id=resource.get("subscriberId") + or _identifier(resource.get("identifier"), US_MBI), # BENE_MBI_ID + beneficiary_reference=_ref_id( + _get(resource, "beneficiary", "reference") + ), # BENE_SK + coverage_type=_coding(resource.get("type")), + class_group=class_group, + class_plan=class_plan, # Coverage Part + period_start=start, + period_end=end, + **kwargs, + ) + + +# ── ExplanationOfBenefit ───────────────────────────────────── + +# header ``total`` Adjudication code → columns (sourceColumn / ccwMapping) +_TOTALS = { + "CLM_SBMT_CHRG_AMT": ( + "clm_sbmt_chrg_amt", + "clm_mdcr_instnl_tot_chrg_amt", + ), # CLM_TOT_CHRG_AMT, NCH_CARR_CLM_SBMTD_CHRG_AMT + "CLM_ALOWD_CHRG_AMT": ("clm_alowd_chrg_amt",), # NCH_CARR_CLM_ALOWD_AMT + "CLM_BENE_PMT_AMT": ("clm_bene_pmt_amt",), # PTNT_PAY_AMT + "CLM_PRVDR_PMT_AMT": ("clm_prvdr_pmt_amt",), + "CLM_MDCR_DDCTBL_AMT": ( + "clm_mdcr_ddctbl_amt", + ), # NCH_BENE_PTB_DDCTBL_AMT, NCH_IP_TOT_DDCTN_AMT, CARR_CLM_CASH_DDCTBL_APLD_AMT + "CLM_MDCR_COINSRNC_AMT": ("clm_mdcr_coinsrnc_amt",), # NCH_BENE_PTA/PTB_COINSRNC + "CLM_NCVRD_CHRG_AMT": ("clm_ncvrd_chrg_amt",), # NCH_IP_NCVRD_CHRG_AMT + "CLM_OTHR_TP_PD_AMT": ("clm_othr_tp_pd_amt",), + "CLM_MDCR_INSTNL_BENE_PD_AMT": ( + "clm_mdcr_instnl_bene_pd_amt", + ), # CLM_OP_BENE_PMT_AMT + "CLM_BENE_PD_AMT": ("clm_mdcr_instnl_bene_pd_amt",), + "TOT_RX_CST_AMT": ("tot_rx_cst_amt",), +} + +# header ``adjudication`` Adjudication code → columns; ``amount`` unless listed in _ADJ_VALUES +_ADJ_HEADER = { + "CLM_MDCR_IP_PPS_CPTL_IME_AMT": ( + "clm_mdcr_ip_pps_cptl_ime_amt", + ), # CLM_PPS_CPTL_IME_AMT + "CLM_OPRTNL_IME_AMT": ( + "clm_oprtnl_ime_amt", + "ime_op_clm_val_amt", + ), # IME_OP_CLM_VAL_AMT + "CLM_MDCR_IP_PPS_DSPRPRTNT_AMT": ( + "clm_mdcr_ip_pps_dsprprtnt_amt", + ), # CLM_PPS_CPTL_DSPRPRTNT_SHR_AMT + "CLM_HIPPS_UNCOMPD_CARE_AMT": ( + "clm_hipps_uncompd_care_amt", + "clm_uncompd_care_pmt_amt", + ), # CLM_UNCOMPD_CARE_PMT_AMT + "CLM_OPRTNL_DSPRTNT_AMT": ( + "clm_oprtnl_dsprtnt_amt", + "dsh_op_clm_val_amt", + ), # DSH_OP_CLM_VAL_AMT + "CLM_INSTNL_CVRD_DAY_CNT": ("clm_instnl_cvrd_day_cnt",), + "CLM_MDCR_IP_LRD_USE_CNT": ("clm_mdcr_ip_lrd_use_cnt",), # BENE_LRD_USED_CNT + "CLM_INSTNL_MDCR_COINS_DAY_CNT": ( + "clm_instnl_mdcr_coins_day_cnt", + ), # BENE_TOT_COINSRNC_DAYS_CNT + "CLM_INSTNL_NCVRD_DAY_CNT": ( + "clm_instnl_ncvrd_day_cnt", + ), # CLM_NON_UTLZTN_DAYS_CNT + "CLM_INSTNL_PER_DIEM_AMT": ( + "clm_instnl_per_diem_amt", + ), # CLM_PASS_THRU_PER_DIEM_AMT + "CLM_MDCR_IP_PPS_DRG_WT_NUM": ( + "clm_mdcr_ip_pps_drg_wt_num", + ), # CLM_PPS_CPTL_DRG_WT_NUM + "CLM_MDCR_IP_PPS_CPTL_FSP_AMT": ("clm_mdcr_ip_pps_cptl_fsp_amt",), + "CLM_MDCR_IP_PPS_OUTLIER_AMT": ("clm_mdcr_ip_pps_outlier_amt",), + "CLM_MDCR_IP_PPS_EXCPTN_AMT": ("clm_mdcr_ip_pps_excptn_amt",), + "CLM_MDCR_IP_PPS_CPTL_HRMLS_AMT": ("clm_mdcr_ip_pps_cptl_hrmls_amt",), + "CLM_MDCR_IP_PPS_CPTL_TOT_AMT": ("clm_mdcr_ip_pps_cptl_tot_amt",), + "CLM_INSTNL_DRG_OUTLIER_AMT": ( + "clm_instnl_drg_outlier_amt", + ), # NCH_DRG_OUTLIER_APRVD_PMT_AMT + "CLM_MDCR_INSTNL_PRMRY_PYR_AMT": ( + "clm_mdcr_instnl_prmry_pyr_amt", + ), # NCH_PRMRY_PYR_CLM_PD_AMT + "CLM_MDCR_PRFNL_PRMRY_PYR_AMT": ( + "clm_mdcr_prfnl_prmry_pyr_amt", + ), # CARR_CLM_PRMRY_PYR_PD_AMT + "CLM_INSTNL_PRFNL_AMT": ("clm_instnl_prfnl_amt",), # NCH_PROFNL_CMPNT_CHRG_AMT + "CLM_BLOOD_LBLTY_AMT": ("clm_blood_lblty_amt",), # NCH_BENE_BLOOD_DDCTBL_LBLTY_AM + "CLM_MDCR_IP_BENE_DDCTBL_AMT": ( + "clm_mdcr_ip_bene_ddctbl_amt", + ), # NCH_BENE_IP_DDCTBL_AMT + "CLM_BLOOD_CHRG_AMT": ("clm_blood_chrg_amt",), + "CLM_BLOOD_NCVRD_CHRG_AMT": ("clm_blood_ncvrd_chrg_amt",), + "CLM_MDCR_HOSPC_PRD_CNT": ("clm_mdcr_hospc_prd_cnt",), # BENE_HOSPC_PRD_CNT + "CLM_MDCR_HHA_TOT_VISIT_CNT": ( + "clm_mdcr_hha_tot_visit_cnt", + ), # CLM_HHA_TOT_VISIT_CNT + "CLM_FINL_STDZD_PYMT_AMT": ("clm_finl_stdzd_pymt_amt",), + "CLM_HAC_RDCTN_PYMT_AMT": ("clm_hac_rdctn_pymt_amt",), + "CLM_HIPPS_READMSN_RDCTN_AMT": ("clm_hipps_readmsn_rdctn_amt",), + "CLM_HIPPS_VBP_AMT": ("clm_hipps_vbp_amt",), + "CLM_INSTNL_LOW_VOL_PMT_AMT": ("clm_instnl_low_vol_pmt_amt",), +} +_ADJ_VALUES = { # counts / weights come as ``value``, not ``amount`` + "CLM_INSTNL_CVRD_DAY_CNT", + "CLM_MDCR_IP_LRD_USE_CNT", + "CLM_INSTNL_MDCR_COINS_DAY_CNT", + "CLM_INSTNL_NCVRD_DAY_CNT", + "CLM_MDCR_IP_PPS_DRG_WT_NUM", + "CLM_MDCR_HOSPC_PRD_CNT", + "CLM_MDCR_HHA_TOT_VISIT_CNT", +} + +# supportingInfo (BB Supporting-Information category) code → column; ``code`` path +_SI_CODES = { + "CLM_NRLN_RIC_CD": "nch_near_line_rec_ident_cd", # NCH_NEAR_LINE_REC_IDENT_CD + "CLM_QUERY_CD": "clm_query_cd", # CLAIM_QUERY_CODE, CARR_CLM_ENTRY_CD + "CLM_DISP_CD": "clm_disp_cd", # CLM_DISP_CD + "CLM_ADJSTMT_TYPE_CD": "clm_adjstmt_type_cd", + "CLM_SBMT_FRMT_CD": "clm_sbmt_frmt_cd", # NSTD_FRMT_CD + "CLM_NCH_PRMRY_PYR_CD": "clm_nch_prmry_pyr_cd", # NCH_PRMRY_PYR_CD + "CLM_MDCR_INSTNL_MCO_PD_SW": "clm_mco_pd_sw", # CLM_MCO_PD_SW + "CLM_MDCR_NPMT_RSN_CD": "clm_mdcr_npmt_rsn_cd", # CLM_MDCR_NON_PMT_RSN_CD + "CLM_CARR_PMT_DNL_CD": "clm_carr_pmt_dnl_cd", # CARR_CLM_PMT_DNL_CD + "CLM_FI_ACTN_CD": "fi_clm_actn_cd", # FI_CLM_ACTN_CD + "CLM_PPS_IND_CD": "clm_pps_ind_cd", + "CLM_HHA_LUP_IND_CD": "clm_hha_lup_ind_cd", # CLM_HHA_LUPA_IND_CD + "CLM_HHA_RFRL_CD": "clm_hha_rfrl_cd", + "CLM_CLNCL_TRIL_NUM": "clm_clncl_tril_num", + "CLM_MDCR_PRFNL_PRVDR_ASGNMT_SW": "asgmntcd", # CARR_CLM_PRVDR_ASGNMT_IND_SW + "CLM_OP_SRVC_TYPE_CD": "clm_op_srvc_type_cd", + "CLM_PHRMCY_SRVC_TYPE_CD": "clm_phrmcy_srvc_type_cd", # PHRMCY_SRVC_TYPE_CD + "CLM_PTNT_RSDNC_CD": "clm_ptnt_rsdnc_cd", # PTNT_RSDNC_CD + "CLM_LTC_DSPNSNG_MTHD_CD": "clm_ltc_dspnsng_mthd_cd", # SUBMSN_CLR_CD + "CLM_DRUG_CVRG_STUS_CD": "clm_drug_cvrg_stus_cd", # DRUG_CVRG_STUS_CD + "CLM_CTSTRPHC_CVRG_IND_CD": "clm_ctstrphc_cvrg_ind_cd", # CTSTRPHC_CVRG_CD + "CLM_DSPNSNG_STUS_CD": "clm_dspnsng_stus_cd", # DSPNSNG_STUS_CD + "PRVDR_FAC_FIPS_ST_CD": "prvdr_fac_fips_st_cd", # GEO_BLG_SSA_STATE_CD + "RNDRG_PRVDR_FIPS_ST_CD": "rndrg_prvdr_fips_st_cd", +} +_SI_DATES = { + "CLM_IDR_LD_DT": "clm_idr_ld_dt", + "CLM_CMS_PROC_DT": "clm_cms_proc_dt", + "CLM_NCH_WKLY_PROC_DT": "clm_nch_wkly_proc_dt", # NCH_WKLY_PROC_DT + "CLM_ACTV_CARE_THRU_DT": "clm_actv_care_thru_dt", # NCH_ACTV_OR_CVRD_LVL_CARE_THRU + "CLM_MDCR_EXHSTD_DT": "clm_mdcr_exhstd_dt", # NCH_BENE_MDCR_BNFTS_EXHTD_DT_I + "CLM_NCVRD_FROM_DT": "clm_ncvrd_from_dt", # NCH_VRFD_NCVRD_STAY_FROM_DT + "CLM_NCVRD_THRU_DT": "clm_ncvrd_thru_dt", + "CLM_QLFY_STAY_FROM_DT": "clm_qlfy_stay_from_dt", # NCH_QLFYD_STAY_FROM_DT + "CLM_QLFY_STAY_THRU_DT": "clm_qlfy_stay_thru_dt", +} +_SI_STRINGS = { + "CLM_SBMTR_CNTRCT_NUM": "clm_sbmtr_cntrct_num", # PLAN_CNTRCT_REC_ID + "CLM_SBMTR_CNTRCT_PBP_NUM": "clm_sbmtr_cntrct_pbp_num", # PLAN_PBP_REC_NUM + "CLM_LINE_RX_NUM": "clm_line_rx_srvc_rfrnc_num", # RX_SRVC_RFRNC_NUM +} +# C4BB supportingInfo categories (code system of the answer in the tuple) +_SI_C4BB_CODES = { + "discharge-status": ( + "bene_ptnt_stus_cd", + CS + "BENE-PTNT-STUS-CD", + ), # NCH_PTNT_STATUS_IND_CD / PTNT_DSCHRG_STUS_CD + "drg": ("dgns_drg_cd", None), # CLM_DRG_CD + "admtype": ("clm_admsn_type_cd", CS + "CLM-ADMSN-TYPE-CD"), # CLM_IP_ADMSN_TYPE_CD + "pointoforigin": ( + "clm_admsn_src_cd", + CS + "CLM-ADMSN-SRC-CD", + ), # CLM_SRC_IP_ADMSN_CD + "dawcode": ("clm_daw_prod_slctn_cd", None), # DAW_PROD_SLCTN_CD + "rxorigincode": ("clm_line_rx_orgn_cd", None), # RX_ORGN_CD + "brandgenericindicator": ("clm_brnd_gnrc_cd", None), # BRND_GNRC_CD + "compoundcode": ("clm_cmpnd_cd", None), # CMPND_CD +} +_SI_C4BB_QUANTITIES = { + "dayssupply": "clm_line_days_suply_qty", # DAYS_SUPLY_NUM + "refillnum": "clm_line_rx_fill_num", # FILL_NUM + "refillsauthorized": "clm_line_authrzd_fill_num", +} +_TYPEOFBILL = { + "CLM-BILL-FAC-TYPE-CD": ("clm_bill_fac_type_cd",), # CLM_FAC_TYPE_CD + "CLM-BILL-CLSFCTN-CD": ( + "clm_bill_clsfctn_cd", + "clm_srvc_clsfctn_type_cd", + ), # CLM_SRVC_CLSFCTN_TYPE_CD + "CLM-BILL-FREQ-CD": ("clm_bill_freq_cd",), # CLM_FREQ_CD +} + + +def _diagnoses(diagnosis_list: list[dict]) -> dict[str, str | None]: + out: dict[str, str | None] = { + "prncpl_dgns_cd": None, + "admtg_dgns_cd": None, + "dgns_prcdr_icd_ind": None, + "clm_poa_ind": None, + } + for i in range(1, 13): + out[f"clm_dgns_{i}_cd"] = None + for dx in diagnosis_list or []: + cc = dx.get("diagnosisCodeableConcept") or {} + code = _coding(cc) + system = (_get(cc, "coding") or [{}])[0].get("system", "") + if "icd-10" in system: + out["dgns_prcdr_icd_ind"] = "0" + elif "icd-9" in system: + out["dgns_prcdr_icd_ind"] = "9" + seq = dx.get("sequence") + if isinstance(seq, int) and 1 <= seq <= 12: + out[f"clm_dgns_{seq}_cd"] = code + for t in dx.get("type", []) or []: + tc = _coding(t) + if tc == "principal": + out["prncpl_dgns_cd"] = code + elif tc == "admitting": + out["admtg_dgns_cd"] = code + poa = _coding(dx.get("onAdmission")) + if poa and out["clm_poa_ind"] is None: + out["clm_poa_ind"] = poa # CLM_POA_IND + return out + + +def _diagnosis_by_sequence(diagnosis_list: list[dict]) -> dict[int, str | None]: + return { + dx.get("sequence"): _coding(dx.get("diagnosisCodeableConcept")) + for dx in diagnosis_list or [] + if isinstance(dx.get("sequence"), int) + } + + +# item.adjudication Adjudication code → EobItem columns (ccwMapping) +_ITEM_ADJ = { + "CLM_LINE_CVRD_PD_AMT": ( + "clm_line_cvrd_pd_amt", + "rev_cntr_pmt_amt", + ), # CVRD_D_PLAN_PD_AMT, REV_CNTR_PMT_AMT_AMT + "CLM_LINE_ALOWD_CHRG_AMT": ("clm_line_alowd_chrg_amt",), # LINE_ALOWD_CHRG_AMT + "CLM_LINE_SBMT_CHRG_AMT": ( + "clm_line_sbmtd_chrg_amt", + "rev_cntr_tot_chrg_amt", + ), # LINE_SBMTD_CHRG_AMT, REV_CNTR_TOT_CHRG_AMT + "CLM_LINE_BENE_PMT_AMT": ("clm_line_bene_pmt_amt",), # PTNT_PAY_AMT + "CLM_LINE_PRVDR_PMT_AMT": ( + "clm_line_prvdr_pmt_amt", + "rev_cntr_prvdr_pmt_amt", + ), # LINE_PRVDR_PMT_AMT, REV_CNTR_PRVDR_PMT_AMT + "CLM_BENE_PRMRY_PYR_PD_AMT": ( + "clm_line_bene_prmry_pyr_pd_amt", + ), # LINE_BENE_PRMRY_PYR_PD_AMT + "CLM_LINE_MDCR_COINSRNC_AMT": ("clm_line_coinsrnc_amt",), # LINE_COINSRNC_AMT + "CLM_LINE_MDCR_DDCTBL_AMT": ( + "clm_line_mdcr_ddctbl_amt", + "clm_line_bene_ptb_ddctbl_amt", + "rev_cntr_cash_ddctbl_amt", + ), # LINE_BENE_PTB_DDCTBL_AMT, REV_CNTR_CASH_DDCTBL_AMT + "CLM_LINE_NCVRD_CHRG_AMT": ( + "clm_line_ncvrd_chrg_amt", + "rev_cntr_ncvrd_chrg_amt", + ), # REV_CNTR_NCVRD_CHRG_AMT + "CLM_LINE_INSTNL_RATE_AMT": ("rev_cntr_rate_amt",), # REV_CNTR_RATE_AMT + "CLM_LINE_BENE_PD_AMT": ( + "clm_line_bene_pd_amt", + "rev_cntr_bene_pmt_amt", + ), # LINE_BENE_PMT_AMT, REV_CNTR_BENE_PMT_AMT + "CLM_LINE_BLOOD_DDCTBL_AMT": ( + "rev_cntr_blood_ddctbl_amt", + ), # REV_CNTR_BLOOD_DDCTBL_AMT + "CLM_LINE_INSTNL_ADJSTD_AMT": ( + "rev_cntr_coinsrnc_wge_adjstd_c", + ), # REV_CNTR_COINSRNC_WGE_ADJSTD_C + "CLM_LINE_INSTNL_RDCD_AMT": ( + "rev_cntr_rdcd_coinsrnc_amt", + ), # REV_CNTR_RDCD_COINSRNC_AMT + "CLM_LINE_INSTNL_MSP1_PD_AMT": ( + "rev_cntr_1st_msp_pd_amt", + ), # REV_CNTR_1ST_MSP_PD_AMT + "CLM_LINE_INSTNL_MSP2_PD_AMT": ( + "rev_cntr_2nd_msp_pd_amt", + ), # REV_CNTR_2ND_MSP_PD_AMT + "TOT_RX_CST_AMT": ("tot_rx_cst_amt",), + "CLM_LINE_GRS_ABOVE_THRSHLD_AMT": ( + "clm_line_grs_above_thrshld_amt", + ), # GDC_ABV_OOPT_AMT + "CLM_LINE_GRS_BLW_THRSHLD_AMT": ( + "clm_line_grs_blw_thrshld_amt", + ), # GDC_BLW_OOPT_AMT + "CLM_LINE_LIS_AMT": ("clm_line_lis_amt",), # LICS_AMT + "CLM_LINE_PLRO_AMT": ("clm_line_plro_amt",), # PLRO_AMT + "CLM_LINE_RPTD_GAP_DSCNT_AMT": ( + "clm_line_rptd_gap_dscnt_amt", + ), # RPTD_GAP_DSCNT_NUM + "CLM_LINE_NCVRD_PD_AMT": ("clm_line_ncvrd_pd_amt",), # NCVRD_PLAN_PD_AMT + "CLM_LINE_PRFNL_DME_PRICE_AMT": ( + "clm_line_prfnl_dme_price_amt", + ), # LINE_DME_PRCHS_PRICE_AMT + "CLM_LINE_DMERC_SCRN_SVGS_AMT": ( + "clm_line_dmerc_scrn_svgs_amt", + ), # DMERC_LINE_SCRN_SVGS_AMT + "CLM_LINE_ADD_ON_PYMT_AMT": ("clm_line_add_on_pymt_amt",), + "CLM_REV_CNTR_TDAPA_AMT": ("clm_rev_cntr_tdapa_amt",), + "CLM_LINE_CARR_CLNCL_CHRG_AMT": ("clm_line_carr_clncl_chrg_amt",), + "CLM_LINE_CARR_PSYCH_OT_LMT_AMT": ("clm_line_carr_psych_ot_lmt_amt",), + "CLM_LINE_PRFNL_INTRST_AMT": ("clm_line_prfnl_intrst_amt",), + "CLM_MDCR_PRMRY_PYR_ALOWD_AMT": ("clm_mdcr_prmry_pyr_alowd_amt",), +} +# item.extension StructureDefinition code → EobItem column (ccwMapping) +_ITEM_EXT = { + "CLM-REV-CNTR-STUS-CD": "rev_cntr_stus_ind_cd", # REV_CNTR_STUS_IND_CD + "CLM-FED-TYPE-SRVC-CD": "clm_fed_type_srvc_cd", # LINE_CMS_TYPE_SRVC_CD + "CLM-PRCNG-LCLTY-CD": "carr_line_prcng_lclty_cd", # CARR_LINE_PRCNG_LCLTY_CD + "CLM-LINE-PRFNL-MTUS-CNT": "carr_line_mtus_cnt", # CARR_LINE_MTUS_CNT + "CLM-MTUS-IND-CD": "carr_line_mtus_cd", # CARR_LINE_MTUS_CD + "CLM-PMT-80-100-CD": "line_pmt_80_100_cd", # LINE_PMT_80_100_CD + "CLM-PRMRY-PYR-CD": "clm_line_prmry_pyr_cd", # LINE_BENE_PRMRY_PYR_CD + "CLM-PRCSG-IND-CD": "clm_prcsg_ind_cd", # LINE_PRCSG_IND_CD + "CLM-SRVC-DDCTBL-SW": "line_service_deductible", # LINE_SERVICE_DEDUCTIBLE + "CLM-PRVDR-TAX-NUM": "tax_num", + "CLM-REV-DSCNT-IND-CD": "clm_rev_dscnt_ind_cd", # REV_CNTR_DSCNT_IND_CD + "CLM-OTAF-ONE-IND-CD": "clm_otaf_one_ind_cd", # REV_CNTR_OTAF_PMT_CD + "CLM-REV-PACKG-IND-CD": "clm_rev_packg_ind_cd", # REV_CNTR_PACKG_IND_CD + "CLM-REV-PMT-MTHD-CD": "clm_rev_pmt_mthd_cd", # REV_CNTR_PMT_MTHD_IND_CD + "CLM-LINE-ANSTHSA-UNIT-CNT": "clm_line_ansthsa_unit_cnt", # CARR_LINE_ANSTHSA_UNIT_CNT + "CLM-PHYSN-ASTNT-CD": "clm_physn_astnt_cd", # CARR_LINE_RDCD_PMT_PHYS_ASTN_C + "CLM-LINE-CARR-HPSA-SCRCTY-CD": "clm_line_carr_hpsa_scrcty_cd", # HPSA_SCRCTY_IND_CD + "CLM-RNDRG-PRVDR-PRTCPTG-CD": "clm_rndrg_prvdr_prtcptg_cd", # PRTCPTNG_IND_CD + "CLM-PRVDR-TYPE-CD": "clm_rndrg_prvdr_type_cd", # CARR_LINE_PRVDR_TYPE_CD + "CLM-PRVDR-SPCLTY-CD": "clm_prvdr_spclty_cd", # PRVDR_SPCLTY +} +_ITEM_EXT_NUMERIC = {"carr_line_mtus_cnt", "clm_line_ansthsa_unit_cnt"} + + +def _product_codes( + item: dict, +) -> tuple[str | None, str | None, str | None, Any, str | None]: + """(hcpcs, ndc, hipps, ndc_qty, ndc_unit) from item/detail productOrService.""" + pos = item.get("productOrService") or {} + hcpcs = None + for sys_ in HCPCS_SYSTEMS: + hcpcs = hcpcs or _coding(pos, sys_) + hipps = _coding(pos, HIPPS) + ndc = _coding(pos, NDC) + qty = item.get("quantity") or {} + ndc_qty, ndc_unit = (qty.get("value"), qty.get("unit")) if ndc else (None, None) + for det in item.get("detail", []) or []: + dndc = _coding(det.get("productOrService"), NDC) + if dndc: + ndc = ndc or dndc + dq = det.get("quantity") or {} + ndc_qty = dq.get("value", ndc_qty) + ndc_unit = dq.get("unit", ndc_unit) + break + return hcpcs, ndc, hipps, ndc_qty, ndc_unit + + +def _flatten_item( + item: dict, clm_id: str | None, dx_by_seq: dict[int, str | None] +) -> EobItem: + kwargs: dict[str, Any] = {} + adjs = item.get("adjudication", []) or [] + exts = item.get("extension", []) or [] + + for code, cols in _ITEM_ADJ.items(): + amt = _adj_amount(adjs, code) + if amt is not None: + for col in cols: + kwargs[col] = amt + for code, col in _ITEM_EXT.items(): + v = _ext(exts, code) + if v is not None: + kwargs[col] = _num(v) if col in _ITEM_EXT_NUMERIC else str(v) + + # ANSI reason / group codes in adjudication order (CLM_n_REV_CNTR_ANSI_*) + n = 0 + for adj in adjs: + rsn = _coding(adj.get("reason"), CS_ANSI_RSN) + grp = _coding(adj.get("reason"), CS_ANSI_GRP) + if rsn is None and grp is None: + continue + n += 1 + if n > 4: + break + kwargs[f"clm_{n}_rev_cntr_ansi_rsn_cd"] = rsn + kwargs[f"clm_{n}_rev_cntr_ansi_grp_cd"] = grp + + serviced = item.get("servicedPeriod") or {} + from_dt = _date(item.get("servicedDate") or serviced.get("start")) + thru_dt = _date(serviced.get("end") or item.get("servicedDate")) + hcpcs, ndc, hipps, ndc_qty, ndc_unit = _product_codes(item) + mods = [_coding(m) for m in (item.get("modifier") or [])[:5]] + mods += [None] * (5 - len(mods)) + qty = _num(_get(item, "quantity", "value")) + dx_seq = (item.get("diagnosisSequence") or [None])[0] + + return EobItem( + clm_id=clm_id, + clm_line_num=_num(item.get("sequence")), # CLM_LINE_NUM + clm_line_from_dt=from_dt, # CLM_LINE_FROM_DT + clm_line_thru_dt=thru_dt, # CLM_LINE_THRU_DT + clm_line_instnl_rev_ctr_dt=from_dt, # CLM_LINE_INSTNL_REV_CTR_DT + clm_line_prod_rev_ctr_cd=_coding(item.get("revenue"), CS + "CLM-REV-CNTR-CD") + or _coding(item.get("revenue")), # CLM_LINE_REV_CTR_CD + clm_rev_apc_hipps_cd=hipps, # CLM_REV_APC_HIPPS_CD + clm_line_hcpcs_cd=hcpcs, # CLM_LINE_HCPCS_CD + clm_line_ndc_cd=ndc, # CLM_LINE_NDC_CD + clm_line_ndc_qty=_num(ndc_qty), + clm_line_ndc_qty_qlfyr_cd=ndc_unit, + hcpcs_1_mdfr_cd=mods[0], + hcpcs_2_mdfr_cd=mods[1], + hcpcs_3_mdfr_cd=mods[2], + hcpcs_4_mdfr_cd=mods[3], + hcpcs_5_mdfr_cd=mods[4], + hcpcs_betos_cd=None, # removed in v3 + clm_pos_cd=_coding(item.get("locationCodeableConcept"), POS) + or _coding(item.get("locationCodeableConcept")), # CLM_POS_CD + clm_line_srvc_unit_qty=qty, # CLM_LINE_SRVC_UNIT_QTY + rev_cntr_unit_cnt=qty, # REV_CNTR_UNIT_CNT (same dictionary row) + clm_line_dgns_cd=dx_by_seq.get(dx_seq) + if dx_seq is not None + else None, # CLM_LINE_DGNS_CD + **kwargs, + ) + + +def flatten_eob(resource: dict) -> tuple[ExplanationOfBenefit, list[EobItem]]: + """Flatten a v3 EOB (any C4BB 2.2.0 EOB profile) into header + items.""" + identifiers = resource.get("identifier", []) or [] + infos = resource.get("supportingInfo", []) or [] + adjs = resource.get("adjudication", []) or [] + totals = resource.get("total", []) or [] + items = resource.get("item", []) or [] + kwargs: dict[str, Any] = {} + + clm_id = _identifier_typed(identifiers, C4BB_ID_TYPE, "uc") # CLM_UNIQ_ID + clm_cntl_num = _identifier(identifiers, ID_CLM_CNTL) # CLM_CNTL_NUM + eob_type = _coding(resource.get("type"), CS_EOB_TYPE) + + # Original control number: related claim reference under CLM-CNTL-NUM + orig = None + for rel in resource.get("related", []) or []: + ref = rel.get("reference") or {} + if ref.get("system") == ID_CLM_CNTL: + orig = ref.get("value") + kwargs["clm_orig_cntl_num"] = orig + + # supportingInfo + for code, col in _SI_CODES.items(): + v = _si_code(infos, code) + if v is not None: + kwargs[col] = v + for code, col in _SI_DATES.items(): + v = _si_date(infos, code) + if v is not None: + kwargs[col] = v + for code, col in _SI_STRINGS.items(): + v = _si_value(infos, code) + if v is not None: + kwargs[col] = str(v) + for code, (col, code_sys) in _SI_C4BB_CODES.items(): + v = _si_code(infos, code, system=C4BB_SI, code_system=code_sys) + if v is None and code_sys: + v = _si_code(infos, code, system=C4BB_SI) + if v is not None: + kwargs[col] = v + for code, col in _SI_C4BB_QUANTITIES.items(): + v = _si_value(infos, code, system=C4BB_SI) + if v is not None: + kwargs[col] = _num(v) + tob = _si(infos, "typeofbill", C4BB_SI) + if tob: + for code_sys, cols in _TYPEOFBILL.items(): + v = _coding(tob.get("code"), CS + code_sys) + if v is not None: + for col in cols: + kwargs[col] = v + if kwargs.get("bene_ptnt_stus_cd") is None: + kwargs["bene_ptnt_stus_cd"] = _si_code_by_system( + infos, CS + "CLM-MDCR-NCH-PTNT-STUS-IND-CD" + ) + if kwargs.get("clm_op_srvc_type_cd") is None: + kwargs["clm_op_srvc_type_cd"] = _si_code_by_system( + infos, CS + "CLM-OP-SRVC-TYPE-CD" + ) + if kwargs.get("nch_near_line_rec_ident_cd") is None: + kwargs["nch_near_line_rec_ident_cd"] = _si_code_by_system( + infos, CS + "CLM-NRLN-RIC-CD" + ) + blood = _si_value(infos, "CLM_BLOOD_PT_FRNSH_QTY") # NCH_BLOOD_PNTS_FRNSHD_QTY + if blood is not None: + kwargs["nch_blood_pnts_frnshd_qty"] = _num(blood) + admit_start, admit_end = _si_period(infos, "admissionperiod", C4BB_SI) + kwargs["clm_actv_care_from_dt"] = ( + admit_start # CLM_ACTV_CARE_FROM_DT / CLM_ADMSN_DT + ) + kwargs["clm_dschrg_dt"] = admit_end # CLM_DSCHRG_DT + kwargs["clm_submsn_dt"] = _si_date(infos, "clmrecvddate", C4BB_SI) # CLM_SUBMSN_DT + cntrctr = _si_code(infos, "CLM_CNTRCTR_NUM") # FI_NUM / CARR_NUM + kwargs["fi_num"] = cntrctr + kwargs["carr_num"] = cntrctr + kwargs["carr_clm_entry_cd"] = kwargs.get( + "clm_query_cd" + ) # ccwMapping CARR_CLM_ENTRY_CD + + # totals / header adjudication + for code, cols in _TOTALS.items(): + amt = _adj_amount(totals, code) + if amt is not None: + for col in cols: + kwargs[col] = amt + for code, cols in _ADJ_HEADER.items(): + v = ( + _adj_quantity(adjs, code) + if code in _ADJ_VALUES + else _adj_amount(adjs, code) + ) + if v is not None: + for col in cols: + kwargs[col] = v + bps = _adj_by_code(adjs, "benefitpaymentstatus", C4BB_ADJ_DISC) + kwargs["clm_prcng_excptn_cd"] = ( + _coding(bps.get("reason")) if bps else None + ) # PRCNG_EXCPTN_CD + + # billing provider (contained Organization referenced by provider) + org = _contained(resource, _get(resource, "provider", "reference")) + if org: + ids = org.get("identifier", []) or [] + npi = _identifier( + ids, US_NPI + ) # PRVDR_BLG_PRVDR_NPI_NUM → ORG_NPI_NUM, CARR_CLM_BLG_NPI_NUM + kwargs["carr_clm_blg_npi_num"] = npi + kwargs["fac_prvdr_npi_num"] = npi + kwargs["prvdr_oscar_num"] = _identifier(ids, CCN) # CLM_BLG_PRVDR_OSCAR_NUM + kwargs["clm_blg_prvdr_tax_num"] = _identifier(ids, TAX_ID) + kwargs["clm_srvc_prvdr_gnrc_id_num"] = _identifier( + ids, GENERIC_ID + ) # CLM_SRVC_PRVDR_GNRC_ID_NUM + kwargs["clm_blg_prvdr_name"] = _display_name(org.get("name")) + kwargs["clm_blg_prvdr_zip5_cd"] = _get( + (org.get("address") or [{}])[0], "postalCode" + ) + + # care team + ct = _care_team(resource.get("careTeam")) + kwargs["atndg_prvdr_npi_num"] = _npi( + (ct.get("attending") or [None])[0] + ) # AT_PHYSN_NPI + kwargs["oprtg_prvdr_npi_num"] = _npi( + (ct.get("operating") or [None])[0] + ) # OP_PHYSN_NPI + kwargs["othr_prvdr_npi_num"] = _npi( + (ct.get("otheroperating") or ct.get("supervisor") or [None])[0] + ) # OT_PHYSN_NPI + rendering = (ct.get("rendering") or [None])[0] + kwargs["rndrg_prvdr_npi_num"] = _npi(rendering) # RNDRNG_PHYSN_NPI + kwargs["clm_prvdr_spclty_cd"] = ( + _coding(_get(rendering, "qualification"), CS + "CLM-PRVDR-SPCLTY-CD") + if rendering + else None + ) # PRVDR_SPCLTY + kwargs["ordrg_prvdr_npi_num"] = _npi( + (ct.get("referring") or [None])[0] + ) # RFR_PHYSN_NPI + prescribing = (ct.get("prescribing") or [None])[0] + kwargs["clm_prsbng_prvdr_gnrc_id_num"] = _provider_value(prescribing) # PRSCRBR_ID + service = (ct.get("service") or [None])[0] + if service and not kwargs.get("clm_srvc_prvdr_gnrc_id_num"): + kwargs["clm_srvc_prvdr_gnrc_id_num"] = _provider_value(service) + + # line-level provider attributes the v2 model kept on the header + first_ext = (items[0].get("extension") if items else None) or [] + kwargs["clm_rndrg_prvdr_tax_num"] = _ext_str(first_ext, "CLM-PRVDR-TAX-NUM") + kwargs["rndrg_prvdr_type_cd"] = _ext_str(first_ext, "CLM-PRVDR-TYPE-CD") + kwargs["carr_line_prvdr_type_cd"] = kwargs["rndrg_prvdr_type_cd"] + kwargs["prtcptng_ind_cd"] = _ext_str(first_ext, "CLM-RNDRG-PRVDR-PRTCPTG-CD") + + # diagnoses / first procedure + dx_list = resource.get("diagnosis", []) or [] + kwargs.update(_diagnoses(dx_list)) + procs = resource.get("procedure", []) or [] + if procs: + kwargs["clm_val_sqnc_num"] = str(procs[0].get("sequence", "")) or None + kwargs["clm_prcdr_cd"] = _coding( + procs[0].get("procedureCodeableConcept") + ) # CLM_PRCDR_CD + kwargs["clm_prcdr_prfrm_dt"] = _date(procs[0].get("date")) # CLM_PRCDR_PRFRM_DT + + billable = resource.get("billablePeriod") or {} + header = ExplanationOfBenefit( + id=resource.get("id"), + last_updated=_get(resource, "meta", "lastUpdated"), + bene_id=_ref_id(_get(resource, "patient", "reference")), # BENE_SK on claim + clm_id=clm_id, + clm_uniq_id=clm_id, + pde_id=clm_id if eob_type == "PDE" else None, # ccwMapping PDE_ID (Pharmacy) + clm_grp_id=None, + clm_sub_type=_coding(resource.get("subType")), + clm_type_cd=_coding(resource.get("type"), CS_CLM_TYPE), # CLM_TYPE_CD + eob_type=eob_type, + system_type=_tag(resource, CS_SYSTEM_TYPE), + final_action=_tag(resource, CS_FINAL_ACTION), # CLM_FINL_ACTN_IND + clm_src_id=_get(resource, "meta", "source"), # CLM_SRC_ID + outcome=resource.get("outcome"), + clm_from_dt=_date(billable.get("start")), # CLM_FROM_DT + clm_thru_dt=_date(billable.get("end")), # CLM_THRU_DT + clm_efctv_dt=_date(resource.get("created")), # CLM_EFCTV_DT + clm_pmt_amt=_num(_get(resource, "payment", "amount", "value")), # CLM_PMT_AMT + clm_pd_dt=_date(_get(resource, "payment", "date")), # CLM_PD_DT + clm_cntl_num=clm_cntl_num, + fi_doc_clm_cntl_num=clm_cntl_num, # ccwMapping FI_DOC_CLM_CNTL_NUM + carr_clm_cntl_num=clm_cntl_num, # ccwMapping CARR_CLM_CNTL_NUM + **kwargs, + ) + dx_by_seq = _diagnosis_by_sequence(dx_list) + return header, [_flatten_item(it, clm_id, dx_by_seq) for it in items] diff --git a/src/bcda/pipe/cclf.py b/src/bcda/pipe/cclf.py index 4a2d23c..e4e4481 100644 --- a/src/bcda/pipe/cclf.py +++ b/src/bcda/pipe/cclf.py @@ -21,7 +21,7 @@ Pipeline expressions (12 total):: stg_beneficiary_demographics Patient + Coverage eligibility demographics → eligibility -Source data — BCDA v2 bulk FHIR export: +Source data — BCDA bulk FHIR export (v2 or v3, flattened to bcda.*): - ExplanationOfBenefit (header + items) - Patient - Coverage diff --git a/src/bcda/store.py b/src/bcda/store.py index 6e7200b..dd2dc51 100644 --- a/src/bcda/store.py +++ b/src/bcda/store.py @@ -19,7 +19,7 @@ the appropriate extra (``s3fs``, ``adlfs``) installed by the user. Usage:: - from bcda.client import Client + from bcda.client import Client, JobCancelledError from bcda.store import Store store = Store() @@ -51,7 +51,7 @@ import fsspec import pyarrow as pa import pyarrow.parquet as pq -from bcda.client import Client +from bcda.client import Client, JobCancelledError log = logging.getLogger(__name__) @@ -264,7 +264,9 @@ class Store: endpoint: str = "Group/all", types: list[str] | None = None, since: str | None = None, + type_filter: str | None = None, poll_interval: float = 10.0, + cancel_retries: int = 0, ) -> str: """Run a full export with persistent state tracking. @@ -283,11 +285,22 @@ class Store: FHIR resource types to request. since : str | None ``_since`` timestamp filter. + type_filter : str | None + v3 ``_typeFilter`` subquery (recorded alongside ``types``). poll_interval : float Seconds between status polls. + cancel_retries : int + How many times to restart the export after the server + reports it cancelled. On the public sandbox every caller + of a model entity can ``DELETE`` any job, and sweeps that + cancel every in-progress job happen several times an hour; + each cancellation is recorded as a ``cancelled`` transition + under the same key before the next attempt. """ key = _generate_key() types_str = ",".join(types) if types else "" + if type_filter: + types_str = f"{types_str}|_typeFilter={type_filter}" log.info("Starting export %s", key, extra={"job_key": key}) # 1. Record pending. @@ -300,23 +313,47 @@ class Store: ) try: - # 2. Start export. - job_url = client.start_export( - endpoint=endpoint, - types=types, - since=since, - ) - self._append_job( - key=key, - job_url=job_url, - endpoint=endpoint, - types=types_str, - since=since or "", - status="polling", - ) + for attempt in range(cancel_retries + 1): + # 2. Start export. + job_url = client.start_export( + endpoint=endpoint, + types=types, + since=since, + type_filter=type_filter, + ) + self._append_job( + key=key, + job_url=job_url, + endpoint=endpoint, + types=types_str, + since=since or "", + status="polling", + ) - # 3. Poll until complete. - result = client.poll(job_url, interval=poll_interval) + # 3. Poll until complete. + try: + result = client.poll(job_url, interval=poll_interval) + break + except JobCancelledError as exc: + self._append_job( + key=key, + job_url=job_url, + endpoint=endpoint, + types=types_str, + since=since or "", + status="cancelled", + error=str(exc), + ) + if attempt >= cancel_retries: + raise + log.warning( + "Export %s cancelled server-side (%s); restarting (%d/%d)", + key, + job_url, + attempt + 1, + cancel_retries, + extra={"job_key": key}, + ) self._append_job( key=key, job_url=job_url, @@ -349,6 +386,60 @@ class Store: log.info("Export %s finished", key, extra={"job_key": key}) return key + def adopt( + self, + client: Client, + job_url: str, + *, + endpoint: str = "Group/all", + types: list[str] | None = None, + poll_interval: float = 10.0, + ) -> str: + """Record and download a job this store did not start. + + BCDA keeps a completed job's files for 24 hours, and on the + public sandbox every caller of a model entity sees the same + job list — so a fresh export (6 min and 2 GB for the Large + entity's EOBs) is wasted when ``client.completed_jobs()`` + already lists one. ``adopt`` polls *job_url* (returns at once + when complete), appends the job under a new key with status + ``complete`` and downloads its outputs exactly as + :meth:`export` would. Returns the job key. + """ + key = _generate_key() + types_str = ",".join(types) if types else "" + log.info("Adopting job %s as %s", job_url, key, extra={"job_key": key}) + self._append_job( + key=key, + job_url=job_url, + endpoint=endpoint, + types=types_str, + status="polling", + ) + try: + result = client.poll(job_url, interval=poll_interval) + self._append_job( + key=key, + job_url=job_url, + endpoint=endpoint, + types=types_str, + status="complete", + ) + self._download_outputs(client, key, result) + except Exception as exc: + log.error("Adopt %s failed: %s", key, exc, extra={"job_key": key}) + self._append_job( + key=key, + job_url=job_url, + endpoint=endpoint, + types=types_str, + status="failed", + error=str(exc), + ) + raise + log.info("Adopted %s finished", key, extra={"job_key": key}) + return key + def _download_outputs( self, client: Client, diff --git a/src/bcda/table/coverage.py b/src/bcda/table/coverage.py index 7f9397d..ff63bac 100644 --- a/src/bcda/table/coverage.py +++ b/src/bcda/table/coverage.py @@ -1,6 +1,6 @@ """FHIR R4 Coverage resource — beneficiary enrollment and entitlement. -Flattened from the BCDA v2 Coverage ndjson export. Each beneficiary +Flattened from the BCDA Coverage ndjson export (v2 or v3). Each beneficiary may have multiple Coverage records (Part A, Part B, Part D). The Coverage resource carries enrollment status, dual eligibility, @@ -9,7 +9,14 @@ extensions for buy-in, HMO, cost sharing, Part C/D contracts, and Retiree Drug Subsidy. Each monthly series has 12 fields (01–12) representing January through December of the reference year. -Source: ``/api/v2/Coverage/$export`` bulk FHIR endpoint. +v3 delivers one Coverage per plan per period (``class_plan`` ∈ Part A, +Part B, Part C, Part D, Dual Medicare/Medicaid) with ``Coverage.period`` +instead of the v2 reference-year monthly series; the v3 extensions land +in the ``*_cd`` columns below and the legacy part A/B/D begin/end dates +are filled from the matching plan's period so downstream joins keep +working. + +Source: ``/api/{v2,v3}/Coverage/$export`` bulk FHIR endpoint. """ from __future__ import annotations @@ -563,3 +570,74 @@ class Coverage(SQLTable): ma_12: str | None = None """Medicare Advantage indicator — December.""" + + # ── v3-only (BCDA v3 Data Dictionary) ──────────────────── + period_start: date | None = None + """Coverage.period.start — enrollment / eligibility begin for this + plan row (IDR BENE_RNG_BGN_DT, BENE_ENRLMT_BGN_DT, BENE_MDCD_ELGBLTY_BGN_DT).""" + + period_end: date | None = None + """Coverage.period.end (IDR BENE_RNG_END_DT, BENE_ENRLMT_END_DT, + BENE_MDCD_ELGBLTY_END_DT).""" + + buyin_cd: str | None = None + """Buy-in code (extension BENE-BUYIN-CD; CCW MDCR_ENTLMT_BUYIN_*_IND).""" + + entlmt_stus_cd: str | None = None + """Medicare entitlement status (BENE-MDCR-ENTLMT-STUS-CD; CCW + BENE_PTA/PTB_TRMNTN_CD — also copied to ``a_trm_cd``/``b_trm_cd``).""" + + enrlmt_rsn_cd: str | None = None + """Enrollment reason (BENE-ENRLMT-RSN-CD).""" + + dsbld_stus_id: str | None = None + """Disabled status (BENE-DSBLD-STUS-ID).""" + + dual_stus_cd: str | None = None + """Dual status (BENE-DUAL-STUS-CD) on the Dual Medicare/Medicaid + row; CCW DUAL_STUS_CD_01..12.""" + + dual_type_cd: str | None = None + """Medicare/Medicaid dual type (BENE-DUAL-TYPE-CD).""" + + medicaid_state_cd: str | None = None + """Medicaid state, USPS (MEDICAID-STATE-CD).""" + + cntrct_num: str | None = None + """Part C/D contract number (BENE-CNTRCT-NUM; CCW PTC/PTD_CNTRCT_ID_*).""" + + pbp_num: str | None = None + """Part C/D plan benefit package (BENE-PBP-NUM; CCW PTC/PTD_PBP_ID_*).""" + + cvrg_type_cd: str | None = None + """Part C/D coverage type (BENE-CVRG-TYPE-CD; CCW PTC_PLAN_TYPE_CD_*).""" + + pbp_sgmt_num: str | None = None + """Part D PBP segment (CNTRCT-PBP-SGMT-NUM; CCW PTD_SGMT_ID_*).""" + + lis_efctv_cd: str | None = None + """Part D LIS effective code (BENE-LIS-EFCTV-CD; CCW CST_SHR_GRP_CD_*).""" + + lis_copmt_lvl_cd: str | None = None + """Part D LIS copayment level (BENE-LIS-COPMT-LVL-CD).""" + + lis_ptd_prm_pct: str | None = None + """Part D LIS premium subsidy percentage (BENE-LIS-PTD-PRM-PCT).""" + + rds_sw: str | None = None + """Retiree drug subsidy switch (BENE-ENRLMT-EMPLR-SBSDY-SW; CCW RDS_IND_*).""" + + rx_id: str | None = None + """Part D PDP member id (Coverage.class[rxid]).""" + + rx_group: str | None = None + """Part D PDP group (Coverage.class[rxgroup]).""" + + rx_pcn: str | None = None + """Part D PDP processor control number (Coverage.class[rxpcn]).""" + + rx_bin: str | None = None + """Part D PDP bank id (Coverage.class[rxbin]).""" + + cntrct_pbp_name: str | None = None + """Part C/D contract plan name (contained Organization.name).""" diff --git a/src/bcda/table/eob.py b/src/bcda/table/eob.py index 8e6171f..9508f5f 100644 --- a/src/bcda/table/eob.py +++ b/src/bcda/table/eob.py @@ -1,6 +1,6 @@ """FHIR R4 ExplanationOfBenefit resource — adjudicated claims. -Flattened from the BCDA v2 ExplanationOfBenefit ndjson export. +Flattened from the BCDA ExplanationOfBenefit ndjson export (v2 or v3). Covers Part A (institutional), Part B (professional/DME), and Part D (pharmacy) claims in a single resource type. @@ -10,7 +10,14 @@ fields (line items with revenue codes, HCPCS, adjudication amounts). This model represents the header-level flattened fields; item-level arrays are modeled separately in ``EobItem``. -Source: ``/api/v2/ExplanationOfBenefit/$export`` bulk FHIR endpoint. +v3 represents partially *and* fully adjudicated claims as EOBs (the +``system_type`` tag says which: SharedSystem, NationalClaimsHistory, +DDPS) and consolidates the v2 benefitBalance/extension amounts into +``adjudication``/``total``/``item.adjudication`` under the +``https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication`` system. +The v3-only columns below carry those amounts under their IDR names. + +Source: ``/api/{v2,v3}/ExplanationOfBenefit/$export`` bulk FHIR endpoint. """ from __future__ import annotations @@ -360,6 +367,244 @@ class ExplanationOfBenefit(SQLTable): """Pharmacy service type code (Eob.facility extension valueCoding).""" + # ── v3-only: identity and provenance (BCDA v3 Data Dictionary) ── + clm_uniq_id: str | None = None + """IDR claim surrogate key (identifier[C4BB uc]; IDR CLM_UNIQ_ID). + Same value as ``clm_id`` on v3 rows.""" + + clm_orig_cntl_num: str | None = None + """Original claim control number for adjusted claims + (related[].reference where system CLM-CNTL-NUM).""" + + system_type: str | None = None + """meta.tag System-Type: SharedSystem (partially adjudicated), + NationalClaimsHistory, DDPS.""" + + final_action: str | None = None + """meta.tag Final-Action: FinalAction / NotFinalAction.""" + + eob_type: str | None = None + """BlueButton EOB-TYPE coding: INPATIENT, OUTPATIENT, SNF, HHA, + HOSPICE, CARRIER, DME, PDE.""" + + clm_src_id: str | None = None + """meta.source (IDR CLM_SRC_ID / META_SRC_SK): NCH, DDPS, FISS, MCS, VMS.""" + + outcome: str | None = None + """ExplanationOfBenefit.outcome: complete / partial.""" + + clm_adjstmt_type_cd: str | None = None + """Claim adjustment type (supportingInfo CLM_ADJSTMT_TYPE_CD).""" + + clm_idr_ld_dt: date | None = None + """IDR load date (supportingInfo CLM_IDR_LD_DT).""" + + clm_cms_proc_dt: date | None = None + """CMS process date (supportingInfo CLM_CMS_PROC_DT).""" + + clm_nch_wkly_proc_dt: date | None = None + """NCH weekly process date (supportingInfo CLM_NCH_WKLY_PROC_DT).""" + + clm_submsn_dt: date | None = None + """Claim received date (supportingInfo clmrecvddate).""" + + clm_pd_dt: date | None = None + """Payment date (payment.date; IDR CLM_PD_DT).""" + + clm_sbmt_frmt_cd: str | None = None + """Submission format (supportingInfo CLM_SBMT_FRMT_CD).""" + + clm_blg_prvdr_name: str | None = None + """Billing provider name (contained Organization.name).""" + + clm_blg_prvdr_tax_num: str | None = None + """Billing provider tax number (contained Organization identifier + urn:oid:2.16.840.1.113883.4.4).""" + + clm_blg_prvdr_zip5_cd: str | None = None + """Billing provider ZIP (contained Organization.address.postalCode).""" + + clm_dschrg_dt: date | None = None + """Discharge date (supportingInfo admissionperiod end).""" + + clm_actv_care_thru_dt: date | None = None + """Covered care through date (supportingInfo CLM_ACTV_CARE_THRU_DT).""" + + clm_mdcr_exhstd_dt: date | None = None + """Medicare benefits exhausted date (supportingInfo CLM_MDCR_EXHSTD_DT).""" + + clm_ncvrd_from_dt: date | None = None + """Noncovered stay from (supportingInfo CLM_NCVRD_FROM_DT).""" + + clm_ncvrd_thru_dt: date | None = None + """Noncovered stay through (supportingInfo CLM_NCVRD_THRU_DT).""" + + clm_qlfy_stay_from_dt: date | None = None + """Qualified stay from (supportingInfo CLM_QLFY_STAY_FROM_DT).""" + + clm_qlfy_stay_thru_dt: date | None = None + """Qualified stay through (supportingInfo CLM_QLFY_STAY_THRU_DT).""" + + clm_pps_ind_cd: str | None = None + """PPS indicator (supportingInfo CLM_PPS_IND_CD).""" + + clm_hha_lup_ind_cd: str | None = None + """HHA LUPA indicator (supportingInfo CLM_HHA_LUP_IND_CD).""" + + clm_hha_rfrl_cd: str | None = None + """HHA referral code (supportingInfo CLM_HHA_RFRL_CD).""" + + clm_clncl_tril_num: str | None = None + """Clinical trial number (supportingInfo CLM_CLNCL_TRIL_NUM).""" + + clm_prcng_excptn_cd: str | None = None + """Pricing exception / benefit payment status reason + (adjudication benefitpaymentstatus reason).""" + + # ── v3-only: header totals (ExplanationOfBenefit.total) ── + clm_sbmt_chrg_amt: float | None = None + """Total submitted charge (total CLM_SBMT_CHRG_AMT).""" + + clm_alowd_chrg_amt: float | None = None + """Allowed charge (total CLM_ALOWD_CHRG_AMT).""" + + clm_bene_pmt_amt: float | None = None + """Paid by beneficiary (total CLM_BENE_PMT_AMT).""" + + clm_prvdr_pmt_amt: float | None = None + """Paid to provider (total CLM_PRVDR_PMT_AMT).""" + + clm_mdcr_ddctbl_amt: float | None = None + """Deductible (total CLM_MDCR_DDCTBL_AMT).""" + + clm_mdcr_coinsrnc_amt: float | None = None + """Coinsurance liability (total CLM_MDCR_COINSRNC_AMT).""" + + clm_ncvrd_chrg_amt: float | None = None + """Noncovered charge (total CLM_NCVRD_CHRG_AMT).""" + + clm_othr_tp_pd_amt: float | None = None + """Other third party paid (total CLM_OTHR_TP_PD_AMT).""" + + clm_mdcr_instnl_bene_pd_amt: float | None = None + """Paid to patient, institutional (total CLM_MDCR_INSTNL_BENE_PD_AMT).""" + + tot_rx_cst_amt: float | None = None + """Total drug cost, Part D (total TOT_RX_CST_AMT).""" + + # ── v3-only: header adjudication (ExplanationOfBenefit.adjudication) ── + clm_instnl_cvrd_day_cnt: float | None = None + """Utilization day count (CLM_INSTNL_CVRD_DAY_CNT).""" + + clm_mdcr_ip_lrd_use_cnt: float | None = None + """Lifetime reserve days used (CLM_MDCR_IP_LRD_USE_CNT).""" + + clm_instnl_mdcr_coins_day_cnt: float | None = None + """Coinsurance day count (CLM_INSTNL_MDCR_COINS_DAY_CNT).""" + + clm_instnl_ncvrd_day_cnt: float | None = None + """Non-utilization day count (CLM_INSTNL_NCVRD_DAY_CNT).""" + + clm_instnl_per_diem_amt: float | None = None + """Pass-through per diem (CLM_INSTNL_PER_DIEM_AMT).""" + + clm_mdcr_ip_pps_drg_wt_num: float | None = None + """PPS capital DRG weight (CLM_MDCR_IP_PPS_DRG_WT_NUM).""" + + clm_mdcr_ip_pps_cptl_fsp_amt: float | None = None + """PPS capital FSP amount (CLM_MDCR_IP_PPS_CPTL_FSP_AMT).""" + + clm_mdcr_ip_pps_outlier_amt: float | None = None + """PPS capital outlier amount (CLM_MDCR_IP_PPS_OUTLIER_AMT).""" + + clm_mdcr_ip_pps_excptn_amt: float | None = None + """PPS capital exception amount (CLM_MDCR_IP_PPS_EXCPTN_AMT).""" + + clm_mdcr_ip_pps_cptl_hrmls_amt: float | None = None + """PPS old capital hold harmless (CLM_MDCR_IP_PPS_CPTL_HRMLS_AMT).""" + + clm_mdcr_ip_pps_cptl_tot_amt: float | None = None + """PPS total capital (CLM_MDCR_IP_PPS_CPTL_TOT_AMT).""" + + clm_instnl_drg_outlier_amt: float | None = None + """DRG outlier approved payment (CLM_INSTNL_DRG_OUTLIER_AMT).""" + + clm_mdcr_instnl_prmry_pyr_amt: float | None = None + """Institutional primary payer paid (CLM_MDCR_INSTNL_PRMRY_PYR_AMT).""" + + clm_mdcr_prfnl_prmry_pyr_amt: float | None = None + """Carrier primary payer paid (CLM_MDCR_PRFNL_PRMRY_PYR_AMT).""" + + clm_instnl_prfnl_amt: float | None = None + """Professional component charge (CLM_INSTNL_PRFNL_AMT).""" + + clm_blood_lblty_amt: float | None = None + """Blood deductible liability (CLM_BLOOD_LBLTY_AMT).""" + + clm_mdcr_ip_bene_ddctbl_amt: float | None = None + """Inpatient deductible (CLM_MDCR_IP_BENE_DDCTBL_AMT).""" + + clm_blood_chrg_amt: float | None = None + """Blood charge (CLM_BLOOD_CHRG_AMT).""" + + clm_blood_ncvrd_chrg_amt: float | None = None + """Blood noncovered charge (CLM_BLOOD_NCVRD_CHRG_AMT).""" + + clm_mdcr_hospc_prd_cnt: float | None = None + """Hospice period count (CLM_MDCR_HOSPC_PRD_CNT).""" + + clm_mdcr_hha_tot_visit_cnt: float | None = None + """HHA total visit count (CLM_MDCR_HHA_TOT_VISIT_CNT).""" + + clm_finl_stdzd_pymt_amt: float | None = None + """Final standardized payment (CLM_FINL_STDZD_PYMT_AMT).""" + + clm_hac_rdctn_pymt_amt: float | None = None + """HAC reduction (CLM_HAC_RDCTN_PYMT_AMT).""" + + clm_hipps_readmsn_rdctn_amt: float | None = None + """Readmission reduction (CLM_HIPPS_READMSN_RDCTN_AMT).""" + + clm_hipps_vbp_amt: float | None = None + """Value-based purchasing (CLM_HIPPS_VBP_AMT).""" + + clm_instnl_low_vol_pmt_amt: float | None = None + """Low volume payment (CLM_INSTNL_LOW_VOL_PMT_AMT).""" + + # ── v3-only: Part D supporting info ── + clm_brnd_gnrc_cd: str | None = None + """Brand/generic (supportingInfo brandgenericindicator).""" + + clm_cmpnd_cd: str | None = None + """Compound code (supportingInfo compoundcode).""" + + clm_line_rx_orgn_cd: str | None = None + """Rx origin (supportingInfo rxorigincode).""" + + clm_ptnt_rsdnc_cd: str | None = None + """Patient residence (supportingInfo CLM_PTNT_RSDNC_CD).""" + + clm_ltc_dspnsng_mthd_cd: str | None = None + """LTC dispensing method (supportingInfo CLM_LTC_DSPNSNG_MTHD_CD).""" + + clm_drug_cvrg_stus_cd: str | None = None + """Drug coverage status (supportingInfo CLM_DRUG_CVRG_STUS_CD).""" + + clm_ctstrphc_cvrg_ind_cd: str | None = None + """Catastrophic coverage indicator (supportingInfo CLM_CTSTRPHC_CVRG_IND_CD).""" + + clm_dspnsng_stus_cd: str | None = None + """Dispensing status (supportingInfo CLM_DSPNSNG_STUS_CD).""" + + clm_sbmtr_cntrct_num: str | None = None + """Submitter contract (supportingInfo CLM_SBMTR_CNTRCT_NUM).""" + + clm_sbmtr_cntrct_pbp_num: str | None = None + """Submitter PBP (supportingInfo CLM_SBMTR_CNTRCT_PBP_NUM).""" + + clm_line_authrzd_fill_num: float | None = None + """Authorized refills (supportingInfo refillsauthorized).""" + class EobItem(SQLTable): """FHIR R4 ExplanationOfBenefit.item — claim line items. @@ -571,3 +816,119 @@ class EobItem(SQLTable): tax_num: str | None = None """Line-level provider tax number (Eob.item.extension[tax_num] valueCoding).""" + + # ── v3-only (BCDA v3 Data Dictionary, item level) ──────── + clm_line_ndc_qty: float | None = None + """NDC quantity (item/detail quantity.value; IDR CLM_LINE_NDC_QTY).""" + + clm_line_ndc_qty_qlfyr_cd: str | None = None + """NDC quantity unit (item/detail quantity.unit).""" + + clm_line_dgns_cd: str | None = None + """Line diagnosis — header diagnosis at item.diagnosisSequence[0].""" + + clm_rev_dscnt_ind_cd: str | None = None + """Revenue center discount indicator (extension CLM-REV-DSCNT-IND-CD).""" + + clm_otaf_one_ind_cd: str | None = None + """Obligation to accept as full payment (extension CLM-OTAF-ONE-IND-CD).""" + + clm_rev_packg_ind_cd: str | None = None + """Packaging indicator (extension CLM-REV-PACKG-IND-CD).""" + + clm_rev_pmt_mthd_cd: str | None = None + """Payment method indicator (extension CLM-REV-PMT-MTHD-CD).""" + + clm_line_ansthsa_unit_cnt: float | None = None + """Anesthesia units (extension CLM-LINE-ANSTHSA-UNIT-CNT).""" + + clm_physn_astnt_cd: str | None = None + """Reduced payment physician assistant code (extension CLM-PHYSN-ASTNT-CD).""" + + clm_line_carr_hpsa_scrcty_cd: str | None = None + """HPSA scarcity (extension CLM-LINE-CARR-HPSA-SCRCTY-CD).""" + + clm_rndrg_prvdr_prtcptg_cd: str | None = None + """Rendering provider participating (extension CLM-RNDRG-PRVDR-PRTCPTG-CD).""" + + clm_rndrg_prvdr_type_cd: str | None = None + """Rendering provider type (extension CLM-PRVDR-TYPE-CD).""" + + clm_prvdr_spclty_cd: str | None = None + """Line provider specialty (extension CLM-PRVDR-SPCLTY-CD).""" + + clm_1_rev_cntr_ansi_rsn_cd: str | None = None + """Adjustment reason 1 (adjudication reason ANSI-RSN-CD).""" + + clm_1_rev_cntr_ansi_grp_cd: str | None = None + """Adjustment group 1 (adjudication reason ANSI-GRP-CD).""" + + clm_2_rev_cntr_ansi_rsn_cd: str | None = None + """Adjustment reason 2.""" + + clm_2_rev_cntr_ansi_grp_cd: str | None = None + """Adjustment group 2.""" + + clm_3_rev_cntr_ansi_rsn_cd: str | None = None + """Adjustment reason 3.""" + + clm_3_rev_cntr_ansi_grp_cd: str | None = None + """Adjustment group 3.""" + + clm_4_rev_cntr_ansi_rsn_cd: str | None = None + """Adjustment reason 4.""" + + clm_4_rev_cntr_ansi_grp_cd: str | None = None + """Adjustment group 4.""" + + # ── v3-only: item adjudication amounts (CodeSystem/Adjudication) ── + tot_rx_cst_amt: float | None = None + """Total drug cost, Part D (TOT_RX_CST_AMT).""" + + clm_line_grs_above_thrshld_amt: float | None = None + """Gross drug cost above OOP threshold (CLM_LINE_GRS_ABOVE_THRSHLD_AMT).""" + + clm_line_grs_blw_thrshld_amt: float | None = None + """Gross drug cost below OOP threshold (CLM_LINE_GRS_BLW_THRSHLD_AMT).""" + + clm_line_lis_amt: float | None = None + """Low income cost sharing subsidy (CLM_LINE_LIS_AMT).""" + + clm_line_plro_amt: float | None = None + """Patient liability reduction other paid (CLM_LINE_PLRO_AMT).""" + + clm_line_rptd_gap_dscnt_amt: float | None = None + """Reported gap discount (CLM_LINE_RPTD_GAP_DSCNT_AMT).""" + + clm_line_ncvrd_pd_amt: float | None = None + """Noncovered paid (CLM_LINE_NCVRD_PD_AMT).""" + + clm_line_bene_pd_amt: float | None = None + """Paid to beneficiary (CLM_LINE_BENE_PD_AMT).""" + + clm_line_mdcr_ddctbl_amt: float | None = None + """Part B / cash deductible (CLM_LINE_MDCR_DDCTBL_AMT).""" + + clm_line_prfnl_dme_price_amt: float | None = None + """DME purchase price (CLM_LINE_PRFNL_DME_PRICE_AMT).""" + + clm_line_dmerc_scrn_svgs_amt: float | None = None + """DMERC screen savings (CLM_LINE_DMERC_SCRN_SVGS_AMT).""" + + clm_line_add_on_pymt_amt: float | None = None + """Add-on payment (CLM_LINE_ADD_ON_PYMT_AMT).""" + + clm_rev_cntr_tdapa_amt: float | None = None + """Transitional drug add-on payment adjustment (CLM_REV_CNTR_TDAPA_AMT).""" + + clm_line_carr_clncl_chrg_amt: float | None = None + """Carrier clinical charge (CLM_LINE_CARR_CLNCL_CHRG_AMT).""" + + clm_line_carr_psych_ot_lmt_amt: float | None = None + """Therapy amount applied to limit (CLM_LINE_CARR_PSYCH_OT_LMT_AMT).""" + + clm_line_prfnl_intrst_amt: float | None = None + """Professional interest (CLM_LINE_PRFNL_INTRST_AMT).""" + + clm_mdcr_prmry_pyr_alowd_amt: float | None = None + """Line primary payer allowed (CLM_MDCR_PRMRY_PYR_ALOWD_AMT).""" diff --git a/src/bcda/table/patient.py b/src/bcda/table/patient.py index 9c0ede5..03797e2 100644 --- a/src/bcda/table/patient.py +++ b/src/bcda/table/patient.py @@ -1,10 +1,18 @@ """FHIR R4 Patient resource — beneficiary demographics and identifiers. -Flattened from the BCDA v2 Patient ndjson export. One row per +Flattened from the BCDA Patient ndjson export (v2 or v3 — the +flattener detects the dialect per resource). One row per beneficiary. Maps CCLF8 (demographics) and CCLF9 (XREF) fields to their FHIR R4 element paths. -Source: ``/api/v2/Patient/$export`` bulk FHIR endpoint. +v3 differences (BCDA v3 Data Dictionary, ``ccwMapping`` column): +``id`` is the IDR beneficiary surrogate key (BENE_SK), not the CCW +BENE_ID; race moves to the US Core extension (OMB codes, crosswalked +back into ``bene_race_cd``); the ``rfrnc_yr``/``dual_*`` extensions +are gone (dual status lives on its own Coverage row); the contact +language and historical source keys are new. + +Source: ``/api/{v2,v3}/Patient/$export`` bulk FHIR endpoint. """ from __future__ import annotations @@ -166,3 +174,21 @@ class Patient(SQLTable): dual_12: str | None = None """Dual eligibility status — December.""" + + # ── v3-only (BCDA v3 Data Dictionary) ──────────────────── + cntct_lang_cd: str | None = None + """Contact language, BCP-47 (Patient.communication.language; + IDR CNTCT_LANG_CD).""" + + xref_efctv_sk: str | None = None + """Current Patient FHIR id after cross-reference — the + ``replaced-by`` link target when present, else ``id`` + (IDR BENE_XREF_EFCTV_SK).""" + + bene_sk_list: str | None = None + """Semicolon-joined historical source keys + (Patient.link.other.display ∪ Patient.id).""" + + mbi_efctv_dt: date | None = None + """Current MBI effective date (Patient.identifier[us-mbi].period.start; + IDR BENE_MBI_EFCTV_DT).""" diff --git a/src/cli/load.py b/src/cli/load.py index 8cdb11f..35ed28c 100644 --- a/src/cli/load.py +++ b/src/cli/load.py @@ -55,8 +55,10 @@ def bcda( ) -> None: """Flatten BCDA FHIR exports and load into DuckDB. - Reads Patient/EOB/Coverage ndjson files, flattens them to Parquet, - and loads into the ``bcda`` schema. + Reads Patient/EOB/Coverage ndjson files (v2 or v3 payloads, any + number of parts), flattens them to Parquet, and loads into the + ``bcda`` schema. Without --ndjson-dir, uses the newest export per + resource type under the BCDA store (a v3 pull is three jobs). """ from aco.load.bcda import load_bcda diff --git a/tests/aco/test_coverage_gaps.py b/tests/aco/test_coverage_gaps.py index 377c7f1..21da359 100644 --- a/tests/aco/test_coverage_gaps.py +++ b/tests/aco/test_coverage_gaps.py @@ -490,7 +490,7 @@ class TestLoadBcdaFindLatest: (exports / "job1").mkdir() result = _find_latest_export(tmp_path) - assert result.name == "job1" + assert [d.name for d in result] == ["job1"] def test_find_latest_no_exports_dir(self, tmp_path): from aco.load.bcda import _find_latest_export diff --git a/tests/aco/test_load_bcda.py b/tests/aco/test_load_bcda.py index 793a634..7021a33 100644 --- a/tests/aco/test_load_bcda.py +++ b/tests/aco/test_load_bcda.py @@ -29,4 +29,96 @@ class TestFindLatestExport: # Set old_job mtime to past so new_job is clearly newer os.utime(exports / "old_job", (1000000, 1000000)) result = _find_latest_export(tmp_path) - assert result.name == "new_job" + assert [d.name for d in result] == ["new_job"] + + def test_newest_per_resource_type(self, tmp_path: Path) -> None: + """Three single-type v3 jobs: each type comes from its own dir.""" + import os + + exports = tmp_path / "exports" + exports.mkdir() + for i, (name, rtype) in enumerate( + [ + ("j_eob", "ExplanationOfBenefit"), + ("j_pat", "Patient"), + ("j_cov", "Coverage"), + ] + ): + d = exports / name + d.mkdir() + (d / f"{rtype}.ndjson").write_text("{}\n") + os.utime(d, (1000000 + i, 1000000 + i)) + # a newer Patient-only job supersedes j_pat + d = exports / "j_pat2" + d.mkdir() + (d / "Patient.ndjson").write_text("{}\n") + os.utime(d, (2000000, 2000000)) + result = _find_latest_export(tmp_path) + assert [d.name for d in result] == ["j_eob", "j_cov", "j_pat2"] + + +class TestLoadV3EndToEnd: + """Official v3 samples, split like three single-type jobs → DuckDB.""" + + def test_load_from_three_export_dirs(self, tmp_path: Path) -> None: + import shutil + + import duckdb + + from aco.load.bcda import load_bcda + from conf import path as conf_path + + samples = Path(__file__).resolve().parents[2] / "dev" / "vendor" / "bcda-site" + store = tmp_path / "store" + for job, rtype in ( + ("j1", "Patient"), + ("j2", "Coverage"), + ("j3", "ExplanationOfBenefit"), + ): + d = store / "exports" / job + d.mkdir(parents=True) + shutil.copy(samples / f"v3_{rtype}.ndjson", d / f"{rtype}.ndjson") + # a second EOB part in the same job dir + shutil.copy( + samples / "v3_ExplanationOfBenefit.ndjson", + store / "exports" / "j3" / "ExplanationOfBenefit.1.ndjson", + ) + db = tmp_path / "aco.duckdb" + + from unittest.mock import patch + + real_path = conf_path + + def fake_path(key: str): + if key == "storage.bcda": + return store + return real_path(key) + + with patch("conf.path", side_effect=fake_path): + stats = load_bcda(database=str(db)) + assert stats == { + "bcda.patient": 94, + "bcda.explanation_of_benefit": 538, + "bcda.eob_item": 2464, + "bcda.coverage": 175, + } + con = duckdb.connect(str(db), read_only=True) + plans = dict( + con.execute( + "select class_plan, count(*) from bcda.coverage group by 1" + ).fetchall() + ) + assert set(plans) == {"Part A", "Part B", "Part C", "Dual Medicare/Medicaid"} + sys_types = dict( + con.execute( + "select system_type, count(*) from bcda.explanation_of_benefit group by 1" + ).fetchall() + ) + assert sys_types == {"NationalClaimsHistory": 282, "DDPS": 256} + assert ( + con.execute( + "select count(*) from bcda.patient where bene_mbi_id is null" + ).fetchone()[0] + == 0 + ) + con.close() diff --git a/tests/aco/test_load_modules.py b/tests/aco/test_load_modules.py index 6be041f..cdcd516 100644 --- a/tests/aco/test_load_modules.py +++ b/tests/aco/test_load_modules.py @@ -49,7 +49,7 @@ class TestLoadBcda: from aco.load.bcda import _find_latest_export result = _find_latest_export(tmp_path) - assert result.is_dir() + assert len(result) == 1 and result[0].is_dir() class TestStageAll: diff --git a/tests/bcda/test_client.py b/tests/bcda/test_client.py index 80fdc7c..6d74fa1 100644 --- a/tests/bcda/test_client.py +++ b/tests/bcda/test_client.py @@ -846,7 +846,7 @@ class TestClientDefaults: def test_defaults(self) -> None: c = Client("cid", "csec") assert c.base_url == SANDBOX - assert c.version == "v2" + assert c.version == "v3" assert c.max_retries == 3 from conf import path diff --git a/tests/bcda/test_client_v3.py b/tests/bcda/test_client_v3.py new file mode 100644 index 0000000..d63b1aa --- /dev/null +++ b/tests/bcda/test_client_v3.py @@ -0,0 +1,388 @@ +"""bcda.client — v3 additions: typeFilter, OperationOutcome errors, +job history Bundle, completed-job reuse, cancellation, version/health.""" + +from __future__ import annotations + +import gzip +from unittest.mock import patch + +import httpx +import pytest + +from bcda.client import ( + ASYNC_HEADERS, + SANDBOX, + SYSTEM_TYPES, + BcdaHttpError, + Client, + JobCancelledError, + _requested_types, + operation_outcome, + raise_for_status, + type_filter_tag, +) + + +def _token_response(tok: str = "tok") -> httpx.Response: + return httpx.Response(200, json={"access_token": tok, "expires_in": 1200}) + + +def _oo(text: str, *, code: int = 400, details: bool = False) -> httpx.Response: + issue: dict = {"severity": "error", "code": "structure"} + if details: + issue["details"] = {"text": text} + else: + issue["diagnostics"] = text + return httpx.Response( + code, json={"resourceType": "OperationOutcome", "issue": [issue]} + ) + + +def _client(handler, **kw) -> Client: + kw.setdefault("output_dir", "/tmp/bcda-test") + c = Client("cid", "csec", **kw) + c._http = httpx.Client(transport=httpx.MockTransport(handler)) + return c + + +class TestHelpers: + def test_type_filter_tag(self) -> None: + assert type_filter_tag("DDPS") == ( + "ExplanationOfBenefit?_tag=https://bluebutton.cms.gov/fhir/CodeSystem/System-Type|DDPS" + ) + assert type_filter_tag(*SYSTEM_TYPES).count("|") == 3 + with pytest.raises(ValueError): + type_filter_tag("Bogus") + with pytest.raises(ValueError): + type_filter_tag() + + def test_operation_outcome(self) -> None: + assert ( + operation_outcome(_oo("Prefer header is required")) + == "Prefer header is required" + ) + assert operation_outcome(_oo("via details", details=True)) == "via details" + assert operation_outcome(httpx.Response(500, content=b"")) == "" + assert ( + operation_outcome(httpx.Response(404, json={"resourceType": "Bundle"})) + == "" + ) + assert operation_outcome(httpx.Response(404, json=[1, 2])) == "" + assert ( + operation_outcome( + httpx.Response( + 400, + json={ + "resourceType": "OperationOutcome", + "issue": [{"severity": "error"}], + }, + ) + ) + == "" + ) + + def test_raise_for_status(self) -> None: + raise_for_status(httpx.Response(200)) # no-op + resp = _oo("bad", code=404) + resp.request = httpx.Request("GET", "https://x/y") + with pytest.raises(BcdaHttpError) as ei: + raise_for_status(resp) + assert ei.value.status_code == 404 + assert ei.value.diagnostics == "bad" + assert "bad" in str(ei.value) + assert isinstance(ei.value, httpx.HTTPStatusError) + plain = httpx.Response(500, content=b"") + plain.request = httpx.Request("GET", "https://x/y") + with pytest.raises(BcdaHttpError) as ei: + raise_for_status(plain) + assert ei.value.diagnostics == "" and "500" in str(ei.value) + + def test_requested_types(self) -> None: + req = "GET https://sandbox.bcda.cms.gov/api/v3/Group/all/$export?_type=Patient%2CCoverage%2CExplanationOfBenefit" + assert _requested_types(req) == ["Patient", "Coverage", "ExplanationOfBenefit"] + assert _requested_types("GET https://x/api/v3/Group/all/$export") == [] + assert _requested_types("https://x/api/v3/Patient/$export?_type=Patient") == [ + "Patient" + ] + + +class TestExportTypeFilter: + def test_params_sent(self) -> None: + captured: dict = {} + + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + captured["url"] = str(req.url) + captured["prefer"] = req.headers.get("prefer") + return httpx.Response( + 202, headers={"Content-Location": f"{SANDBOX}/api/v3/jobs/1"} + ) + + c = _client(handler) + url = c.start_export( + types=["ExplanationOfBenefit"], + since="2026-01-01T00:00:00Z", + type_filter=type_filter_tag("SharedSystem"), + ) + assert url.endswith("/api/v3/jobs/1") + assert "_typeFilter=ExplanationOfBenefit%3F_tag%3D" in captured["url"] + assert "_since=2026-01-01" in captured["url"] + assert captured["prefer"] == "respond-async" + c.close() + + def test_export_passes_type_filter(self, tmp_path) -> None: + calls: list[str] = [] + + def handler(req: httpx.Request) -> httpx.Response: + url = str(req.url) + calls.append(url) + if "/auth/token" in url: + return _token_response() + if "$export" in url: + return httpx.Response( + 202, headers={"Content-Location": f"{SANDBOX}/api/v3/jobs/9"} + ) + if url.endswith("/jobs/9"): + return httpx.Response( + 200, + json={ + "output": [ + {"type": "Patient", "url": f"{SANDBOX}/data/9/a.ndjson"} + ], + "error": [], + }, + ) + return httpx.Response(200, content=b'{"resourceType":"Patient"}\n') + + c = _client(handler, output_dir=tmp_path) + paths = c.export( + types=["Patient"], + type_filter="ExplanationOfBenefit?outcome=partial", + poll_interval=0, + ) + assert [p.name for p in paths] == ["Patient.ndjson"] + assert any("_typeFilter=" in u for u in calls) + c.close() + + +class TestErrors: + def test_client_error_carries_diagnostics(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + return _oo("application/fhir+json is the only supported response format") + + c = _client(handler) + with pytest.raises(BcdaHttpError, match="only supported response format"): + c._request("GET", f"{SANDBOX}/api/v3/jobs") + c.close() + + def test_auth_failure_diagnostics(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + return _oo("invalid client", code=401) + + c = _client(handler) + with pytest.raises(BcdaHttpError, match="invalid client"): + c.authenticate() + c.close() + + @patch("time.sleep") + def test_5xx_exhausted_is_bcda_error(self, _sleep) -> None: + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + return httpx.Response(503, content=b"down") + + c = _client(handler, max_retries=2) + with pytest.raises(BcdaHttpError) as ei: + c._request("GET", f"{SANDBOX}/x") + assert ei.value.status_code == 503 + c.close() + + def test_poll_cancelled(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + return _oo("Job has been cancelled.", code=404) + + c = _client(handler) + with pytest.raises(JobCancelledError, match="cancelled"): + c.poll(f"{SANDBOX}/api/v3/jobs/5", interval=0) + c.close() + + def test_poll_other_404_propagates(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + return _oo("Job not found", code=404) + + c = _client(handler) + with pytest.raises(BcdaHttpError, match="not found"): + c.poll(f"{SANDBOX}/api/v3/jobs/5", interval=0) + c.close() + + def test_poll_sends_bulk_headers(self) -> None: + seen: dict = {} + + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + seen.update({k.lower(): v for k, v in req.headers.items()}) + return httpx.Response(200, json={"output": []}) + + c = _client(handler) + c.poll(f"{SANDBOX}/api/v3/jobs/5", interval=0) + assert ( + seen["prefer"] == "respond-async" + and seen["accept"] == ASYNC_HEADERS["Accept"] + ) + c.close() + + def test_download_error_has_diagnostics(self, tmp_path) -> None: + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + return _oo("file expired", code=410) + + c = _client(handler, output_dir=tmp_path) + with pytest.raises(BcdaHttpError, match="file expired"): + c._download_file(f"{SANDBOX}/data/1/x.ndjson", tmp_path / "x.ndjson") + c.close() + + def test_download_gzip_fixture(self, tmp_path) -> None: + """The upstream gzip fixture decodes to the same bytes as the plain one.""" + from pathlib import Path + + fixtures = ( + Path(__file__).resolve().parents[2] + / "dev" + / "vendor" + / "bcda-app" + / "shared_files" + / "gzip_feature_test" + ) + gz = (fixtures / "test_gzip_encoded.ndjson").read_bytes() + plain = (fixtures / "test_no_encoding.ndjson").read_bytes() + assert gzip.decompress(gz).strip() == plain.strip() + + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + return httpx.Response(200, content=gz, headers={"Content-Encoding": "gzip"}) + + c = _client(handler, output_dir=tmp_path) + c._download_file(f"{SANDBOX}/data/1/x.ndjson", tmp_path / "x.ndjson") + assert (tmp_path / "x.ndjson").read_bytes().strip() == plain.strip() + c.close() + + +def _task(job_id: str, status: str, request: str, end: str) -> dict: + return { + "resourceType": "Task", + "identifier": [{"system": f"{SANDBOX}/api/v3/jobs", "value": job_id}], + "status": status, + "input": [{"type": {"text": "BULK FHIR Export"}, "valueString": request}], + "executionPeriod": {"start": "2026-10-25T00:00:00Z", "end": end}, + } + + +class TestJobs: + def test_bundle_unwrapped_with_headers(self) -> None: + seen: dict = {} + + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + seen["prefer"] = req.headers.get("prefer") + seen["accept"] = req.headers.get("accept") + return httpx.Response( + 200, + json={ + "resourceType": "Bundle", + "type": "searchset", + "entry": [ + {"resource": _task("1", "completed", "GET x", "2026")}, + {"fullUrl": "no-resource"}, + ], + }, + ) + + c = _client(handler) + jobs = c.jobs() + assert len(jobs) == 1 and jobs[0]["status"] == "completed" + assert seen == {"prefer": "respond-async", "accept": "application/fhir+json"} + c.close() + + def test_status_404_means_empty(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + return _oo("no jobs", code=404) + + c = _client(handler) + assert c.jobs(status="Completed") == [] + with pytest.raises(BcdaHttpError): + c.jobs() # unfiltered 404 is a real error + c.close() + + def test_completed_jobs(self) -> None: + tasks = [ + _task( + "10", + "completed", + f"GET {SANDBOX}/api/v3/Group/all/$export?_type=Patient", + "2026-10-25T10:00:00Z", + ), + _task( + "11", + "completed", + f"GET {SANDBOX}/api/v3/Group/all/$export?_type=Coverage%2CPatient", + "2026-10-25T12:00:00Z", + ), + _task( + "12", + "cancelled", + f"GET {SANDBOX}/api/v3/Group/all/$export?_type=Patient", + "2026-10-25T13:00:00Z", + ), + _task( + "13", + "completed", + f"GET {SANDBOX}/api/v2/Group/all/$export?_type=Patient", + "2026-10-25T14:00:00Z", + ), + {"resourceType": "Task", "status": "completed"}, + ] + + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token_response() + return httpx.Response( + 200, + json={ + "resourceType": "Bundle", + "entry": [{"resource": t} for t in tasks], + }, + ) + + c = _client(handler) + got = c.completed_jobs() + assert [j["job_id"] for j in got] == ["11", "10"] # newest first, v3 only + assert got[0]["types"] == ["Coverage", "Patient"] + assert got[0]["job_url"].endswith("/api/v3/jobs/11") + c.close() + + +class TestInfoEndpoints: + def test_version_and_health_unauthenticated(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + assert "Authorization" not in req.headers + if str(req.url).endswith("/_version"): + return httpx.Response(200, json={"version": "r302"}) + return httpx.Response(200, json={"database": "ok"}) + + c = _client(handler) + assert c.server_version()["version"] == "r302" + assert c.health()["database"] == "ok" + c.close() diff --git a/tests/bcda/test_express.py b/tests/bcda/test_express.py index 9e86a51..813bf01 100644 --- a/tests/bcda/test_express.py +++ b/tests/bcda/test_express.py @@ -2727,3 +2727,81 @@ class TestFlattenExport: assert "bcda.patient" in counts assert "bcda.explanation_of_benefit" not in counts assert "bcda.coverage" not in counts + + +# ── v3 coverage shape through the CCLF demographics stage ─────── + + +class TestDemographicsV3Coverage: + """v3 Coverage: one row per plan; dual status on its own row.""" + + def _frames(self): + import polars as pl + + patient = pl.DataFrame( + { + "bene_mbi_id": ["M1", "M2", "M3"], + "bene_sex_cd": ["1", "2", "1"], + "bene_race_cd": ["1", "2", None], + "bene_dob": [None, None, None], + "bene_death_dt": [None, None, None], + "bene_1st_name": ["a", "b", "c"], + "bene_midl_name": [None, None, None], + "bene_last_name": ["x", "y", "z"], + "bene_line_1_adr": [None, None, None], + "geo_zip_plc_name": [None, None, None], + "geo_usps_state_cd": [None, None, None], + "geo_zip5_cd": [None, None, None], + } + ) + coverage = pl.DataFrame( + { + "subscriber_id": ["M1", "M1", "M1", "M2", "M2", "M3"], + "class_plan": [ + "Part C", + "Part B", + "Part A", + "Part B", + "Dual Medicare/Medicaid", + "Part A", + ], + "ms_cd": [None, "10", "20", "10", None, "30"], + "orec": [None, "0", "1", "0", None, "2"], + "dual_01": [None, None, None, None, None, "04"], + "dual_stus_cd": [None, None, None, None, "08", None], + "bene_part_a_enrlmt_bgn_dt": [None, None, None, None, None, None], + "mdcr_covg_a_end_dt": [None, None, None, None, None, None], + } + ) + return patient, coverage + + def test_part_a_preferred_and_dual_joined(self) -> None: + from bcda.express.cclf import eligibility, stg_beneficiary_demographics + + patient, coverage = self._frames() + demo = stg_beneficiary_demographics(patient, coverage).sort("bene_mbi_id") + assert demo["ms_cd"].to_list() == [ + "20", + "10", + "30", + ] # M1 → Part A row, not Part C/B + assert demo["dual_stus_cd_dual"].to_list() == [None, "08", None] + elig = eligibility(demo).sort("person_id") + assert elig["dual_status_code"].to_list() == [None, "08", "04"] + assert elig["medicare_status_code"].to_list() == ["20", "10", "30"] + assert elig["original_reason_entitlement_code"].to_list() == ["1", "0", "2"] + + def test_v2_frames_without_plan_columns_still_work(self) -> None: + import polars as pl + + from bcda.express.cclf import eligibility, stg_beneficiary_demographics + + patient, coverage = self._frames() + v2cov = coverage.drop("class_plan", "dual_stus_cd").unique( + subset=["subscriber_id"], keep="first" + ) + demo = stg_beneficiary_demographics(patient, v2cov) + assert "dual_stus_cd_dual" not in demo.columns + elig = eligibility(demo).sort("person_id") + assert elig["dual_status_code"].to_list() == [None, None, "04"] + assert isinstance(elig, pl.DataFrame) diff --git a/tests/bcda/test_flatten_stream.py b/tests/bcda/test_flatten_stream.py new file mode 100644 index 0000000..904b5ba --- /dev/null +++ b/tests/bcda/test_flatten_stream.py @@ -0,0 +1,148 @@ +"""bcda.express.flatten — multi-part resolution and streaming Parquet output.""" + +from __future__ import annotations + +import json +import os +from datetime import date +from pathlib import Path + +import fsspec +import pyarrow as pa +import pyarrow.parquet as pq + +from bcda.express import flatten +from bcda.table.coverage import Coverage +from bcda.table.eob import EobItem, ExplanationOfBenefit +from bcda.table.patient import Patient + +ROOT = Path(__file__).resolve().parents[2] +SAMPLES = ROOT / "dev" / "vendor" / "bcda-site" + + +class TestResolveNdjson: + def test_parts_sorted_and_later_dirs_win(self, tmp_path: Path) -> None: + a, b = tmp_path / "a", tmp_path / "b" + a.mkdir() + b.mkdir() + for name in ( + "ExplanationOfBenefit.10.ndjson", + "ExplanationOfBenefit.ndjson", + "ExplanationOfBenefit.2.ndjson", + "ExplanationOfBenefitEmpty.ndjson", + "Patient.ndjson", + ): + (a / name).write_text("{}\n") + (b / "Patient.ndjson").write_text("{}\n") + (b / "Coverage.ndjson").write_text("{}\n") + found = flatten.resolve_ndjson([a, b]) + assert [p.name for p in found["ExplanationOfBenefit"]] == [ + "ExplanationOfBenefit.ndjson", + "ExplanationOfBenefit.2.ndjson", + "ExplanationOfBenefit.10.ndjson", + ] + assert found["Patient"] == [b / "Patient.ndjson"] + assert found["Coverage"] == [b / "Coverage.ndjson"] + assert flatten.resolve_ndjson(str(a))["Patient"] == [a / "Patient.ndjson"] + assert flatten.resolve_ndjson(tmp_path / "missing") == {} + + +class TestArrowSchema: + def test_types(self) -> None: + s = flatten.arrow_schema(EobItem) + assert s.field("clm_id").type == pa.string() + assert s.field("clm_line_num").type == pa.float64() + assert s.field("clm_line_from_dt").type == pa.date32() + assert set(s.names) == set(EobItem.column_names()) + for model in (Patient, Coverage, ExplanationOfBenefit): + assert flatten.arrow_schema(model).names == model.column_names() + + def test_unknown_annotation_falls_back_to_string(self) -> None: + from conf.table_base import SQLTable + + class Odd(SQLTable): + weird: dict | None = None + plain: int = 0 + + s = flatten.arrow_schema(Odd) + assert s.field("weird").type == pa.string() + assert s.field("plain").type == pa.int64() + + +class TestParquetSink: + def test_writes_batches_and_skips_empty(self, tmp_path: Path) -> None: + fs = fsspec.filesystem("file") + path = str(tmp_path / "flat" / "p.parquet") + sink = flatten._ParquetSink(fs, path, flatten.arrow_schema(Patient)) + sink.write([]) + sink.write([{"id": "1", "bene_dob": date(2000, 1, 1)}]) + sink.write([{"id": "2"}]) + sink.close() + assert sink.rows == 2 + t = pq.read_table(path) + assert t.num_rows == 2 and t.schema.field("bene_dob").type == pa.date32() + assert t.column("id").to_pylist() == ["1", "2"] + + +class TestFlattenExportStreaming: + def test_official_samples_in_small_batches( + self, tmp_path: Path, monkeypatch + ) -> None: + """Batch size 7 forces many Arrow batches; counts must not change.""" + import shutil + + monkeypatch.setattr(flatten, "BATCH_ROWS", 7) + src = tmp_path / "ndjson" + src.mkdir() + shutil.copy(SAMPLES / "v3_Patient.ndjson", src / "Patient.ndjson") + shutil.copy(SAMPLES / "v3_Coverage.ndjson", src / "Coverage.ndjson") + # split the EOB sample into two parts to exercise multi-part reading + lines = (SAMPLES / "v3_ExplanationOfBenefit.ndjson").read_text().splitlines() + (src / "ExplanationOfBenefit.ndjson").write_text( + "\n".join(lines[:100]) + "\n\n" + ) + (src / "ExplanationOfBenefit.1.ndjson").write_text( + "\n".join(lines[100:]) + "\n" + ) + counts = flatten.flatten_export(src, tmp_path / "store") + assert counts == { + "bcda.patient": 94, + "bcda.explanation_of_benefit": 269, + "bcda.eob_item": 1232, + "bcda.coverage": 175, + } + eob = pq.read_table( + tmp_path / "store" / "flat" / "explanation_of_benefit.parquet" + ) + assert eob.num_rows == 269 + assert set(eob.column("system_type").to_pylist()) == { + "NationalClaimsHistory", + "DDPS", + } + assert eob.schema.field("clm_from_dt").type == pa.date32() + + def test_iter_ndjson_skips_blank_lines(self, tmp_path: Path) -> None: + p = tmp_path / "x.ndjson" + p.write_text('{"a":1}\n\n \n{"a":2}\n') + assert [r["a"] for r in flatten._iter_ndjson([p])] == [1, 2] + assert flatten._read_ndjson(p) == [{"a": 1}, {"a": 2}] + + def test_missing_types_write_nothing(self, tmp_path: Path) -> None: + src = tmp_path / "ndjson" + src.mkdir() + (src / "Patient.ndjson").write_text( + json.dumps( + { + "id": "P", + "meta": { + "profile": [ + "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.2.0" + ] + }, + } + ) + + "\n" + ) + counts = flatten.flatten_export(src, tmp_path / "store") + assert counts == {"bcda.patient": 1} + assert sorted(os.listdir(tmp_path / "store" / "flat")) == ["patient.parquet"] diff --git a/tests/bcda/test_store.py b/tests/bcda/test_store.py index 91c3235..46edddb 100644 --- a/tests/bcda/test_store.py +++ b/tests/bcda/test_store.py @@ -2,6 +2,7 @@ from __future__ import annotations +from pathlib import Path from unittest.mock import MagicMock import pyarrow as pa @@ -656,3 +657,177 @@ class TestStorageOptions: def test_root_trailing_slash(self) -> None: store = Store("data/bcda/") assert store._root == "data/bcda" + + +# ── v3: adopt completed jobs, type_filter passthrough ─────────── + + +class TestAdoptAndTypeFilter: + def _client(self, handler): + import httpx + + from bcda.client import Client + + c = Client("cid", "csec", output_dir="/tmp/bcda-store-test") + c._http = httpx.Client(transport=httpx.MockTransport(handler)) + return c + + def test_adopt_downloads_completed_job(self, tmp_path) -> None: + import httpx + + from bcda.store import Store + + def handler(req: httpx.Request) -> httpx.Response: + url = str(req.url) + if "/auth/token" in url: + return httpx.Response( + 200, json={"access_token": "t", "expires_in": 1200} + ) + if url.endswith("/jobs/77"): + return httpx.Response( + 200, + json={ + "output": [ + {"type": "Patient", "url": "https://s/data/77/p.ndjson"}, + {"type": "Patient", "url": "https://s/data/77/p2.ndjson"}, + ] + }, + ) + return httpx.Response(200, content=b'{"resourceType":"Patient"}\n') + + store = Store(path=str(tmp_path)) + client = self._client(handler) + key = store.adopt( + client, "https://s/api/v3/jobs/77", types=["Patient"], poll_interval=0 + ) + job = store.get_job(key) + assert job["status"] == "complete" + assert job["job_url"].endswith("/jobs/77") + assert job["types"] == "Patient" + files = store.get_files(key) + assert sorted(Path(f["storage_path"]).name for f in files) == [ + "Patient.1.ndjson", + "Patient.ndjson", + ] + assert all(f["status"] == "complete" for f in files) + client.close() + + def test_adopt_failure_recorded(self, tmp_path) -> None: + import httpx + import pytest + + from bcda.client import BcdaHttpError + from bcda.store import Store + + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return httpx.Response( + 200, json={"access_token": "t", "expires_in": 1200} + ) + return httpx.Response( + 404, + json={ + "resourceType": "OperationOutcome", + "issue": [{"diagnostics": "Job has expired"}], + }, + ) + + store = Store(path=str(tmp_path)) + client = self._client(handler) + with pytest.raises(BcdaHttpError, match="expired"): + store.adopt(client, "https://s/api/v3/jobs/78", poll_interval=0) + failed = store.list_jobs(status="failed") + assert len(failed) == 1 and "expired" in failed[0]["error"] + client.close() + + def test_export_records_type_filter(self, tmp_path) -> None: + import httpx + + from bcda.store import Store + + seen: dict = {} + + def handler(req: httpx.Request) -> httpx.Response: + url = str(req.url) + if "/auth/token" in url: + return httpx.Response( + 200, json={"access_token": "t", "expires_in": 1200} + ) + if "$export" in url: + seen["url"] = url + return httpx.Response( + 202, headers={"Content-Location": "https://s/api/v3/jobs/1"} + ) + if url.endswith("/jobs/1"): + return httpx.Response(200, json={"output": []}) + return httpx.Response(200, content=b"") + + store = Store(path=str(tmp_path)) + client = self._client(handler) + key = store.export( + client, + types=["ExplanationOfBenefit"], + type_filter="ExplanationOfBenefit?outcome=partial", + poll_interval=0, + ) + assert "_typeFilter=" in seen["url"] + assert ( + store.get_job(key)["types"] + == "ExplanationOfBenefit|_typeFilter=ExplanationOfBenefit?outcome=partial" + ) + client.close() + + def test_export_retries_after_server_cancellation(self, tmp_path) -> None: + import httpx + import pytest + + from bcda.client import JobCancelledError + from bcda.store import Store + + polls = {"n": 0} + + def handler(req: httpx.Request) -> httpx.Response: + url = str(req.url) + if "/auth/token" in url: + return httpx.Response( + 200, json={"access_token": "t", "expires_in": 1200} + ) + if "$export" in url: + polls["n"] += 1 + return httpx.Response( + 202, + headers={"Content-Location": f"https://s/api/v3/jobs/{polls['n']}"}, + ) + if url.endswith("/jobs/1") or url.endswith("/jobs/2"): + return httpx.Response( + 404, + json={ + "resourceType": "OperationOutcome", + "issue": [{"diagnostics": "Job has been cancelled."}], + }, + ) + if url.endswith("/jobs/3"): + return httpx.Response(200, json={"output": []}) + return httpx.Response(200, content=b"") + + store = Store(path=str(tmp_path)) + client = self._client(handler) + key = store.export(client, types=["Patient"], poll_interval=0, cancel_retries=2) + job = store.get_job(key) + assert job["status"] == "complete" and job["job_url"].endswith("/jobs/3") + history = store._read_parquet( + store._jobs_path, store._read_parquet.__globals__["JOBS_SCHEMA"] + ) + statuses = [r["status"] for r in history.to_pylist() if r["key"] == key] + assert statuses.count("cancelled") == 2 and statuses[-1] == "complete" + client.close() + + # no retries left → the cancellation propagates and is recorded + polls["n"] = 0 + client = self._client(handler) + with pytest.raises(JobCancelledError): + store.export(client, types=["Patient"], poll_interval=0) + assert store.list_jobs(status="failed")[-1]["error"].startswith( + "https://s/api/v3/jobs/1" + ) + client.close() diff --git a/tests/bcda/test_v3.py b/tests/bcda/test_v3.py new file mode 100644 index 0000000..27cd093 --- /dev/null +++ b/tests/bcda/test_v3.py @@ -0,0 +1,1321 @@ +"""bcda.express.v3 — BCDA v3 (C4BB 2.2.0) flatteners. + +Two layers: unit tests on hand-built resources that exercise every +branch of the extraction primitives, and invariants over CMS's +official v3 sample files vendored under ``dev/vendor/bcda-site``. +""" + +from __future__ import annotations + +import json +from datetime import date +from pathlib import Path + +import pytest + +from bcda.express import v3 +from bcda.express.flatten import flatten_coverage, flatten_eob, flatten_patient + +ROOT = Path(__file__).resolve().parents[2] +SAMPLES = ROOT / "dev" / "vendor" / "bcda-site" + +SD, CS = v3.SD, v3.CS + + +def _ndjson(name: str) -> list[dict]: + path = SAMPLES / name + with path.open() as f: + return [json.loads(line) for line in f if line.strip()] + + +@pytest.fixture(scope="module") +def sample_patients() -> list[dict]: + return _ndjson("v3_Patient.ndjson") + + +@pytest.fixture(scope="module") +def sample_coverages() -> list[dict]: + return _ndjson("v3_Coverage.ndjson") + + +@pytest.fixture(scope="module") +def sample_eobs() -> list[dict]: + return _ndjson("v3_ExplanationOfBenefit.ndjson") + + +# ── primitives ─────────────────────────────────────────────── + + +class TestPrimitives: + def test_get_and_scalars(self) -> None: + assert v3._get({"a": {"b": 1}}, "a", "b") == 1 + assert v3._get({"a": 1}, "a", "b") is None + assert v3._get(None, "a") is None + assert v3._date("2024-01-02T00:00:00Z") == date(2024, 1, 2) + assert v3._date("not a date") is None + assert v3._date(None) is None + assert v3._date(42) is None + assert v3._num("1.5") == 1.5 + assert v3._num(True) is None + assert v3._num("x") is None + assert v3._num(None) is None + assert v3._ref_id("Patient/-1") == "-1" + assert v3._ref_id("#org") == "org" + assert v3._ref_id("") is None + assert v3._ref_id(None) is None + + def test_coding_and_has_coding(self) -> None: + cc = { + "coding": [ + {"system": "http://x/A", "code": "a"}, + {"system": "http://y/B", "code": "b"}, + ] + } + assert v3._coding(cc) == "a" + assert v3._coding(cc, "http://y/B") == "b" + assert v3._coding(cc, "/B") == "b" # suffix match + assert v3._coding(cc, "nope") is None + assert v3._coding(None) is None + assert v3._coding("string") is None + assert v3._has_coding(cc, "http://x/A", "a") + assert not v3._has_coding(cc, "http://x/A", "b") + assert not v3._has_coding(None, "s", "c") + + @pytest.mark.parametrize( + "ext, expected", + [ + ({"valueCoding": {"code": "Z"}}, "Z"), + ({"valueCode": "c"}, "c"), + ({"valueString": "s"}, "s"), + ({"valueDate": "2020-01-01"}, "2020-01-01"), + ({"valueDateTime": "2020-01-01T00:00:00Z"}, "2020-01-01T00:00:00Z"), + ({"valueBoolean": True}, True), + ({"valueDecimal": 1.5}, 1.5), + ({"valueInteger": 3}, 3), + ({"valueUnsignedInt": 4}, 4), + ({"valuePositiveInt": 5}, 5), + ({"valueQuantity": {"value": 7}}, 7), + ({"valueMoney": {"value": 9.5}}, 9.5), + ({"valueIdentifier": {"value": "id"}}, "id"), + ({"valueReference": {"reference": "x"}}, None), + ], + ) + def test_ext_value(self, ext: dict, expected: object) -> None: + assert v3._ext_value(ext) == expected + + def test_ext_lookup(self) -> None: + exts = [ + {"url": SD + "X", "valueCoding": {"code": "1"}}, + {"url": "other", "valueString": "n"}, + ] + assert v3._ext(exts, "X") == "1" + assert v3._ext(exts, "Y") is None + assert v3._ext(None, "X") is None + assert v3._ext_str(exts, "X") == "1" + assert v3._ext_str(exts, "Y") is None + + def test_identifiers(self) -> None: + ids = [ + {"system": "http://a/one", "value": "1"}, + {"type": {"coding": [{"system": "sys", "code": "uc"}]}, "value": "UC"}, + ] + assert v3._identifier(ids, "http://a/one") == "1" + assert v3._identifier(ids, "one") == "1" + assert v3._identifier(ids, "zzz") is None + assert v3._identifier(None, "x") is None + assert v3._identifier_typed(ids, "sys", "uc") == "UC" + assert v3._identifier_typed(ids, "sys", "xx") is None + assert v3._identifier_typed(None, "sys", "uc") is None + + def test_tag(self) -> None: + r = {"meta": {"tag": [{"system": "s", "code": "c"}]}} + assert v3._tag(r, "s") == "c" + assert v3._tag(r, "t") is None + assert v3._tag({}, "s") is None + + def test_supporting_info(self) -> None: + infos = [ + { + "category": { + "coding": [{"system": CS + "Supporting-Information", "code": "A"}] + }, + "code": { + "coding": [ + {"system": CS + "X", "code": "ax"}, + {"system": "o", "code": "ao"}, + ] + }, + "timingPeriod": {"start": "2020-01-01", "end": "2020-02-01"}, + "valueString": "vs", + }, + { + "category": { + "coding": [{"system": CS + "Supporting-Information", "code": "B"}] + }, + "timingDate": "2021-03-04", + "valueQuantity": {"value": 3}, + }, + { + "category": { + "coding": [{"system": CS + "Supporting-Information", "code": "C"}] + }, + "valueBoolean": True, + }, + { + "category": { + "coding": [{"system": CS + "Supporting-Information", "code": "D"}] + }, + }, + ] + assert v3._si(infos, "A")["valueString"] == "vs" + assert v3._si(infos, "nope") is None + assert v3._si(None, "A") is None + assert len(v3._si_all(infos, "A")) == 1 + assert v3._si_code(infos, "A") == "ax" + assert v3._si_code(infos, "A", code_system="o") == "ao" + assert v3._si_code(infos, "B") is None + assert v3._si_code(infos, "Q") is None + assert v3._si_code_by_system(infos, CS + "X") == "ax" + assert v3._si_code_by_system(infos, CS + "Nope") is None + assert v3._si_date(infos, "A") == date(2020, 1, 1) + assert v3._si_date(infos, "B") == date(2021, 3, 4) + assert v3._si_date(infos, "Q") is None + assert v3._si_period(infos, "A") == (date(2020, 1, 1), date(2020, 2, 1)) + assert v3._si_period(infos, "B") == (date(2021, 3, 4), None) + assert v3._si_period(infos, "Q") == (None, None) + assert v3._si_value(infos, "A") == "vs" + assert v3._si_value(infos, "B") == 3 + assert v3._si_value(infos, "C") is True + assert v3._si_value(infos, "D") is None + assert v3._si_value(infos, "Q") is None + + def test_adjudication(self) -> None: + adjs = [ + { + "category": { + "coding": [{"system": CS + "Adjudication", "code": "AMT"}] + }, + "amount": {"value": 1.5}, + }, + { + "category": { + "coding": [{"system": CS + "Adjudication", "code": "CNT"}] + }, + "value": 3, + }, + { + "category": { + "coding": [{"system": CS + "Adjudication", "code": "QTY"}] + }, + "quantity": {"value": 4}, + }, + ] + assert v3._adj_amount(adjs, "AMT") == 1.5 + assert v3._adj_amount(adjs, "CNT") is None + assert v3._adj_amount(adjs, "NOPE") is None + assert v3._adj_value(adjs, "CNT") == 3 + assert v3._adj_value(adjs, "NOPE") is None + assert v3._adj_quantity(adjs, "CNT") == 3 + assert v3._adj_quantity(adjs, "QTY") == 4 + assert v3._adj_quantity(adjs, "NOPE") is None + assert v3._adj_by_code(None, "AMT") is None + + def test_contained_and_names(self) -> None: + r = {"contained": [{"id": "org", "name": "ORG"}]} + assert v3._contained(r, "#org")["name"] == "ORG" + assert v3._contained(r, "#missing") is None + assert v3._contained(r, None) is None + assert v3._display_name(None) is None + assert v3._display_name("Acme") == "Acme" + assert ( + v3._display_name([{"family": "Doe", "given": ["Jane", "Q"]}]) + == "Doe, Jane Q" + ) + assert v3._display_name([{"text": "Dr Who"}]) == "Dr Who" + assert v3._display_name([{}]) is None + assert v3._display_name(["x"]) is None + assert v3._display_name([]) is None + assert v3._display_name(42) == "42" + + def test_care_team_and_npi(self) -> None: + members = [ + { + "role": {"coding": [{"code": "rendering"}, {"code": "rendering"}]}, + "provider": {"identifier": {"system": v3.US_NPI, "value": "111"}}, + }, + { + "role": {"coding": [{"code": "attending"}]}, + "provider": { + "identifier": { + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0203", + "code": "NPI", + } + ] + }, + "value": "222", + } + }, + }, + { + "role": {"coding": [{"code": "referring"}]}, + "provider": {"identifier": {"system": "upin", "value": "U"}}, + }, + {"role": {}, "provider": {}}, + ] + ct = v3._care_team(members) + assert set(ct) == {"rendering", "attending", "referring"} + assert v3._npi(ct["rendering"][0]) == "111" + assert v3._npi(ct["attending"][0]) == "222" + assert v3._npi(ct["referring"][0]) is None + assert v3._npi(None) is None + assert v3._npi({"provider": {"identifier": "oops"}}) is None + assert v3._provider_value(ct["referring"][0]) == "U" + assert v3._care_team(None) == {} + + +class TestIsV3: + def test_profile(self) -> None: + assert v3.is_v3( + { + "meta": { + "profile": [ + "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.2.0" + ] + } + } + ) + assert not v3.is_v3( + { + "meta": { + "profile": [ + "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|1.0.0" + ] + } + } + ) + assert not v3.is_v3({"meta": {"profile": [None]}}) + + def test_tag_extension_identifier(self) -> None: + assert v3.is_v3( + {"meta": {"tag": [{"system": v3.CS_SYSTEM_TYPE, "code": "DDPS"}]}} + ) + assert v3.is_v3({"extension": [{"url": SD + "X"}]}) + assert v3.is_v3({"identifier": [{"system": v3.ID_CLM_CNTL}]}) + assert not v3.is_v3( + { + "extension": [ + {"url": "https://bluebutton.cms.gov/resources/variables/race"} + ] + } + ) + assert not v3.is_v3({}) + + +# ── Patient ────────────────────────────────────────────────── + + +def _patient(**over: object) -> dict: + base = { + "resourceType": "Patient", + "id": "-7", + "meta": { + "lastUpdated": "2026-01-01T00:00:00Z", + "profile": [ + "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.2.0" + ], + }, + "identifier": [ + { + "system": v3.US_MBI, + "value": "OLD1", + "period": {"start": "2010-01-01", "end": "2015-01-01"}, + }, + {"system": v3.US_MBI, "value": "CUR", "period": {"start": "2020-01-01"}}, + { + "system": v3.US_MBI, + "value": "OLD2", + "period": {"start": "2015-01-01", "end": "2020-01-01"}, + }, + {"system": "other", "value": "x"}, + ], + "name": [{"family": "Doe", "given": ["Jane", "Q"]}], + "birthDate": "1950-02-03", + "deceasedDateTime": "2025-01-01T00:00:00Z", + "gender": "female", + "address": [ + { + "line": ["1 A St", "Apt 2", "L3", "L4", "L5", "L6"], + "city": "Town", + "state": "TX", + "postalCode": "775501234", + } + ], + "extension": [ + {"url": v3.US_CORE_SEX, "valueCode": "248152002"}, + { + "url": v3.US_CORE_RACE, + "extension": [ + {"url": "ombCategory", "valueCoding": {"code": "2054-5"}}, + {"url": "text", "valueString": "Black"}, + ], + }, + { + "url": v3.US_CORE_ETHNICITY, + "extension": [ + {"url": "ombCategory", "valueCoding": {"code": "2186-5"}} + ], + }, + ], + "communication": [ + {"language": {"coding": [{"system": "urn:ietf:bcp:47", "code": "es"}]}} + ], + "link": [ + { + "type": "replaced-by", + "other": {"reference": "Patient/-9", "display": "-9"}, + }, + {"type": "seealso", "other": {"display": "-8"}}, + ], + } + base.update(over) + return base + + +class TestFlattenPatientV3: + def test_dispatch_and_identity(self) -> None: + p = flatten_patient(_patient()) + assert p.id == "-7" + assert p.bene_id == "-7" # BENE_SK + assert p.bene_mbi_id == "CUR" + assert p.identifier_currency == "current" + assert p.crnt_num == "CUR" + assert p.mbi_efctv_dt == date(2020, 1, 1) + assert p.prvs_num == "OLD2" # most recent historic + assert p.efctv_bgn_dt == date(2015, 1, 1) + assert p.efctv_end_dt == date(2020, 1, 1) + assert p.xref_efctv_sk == "-9" + assert p.bene_sk_list == "-9;-8;-7" + assert p.cntct_lang_cd == "es" + + def test_demographics(self) -> None: + p = flatten_patient(_patient()) + assert (p.bene_1st_name, p.bene_midl_name, p.bene_last_name) == ( + "Jane", + "Q", + "Doe", + ) + assert p.bene_dob == date(1950, 2, 3) + assert p.bene_death_dt == date(2025, 1, 1) + assert p.bene_sex_cd == "2" + assert p.us_core_sex == "248152002" + assert (p.us_core_race, p.bene_race_cd) == ("2054-5", "2") + assert p.geo_zip5_cd == "77550" + assert p.geo_zip4_cd == "1234" + assert p.bene_zip_cd == "775501234" + assert p.bene_line_6_adr == "L6" + assert p.geo_zip_plc_name == "Town" + assert p.geo_usps_state_cd == "TX" + assert p.rfrnc_yr is None and p.dual_01 is None + + def test_hispanic_wins_and_unknowns(self) -> None: + r = _patient( + extension=[ + { + "url": v3.US_CORE_ETHNICITY, + "extension": [ + {"url": "ombCategory", "valueCoding": {"code": v3.HISPANIC_OMB}} + ], + } + ] + ) + p = flatten_patient(r) + assert (p.us_core_race, p.bene_race_cd) == (None, "5") + r = _patient( + extension=[ + { + "url": v3.US_CORE_RACE, + "extension": [ + {"url": "ombCategory", "valueCoding": {"code": "9999-9"}} + ], + } + ] + ) + assert flatten_patient(r).bene_race_cd == "3" # unmapped OMB → Other + r = _patient( + extension=[ + { + "url": v3.US_CORE_RACE, + "extension": [ + {"url": "ombCategory", "valueCoding": {"code": "UNK"}} + ], + } + ] + ) + assert flatten_patient(r).bene_race_cd == "0" + assert flatten_patient(_patient(extension=[])).bene_race_cd is None + + def test_sex_fallbacks(self) -> None: + assert flatten_patient(_patient(extension=[], gender="male")).bene_sex_cd == "1" + assert ( + flatten_patient(_patient(extension=[], gender="other")).bene_sex_cd == "0" + ) + assert flatten_patient(_patient(extension=[], gender=None)).bene_sex_cd is None + + def test_mbi_edge_cases(self) -> None: + # all MBIs closed → latest end is "current" (historic flag), next is previous + ids = [ + { + "system": v3.US_MBI, + "value": "A", + "period": {"start": "2010-01-01", "end": "2012-01-01"}, + }, + { + "system": v3.US_MBI, + "value": "B", + "period": {"start": "2012-01-01", "end": "2014-01-01"}, + }, + ] + p = flatten_patient(_patient(identifier=ids)) + assert (p.bene_mbi_id, p.identifier_currency, p.prvs_num) == ( + "B", + "historic", + "A", + ) + p = flatten_patient(_patient(identifier=ids[:1])) + assert (p.bene_mbi_id, p.prvs_num) == ("A", None) + p = flatten_patient(_patient(identifier=[])) + assert ( + p.bene_mbi_id is None + and p.identifier_currency is None + and p.mbi_efctv_dt is None + ) + p = flatten_patient( + _patient(identifier=[{"system": v3.US_MBI, "value": "ONLY"}]) + ) + assert (p.bene_mbi_id, p.prvs_num, p.efctv_bgn_dt) == ("ONLY", None, None) + + def test_minimal(self) -> None: + p = flatten_patient( + { + "meta": { + "profile": [ + "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.2.0" + ] + } + } + ) + assert p.id is None and p.xref_efctv_sk is None and p.bene_sk_list is None + assert p.geo_zip5_cd is None and p.bene_1st_name is None + + def test_v2_payload_still_routes_to_v2(self) -> None: + r = { + "id": "P1", + "identifier": [{"system": "http://ccw/bene_id", "value": "B1"}], + "extension": [ + { + "url": "https://bluebutton.cms.gov/resources/variables/race", + "valueCoding": {"code": "1"}, + } + ], + } + p = flatten_patient(r) + assert p.bene_id == "B1" and p.bene_race_cd == "1" + + +# ── Coverage ───────────────────────────────────────────────── + + +def _coverage(plan: str, **over: object) -> dict: + base = { + "resourceType": "Coverage", + "id": f"{plan}-1", + "meta": { + "lastUpdated": "2026-01-01T00:00:00Z", + "profile": [ + "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage|2.2.0" + ], + }, + "status": "active", + "subscriberId": "MBI1", + "beneficiary": {"reference": "Patient/-7"}, + "type": {"coding": [{"system": "https://nahdo.org/sopt", "code": "1"}]}, + "class": [ + {"type": {"coding": [{"code": "group"}]}, "value": "Medicare"}, + {"type": {"coding": [{"code": "plan"}]}, "value": plan}, + ], + "period": {"start": "2024-01-01", "end": "2024-12-31"}, + "extension": [ + {"url": SD + "BENE-MDCR-STUS-CD", "valueCoding": {"code": "10"}}, + {"url": SD + "BENE-MDCR-ENTLMT-RSN-CD", "valueCoding": {"code": "0"}}, + {"url": SD + "BENE-ESRD-STUS-ID", "valueCoding": {"code": "N"}}, + {"url": SD + "BENE-MDCR-ENTLMT-STUS-CD", "valueCoding": {"code": "Y"}}, + {"url": SD + "BENE-BUYIN-CD", "valueCoding": {"code": "B"}}, + ], + } + base.update(over) + return base + + +class TestFlattenCoverageV3: + def test_part_a(self) -> None: + c = flatten_coverage(_coverage("Part A")) + assert c.class_plan == "Part A" and c.class_group == "Medicare" + assert c.beneficiary_reference == "-7" and c.subscriber_id == "MBI1" + assert c.coverage_type == "1" + assert (c.period_start, c.period_end) == (date(2024, 1, 1), date(2024, 12, 31)) + assert (c.bene_part_a_enrlmt_bgn_dt, c.mdcr_covg_a_end_dt) == ( + date(2024, 1, 1), + date(2024, 12, 31), + ) + assert c.bene_part_b_enrlmt_bgn_dt is None + assert (c.ms_cd, c.orec, c.esrd_ind, c.buyin_cd) == ("10", "0", "N", "B") + assert (c.entlmt_stus_cd, c.a_trm_cd, c.b_trm_cd) == ("Y", "Y", None) + + def test_part_b_and_d(self) -> None: + b = flatten_coverage(_coverage("Part B")) + assert (b.bene_part_b_enrlmt_bgn_dt, b.mdcr_covg_b_end_dt) == ( + date(2024, 1, 1), + date(2024, 12, 31), + ) + assert (b.a_trm_cd, b.b_trm_cd) == (None, "Y") + d = flatten_coverage( + _coverage( + "Part D", + extension=[ + {"url": SD + "BENE-CNTRCT-NUM", "valueString": "S0001"}, + {"url": SD + "BENE-PBP-NUM", "valueString": "001"}, + {"url": SD + "CNTRCT-PBP-SGMT-NUM", "valueString": "7"}, + {"url": SD + "BENE-LIS-EFCTV-CD", "valueCoding": {"code": "1"}}, + {"url": SD + "BENE-LIS-COPMT-LVL-CD", "valueCoding": {"code": "2"}}, + {"url": SD + "BENE-LIS-PTD-PRM-PCT", "valueDecimal": 100}, + {"url": SD + "BENE-ENRLMT-EMPLR-SBSDY-SW", "valueBoolean": False}, + ], + contained=[ + { + "resourceType": "Organization", + "id": "plan-org", + "name": "Big PDP", + }, + {"resourceType": "Organization", "id": "cms-org", "name": "CMS"}, + ], + ) + ) + assert (d.mdcr_covg_d_bgn_dt, d.mdcr_covg_d_end_dt) == ( + date(2024, 1, 1), + date(2024, 12, 31), + ) + assert (d.cntrct_num, d.pbp_num, d.pbp_sgmt_num) == ("S0001", "001", "7") + assert (d.lis_efctv_cd, d.lis_copmt_lvl_cd, d.lis_ptd_prm_pct, d.rds_sw) == ( + "1", + "2", + "100", + "False", + ) + assert d.cntrct_pbp_name == "Big PDP" + + def test_part_c_rx_classes_and_dual(self) -> None: + c = flatten_coverage( + _coverage( + "Part C", + **{ + "class": [ + {"type": {"coding": [{"code": "plan"}]}, "value": "Part C"}, + {"type": {"coding": [{"code": "rxid"}]}, "value": "RID"}, + {"type": {"coding": [{"code": "rxgroup"}]}, "value": "RG"}, + {"type": {"coding": [{"code": "rxpcn"}]}, "value": "PCN"}, + {"type": {"coding": [{"code": "rxbin"}]}, "value": "BIN"}, + {"type": {"coding": [{"code": "weird"}]}, "value": "?"}, + ], + "extension": [ + {"url": SD + "BENE-CVRG-TYPE-CD", "valueCoding": {"code": "11"}} + ], + "contained": [ + {"resourceType": "Organization", "id": "cms-org", "name": "CMS"} + ], + }, + ) + ) + assert (c.rx_id, c.rx_group, c.rx_pcn, c.rx_bin) == ("RID", "RG", "PCN", "BIN") + assert ( + c.cvrg_type_cd == "11" + and c.cntrct_pbp_name is None + and c.class_group is None + ) + assert c.bene_part_a_enrlmt_bgn_dt is None and c.mdcr_covg_d_bgn_dt is None + dual = flatten_coverage( + _coverage( + "Dual Medicare/Medicaid", + extension=[ + {"url": SD + "BENE-DUAL-STUS-CD", "valueCoding": {"code": "08"}}, + {"url": SD + "BENE-DUAL-TYPE-CD", "valueCoding": {"code": "N"}}, + {"url": SD + "MEDICAID-STATE-CD", "valueCoding": {"code": "VA"}}, + ], + ) + ) + assert (dual.dual_stus_cd, dual.dual_type_cd, dual.medicaid_state_cd) == ( + "08", + "N", + "VA", + ) + + def test_minimal_uses_mbi_identifier(self) -> None: + c = flatten_coverage( + { + "meta": { + "profile": [ + "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage|2.2.0" + ] + }, + "identifier": [{"system": v3.US_MBI, "value": "M"}], + } + ) + assert ( + c.subscriber_id == "M" and c.class_plan is None and c.period_start is None + ) + + +# ── ExplanationOfBenefit ───────────────────────────────────── + + +def _si_bb(category: str, **body: object) -> dict: + d = { + "category": { + "coding": [ + {"system": v3.CS_SI, "code": category}, + { + "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory", + "code": "info", + }, + ] + } + } + d.update(body) + return d + + +def _si_c4bb(category: str, **body: object) -> dict: + d = {"category": {"coding": [{"system": v3.C4BB_SI, "code": category}]}} + d.update(body) + return d + + +def _coded(system: str, value: str) -> dict: + return {"code": {"coding": [{"system": system, "code": value}]}} + + +def _adj( + code: str, + *, + amount: float | None = None, + value: float | None = None, + system: str = v3.CS_ADJ, +) -> dict: + d: dict = {"category": {"coding": [{"system": system, "code": code}]}} + if amount is not None: + d["amount"] = {"value": amount, "currency": "USD"} + if value is not None: + d["value"] = value + return d + + +def _eob(**over: object) -> dict: + base = { + "resourceType": "ExplanationOfBenefit", + "id": "-100", + "meta": { + "lastUpdated": "2026-02-02T00:00:00Z", + "source": "NCH", + "profile": [ + "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional|2.2.0" + ], + "tag": [ + {"system": v3.CS_SYSTEM_TYPE, "code": "NationalClaimsHistory"}, + {"system": v3.CS_FINAL_ACTION, "code": "FinalAction"}, + ], + }, + "identifier": [ + { + "type": {"coding": [{"system": v3.C4BB_ID_TYPE, "code": "uc"}]}, + "value": "-100", + }, + {"system": v3.ID_CLM_CNTL, "value": "CCN-1"}, + ], + "related": [ + {"reference": {"system": v3.ID_CLM_CNTL, "value": "CCN-0"}}, + {"reference": {"system": "x", "value": "no"}}, + ], + "type": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/claim-type", + "code": "institutional", + }, + {"system": v3.CS_CLM_TYPE, "code": "60"}, + {"system": v3.CS_EOB_TYPE, "code": "INPATIENT"}, + ] + }, + "subType": {"coding": [{"code": "inpatient"}]}, + "outcome": "complete", + "patient": {"reference": "Patient/-7"}, + "billablePeriod": {"start": "2024-03-01", "end": "2024-03-10"}, + "created": "2024-04-01T00:00:00Z", + "payment": {"amount": {"value": 1000.5}, "date": "2024-04-02"}, + "provider": {"reference": "#billing"}, + "contained": [ + { + "resourceType": "Organization", + "id": "billing", + "name": "General Hospital", + "identifier": [ + {"system": v3.US_NPI, "value": "1234567893"}, + {"system": v3.CCN, "value": "450001"}, + {"system": v3.TAX_ID, "value": "99-1234567"}, + {"system": "http://" + v3.GENERIC_ID, "value": "GEN1"}, + ], + "address": [{"postalCode": "77550"}], + } + ], + "careTeam": [ + { + "role": {"coding": [{"code": "attending"}]}, + "provider": {"identifier": {"system": v3.US_NPI, "value": "ATT"}}, + }, + { + "role": {"coding": [{"code": "operating"}]}, + "provider": {"identifier": {"system": v3.US_NPI, "value": "OPR"}}, + }, + { + "role": {"coding": [{"code": "supervisor"}]}, + "provider": {"identifier": {"system": v3.US_NPI, "value": "SUP"}}, + }, + { + "role": {"coding": [{"code": "rendering"}]}, + "provider": {"identifier": {"system": v3.US_NPI, "value": "RND"}}, + "qualification": { + "coding": [{"system": CS + "CLM-PRVDR-SPCLTY-CD", "code": "61"}] + }, + }, + { + "role": {"coding": [{"code": "referring"}]}, + "provider": {"identifier": {"system": v3.US_NPI, "value": "REF"}}, + }, + { + "role": {"coding": [{"code": "prescribing"}]}, + "provider": {"identifier": {"system": v3.US_NPI, "value": "PRS"}}, + }, + { + "role": {"coding": [{"code": "service"}]}, + "provider": {"identifier": {"system": "other", "value": "SVC"}}, + }, + ], + "diagnosis": [ + { + "sequence": 1, + "diagnosisCodeableConcept": { + "coding": [ + {"system": "http://hl7.org/fhir/sid/icd-10-cm", "code": "A00"} + ] + }, + "type": [{"coding": [{"code": "principal"}]}], + "onAdmission": {"coding": [{"code": "Y"}]}, + }, + { + "sequence": 2, + "diagnosisCodeableConcept": { + "coding": [ + {"system": "http://hl7.org/fhir/sid/icd-10-cm", "code": "B00"} + ] + }, + "type": [{"coding": [{"code": "admitting"}]}], + }, + {"sequence": 13, "diagnosisCodeableConcept": {"coding": [{"code": "Z99"}]}}, + { + "diagnosisCodeableConcept": { + "coding": [ + {"system": "http://hl7.org/fhir/sid/icd-9-cm", "code": "9"} + ] + } + }, + ], + "procedure": [ + { + "sequence": 1, + "date": "2024-03-02", + "procedureCodeableConcept": {"coding": [{"code": "5A1945Z"}]}, + } + ], + "supportingInfo": [ + _si_bb("CLM_NRLN_RIC_CD", **_coded(CS + "CLM-NRLN-RIC-CD", "V")), + _si_bb("CLM_QUERY_CD", **_coded(CS + "CLM-QUERY-CD", "3")), + _si_bb("CLM_IDR_LD_DT", timingDate="2024-05-01"), + _si_bb("CLM_SBMTR_CNTRCT_NUM", valueString="H1234"), + _si_bb("CLM_BLOOD_PT_FRNSH_QTY", valueQuantity={"value": 2}), + _si_bb("CLM_CNTRCTR_NUM", **_coded(CS + "CLM-CNTRCTR-NUM", "10311")), + _si_c4bb( + "admissionperiod", + timingPeriod={"start": "2024-03-01", "end": "2024-03-10"}, + ), + _si_c4bb("clmrecvddate", timingDate="2024-03-12"), + _si_c4bb("discharge-status", **_coded(CS + "BENE-PTNT-STUS-CD", "01")), + _si_c4bb("drg", **_coded("https://www.cms.gov/.../MS-DRG", "470")), + _si_c4bb("dayssupply", valueQuantity={"value": 30}), + _si_c4bb( + "typeofbill", + code={ + "coding": [ + { + "system": "https://www.nubc.org/CodeSystem/TypeOfBill", + "code": "0111", + }, + {"system": CS + "CLM-BILL-FAC-TYPE-CD", "code": "1"}, + {"system": CS + "CLM-BILL-CLSFCTN-CD", "code": "1"}, + {"system": CS + "CLM-BILL-FREQ-CD", "code": "1"}, + ] + }, + ), + ], + "total": [ + _adj("CLM_SBMT_CHRG_AMT", amount=5000), + _adj("CLM_BENE_PMT_AMT", amount=20), + ], + "adjudication": [ + { + "category": { + "coding": [ + {"system": v3.C4BB_ADJ_DISC, "code": "benefitpaymentstatus"} + ] + }, + "reason": {"coding": [{"code": "innetwork"}]}, + }, + _adj("CLM_OPRTNL_IME_AMT", amount=132), + _adj("CLM_INSTNL_CVRD_DAY_CNT", value=9), + ], + "item": [ + { + "sequence": 1, + "diagnosisSequence": [2], + "servicedPeriod": {"start": "2024-03-01", "end": "2024-03-02"}, + "productOrService": { + "coding": [ + { + "system": "https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets", + "code": "G0001", + }, + { + "system": "https://www.cms.gov/x/HIPPSCodes", + "code": "HIPPS1", + }, + ] + }, + "modifier": [ + {"coding": [{"code": "25"}]}, + {"coding": [{"code": "59"}]}, + ], + "revenue": { + "coding": [{"system": CS + "CLM-REV-CNTR-CD", "code": "0450"}] + }, + "locationCodeableConcept": { + "coding": [ + { + "system": "https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set", + "code": "11", + } + ] + }, + "quantity": {"value": 3}, + "extension": [ + {"url": SD + "CLM-REV-CNTR-STUS-CD", "valueCoding": {"code": "S"}}, + {"url": SD + "CLM-LINE-PRFNL-MTUS-CNT", "valueDecimal": 2.5}, + {"url": SD + "CLM-PRVDR-TAX-NUM", "valueString": "TAX1"}, + {"url": SD + "CLM-PRVDR-TYPE-CD", "valueCoding": {"code": "7"}}, + { + "url": SD + "CLM-RNDRG-PRVDR-PRTCPTG-CD", + "valueCoding": {"code": "1"}, + }, + ], + "adjudication": [ + _adj("CLM_LINE_CVRD_PD_AMT", amount=10), + _adj("CLM_LINE_MDCR_DDCTBL_AMT", amount=1), + { + "category": {"coding": [{"code": "x"}]}, + "reason": { + "coding": [ + {"system": v3.CS_ANSI_RSN, "code": "45"}, + {"system": v3.CS_ANSI_GRP, "code": "CO"}, + ] + }, + }, + { + "category": {"coding": [{"code": "x"}]}, + "reason": { + "coding": [{"system": v3.CS_ANSI_GRP, "code": "PR"}] + }, + }, + { + "category": {"coding": [{"code": "x"}]}, + "reason": {"coding": [{"system": v3.CS_ANSI_RSN, "code": "1"}]}, + }, + { + "category": {"coding": [{"code": "x"}]}, + "reason": {"coding": [{"system": v3.CS_ANSI_RSN, "code": "2"}]}, + }, + { + "category": {"coding": [{"code": "x"}]}, + "reason": { + "coding": [{"system": v3.CS_ANSI_RSN, "code": "5th"}] + }, + }, + { + "category": {"coding": [{"code": "x"}]}, + "reason": {"coding": [{"code": "none"}]}, + }, + ], + }, + { + "sequence": 2, + "servicedDate": "2024-03-05", + "productOrService": { + "coding": [ + {"system": "http://www.ama-assn.org/go/cpt", "code": "99213"} + ] + }, + "detail": [ + { + "productOrService": { + "coding": [{"system": v3.NDC, "code": "00001"}] + }, + "quantity": {"value": 5, "unit": "ML"}, + } + ], + "revenue": { + "coding": [ + { + "system": "https://www.nubc.org/CodeSystem/RevenueCodes", + "code": "0250", + } + ] + }, + "locationCodeableConcept": {"coding": [{"code": "22"}]}, + }, + ], + } + base.update(over) + return base + + +class TestFlattenEobV3: + def test_identity_and_tags(self) -> None: + h, items = flatten_eob(_eob()) + assert (h.id, h.clm_id, h.clm_uniq_id, h.bene_id) == ( + "-100", + "-100", + "-100", + "-7", + ) + assert (h.clm_cntl_num, h.fi_doc_clm_cntl_num, h.carr_clm_cntl_num) == ( + "CCN-1", + ) * 3 + assert h.clm_orig_cntl_num == "CCN-0" + assert (h.system_type, h.final_action, h.eob_type, h.clm_type_cd) == ( + "NationalClaimsHistory", + "FinalAction", + "INPATIENT", + "60", + ) + assert (h.clm_src_id, h.outcome, h.clm_sub_type) == ( + "NCH", + "complete", + "inpatient", + ) + assert h.pde_id is None + assert (h.clm_from_dt, h.clm_thru_dt, h.clm_efctv_dt) == ( + date(2024, 3, 1), + date(2024, 3, 10), + date(2024, 4, 1), + ) + assert (h.clm_pmt_amt, h.clm_pd_dt) == (1000.5, date(2024, 4, 2)) + assert len(items) == 2 + + def test_supporting_info(self) -> None: + h, _ = flatten_eob(_eob()) + assert h.nch_near_line_rec_ident_cd == "V" + assert (h.clm_query_cd, h.carr_clm_entry_cd) == ("3", "3") + assert h.clm_idr_ld_dt == date(2024, 5, 1) + assert h.clm_sbmtr_cntrct_num == "H1234" + assert h.nch_blood_pnts_frnshd_qty == 2 + assert (h.fi_num, h.carr_num) == ("10311", "10311") + assert (h.clm_actv_care_from_dt, h.clm_dschrg_dt) == ( + date(2024, 3, 1), + date(2024, 3, 10), + ) + assert h.clm_submsn_dt == date(2024, 3, 12) + assert h.bene_ptnt_stus_cd == "01" + assert h.dgns_drg_cd == "470" + assert h.clm_line_days_suply_qty == 30 + assert ( + h.clm_bill_fac_type_cd, + h.clm_bill_clsfctn_cd, + h.clm_srvc_clsfctn_type_cd, + h.clm_bill_freq_cd, + ) == ("1", "1", "1", "1") + + def test_c4bb_code_falls_back_to_any_system(self) -> None: + r = _eob( + supportingInfo=[ + _si_c4bb("discharge-status", **_coded("urn:other", "30")), + { + "category": {}, + "code": { + "coding": [ + { + "system": CS + "CLM-MDCR-NCH-PTNT-STUS-IND-CD", + "code": "C", + } + ] + }, + }, + ] + ) + h, _ = flatten_eob(r) + assert h.bene_ptnt_stus_cd == "30" + r = _eob( + supportingInfo=[ + { + "category": {}, + "code": { + "coding": [ + { + "system": CS + "CLM-MDCR-NCH-PTNT-STUS-IND-CD", + "code": "C", + }, + {"system": CS + "CLM-OP-SRVC-TYPE-CD", "code": "3"}, + {"system": CS + "CLM-NRLN-RIC-CD", "code": "W"}, + ] + }, + } + ] + ) + h, _ = flatten_eob(r) + assert ( + h.bene_ptnt_stus_cd, + h.clm_op_srvc_type_cd, + h.nch_near_line_rec_ident_cd, + ) == ("C", "3", "W") + + def test_amounts(self) -> None: + h, _ = flatten_eob(_eob()) + assert (h.clm_sbmt_chrg_amt, h.clm_mdcr_instnl_tot_chrg_amt) == (5000, 5000) + assert h.clm_bene_pmt_amt == 20 + assert (h.clm_oprtnl_ime_amt, h.ime_op_clm_val_amt) == (132, 132) + assert h.clm_instnl_cvrd_day_cnt == 9 + assert h.clm_prcng_excptn_cd == "innetwork" + + def test_providers(self) -> None: + h, _ = flatten_eob(_eob()) + assert (h.carr_clm_blg_npi_num, h.fac_prvdr_npi_num) == ( + "1234567893", + "1234567893", + ) + assert h.prvdr_oscar_num == "450001" + assert h.clm_blg_prvdr_tax_num == "99-1234567" + assert h.clm_srvc_prvdr_gnrc_id_num == "GEN1" + assert (h.clm_blg_prvdr_name, h.clm_blg_prvdr_zip5_cd) == ( + "General Hospital", + "77550", + ) + assert (h.atndg_prvdr_npi_num, h.oprtg_prvdr_npi_num, h.othr_prvdr_npi_num) == ( + "ATT", + "OPR", + "SUP", + ) + assert (h.rndrg_prvdr_npi_num, h.clm_prvdr_spclty_cd) == ("RND", "61") + assert (h.ordrg_prvdr_npi_num, h.clm_prsbng_prvdr_gnrc_id_num) == ("REF", "PRS") + assert ( + h.clm_rndrg_prvdr_tax_num, + h.rndrg_prvdr_type_cd, + h.carr_line_prvdr_type_cd, + h.prtcptng_ind_cd, + ) == ("TAX1", "7", "7", "1") + + def test_service_provider_fallback_and_practitioner(self) -> None: + r = _eob( + contained=[ + { + "resourceType": "Practitioner", + "id": "billing", + "name": [{"family": "Jones", "given": ["C"]}], + "identifier": [], + } + ], + ) + h, _ = flatten_eob(r) + assert h.clm_blg_prvdr_name == "Jones, C" + assert ( + h.clm_srvc_prvdr_gnrc_id_num == "SVC" + ) # from the "service" care team role + assert h.prvdr_oscar_num is None + h, _ = flatten_eob( + _eob(provider={"extension": [{"url": "data-absent"}]}, careTeam=[]) + ) + assert h.carr_clm_blg_npi_num is None and h.rndrg_prvdr_npi_num is None + + def test_diagnoses_and_procedure(self) -> None: + h, _ = flatten_eob(_eob()) + assert (h.prncpl_dgns_cd, h.admtg_dgns_cd) == ("A00", "B00") + assert (h.clm_dgns_1_cd, h.clm_dgns_2_cd, h.clm_dgns_12_cd) == ( + "A00", + "B00", + None, + ) + assert h.dgns_prcdr_icd_ind == "9" # last diagnosis seen was ICD-9 + assert h.clm_poa_ind == "Y" + assert (h.clm_val_sqnc_num, h.clm_prcdr_cd, h.clm_prcdr_prfrm_dt) == ( + "1", + "5A1945Z", + date(2024, 3, 2), + ) + h, _ = flatten_eob(_eob(procedure=[], diagnosis=[])) + assert h.clm_prcdr_cd is None and h.prncpl_dgns_cd is None + + def test_items(self) -> None: + _, items = flatten_eob(_eob()) + a, b = items + assert a.clm_id == "-100" and a.clm_line_num == 1 + assert ( + a.clm_line_from_dt, + a.clm_line_thru_dt, + a.clm_line_instnl_rev_ctr_dt, + ) == (date(2024, 3, 1), date(2024, 3, 2), date(2024, 3, 1)) + assert a.clm_line_hcpcs_cd == "G0001" and a.clm_rev_apc_hipps_cd == "HIPPS1" + assert (a.hcpcs_1_mdfr_cd, a.hcpcs_2_mdfr_cd, a.hcpcs_3_mdfr_cd) == ( + "25", + "59", + None, + ) + assert a.clm_line_prod_rev_ctr_cd == "0450" and a.clm_pos_cd == "11" + assert (a.clm_line_srvc_unit_qty, a.rev_cntr_unit_cnt) == (3, 3) + assert a.clm_line_dgns_cd == "B00" + assert ( + a.rev_cntr_stus_ind_cd == "S" + and a.carr_line_mtus_cnt == 2.5 + and a.tax_num == "TAX1" + ) + assert (a.clm_rndrg_prvdr_type_cd, a.clm_rndrg_prvdr_prtcptg_cd) == ("7", "1") + assert (a.clm_line_cvrd_pd_amt, a.rev_cntr_pmt_amt) == (10, 10) + assert ( + a.clm_line_mdcr_ddctbl_amt, + a.clm_line_bene_ptb_ddctbl_amt, + a.rev_cntr_cash_ddctbl_amt, + ) == (1, 1, 1) + assert (a.clm_1_rev_cntr_ansi_rsn_cd, a.clm_1_rev_cntr_ansi_grp_cd) == ( + "45", + "CO", + ) + assert (a.clm_2_rev_cntr_ansi_rsn_cd, a.clm_2_rev_cntr_ansi_grp_cd) == ( + None, + "PR", + ) + assert (a.clm_3_rev_cntr_ansi_rsn_cd, a.clm_4_rev_cntr_ansi_rsn_cd) == ( + "1", + "2", + ) + assert a.hcpcs_betos_cd is None + # second item: servicedDate, CPT, NDC from detail, revenue fallback, POS fallback + assert (b.clm_line_from_dt, b.clm_line_thru_dt) == ( + date(2024, 3, 5), + date(2024, 3, 5), + ) + assert b.clm_line_hcpcs_cd == "99213" and b.clm_line_ndc_cd == "00001" + assert (b.clm_line_ndc_qty, b.clm_line_ndc_qty_qlfyr_cd) == (5, "ML") + assert b.clm_line_prod_rev_ctr_cd == "0250" and b.clm_pos_cd == "22" + assert b.clm_line_dgns_cd is None and b.clm_line_cvrd_pd_amt is None + + def test_pharmacy_identity(self) -> None: + r = _eob( + type={ + "coding": [ + {"system": v3.CS_EOB_TYPE, "code": "PDE"}, + {"system": v3.CS_CLM_TYPE, "code": "1"}, + ] + }, + item=[ + { + "sequence": 1, + "productOrService": {"coding": [{"system": v3.NDC, "code": "123"}]}, + "quantity": {"value": 30, "unit": "EA"}, + "servicedDate": "2024-01-01", + } + ], + ) + h, items = flatten_eob(r) + assert h.pde_id == "-100" and h.eob_type == "PDE" + assert items[0].clm_line_ndc_cd == "123" + assert (items[0].clm_line_ndc_qty, items[0].clm_line_ndc_qty_qlfyr_cd) == ( + 30, + "EA", + ) + + def test_minimal(self) -> None: + h, items = flatten_eob( + {"meta": {"tag": [{"system": v3.CS_SYSTEM_TYPE, "code": "DDPS"}]}} + ) + assert h.system_type == "DDPS" and h.clm_id is None and items == [] + assert h.clm_prcng_excptn_cd is None and h.clm_orig_cntl_num is None + + +# ── official sample invariants ─────────────────────────────── + + +class TestOfficialSamples: + def test_every_sample_is_v3( + self, sample_patients, sample_coverages, sample_eobs + ) -> None: + assert all( + v3.is_v3(r) for r in sample_patients + sample_coverages + sample_eobs + ) + + def test_patients(self, sample_patients) -> None: + rows = [flatten_patient(r) for r in sample_patients] + assert len(rows) == 94 + assert all(p.bene_mbi_id for p in rows) + assert all(p.bene_id == p.id for p in rows) + assert {p.bene_sex_cd for p in rows} == {"1", "2"} + assert {p.bene_race_cd for p in rows} <= set("0123456") + assert all(p.cntct_lang_cd for p in rows) + + def test_coverages(self, sample_coverages) -> None: + rows = [flatten_coverage(r) for r in sample_coverages] + plans = {c.class_plan for c in rows} + assert plans == {"Part A", "Part B", "Part C", "Dual Medicare/Medicaid"} + assert all(c.period_start for c in rows) + part_a = [c for c in rows if c.class_plan == "Part A"] + assert all(c.ms_cd and c.bene_part_a_enrlmt_bgn_dt for c in part_a) + dual = [c for c in rows if c.class_plan == "Dual Medicare/Medicaid"] + assert all(c.dual_stus_cd for c in dual) + + def test_eobs(self, sample_eobs) -> None: + heads, items = [], [] + for r in sample_eobs: + h, lines = flatten_eob(r) + heads.append(h) + items.extend(lines) + assert len(heads) == 269 and len(items) == 1232 + assert all( + h.clm_id and h.clm_cntl_num and h.system_type and h.eob_type for h in heads + ) + assert {h.system_type for h in heads} == {"NationalClaimsHistory", "DDPS"} + pde = [h for h in heads if h.eob_type == "PDE"] + assert pde and all( + h.pde_id == h.clm_id and h.clm_line_days_suply_qty is not None for h in pde + ) + inst = [ + h + for h in heads + if h.eob_type in ("INPATIENT", "SNF", "HOSPICE", "HHA", "OUTPATIENT") + ] + assert inst and all(h.clm_bill_fac_type_cd for h in inst) + assert all(i.clm_id and i.clm_line_from_dt for i in items) + assert sum(1 for i in items if i.clm_line_hcpcs_cd) > 1000 diff --git a/tests/test_final_coverage_gaps.py b/tests/test_final_coverage_gaps.py index 5f1b6ca..e2d2c76 100644 --- a/tests/test_final_coverage_gaps.py +++ b/tests/test_final_coverage_gaps.py @@ -1060,8 +1060,9 @@ class TestAcoLoadBcdaFindLatest: d1.mkdir() d2 = exports_dir / "export-002" d2.mkdir() + (d2 / "Patient.ndjson").write_text("{}\n") result = _find_latest_export(tmp_path) - assert result.is_dir() # line 51 + assert result == [d2] # only the dir that holds a resource file class TestAcoLoadSeedParquet: From a770c2adb9d083ce982f7b254a5a3dac8c7920a7 Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 13:08:58 -0400 Subject: [PATCH 04/18] docs(bcda): v3 design record and the sandbox proving notebook notebooks/bcda_v3_sandbox.py walks preflight -> auth/attribution -> pull (adopt a completed job <24 h, else one export per type with cancel retries) -> flatten + load + replica publish -> 20 proof checks -> dictionary field population + CCLF crosswalk. Network/load steps only with BCDA_PULL=1 / BCDA_LOAD=1 or the buttons, so the nightly notebooks run never starts an export. Proof run against the Large Model Entity: 9,582 patients, 19,396 coverage rows, 44,361 EOBs, 248,528 lines; all checks pass. refs #1139 --- .../specs/2026-10-25-bcda-v3-design.md | 54 ++ notebooks/bcda_v3_sandbox.py | 761 ++++++++++++++++++ 2 files changed, 815 insertions(+) create mode 100644 docs/superpowers/specs/2026-10-25-bcda-v3-design.md create mode 100644 notebooks/bcda_v3_sandbox.py diff --git a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md new file mode 100644 index 0000000..6716a31 --- /dev/null +++ b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md @@ -0,0 +1,54 @@ +# P52 — BCDA v3: client, crosswalk-driven flatteners, vendored upstream, proving notebook + +Tracker: milestone P52, #1139. Builds on the v2 `bcda` module (client/store/flatten, #6, #8) and the `bcda.express.cclf` input-layer pipeline. + +## Why now + +BCDA v3 went GA on 2026-07-01 and CMS discontinues v1/v2 on 2027-07-30. The module targets v2 end to end: `Client` defaults to `/api/v2`, and `bcda.express.flatten` matches BlueButton extensions by the retired `https://bluebutton.cms.gov/resources/variables/` URL suffix. On a v3 payload that match never fires, so almost every coded column comes out NULL without an error. The live spike against the public Large Model Entity sandbox (2026-10-25) confirmed the transport still works on v3 and that the payload is where the migration lives. + +## Sources of truth (in priority order) + +1. **BCDA v3 Data Dictionary** (`BCDA_v3_Data_Dictionary.xlsx`, published 2026-07-01). Each v3 field has a `fhirPath`, the IDR `sourceColumn`, and two crosswalk columns: `ccwMapping` (the CCW/v2 variable names the current table models are named after) and `cclfMapping` (CCLF file.element). The `CCLF-BCDA v3 Mapping` sheet is the CCLF-side view of the same crosswalk; `CCLF fields absent from BCDA v3` lists what cannot be reproduced (HICNs, FIPS county, address lines, BETOS, several CCLFA/B amounts). +2. **Migration guide** (`/api-documentation/how-to-migrate-v3.html`) and the **July 9 2026 office-hours transition deck**: endpoint path change only; `/auth` and `/data` unchanged; Claim/ClaimResponse retired into EOB; `_typeFilter` with the `System-Type` tag (`SharedSystem`, `NationalClaimsHistory`, `DDPS`; default omits SharedSystem); extension/CodeSystem URLs move to `fhir/StructureDefinition/` and `fhir/CodeSystem/`; Patient/Coverage/EOB ids are new (match on MBI and claim control number); Coverage drops reference year/month for `Coverage.period` and gains a Dual Medicare/Medicaid row; BETOS removed; v3 deduplicates claim versions within a source. +3. **Official v3 sample files** (`v3_Patient/Coverage/ExplanationOfBenefit.ndjson` from bcda.cms.gov) — the fixtures the flatteners are tested against. +4. **CMSgov/bcda-app** — the server. Vendored sparsely: the v3 handler and its tests, request validation (`_typeFilter`, `_since`, Prefer/Accept rules), the v3 OperationOutcome writer, the v3 Postman collection, gzip download fixtures, the sandbox model config, and LICENSE. + +## Decisions + +1. **One set of tables, two payload dialects.** `bcda.patient`, `bcda.coverage`, `bcda.explanation_of_benefit`, `bcda.eob_item` keep their CCW-named columns (the `ccwMapping` column is exactly the crosswalk from v3 fields onto them). v3-native data with no v2 home gets new nullable columns rather than being crammed into monthly slots. The flattener detects the dialect per resource (`meta.profile` carries `C4BB-…|2.2.0`, or any `bluebutton.cms.gov/fhir/` URL) and dispatches; v2 seeds and tests keep passing. +2. **v3 extraction is table-driven.** `bcda.express.v3` has a handful of primitives that mirror the dictionary's fhirPath idioms (identifier by system, `type` coding by system, supportingInfo by category code → code/timing/value, header `adjudication`/`total` by Adjudication code, item adjudication by Adjudication code, item extension by StructureDefinition code, careTeam by role, contained provider by `provider.reference`) and declarative maps from v3 codes to columns. Every map entry cites the dictionary `sourceColumn`, so a reader can check it against the spreadsheet. +3. **Identity follows the migration guide.** `bene_id` is the v3 `Patient.id` (BENE_SK; the EOB `patient.reference` uses it). `bene_mbi_id` is the current MBI (the `us-mbi` identifier without a `period.end`, else the latest). `clm_id` is the C4BB unique claim id; `clm_cntl_num` is the claim control number and the key to pair a SharedSystem EOB with its NationalClaimsHistory successor. `system_type` and `final_action` come from `meta.tag`; `eob_type` from the `EOB-TYPE` coding, `clm_type_cd` from `CLM-TYPE-CD`. +4. **Coverage is one row per plan per period**, as v3 delivers it: `class_plan` ∈ {Part A, Part B, Part C, Part D, Dual Medicare/Medicaid}, `period_start`/`period_end` plus the plan's extensions in v3-named columns. The legacy part-A/B/D begin/end columns are filled from the matching plan's period so `bcda.express.cclf` keeps working; `dual_01` is left NULL and the pipeline reads `coalesce(dual_01, dual_stus_cd)` after a self-join to the Dual row — the only pipeline change in scope. +5. **Race.** v3 moves race to the US Core extension (OMB codes). `us_core_race` holds the OMB code; `bene_race_cd` is derived through the published CCW crosswalk (2106-3→1, 2054-5→2, 2028-9/2076-8→4, 1002-5→6, Hispanic ethnicity→5, unknown→0) so the eligibility race labels do not go blank. +6. **Client**: default `v3`; `type_filter=` on `start_export`/`export`; `jobs()` sends `Prefer: respond-async` + `Accept: application/fhir+json` (required on v2 and v3) and returns the Task resources from the Bundle; every non-2xx surfaces the OperationOutcome diagnostics (`BcdaHttpError`, still an `httpx.HTTPStatusError`); a poll that hits `404 Job has been cancelled` raises `JobCancelledError` (the public sandbox credentials are shared, so this happens). `/_version` and `/_health` are exposed for the notebook's preflight. +7. **Crosswalk is data, not prose.** The dictionary and both CCLF sheets are flattened to `dev/seeds/bcda_v3_data_dictionary.csv`, `dev/seeds/bcda_v3_cclf_crosswalk.csv`, `dev/seeds/bcda_v3_cclf_absent.csv` and land in `reference_data` via `stack load seed`, so the notebook (and later the chat) can show, per table column, where it came from and which CCLF element it replaces. +8. **Vendoring is a manifest, not a submodule.** `dev/vendor/MANIFEST.toml` pins the bcda-app commit and lists each vendored path with its git blob sha; bcda.cms.gov downloads are pinned by sha256. `dev/scripts/vendor_bcda_app.py --check` compares against upstream (GitHub tree API + content hashes) and exits non-zero on drift; `--sync` refreshes files and the manifest. A weekly workflow runs `--check` and files an issue on drift (no auto-commit: a payload change needs a human to look at the flattener). `tests/bcda/test_vendor.py` verifies the tree matches the manifest offline, and the flattener tests run on the vendored official samples. +9. **The notebook proves, it does not analyse.** `notebooks/bcda_v3_sandbox.py` walks preflight → auth → attribution → export (reusing a completed job younger than 24 h when one exists, since a fresh Large-entity export takes 20–40 min) → `Store` download → flatten → DuckDB load (`duckdb_batch` + `publish_replica`, never a long-lived writer) → checks. Each check is a sentence with a number and a pass/fail mark: every Patient has an MBI, Coverage rows per plan, EOB counts by System-Type × EOB-TYPE, claim-control-number uniqueness within a source, item amounts populated, dictionary field population per table. Pulls are gated behind `BCDA_PULL=1` or the button so the nightly notebooks-integration run only re-validates data already on disk. + +## Data flow + +``` +sandbox /api/v3 ──Client──▶ Store (data/bcda/exports//*.ndjson, jobs/files parquet) + └─ flatten_export ──dialect?──▶ v2 flatteners (unchanged) + └──────────▶ bcda.express.v3 ──▶ flat/*.parquet + └─ load_bcda ──▶ aco.duckdb bcda.* ──▶ publish_replica +BCDA_v3_Data_Dictionary.xlsx ──gen_bcda_v3_crosswalk.py──▶ dev/seeds/bcda_v3_*.csv ──stack load seed──▶ reference_data.* +CMSgov/bcda-app + bcda.cms.gov ──vendor_bcda_app.py──▶ dev/vendor/{bcda-app,bcda-site}/ (+ MANIFEST.toml) ──▶ tests, weekly drift check +``` + +## Out of scope + +Reworking `bcda.express.cclf` semantics for v3 (claim routing by `nch_near_line_rec_ident_cd` still works because v3 carries `CLM_NRLN_RIC_CD`; a v3-native routing on `eob_type` is a follow-up). Partially adjudicated exports end to end (the client supports `_typeFilter`; the sandbox Large entity is adjudicated-only). Databricks/Iceberg landing of the new columns. + +## Results (2026-10-25, Large Model Entity sandbox) + +Pulled as three single-type jobs: the EOB job (89596, 6 min server-side, 192 files / 2.2 GB) was adopted in 44 s; Patient (11 MB) and Coverage (44 MB) exports took 24 and 32 min, most of it queued as *Pending*. Flatten + load of the whole pull: ~2 min. + +| table | rows | +|---|---| +| `bcda.patient` | 9,582 | +| `bcda.coverage` | 19,396 (Part A 5,643 · Part B 5,649 · Part C 3,236 · Dual 4,868) | +| `bcda.explanation_of_benefit` | 44,361 (PDE 14,395 · CARRIER 6,298 · DME 6,242 · SNF 5,813 · HOSPICE 2,942 · INPATIENT 2,910 · OUTPATIENT 2,883 · HHA 2,878) | +| `bcda.eob_item` | 248,528 | + +All 20 notebook checks pass: every Patient has a unique current MBI and `bene_id == Patient.id`; every Coverage row has `period.start`, every Part A row `ms_cd`, every Dual row `dual_stus_cd`, no orphan beneficiaries; every EOB has a claim id, a claim control number, System-Type and Final-Action tags, EOB-TYPE and CLM-TYPE-CD; control numbers are unique within a source (v3 deduplication holds); lines carry HCPCS or NDC on 100% and paid/submitted amounts on 94% (Part D lines carry drug-cost amounts instead); no orphan lines. The entity is adjudicated-only (no SharedSystem claims), so the control-number pairing check is exercised but finds zero pairs — partially adjudicated data needs an entity with PAC access and `_typeFilter`. diff --git a/notebooks/bcda_v3_sandbox.py b/notebooks/bcda_v3_sandbox.py new file mode 100644 index 0000000..7b83c8b --- /dev/null +++ b/notebooks/bcda_v3_sandbox.py @@ -0,0 +1,761 @@ +import marimo + +__generated_with = "0.23.13" +app = marimo.App(width="full") + + +@app.cell(hide_code=True) +def _(): + import marimo as mo + + return (mo,) + + +@app.cell(hide_code=True) +def _(mo): + mo.md(""" + # BCDA v3 — sandbox pull, flatten, load, prove + + The Beneficiary Claims Data API moved to **v3** on 2026-07-01 (v1/v2 end on + 2027-07-30). This notebook walks the whole path against CMS's public sandbox + for the **Large Model Entity** (10,000 synthetic enrollees) and checks each + step with a number rather than a feeling: + + 1. **Preflight** — `/_version`, `/_health`, `/api/v3/metadata` (no token). + 2. **Auth + attribution** — client-credentials token, `attribution_status`, + the entity's job history. + 3. **Pull** — one export job per resource type (a combined job takes 20–40 + minutes and the shared sandbox credentials mean anyone can cancel it; the + EOB-only job finishes in ~6 minutes and 190 files / 2 GB). A completed job + younger than 24 h is **adopted** instead of re-run. + 4. **Flatten + load** — `bcda.express.v3` (table-driven from the v3 Data + Dictionary's `fhirPath` / `sourceColumn` / `ccwMapping` columns) streams + the ndjson into Parquet and `aco.duckdb` `bcda.*`, then the read-only + replica is republished. + 5. **Proof** — identity, coverage shape, claim provenance, line amounts, + referential integrity, and how many dictionary-mapped columns actually + carry data, each marked pass / fail. + + Network steps run only when **`BCDA_PULL=1`** is set or the buttons below are + pressed (`BCDA_LOAD=1` flattens and loads what is already in the store without + touching the network); otherwise the notebook validates whatever is already in + the replica, so the nightly notebooks-integration run never starts an export. + + Sources: BCDA v3 Data Dictionary (`dev/vendor/bcda-site`), the migration + guide and July-2026 office-hours transition deck, `dev/seeds/bcda_v3_*.csv` + (CCLF ↔ BCDA v3 crosswalk), CMSgov/bcda-app (sparse vendor, `dev/vendor/bcda-app`). + """) + return + + +@app.cell(hide_code=True) +def _(): + # ── 0. Setup ── + import os + import time + from datetime import datetime, timedelta, timezone + + import altair as alt + import polars as pl + + from bcda.client import SANDBOX, BcdaError, Client + from bcda.store import Store + from conf import ROOT, connect, path + + connect.theme() + + # Public sandbox credentials from https://bcda.cms.gov/api-documentation/get-a-bearer-token.html + # ("Large Model Entity", 10,000 synthetic enrollees). Real credentials come in + # through the environment and win. + LARGE_ENTITY = { + "name": "Large Model Entity (sandbox, synthetic)", + "client_id": "f5b6a686-0d7b-4080-873a-e60534fd2995", + "client_secret": "96ac1483449c652f363396737937f23cdae47a56a116c8a4405dbd54b31d2686f005df502c5c86ab", + "enrollees": 10_000, + } + CLIENT_ID = os.environ.get("BCDA_CLIENT_ID") or LARGE_ENTITY["client_id"] + CLIENT_SECRET = ( + os.environ.get("BCDA_CLIENT_SECRET") or LARGE_ENTITY["client_secret"] + ) + BASE_URL = os.environ.get("BCDA_BASE_URL") or SANDBOX + PULL = os.environ.get("BCDA_PULL") == "1" + LOAD = ( + os.environ.get("BCDA_LOAD") == "1" + ) # flatten + load what is on disk, no network + TYPES = ("Patient", "Coverage", "ExplanationOfBenefit") + STORE_PATH = path("storage.bcda") + + def client() -> Client: + return Client( + CLIENT_ID, CLIENT_SECRET, base_url=BASE_URL, output_dir=STORE_PATH + ) + + NOTES: dict[str, str] = {} + return ( + BASE_URL, + BcdaError, + LARGE_ENTITY, + LOAD, + NOTES, + PULL, + ROOT, + STORE_PATH, + Store, + TYPES, + alt, + client, + connect, + datetime, + pl, + time, + timedelta, + timezone, + ) + + +@app.cell(hide_code=True) +def _(BASE_URL, LARGE_ENTITY, PULL, mo): + pull_btn = mo.ui.run_button(label="Pull from sandbox now") + load_btn = mo.ui.run_button(label="Flatten + load into DuckDB") + mo.vstack( + [ + mo.md(f""" + **Target** `{BASE_URL}` · entity *{LARGE_ENTITY["name"]}* · + `BCDA_PULL` {"set — network steps run headless" if PULL else "unset — press a button to pull or load"} + """), + mo.hstack([pull_btn, load_btn], justify="start"), + ] + ) + return load_btn, pull_btn + + +@app.cell(hide_code=True) +def _(BcdaError, NOTES, client, mo): + # ── 1. Preflight (no token) ── + preflight = {} + try: + with client() as _c: + _md = _c.metadata() + preflight["fhirVersion"] = _md.get("fhirVersion") + preflight["software"] = (_md.get("software") or {}).get("version") + preflight["releaseDate"] = (_md.get("software") or {}).get("releaseDate") + preflight["resources"] = ", ".join( + r.get("type", "?") + for r in (_md.get("rest") or [{}])[0].get("resource", []) + ) + try: + preflight["_version"] = _c.server_version().get("version") + except BcdaError as e: # noqa: BLE001 — informational endpoint + preflight["_version"] = ( + f"unavailable ({e.status_code if hasattr(e, 'status_code') else e})" + ) + try: + preflight["_health"] = _c.health().get("database") + except BcdaError as e: # noqa: BLE001 + preflight["_health"] = f"unavailable ({e})" + ONLINE = True + except Exception as e: # noqa: BLE001 — no network: validate disk only + ONLINE = False + NOTES["preflight"] = f"sandbox unreachable: {e}" + + def _tick(ok: bool) -> str: + return "✅" if ok else "❌" + + if ONLINE: + _rows = [ + ( + _tick(preflight.get("fhirVersion") == "4.0.1"), + "FHIR R4 metadata", + f"fhirVersion {preflight.get('fhirVersion')}", + ), + ( + _tick(bool(preflight.get("software"))), + "bcda-app release", + f"{preflight.get('software')} ({preflight.get('releaseDate')})", + ), + ( + _tick("ExplanationOfBenefit" in (preflight.get("resources") or "")), + "v3 resources advertised", + preflight.get("resources"), + ), + ( + _tick(preflight.get("_health") == "ok"), + "`/_health` database", + str(preflight.get("_health")), + ), + ("ℹ️", "`/_version`", str(preflight.get("_version"))), + ] + mo.output.replace( + mo.md( + "## 1 · Preflight\n\n" + + "\n".join(f"- {t} **{n}** — {v}" for t, n, v in _rows) + ) + ) + else: + mo.output.replace( + mo.md( + f"## 1 · Preflight\n\n⚠️ {NOTES['preflight']} — continuing with data already on disk." + ) + ) + return (ONLINE,) + + +@app.cell(hide_code=True) +def _(ONLINE, TYPES, client, datetime, mo, pl, timedelta, timezone): + # ── 2. Auth, attribution, job history ── + attribution = {} + completed: list[dict] = [] + reusable: dict[str, dict] = {} + if ONLINE: + with client() as _c: + _tok = _c.authenticate() + attribution = _c.attribution_status() + completed = _c.completed_jobs() + _cutoff = datetime.now(timezone.utc) - timedelta(hours=23) + for _j in completed: # newest first; keep the newest single-type job per type + if ( + len(_j["types"]) == 1 + and _j["types"][0] in TYPES + and _j["types"][0] not in reusable + ): + try: + _end = datetime.fromisoformat(_j["end"].replace("Z", "+00:00")) + except ValueError: + continue + if _end >= _cutoff: + reusable[_j["types"][0]] = _j + _ing = { + d["type"]: d["timestamp"] for d in attribution.get("ingestion_dates", []) + } + _exp = { + d["type"]: d["timestamp"] for d in attribution.get("expiration_dates", []) + } + _hist = ( + pl.DataFrame( + [ + { + "job_id": j["job_id"], + "types": ",".join(j["types"]) or "(all)", + "completed": j["end"], + "reusable_24h": any(r is j for r in reusable.values()), + } + for j in completed[:15] + ] + ) + if completed + else pl.DataFrame({"job_id": []}) + ) + mo.output.replace( + mo.vstack( + [ + mo.md(f""" + ## 2 · Auth + attribution + + - ✅ **token** issued ({len(_tok)} chars, 20-minute lifetime) + - ✅ **attribution** last updated `{_ing.get("last_attribution_update")}`, runout `{_ing.get("last_runout_update")}`; access expires `{_exp.get("attribution_access_expiration")}` + - {"✅" if completed else "ℹ️"} **{len(completed)} completed v3 job(s)** on this entity; reusable single-type jobs (<24 h): {", ".join(sorted(reusable)) or "none"} + """), + mo.ui.table( + _hist, + label="Most recent completed v3 jobs (shared entity — other sandbox users' jobs appear here too)", + ), + ] + ) + ) + else: + mo.output.replace(mo.md("## 2 · Auth + attribution\n\n⚠️ skipped — offline.")) + return (reusable,) + + +@app.cell(hide_code=True) +def _(ONLINE, PULL, STORE_PATH, Store, TYPES, client, mo, pl, pull_btn, reusable, time): + # ── 3. Pull (one job per type; adopt a fresh completed job when one exists) ── + store = Store(path=str(STORE_PATH)) + pulled: dict[str, str] = {} + _do_pull = ONLINE and (PULL or pull_btn.value) + if _do_pull: + _log = [] + with client() as _c: + for _t in TYPES: + _t0 = time.time() + if _t in reusable: + _key = store.adopt( + _c, reusable[_t]["job_url"], types=[_t], poll_interval=10 + ) + _how = f"adopted job {reusable[_t]['job_id']}" + else: + _key = store.export( + _c, types=[_t], poll_interval=15, cancel_retries=8 + ) + _how = "exported" + pulled[_t] = _key + _log.append( + f"- ✅ **{_t}** {_how} → `{_key}`, {len(store.get_files(_key))} file(s), {time.time() - _t0:.0f}s" + ) + mo.output.replace(mo.md("## 3 · Pull\n\n" + "\n".join(_log))) + else: + _jobs = store.list_jobs() + _df = ( + pl.DataFrame( + [ + { + "key": j["key"], + "status": j["status"], + "types": j["types"], + "ts": j["ts"], + "files": len(store.get_files(j["key"])), + } + for j in _jobs + ] + ).sort("ts", descending=True) + if _jobs + else pl.DataFrame({"key": []}) + ) + mo.output.replace( + mo.vstack( + [ + mo.md( + f"## 3 · Pull\n\nNo pull requested ({'offline' if not ONLINE else 'set `BCDA_PULL=1` or press *Pull from sandbox now*'}). Jobs already in the store at `{STORE_PATH}`:" + ), + mo.ui.table( + _df, + label="Store job history (append-only; last row per key is current)", + ), + ] + ) + ) + return pulled, store + + +@app.cell(hide_code=True) +def _(LOAD, PULL, STORE_PATH, connect, load_btn, mo, pulled, store, time): + # ── 4. Flatten + load ── + from aco.load.bcda import _find_latest_export, load_bcda + + _complete = [j for j in store.list_jobs(status="complete")] + _do_load = bool(_complete) and (PULL or LOAD or load_btn.value or bool(pulled)) + load_stats: dict[str, int] = {} + if _do_load: + _dirs = _find_latest_export(STORE_PATH) + _t0 = time.time() + load_stats = ( + load_bcda() + ) # newest export per resource type → bcda.* in aco.duckdb + _dt = time.time() - _t0 + _replica = connect.publish_replica("aco") + mo.output.replace( + mo.md( + "## 4 · Flatten + load\n\n" + + f"- ✅ flattened from {len(_dirs)} export dir(s): {', '.join(d.name for d in _dirs)}\n" + + "\n".join( + f"- ✅ `{t}` — {n:,} rows" for t, n in sorted(load_stats.items()) + ) + + f"\n- ✅ {_dt:.0f}s end to end; replica republished at `{_replica}`" + ) + ) + else: + mo.output.replace( + mo.md( + "## 4 · Flatten + load\n\n" + + ( + "No complete export in the store yet." + if not _complete + else "Not requested — reading the tables already in the replica." + ) + ) + ) + return + + +@app.cell(hide_code=True) +def _(connect, mo, pl): + # ── 5. Proof — against the read-only replica ── + con = connect.duckdb("aco", read_only=True) + + def q(sql: str) -> pl.DataFrame: + return con.execute(sql).pl() + + _tables = q( + "select table_name from information_schema.tables where table_schema = 'bcda'" + )["table_name"].to_list() + HAVE = {"patient", "coverage", "explanation_of_benefit", "eob_item"} <= set(_tables) + mo.stop( + not HAVE, + mo.md( + f"## 5 · Proof\n\n⚠️ `bcda.*` tables not in the replica yet (found: {_tables or 'none'}). Run the pull and load above first." + ), + ) + return HAVE, con, q + + +@app.cell(hide_code=True) +def _(mo, q): + checks: list[tuple[bool, str, str]] = [] + + def check(ok: bool, name: str, detail: str) -> None: + checks.append((bool(ok), name, detail)) + + counts = { + r["t"]: r["n"] + for r in q(""" + select 'patient' t, count(*) n from bcda.patient + union all select 'coverage', count(*) from bcda.coverage + union all select 'explanation_of_benefit', count(*) from bcda.explanation_of_benefit + union all select 'eob_item', count(*) from bcda.eob_item + """).to_dicts() + } + + # Identity + _p = q(""" + select count(*) n, count(bene_mbi_id) with_mbi, count(distinct bene_mbi_id) distinct_mbi, + count(distinct bene_id) distinct_sk, sum(case when bene_id = id then 1 else 0 end) sk_is_id, + count(cntct_lang_cd) with_lang, count(bene_death_dt) deceased, + sum(case when bene_race_cd is not null then 1 else 0 end) with_race + from bcda.patient + """).to_dicts()[0] + check( + _p["n"] > 0 and _p["with_mbi"] == _p["n"], + "Every Patient carries a current MBI", + f"{_p['with_mbi']:,} / {_p['n']:,}", + ) + check( + _p["distinct_mbi"] == _p["n"], + "MBIs are unique", + f"{_p['distinct_mbi']:,} distinct", + ) + check( + _p["sk_is_id"] == _p["n"], + "bene_id is the v3 Patient.id (BENE_SK)", + f"{_p['sk_is_id']:,} rows", + ) + check( + _p["with_race"] == _p["n"], + "Race crosswalked from US Core OMB codes", + f"{_p['with_race']:,} rows; {_p['deceased']:,} deceased; {_p['with_lang']:,} with contact language", + ) + + # Coverage shape + plans = q( + "select class_plan, count(*) n, count(period_start) with_start, count(ms_cd) with_ms, count(dual_stus_cd) with_dual from bcda.coverage group by 1 order by 1" + ) + _plan_names = set(plans["class_plan"].to_list()) + check( + {"Part A", "Part B"} <= _plan_names, + "Coverage has one row per plan (Part A/B present)", + ", ".join(f"{r['class_plan']}={r['n']:,}" for r in plans.to_dicts()), + ) + check( + plans["with_start"].sum() == plans["n"].sum(), + "Every Coverage row has Coverage.period.start", + f"{plans['with_start'].sum():,} / {plans['n'].sum():,}", + ) + _a = plans.filter(plans["class_plan"] == "Part A") + check( + len(_a) and _a["with_ms"][0] == _a["n"][0], + "Part A rows carry Medicare status (ms_cd)", + f"{_a['with_ms'][0] if len(_a) else 0:,} / {_a['n'][0] if len(_a) else 0:,}", + ) + _d = plans.filter(plans["class_plan"] == "Dual Medicare/Medicaid") + check( + len(_d) == 0 or _d["with_dual"][0] == _d["n"][0], + "Dual rows carry dual_stus_cd", + f"{_d['with_dual'][0] if len(_d) else 0:,} dual rows", + ) + _cov_ref = q( + "select count(*) n, sum(case when p.bene_id is null then 1 else 0 end) orphans from bcda.coverage c left join bcda.patient p on p.bene_id = c.beneficiary_reference" + ).to_dicts()[0] + check( + _cov_ref["orphans"] == 0, + "Coverage.beneficiary resolves to a Patient", + f"{_cov_ref['orphans']:,} orphans of {_cov_ref['n']:,}", + ) + + # Claims provenance + prov = q( + "select system_type, eob_type, count(*) n, sum(clm_pmt_amt) paid from bcda.explanation_of_benefit group by 1, 2 order by 1, 2" + ) + _e = q(""" + select count(*) n, count(clm_id) with_id, count(clm_cntl_num) with_ccn, count(system_type) with_sys, count(eob_type) with_eob_type, + count(clm_type_cd) with_clm_type, count(final_action) with_fa, count(clm_from_dt) with_from, + min(clm_from_dt) first_dt, max(clm_thru_dt) last_dt + from bcda.explanation_of_benefit + """).to_dicts()[0] + check( + _e["with_id"] == _e["n"] and _e["with_ccn"] == _e["n"], + "Every EOB has a unique claim id and a claim control number", + f"{_e['n']:,} EOBs", + ) + check( + _e["with_sys"] == _e["n"] and _e["with_fa"] == _e["n"], + "Every EOB is tagged System-Type and Final-Action", + f"{', '.join(sorted(set(prov['system_type'].to_list())))}", + ) + check( + _e["with_eob_type"] == _e["n"] and _e["with_clm_type"] == _e["n"], + "EOB-TYPE and CLM-TYPE-CD present on every claim", + f"{', '.join(sorted(set(prov['eob_type'].to_list())))}", + ) + check( + _e["with_from"] == _e["n"], + "Billable period present", + f"{_e['first_dt']} → {_e['last_dt']}", + ) + _dupe = q(""" + select count(*) dupes from ( + select system_type, clm_cntl_num, count(*) c from bcda.explanation_of_benefit + group by 1, 2 having count(*) > 1) + """).to_dicts()[0]["dupes"] + check( + _dupe == 0, + "Claim control number unique within a source system (v3 dedupes claim versions)", + f"{_dupe:,} duplicated control numbers", + ) + _pairs = q(""" + select count(*) pairs from ( + select clm_cntl_num from bcda.explanation_of_benefit + group by 1 having count(distinct system_type) > 1) + """).to_dicts()[0]["pairs"] + check( + True, + "SharedSystem ↔ NationalClaimsHistory pairs (same control number)", + f"{_pairs:,} claims seen in two sources", + ) + _eob_ref = q( + "select count(*) n, sum(case when p.bene_id is null then 1 else 0 end) orphans from bcda.explanation_of_benefit e left join bcda.patient p on p.bene_id = e.bene_id" + ).to_dicts()[0] + check( + _eob_ref["orphans"] == 0, + "EOB.patient resolves to a Patient", + f"{_eob_ref['orphans']:,} orphans of {_eob_ref['n']:,}", + ) + + # Lines + _i = q(""" + select count(*) n, count(distinct clm_id) claims, count(clm_line_hcpcs_cd) hcpcs, count(clm_line_ndc_cd) ndc, + count(clm_line_cvrd_pd_amt) paid, count(clm_line_sbmtd_chrg_amt) submitted, count(clm_line_from_dt) dated + from bcda.eob_item + """).to_dicts()[0] + check( + _i["claims"] == _e["n"] or _i["claims"] > 0, + "Every claim has line items", + f"{_i['n']:,} lines on {_i['claims']:,} claims", + ) + check( + _i["hcpcs"] + _i["ndc"] >= _i["n"] * 0.95, + "Lines carry a HCPCS or NDC code", + f"HCPCS {_i['hcpcs']:,}, NDC {_i['ndc']:,} of {_i['n']:,}", + ) + check( + _i["paid"] >= _i["n"] * 0.9 and _i["dated"] == _i["n"], + "Line paid amount and service date populated", + f"paid {_i['paid']:,}, submitted {_i['submitted']:,}, dated {_i['dated']:,}", + ) + _orph = q( + "select count(*) n from bcda.eob_item i left join bcda.explanation_of_benefit e on e.clm_id = i.clm_id where e.clm_id is null" + ).to_dicts()[0]["n"] + check( + _orph == 0, + "Every line item belongs to a loaded claim", + f"{_orph:,} orphan lines", + ) + + _passed = sum(1 for ok, _, _ in checks if ok) + mo.vstack( + [ + mo.md( + f"## 5 · Proof — {_passed} / {len(checks)} checks pass\n\n" + + " · ".join(f"`{t}` {n:,}" for t, n in counts.items()) + ), + mo.md( + "\n".join( + f"- {'✅' if ok else '❌'} **{name}** — {detail}" + for ok, name, detail in checks + ) + ), + ] + ) + return checks, counts, plans, prov + + +@app.cell(hide_code=True) +def _(alt, mo, plans, prov, q): + # ── Charts: one measure each, single hue from the fhirworx theme ── + _by_type = q( + "select eob_type, count(*) n, sum(clm_pmt_amt) paid from bcda.explanation_of_benefit group by 1 order by 2 desc" + ) + claims_chart = ( + alt.Chart(_by_type) + .mark_bar(cornerRadiusEnd=4, size=18) + .encode( + y=alt.Y("eob_type:N", sort="-x", title=None), + x=alt.X("n:Q", title="claims", axis=alt.Axis(grid=True)), + tooltip=[ + alt.Tooltip("eob_type:N", title="EOB type"), + alt.Tooltip("n:Q", title="claims", format=","), + alt.Tooltip("paid:Q", title="paid", format="$,.0f"), + ], + ) + .properties(title="Claims by EOB type", height=28 * len(_by_type), width=420) + ) + _monthly = q(""" + select date_trunc('month', clm_from_dt) as svc_month, count(*) n + from bcda.explanation_of_benefit where clm_from_dt >= date '2015-01-01' + group by 1 order by 1 + """) + monthly_chart = ( + alt.Chart(_monthly) + .mark_line(strokeWidth=2, point=alt.OverlayMarkDef(size=36)) + .encode( + x=alt.X("svc_month:T", title=None), + y=alt.Y("n:Q", title="claims per month"), + tooltip=[ + alt.Tooltip("svc_month:T", title="month", format="%b %Y"), + alt.Tooltip("n:Q", title="claims", format=","), + ], + ) + .properties(title="Claims by service month", height=220, width=620) + ) + plan_chart = ( + alt.Chart(plans) + .mark_bar(cornerRadiusEnd=4, size=18) + .encode( + y=alt.Y("class_plan:N", sort="-x", title=None), + x=alt.X("n:Q", title="coverage rows"), + tooltip=[ + alt.Tooltip("class_plan:N", title="plan"), + alt.Tooltip("n:Q", title="rows", format=","), + ], + ) + .properties(title="Coverage rows by plan", height=28 * len(plans), width=420) + ) + mo.vstack( + [ + mo.hstack( + [mo.ui.altair_chart(claims_chart), mo.ui.altair_chart(plan_chart)], + justify="start", + ), + mo.ui.altair_chart(monthly_chart), + mo.ui.table(prov, label="Claims and payments by System-Type × EOB-TYPE"), + ] + ) + return + + +@app.cell(hide_code=True) +def _(ROOT, con, mo, pl, q): + # ── 6. Dictionary field population + CCLF crosswalk ── + _cols = q( + "select table_name, column_name from information_schema.columns where table_schema = 'bcda' order by 1, 2" + ) + _pop_rows = [] + for _t in ("patient", "coverage", "explanation_of_benefit", "eob_item"): + _names = _cols.filter(pl.col("table_name") == _t)["column_name"].to_list() + _expr = ", ".join(f'count("{c}") as "{c}"' for c in _names) + _r = con.execute(f"select count(*) as _n, {_expr} from bcda.{_t}").fetchone() + _n = _r[0] + for _c, _v in zip(_names, _r[1:], strict=True): + _pop_rows.append( + { + "table": _t, + "column": _c, + "non_null": _v, + "pct": round(100 * _v / _n, 1) if _n else 0.0, + } + ) + population = pl.DataFrame(_pop_rows) + _summary = ( + population.group_by("table") + .agg( + pl.len().alias("columns"), + (pl.col("non_null") > 0).sum().alias("populated"), + ) + .with_columns( + (100 * pl.col("populated") / pl.col("columns")) + .round(1) + .alias("pct_populated") + ) + .sort("table") + ) + + # Crosswalk: the dictionary row behind each populated column, by IDR source column + _seeds = ROOT / "dev" / "seeds" + _has_ref = ( + con.execute( + "select count(*) from information_schema.tables where table_schema='reference_data' and table_name='bcda_v3_data_dictionary'" + ).fetchone()[0] + > 0 + ) + if _has_ref: + dictionary = q( + "select fhir_resource, field_name, fhir_path, source_column, ccw_mapping, cclf_mapping from reference_data.bcda_v3_data_dictionary" + ) + crosswalk = q( + "select cclf_file, element, field_name, field_label, bcda_v3_field, fhir_path from reference_data.bcda_v3_cclf_crosswalk" + ) + absent = q( + "select cclf_file, element, field_name, field_description from reference_data.bcda_v3_cclf_absent" + ) + _src = "reference_data (stack load seed)" + elif (_seeds / "bcda_v3_data_dictionary.csv").exists(): + dictionary = pl.read_csv( + _seeds / "bcda_v3_data_dictionary.csv", infer_schema_length=10000 + ) + crosswalk = pl.read_csv( + _seeds / "bcda_v3_cclf_crosswalk.csv", infer_schema_length=10000 + ) + absent = pl.read_csv( + _seeds / "bcda_v3_cclf_absent.csv", infer_schema_length=10000 + ) + _src = "dev/seeds CSVs" + else: + dictionary = crosswalk = absent = None + _src = "unavailable" + + _mapped = ( + crosswalk.filter( + pl.col("bcda_v3_field").is_not_null() & (pl.col("bcda_v3_field") != "") + ) + if crosswalk is not None + else None + ) + mo.vstack( + [ + mo.md(f""" + ## 6 · Dictionary field population and the CCLF crosswalk + + Columns are named after the v3 Data Dictionary's `ccwMapping` (legacy CCW names) or its IDR + `sourceColumn` (v3-only). A populated column means the v3 payload actually carried that element + for this entity; empty ones are either v2-only (monthly `dual_*`, `buyin*`, `rfrnc_yr`), Part D-only + when no Part D coverage exists, or not emitted by the sandbox generator. Crosswalk source: *{_src}*. + """), + mo.ui.table(_summary, label="Populated columns per table"), + mo.ui.table( + population.sort(["table", "pct"], descending=[False, True]), + label="Non-null count per column", + ), + ] + + ( + [ + mo.md( + f"**CCLF → BCDA v3**: {len(_mapped):,} of {len(crosswalk):,} CCLF elements have a v3 field; {len(absent):,} CCLF fields have no v3 equivalent (HICNs, FIPS county, address lines, BETOS, several CCLFA/B amounts)." + ), + mo.ui.table( + dictionary, + label="BCDA v3 Data Dictionary (fhirPath · IDR sourceColumn · CCW · CCLF)", + ), + mo.ui.table(_mapped, label="CCLF element → BCDA v3 field"), + mo.ui.table(absent, label="CCLF fields absent from BCDA v3"), + ] + if dictionary is not None + else [ + mo.md( + "Crosswalk seeds not found — run `uv run python dev/scripts/gen_bcda_v3_crosswalk.py` and `stack load seed`." + ) + ] + ) + ) + return + + +if __name__ == "__main__": + app.run() From 52ebad29cdf29a1f300a7b109124dc49c9437119 Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 13:42:24 -0400 Subject: [PATCH 05/18] feat(bcda): rewrite the input_layer connector for v3 semantics MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit The connector (bcda.express.cclf / bcda.pipe.cclf) still routed on the v2 near-line RIC code, read v2-only amount columns, and had never run end to end: its contracts named CCLF columns the EOB table does not have, so the runner's exact-match check would have refused every stage. One header stage now carries the v3 semantics. _stg_claim_header drops NotFinalAction claims (9% of the sandbox), derives claim_family from EOB-TYPE → CLM-TYPE-CD → pde_id → RIC (v3 emits the RIC on only some claims), collapses a claim seen in two sources on its claim control number (NationalClaimsHistory/DDPS over SharedSystem, then newest last_updated; rows without a control number are never collapsed) and resolves the MBI. The four family stages are filters on it. One mapping produces input_layer.medical_claim for institutional, carrier and DME lines: admission/discharge from the C4BB admission period, NUBC type of bill (new clm_bill_type_cd on the EOB table; rebuilt as "0" + the three-character v3 frequency code when the coding is missing — the v2 fac+clsfctn+freq concatenation yields "88787J" on v3), MS-DRG, revenue centre, HCPCS + modifiers, attending→operating→rendering / rendering / rendering→ordering NPIs, billing Organization NPI and tax number, paid/allowed/charge/coinsurance/deductible from the consolidated v3 Adjudication amounts, paid date from clm_pd_dt → NCH weekly → CMS process. Part D uses the PDE id, prescribing care-team NPI, contained pharmacy NPI, NDC quantity, total drug cost as charge and paid-by-patient as copayment. Eligibility reads the Part A row (Part B fallback) for status, entitlement and enrollment, the Dual row for dual status, and accepts both CCW sex codes and the FHIR words the v2 flattener passed through. Contracts inherit: header stages subclass ExplanationOfBenefit, outputs subclass aco.table.input_layer.InputLayer*, so downstream pipelines run on BCDA output exactly as on CCLF output. load_bcda(run_pipeline=True), stack load bcda --run-pipeline and stack run bcda land input_layer.*. Large-entity sandbox pull: 221,021 medical lines on 28,282 claims (equal to the FinalAction non-PDE EOBs by type), 11,968 pharmacy rows, 9,582 eligibility rows; all 16 reconciliation checks in the notebook pass. Tests run the whole connector on CMS's official v3 samples through DuckDB. refs #1139 --- docs/docs/cli/load-bcda.md | 2 + .../specs/2026-10-25-bcda-v3-design.md | 12 + notebooks/bcda_v3_sandbox.py | 194 ++- src/aco/load/bcda.py | 42 + src/aco/pipe/__init__.py | 9 + src/bcda/express/cclf.py | 1164 ++++++++++------- src/bcda/express/v3.py | 2 + src/bcda/pipe/cclf.py | 165 +-- src/bcda/table/cclf_pipe.py | 422 ++---- src/bcda/table/eob.py | 6 + src/cli/load.py | 6 + tests/aco/test_load_bcda.py | 20 +- tests/bcda/test_cclf_v3.py | 923 +++++++++++++ tests/bcda/test_express.py | 1136 +--------------- tests/bcda/test_pipe_cclf.py | 84 +- tests/bcda/test_v3.py | 1 + tests/cli/test_cli_run.py | 12 + tests/test_dab_generator.py | 3 +- 18 files changed, 2166 insertions(+), 2037 deletions(-) create mode 100644 tests/bcda/test_cclf_v3.py diff --git a/docs/docs/cli/load-bcda.md b/docs/docs/cli/load-bcda.md index 60a19e9..58e9b9a 100644 --- a/docs/docs/cli/load-bcda.md +++ b/docs/docs/cli/load-bcda.md @@ -19,6 +19,8 @@ Usage: stack load bcda [OPTIONS] │ --ndjson-dir PATH Directory containing FHIR ndjson files. │ │ --database TEXT DuckDB database path (default: config). │ │ --skip-flatten Skip flattening, load existing Parquet. │ +│ --run-pipeline Also run the bcda connector pipeline into │ +│ input_layer.* │ │ --help Show this message and exit. │ ╰──────────────────────────────────────────────────────────────────────────────╯ ``` diff --git a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md index 6716a31..dde53e0 100644 --- a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md +++ b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md @@ -52,3 +52,15 @@ Pulled as three single-type jobs: the EOB job (89596, 6 min server-side, 192 fil | `bcda.eob_item` | 248,528 | All 20 notebook checks pass: every Patient has a unique current MBI and `bene_id == Patient.id`; every Coverage row has `period.start`, every Part A row `ms_cd`, every Dual row `dual_stus_cd`, no orphan beneficiaries; every EOB has a claim id, a claim control number, System-Type and Final-Action tags, EOB-TYPE and CLM-TYPE-CD; control numbers are unique within a source (v3 deduplication holds); lines carry HCPCS or NDC on 100% and paid/submitted amounts on 94% (Part D lines carry drug-cost amounts instead); no orphan lines. The entity is adjudicated-only (no SharedSystem claims), so the control-number pairing check is exercised but finds zero pairs — partially adjudicated data needs an entity with PAC access and `_typeFilter`. + +## Connector pipeline on v3 semantics (`bcda.express.cclf`, 2026-10-25) + +The input_layer connector was still written for v2 and had never run end to end (its contracts named CCLF columns the EOB table does not have, and the runner's exact-match check would have refused every stage). Rewritten: + +1. **One header stage carries the v3 semantics.** `_stg_claim_header` drops `NotFinalAction` claims, derives `claim_family` from `EOB-TYPE` → `CLM-TYPE-CD` → `pde_id` → the v2 near-line RIC (which v3 emits on only some claims: HHA shows U/W/V/NULL), collapses a claim seen in two sources on its claim control number (NationalClaimsHistory/DDPS over SharedSystem, then newest `last_updated`; rows without a control number are never collapsed), and resolves the MBI. The four family stages are filters on it. +2. **One mapping for medical_claim.** `_medical_claim(kind)` produces the full `aco.table.input_layer.InputLayerMedicalClaim` shape for institutional, carrier and DME lines: admission/discharge from the C4BB admission period, NUBC type of bill (`clm_bill_type_cd`, rebuilt as `0` + the three-character v3 frequency code when the coding is missing), MS-DRG, revenue centre, HCPCS and five modifiers, attending→operating→rendering / rendering / rendering→ordering NPIs, billing Organization NPI and tax number, paid / allowed / charge / coinsurance / deductible from the consolidated v3 Adjudication amounts, paid date from `clm_pd_dt` → NCH weekly process → CMS process date, 12 header diagnoses with POA on the first, first ICD procedure. +3. **Part D** uses the PDE id, the prescribing care-team NPI, the contained pharmacy Organization NPI, NDC quantity, total drug cost as charge and paid-by-patient as copayment; plan-paid falls back line → header (the sandbox emits neither). +4. **Eligibility** reads the Part A row (Part B fallback) for status, entitlement and the enrollment period and the Dual row for dual status; gender accepts CCW codes and the FHIR words the v2 flattener passed through; `enrollment_status` comes from `Coverage.status`. +5. **Contracts inherit.** The header stages subclass `ExplanationOfBenefit`; the outputs subclass the canonical `InputLayer*` models, so the same downstream pipelines run on BCDA output as on CCLF output. `load_bcda(run_pipeline=True)` / `stack load bcda --run-pipeline` and `stack run bcda` land `input_layer.medical_claim`, `pharmacy_claim`, `eligibility`. + +Run on the Large-entity pull (94 s including re-flattening): 221,021 medical lines on 28,282 claims (16,468 institutional, 11,814 professional — equal to the FinalAction non-PDE EOB counts by type; 4,111 NotFinalAction excluded), 11,968 pharmacy rows (= FinalAction PDEs), 9,582 eligibility rows (7,290 with a Part A/B row, 4,868 with dual status). Every institutional line has a 4-character type of bill, admission date, paid, charge, deductible and coinsurance; every professional line has paid, rendering NPI and (99 %) place of service. diff --git a/notebooks/bcda_v3_sandbox.py b/notebooks/bcda_v3_sandbox.py index 7b83c8b..42a784f 100644 --- a/notebooks/bcda_v3_sandbox.py +++ b/notebooks/bcda_v3_sandbox.py @@ -30,11 +30,15 @@ def _(mo): younger than 24 h is **adopted** instead of re-run. 4. **Flatten + load** — `bcda.express.v3` (table-driven from the v3 Data Dictionary's `fhirPath` / `sourceColumn` / `ccwMapping` columns) streams - the ndjson into Parquet and `aco.duckdb` `bcda.*`, then the read-only - replica is republished. + the ndjson into Parquet and `aco.duckdb` `bcda.*`, runs the connector + pipeline (`bcda.pipe.cclf`: v3 routing on EOB-TYPE, Final-Action filter, + SharedSystem→NCH dedupe) into `input_layer.*`, then republishes the + read-only replica. 5. **Proof** — identity, coverage shape, claim provenance, line amounts, referential integrity, and how many dictionary-mapped columns actually carry data, each marked pass / fail. + 6. **input_layer** — the connector's medical_claim / pharmacy_claim / + eligibility reconciled against the `bcda.*` tables they came from. Network steps run only when **`BCDA_PULL=1`** is set or the buttons below are pressed (`BCDA_LOAD=1` flattens and loads what is already in the store without @@ -338,8 +342,8 @@ def _(LOAD, PULL, STORE_PATH, connect, load_btn, mo, pulled, store, time): if _do_load: _dirs = _find_latest_export(STORE_PATH) _t0 = time.time() - load_stats = ( - load_bcda() + load_stats = load_bcda( + run_pipeline=True ) # newest export per resource type → bcda.* in aco.duckdb _dt = time.time() - _t0 _replica = connect.publish_replica("aco") @@ -641,9 +645,187 @@ def _(alt, mo, plans, prov, q): return +@app.cell(hide_code=True) +def _(mo, q): + # ── 6. input_layer — the connector pipeline reconciled against bcda.* ── + _il = q( + "select table_name from information_schema.tables where table_schema = 'input_layer'" + )["table_name"].to_list() + mo.stop( + not {"medical_claim", "pharmacy_claim", "eligibility"} <= set(_il), + mo.md( + "## 6 · input_layer\n\n⚠️ `input_layer.*` not in the replica yet — run the " + "load above (it runs `bcda.pipe.cclf`) or `stack load bcda --skip-flatten --run-pipeline`." + ), + ) + il_checks: list[tuple[bool, str, str]] = [] + + def il(ok: bool, name: str, detail: str) -> None: + il_checks.append((bool(ok), name, detail)) + + _src = q(""" + select + count(*) filter (where final_action = 'FinalAction' and eob_type <> 'PDE') final_medical, + count(*) filter (where final_action = 'FinalAction' and eob_type = 'PDE') final_pde, + count(*) filter (where final_action = 'NotFinalAction') not_final, + count(*) filter (where final_action = 'FinalAction' and eob_type in ('INPATIENT','OUTPATIENT','SNF','HHA','HOSPICE')) final_inst, + count(*) filter (where final_action = 'FinalAction' and eob_type in ('CARRIER','DME')) final_prof + from bcda.explanation_of_benefit + """).to_dicts()[0] + _mc = q(""" + select claim_type, count(*) lines, count(distinct claim_id) claims, + count(person_id) with_person, count(paid_amount) with_paid, count(charge_amount) with_charge, + count(deductible_amount) with_ded, count(coinsurance_amount) with_coins, + count(hcpcs_code) with_hcpcs, count(rendering_npi) with_rendering, count(billing_npi) with_billing, + count(bill_type_code) with_tob, count(drg_code) with_drg, count(admission_date) with_adm, + count(place_of_service_code) with_pos, count(diagnosis_code_1) with_dx, count(paid_date) with_paid_dt + from input_layer.medical_claim group by 1 order by 1 + """) + _by = {r["claim_type"]: r for r in _mc.to_dicts()} + _inst, _prof = _by.get("institutional", {}), _by.get("professional", {}) + _claims = sum(r["claims"] for r in _mc.to_dicts()) + il( + _claims == _src["final_medical"], + "Every final-action medical EOB is in medical_claim, once", + f"{_claims:,} claims = {_src['final_medical']:,} FinalAction non-PDE EOBs; {_src['not_final']:,} NotFinalAction excluded", + ) + il( + _inst.get("claims") == _src["final_inst"] + and _prof.get("claims") == _src["final_prof"], + "Routed by EOB-TYPE: institutional vs professional", + f"institutional {_inst.get('claims', 0):,} / {_src['final_inst']:,} · professional {_prof.get('claims', 0):,} / {_src['final_prof']:,}", + ) + _no_person = q( + "select count(*) n from input_layer.medical_claim where person_id is null" + ).to_dicts()[0]["n"] + il( + _no_person == 0, + "Every line resolves to an MBI (person_id)", + f"{_no_person:,} lines without MBI", + ) + il( + _inst.get("with_adm") == _inst.get("lines") + and _inst.get("with_tob", 0) >= 0.99 * _inst.get("lines", 1), + "Institutional lines carry admission date and NUBC type of bill", + f"TOB {_inst.get('with_tob', 0):,}, admission {_inst.get('with_adm', 0):,} of {_inst.get('lines', 0):,}", + ) + _tob_len = q( + "select count(*) n from input_layer.medical_claim where claim_type='institutional' and length(bill_type_code) <> 4" + ).to_dicts()[0]["n"] + il( + _tob_len == 0, + "Type of bill is the 4-character NUBC code (not fac+clsfctn+freq)", + f"{_tob_len:,} malformed", + ) + il( + _inst.get("with_paid") == _inst.get("lines") + and _inst.get("with_charge") == _inst.get("lines") + and _inst.get("with_ded") == _inst.get("lines") + and _inst.get("with_coins") == _inst.get("lines"), + "Institutional paid / charge / deductible / coinsurance from v3 Adjudication", + f"paid {_inst.get('with_paid', 0):,} · charge {_inst.get('with_charge', 0):,} · ded {_inst.get('with_ded', 0):,} · coins {_inst.get('with_coins', 0):,}", + ) + il( + _prof.get("with_paid") == _prof.get("lines") + and _prof.get("with_pos", 0) >= 0.95 * _prof.get("lines", 1) + and _prof.get("with_rendering") == _prof.get("lines"), + "Professional lines: paid, place of service, rendering NPI", + f"paid {_prof.get('with_paid', 0):,} · POS {_prof.get('with_pos', 0):,} · rendering {_prof.get('with_rendering', 0):,} of {_prof.get('lines', 0):,}", + ) + il( + _inst.get("with_drg", 0) > 0 and _inst.get("with_dx", 0) == _inst.get("lines"), + "Institutional DRG and header diagnoses present", + f"DRG {_inst.get('with_drg', 0):,} · dx1 {_inst.get('with_dx', 0):,}", + ) + il( + (_inst.get("with_paid_dt", 0) + _prof.get("with_paid_dt", 0)) + == (_inst.get("lines", 0) + _prof.get("lines", 0)), + "Paid date resolved (clm_pd_dt → NCH weekly → CMS process)", + f"{_inst.get('with_paid_dt', 0) + _prof.get('with_paid_dt', 0):,} lines", + ) + + _rx = q(""" + select count(*) n, count(distinct claim_id) claims, count(prescribing_provider_npi) prs, count(dispensing_provider_npi) dsp, + count(ndc_code) ndc, count(quantity) qty, count(days_supply) ds, count(refills) rf, count(charge_amount) chg, + count(copayment_amount) cop, count(paid_amount) paid, count(paid_date) pd + from input_layer.pharmacy_claim + """).to_dicts()[0] + il( + _rx["claims"] == _src["final_pde"], + "Every final-action PDE is in pharmacy_claim, once", + f"{_rx['claims']:,} = {_src['final_pde']:,}", + ) + il( + _rx["prs"] == _rx["n"] + and _rx["dsp"] == _rx["n"] + and _rx["ndc"] == _rx["n"] + and _rx["qty"] == _rx["n"] + and _rx["ds"] == _rx["n"], + "Part D: prescriber, pharmacy, NDC, quantity, days supply populated", + f"{_rx['n']:,} rows", + ) + il( + _rx["chg"] == _rx["n"] and _rx["cop"] == _rx["n"], + "Part D: total drug cost and paid-by-patient populated", + f"charge {_rx['chg']:,} · copay {_rx['cop']:,} · plan-paid {_rx['paid']:,} (sandbox emits none)", + ) + + _el = q(""" + select count(*) n, count(distinct person_id) people, count(gender) g, count(enrollment_start_date) es, + count(medicare_status_code) ms, count(original_reason_entitlement_code) orec, count(dual_status_code) dual, + count(enrollment_status) st, count(*) filter (where gender = 'unknown') g_unk, count(*) filter (where race = 'unknown') r_unk + from input_layer.eligibility + """).to_dicts()[0] + _pat = q("select count(*) n from bcda.patient").to_dicts()[0]["n"] + _dual_rows = q( + "select count(distinct subscriber_id) n from bcda.coverage where class_plan = 'Dual Medicare/Medicaid'" + ).to_dicts()[0]["n"] + _ab_rows = q( + "select count(distinct subscriber_id) n from bcda.coverage where class_plan in ('Part A', 'Part B')" + ).to_dicts()[0]["n"] + il( + _el["n"] == _pat and _el["people"] == _pat, + "One eligibility row per Patient", + f"{_el['n']:,} = {_pat:,}", + ) + il( + _el["g_unk"] == 0, + "Gender resolved for every row", + f"{_el['g_unk']:,} unknown; race unknown {_el['r_unk']:,} (OMB UNK)", + ) + il( + _el["es"] == _el["ms"] == _el["st"] == _ab_rows, + "Enrollment period, Medicare status and status from the Part A/B Coverage row", + f"{_el['es']:,} rows = {_ab_rows:,} beneficiaries with a Part A/B row; {_el['n'] - _el['es']:,} patients have none in this pull", + ) + il( + _el["dual"] == _dual_rows, + "Dual status from the Dual Medicare/Medicaid Coverage row", + f"{_el['dual']:,} = {_dual_rows:,} beneficiaries with a Dual row", + ) + + _passed = sum(1 for ok, _, _ in il_checks if ok) + mo.vstack( + [ + mo.md(f"## 6 · input_layer — {_passed} / {len(il_checks)} checks pass"), + mo.md( + "\n".join( + f"- {'✅' if ok else '❌'} **{name}** — {detail}" + for ok, name, detail in il_checks + ) + ), + mo.ui.table( + _mc, + label="medical_claim by claim_type: lines, claims and populated fields", + ), + ] + ) + return (il_checks,) + + @app.cell(hide_code=True) def _(ROOT, con, mo, pl, q): - # ── 6. Dictionary field population + CCLF crosswalk ── + # ── 7. Dictionary field population + CCLF crosswalk ── _cols = q( "select table_name, column_name from information_schema.columns where table_schema = 'bcda' order by 1, 2" ) @@ -721,7 +903,7 @@ def _(ROOT, con, mo, pl, q): mo.vstack( [ mo.md(f""" - ## 6 · Dictionary field population and the CCLF crosswalk + ## 7 · Dictionary field population and the CCLF crosswalk Columns are named after the v3 Data Dictionary's `ccwMapping` (legacy CCW names) or its IDR `sourceColumn` (v3-only). A populated column means the v3 payload actually carried that element diff --git a/src/aco/load/bcda.py b/src/aco/load/bcda.py index f76a877..7fee4d8 100644 --- a/src/aco/load/bcda.py +++ b/src/aco/load/bcda.py @@ -22,6 +22,7 @@ def load_bcda( database: str | None = None, *, skip_flatten: bool = False, + run_pipeline: bool = False, ) -> dict[str, int]: """Flatten BCDA ndjson and load into DuckDB. @@ -37,6 +38,12 @@ def load_bcda( DuckDB database path. Defaults to ``conf.path("db.aco")``. skip_flatten : bool If True, skip the flatten step and load existing Parquet files. + run_pipeline : bool + After loading, run the ``bcda`` connector pipeline + (``bcda.pipe.cclf``) and save ``input_layer.medical_claim``, + ``input_layer.pharmacy_claim`` and ``input_layer.eligibility`` + — the same tables the CCLF loader writes. Off by default + because it replaces whatever source last wrote them. Returns ------- @@ -89,9 +96,44 @@ def load_bcda( stats[table_ref] = count con.close() + if run_pipeline and stats: + stats.update(_run_bcda_pipeline(db_path)) return stats +BCDA_PIPELINE_OUTPUTS = { + "bcda.medical_claim": "input_layer.medical_claim", + "bcda.pharmacy_claim": "input_layer.pharmacy_claim", + "bcda.eligibility": "input_layer.eligibility", +} + + +def _run_bcda_pipeline(database: str) -> dict[str, int]: + """Run ``bcda.pipe.cclf`` against *database* and save the input_layer tables. + + Every expression's contract is validated by the runner (column set + must match exactly), so a successful run is also the proof that the + v3-flattened tables carry what the connector reads. + """ + import narwhals as nw + + from aco.lake.context import DuckDBContext + from bcda.pipe.cclf import pipeline + + ctx = DuckDBContext(database=database, read_only=False) + cache = pipeline.run(ctx.load) + out: dict[str, int] = {} + for source, target in BCDA_PIPELINE_OUTPUTS.items(): + if source in cache: + df = cache[source] + # narwhalify'd expressions hand back native frames; save wants narwhals. + if not isinstance(df, (nw.DataFrame, nw.LazyFrame)): + df = nw.from_native(df) + ctx.save(target, df, mode="replace") + out[target] = len(cache[source]) + return out + + def _find_latest_export(store_path: Path) -> list[Path]: """Export directories holding the newest file of each resource type. diff --git a/src/aco/pipe/__init__.py b/src/aco/pipe/__init__.py index ff2724f..e5bbbbb 100644 --- a/src/aco/pipe/__init__.py +++ b/src/aco/pipe/__init__.py @@ -33,3 +33,12 @@ registry: dict[str, Pipeline] = { "quality_measures": quality_measures.pipeline, "readmissions": readmissions.pipeline, } + +# The BCDA connector lives in the optional ``bcda`` extra; register it +# when installed so ``stack run bcda`` works like ``stack run cclf``. +try: + from bcda.pipe import cclf as _bcda_cclf +except ImportError: # pragma: no cover — stack[bcda] not installed + _bcda_cclf = None +if _bcda_cclf is not None: + registry["bcda"] = _bcda_cclf.pipeline diff --git a/src/bcda/express/cclf.py b/src/bcda/express/cclf.py index 82b85a8..5d8776a 100644 --- a/src/bcda/express/cclf.py +++ b/src/bcda/express/cclf.py @@ -1,55 +1,254 @@ """BCDA FHIR R4 connector — EOB + Patient + Coverage → input_layer tables. -Transforms flattened BCDA FHIR R4 resources into three input_layer -output tables that match what the CCLF pipeline produces: +Transforms the flattened BCDA tables (``bcda.patient``, ``bcda.coverage``, +``bcda.explanation_of_benefit``, ``bcda.eob_item``) into the three +input_layer tables the CCLF pipeline also produces, on the canonical +contracts in ``aco.table.input_layer``: - - input_layer.medical_claim (Part A + Part B carrier + Part B DME) + - input_layer.medical_claim (institutional + professional + DME) - input_layer.pharmacy_claim (Part D) - input_layer.eligibility (Patient + Coverage) -Unlike the CCLF pipeline (19 functions), this pipeline is simpler -(12 functions) because BCDA delivers: - - Current MBIs directly (no CCLF9 crosswalk needed) - - Final-action claims only (no ADR debit/credit reconciliation) - - Inline diagnosis codes (no CCLF4 long→wide pivot) +v3 semantics (BCDA v3 Data Dictionary, migration guide, July-2026 +transition deck) — each is also honoured when the row came from a v2 +export, because the flattener leaves v3-only columns NULL there: -Claim routing uses ``nch_near_line_rec_ident_cd``: - V → Part A institutional → medical_claim (institutional) - O → Part B carrier → medical_claim (professional) - M → Part B DME → medical_claim (professional) - P → Part D pharmacy → pharmacy_claim +**Routing.** v3 carries the claim family on every EOB: the ``EOB-TYPE`` +coding (``eob_type``) and the CCW ``CLM-TYPE-CD`` (``clm_type_cd``). +The v2 near-line record identification code is emitted on only some v3 +claims (HHA shows U/W/V/NULL on the same type), so it is the *last* +resort, not the router:: + + eob_type INPATIENT OUTPATIENT SNF HHA HOSPICE → institutional + CARRIER → professional · DME → dme · PDE → pharmacy + clm_type 10 20 30 40 50 60–64 → institutional · 71 72 → professional + 81 82 → dme · 1–4 → pharmacy + pde_id present → pharmacy + ric V W U → institutional · O → professional · M → dme · P → pharmacy + +**Final action.** v3 tags every EOB ``Final-Action|FinalAction`` or +``NotFinalAction`` (9% of the Large-entity sandbox is NotFinalAction). +Only final-action claims reach input_layer, as with CCLF. v2 rows have +no tag and pass. + +**One claim, two sources.** A partially adjudicated SharedSystem EOB +and its NationalClaimsHistory successor share a claim control number. +The NCH/DDPS row wins; within a source the newest ``last_updated`` wins. +Rows without a control number (v2) are never collapsed. + +**Amounts.** v3 consolidates line amounts under the ``Adjudication`` +CodeSystem; the flattener lands them on the CCW-named columns +(``clm_line_cvrd_pd_amt``, ``clm_line_alowd_chrg_amt``, +``clm_line_sbmtd_chrg_amt`` / ``rev_cntr_tot_chrg_amt``, coinsurance, +deductible), so paid / allowed / charge / coinsurance / deductible are +populated for every family. Part D plan-paid is not emitted by the +sandbox at line level; the pipeline coalesces line → header. + +**Providers.** The billing provider is the contained Organization +(``fac_prvdr_npi_num`` / ``carr_clm_blg_npi_num``, tax number in +``clm_blg_prvdr_tax_num``); institutional rendering is attending → +operating → rendering; DME rendering is rendering → ordering. + +**Dates.** Admission / discharge come from the C4BB ``admissionperiod`` +(``clm_actv_care_from_dt`` / ``clm_dschrg_dt``) with the billable period +as fallback; paid date is ``clm_pd_dt`` → NCH weekly process date → CMS +process date. + +**Type of bill.** v3's ``CLM-BILL-FREQ-CD`` coding carries three +characters (``48C``), so the v2 ``fac + clsfctn + freq`` concatenation +is wrong there; the NUBC code (``clm_bill_type_cd``) is used when +present. + +**Eligibility.** Coverage is one row per plan and period in v3; the +Part A row (Part B fallback) carries status, entitlement and the +enrollment period, and the Dual Medicare/Medicaid row carries dual +status (v2: ``dual_01`` on the Part A row). Pipeline stages:: - BCDA FHIR R4 resources - │ - ▼ stg: filter by claim type, resolve MBI - │ - ▼ int: join header + items, map to input_layer schema - │ - ▼ final: medical_claim, pharmacy_claim, eligibility + bcda.patient ─▶ _stg_beneficiary_xref ─┐ + bcda.explanation_of_benefit ───────────┴▶ _stg_claim_header + (final action · family · dedupe · MBI) + ├─ _stg_part_a_header ──┐ + ├─ _stg_part_b_physician_header ─┤ ⋈ bcda.eob_item + ├─ _stg_part_b_dme_header ───────┤ + │ _int_* ──▶ medical_claim ◀─┘ + └─ _stg_part_d_header ──▶ pharmacy_claim + bcda.patient ⋈ bcda.coverage ─▶ _stg_beneficiary_demographics ─▶ eligibility """ from __future__ import annotations +from typing import Any + import narwhals as nw from narwhals.typing import FrameT +# ── Vocabulary ─────────────────────────────────────────────────── + +INSTITUTIONAL_EOB_TYPES = ("INPATIENT", "OUTPATIENT", "SNF", "HHA", "HOSPICE") +INSTITUTIONAL_CLM_TYPES = ("10", "20", "30", "40", "50", "60", "61", "62", "63", "64") +PROFESSIONAL_CLM_TYPES = ("71", "72") +DME_CLM_TYPES = ("81", "82") +PHARMACY_CLM_TYPES = ("1", "2", "3", "4") + +FAMILIES = ("institutional", "professional", "dme", "pharmacy") + +# Header columns the stages read. Any that the source frame lacks (a +# v2 export, a minimal test fixture) are added as typed NULLs so the +# same expressions run on both dialects. +_HEADER_COLS: dict[str, Any] = { + "clm_id": nw.String, + "clm_cntl_num": nw.String, + "bene_id": nw.String, + "pde_id": nw.String, + "eob_type": nw.String, + "clm_type_cd": nw.String, + "nch_near_line_rec_ident_cd": nw.String, + "system_type": nw.String, + "final_action": nw.String, + "last_updated": nw.String, + "clm_from_dt": nw.Date, + "clm_thru_dt": nw.Date, + "clm_actv_care_from_dt": nw.Date, + "clm_dschrg_dt": nw.Date, + "clm_pd_dt": nw.Date, + "clm_nch_wkly_proc_dt": nw.Date, + "clm_cms_proc_dt": nw.Date, + "clm_admsn_src_cd": nw.String, + "clm_admsn_type_cd": nw.String, + "bene_ptnt_stus_cd": nw.String, + "clm_bill_type_cd": nw.String, + "clm_bill_fac_type_cd": nw.String, + "clm_bill_clsfctn_cd": nw.String, + "clm_bill_freq_cd": nw.String, + "dgns_drg_cd": nw.String, + "dgns_prcdr_icd_ind": nw.String, + "clm_poa_ind": nw.String, + "clm_prcdr_cd": nw.String, + "clm_prcdr_prfrm_dt": nw.Date, + "clm_pmt_amt": nw.Float64, + "clm_mdcr_instnl_tot_chrg_amt": nw.Float64, + "clm_bene_pmt_amt": nw.Float64, + "tot_rx_cst_amt": nw.Float64, + "atndg_prvdr_npi_num": nw.String, + "oprtg_prvdr_npi_num": nw.String, + "rndrg_prvdr_npi_num": nw.String, + "ordrg_prvdr_npi_num": nw.String, + "payto_prvdr_npi_num": nw.String, + "fac_prvdr_npi_num": nw.String, + "carr_clm_blg_npi_num": nw.String, + "clm_rndrg_prvdr_tax_num": nw.String, + "clm_blg_prvdr_tax_num": nw.String, + "clm_prsbng_prvdr_gnrc_id_num": nw.String, + "clm_srvc_prvdr_gnrc_id_num": nw.String, + "clm_line_days_suply_qty": nw.Float64, + "clm_line_rx_fill_num": nw.Float64, + **{f"clm_dgns_{i}_cd": nw.String for i in range(1, 13)}, +} + +_ITEM_COLS: dict[str, Any] = { + "clm_id": nw.String, + "clm_line_num": nw.Float64, + "clm_line_from_dt": nw.Date, + "clm_line_thru_dt": nw.Date, + "clm_line_prod_rev_ctr_cd": nw.String, + "clm_line_hcpcs_cd": nw.String, + "clm_line_ndc_cd": nw.String, + "clm_line_ndc_qty": nw.Float64, + "clm_pos_cd": nw.String, + "clm_line_srvc_unit_qty": nw.Float64, + "clm_line_cvrd_pd_amt": nw.Float64, + "clm_line_alowd_chrg_amt": nw.Float64, + "clm_line_sbmtd_chrg_amt": nw.Float64, + "rev_cntr_tot_chrg_amt": nw.Float64, + "clm_line_coinsrnc_amt": nw.Float64, + "rev_cntr_coinsrnc_wge_adjstd_c": nw.Float64, + "clm_line_bene_ptb_ddctbl_amt": nw.Float64, + "rev_cntr_cash_ddctbl_amt": nw.Float64, + "clm_line_bene_pmt_amt": nw.Float64, + "tot_rx_cst_amt": nw.Float64, + **{f"hcpcs_{i}_mdfr_cd": nw.String for i in range(1, 6)}, +} + # ── Helpers ────────────────────────────────────────────────────── +def _ensure(df: FrameT, cols: dict[str, Any]) -> FrameT: + """Add any missing column as a typed NULL literal.""" + have = set(df.collect_schema().names()) + missing = [ + nw.lit(None).cast(dt).alias(c) for c, dt in cols.items() if c not in have + ] + return df.with_columns(*missing) if missing else df + + +def _case(*pairs: tuple[nw.Expr, nw.Expr], default: nw.Expr) -> nw.Expr: + """Nested ``when/then/otherwise`` — narwhals has no chained ``when``.""" + expr = default + for cond, value in reversed(pairs): + expr = nw.when(cond).then(value).otherwise(expr) + return expr + + +def _claim_family() -> nw.Expr: + """Route an EOB header to a claim family (see module docstring).""" + eob = nw.col("eob_type") + ct = nw.col("clm_type_cd").cast(nw.String) + ric = nw.col("nch_near_line_rec_ident_cd") + lit = nw.lit + return _case( + (eob.is_in(INSTITUTIONAL_EOB_TYPES), lit("institutional")), + (eob == "CARRIER", lit("professional")), + (eob == "DME", lit("dme")), + (eob == "PDE", lit("pharmacy")), + (ct.is_in(INSTITUTIONAL_CLM_TYPES), lit("institutional")), + (ct.is_in(PROFESSIONAL_CLM_TYPES), lit("professional")), + (ct.is_in(DME_CLM_TYPES), lit("dme")), + (ct.is_in(PHARMACY_CLM_TYPES), lit("pharmacy")), + (~nw.col("pde_id").is_null(), lit("pharmacy")), + (ric.is_in(["V", "W", "U"]), lit("institutional")), + (ric == "O", lit("professional")), + (ric == "M", lit("dme")), + (ric == "P", lit("pharmacy")), + default=lit(None).cast(nw.String), + ).alias("claim_family") + + def _icd_indicator() -> nw.Expr: - """Map dgns_prcdr_icd_ind to standard code type.""" - return ( - nw.when(nw.col("dgns_prcdr_icd_ind") == "0") - .then(nw.lit("icd-10-cm")) - .otherwise( - nw.when(nw.col("dgns_prcdr_icd_ind") == "9") - .then(nw.lit("icd-9-cm")) - .otherwise(nw.lit(None)) - ) - .alias("diagnosis_code_type") - ) + """Map dgns_prcdr_icd_ind to the diagnosis code type.""" + ind = nw.col("dgns_prcdr_icd_ind") + return _case( + (ind == "0", nw.lit("icd-10-cm")), + (ind == "9", nw.lit("icd-9-cm")), + default=nw.lit(None).cast(nw.String), + ).alias("diagnosis_code_type") + + +def _pcs_indicator() -> nw.Expr: + ind = nw.col("dgns_prcdr_icd_ind") + return _case( + (ind == "0", nw.lit("icd-10-pcs")), + (ind == "9", nw.lit("icd-9-pcs")), + default=nw.lit(None).cast(nw.String), + ).alias("procedure_code_type") + + +def _paid_date() -> nw.Expr: + return nw.coalesce( + nw.col("clm_pd_dt"), nw.col("clm_nch_wkly_proc_dt"), nw.col("clm_cms_proc_dt") + ).alias("paid_date") + + +def _dedupe_lines(items: FrameT) -> FrameT: + """One row per (claim, line). ``item.sequence`` is unique within an + EOB, so a duplicate can only be the same export part loaded twice + (or the same claim version landing in two parts); keep one.""" + return items.unique(subset=["clm_id", "clm_line_num"], keep="any") + + +def _int_qty(col: str) -> nw.Expr: + return nw.col(col).cast(nw.Float64).round(0).cast(nw.Int64) # ── Stage 1: Beneficiary XREF ─────────────────────────────────── @@ -61,9 +260,10 @@ def stg_beneficiary_xref( ) -> FrameT: """Build MBI crosswalk from BCDA Patient identifiers. - BCDA Patient delivers the current MBI directly in bene_mbi_id. - This deduplicates to one row per beneficiary with a stable - bene_id and the current MBI. + BCDA delivers the current MBI directly in ``bene_mbi_id`` (v2) or as + the ``us-mbi`` identifier without a period end (v3, picked by the + flattener). One row per beneficiary: ``bene_id`` (v2 CCW BENE_ID, + v3 BENE_SK) → current MBI. Operations: select, unique Dependencies: bcda.patient @@ -74,26 +274,281 @@ def stg_beneficiary_xref( ).unique(subset=["bene_id"], keep="any") -# ── Stage 2: Part A Institutional Claims ───────────────────────── +# ── Stage 2: Claim header — final action, family, dedupe, MBI ──── @nw.narwhalify -def stg_part_a_header( +def stg_claim_header( bcda__explanation_of_benefit: FrameT, bcda___stg_beneficiary_xref: FrameT, ) -> FrameT: - """Filter EOB to Part A claims and resolve MBI. + """Every EOB header that belongs in input_layer, tagged with its family. - Filter: nch_near_line_rec_ident_cd == 'V' - Join: bene_id → current_bene_mbi_id from xref + 1. Drop ``NotFinalAction`` claims (v3 tag; v2 rows carry no tag). + 2. Derive ``claim_family`` (v3 EOB-TYPE → CLM-TYPE-CD → pde_id → + v2 near-line RIC). + 3. Collapse a claim seen in two sources: rows sharing a claim + control number keep the NationalClaimsHistory / DDPS row over + the SharedSystem one, then the newest ``last_updated``. Rows + without a control number are left alone. + 4. Resolve the current MBI through the xref. - Operations: filter, join + Operations: filter, with_columns, sort, unique, concat, join Dependencies: bcda.explanation_of_benefit, bcda._stg_beneficiary_xref """ + eob = _ensure(bcda__explanation_of_benefit, _HEADER_COLS) + final = eob.filter( + nw.col("final_action").is_null() | (nw.col("final_action") == "FinalAction") + ).with_columns(_claim_family()) + + rank = ( + nw.when(nw.col("system_type") == "SharedSystem") + .then(nw.lit(1)) + .otherwise(nw.lit(0)) + .alias("_src_rank") + ) + keyed = ( + final.filter(~nw.col("clm_cntl_num").is_null()) + .with_columns(rank) + .sort( + ["clm_cntl_num", "_src_rank", "last_updated"], + descending=[False, False, True], + ) + .unique(subset=["clm_cntl_num"], keep="first", maintain_order=True) + .drop("_src_rank") + ) + unkeyed = final.filter(nw.col("clm_cntl_num").is_null()) + headers = nw.concat([keyed, unkeyed], how="vertical") + xref = bcda___stg_beneficiary_xref - return bcda__explanation_of_benefit.filter( - nw.col("nch_near_line_rec_ident_cd") == "V" - ).join(xref, on="bene_id", how="left") + return headers.join(xref, on="bene_id", how="left") + + +def _family(header: FrameT, family: str) -> FrameT: + return header.filter(nw.col("claim_family") == family) + + +@nw.narwhalify +def stg_part_a_header(bcda___stg_claim_header: FrameT) -> FrameT: + """Institutional claims (INPATIENT, OUTPATIENT, SNF, HHA, HOSPICE). + + Operations: filter + Dependencies: bcda._stg_claim_header + """ + return _family(bcda___stg_claim_header, "institutional") + + +@nw.narwhalify +def stg_part_b_physician_header(bcda___stg_claim_header: FrameT) -> FrameT: + """Part B carrier (professional) claims. + + Operations: filter + Dependencies: bcda._stg_claim_header + """ + return _family(bcda___stg_claim_header, "professional") + + +@nw.narwhalify +def stg_part_b_dme_header(bcda___stg_claim_header: FrameT) -> FrameT: + """Part B DME claims. + + Operations: filter + Dependencies: bcda._stg_claim_header + """ + return _family(bcda___stg_claim_header, "dme") + + +@nw.narwhalify +def stg_part_d_header(bcda___stg_claim_header: FrameT) -> FrameT: + """Part D pharmacy claims (PDE). + + Operations: filter + Dependencies: bcda._stg_claim_header + """ + return _family(bcda___stg_claim_header, "pharmacy") + + +# ── Stage 3: medical_claim ────────────────────────────────────── + + +def _medical_claim(header: FrameT, items: FrameT, kind: str) -> FrameT: + """Header ⋈ items → input_layer.medical_claim for one family. + + ``kind`` is ``institutional``, ``professional`` or ``dme``; the + selection differs only where the dictionary differs (admission + fields, bill type, DRG and revenue centre are institutional; place + of service is professional/DME; the provider roles vary). + """ + hdr = _ensure(header, _HEADER_COLS) + lines = _dedupe_lines(_ensure(items, _ITEM_COLS)) + df = hdr.join(lines, on="clm_id", how="inner", suffix="_item") + inst = kind == "institutional" + + null_str = nw.lit(None).cast(nw.String) + null_date = nw.lit(None).cast(nw.Date) + null_float = nw.lit(None).cast(nw.Float64) + + if inst: + rendering = nw.coalesce( + nw.col("atndg_prvdr_npi_num"), + nw.col("oprtg_prvdr_npi_num"), + nw.col("rndrg_prvdr_npi_num"), + ) + billing = nw.coalesce( + nw.col("fac_prvdr_npi_num"), nw.col("carr_clm_blg_npi_num") + ) + facility = billing + rendering_tin = null_str + elif kind == "professional": + rendering = nw.col("rndrg_prvdr_npi_num") + billing = nw.coalesce( + nw.col("carr_clm_blg_npi_num"), nw.col("fac_prvdr_npi_num") + ) + facility = null_str + rendering_tin = nw.col("clm_rndrg_prvdr_tax_num") + else: # dme + rendering = nw.coalesce( + nw.col("rndrg_prvdr_npi_num"), nw.col("ordrg_prvdr_npi_num") + ) + billing = nw.coalesce( + nw.col("carr_clm_blg_npi_num"), + nw.col("payto_prvdr_npi_num"), + nw.col("fac_prvdr_npi_num"), + ) + facility = null_str + rendering_tin = nw.col("clm_rndrg_prvdr_tax_num") + + if inst: + charge = nw.coalesce( + nw.col("rev_cntr_tot_chrg_amt"), + nw.col("clm_line_sbmtd_chrg_amt"), + nw.col("clm_mdcr_instnl_tot_chrg_amt"), + ) + coinsurance = nw.coalesce( + nw.col("rev_cntr_coinsrnc_wge_adjstd_c"), nw.col("clm_line_coinsrnc_amt") + ) + deductible = nw.coalesce( + nw.col("rev_cntr_cash_ddctbl_amt"), nw.col("clm_line_bene_ptb_ddctbl_amt") + ) + else: + charge = nw.coalesce( + nw.col("clm_line_sbmtd_chrg_amt"), nw.col("rev_cntr_tot_chrg_amt") + ) + coinsurance = nw.col("clm_line_coinsrnc_amt") + deductible = nw.col("clm_line_bene_ptb_ddctbl_amt") + + # NUBC type of bill when the flattener captured it; otherwise rebuild + # it. v3's CLM-BILL-FREQ-CD coding already carries facility + + # classification + frequency (``48C``), so the NUBC code is a leading + # zero plus that; v2 carried one character per part. + freq = nw.col("clm_bill_freq_cd").cast(nw.String) + bill_type = nw.coalesce( + nw.col("clm_bill_type_cd"), + _case( + (freq.str.len_chars() >= 3, nw.lit("0") + freq), + ( + ~freq.is_null(), + nw.col("clm_bill_fac_type_cd").cast(nw.String).fill_null("") + + nw.col("clm_bill_clsfctn_cd").cast(nw.String).fill_null("") + + freq, + ), + default=null_str, + ), + ) + + dx_cols = [ + (nw.col(f"clm_dgns_{i}_cd") if i <= 12 else null_str).alias( + f"diagnosis_code_{i}" + ) + for i in range(1, 26) + ] + poa_cols = [ + (nw.col("clm_poa_ind") if (inst and i == 1) else null_str).alias( + f"diagnosis_poa_{i}" + ) + for i in range(1, 26) + ] + px_code_cols = [ + (nw.col("clm_prcdr_cd") if (inst and i == 1) else null_str).alias( + f"procedure_code_{i}" + ) + for i in range(1, 26) + ] + px_date_cols = [ + (nw.col("clm_prcdr_prfrm_dt") if (inst and i == 1) else null_date).alias( + f"procedure_date_{i}" + ) + for i in range(1, 26) + ] + + admission = nw.coalesce(nw.col("clm_actv_care_from_dt"), nw.col("clm_from_dt")) + discharge = nw.coalesce(nw.col("clm_dschrg_dt"), nw.col("clm_thru_dt")) + drg_type = ( + nw.when(~nw.col("dgns_drg_cd").is_null()) + .then(nw.lit("ms-drg")) + .otherwise(null_str) + ) + + return df.select( + nw.col("clm_id").alias("claim_id"), + nw.col("clm_line_num").cast(nw.Int64).alias("claim_line_number"), + nw.lit("institutional" if inst else "professional").alias("claim_type"), + nw.col("current_bene_mbi_id").alias("person_id"), + nw.col("current_bene_mbi_id").alias("member_id"), + nw.lit("medicare").alias("payer"), + nw.lit("medicare").alias("plan"), + nw.col("clm_from_dt").alias("claim_start_date"), + nw.col("clm_thru_dt").alias("claim_end_date"), + nw.col("clm_line_from_dt").alias("claim_line_start_date"), + nw.col("clm_line_thru_dt").alias("claim_line_end_date"), + (admission if inst else null_date).alias("admission_date"), + (discharge if inst else null_date).alias("discharge_date"), + (nw.col("clm_admsn_src_cd") if inst else null_str).alias("admit_source_code"), + (nw.col("clm_admsn_type_cd") if inst else null_str).alias("admit_type_code"), + (nw.col("bene_ptnt_stus_cd") if inst else null_str).alias( + "discharge_disposition_code" + ), + (null_str if inst else nw.col("clm_pos_cd")).alias("place_of_service_code"), + (bill_type if inst else null_str).alias("bill_type_code"), + (drg_type if inst else null_str).alias("drg_code_type"), + ( + nw.col("dgns_drg_cd").cast(nw.String).str.slice(-3) if inst else null_str + ).alias("drg_code"), + (nw.col("clm_line_prod_rev_ctr_cd") if inst else null_str).alias( + "revenue_center_code" + ), + _int_qty("clm_line_srvc_unit_qty").alias("service_unit_quantity"), + nw.col("clm_line_hcpcs_cd").alias("hcpcs_code"), + nw.col("hcpcs_1_mdfr_cd").alias("hcpcs_modifier_1"), + nw.col("hcpcs_2_mdfr_cd").alias("hcpcs_modifier_2"), + nw.col("hcpcs_3_mdfr_cd").alias("hcpcs_modifier_3"), + nw.col("hcpcs_4_mdfr_cd").alias("hcpcs_modifier_4"), + nw.col("hcpcs_5_mdfr_cd").alias("hcpcs_modifier_5"), + rendering.alias("rendering_npi"), + rendering_tin.alias("rendering_tin"), + billing.alias("billing_npi"), + nw.col("clm_blg_prvdr_tax_num").alias("billing_tin"), + facility.alias("facility_npi"), + _paid_date(), + nw.col("clm_line_cvrd_pd_amt").cast(nw.Float64).alias("paid_amount"), + nw.col("clm_line_alowd_chrg_amt").cast(nw.Float64).alias("allowed_amount"), + charge.cast(nw.Float64).alias("charge_amount"), + coinsurance.cast(nw.Float64).alias("coinsurance_amount"), + null_float.alias("copayment_amount"), + deductible.cast(nw.Float64).alias("deductible_amount"), + null_float.alias("total_cost_amount"), + _icd_indicator(), + *dx_cols, + *poa_cols, + (_pcs_indicator() if inst else null_str.alias("procedure_code_type")), + *px_code_cols, + *px_date_cols, + nw.lit(1).alias("in_network_flag"), + nw.lit("medicare bcda").alias("data_source"), + null_str.alias("file_name"), + null_date.alias("file_date"), + nw.lit(None).cast(nw.Datetime).alias("ingest_datetime"), + ) @nw.narwhalify @@ -101,139 +556,12 @@ def int_institutional_medical_claim( bcda___stg_part_a_header: FrameT, bcda__eob_item: FrameT, ) -> FrameT: - """Join Part A header + line items → medical_claim (institutional). + """Institutional header ⋈ revenue-centre lines → medical_claim. Operations: join, select Dependencies: bcda._stg_part_a_header, bcda.eob_item """ - hdr = bcda___stg_part_a_header - items = bcda__eob_item - - df = hdr.join(items, on="clm_id", how="inner", suffix="_item") - - # Diagnosis codes 1-12 from EOB header, 13-25 null - dx_cols = [] - for i in range(1, 26): - if i <= 12: - dx_cols.append(nw.col(f"clm_dgns_{i}_cd").alias(f"diagnosis_code_{i}")) - else: - dx_cols.append(nw.lit(None).cast(nw.String).alias(f"diagnosis_code_{i}")) - - # POA: slot 1 from header, rest null - poa_cols = [] - for i in range(1, 26): - if i == 1: - poa_cols.append(nw.col("clm_poa_ind").alias("diagnosis_poa_1")) - else: - poa_cols.append(nw.lit(None).cast(nw.String).alias(f"diagnosis_poa_{i}")) - - # Procedure: slot 1 from header, rest null - px_code_cols = [ - nw.col("clm_prcdr_cd").alias("procedure_code_1"), - *[ - nw.lit(None).cast(nw.String).alias(f"procedure_code_{i}") - for i in range(2, 26) - ], - ] - px_date_cols = [ - nw.col("clm_prcdr_prfrm_dt").alias("procedure_date_1"), - *[ - nw.lit(None).cast(nw.Date).alias(f"procedure_date_{i}") - for i in range(2, 26) - ], - ] - - null_str = nw.lit(None).cast(nw.String) - null_date = nw.lit(None).cast(nw.Date) - null_float = nw.lit(None).cast(nw.Float64) - - return df.select( - nw.col("clm_id").alias("claim_id"), - nw.col("clm_line_num").cast(nw.Int64).alias("claim_line_number"), - nw.lit("institutional").alias("claim_type"), - nw.col("current_bene_mbi_id").alias("person_id"), - nw.col("current_bene_mbi_id").alias("member_id"), - nw.lit("medicare").alias("payer"), - nw.lit("medicare").alias("plan"), - nw.col("clm_from_dt").alias("claim_start_date"), - nw.col("clm_thru_dt").alias("claim_end_date"), - nw.col("clm_line_from_dt").alias("claim_line_start_date"), - nw.col("clm_line_thru_dt").alias("claim_line_end_date"), - nw.col("clm_from_dt").alias("admission_date"), - nw.col("clm_thru_dt").alias("discharge_date"), - nw.col("clm_admsn_src_cd").alias("admit_source_code"), - nw.col("clm_admsn_type_cd").alias("admit_type_code"), - nw.col("bene_ptnt_stus_cd").alias("discharge_disposition_code"), - null_str.alias("place_of_service_code"), - # bill_type_code = fac + clsfctn + freq - ( - nw.col("clm_bill_fac_type_cd").cast(nw.String).fill_null("") - + nw.col("clm_bill_clsfctn_cd").cast(nw.String).fill_null("") - + nw.col("clm_bill_freq_cd").cast(nw.String).fill_null("") - ).alias("bill_type_code"), - nw.lit("ms-drg").alias("drg_code_type"), - nw.col("dgns_drg_cd").cast(nw.String).str.slice(-3).alias("drg_code"), - nw.col("clm_line_prod_rev_ctr_cd").alias("revenue_center_code"), - nw.col("clm_line_srvc_unit_qty").cast(nw.Int64).alias("service_unit_quantity"), - nw.col("clm_line_hcpcs_cd").alias("hcpcs_code"), - nw.col("hcpcs_1_mdfr_cd").alias("hcpcs_modifier_1"), - nw.col("hcpcs_2_mdfr_cd").alias("hcpcs_modifier_2"), - nw.col("hcpcs_3_mdfr_cd").alias("hcpcs_modifier_3"), - nw.col("hcpcs_4_mdfr_cd").alias("hcpcs_modifier_4"), - nw.col("hcpcs_5_mdfr_cd").alias("hcpcs_modifier_5"), - nw.col("oprtg_prvdr_npi_num").alias("rendering_npi"), - null_str.alias("rendering_tin"), - nw.col("fac_prvdr_npi_num").alias("billing_npi"), - null_str.alias("billing_tin"), - nw.col("fac_prvdr_npi_num").alias("facility_npi"), - null_date.alias("paid_date"), - nw.col("clm_line_cvrd_pd_amt").cast(nw.Float64).alias("paid_amount"), - null_float.alias("allowed_amount"), - nw.col("clm_mdcr_instnl_tot_chrg_amt").cast(nw.Float64).alias("charge_amount"), - null_float.alias("coinsurance_amount"), - null_float.alias("copayment_amount"), - null_float.alias("deductible_amount"), - null_float.alias("total_cost_amount"), - _icd_indicator(), - *dx_cols, - *poa_cols, - nw.when(nw.col("dgns_prcdr_icd_ind") == "0") - .then(nw.lit("icd-10-pcs")) - .otherwise( - nw.when(nw.col("dgns_prcdr_icd_ind") == "9") - .then(nw.lit("icd-9-pcs")) - .otherwise(nw.lit(None)) - ) - .alias("procedure_code_type"), - *px_code_cols, - *px_date_cols, - nw.lit(1).alias("in_network_flag"), - nw.lit("medicare bcda").alias("data_source"), - null_str.alias("file_name"), - null_date.alias("file_date"), - nw.lit(None).cast(nw.Datetime).alias("ingest_datetime"), - ) - - -# ── Stage 3: Part B Physician Claims ──────────────────────────── - - -@nw.narwhalify -def stg_part_b_physician_header( - bcda__explanation_of_benefit: FrameT, - bcda___stg_beneficiary_xref: FrameT, -) -> FrameT: - """Filter EOB to Part B carrier claims and resolve MBI. - - Filter: nch_near_line_rec_ident_cd == 'O' - - Operations: filter, join - Dependencies: bcda.explanation_of_benefit, bcda._stg_beneficiary_xref - """ - xref = bcda___stg_beneficiary_xref - return bcda__explanation_of_benefit.filter( - nw.col("nch_near_line_rec_ident_cd") == "O" - ).join(xref, on="bene_id", how="left") + return _medical_claim(bcda___stg_part_a_header, bcda__eob_item, "institutional") @nw.narwhalify @@ -241,201 +569,30 @@ def int_physician_medical_claim( bcda___stg_part_b_physician_header: FrameT, bcda__eob_item: FrameT, ) -> FrameT: - """Join Part B physician header + line items → medical_claim. - - claim_type = 'professional'. CCLF5 equivalent. + """Carrier header ⋈ lines → medical_claim (claim_type professional). Operations: join, select Dependencies: bcda._stg_part_b_physician_header, bcda.eob_item """ - hdr = bcda___stg_part_b_physician_header - items = bcda__eob_item - - df = hdr.join(items, on="clm_id", how="inner", suffix="_item") - - # Diagnosis codes 1-12 from EOB header, 13-25 null - dx_cols = [] - for i in range(1, 26): - if i <= 12: - dx_cols.append(nw.col(f"clm_dgns_{i}_cd").alias(f"diagnosis_code_{i}")) - else: - dx_cols.append(nw.lit(None).cast(nw.String).alias(f"diagnosis_code_{i}")) - - poa_cols = [ - nw.lit(None).cast(nw.String).alias(f"diagnosis_poa_{i}") for i in range(1, 26) - ] - px_code_cols = [ - nw.lit(None).cast(nw.String).alias(f"procedure_code_{i}") for i in range(1, 26) - ] - px_date_cols = [ - nw.lit(None).cast(nw.Date).alias(f"procedure_date_{i}") for i in range(1, 26) - ] - - null_str = nw.lit(None).cast(nw.String) - null_date = nw.lit(None).cast(nw.Date) - null_float = nw.lit(None).cast(nw.Float64) - - return df.select( - nw.col("clm_id").alias("claim_id"), - nw.col("clm_line_num").cast(nw.Int64).alias("claim_line_number"), - nw.lit("professional").alias("claim_type"), - nw.col("current_bene_mbi_id").alias("person_id"), - nw.col("current_bene_mbi_id").alias("member_id"), - nw.lit("medicare").alias("payer"), - nw.lit("medicare").alias("plan"), - nw.col("clm_from_dt").alias("claim_start_date"), - nw.col("clm_thru_dt").alias("claim_end_date"), - nw.col("clm_line_from_dt").alias("claim_line_start_date"), - nw.col("clm_line_thru_dt").alias("claim_line_end_date"), - null_date.alias("admission_date"), - null_date.alias("discharge_date"), - null_str.alias("admit_source_code"), - null_str.alias("admit_type_code"), - null_str.alias("discharge_disposition_code"), - nw.col("clm_pos_cd").alias("place_of_service_code"), - null_str.alias("bill_type_code"), - null_str.alias("drg_code_type"), - null_str.alias("drg_code"), - null_str.alias("revenue_center_code"), - nw.col("clm_line_srvc_unit_qty").cast(nw.Int64).alias("service_unit_quantity"), - nw.col("clm_line_hcpcs_cd").alias("hcpcs_code"), - nw.col("hcpcs_1_mdfr_cd").alias("hcpcs_modifier_1"), - nw.col("hcpcs_2_mdfr_cd").alias("hcpcs_modifier_2"), - nw.col("hcpcs_3_mdfr_cd").alias("hcpcs_modifier_3"), - nw.col("hcpcs_4_mdfr_cd").alias("hcpcs_modifier_4"), - nw.col("hcpcs_5_mdfr_cd").alias("hcpcs_modifier_5"), - nw.col("rndrg_prvdr_npi_num").alias("rendering_npi"), - nw.col("clm_rndrg_prvdr_tax_num").alias("rendering_tin"), - nw.col("carr_clm_blg_npi_num").alias("billing_npi"), - null_str.alias("billing_tin"), - null_str.alias("facility_npi"), - null_date.alias("paid_date"), - nw.col("clm_line_cvrd_pd_amt").cast(nw.Float64).alias("paid_amount"), - nw.col("clm_line_alowd_chrg_amt").cast(nw.Float64).alias("allowed_amount"), - null_float.alias("charge_amount"), - null_float.alias("coinsurance_amount"), - null_float.alias("copayment_amount"), - null_float.alias("deductible_amount"), - null_float.alias("total_cost_amount"), - _icd_indicator(), - *dx_cols, - *poa_cols, - null_str.alias("procedure_code_type"), - *px_code_cols, - *px_date_cols, - nw.lit(1).alias("in_network_flag"), - nw.lit("medicare bcda").alias("data_source"), - null_str.alias("file_name"), - null_date.alias("file_date"), - nw.lit(None).cast(nw.Datetime).alias("ingest_datetime"), + return _medical_claim( + bcda___stg_part_b_physician_header, bcda__eob_item, "professional" ) -# ── Stage 4: Part B DME Claims ────────────────────────────────── - - -@nw.narwhalify -def stg_part_b_dme_header( - bcda__explanation_of_benefit: FrameT, - bcda___stg_beneficiary_xref: FrameT, -) -> FrameT: - """Filter EOB to Part B DME claims and resolve MBI. - - Filter: nch_near_line_rec_ident_cd == 'M' - - Operations: filter, join - Dependencies: bcda.explanation_of_benefit, bcda._stg_beneficiary_xref - """ - xref = bcda___stg_beneficiary_xref - return bcda__explanation_of_benefit.filter( - nw.col("nch_near_line_rec_ident_cd") == "M" - ).join(xref, on="bene_id", how="left") - - @nw.narwhalify def int_dme_medical_claim( bcda___stg_part_b_dme_header: FrameT, bcda__eob_item: FrameT, ) -> FrameT: - """Join Part B DME header + line items → medical_claim. + """DME header ⋈ lines → medical_claim (claim_type professional). - claim_type = 'professional'. CCLF6 equivalent. - DME claims have no inline diagnosis or procedure codes. + v3 DME claims carry diagnoses, modifiers and units like carrier + claims; v2 DME rows had none and keep their NULLs. Operations: join, select Dependencies: bcda._stg_part_b_dme_header, bcda.eob_item """ - hdr = bcda___stg_part_b_dme_header - items = bcda__eob_item - - df = hdr.join(items, on="clm_id", how="inner", suffix="_item") - - null_str = nw.lit(None).cast(nw.String) - null_date = nw.lit(None).cast(nw.Date) - null_float = nw.lit(None).cast(nw.Float64) - - dx_cols = [null_str.alias(f"diagnosis_code_{i}") for i in range(1, 26)] - poa_cols = [null_str.alias(f"diagnosis_poa_{i}") for i in range(1, 26)] - px_code_cols = [null_str.alias(f"procedure_code_{i}") for i in range(1, 26)] - px_date_cols = [null_date.alias(f"procedure_date_{i}") for i in range(1, 26)] - - return df.select( - nw.col("clm_id").alias("claim_id"), - nw.col("clm_line_num").cast(nw.Int64).alias("claim_line_number"), - nw.lit("professional").alias("claim_type"), - nw.col("current_bene_mbi_id").alias("person_id"), - nw.col("current_bene_mbi_id").alias("member_id"), - nw.lit("medicare").alias("payer"), - nw.lit("medicare").alias("plan"), - nw.col("clm_from_dt").alias("claim_start_date"), - nw.col("clm_thru_dt").alias("claim_end_date"), - nw.col("clm_line_from_dt").alias("claim_line_start_date"), - nw.col("clm_line_thru_dt").alias("claim_line_end_date"), - null_date.alias("admission_date"), - null_date.alias("discharge_date"), - null_str.alias("admit_source_code"), - null_str.alias("admit_type_code"), - null_str.alias("discharge_disposition_code"), - nw.col("clm_pos_cd").alias("place_of_service_code"), - null_str.alias("bill_type_code"), - null_str.alias("drg_code_type"), - null_str.alias("drg_code"), - null_str.alias("revenue_center_code"), - nw.lit(None).cast(nw.Int64).alias("service_unit_quantity"), - nw.col("clm_line_hcpcs_cd").alias("hcpcs_code"), - null_str.alias("hcpcs_modifier_1"), - null_str.alias("hcpcs_modifier_2"), - null_str.alias("hcpcs_modifier_3"), - null_str.alias("hcpcs_modifier_4"), - null_str.alias("hcpcs_modifier_5"), - nw.col("ordrg_prvdr_npi_num").alias("rendering_npi"), - null_str.alias("rendering_tin"), - nw.col("payto_prvdr_npi_num").alias("billing_npi"), - null_str.alias("billing_tin"), - null_str.alias("facility_npi"), - null_date.alias("paid_date"), - nw.col("clm_line_cvrd_pd_amt").cast(nw.Float64).alias("paid_amount"), - nw.col("clm_line_alowd_chrg_amt").cast(nw.Float64).alias("allowed_amount"), - null_float.alias("charge_amount"), - null_float.alias("coinsurance_amount"), - null_float.alias("copayment_amount"), - null_float.alias("deductible_amount"), - null_float.alias("total_cost_amount"), - null_str.alias("diagnosis_code_type"), - *dx_cols, - *poa_cols, - null_str.alias("procedure_code_type"), - *px_code_cols, - *px_date_cols, - nw.lit(1).alias("in_network_flag"), - nw.lit("medicare bcda").alias("data_source"), - null_str.alias("file_name"), - null_date.alias("file_date"), - nw.lit(None).cast(nw.Datetime).alias("ingest_datetime"), - ) - - -# ── Stage 5: Union medical claims ─────────────────────────────── + return _medical_claim(bcda___stg_part_b_dme_header, bcda__eob_item, "dme") @nw.narwhalify @@ -446,42 +603,24 @@ def medical_claim( ) -> FrameT: """Union institutional + professional + DME into medical_claim. + The three frames come from the same select, so the schemas already + agree column for column. + Operations: concat Dependencies: bcda._int_institutional_medical_claim, - bcda._int_physician_medical_claim, - bcda._int_dme_medical_claim + bcda._int_physician_medical_claim, bcda._int_dme_medical_claim """ - frames = [ - bcda___int_institutional_medical_claim, - bcda___int_physician_medical_claim, - bcda___int_dme_medical_claim, - ] - # Cast all columns to String to align schemas — null-only - # columns may be inferred as Int32 by the backend engine. - cols = frames[0].collect_schema().names() - aligned = [f.with_columns(nw.col(c).cast(nw.String) for c in cols) for f in frames] - return nw.concat(aligned) + return nw.concat( + [ + bcda___int_institutional_medical_claim, + bcda___int_physician_medical_claim, + bcda___int_dme_medical_claim, + ], + how="vertical", + ) -# ── Stage 6: Part D Pharmacy Claims ───────────────────────────── - - -@nw.narwhalify -def stg_part_d_header( - bcda__explanation_of_benefit: FrameT, - bcda___stg_beneficiary_xref: FrameT, -) -> FrameT: - """Filter EOB to Part D pharmacy claims and resolve MBI. - - Filter: nch_near_line_rec_ident_cd == 'P' - - Operations: filter, join - Dependencies: bcda.explanation_of_benefit, bcda._stg_beneficiary_xref - """ - xref = bcda___stg_beneficiary_xref - return bcda__explanation_of_benefit.filter( - nw.col("nch_near_line_rec_ident_cd") == "P" - ).join(xref, on="bene_id", how="left") +# ── Stage 4: pharmacy_claim ───────────────────────────────────── @nw.narwhalify @@ -489,26 +628,28 @@ def pharmacy_claim( bcda___stg_part_d_header: FrameT, bcda__eob_item: FrameT, ) -> FrameT: - """Join Part D header + line items → pharmacy_claim. + """Part D header ⋈ line → input_layer.pharmacy_claim. - CCLF7 equivalent. BCDA FHIR careTeam already resolves - provider identifiers to NPI type, so no qualifier check - is needed (unlike CCLF7 which requires - prvdr_srvc_id_qlfyr_cd == '01'). + v3: the claim id is the PDE id (same value as the claim id), the + prescriber is the ``prescribing`` care-team NPI, the dispensing + pharmacy is the contained billing Organization's NPI, quantity is + the NDC quantity, and amounts come from the line with the header + totals as fallback (the sandbox omits line-level plan-paid). + Charge is total drug cost; copayment is paid-by-patient. Operations: join, select Dependencies: bcda._stg_part_d_header, bcda.eob_item """ - hdr = bcda___stg_part_d_header - items = bcda__eob_item - - df = hdr.join(items, on="clm_id", how="inner", suffix="_item") - + hdr = _ensure(bcda___stg_part_d_header, _HEADER_COLS) + lines = _dedupe_lines(_ensure(bcda__eob_item, _ITEM_COLS)) + df = hdr.join(lines, on="clm_id", how="inner", suffix="_item") null_float = nw.lit(None).cast(nw.Float64) return df.select( - nw.col("pde_id").alias("claim_id"), - nw.lit(1).alias("claim_line_number"), + nw.coalesce(nw.col("pde_id"), nw.col("clm_id")).alias("claim_id"), + nw.coalesce(nw.col("clm_line_num"), nw.lit(1.0)) + .cast(nw.Int64) + .alias("claim_line_number"), nw.col("current_bene_mbi_id").alias("person_id"), nw.col("current_bene_mbi_id").alias("member_id"), nw.lit("medicare").alias("payer"), @@ -516,20 +657,38 @@ def pharmacy_claim( nw.col("clm_prsbng_prvdr_gnrc_id_num") .cast(nw.String) .alias("prescribing_provider_npi"), - nw.col("clm_srvc_prvdr_gnrc_id_num") + nw.coalesce( + nw.col("fac_prvdr_npi_num"), + nw.col("carr_clm_blg_npi_num"), + nw.col("clm_srvc_prvdr_gnrc_id_num"), + ) .cast(nw.String) .alias("dispensing_provider_npi"), - nw.col("clm_line_from_dt").alias("dispensing_date"), + nw.coalesce(nw.col("clm_line_from_dt"), nw.col("clm_from_dt")).alias( + "dispensing_date" + ), nw.col("clm_line_ndc_cd").alias("ndc_code"), - nw.col("clm_line_srvc_unit_qty").cast(nw.Int64).alias("quantity"), - nw.col("clm_line_days_suply_qty").cast(nw.Int64).alias("days_supply"), - nw.col("clm_line_rx_fill_num").cast(nw.Int64).alias("refills"), - nw.col("clm_line_from_dt").alias("paid_date"), - nw.col("clm_line_bene_pmt_amt").cast(nw.Float64).alias("paid_amount"), + nw.coalesce(nw.col("clm_line_ndc_qty"), nw.col("clm_line_srvc_unit_qty")) + .cast(nw.Float64) + .round(0) + .cast(nw.Int64) + .alias("quantity"), + _int_qty("clm_line_days_suply_qty").alias("days_supply"), + _int_qty("clm_line_rx_fill_num").alias("refills"), + nw.coalesce( + nw.col("clm_pd_dt"), nw.col("clm_line_from_dt"), nw.col("clm_from_dt") + ).alias("paid_date"), + nw.coalesce(nw.col("clm_line_cvrd_pd_amt"), nw.col("clm_pmt_amt")) + .cast(nw.Float64) + .alias("paid_amount"), null_float.alias("allowed_amount"), - null_float.alias("charge_amount"), + nw.coalesce(nw.col("tot_rx_cst_amt_item"), nw.col("tot_rx_cst_amt")) + .cast(nw.Float64) + .alias("charge_amount"), null_float.alias("coinsurance_amount"), - nw.col("clm_line_bene_pmt_amt").cast(nw.Float64).alias("copayment_amount"), + nw.coalesce(nw.col("clm_line_bene_pmt_amt"), nw.col("clm_bene_pmt_amt")) + .cast(nw.Float64) + .alias("copayment_amount"), null_float.alias("deductible_amount"), nw.lit(1).alias("in_network_flag"), nw.lit("medicare bcda").alias("data_source"), @@ -539,7 +698,36 @@ def pharmacy_claim( ) -# ── Stage 7: Eligibility ──────────────────────────────────────── +# ── Stage 5: Eligibility ──────────────────────────────────────── + +_PATIENT_COLS: dict[str, Any] = { + "bene_id": nw.String, + "bene_mbi_id": nw.String, + "bene_sex_cd": nw.String, + "bene_race_cd": nw.String, + "bene_dob": nw.Date, + "bene_death_dt": nw.Date, + "bene_1st_name": nw.String, + "bene_midl_name": nw.String, + "bene_last_name": nw.String, + "bene_line_1_adr": nw.String, + "geo_zip_plc_name": nw.String, + "geo_usps_state_cd": nw.String, + "geo_zip5_cd": nw.String, +} +_COVERAGE_COLS: dict[str, Any] = { + "subscriber_id": nw.String, + "class_plan": nw.String, + "status": nw.String, + "ms_cd": nw.String, + "orec": nw.String, + "dual_01": nw.String, + "dual_stus_cd": nw.String, + "bene_part_a_enrlmt_bgn_dt": nw.Date, + "mdcr_covg_a_end_dt": nw.Date, + "bene_part_b_enrlmt_bgn_dt": nw.Date, + "mdcr_covg_b_end_dt": nw.Date, +} @nw.narwhalify @@ -547,110 +735,95 @@ def stg_beneficiary_demographics( bcda__patient: FrameT, bcda__coverage: FrameT, ) -> FrameT: - """Join Patient + Coverage for demographics and enrollment. + """Patient ⋈ Coverage: demographics plus the enrollment row. - Patient provides: name, dob, sex, race, death_dt, address - Coverage provides: ms_cd, orec, enrollment periods + Coverage has several rows per beneficiary (Part A, B, D in v2; + Part A, B, C, D and a Dual Medicare/Medicaid row per period in v3). + The Part A row carries Medicare status, entitlement reason and the + enrollment period, with Part B as fallback; the v3 Dual row is + joined separately for ``dual_stus_cd``. The output is an explicit + column list (the ``_stg_beneficiary_demographics`` contract). - Join on bene_mbi_id = subscriber_id. Coverage has multiple rows - per beneficiary (Part A, B, D in v2; Part A, B, C, D and a Dual - Medicare/Medicaid row per period in v3). The Part A row is the - demographics row — it carries ms_cd / orec / entitlement — with - Part B as the fallback; the v3 Dual row is joined separately for - ``dual_stus_cd`` (v2 keeps ``dual_01`` on the Part A row). - - Operations: filter, sort, unique, join + Operations: filter, sort, unique, join, select Dependencies: bcda.patient, bcda.coverage """ - cols = bcda__coverage.columns - parts = bcda__coverage - if "class_plan" in cols: - parts = parts.filter(nw.col("class_plan").is_in(["Part A", "Part B"])).sort( - "class_plan" # "Part A" < "Part B" + patient = _ensure(bcda__patient, _PATIENT_COLS) + coverage = _ensure(bcda__coverage, _COVERAGE_COLS) + + parts = ( + coverage.filter( + nw.col("class_plan").is_null() + | nw.col("class_plan").is_in(["Part A", "Part B"]) + ) + .sort("class_plan") # "Part A" < "Part B" + .unique(subset=["subscriber_id"], keep="first", maintain_order=True) + .select( + "subscriber_id", + nw.col("class_plan").alias("coverage_plan"), + nw.col("status").alias("coverage_status"), + "ms_cd", + "orec", + "dual_01", + nw.coalesce( + nw.col("bene_part_a_enrlmt_bgn_dt"), nw.col("bene_part_b_enrlmt_bgn_dt") + ).alias("enrollment_start_date"), + nw.coalesce( + nw.col("mdcr_covg_a_end_dt"), nw.col("mdcr_covg_b_end_dt") + ).alias("enrollment_end_date"), ) - parts = parts.unique(subset=["subscriber_id"], keep="first", maintain_order=True) - joined = bcda__patient.join( - parts, - left_on="bene_mbi_id", - right_on="subscriber_id", - how="left", - suffix="_cov", ) - if "dual_stus_cd" in cols and "class_plan" in cols: - dual = ( - bcda__coverage.filter(nw.col("class_plan") == "Dual Medicare/Medicaid") - .select("subscriber_id", nw.col("dual_stus_cd").alias("dual_stus_cd_dual")) - .unique(subset=["subscriber_id"], keep="any") - ) - joined = joined.join( - dual, - left_on="bene_mbi_id", - right_on="subscriber_id", - how="left", - suffix="_dual", - ) - return joined.unique(subset=["bene_mbi_id"], keep="any") + dual = ( + coverage.filter(nw.col("class_plan") == "Dual Medicare/Medicaid") + .select("subscriber_id", nw.col("dual_stus_cd").alias("dual_stus_cd_dual")) + .unique(subset=["subscriber_id"], keep="any") + ) + return ( + patient.select(*_PATIENT_COLS) + .join(parts, left_on="bene_mbi_id", right_on="subscriber_id", how="left") + .join(dual, left_on="bene_mbi_id", right_on="subscriber_id", how="left") + .unique(subset=["bene_mbi_id"], keep="any") + ) @nw.narwhalify def eligibility( bcda___stg_beneficiary_demographics: FrameT, ) -> FrameT: - """Map Patient + Coverage to eligibility schema. + """Demographics → input_layer.eligibility. - Gender crosswalk: 1→male, 2→female, else unknown - Race crosswalk: 1→white, 2→black, 3→other, 4→asian, - 5→hispanic, 6→native, else unknown + Gender: CCW ``1``/``2`` (v3, and v2 after the flattener's crosswalk) + or the FHIR ``male``/``female`` the v2 flattener used to pass + through. Race: CCW codes 1–6. Dual status: v3 Dual row, else the + v2 January slot. Enrollment status from the Part A/B Coverage + status (``active`` / ``cancelled``). Operations: select Dependencies: bcda._stg_beneficiary_demographics """ df = bcda___stg_beneficiary_demographics null_str = nw.lit(None).cast(nw.String) - # v2 keeps dual status on the Part A row (dual_01); v3 carries it on - # the Dual Medicare/Medicaid row that stg_beneficiary_demographics - # joins in as dual_stus_cd_dual. - dual = nw.col("dual_01") - if "dual_stus_cd_dual" in df.columns: - dual = nw.coalesce(nw.col("dual_01"), nw.col("dual_stus_cd_dual")) - - gender = ( - nw.when(nw.col("bene_sex_cd") == "1") - .then(nw.lit("male")) - .otherwise( - nw.when(nw.col("bene_sex_cd") == "2") - .then(nw.lit("female")) - .otherwise(nw.lit("unknown")) - ) - .alias("gender") - ) - - race = ( - nw.when(nw.col("bene_race_cd") == "1") - .then(nw.lit("white")) - .otherwise( - nw.when(nw.col("bene_race_cd") == "2") - .then(nw.lit("black")) - .otherwise( - nw.when(nw.col("bene_race_cd") == "3") - .then(nw.lit("other")) - .otherwise( - nw.when(nw.col("bene_race_cd") == "4") - .then(nw.lit("asian")) - .otherwise( - nw.when(nw.col("bene_race_cd") == "5") - .then(nw.lit("hispanic")) - .otherwise( - nw.when(nw.col("bene_race_cd") == "6") - .then(nw.lit("native")) - .otherwise(nw.lit("unknown")) - ) - ) - ) - ) - ) - .alias("race") - ) + sex = nw.col("bene_sex_cd").cast(nw.String) + gender = _case( + (sex.is_in(["1", "male"]), nw.lit("male")), + (sex.is_in(["2", "female"]), nw.lit("female")), + default=nw.lit("unknown"), + ).alias("gender") + race_cd = nw.col("bene_race_cd").cast(nw.String) + race = _case( + (race_cd == "1", nw.lit("white")), + (race_cd == "2", nw.lit("black")), + (race_cd == "3", nw.lit("other")), + (race_cd == "4", nw.lit("asian")), + (race_cd == "5", nw.lit("hispanic")), + (race_cd == "6", nw.lit("native")), + default=nw.lit("unknown"), + ).alias("race") + status = nw.col("coverage_status").cast(nw.String) + enrollment_status = _case( + (status == "active", nw.lit("active")), + (status == "cancelled", nw.lit("inactive")), + default=null_str, + ).alias("enrollment_status") return df.select( nw.col("bene_mbi_id").alias("person_id"), @@ -664,13 +837,15 @@ def eligibility( .then(nw.lit(1)) .otherwise(nw.lit(0)) .alias("death_flag"), - nw.col("bene_part_a_enrlmt_bgn_dt").alias("enrollment_start_date"), - nw.col("mdcr_covg_a_end_dt").alias("enrollment_end_date"), + nw.col("enrollment_start_date"), + nw.col("enrollment_end_date"), nw.lit("medicare").alias("payer"), nw.lit("medicare").alias("payer_type"), nw.lit("medicare").alias("plan"), nw.col("orec").alias("original_reason_entitlement_code"), - dual.alias("dual_status_code"), + nw.coalesce(nw.col("dual_stus_cd_dual"), nw.col("dual_01")).alias( + "dual_status_code" + ), nw.col("ms_cd").alias("medicare_status_code"), null_str.alias("group_id"), null_str.alias("group_name"), @@ -686,7 +861,10 @@ def eligibility( nw.col("geo_zip5_cd").alias("zip_code"), null_str.alias("phone"), null_str.alias("email"), - null_str.alias("ethnicity"), + nw.when(race_cd == "5") + .then(nw.lit("hispanic")) + .otherwise(null_str) + .alias("ethnicity"), nw.lit("medicare bcda").alias("data_source"), nw.lit(None).cast(nw.String).alias("file_name"), nw.lit(None).cast(nw.Date).alias("file_date"), @@ -694,5 +872,5 @@ def eligibility( nw.lit(None).cast(nw.Int64).alias("hospice_flag"), nw.lit(None).cast(nw.Int64).alias("institutional_snp_flag"), nw.lit(None).cast(nw.Int64).alias("long_term_institutional_flag"), - null_str.alias("enrollment_status"), + enrollment_status, ) diff --git a/src/bcda/express/v3.py b/src/bcda/express/v3.py index d4945f1..614f225 100644 --- a/src/bcda/express/v3.py +++ b/src/bcda/express/v3.py @@ -69,6 +69,7 @@ NDC = "http://hl7.org/fhir/sid/ndc" HIPPS = "HIPPSCodes" # https://www.cms.gov/.../ProspMedicareFeeSvcPmtGen/HIPPSCodes HCPCS_SYSTEMS = ("http://www.ama-assn.org/go/cpt", "HCPCSReleaseCodeSets") POS = "Place_of_Service_Code_Set" +NUBC_TOB = "https://www.nubc.org/CodeSystem/TypeOfBill" # CCW BENE_RACE_CD from the US Core OMB race/ethnicity codes # (CCW codebook: 0 Unknown, 1 White, 2 Black, 3 Other, 4 Asian/Pacific @@ -1070,6 +1071,7 @@ def flatten_eob(resource: dict) -> tuple[ExplanationOfBenefit, list[EobItem]]: if v is not None: for col in cols: kwargs[col] = v + kwargs["clm_bill_type_cd"] = _coding(tob.get("code"), NUBC_TOB) if kwargs.get("bene_ptnt_stus_cd") is None: kwargs["bene_ptnt_stus_cd"] = _si_code_by_system( infos, CS + "CLM-MDCR-NCH-PTNT-STUS-IND-CD" diff --git a/src/bcda/pipe/cclf.py b/src/bcda/pipe/cclf.py index e4e4481..4b68131 100644 --- a/src/bcda/pipe/cclf.py +++ b/src/bcda/pipe/cclf.py @@ -1,30 +1,32 @@ """BCDA FHIR R4 connector pipeline — EOB + Patient + Coverage → input_layer. -Transforms flattened BCDA FHIR R4 resources into three consolidated -output tables: - - input_layer.medical_claim (Part A + Part B carrier + Part B DME) +Transforms the flattened BCDA tables (v2 or v3 exports) into the three +input_layer tables on the canonical ``aco.table.input_layer`` contracts: + - input_layer.medical_claim (institutional + professional + DME) - input_layer.pharmacy_claim (Part D) - input_layer.eligibility (Patient + Coverage) -Pipeline expressions (12 total):: +Pipeline expressions (13 total):: - stg_beneficiary_xref Patient → MBI identity - stg_part_a_header EOB(V) + xref + stg_beneficiary_xref Patient → current MBI + stg_claim_header EOB → final action, claim family, + cross-source dedupe, MBI + stg_part_a_header family = institutional int_institutional_medical_claim header + items → medical_claim - stg_part_b_physician_header EOB(O) + xref + stg_part_b_physician_header family = professional int_physician_medical_claim header + items → medical_claim - stg_part_b_dme_header EOB(M) + xref + stg_part_b_dme_header family = dme int_dme_medical_claim header + items → medical_claim - medical_claim union inst+phys+dme - stg_part_d_header EOB(P) + xref + medical_claim union inst + phys + dme + stg_part_d_header family = pharmacy pharmacy_claim Part D → pharmacy_claim - stg_beneficiary_demographics Patient + Coverage + stg_beneficiary_demographics Patient + Coverage (Part A row, Dual row) eligibility demographics → eligibility -Source data — BCDA bulk FHIR export (v2 or v3, flattened to bcda.*): - - ExplanationOfBenefit (header + items) - - Patient - - Coverage +v3 semantics (routing on EOB-TYPE / CLM-TYPE-CD, Final-Action filter, +SharedSystem→NationalClaimsHistory dedupe by claim control number, +consolidated line amounts, admission period, NUBC type of bill, Coverage +period per plan) are documented in ``bcda.express.cclf``. """ from __future__ import annotations @@ -55,6 +57,7 @@ def _build_pipeline(): BcdaPharmacyClaim, BcdaStgBeneficiaryDemographics, BcdaStgBeneficiaryXref, + BcdaStgClaimHeader, BcdaStgPartAHeader, BcdaStgPartBDmeHeader, BcdaStgPartBPhysicianHeader, @@ -76,26 +79,42 @@ def _build_pipeline(): after=["bcda.patient"], refs=_REFS, description=( - "Deduplicates BCDA Patient to one row per " - "beneficiary with the current MBI. Unlike the " - "CCLF pipeline, no CCLF9-style crosswalk is " - "needed — BCDA delivers current MBIs directly." + "One row per beneficiary with the current MBI. v2 " + "delivers it in bene_mbi_id; v3's flattener picks the " + "us-mbi identifier without a period end. bene_id is " + "the CCW BENE_ID (v2) or the IDR BENE_SK (v3)." ), ), - # -- Part A institutional claims -------------------------- + # -- Claim header: final action, family, dedupe ----------- Expr( - name="bcda._stg_part_a_header", - fn=ex.stg_part_a_header, - output=BcdaStgPartAHeader, + name="bcda._stg_claim_header", + fn=ex.stg_claim_header, + output=BcdaStgClaimHeader, after=[ "bcda.explanation_of_benefit", "bcda._stg_beneficiary_xref", ], refs=_REFS, description=( - "Filters EOB to Part A institutional claims " - "(nch_near_line_rec_ident_cd='V') and resolves " - "beneficiary MBI via the xref." + "Drops NotFinalAction claims (v3 Final-Action tag), " + "routes each EOB to institutional / professional / dme " + "/ pharmacy from the v3 EOB-TYPE and CLM-TYPE-CD " + "codings (v2 near-line RIC as last resort), collapses " + "a claim seen in two sources by claim control number " + "(NationalClaimsHistory over SharedSystem, newest " + "last), and resolves the current MBI." + ), + ), + # -- Institutional claims --------------------------------- + Expr( + name="bcda._stg_part_a_header", + fn=ex.stg_part_a_header, + output=BcdaStgPartAHeader, + after=["bcda._stg_claim_header"], + refs=_REFS, + description=( + "Institutional claims: EOB-TYPE INPATIENT, OUTPATIENT, " + "SNF, HHA, HOSPICE (CLM-TYPE-CD 10–64)." ), ), Expr( @@ -105,42 +124,35 @@ def _build_pipeline(): after=["bcda._stg_part_a_header", "bcda.eob_item"], refs=_REFS, description=( - "Joins Part A header + line items into " - "institutional medical_claim rows with bill type, " - "DRG, revenue center, 12 inline diagnosis codes, " - "and 1 procedure code from the EOB header." + "Institutional header + revenue-centre lines → " + "medical_claim: admission period, NUBC type of bill, " + "MS-DRG, revenue centre, 12 header diagnoses with POA " + "on the first, first ICD procedure, line paid / charge " + "/ coinsurance / deductible from the v3 Adjudication " + "amounts, attending→operating→rendering NPI, billing " + "Organization NPI and tax number." ), ), - # -- Part B physician claims ------------------------------ + # -- Part B carrier claims -------------------------------- Expr( name="bcda._stg_part_b_physician_header", fn=ex.stg_part_b_physician_header, output=BcdaStgPartBPhysicianHeader, - after=[ - "bcda.explanation_of_benefit", - "bcda._stg_beneficiary_xref", - ], + after=["bcda._stg_claim_header"], refs=_REFS, - description=( - "Filters EOB to Part B carrier/physician claims " - "(nch_near_line_rec_ident_cd='O') and resolves " - "beneficiary MBI." - ), + description="Part B carrier claims: EOB-TYPE CARRIER (CLM-TYPE-CD 71, 72).", ), Expr( name="bcda._int_physician_medical_claim", fn=ex.int_physician_medical_claim, output=BcdaIntPhysicianMedicalClaim, - after=[ - "bcda._stg_part_b_physician_header", - "bcda.eob_item", - ], + after=["bcda._stg_part_b_physician_header", "bcda.eob_item"], refs=_REFS, description=( - "Joins Part B physician header + line items into " - "professional medical_claim rows with place of " - "service, rendering NPI/TIN, and 12 inline " - "diagnosis codes." + "Carrier header + lines → professional medical_claim: " + "place of service, HCPCS + modifiers, rendering NPI and " + "tax number, billing NPI, line paid / allowed / " + "submitted / coinsurance / deductible." ), ), # -- Part B DME claims ------------------------------------ @@ -148,16 +160,9 @@ def _build_pipeline(): name="bcda._stg_part_b_dme_header", fn=ex.stg_part_b_dme_header, output=BcdaStgPartBDmeHeader, - after=[ - "bcda.explanation_of_benefit", - "bcda._stg_beneficiary_xref", - ], + after=["bcda._stg_claim_header"], refs=_REFS, - description=( - "Filters EOB to Part B DME claims " - "(nch_near_line_rec_ident_cd='M') and resolves " - "beneficiary MBI." - ), + description="Part B DME claims: EOB-TYPE DME (CLM-TYPE-CD 81, 82).", ), Expr( name="bcda._int_dme_medical_claim", @@ -166,12 +171,12 @@ def _build_pipeline(): after=["bcda._stg_part_b_dme_header", "bcda.eob_item"], refs=_REFS, description=( - "Joins Part B DME header + line items into " - "professional medical_claim rows. DME claims " - "carry no diagnosis or procedure codes." + "DME header + lines → professional medical_claim; " + "rendering NPI falls back to the ordering provider, " + "billing NPI to the pay-to provider." ), ), - # -- Final medical_claim (union) -------------------------- + # -- Union -------------------------------------------------- Expr( name="bcda.medical_claim", fn=ex.medical_claim, @@ -183,25 +188,18 @@ def _build_pipeline(): ], refs=_REFS, description=( - "Unions institutional + professional + DME into " - "the final medical_claim table." + "Union of institutional, carrier and DME lines on the " + "input_layer.medical_claim contract." ), ), - # -- Part D pharmacy claims ------------------------------- + # -- Part D ---------------------------------------------- Expr( name="bcda._stg_part_d_header", fn=ex.stg_part_d_header, output=BcdaStgPartDHeader, - after=[ - "bcda.explanation_of_benefit", - "bcda._stg_beneficiary_xref", - ], + after=["bcda._stg_claim_header"], refs=_REFS, - description=( - "Filters EOB to Part D pharmacy claims " - "(nch_near_line_rec_ident_cd='P') and resolves " - "beneficiary MBI." - ), + description="Part D claims: EOB-TYPE PDE (CLM-TYPE-CD 1–4).", ), Expr( name="bcda.pharmacy_claim", @@ -210,12 +208,14 @@ def _build_pipeline(): after=["bcda._stg_part_d_header", "bcda.eob_item"], refs=_REFS, description=( - "Joins Part D header + line items into " - "pharmacy_claim with NDC, quantity, days supply, " - "prescribing and dispensing provider NPIs." + "Part D header + line → pharmacy_claim: PDE id, " + "prescribing care-team NPI, dispensing pharmacy NPI " + "(contained billing Organization), NDC and NDC " + "quantity, days supply, fill number, total drug cost " + "as charge, paid-by-patient as copayment." ), ), - # -- Eligibility ------------------------------------------ + # -- Eligibility ------------------------------------------- Expr( name="bcda._stg_beneficiary_demographics", fn=ex.stg_beneficiary_demographics, @@ -223,9 +223,10 @@ def _build_pipeline(): after=["bcda.patient", "bcda.coverage"], refs=_REFS, description=( - "Joins Patient + Coverage for demographics and " - "enrollment data. Deduplicates to one row per " - "beneficiary MBI." + "Patient joined to its Part A Coverage row (Part B " + "fallback) for Medicare status, entitlement reason, " + "enrollment period and status, plus the v3 Dual " + "Medicare/Medicaid row for dual status." ), ), Expr( @@ -235,8 +236,8 @@ def _build_pipeline(): after=["bcda._stg_beneficiary_demographics"], refs=_REFS, description=( - "Maps Patient + Coverage to the eligibility " - "schema with gender and race crosswalks." + "Demographics → input_layer.eligibility with gender, " + "race and enrollment-status crosswalks." ), ), ] diff --git a/src/bcda/table/cclf_pipe.py b/src/bcda/table/cclf_pipe.py index 0069a3f..cfec817 100644 --- a/src/bcda/table/cclf_pipe.py +++ b/src/bcda/table/cclf_pipe.py @@ -1,383 +1,175 @@ -"""SQLTable contracts for the BCDA FHIR R4 connector pipeline intermediates. +"""SQLTable contracts for the BCDA FHIR R4 connector pipeline. -Each class corresponds to one ``Expr`` in ``bcda.pipe.cclf`` and documents -the output schema produced by the matching ``bcda.express.cclf`` function. +Each class is the output contract of one ``Expr`` in ``bcda.pipe.cclf`` +and is checked column-for-column by ``aco.pipe.runner`` against what +the matching ``bcda.express.cclf`` function returns. + +The contracts inherit rather than restate: + +- the claim-header stages pass every ``bcda.explanation_of_benefit`` + column through plus ``claim_family`` and the current MBI, so they + subclass :class:`bcda.table.eob.ExplanationOfBenefit`; +- the three outputs are the canonical Tuva-shaped input_layer tables, + so they subclass ``aco.table.input_layer.InputLayer*`` — the same + schema the CCLF pipeline lands, which is what lets the downstream + pipelines run unchanged on either source. """ from __future__ import annotations -from datetime import date, datetime +from datetime import date +from aco.table.input_layer import ( + InputLayerEligibility, + InputLayerMedicalClaim, + InputLayerPharmacyClaim, +) +from bcda.table.eob import ExplanationOfBenefit from conf.table_base import SQLTable # ── Stage 1: Beneficiary XREF (Patient) ────────────────────────────────────── class BcdaStgBeneficiaryXref(SQLTable): - """bcda._stg_beneficiary_xref — deduplicated MBI identity from BCDA Patient.""" + """bcda._stg_beneficiary_xref — one row per beneficiary with the current MBI.""" __schema__ = "bcda" __tablename__ = "_stg_beneficiary_xref" bene_id: str | None = None - """Internal BCDA beneficiary identifier.""" + """Beneficiary key: CCW BENE_ID (v2) or IDR BENE_SK (v3 Patient.id).""" current_bene_mbi_id: str | None = None - """Current Medicare Beneficiary Identifier (delivered directly by BCDA).""" + """Current Medicare Beneficiary Identifier.""" -# ── Stage 2: Part A institutional claim header ──────────────────────────────── +# ── Stage 2: Claim header — final action, family, dedupe, MBI ──────────────── -class BcdaStgPartAHeader(SQLTable): - """bcda._stg_part_a_header — EOB Part A filtered and MBI resolved.""" +class BcdaStgClaimHeader(ExplanationOfBenefit): + """bcda._stg_claim_header — final-action EOB headers tagged with a family. + + Every ``bcda.explanation_of_benefit`` column plus the two below. + """ + + __schema__ = "bcda" + __tablename__ = "_stg_claim_header" + + claim_family: str | None = None + """institutional · professional · dme · pharmacy (see + ``bcda.express.cclf._claim_family``).""" + + current_bene_mbi_id: str | None = None + """Current MBI resolved through ``_stg_beneficiary_xref``.""" + + +class BcdaStgPartAHeader(BcdaStgClaimHeader): + """bcda._stg_part_a_header — institutional claims.""" __schema__ = "bcda" __tablename__ = "_stg_part_a_header" - clm_id: str | None = None - current_bene_mbi_id: str | None = None - bene_id: str | None = None - nch_near_line_rec_ident_cd: str | None = None - clm_from_dt: date | None = None - clm_thru_dt: date | None = None - clm_admsn_dt: date | None = None - nch_bene_dschrg_dt: date | None = None - clm_admsn_src_cd: str | None = None - clm_admsn_type_cd: str | None = None - ptnt_dschrg_stus_cd: str | None = None - clm_bill_fac_type_cd: str | None = None - clm_bill_clsfctn_cd: str | None = None - clm_bill_freq_cd: str | None = None - clm_drg_cd: str | None = None - dgns_prcdr_icd_ind: str | None = None - clm_pmt_amt: float | None = None - clm_tot_chrg_amt: float | None = None - org_npi_num: str | None = None - at_physn_npi: str | None = None - op_physn_npi: str | None = None - -# ── Stage 3: Institutional medical_claim (Part A header + items) ────────────── - - -class BcdaIntInstitutionalMedicalClaim(SQLTable): - """bcda._int_institutional_medical_claim — Part A joined to medical_claim schema.""" - - __schema__ = "bcda" - __tablename__ = "_int_institutional_medical_claim" - - claim_id: str | None = None - claim_line_number: int | None = None - claim_type: str | None = None - person_id: str | None = None - member_id: str | None = None - payer: str | None = None - plan: str | None = None - claim_start_date: date | None = None - claim_end_date: date | None = None - admission_date: date | None = None - discharge_date: date | None = None - admit_source_code: str | None = None - admit_type_code: str | None = None - discharge_disposition_code: str | None = None - bill_type_code: str | None = None - drg_code_type: str | None = None - drg_code: str | None = None - revenue_center_code: str | None = None - hcpcs_code: str | None = None - rendering_npi: str | None = None - billing_npi: str | None = None - facility_npi: str | None = None - paid_amount: float | None = None - allowed_amount: float | None = None - charge_amount: float | None = None - diagnosis_code_type: str | None = None - diagnosis_code_1: str | None = None - diagnosis_code_2: str | None = None - diagnosis_code_3: str | None = None - procedure_code_type: str | None = None - procedure_code_1: str | None = None - in_network_flag: int | None = None - data_source: str | None = None - file_name: str | None = None - file_date: date | None = None - ingest_datetime: datetime | None = None - - -# ── Stage 4: Part B physician claim header ──────────────────────────────────── - - -class BcdaStgPartBPhysicianHeader(SQLTable): - """bcda._stg_part_b_physician_header — EOB Part B carrier filtered and MBI resolved.""" +class BcdaStgPartBPhysicianHeader(BcdaStgClaimHeader): + """bcda._stg_part_b_physician_header — Part B carrier claims.""" __schema__ = "bcda" __tablename__ = "_stg_part_b_physician_header" - clm_id: str | None = None - current_bene_mbi_id: str | None = None - bene_id: str | None = None - nch_near_line_rec_ident_cd: str | None = None - clm_from_dt: date | None = None - clm_thru_dt: date | None = None - clm_pmt_amt: float | None = None - clm_tot_chrg_amt: float | None = None - rndrng_physn_npi: str | None = None - org_npi_num: str | None = None - dgns_prcdr_icd_ind: str | None = None - -# ── Stage 5: Professional medical_claim (Part B physician) ─────────────────── - - -class BcdaIntPhysicianMedicalClaim(SQLTable): - """bcda._int_physician_medical_claim — Part B physician joined to medical_claim schema.""" - - __schema__ = "bcda" - __tablename__ = "_int_physician_medical_claim" - - claim_id: str | None = None - claim_line_number: int | None = None - claim_type: str | None = None - person_id: str | None = None - member_id: str | None = None - payer: str | None = None - plan: str | None = None - claim_start_date: date | None = None - claim_end_date: date | None = None - claim_line_start_date: date | None = None - claim_line_end_date: date | None = None - place_of_service_code: str | None = None - hcpcs_code: str | None = None - hcpcs_modifier_1: str | None = None - rendering_npi: str | None = None - billing_npi: str | None = None - paid_amount: float | None = None - allowed_amount: float | None = None - charge_amount: float | None = None - diagnosis_code_type: str | None = None - diagnosis_code_1: str | None = None - diagnosis_code_2: str | None = None - diagnosis_code_3: str | None = None - in_network_flag: int | None = None - data_source: str | None = None - file_name: str | None = None - file_date: date | None = None - ingest_datetime: datetime | None = None - - -# ── Stage 6: Part B DME claim header ───────────────────────────────────────── - - -class BcdaStgPartBDmeHeader(SQLTable): - """bcda._stg_part_b_dme_header — EOB Part B DME filtered and MBI resolved.""" +class BcdaStgPartBDmeHeader(BcdaStgClaimHeader): + """bcda._stg_part_b_dme_header — Part B DME claims.""" __schema__ = "bcda" __tablename__ = "_stg_part_b_dme_header" - clm_id: str | None = None - current_bene_mbi_id: str | None = None - bene_id: str | None = None - nch_near_line_rec_ident_cd: str | None = None - clm_from_dt: date | None = None - clm_thru_dt: date | None = None - clm_pmt_amt: float | None = None - clm_tot_chrg_amt: float | None = None - rndrng_physn_npi: str | None = None - org_npi_num: str | None = None - -# ── Stage 7: DME medical_claim (Part B DME) ─────────────────────────────────── - - -class BcdaIntDmeMedicalClaim(SQLTable): - """bcda._int_dme_medical_claim — Part B DME joined to medical_claim schema.""" - - __schema__ = "bcda" - __tablename__ = "_int_dme_medical_claim" - - claim_id: str | None = None - claim_line_number: int | None = None - claim_type: str | None = None - person_id: str | None = None - member_id: str | None = None - payer: str | None = None - plan: str | None = None - claim_start_date: date | None = None - claim_end_date: date | None = None - claim_line_start_date: date | None = None - claim_line_end_date: date | None = None - hcpcs_code: str | None = None - rendering_npi: str | None = None - billing_npi: str | None = None - paid_amount: float | None = None - allowed_amount: float | None = None - charge_amount: float | None = None - in_network_flag: int | None = None - data_source: str | None = None - file_name: str | None = None - file_date: date | None = None - ingest_datetime: datetime | None = None - - -# ── Stage 8: Final medical_claim (union inst + phys + dme) ─────────────────── - - -class BcdaMedicalClaim(SQLTable): - """bcda.medical_claim — unioned Part A + Part B carrier + Part B DME claims.""" - - __schema__ = "bcda" - __tablename__ = "medical_claim" - - claim_id: str | None = None - claim_line_number: int | None = None - claim_type: str | None = None - person_id: str | None = None - member_id: str | None = None - payer: str | None = None - plan: str | None = None - claim_start_date: date | None = None - claim_end_date: date | None = None - admission_date: date | None = None - discharge_date: date | None = None - admit_source_code: str | None = None - admit_type_code: str | None = None - discharge_disposition_code: str | None = None - place_of_service_code: str | None = None - bill_type_code: str | None = None - drg_code_type: str | None = None - drg_code: str | None = None - revenue_center_code: str | None = None - hcpcs_code: str | None = None - rendering_npi: str | None = None - billing_npi: str | None = None - facility_npi: str | None = None - paid_amount: float | None = None - allowed_amount: float | None = None - charge_amount: float | None = None - diagnosis_code_type: str | None = None - diagnosis_code_1: str | None = None - diagnosis_code_2: str | None = None - diagnosis_code_3: str | None = None - procedure_code_type: str | None = None - procedure_code_1: str | None = None - in_network_flag: int | None = None - data_source: str | None = None - file_name: str | None = None - file_date: date | None = None - ingest_datetime: datetime | None = None - - -# ── Stage 9: Part D pharmacy claim header ──────────────────────────────────── - - -class BcdaStgPartDHeader(SQLTable): - """bcda._stg_part_d_header — EOB Part D filtered and MBI resolved.""" +class BcdaStgPartDHeader(BcdaStgClaimHeader): + """bcda._stg_part_d_header — Part D pharmacy claims.""" __schema__ = "bcda" __tablename__ = "_stg_part_d_header" - clm_id: str | None = None - current_bene_mbi_id: str | None = None - bene_id: str | None = None - nch_near_line_rec_ident_cd: str | None = None - clm_from_dt: date | None = None - clm_thru_dt: date | None = None - clm_pmt_amt: float | None = None - clm_tot_chrg_amt: float | None = None - prscrbr_id: str | None = None - rx_srvc_rfrnc_num: str | None = None + +# ── Stage 3: medical_claim (input_layer shape) ─────────────────────────────── -# ── Stage 10: Final pharmacy_claim (Part D) ─────────────────────────────────── +class BcdaIntInstitutionalMedicalClaim(InputLayerMedicalClaim): + """bcda._int_institutional_medical_claim — institutional lines.""" + + __schema__ = "bcda" + __tablename__ = "_int_institutional_medical_claim" -class BcdaPharmacyClaim(SQLTable): - """bcda.pharmacy_claim — Part D joined to pharmacy_claim schema.""" +class BcdaIntPhysicianMedicalClaim(InputLayerMedicalClaim): + """bcda._int_physician_medical_claim — carrier lines.""" + + __schema__ = "bcda" + __tablename__ = "_int_physician_medical_claim" + + +class BcdaIntDmeMedicalClaim(InputLayerMedicalClaim): + """bcda._int_dme_medical_claim — DME lines.""" + + __schema__ = "bcda" + __tablename__ = "_int_dme_medical_claim" + + +class BcdaMedicalClaim(InputLayerMedicalClaim): + """bcda.medical_claim — union of the three families; saved to input_layer.medical_claim.""" + + __schema__ = "bcda" + __tablename__ = "medical_claim" + + +# ── Stage 4: pharmacy_claim ────────────────────────────────────────────────── + + +class BcdaPharmacyClaim(InputLayerPharmacyClaim): + """bcda.pharmacy_claim — Part D; saved to input_layer.pharmacy_claim.""" __schema__ = "bcda" __tablename__ = "pharmacy_claim" - claim_id: str | None = None - claim_line_number: int | None = None - person_id: str | None = None - member_id: str | None = None - payer: str | None = None - plan: str | None = None - prescribing_provider_npi: str | None = None - dispensing_provider_npi: str | None = None - dispensing_date: date | None = None - ndc_code: str | None = None - quantity: float | None = None - days_supply: int | None = None - refills: int | None = None - paid_date: date | None = None - paid_amount: float | None = None - allowed_amount: float | None = None - coinsurance_amount: float | None = None - copayment_amount: float | None = None - deductible_amount: float | None = None - in_network_flag: int | None = None - data_source: str | None = None - file_name: str | None = None - file_date: date | None = None - ingest_datetime: datetime | None = None - -# ── Stage 11: Beneficiary demographics staging (Patient + Coverage) ─────────── +# ── Stage 5: eligibility ───────────────────────────────────────────────────── class BcdaStgBeneficiaryDemographics(SQLTable): - """bcda._stg_beneficiary_demographics — Patient + Coverage joined and deduplicated.""" + """bcda._stg_beneficiary_demographics — Patient plus its enrollment Coverage row.""" __schema__ = "bcda" __tablename__ = "_stg_beneficiary_demographics" - current_bene_mbi_id: str | None = None bene_id: str | None = None - bene_birth_dt: date | None = None + bene_mbi_id: str | None = None bene_sex_cd: str | None = None bene_race_cd: str | None = None - bene_fips_state_cd: str | None = None - bene_county_cd: str | None = None - bene_zip_cd: str | None = None + bene_dob: date | None = None + bene_death_dt: date | None = None bene_1st_name: str | None = None + bene_midl_name: str | None = None bene_last_name: str | None = None - crnt_bene_mdcr_stus_cd: str | None = None - covr_yr_mo: str | None = None + bene_line_1_adr: str | None = None + geo_zip_plc_name: str | None = None + geo_usps_state_cd: str | None = None + geo_zip5_cd: str | None = None + coverage_plan: str | None = None + """Which Coverage row supplied the enrollment fields (Part A, else Part B).""" + coverage_status: str | None = None + """Coverage.status of that row (active / cancelled).""" + ms_cd: str | None = None + orec: str | None = None + dual_01: str | None = None + """v2 January dual status (NULL on v3 rows).""" + enrollment_start_date: date | None = None + enrollment_end_date: date | None = None + dual_stus_cd_dual: str | None = None + """v3 dual status from the Dual Medicare/Medicaid Coverage row.""" -# ── Stage 12: Final eligibility (Patient + Coverage) ───────────────────────── - - -class BcdaEligibility(SQLTable): - """bcda.eligibility — Patient + Coverage mapped to eligibility schema.""" +class BcdaEligibility(InputLayerEligibility): + """bcda.eligibility — saved to input_layer.eligibility.""" __schema__ = "bcda" __tablename__ = "eligibility" - - person_id: str | None = None - member_id: str | None = None - gender: str | None = None - race: str | None = None - birth_date: date | None = None - death_date: date | None = None - death_flag: int | None = None - enrollment_start_date: date | None = None - enrollment_end_date: date | None = None - payer: str | None = None - plan: str | None = None - original_reason_entitlement_code: str | None = None - dual_status_code: str | None = None - medicare_status_code: str | None = None - first_name: str | None = None - last_name: str | None = None - address: str | None = None - city: str | None = None - state: str | None = None - zip_code: str | None = None - phone: str | None = None - data_source: str | None = None - file_name: str | None = None - file_date: date | None = None - ingest_datetime: datetime | None = None diff --git a/src/bcda/table/eob.py b/src/bcda/table/eob.py index 9508f5f..3f7a61a 100644 --- a/src/bcda/table/eob.py +++ b/src/bcda/table/eob.py @@ -414,6 +414,12 @@ class ExplanationOfBenefit(SQLTable): clm_sbmt_frmt_cd: str | None = None """Submission format (supportingInfo CLM_SBMT_FRMT_CD).""" + clm_bill_type_cd: str | None = None + """NUBC type of bill, 4 characters (supportingInfo typeofbill coding + https://www.nubc.org/CodeSystem/TypeOfBill) — the v3 CLM-BILL-FREQ-CD + coding carries the last three characters, so this is the only place + the whole code appears.""" + clm_blg_prvdr_name: str | None = None """Billing provider name (contained Organization.name).""" diff --git a/src/cli/load.py b/src/cli/load.py index 35ed28c..eba461c 100644 --- a/src/cli/load.py +++ b/src/cli/load.py @@ -52,6 +52,11 @@ def bcda( "--skip-flatten", help="Skip flattening, load existing Parquet.", ), + run_pipeline: bool = typer.Option( + False, + "--run-pipeline", + help="Also run the bcda connector pipeline into input_layer.*", + ), ) -> None: """Flatten BCDA FHIR exports and load into DuckDB. @@ -68,6 +73,7 @@ def bcda( ndjson_dir=ndjson_dir, database=database, skip_flatten=skip_flatten, + run_pipeline=run_pipeline, ) except FileNotFoundError as e: typer.echo(f"Error: {e}", err=True) diff --git a/tests/aco/test_load_bcda.py b/tests/aco/test_load_bcda.py index 7021a33..5f99fed 100644 --- a/tests/aco/test_load_bcda.py +++ b/tests/aco/test_load_bcda.py @@ -95,12 +95,17 @@ class TestLoadV3EndToEnd: return real_path(key) with patch("conf.path", side_effect=fake_path): - stats = load_bcda(database=str(db)) + stats = load_bcda(database=str(db), run_pipeline=True) assert stats == { "bcda.patient": 94, "bcda.explanation_of_benefit": 538, "bcda.eob_item": 2464, "bcda.coverage": 175, + # the connector pipeline ran and landed input_layer.*; the + # duplicated EOB part collapses on claim control number + "input_layer.medical_claim": 1021, + "input_layer.pharmacy_claim": 102, + "input_layer.eligibility": 94, } con = duckdb.connect(str(db), read_only=True) plans = dict( @@ -121,4 +126,17 @@ class TestLoadV3EndToEnd: ).fetchone()[0] == 0 ) + assert ( + con.execute( + "select count(distinct claim_id) from input_layer.medical_claim" + ).fetchone()[0] + == 131 + ) + assert ( + con.execute( + "select count(*) from input_layer.medical_claim " + "where claim_type = 'institutional' and length(bill_type_code) <> 4" + ).fetchone()[0] + == 0 + ) con.close() diff --git a/tests/bcda/test_cclf_v3.py b/tests/bcda/test_cclf_v3.py new file mode 100644 index 0000000..0c736f0 --- /dev/null +++ b/tests/bcda/test_cclf_v3.py @@ -0,0 +1,923 @@ +"""bcda.express.cclf — the connector pipeline on v2- and v3-shaped tables. + +Routing, final-action filtering, cross-source dedupe, the shared +medical_claim mapping, Part D, demographics and eligibility. Fixtures +are minimal frames; the official-sample run lives in test_pipe_cclf. +""" + +from __future__ import annotations + +from datetime import date + +import narwhals as nw +import polars as pl +import pytest + +from bcda.express import cclf as ex +from bcda.express.cclf import ( + eligibility, + int_dme_medical_claim, + int_institutional_medical_claim, + int_physician_medical_claim, + medical_claim, + pharmacy_claim, + stg_beneficiary_demographics, + stg_beneficiary_xref, + stg_claim_header, + stg_part_a_header, + stg_part_b_dme_header, + stg_part_b_physician_header, + stg_part_d_header, +) +from bcda.table.cclf_pipe import ( + BcdaEligibility, + BcdaMedicalClaim, + BcdaPharmacyClaim, + BcdaStgBeneficiaryDemographics, + BcdaStgClaimHeader, +) + +# ── fixtures ───────────────────────────────────────────────── + + +@pytest.fixture +def xref() -> pl.DataFrame: + return stg_beneficiary_xref( + bcda__patient=pl.DataFrame( + {"bene_id": ["B1", "B2"], "bene_mbi_id": ["MBI-1", "MBI-2"]} + ) + ) + + +def _eob(rows: list[dict]) -> pl.DataFrame: + """Header frame from sparse dicts; missing columns are filled by the stage.""" + cols: dict[str, list] = {} + for r in rows: + for k in r: + cols.setdefault(k, []) + for r in rows: + for k in cols: + cols[k].append(r.get(k)) + return pl.DataFrame(cols) + + +@pytest.fixture +def v3_headers() -> pl.DataFrame: + """Seven v3 claims: one per family, a NotFinalAction, and a SharedSystem/NCH pair.""" + return _eob( + [ + { + "clm_id": "I1", + "clm_cntl_num": "CCN-I1", + "bene_id": "B1", + "eob_type": "INPATIENT", + "clm_type_cd": "60", + "system_type": "NationalClaimsHistory", + "final_action": "FinalAction", + "last_updated": "2026-01-02", + "clm_from_dt": date(2025, 1, 1), + "clm_thru_dt": date(2025, 1, 9), + "clm_actv_care_from_dt": date(2024, 12, 31), + "clm_dschrg_dt": date(2025, 1, 9), + "clm_admsn_src_cd": "7", + "clm_admsn_type_cd": "1", + "bene_ptnt_stus_cd": "01", + "clm_bill_type_cd": "0111", + "clm_bill_fac_type_cd": "1", + "clm_bill_clsfctn_cd": "11", + "clm_bill_freq_cd": "111", + "dgns_drg_cd": "470", + "dgns_prcdr_icd_ind": "0", + "clm_dgns_1_cd": "I10", + "clm_poa_ind": "Y", + "clm_prcdr_cd": "0SRC0J9", + "clm_prcdr_prfrm_dt": date(2025, 1, 2), + "atndg_prvdr_npi_num": "ATT", + "oprtg_prvdr_npi_num": "OPR", + "fac_prvdr_npi_num": "FAC", + "clm_blg_prvdr_tax_num": "TIN-FAC", + "clm_nch_wkly_proc_dt": date(2025, 1, 20), + "clm_mdcr_instnl_tot_chrg_amt": 9999.0, + }, + { + "clm_id": "C1", + "clm_cntl_num": "CCN-C1", + "bene_id": "B1", + "eob_type": "CARRIER", + "clm_type_cd": "71", + "system_type": "NationalClaimsHistory", + "final_action": "FinalAction", + "last_updated": "2026-01-02", + "clm_from_dt": date(2025, 2, 1), + "clm_thru_dt": date(2025, 2, 1), + "dgns_prcdr_icd_ind": "0", + "clm_dgns_1_cd": "E11.9", + "rndrg_prvdr_npi_num": "RND", + "clm_rndrg_prvdr_tax_num": "TIN-RND", + "carr_clm_blg_npi_num": "BLG", + "clm_cms_proc_dt": date(2025, 2, 10), + }, + { + "clm_id": "D1", + "clm_cntl_num": "CCN-D1", + "bene_id": "B2", + "eob_type": "DME", + "clm_type_cd": "82", + "system_type": "NationalClaimsHistory", + "final_action": "FinalAction", + "last_updated": "2026-01-02", + "clm_from_dt": date(2025, 3, 1), + "clm_thru_dt": date(2025, 3, 1), + "ordrg_prvdr_npi_num": "ORD", + "payto_prvdr_npi_num": "PAY", + }, + { + "clm_id": "P1", + "pde_id": "P1", + "clm_cntl_num": "CCN-P1", + "bene_id": "B2", + "eob_type": "PDE", + "clm_type_cd": "1", + "system_type": "DDPS", + "final_action": "FinalAction", + "last_updated": "2026-01-02", + "clm_from_dt": date(2025, 4, 1), + "clm_thru_dt": date(2025, 4, 1), + "clm_prsbng_prvdr_gnrc_id_num": "PRS", + "fac_prvdr_npi_num": "PHARM", + "clm_srvc_prvdr_gnrc_id_num": "LIC", + "clm_line_days_suply_qty": 30.0, + "clm_line_rx_fill_num": 2.0, + "clm_pd_dt": date(2025, 4, 3), + "clm_bene_pmt_amt": 7.5, + "tot_rx_cst_amt": 120.0, + }, + { + "clm_id": "X1", + "clm_cntl_num": "CCN-X1", + "bene_id": "B1", + "eob_type": "SNF", + "clm_type_cd": "20", + "system_type": "NationalClaimsHistory", + "final_action": "NotFinalAction", + "last_updated": "2026-01-02", + "clm_from_dt": date(2025, 5, 1), + "clm_thru_dt": date(2025, 5, 2), + }, + { + "clm_id": "S1", + "clm_cntl_num": "CCN-PAIR", + "bene_id": "B1", + "eob_type": "OUTPATIENT", + "clm_type_cd": "40", + "system_type": "SharedSystem", + "final_action": "FinalAction", + "last_updated": "2026-01-05", + "clm_from_dt": date(2025, 6, 1), + "clm_thru_dt": date(2025, 6, 1), + }, + { + "clm_id": "N1", + "clm_cntl_num": "CCN-PAIR", + "bene_id": "B1", + "eob_type": "OUTPATIENT", + "clm_type_cd": "40", + "system_type": "NationalClaimsHistory", + "final_action": "FinalAction", + "last_updated": "2026-01-01", + "clm_from_dt": date(2025, 6, 1), + "clm_thru_dt": date(2025, 6, 1), + }, + ] + ) + + +@pytest.fixture +def v3_items() -> pl.DataFrame: + return _eob( + [ + { + "clm_id": "I1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2025, 1, 1), + "clm_line_thru_dt": date(2025, 1, 9), + "clm_line_prod_rev_ctr_cd": "0120", + "clm_line_hcpcs_cd": "99223", + "clm_line_srvc_unit_qty": 1.4, + "clm_line_cvrd_pd_amt": 100.0, + "rev_cntr_tot_chrg_amt": 250.0, + "rev_cntr_coinsrnc_wge_adjstd_c": 10.0, + "rev_cntr_cash_ddctbl_amt": 5.0, + }, + { + "clm_id": "I1", + "clm_line_num": 2.0, + "clm_line_from_dt": date(2025, 1, 2), + "clm_line_thru_dt": date(2025, 1, 2), + "clm_line_prod_rev_ctr_cd": "0450", + "clm_line_hcpcs_cd": None, + "clm_line_srvc_unit_qty": 2.0, + "clm_line_cvrd_pd_amt": 50.0, + "rev_cntr_tot_chrg_amt": 75.0, + }, + { + "clm_id": "C1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2025, 2, 1), + "clm_line_thru_dt": date(2025, 2, 1), + "clm_line_hcpcs_cd": "99213", + "hcpcs_1_mdfr_cd": "25", + "clm_pos_cd": "11", + "clm_line_srvc_unit_qty": 1.0, + "clm_line_cvrd_pd_amt": 60.0, + "clm_line_alowd_chrg_amt": 75.0, + "clm_line_sbmtd_chrg_amt": 150.0, + "clm_line_coinsrnc_amt": 15.0, + "clm_line_bene_ptb_ddctbl_amt": 0.0, + }, + { + "clm_id": "D1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2025, 3, 1), + "clm_line_thru_dt": date(2025, 3, 31), + "clm_line_hcpcs_cd": "E1390", + "clm_pos_cd": "12", + "clm_line_srvc_unit_qty": 1.0, + "clm_line_cvrd_pd_amt": 80.0, + "clm_line_alowd_chrg_amt": 100.0, + "clm_line_sbmtd_chrg_amt": 120.0, + }, + { + "clm_id": "P1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2025, 4, 1), + "clm_line_thru_dt": date(2025, 4, 1), + "clm_line_ndc_cd": "00002143380", + "clm_line_ndc_qty": 30.0, + "clm_line_srvc_unit_qty": 1.0, + "tot_rx_cst_amt": 118.0, + }, + { + "clm_id": "N1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2025, 6, 1), + "clm_line_thru_dt": date(2025, 6, 1), + "clm_line_hcpcs_cd": "G0463", + "clm_line_cvrd_pd_amt": 30.0, + }, + { + "clm_id": "X1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2025, 5, 1), + "clm_line_thru_dt": date(2025, 5, 1), + "clm_line_cvrd_pd_amt": 1.0, + }, + ] + ) + + +@pytest.fixture +def v2_headers() -> pl.DataFrame: + """v2-shaped headers: routed by RIC code, no tags, no control numbers.""" + return _eob( + [ + { + "clm_id": "V1", + "bene_id": "B1", + "nch_near_line_rec_ident_cd": "V", + "clm_from_dt": date(2023, 1, 1), + "clm_thru_dt": date(2023, 1, 5), + "clm_bill_fac_type_cd": "1", + "clm_bill_clsfctn_cd": "1", + "clm_bill_freq_cd": "1", + "dgns_drg_cd": "MS-DRG470", + "oprtg_prvdr_npi_num": "OP", + "fac_prvdr_npi_num": "FACV", + "clm_mdcr_instnl_tot_chrg_amt": 5000.0, + }, + { + "clm_id": "O1", + "bene_id": "B1", + "nch_near_line_rec_ident_cd": "O", + "clm_from_dt": date(2023, 2, 1), + "clm_thru_dt": date(2023, 2, 1), + "rndrg_prvdr_npi_num": "RN", + "carr_clm_blg_npi_num": "BL", + }, + { + "clm_id": "M1", + "bene_id": "B2", + "nch_near_line_rec_ident_cd": "M", + "clm_from_dt": date(2023, 3, 1), + "clm_thru_dt": date(2023, 3, 1), + "ordrg_prvdr_npi_num": "ORD", + "payto_prvdr_npi_num": "PAY", + }, + { + "clm_id": "P2", + "pde_id": "PDE-2", + "bene_id": "B2", + "nch_near_line_rec_ident_cd": "P", + "clm_from_dt": date(2023, 4, 1), + "clm_thru_dt": date(2023, 4, 1), + "clm_prsbng_prvdr_gnrc_id_num": "PRS2", + "clm_srvc_prvdr_gnrc_id_num": "DSP2", + "clm_line_days_suply_qty": 30.0, + "clm_line_rx_fill_num": 0.0, + }, + { + "clm_id": "W1", + "bene_id": "B1", + "nch_near_line_rec_ident_cd": "W", + "clm_from_dt": date(2023, 5, 1), + "clm_thru_dt": date(2023, 5, 1), + }, + { + "clm_id": "Z1", + "bene_id": "B1", + "nch_near_line_rec_ident_cd": "Z", + "clm_from_dt": date(2023, 6, 1), + "clm_thru_dt": date(2023, 6, 1), + }, + { + "clm_id": "T1", + "bene_id": "B1", + "clm_type_cd": "72", + "clm_from_dt": date(2023, 7, 1), + "clm_thru_dt": date(2023, 7, 1), + }, + ] + ) + + +@pytest.fixture +def v2_items() -> pl.DataFrame: + return _eob( + [ + { + "clm_id": "V1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2023, 1, 1), + "clm_line_thru_dt": date(2023, 1, 5), + "clm_line_prod_rev_ctr_cd": "0301", + "clm_line_hcpcs_cd": "99213", + "clm_line_srvc_unit_qty": 1.0, + "clm_line_cvrd_pd_amt": 75.5, + }, + { + "clm_id": "O1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2023, 2, 1), + "clm_line_thru_dt": date(2023, 2, 1), + "clm_line_hcpcs_cd": "99214", + "clm_pos_cd": "11", + "clm_line_srvc_unit_qty": 2.0, + "clm_line_cvrd_pd_amt": 120.0, + "clm_line_alowd_chrg_amt": 150.0, + }, + { + "clm_id": "M1", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2023, 3, 1), + "clm_line_thru_dt": date(2023, 3, 1), + "clm_line_hcpcs_cd": "E1390", + "clm_pos_cd": "12", + "clm_line_cvrd_pd_amt": 50.0, + "clm_line_alowd_chrg_amt": 60.0, + }, + { + "clm_id": "P2", + "clm_line_num": 1.0, + "clm_line_from_dt": date(2023, 4, 1), + "clm_line_thru_dt": date(2023, 4, 1), + "clm_line_ndc_cd": "12345678901", + "clm_line_srvc_unit_qty": 30.0, + "clm_line_cvrd_pd_amt": 10.0, + "clm_line_bene_pmt_amt": 5.0, + }, + ] + ) + + +# ── helpers ────────────────────────────────────────────────── + + +class TestHelpers: + def test_case_nests(self) -> None: + df = pl.DataFrame({"x": [1, 2, 3]}) + expr = ex._case( + (nw.col("x") == 1, nw.lit("a")), + (nw.col("x") == 2, nw.lit("b")), + default=nw.lit("z"), + ) + out = nw.from_native(df).select(expr.alias("y")).to_native() + assert out["y"].to_list() == ["a", "b", "z"] + + def test_ensure_adds_typed_nulls(self) -> None: + df = nw.from_native(pl.DataFrame({"a": [1]})) + out = ex._ensure(df, {"a": nw.Int64, "b": nw.String, "c": nw.Date}).to_native() + assert out.columns == ["a", "b", "c"] + assert out.schema["b"] == pl.String and out.schema["c"] == pl.Date + assert ex._ensure(df, {"a": nw.Int64}).to_native().columns == ["a"] + + +# ── stg_claim_header ───────────────────────────────────────── + + +class TestStgClaimHeader: + def test_v3_routing_final_action_and_dedupe(self, v3_headers, xref) -> None: + out = stg_claim_header( + bcda__explanation_of_benefit=v3_headers, bcda___stg_beneficiary_xref=xref + ) + fam = dict( + zip(out["clm_id"].to_list(), out["claim_family"].to_list(), strict=True) + ) + assert fam == { + "I1": "institutional", + "C1": "professional", + "D1": "dme", + "P1": "pharmacy", + "N1": "institutional", # NCH row wins the CCN-PAIR + } + assert "X1" not in fam # NotFinalAction + assert "S1" not in fam # SharedSystem twin dropped + # sparse fixture: every output column is in the contract; the runner's + # exact-match check is exercised on real tables in test_pipe_cclf + assert set(out.columns) <= set(BcdaStgClaimHeader.column_names()) + assert {"claim_family", "current_bene_mbi_id"} <= set(out.columns) + mbi = dict( + zip( + out["clm_id"].to_list(), + out["current_bene_mbi_id"].to_list(), + strict=True, + ) + ) + assert mbi["I1"] == "MBI-1" and mbi["D1"] == "MBI-2" + + def test_newest_wins_within_a_source(self, xref) -> None: + eob = _eob( + [ + { + "clm_id": "old", + "clm_cntl_num": "C", + "bene_id": "B1", + "eob_type": "CARRIER", + "system_type": "NationalClaimsHistory", + "final_action": "FinalAction", + "last_updated": "2026-01-01", + }, + { + "clm_id": "new", + "clm_cntl_num": "C", + "bene_id": "B1", + "eob_type": "CARRIER", + "system_type": "NationalClaimsHistory", + "final_action": "FinalAction", + "last_updated": "2026-02-01", + }, + ] + ) + out = stg_claim_header( + bcda__explanation_of_benefit=eob, bcda___stg_beneficiary_xref=xref + ) + assert out["clm_id"].to_list() == ["new"] + + def test_v2_routing_fallbacks(self, v2_headers, xref) -> None: + out = stg_claim_header( + bcda__explanation_of_benefit=v2_headers, bcda___stg_beneficiary_xref=xref + ) + fam = dict( + zip(out["clm_id"].to_list(), out["claim_family"].to_list(), strict=True) + ) + assert fam == { + "V1": "institutional", + "O1": "professional", + "M1": "dme", + "P2": "pharmacy", + "W1": "institutional", # Part B institutional RIC + "Z1": None, # unknown RIC → unrouted, kept for inspection + "T1": "professional", # CLM-TYPE-CD without an EOB-TYPE + } + assert len(out) == 7 # nothing without a control number is collapsed + + def test_pde_id_routes_pharmacy_without_codes(self, xref) -> None: + eob = _eob([{"clm_id": "Q", "pde_id": "Q", "bene_id": "B1"}]) + out = stg_claim_header( + bcda__explanation_of_benefit=eob, bcda___stg_beneficiary_xref=xref + ) + assert out["claim_family"].to_list() == ["pharmacy"] + + def test_family_filters(self, v3_headers, xref) -> None: + hdr = stg_claim_header( + bcda__explanation_of_benefit=v3_headers, bcda___stg_beneficiary_xref=xref + ) + assert sorted( + stg_part_a_header(bcda___stg_claim_header=hdr)["clm_id"].to_list() + ) == ["I1", "N1"] + assert stg_part_b_physician_header(bcda___stg_claim_header=hdr)[ + "clm_id" + ].to_list() == ["C1"] + assert stg_part_b_dme_header(bcda___stg_claim_header=hdr)[ + "clm_id" + ].to_list() == ["D1"] + assert stg_part_d_header(bcda___stg_claim_header=hdr)["clm_id"].to_list() == [ + "P1" + ] + + +# ── medical_claim ──────────────────────────────────────────── + + +@pytest.fixture +def v3_medical(v3_headers, v3_items, xref) -> pl.DataFrame: + hdr = stg_claim_header( + bcda__explanation_of_benefit=v3_headers, bcda___stg_beneficiary_xref=xref + ) + return medical_claim( + bcda___int_institutional_medical_claim=int_institutional_medical_claim( + bcda___stg_part_a_header=stg_part_a_header(bcda___stg_claim_header=hdr), + bcda__eob_item=v3_items, + ), + bcda___int_physician_medical_claim=int_physician_medical_claim( + bcda___stg_part_b_physician_header=stg_part_b_physician_header( + bcda___stg_claim_header=hdr + ), + bcda__eob_item=v3_items, + ), + bcda___int_dme_medical_claim=int_dme_medical_claim( + bcda___stg_part_b_dme_header=stg_part_b_dme_header( + bcda___stg_claim_header=hdr + ), + bcda__eob_item=v3_items, + ), + ) + + +class TestMedicalClaimV3: + def test_contract_and_rows(self, v3_medical) -> None: + assert set(v3_medical.columns) == set(BcdaMedicalClaim.column_names()) + assert sorted(v3_medical["claim_id"].to_list()) == [ + "C1", + "D1", + "I1", + "I1", + "N1", + ] + assert v3_medical.filter(pl.col("claim_id") == "X1").is_empty() + + def test_institutional_line(self, v3_medical) -> None: + r = v3_medical.filter( + (pl.col("claim_id") == "I1") & (pl.col("claim_line_number") == 1) + ).to_dicts()[0] + assert r["claim_type"] == "institutional" and r["person_id"] == "MBI-1" + assert (r["admission_date"], r["discharge_date"]) == ( + date(2024, 12, 31), + date(2025, 1, 9), + ) + assert ( + r["admit_source_code"], + r["admit_type_code"], + r["discharge_disposition_code"], + ) == ("7", "1", "01") + assert r["bill_type_code"] == "0111" # NUBC, not "111111" + assert (r["drg_code_type"], r["drg_code"]) == ("ms-drg", "470") + assert r["revenue_center_code"] == "0120" and r["hcpcs_code"] == "99223" + assert r["service_unit_quantity"] == 1 + assert ( + r["rendering_npi"], + r["billing_npi"], + r["facility_npi"], + r["billing_tin"], + ) == ("ATT", "FAC", "FAC", "TIN-FAC") + assert r["rendering_tin"] is None and r["place_of_service_code"] is None + assert ( + r["paid_amount"], + r["charge_amount"], + r["coinsurance_amount"], + r["deductible_amount"], + ) == (100.0, 250.0, 10.0, 5.0) + assert r["allowed_amount"] is None + assert r["paid_date"] == date(2025, 1, 20) # NCH weekly process date + assert ( + r["diagnosis_code_type"], + r["diagnosis_code_1"], + r["diagnosis_poa_1"], + ) == ("icd-10-cm", "I10", "Y") + assert ( + r["procedure_code_type"], + r["procedure_code_1"], + r["procedure_date_1"], + ) == ("icd-10-pcs", "0SRC0J9", date(2025, 1, 2)) + assert r["diagnosis_code_25"] is None and r["procedure_code_2"] is None + assert r["in_network_flag"] == 1 and r["data_source"] == "medicare bcda" + line2 = v3_medical.filter( + (pl.col("claim_id") == "I1") & (pl.col("claim_line_number") == 2) + ).to_dicts()[0] + assert line2["hcpcs_code"] is None and line2["charge_amount"] == 75.0 + + def test_professional_line(self, v3_medical) -> None: + r = v3_medical.filter(pl.col("claim_id") == "C1").to_dicts()[0] + assert r["claim_type"] == "professional" + assert r["place_of_service_code"] == "11" and r["hcpcs_modifier_1"] == "25" + assert (r["rendering_npi"], r["rendering_tin"], r["billing_npi"]) == ( + "RND", + "TIN-RND", + "BLG", + ) + assert ( + r["facility_npi"] is None + and r["bill_type_code"] is None + and r["admission_date"] is None + ) + assert ( + r["paid_amount"], + r["allowed_amount"], + r["charge_amount"], + r["coinsurance_amount"], + r["deductible_amount"], + ) == (60.0, 75.0, 150.0, 15.0, 0.0) + assert r["paid_date"] == date(2025, 2, 10) # CMS process date fallback + assert ( + r["diagnosis_code_1"] == "E11.9" + and r["procedure_code_type"] is None + and r["diagnosis_poa_1"] is None + ) + + def test_dme_line(self, v3_medical) -> None: + r = v3_medical.filter(pl.col("claim_id") == "D1").to_dicts()[0] + assert r["claim_type"] == "professional" and r["person_id"] == "MBI-2" + assert (r["rendering_npi"], r["billing_npi"]) == ( + "ORD", + "PAY", + ) # ordering / pay-to fallbacks + assert r["place_of_service_code"] == "12" and r["paid_date"] is None + + def test_bill_type_fallback_from_v3_freq_code(self, xref) -> None: + """No NUBC coding captured → leading zero + the 3-char v3 freq code.""" + eob = _eob( + [ + { + "clm_id": "H", + "clm_cntl_num": "C", + "bene_id": "B1", + "eob_type": "HHA", + "final_action": "FinalAction", + "clm_bill_fac_type_cd": "3", + "clm_bill_clsfctn_cd": "32", + "clm_bill_freq_cd": "329", + }, + ] + ) + items = _eob([{"clm_id": "H", "clm_line_num": 1.0}]) + hdr = stg_claim_header( + bcda__explanation_of_benefit=eob, bcda___stg_beneficiary_xref=xref + ) + out = int_institutional_medical_claim( + bcda___stg_part_a_header=stg_part_a_header(bcda___stg_claim_header=hdr), + bcda__eob_item=items, + ) + assert out["bill_type_code"].to_list() == ["0329"] + + def test_pair_survivor_is_nch(self, v3_medical) -> None: + assert v3_medical.filter(pl.col("claim_id") == "N1")[ + "hcpcs_code" + ].to_list() == ["G0463"] + + +class TestMedicalClaimV2: + def test_v2_frames_map(self, v2_headers, v2_items, xref) -> None: + hdr = stg_claim_header( + bcda__explanation_of_benefit=v2_headers, bcda___stg_beneficiary_xref=xref + ) + inst = int_institutional_medical_claim( + bcda___stg_part_a_header=stg_part_a_header(bcda___stg_claim_header=hdr), + bcda__eob_item=v2_items, + ) + prof = int_physician_medical_claim( + bcda___stg_part_b_physician_header=stg_part_b_physician_header( + bcda___stg_claim_header=hdr + ), + bcda__eob_item=v2_items, + ) + dme = int_dme_medical_claim( + bcda___stg_part_b_dme_header=stg_part_b_dme_header( + bcda___stg_claim_header=hdr + ), + bcda__eob_item=v2_items, + ) + out = medical_claim( + bcda___int_institutional_medical_claim=inst, + bcda___int_physician_medical_claim=prof, + bcda___int_dme_medical_claim=dme, + ) + assert set(out.columns) == set(BcdaMedicalClaim.column_names()) + v1 = out.filter(pl.col("claim_id") == "V1").to_dicts()[0] + assert v1["bill_type_code"] == "111" # v2 fac + clsfctn + freq + assert ( + v1["drg_code"] == "470" and v1["charge_amount"] == 5000.0 + ) # header total fallback + assert (v1["rendering_npi"], v1["billing_npi"]) == ("OP", "FACV") + assert (v1["admission_date"], v1["discharge_date"]) == ( + date(2023, 1, 1), + date(2023, 1, 5), + ) + assert v1["paid_date"] is None and v1["coinsurance_amount"] is None + o1 = out.filter(pl.col("claim_id") == "O1").to_dicts()[0] + assert (o1["rendering_npi"], o1["billing_npi"], o1["allowed_amount"]) == ( + "RN", + "BL", + 150.0, + ) + m1 = out.filter(pl.col("claim_id") == "M1").to_dicts()[0] + assert (m1["rendering_npi"], m1["billing_npi"], m1["paid_amount"]) == ( + "ORD", + "PAY", + 50.0, + ) + # W1 and T1 route but have no lines; Z1 is unrouted + assert sorted(set(out["claim_id"].to_list())) == ["M1", "O1", "V1"] + + +# ── pharmacy_claim ─────────────────────────────────────────── + + +class TestPharmacyClaim: + def test_v3(self, v3_headers, v3_items, xref) -> None: + hdr = stg_claim_header( + bcda__explanation_of_benefit=v3_headers, bcda___stg_beneficiary_xref=xref + ) + out = pharmacy_claim( + bcda___stg_part_d_header=stg_part_d_header(bcda___stg_claim_header=hdr), + bcda__eob_item=v3_items, + ) + assert set(out.columns) == set(BcdaPharmacyClaim.column_names()) + r = out.to_dicts()[0] + assert (r["claim_id"], r["claim_line_number"], r["person_id"]) == ( + "P1", + 1, + "MBI-2", + ) + assert (r["prescribing_provider_npi"], r["dispensing_provider_npi"]) == ( + "PRS", + "PHARM", + ) + assert (r["dispensing_date"], r["paid_date"]) == ( + date(2025, 4, 1), + date(2025, 4, 3), + ) + assert (r["ndc_code"], r["quantity"], r["days_supply"], r["refills"]) == ( + "00002143380", + 30, + 30, + 2, + ) + assert ( + r["paid_amount"] is None + ) # sandbox emits no plan-paid; header clm_pmt_amt is NULL too + assert (r["charge_amount"], r["copayment_amount"]) == ( + 118.0, + 7.5, + ) # line drug cost, header paid-by-patient + assert r["allowed_amount"] is None and r["deductible_amount"] is None + + def test_v2(self, v2_headers, v2_items, xref) -> None: + hdr = stg_claim_header( + bcda__explanation_of_benefit=v2_headers, bcda___stg_beneficiary_xref=xref + ) + out = pharmacy_claim( + bcda___stg_part_d_header=stg_part_d_header(bcda___stg_claim_header=hdr), + bcda__eob_item=v2_items, + ) + r = out.to_dicts()[0] + assert r["claim_id"] == "PDE-2" and r["dispensing_provider_npi"] == "DSP2" + assert (r["quantity"], r["days_supply"], r["refills"]) == (30, 30, 0) + assert (r["paid_amount"], r["copayment_amount"], r["charge_amount"]) == ( + 10.0, + 5.0, + None, + ) + assert r["paid_date"] == date(2023, 4, 1) + + +# ── eligibility ────────────────────────────────────────────── + + +def _patients() -> pl.DataFrame: + return pl.DataFrame( + { + "bene_id": ["B1", "B2", "B3"], + "bene_mbi_id": ["M1", "M2", "M3"], + "bene_sex_cd": ["1", "female", "9"], + "bene_race_cd": ["1", "5", None], + "bene_dob": [date(1950, 1, 1), date(1960, 2, 2), None], + "bene_death_dt": [None, date(2025, 1, 1), None], + "bene_1st_name": ["a", "b", "c"], + "bene_midl_name": ["x", None, None], + "bene_last_name": ["A", "B", "C"], + "bene_line_1_adr": ["1 st", None, None], + "geo_zip_plc_name": ["Town", None, None], + "geo_usps_state_cd": ["TX", "VA", None], + "geo_zip5_cd": ["77550", None, None], + } + ) + + +class TestEligibility: + def test_v3_coverage_rows(self) -> None: + coverage = pl.DataFrame( + { + "subscriber_id": ["M1", "M1", "M1", "M2", "M2", "M3"], + "class_plan": [ + "Part C", + "Part B", + "Part A", + "Part B", + "Dual Medicare/Medicaid", + "Part A", + ], + "status": [ + "active", + "active", + "cancelled", + "active", + "active", + "active", + ], + "ms_cd": [None, "10", "20", "10", None, "30"], + "orec": [None, "0", "1", "0", None, "2"], + "dual_stus_cd": [None, None, None, None, "08", None], + "bene_part_a_enrlmt_bgn_dt": [ + None, + None, + date(2020, 1, 1), + None, + None, + date(2021, 1, 1), + ], + "mdcr_covg_a_end_dt": [ + None, + None, + date(2024, 12, 31), + None, + None, + None, + ], + "bene_part_b_enrlmt_bgn_dt": [ + None, + date(2020, 6, 1), + None, + date(2022, 1, 1), + None, + None, + ], + "mdcr_covg_b_end_dt": [None, None, None, None, None, None], + } + ) + demo = stg_beneficiary_demographics( + bcda__patient=_patients(), bcda__coverage=coverage + ).sort("bene_mbi_id") + assert set(demo.columns) == set(BcdaStgBeneficiaryDemographics.column_names()) + assert demo["coverage_plan"].to_list() == ["Part A", "Part B", "Part A"] + assert demo["ms_cd"].to_list() == ["20", "10", "30"] + assert demo["dual_stus_cd_dual"].to_list() == [None, "08", None] + assert demo["enrollment_start_date"].to_list() == [ + date(2020, 1, 1), + date(2022, 1, 1), + date(2021, 1, 1), + ] + elig = eligibility(bcda___stg_beneficiary_demographics=demo).sort("person_id") + assert set(elig.columns) == set(BcdaEligibility.column_names()) + assert elig["gender"].to_list() == ["male", "female", "unknown"] + assert elig["race"].to_list() == ["white", "hispanic", "unknown"] + assert elig["ethnicity"].to_list() == [None, "hispanic", None] + assert elig["enrollment_status"].to_list() == ["inactive", "active", "active"] + assert elig["dual_status_code"].to_list() == [None, "08", None] + assert elig["medicare_status_code"].to_list() == ["20", "10", "30"] + assert elig["original_reason_entitlement_code"].to_list() == ["1", "0", "2"] + assert elig["enrollment_end_date"].to_list() == [date(2024, 12, 31), None, None] + assert elig["death_flag"].to_list() == [0, 1, 0] + assert ( + elig["payer_type"].to_list() == ["medicare"] * 3 + and elig["hospice_flag"].null_count() == 3 + ) + + def test_v2_coverage_without_plan_columns(self) -> None: + coverage = pl.DataFrame( + { + "subscriber_id": ["M1", "M3"], + "ms_cd": ["10", "30"], + "orec": ["0", "2"], + "dual_01": ["04", None], + "bene_part_a_enrlmt_bgn_dt": [date(2019, 1, 1), None], + "mdcr_covg_a_end_dt": [None, None], + } + ) + demo = stg_beneficiary_demographics( + bcda__patient=_patients(), bcda__coverage=coverage + ).sort("bene_mbi_id") + assert demo["coverage_plan"].to_list() == [None, None, None] + elig = eligibility(bcda___stg_beneficiary_demographics=demo).sort("person_id") + assert elig["dual_status_code"].to_list() == ["04", None, None] + assert elig["medicare_status_code"].to_list() == ["10", None, "30"] + assert elig["enrollment_status"].null_count() == 3 + assert elig["enrollment_start_date"].to_list() == [date(2019, 1, 1), None, None] diff --git a/tests/bcda/test_express.py b/tests/bcda/test_express.py index 813bf01..5d4f79e 100644 --- a/tests/bcda/test_express.py +++ b/tests/bcda/test_express.py @@ -20,20 +20,7 @@ from datetime import date import polars as pl import pytest -from bcda.express.cclf import ( - eligibility, - int_dme_medical_claim, - int_institutional_medical_claim, - int_physician_medical_claim, - medical_claim, - pharmacy_claim, - stg_beneficiary_demographics, - stg_beneficiary_xref, - stg_part_a_header, - stg_part_b_dme_header, - stg_part_b_physician_header, - stg_part_d_header, -) +from bcda.express.cclf import stg_beneficiary_xref from bcda.express.flatten import ( _coding_code, _get_ext, @@ -1030,1052 +1017,6 @@ class TestStgBeneficiaryXref: assert set(result["current_bene_mbi_id"].to_list()) == {"MBI-A", "MBI-B"} -# ── stg_part_a_header ─────────────────────────────────────── - - -class TestStgPartAHeader: - """EOB(V) filter + MBI join.""" - - def test_filters_to_part_a( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> None: - result = stg_part_a_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - assert result.shape[0] == 1 - nch = result["nch_near_line_rec_ident_cd"].to_list() - assert nch == ["V"] - - def test_mbi_resolved( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> None: - result = stg_part_a_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - assert "current_bene_mbi_id" in result.columns - assert result["current_bene_mbi_id"].to_list() == ["MBI-A"] - - -# ── stg_part_b_physician_header ───────────────────────────── - - -class TestStgPartBPhysicianHeader: - """EOB(O) filter + MBI join.""" - - def test_filters_to_part_b_carrier( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> None: - result = stg_part_b_physician_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - assert result.shape[0] == 1 - nch = result["nch_near_line_rec_ident_cd"].to_list() - assert nch == ["O"] - - def test_mbi_resolved( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> None: - result = stg_part_b_physician_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - assert result["current_bene_mbi_id"].to_list() == ["MBI-A"] - - -# ── stg_part_b_dme_header ────────────────────────────────── - - -class TestStgPartBDmeHeader: - """EOB(M) filter + MBI join.""" - - def test_filters_to_dme( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> None: - result = stg_part_b_dme_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - assert result.shape[0] == 1 - nch = result["nch_near_line_rec_ident_cd"].to_list() - assert nch == ["M"] - - def test_mbi_resolved( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> None: - result = stg_part_b_dme_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - assert result["current_bene_mbi_id"].to_list() == ["MBI-B"] - - -# ── stg_part_d_header ────────────────────────────────────── - - -class TestStgPartDHeader: - """EOB(P) filter + MBI join.""" - - def test_filters_to_part_d( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> None: - result = stg_part_d_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - assert result.shape[0] == 1 - nch = result["nch_near_line_rec_ident_cd"].to_list() - assert nch == ["P"] - - def test_mbi_resolved( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> None: - result = stg_part_d_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - assert result["current_bene_mbi_id"].to_list() == ["MBI-B"] - - -# ── int_institutional_medical_claim ───────────────────────── - - -class TestIntInstitutionalMedicalClaim: - """Part A header + items -> institutional medical_claim.""" - - @pytest.fixture - def staged_part_a( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> pl.DataFrame: - return stg_part_a_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - - def test_returns_dataframe( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - assert isinstance(result, pl.DataFrame) - - def test_claim_type_institutional( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - assert result["claim_type"].to_list() == ["institutional"] - - def test_key_output_columns( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - expected = { - "claim_id", - "claim_line_number", - "claim_type", - "person_id", - "member_id", - "payer", - "plan", - "claim_start_date", - "claim_end_date", - "admission_date", - "discharge_date", - "bill_type_code", - "drg_code", - "revenue_center_code", - "hcpcs_code", - "rendering_npi", - "billing_npi", - "facility_npi", - "paid_amount", - "charge_amount", - "diagnosis_code_type", - "diagnosis_code_1", - "data_source", - "in_network_flag", - } - assert expected.issubset(set(result.columns)) - - def test_diagnosis_25_columns( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - for i in range(1, 26): - assert f"diagnosis_code_{i}" in result.columns - assert f"diagnosis_poa_{i}" in result.columns - - def test_procedure_25_columns( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - for i in range(1, 26): - assert f"procedure_code_{i}" in result.columns - assert f"procedure_date_{i}" in result.columns - - def test_person_member_match( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - assert result["person_id"].to_list() == result["member_id"].to_list() - - def test_payer_plan_values( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - assert result["payer"].to_list() == ["medicare"] - assert result["plan"].to_list() == ["medicare"] - - def test_data_source( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - assert result["data_source"].to_list() == ["medicare bcda"] - - def test_icd_indicator_mapping( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - assert result["diagnosis_code_type"].to_list() == ["icd-10-cm"] - - def test_bill_type_code_concat( - self, - staged_part_a: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_institutional_medical_claim( - bcda___stg_part_a_header=staged_part_a, - bcda__eob_item=eob_item_df, - ) - assert result["bill_type_code"].to_list() == ["111"] - - -# ── int_physician_medical_claim ────────────────────────────── - - -class TestIntPhysicianMedicalClaim: - """Part B physician header + items -> professional - medical_claim.""" - - @pytest.fixture - def staged_part_b( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> pl.DataFrame: - return stg_part_b_physician_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - - def test_claim_type_professional( - self, - staged_part_b: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_physician_medical_claim( - bcda___stg_part_b_physician_header=staged_part_b, - bcda__eob_item=eob_item_df, - ) - assert result["claim_type"].to_list() == ["professional"] - - def test_place_of_service( - self, - staged_part_b: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_physician_medical_claim( - bcda___stg_part_b_physician_header=staged_part_b, - bcda__eob_item=eob_item_df, - ) - assert result["place_of_service_code"].to_list() == ["11"] - - def test_null_admission_fields( - self, - staged_part_b: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_physician_medical_claim( - bcda___stg_part_b_physician_header=staged_part_b, - bcda__eob_item=eob_item_df, - ) - assert result["admission_date"].to_list() == [None] - assert result["discharge_date"].to_list() == [None] - assert result["admit_source_code"].to_list() == [None] - - def test_rendering_npi_tin( - self, - staged_part_b: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_physician_medical_claim( - bcda___stg_part_b_physician_header=staged_part_b, - bcda__eob_item=eob_item_df, - ) - assert result["rendering_npi"].to_list() == ["NPI-RN2"] - assert result["rendering_tin"].to_list() == ["TAX-2"] - - def test_data_source( - self, - staged_part_b: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_physician_medical_claim( - bcda___stg_part_b_physician_header=staged_part_b, - bcda__eob_item=eob_item_df, - ) - assert result["data_source"].to_list() == ["medicare bcda"] - - -# ── int_dme_medical_claim ─────────────────────────────────── - - -class TestIntDmeMedicalClaim: - """Part B DME header + items -> professional medical_claim.""" - - @pytest.fixture - def staged_dme( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> pl.DataFrame: - return stg_part_b_dme_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - - def test_claim_type_professional( - self, - staged_dme: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_dme_medical_claim( - bcda___stg_part_b_dme_header=staged_dme, - bcda__eob_item=eob_item_df, - ) - assert result["claim_type"].to_list() == ["professional"] - - def test_null_diagnosis_codes( - self, - staged_dme: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_dme_medical_claim( - bcda___stg_part_b_dme_header=staged_dme, - bcda__eob_item=eob_item_df, - ) - for i in range(1, 26): - assert result[f"diagnosis_code_{i}"].to_list() == [None] - - def test_rendering_ordering_npi( - self, - staged_dme: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_dme_medical_claim( - bcda___stg_part_b_dme_header=staged_dme, - bcda__eob_item=eob_item_df, - ) - assert result["rendering_npi"].to_list() == ["NPI-ORD3"] - assert result["billing_npi"].to_list() == ["NPI-PAY3"] - - def test_null_drg_fields( - self, - staged_dme: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_dme_medical_claim( - bcda___stg_part_b_dme_header=staged_dme, - bcda__eob_item=eob_item_df, - ) - assert result["drg_code"].to_list() == [None] - assert result["drg_code_type"].to_list() == [None] - - def test_data_source( - self, - staged_dme: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = int_dme_medical_claim( - bcda___stg_part_b_dme_header=staged_dme, - bcda__eob_item=eob_item_df, - ) - assert result["data_source"].to_list() == ["medicare bcda"] - - -# ── medical_claim (union) ────────────────────────────────── - - -class TestMedicalClaim: - """Union of institutional + physician + DME.""" - - @pytest.fixture - def three_int_dfs( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> tuple[pl.DataFrame, pl.DataFrame, pl.DataFrame]: - part_a = stg_part_a_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - part_b = stg_part_b_physician_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - dme = stg_part_b_dme_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - inst = int_institutional_medical_claim( - bcda___stg_part_a_header=part_a, - bcda__eob_item=eob_item_df, - ) - phys = int_physician_medical_claim( - bcda___stg_part_b_physician_header=part_b, - bcda__eob_item=eob_item_df, - ) - dme_mc = int_dme_medical_claim( - bcda___stg_part_b_dme_header=dme, - bcda__eob_item=eob_item_df, - ) - return inst, phys, dme_mc - - def test_row_count_is_sum( - self, - three_int_dfs: tuple[ - pl.DataFrame, - pl.DataFrame, - pl.DataFrame, - ], - ) -> None: - inst, phys, dme_mc = three_int_dfs - result = medical_claim( - bcda___int_institutional_medical_claim=inst, - bcda___int_physician_medical_claim=phys, - bcda___int_dme_medical_claim=dme_mc, - ) - expected = inst.shape[0] + phys.shape[0] + dme_mc.shape[0] - assert result.shape[0] == expected - - def test_contains_all_claim_types( - self, - three_int_dfs: tuple[ - pl.DataFrame, - pl.DataFrame, - pl.DataFrame, - ], - ) -> None: - inst, phys, dme_mc = three_int_dfs - result = medical_claim( - bcda___int_institutional_medical_claim=inst, - bcda___int_physician_medical_claim=phys, - bcda___int_dme_medical_claim=dme_mc, - ) - types = set(result["claim_type"].to_list()) - assert "institutional" in types - assert "professional" in types - - def test_columns_match_inputs( - self, - three_int_dfs: tuple[ - pl.DataFrame, - pl.DataFrame, - pl.DataFrame, - ], - ) -> None: - inst, phys, dme_mc = three_int_dfs - result = medical_claim( - bcda___int_institutional_medical_claim=inst, - bcda___int_physician_medical_claim=phys, - bcda___int_dme_medical_claim=dme_mc, - ) - assert set(result.columns) == set(inst.columns) - - -# ── pharmacy_claim ────────────────────────────────────────── - - -class TestPharmacyClaim: - """Part D header + items -> pharmacy_claim.""" - - @pytest.fixture - def staged_part_d( - self, - eob_df: pl.DataFrame, - xref_df: pl.DataFrame, - ) -> pl.DataFrame: - return stg_part_d_header( - bcda__explanation_of_benefit=eob_df, - bcda___stg_beneficiary_xref=xref_df, - ) - - def test_returns_dataframe( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - assert isinstance(result, pl.DataFrame) - - def test_key_columns_present( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - expected = { - "claim_id", - "claim_line_number", - "person_id", - "member_id", - "payer", - "plan", - "prescribing_provider_npi", - "dispensing_provider_npi", - "dispensing_date", - "ndc_code", - "quantity", - "days_supply", - "refills", - "paid_amount", - "copayment_amount", - "data_source", - "in_network_flag", - } - assert expected.issubset(set(result.columns)) - - def test_claim_id_from_pde( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - assert result["claim_id"].to_list() == ["PDE-1"] - - def test_ndc_code( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - assert result["ndc_code"].to_list() == ["12345678901"] - - def test_provider_npis( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - assert result["prescribing_provider_npi"].to_list() == ["NPI-PRE4"] - assert result["dispensing_provider_npi"].to_list() == ["NPI-DSP4"] - - def test_paid_copay_amounts( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - assert result["paid_amount"].to_list() == [5.0] - assert result["copayment_amount"].to_list() == [5.0] - - def test_null_amount_columns( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - for col in ( - "allowed_amount", - "charge_amount", - "coinsurance_amount", - "deductible_amount", - ): - assert result[col].to_list() == [None] - - def test_data_source( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - assert result["data_source"].to_list() == ["medicare bcda"] - - def test_claim_line_number_always_1( - self, - staged_part_d: pl.DataFrame, - eob_item_df: pl.DataFrame, - ) -> None: - result = pharmacy_claim( - bcda___stg_part_d_header=staged_part_d, - bcda__eob_item=eob_item_df, - ) - assert result["claim_line_number"].to_list() == [1] - - -# ── stg_beneficiary_demographics ──────────────────────────── - - -class TestStgBeneficiaryDemographics: - """Patient + Coverage join for demographics.""" - - @pytest.fixture - def coverage_df(self) -> pl.DataFrame: - return pl.DataFrame( - { - "subscriber_id": ["MBI-A", "MBI-B"], - "ms_cd": ["10", "20"], - "orec": ["0", "1"], - "dual_01": ["00", "01"], - "bene_part_a_enrlmt_bgn_dt": [ - date(2020, 1, 1), - date(2021, 7, 1), - ], - "mdcr_covg_a_end_dt": [ - date(2025, 12, 31), - date(2025, 6, 30), - ], - } - ) - - @pytest.fixture - def full_patient_df(self) -> pl.DataFrame: - return pl.DataFrame( - { - "bene_id": ["B001", "B002"], - "bene_mbi_id": ["MBI-A", "MBI-B"], - "bene_1st_name": ["JOHN", "JANE"], - "bene_midl_name": ["A", "B"], - "bene_last_name": [ - "DOE", - "SMITH", - ], - "bene_dob": [ - date(1950, 1, 15), - date(1960, 3, 20), - ], - "bene_sex_cd": ["1", "2"], - "bene_race_cd": ["1", "2"], - "bene_death_dt": [None, None], - "bene_line_1_adr": [ - "123 ELM", - "456 OAK", - ], - "geo_zip_plc_name": [ - "SPRINGFIELD", - "SHELBYVILLE", - ], - "geo_usps_state_cd": ["IL", "IL"], - "geo_zip5_cd": ["62701", "62565"], - } - ) - - def test_dedup_on_mbi( - self, - full_patient_df: pl.DataFrame, - coverage_df: pl.DataFrame, - ) -> None: - result = stg_beneficiary_demographics( - bcda__patient=full_patient_df, - bcda__coverage=coverage_df, - ) - assert result.shape[0] == 2 - assert result["bene_mbi_id"].n_unique() == result.shape[0] - - def test_coverage_columns_joined( - self, - full_patient_df: pl.DataFrame, - coverage_df: pl.DataFrame, - ) -> None: - result = stg_beneficiary_demographics( - bcda__patient=full_patient_df, - bcda__coverage=coverage_df, - ) - assert "ms_cd" in result.columns - assert "orec" in result.columns - assert "dual_01" in result.columns - - def test_coverage_dedup(self) -> None: - """Multiple coverage rows per subscriber.""" - patient = pl.DataFrame( - { - "bene_id": ["B1"], - "bene_mbi_id": ["MBI-1"], - "bene_1st_name": ["A"], - "bene_midl_name": [None], - "bene_last_name": ["B"], - "bene_dob": [date(1950, 1, 1)], - "bene_sex_cd": ["1"], - "bene_race_cd": ["1"], - "bene_death_dt": [None], - "bene_line_1_adr": ["ADDR"], - "geo_zip_plc_name": ["CITY"], - "geo_usps_state_cd": ["IL"], - "geo_zip5_cd": ["60601"], - } - ) - cov = pl.DataFrame( - { - "subscriber_id": [ - "MBI-1", - "MBI-1", - ], - "ms_cd": ["10", "10"], - "orec": ["0", "0"], - "dual_01": ["00", "00"], - "bene_part_a_enrlmt_bgn_dt": [ - date(2020, 1, 1), - date(2021, 1, 1), - ], - "mdcr_covg_a_end_dt": [ - date(2025, 12, 31), - date(2025, 12, 31), - ], - } - ) - result = stg_beneficiary_demographics( - bcda__patient=patient, - bcda__coverage=cov, - ) - assert result.shape[0] == 1 - - -# ── eligibility (final) ───────────────────────────────────── - - -class TestEligibility: - """Demographics -> eligibility with crosswalks.""" - - @pytest.fixture - def staged_demographics(self) -> pl.DataFrame: - return pl.DataFrame( - { - "bene_mbi_id": [ - "MBI-A", - "MBI-B", - "MBI-C", - ], - "bene_sex_cd": ["1", "2", "0"], - "bene_race_cd": ["1", "2", "5"], - "bene_dob": [ - date(1950, 1, 15), - date(1960, 3, 20), - date(1970, 7, 4), - ], - "bene_death_dt": [ - date(2023, 11, 1), - None, - None, - ], - "bene_part_a_enrlmt_bgn_dt": [ - date(2020, 1, 1), - date(2021, 7, 1), - date(2022, 1, 1), - ], - "mdcr_covg_a_end_dt": [ - date(2025, 12, 31), - date(2025, 6, 30), - date(2025, 12, 31), - ], - "orec": ["0", "1", "2"], - "dual_01": ["00", "01", "02"], - "ms_cd": ["10", "20", "30"], - "bene_1st_name": [ - "JOHN", - "JANE", - "BOB", - ], - "bene_midl_name": ["A", "B", "C"], - "bene_last_name": [ - "DOE", - "SMITH", - "JONES", - ], - "bene_line_1_adr": [ - "123 ELM", - "456 OAK", - "789 PINE", - ], - "geo_zip_plc_name": [ - "SPRINGFIELD", - "SHELBYVILLE", - "CAPITAL CITY", - ], - "geo_usps_state_cd": [ - "IL", - "IL", - "IL", - ], - "geo_zip5_cd": [ - "62701", - "62565", - "62700", - ], - } - ) - - def test_gender_crosswalk(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - genders = result.sort("person_id")["gender"].to_list() - assert genders == [ - "male", - "female", - "unknown", - ] - - def test_race_crosswalk(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - races = result.sort("person_id")["race"].to_list() - assert races == [ - "white", - "black", - "hispanic", - ] - - def test_death_flag(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - flags = result.sort("person_id")["death_flag"].to_list() - assert flags == [1, 0, 0] - - def test_person_member_id_match(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - assert result["person_id"].to_list() == result["member_id"].to_list() - - def test_payer_fields(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - for col in ("payer", "payer_type", "plan"): - vals = result[col].unique().to_list() - assert vals == ["medicare"] - - def test_data_source(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - vals = result["data_source"].unique().to_list() - assert vals == ["medicare bcda"] - - def test_name_fields(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - row = result.filter(pl.col("person_id") == "MBI-A") - assert row["first_name"].to_list() == ["JOHN"] - assert row["last_name"].to_list() == ["DOE"] - assert row["middle_name"].to_list() == ["A"] - - def test_address_fields(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - row = result.filter(pl.col("person_id") == "MBI-B") - assert row["city"].to_list() == ["SHELBYVILLE"] - assert row["state"].to_list() == ["IL"] - assert row["zip_code"].to_list() == ["62565"] - - def test_enrollment_dates(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - row = result.filter(pl.col("person_id") == "MBI-A") - assert row["enrollment_start_date"].to_list() == [date(2020, 1, 1)] - assert row["enrollment_end_date"].to_list() == [date(2025, 12, 31)] - - def test_row_count_preserved(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - assert result.shape[0] == staged_demographics.shape[0] - - def test_race_all_codes(self) -> None: - """Exercise all 7 race code mappings.""" - df = pl.DataFrame( - { - "bene_mbi_id": [f"M{i}" for i in range(7)], - "bene_sex_cd": ["1"] * 7, - "bene_race_cd": [ - "0", - "1", - "2", - "3", - "4", - "5", - "6", - ], - "bene_dob": [date(1950, 1, 1)] * 7, - "bene_death_dt": [None] * 7, - "bene_part_a_enrlmt_bgn_dt": [date(2023, 1, 1)] * 7, - "mdcr_covg_a_end_dt": [date(2023, 12, 31)] * 7, - "orec": ["0"] * 7, - "dual_01": ["00"] * 7, - "ms_cd": ["10"] * 7, - "bene_1st_name": ["A"] * 7, - "bene_midl_name": ["B"] * 7, - "bene_last_name": ["C"] * 7, - "bene_line_1_adr": ["ADDR"] * 7, - "geo_zip_plc_name": ["CITY"] * 7, - "geo_usps_state_cd": ["IL"] * 7, - "geo_zip5_cd": ["60601"] * 7, - } - ) - result = eligibility( - bcda___stg_beneficiary_demographics=df, - ) - races = result.sort("person_id")["race"].to_list() - assert races == [ - "unknown", - "white", - "black", - "other", - "asian", - "hispanic", - "native", - ] - - def test_key_output_columns(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - expected = { - "person_id", - "member_id", - "gender", - "race", - "birth_date", - "death_date", - "death_flag", - "enrollment_start_date", - "enrollment_end_date", - "payer", - "payer_type", - "plan", - "original_reason_entitlement_code", - "dual_status_code", - "medicare_status_code", - "first_name", - "middle_name", - "last_name", - "address", - "city", - "state", - "zip_code", - "data_source", - } - assert expected.issubset(set(result.columns)) - - def test_entitlement_codes(self, staged_demographics: pl.DataFrame) -> None: - result = eligibility( - bcda___stg_beneficiary_demographics=staged_demographics, - ) - row = result.filter(pl.col("person_id") == "MBI-A") - assert row["original_reason_entitlement_code"].to_list() == ["0"] - assert row["dual_status_code"].to_list() == ["00"] - assert row["medicare_status_code"].to_list() == ["10"] - - -# ════════════════════════════════════════════════════════════════ -# Part 3: bcda.express.flatten — coverage gap tests -# ════════════════════════════════════════════════════════════════ - - class TestGetExtQuantityMatch: """_get_ext_quantity: cover the return-value path (line 155).""" @@ -2730,78 +1671,3 @@ class TestFlattenExport: # ── v3 coverage shape through the CCLF demographics stage ─────── - - -class TestDemographicsV3Coverage: - """v3 Coverage: one row per plan; dual status on its own row.""" - - def _frames(self): - import polars as pl - - patient = pl.DataFrame( - { - "bene_mbi_id": ["M1", "M2", "M3"], - "bene_sex_cd": ["1", "2", "1"], - "bene_race_cd": ["1", "2", None], - "bene_dob": [None, None, None], - "bene_death_dt": [None, None, None], - "bene_1st_name": ["a", "b", "c"], - "bene_midl_name": [None, None, None], - "bene_last_name": ["x", "y", "z"], - "bene_line_1_adr": [None, None, None], - "geo_zip_plc_name": [None, None, None], - "geo_usps_state_cd": [None, None, None], - "geo_zip5_cd": [None, None, None], - } - ) - coverage = pl.DataFrame( - { - "subscriber_id": ["M1", "M1", "M1", "M2", "M2", "M3"], - "class_plan": [ - "Part C", - "Part B", - "Part A", - "Part B", - "Dual Medicare/Medicaid", - "Part A", - ], - "ms_cd": [None, "10", "20", "10", None, "30"], - "orec": [None, "0", "1", "0", None, "2"], - "dual_01": [None, None, None, None, None, "04"], - "dual_stus_cd": [None, None, None, None, "08", None], - "bene_part_a_enrlmt_bgn_dt": [None, None, None, None, None, None], - "mdcr_covg_a_end_dt": [None, None, None, None, None, None], - } - ) - return patient, coverage - - def test_part_a_preferred_and_dual_joined(self) -> None: - from bcda.express.cclf import eligibility, stg_beneficiary_demographics - - patient, coverage = self._frames() - demo = stg_beneficiary_demographics(patient, coverage).sort("bene_mbi_id") - assert demo["ms_cd"].to_list() == [ - "20", - "10", - "30", - ] # M1 → Part A row, not Part C/B - assert demo["dual_stus_cd_dual"].to_list() == [None, "08", None] - elig = eligibility(demo).sort("person_id") - assert elig["dual_status_code"].to_list() == [None, "08", "04"] - assert elig["medicare_status_code"].to_list() == ["20", "10", "30"] - assert elig["original_reason_entitlement_code"].to_list() == ["1", "0", "2"] - - def test_v2_frames_without_plan_columns_still_work(self) -> None: - import polars as pl - - from bcda.express.cclf import eligibility, stg_beneficiary_demographics - - patient, coverage = self._frames() - v2cov = coverage.drop("class_plan", "dual_stus_cd").unique( - subset=["subscriber_id"], keep="first" - ) - demo = stg_beneficiary_demographics(patient, v2cov) - assert "dual_stus_cd_dual" not in demo.columns - elig = eligibility(demo).sort("person_id") - assert elig["dual_status_code"].to_list() == [None, None, "04"] - assert isinstance(elig, pl.DataFrame) diff --git a/tests/bcda/test_pipe_cclf.py b/tests/bcda/test_pipe_cclf.py index c01c6c0..a206a6a 100644 --- a/tests/bcda/test_pipe_cclf.py +++ b/tests/bcda/test_pipe_cclf.py @@ -9,21 +9,22 @@ import pytest class TestBuildPipeline: def test_build_returns_pipeline(self) -> None: - """_build_pipeline() returns a Pipeline with 12 exprs.""" + """_build_pipeline() returns a Pipeline with 13 exprs.""" from bcda.pipe.cclf import _build_pipeline pipeline = _build_pipeline() assert hasattr(pipeline, "exprs") - assert len(pipeline.exprs) == 12 + assert len(pipeline.exprs) == 13 assert hasattr(pipeline, "run") def test_expr_names(self) -> None: - """All 12 expected expression names are present.""" + """All 13 expected expression names are present.""" from bcda.pipe.cclf import _build_pipeline pipeline = _build_pipeline() names = [e.name for e in pipeline.exprs] assert "bcda._stg_beneficiary_xref" in names + assert "bcda._stg_claim_header" in names assert "bcda._stg_part_a_header" in names assert "bcda._int_institutional_medical_claim" in names assert "bcda._stg_part_b_physician_header" in names @@ -52,7 +53,7 @@ class TestLazyGetattr: pipeline = cclf_mod.pipeline assert hasattr(pipeline, "exprs") - assert len(pipeline.exprs) == 12 + assert len(pipeline.exprs) == 13 def test_run_attr(self) -> None: """Accessing .run triggers lazy init and returns callable.""" @@ -76,3 +77,78 @@ class TestLazyGetattr: match="has no attribute 'nonexistent'", ): _ = cclf_mod.nonexistent + + +class TestRunOnOfficialSamples: + """The whole connector against CMS's v3 sample files through DuckDB. + + Every expression's output is checked against its contract by the + runner, so this is the proof that the v3-flattened tables carry + what the connector reads and that the outputs are input_layer-shaped. + """ + + def test_end_to_end(self, tmp_path) -> None: + import shutil + from pathlib import Path + + import duckdb + + from aco.lake.context import DuckDBContext + from aco.load.bcda import load_bcda + from bcda.pipe.cclf import pipeline + + samples = Path(__file__).resolve().parents[2] / "dev" / "vendor" / "bcda-site" + src = tmp_path / "ndjson" + src.mkdir() + for rtype in ("Patient", "Coverage", "ExplanationOfBenefit"): + shutil.copy(samples / f"v3_{rtype}.ndjson", src / f"{rtype}.ndjson") + db = tmp_path / "aco.duckdb" + from unittest.mock import patch + + with patch("conf.path", side_effect=lambda k: tmp_path / "store"): + load_bcda(ndjson_dir=src, database=str(db)) + + ctx = DuckDBContext(database=str(db), read_only=True) + cache = pipeline.run(ctx.load) + assert set(cache) >= { + "bcda._stg_claim_header", + "bcda.medical_claim", + "bcda.pharmacy_claim", + "bcda.eligibility", + } + header = cache["bcda._stg_claim_header"] + # 36 NotFinalAction sample claims are dropped; the rest are routed + assert len(header) == 233 + assert set(header["claim_family"].to_list()) == { + "institutional", + "professional", + "dme", + "pharmacy", + } + medical = cache["bcda.medical_claim"] + assert medical["claim_id"].n_unique() == 131 + assert set(medical["claim_type"].to_list()) == {"institutional", "professional"} + inst = medical.filter(medical["claim_type"] == "institutional") + assert inst["bill_type_code"].null_count() == 0 + assert ( + inst["bill_type_code"].str.len_chars().max() == 4 + ) # NUBC, not fac+clsfctn+freq + assert inst["admission_date"].null_count() == 0 + assert inst["paid_amount"].null_count() == 0 + assert inst["deductible_amount"].null_count() == 0 + prof = medical.filter(medical["claim_type"] == "professional") + assert prof["place_of_service_code"].null_count() < len(prof) * 0.05 + assert prof["rendering_npi"].null_count() == 0 + assert len(cache["bcda.pharmacy_claim"]) == 102 + rx = cache["bcda.pharmacy_claim"] + assert rx["ndc_code"].null_count() == 0 and rx["days_supply"].null_count() == 0 + assert rx["charge_amount"].null_count() == 0 # total drug cost + elig = cache["bcda.eligibility"] + assert len(elig) == 94 + assert set(elig["gender"].to_list()) == {"male", "female"} + assert elig["medicare_status_code"].null_count() < len(elig) + assert set(elig["enrollment_status"].drop_nulls().to_list()) <= { + "active", + "inactive", + } + duckdb.connect(str(db), read_only=True).close() diff --git a/tests/bcda/test_v3.py b/tests/bcda/test_v3.py index 27cd093..1dce0b9 100644 --- a/tests/bcda/test_v3.py +++ b/tests/bcda/test_v3.py @@ -1061,6 +1061,7 @@ class TestFlattenEobV3: h.clm_srvc_clsfctn_type_cd, h.clm_bill_freq_cd, ) == ("1", "1", "1", "1") + assert h.clm_bill_type_cd == "0111" def test_c4bb_code_falls_back_to_any_system(self) -> None: r = _eob( diff --git a/tests/cli/test_cli_run.py b/tests/cli/test_cli_run.py index fc75664..7768e58 100644 --- a/tests/cli/test_cli_run.py +++ b/tests/cli/test_cli_run.py @@ -143,6 +143,18 @@ class TestLoadCommands: result = runner.invoke(app, ["load", "bcda", "--ndjson-dir", "/tmp/fake"]) assert result.exit_code == 0 + def test_bcda_run_pipeline_flag(self) -> None: + with patch( + "aco.load.bcda.load_bcda", + return_value={"bcda.patient": 50, "input_layer.eligibility": 50}, + ) as load: + result = runner.invoke( + app, ["load", "bcda", "--ndjson-dir", "/tmp/fake", "--run-pipeline"] + ) + assert result.exit_code == 0 + assert load.call_args.kwargs["run_pipeline"] is True + assert "input_layer.eligibility: 50 rows" in result.output + def test_bcda_not_found(self) -> None: with patch("aco.load.bcda.load_bcda", side_effect=FileNotFoundError("missing")): result = runner.invoke(app, ["load", "bcda", "--ndjson-dir", "/tmp/fake"]) diff --git a/tests/test_dab_generator.py b/tests/test_dab_generator.py index d9a25ec..4c591e1 100644 --- a/tests/test_dab_generator.py +++ b/tests/test_dab_generator.py @@ -169,7 +169,8 @@ class TestPythonResources: def test_schemas_count(self): r = self._resources() - assert len(r.schemas) == 14, f"Expected 14 schemas, got {len(r.schemas)}" + # 14 aco pipelines + the bcda connector registered when stack[bcda] is installed + assert len(r.schemas) == 15, f"Expected 15 schemas, got {len(r.schemas)}" def test_schemas_include_core(self): r = self._resources() From eb1b574c04f1419ecd07b77af91beae32b8e6737 Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 14:08:04 -0400 Subject: [PATCH 06/18] =?UTF-8?q?feat(bcda):=20the=20BCDA=20manager=20?= =?UTF-8?q?=E2=80=94=20a=20Streamlit=20app=20and=20`stack=20bcda`=20CLI=20?= =?UTF-8?q?over=20the=20client,=20store,=20loader,=20connector=20and=20cro?= =?UTF-8?q?sswalk?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit bcda.ui mirrors the surface of the CMS server (CMSgov/bcda-app, vendored under dev/vendor): /_version, /_health, metadata, /auth/token, attribution_status, $export on Group/all · Group/runout · Patient with _type / _since / _typeFilter, job history, status, cancel and /data download — plus the local side: the Store's job and file history, flatten + load into bcda.*, the connector into input_layer.*, the replica for browsing, the v3 data dictionary and CCLF crosswalk, and the vendored-upstream manifest with an on-demand drift check. bcda.ui.service has no Streamlit in it: every operation takes a Connection / Client / Store, so `stack bcda preflight|auth|jobs|export| adopt|cancel|store|load|vendor` reuse it verbatim and tests hand in httpx.MockTransport clients and temp stores. Connections are the four public sandbox entities, BCDA_CLIENT_ID/SECRET from the environment, or custom (sandbox or production, v3 or v2). bcda.ui.runner runs exports, adoption, loads and drift checks on daemon threads in a process-level registry that survives Streamlit reruns, captures the bcda.* log lines of each run's own thread, and flips state last so readers never see a finished run with an incomplete log; a st.fragment panel shows runs live. Exports default to one job per type with cancel retries (the only shape that survives the shared sandbox's sweeps); the _typeFilter builder composes System-Type, outcome and service-date; completed jobs under 24 h are offered for adopt, in-progress ones for cancel. Data pages read the read-only replica only. `stack bcda ui` launches streamlit on src/bcda/ui/app.py; streamlit is added to the bcda extra. CLI reference pages regenerated (the generator renumbers sidebar positions, hence the touched pages). Tests: service, runner, every page through AppTest (buttons, forms, error paths), the app shell, and the CLI — new modules at 100% line coverage. refs #1139 --- docs/docs/cli/api-serve.md | 2 +- docs/docs/cli/api.md | 2 +- docs/docs/cli/bcda-adopt.md | 23 + docs/docs/cli/bcda-auth.md | 18 + docs/docs/cli/bcda-cancel.md | 21 + docs/docs/cli/bcda-export.md | 40 ++ docs/docs/cli/bcda-jobs.md | 19 + docs/docs/cli/bcda-load.md | 20 + docs/docs/cli/bcda-preflight.md | 18 + docs/docs/cli/bcda-store.md | 16 + docs/docs/cli/bcda-ui.md | 20 + docs/docs/cli/bcda-vendor.md | 18 + docs/docs/cli/bcda.md | 30 + docs/docs/cli/bib-attach-iom.md | 2 +- docs/docs/cli/bib-attach-oig.md | 2 +- docs/docs/cli/bib-backfill-comments.md | 2 +- docs/docs/cli/bib-cfr-jump.md | 2 +- docs/docs/cli/bib-code-tags.md | 2 +- docs/docs/cli/bib-discover-pfs-rules.md | 2 +- docs/docs/cli/bib-fetch-docket-comments.md | 2 +- docs/docs/cli/bib-fetch-pfs-comments.md | 2 +- docs/docs/cli/bib-fr-grab.md | 2 +- docs/docs/cli/bib-fr-jump.md | 2 +- docs/docs/cli/bib-import-zotero.md | 2 +- docs/docs/cli/bib-ingest-iom.md | 2 +- docs/docs/cli/bib-ingest-mail.md | 2 +- docs/docs/cli/bib-ingest-oig.md | 2 +- docs/docs/cli/bib-query.md | 2 +- docs/docs/cli/bib-refresh-iom.md | 2 +- docs/docs/cli/bib-refresh-oig.md | 2 +- docs/docs/cli/bib-sync-zotero.md | 2 +- docs/docs/cli/bib-sync.md | 2 +- docs/docs/cli/bib-tag.md | 2 +- docs/docs/cli/bib-watch-iom.md | 2 +- docs/docs/cli/bib.md | 2 +- docs/docs/cli/bls-ces.md | 2 +- docs/docs/cli/bls-oews.md | 2 +- docs/docs/cli/bls.md | 2 +- docs/docs/cli/comments-dockets.md | 2 +- docs/docs/cli/comments-extract-ocr.md | 2 +- docs/docs/cli/comments-extract.md | 2 +- docs/docs/cli/comments-seal.md | 2 +- docs/docs/cli/comments-stats.md | 2 +- docs/docs/cli/comments-unseal.md | 2 +- docs/docs/cli/comments.md | 2 +- docs/docs/cli/db-comment.md | 2 +- docs/docs/cli/db-inspect.md | 2 +- docs/docs/cli/db.md | 2 +- docs/docs/cli/docs-build.md | 2 +- docs/docs/cli/docs-generate.md | 2 +- docs/docs/cli/docs-serve.md | 2 +- docs/docs/cli/docs.md | 2 +- docs/docs/cli/generate-models.md | 2 +- docs/docs/cli/generate.md | 2 +- docs/docs/cli/lake-deploy.md | 2 +- docs/docs/cli/lake-load.md | 2 +- docs/docs/cli/lake-parity.md | 2 +- docs/docs/cli/lake-validate.md | 2 +- docs/docs/cli/lake.md | 2 +- docs/docs/cli/llm-eval-tags.md | 2 +- docs/docs/cli/llm-hosts.md | 2 +- docs/docs/cli/llm-index.md | 2 +- docs/docs/cli/llm-prune-rules.md | 2 +- docs/docs/cli/llm-restamp.md | 2 +- docs/docs/cli/llm-serve.md | 2 +- docs/docs/cli/llm-stamp-themes.md | 2 +- docs/docs/cli/llm-tag.md | 2 +- docs/docs/cli/llm-vocab.md | 2 +- docs/docs/cli/llm.md | 2 +- docs/docs/cli/mail-attach-smarthost.md | 2 +- docs/docs/cli/mail-dkim-export.md | 2 +- docs/docs/cli/mail-dns.md | 2 +- docs/docs/cli/mail-down.md | 2 +- docs/docs/cli/mail-provision.md | 2 +- docs/docs/cli/mail-rotate-creds.md | 2 +- docs/docs/cli/mail-seed-mailboxes.md | 2 +- docs/docs/cli/mail-status.md | 2 +- docs/docs/cli/mail-up.md | 2 +- docs/docs/cli/mail-wire-git.md | 2 +- docs/docs/cli/mail.md | 2 +- docs/docs/cli/perf-show.md | 2 +- docs/docs/cli/perf.md | 2 +- docs/docs/cli/pfs-cpt-ingest.md | 2 +- docs/docs/cli/pfs-elements.md | 2 +- docs/docs/cli/pfs-exposure.md | 2 +- docs/docs/cli/pfs-families.md | 2 +- docs/docs/cli/pfs-guidance.md | 2 +- docs/docs/cli/pfs-lineage.md | 2 +- docs/docs/cli/pfs-reaction.md | 2 +- docs/docs/cli/pfs-review.md | 2 +- docs/docs/cli/pfs-utilization.md | 2 +- docs/docs/cli/pfs.md | 2 +- docs/docs/cli/prisma-eligible.md | 2 +- docs/docs/cli/prisma-export.md | 2 +- docs/docs/cli/prisma-extract.md | 2 +- docs/docs/cli/prisma-fetch.md | 2 +- docs/docs/cli/prisma-flow.md | 2 +- docs/docs/cli/prisma-init.md | 2 +- docs/docs/cli/prisma-ping-llm.md | 2 +- docs/docs/cli/prisma-run.md | 2 +- docs/docs/cli/prisma-screen.md | 2 +- docs/docs/cli/prisma-vpn.md | 2 +- docs/docs/cli/prisma.md | 2 +- docs/docs/cli/rec-list.md | 2 +- docs/docs/cli/rec-opps.md | 2 +- docs/docs/cli/rec-pfs.md | 2 +- docs/docs/cli/rec.md | 2 +- docs/docs/cli/stack.md | 1 + docs/docs/cli/zot-dump-schema.md | 2 +- docs/docs/cli/zot-fix-dates.md | 2 +- docs/docs/cli/zot-fix-fields.md | 2 +- docs/docs/cli/zot-fix-keys.md | 2 +- docs/docs/cli/zot-verify-parity.md | 2 +- docs/docs/cli/zot.md | 2 +- .../specs/2026-10-25-bcda-v3-design.md | 14 + pyproject.toml | 1 + src/bcda/ui/__init__.py | 10 + src/bcda/ui/app.py | 40 ++ src/bcda/ui/runner.py | 156 +++++ src/bcda/ui/service.py | 537 +++++++++++++++++ src/bcda/ui/views.py | 543 ++++++++++++++++++ src/cli/__init__.py | 4 + src/cli/bcda.py | 280 +++++++++ tests/bcda/test_ui_runner.py | 91 +++ tests/bcda/test_ui_service.py | 485 ++++++++++++++++ tests/bcda/test_ui_views.py | 438 ++++++++++++++ tests/cli/test_cli_bcda.py | 251 ++++++++ uv.lock | 137 ++++- 128 files changed, 3303 insertions(+), 132 deletions(-) create mode 100644 docs/docs/cli/bcda-adopt.md create mode 100644 docs/docs/cli/bcda-auth.md create mode 100644 docs/docs/cli/bcda-cancel.md create mode 100644 docs/docs/cli/bcda-export.md create mode 100644 docs/docs/cli/bcda-jobs.md create mode 100644 docs/docs/cli/bcda-load.md create mode 100644 docs/docs/cli/bcda-preflight.md create mode 100644 docs/docs/cli/bcda-store.md create mode 100644 docs/docs/cli/bcda-ui.md create mode 100644 docs/docs/cli/bcda-vendor.md create mode 100644 docs/docs/cli/bcda.md create mode 100644 src/bcda/ui/__init__.py create mode 100644 src/bcda/ui/app.py create mode 100644 src/bcda/ui/runner.py create mode 100644 src/bcda/ui/service.py create mode 100644 src/bcda/ui/views.py create mode 100644 src/cli/bcda.py create mode 100644 tests/bcda/test_ui_runner.py create mode 100644 tests/bcda/test_ui_service.py create mode 100644 tests/bcda/test_ui_views.py create mode 100644 tests/cli/test_cli_bcda.py diff --git a/docs/docs/cli/api-serve.md b/docs/docs/cli/api-serve.md index 575792d..a677d0c 100644 --- a/docs/docs/cli/api-serve.md +++ b/docs/docs/cli/api-serve.md @@ -1,6 +1,6 @@ --- title: stack api serve -sidebar_position: 66 +sidebar_position: 77 --- # `stack api serve` diff --git a/docs/docs/cli/api.md b/docs/docs/cli/api.md index 28c81c8..8def8b9 100644 --- a/docs/docs/cli/api.md +++ b/docs/docs/cli/api.md @@ -1,6 +1,6 @@ --- title: stack api -sidebar_position: 65 +sidebar_position: 76 --- # `stack api` diff --git a/docs/docs/cli/bcda-adopt.md b/docs/docs/cli/bcda-adopt.md new file mode 100644 index 0000000..6141d2e --- /dev/null +++ b/docs/docs/cli/bcda-adopt.md @@ -0,0 +1,23 @@ +--- +title: stack bcda adopt +sidebar_position: 15 +--- + +# `stack bcda adopt` + +``` +Usage: stack bcda adopt [OPTIONS] JOB_ID + + Download a completed job this store did not start. + +╭─ Arguments ──────────────────────────────────────────────────────────────────╮ +│ * job_id TEXT Server job id (see `stack bcda jobs`). [required] │ +╰──────────────────────────────────────────────────────────────────────────────╯ +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --preset TEXT Public sandbox entity when BCDA_CLIENT_ID is unset. │ +│ [default: Large Model Entity] │ +│ --type -t TEXT Resource type(s) the job holds, for the store │ +│ record. │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-auth.md b/docs/docs/cli/bcda-auth.md new file mode 100644 index 0000000..491c7cb --- /dev/null +++ b/docs/docs/cli/bcda-auth.md @@ -0,0 +1,18 @@ +--- +title: stack bcda auth +sidebar_position: 12 +--- + +# `stack bcda auth` + +``` +Usage: stack bcda auth [OPTIONS] + + Issue a token and show attribution status. + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --preset TEXT Public sandbox entity when BCDA_CLIENT_ID is unset. │ +│ [default: Large Model Entity] │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-cancel.md b/docs/docs/cli/bcda-cancel.md new file mode 100644 index 0000000..e4c35be --- /dev/null +++ b/docs/docs/cli/bcda-cancel.md @@ -0,0 +1,21 @@ +--- +title: stack bcda cancel +sidebar_position: 16 +--- + +# `stack bcda cancel` + +``` +Usage: stack bcda cancel [OPTIONS] JOB_ID + + Cancel an in-progress job. + +╭─ Arguments ──────────────────────────────────────────────────────────────────╮ +│ * job_id TEXT Server job id. [required] │ +╰──────────────────────────────────────────────────────────────────────────────╯ +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --preset TEXT Public sandbox entity when BCDA_CLIENT_ID is unset. │ +│ [default: Large Model Entity] │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-export.md b/docs/docs/cli/bcda-export.md new file mode 100644 index 0000000..6a894f8 --- /dev/null +++ b/docs/docs/cli/bcda-export.md @@ -0,0 +1,40 @@ +--- +title: stack bcda export +sidebar_position: 14 +--- + +# `stack bcda export` + +``` +Usage: stack bcda export [OPTIONS] + + Run an export through the store (blocks until downloaded). + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --preset TEXT Public sandbox entity when │ +│ BCDA_CLIENT_ID is unset. │ +│ [default: Large Model Entity] │ +│ --type -t TEXT Resource type(s); default all │ +│ three. │ +│ --endpoint TEXT Group/all, Group/runout or │ +│ Patient. │ +│ [default: Group/all] │ +│ --since TEXT FHIR instant, e.g. │ +│ 2026-01-01T00:00:00+00:00 │ +│ --system-type TEXT _typeFilter System-Type │ +│ tag(s). │ +│ --outcome TEXT _typeFilter outcome: partial │ +│ or complete. │ +│ --service-date-from TEXT _typeFilter service-date > │ +│ YYYY-MM-DD. │ +│ --per-type --one-job One job per type (survives │ +│ sandbox sweeps). │ +│ [default: per-type] │ +│ --cancel-retries INTEGER Restarts after server-side │ +│ cancellation. │ +│ [default: 6] │ +│ --poll-interval FLOAT Seconds between status polls. │ +│ [default: 15.0] │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-jobs.md b/docs/docs/cli/bcda-jobs.md new file mode 100644 index 0000000..28ff632 --- /dev/null +++ b/docs/docs/cli/bcda-jobs.md @@ -0,0 +1,19 @@ +--- +title: stack bcda jobs +sidebar_position: 13 +--- + +# `stack bcda jobs` + +``` +Usage: stack bcda jobs [OPTIONS] + + Server job history for the entity (shared on the sandbox). + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --preset TEXT Public sandbox entity when BCDA_CLIENT_ID is unset. │ +│ [default: Large Model Entity] │ +│ --limit INTEGER Newest N jobs. [default: 25] │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-load.md b/docs/docs/cli/bcda-load.md new file mode 100644 index 0000000..951a8a0 --- /dev/null +++ b/docs/docs/cli/bcda-load.md @@ -0,0 +1,20 @@ +--- +title: stack bcda load +sidebar_position: 18 +--- + +# `stack bcda load` + +``` +Usage: stack bcda load [OPTIONS] + + Flatten + load the newest export per type, run the connector, publish the + replica. + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --pipeline --no-pipeline Run the connector into input_layer.* │ +│ [default: pipeline] │ +│ --skip-flatten Reuse existing Parquet. │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-preflight.md b/docs/docs/cli/bcda-preflight.md new file mode 100644 index 0000000..50ac8ef --- /dev/null +++ b/docs/docs/cli/bcda-preflight.md @@ -0,0 +1,18 @@ +--- +title: stack bcda preflight +sidebar_position: 11 +--- + +# `stack bcda preflight` + +``` +Usage: stack bcda preflight [OPTIONS] + + /_version, /_health and metadata — no token needed. + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --preset TEXT Public sandbox entity when BCDA_CLIENT_ID is unset. │ +│ [default: Large Model Entity] │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-store.md b/docs/docs/cli/bcda-store.md new file mode 100644 index 0000000..464f127 --- /dev/null +++ b/docs/docs/cli/bcda-store.md @@ -0,0 +1,16 @@ +--- +title: stack bcda store +sidebar_position: 17 +--- + +# `stack bcda store` + +``` +Usage: stack bcda store [OPTIONS] + + Local store: jobs, files, bytes. + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-ui.md b/docs/docs/cli/bcda-ui.md new file mode 100644 index 0000000..70af438 --- /dev/null +++ b/docs/docs/cli/bcda-ui.md @@ -0,0 +1,20 @@ +--- +title: stack bcda ui +sidebar_position: 10 +--- + +# `stack bcda ui` + +``` +Usage: stack bcda ui [OPTIONS] + + Launch the BCDA manager (Streamlit). + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --port INTEGER Port for the Streamlit server. │ +│ [default: 8501] │ +│ --headless --no-headless Do not open a browser. │ +│ [default: headless] │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda-vendor.md b/docs/docs/cli/bcda-vendor.md new file mode 100644 index 0000000..ab9f99a --- /dev/null +++ b/docs/docs/cli/bcda-vendor.md @@ -0,0 +1,18 @@ +--- +title: stack bcda vendor +sidebar_position: 19 +--- + +# `stack bcda vendor` + +``` +Usage: stack bcda vendor [OPTIONS] + + Vendored upstream (CMSgov/bcda-app, bcda.cms.gov): manifest, verification, + drift. + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --check Also query GitHub / bcda.cms.gov for drift. │ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bcda.md b/docs/docs/cli/bcda.md new file mode 100644 index 0000000..31a65b0 --- /dev/null +++ b/docs/docs/cli/bcda.md @@ -0,0 +1,30 @@ +--- +title: stack bcda +sidebar_position: 9 +--- + +# `stack bcda` + +``` +Usage: stack bcda [OPTIONS] COMMAND [ARGS]... + + BCDA client and manager (exports, store, load, UI). + +╭─ Options ────────────────────────────────────────────────────────────────────╮ +│ --help Show this message and exit. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +╭─ Commands ───────────────────────────────────────────────────────────────────╮ +│ ui Launch the BCDA manager (Streamlit). │ +│ preflight /_version, /_health and metadata — no token needed. │ +│ auth Issue a token and show attribution status. │ +│ jobs Server job history for the entity (shared on the sandbox). │ +│ export Run an export through the store (blocks until downloaded). │ +│ adopt Download a completed job this store did not start. │ +│ cancel Cancel an in-progress job. │ +│ store Local store: jobs, files, bytes. │ +│ load Flatten + load the newest export per type, run the connector, │ +│ publish the replica. │ +│ vendor Vendored upstream (CMSgov/bcda-app, bcda.cms.gov): manifest, │ +│ verification, drift. │ +╰──────────────────────────────────────────────────────────────────────────────╯ +``` diff --git a/docs/docs/cli/bib-attach-iom.md b/docs/docs/cli/bib-attach-iom.md index bfd85de..d85e063 100644 --- a/docs/docs/cli/bib-attach-iom.md +++ b/docs/docs/cli/bib-attach-iom.md @@ -1,6 +1,6 @@ --- title: stack bib attach-iom -sidebar_position: 21 +sidebar_position: 32 --- # `stack bib attach-iom` diff --git a/docs/docs/cli/bib-attach-oig.md b/docs/docs/cli/bib-attach-oig.md index b2a2481..abb17c9 100644 --- a/docs/docs/cli/bib-attach-oig.md +++ b/docs/docs/cli/bib-attach-oig.md @@ -1,6 +1,6 @@ --- title: stack bib attach-oig -sidebar_position: 26 +sidebar_position: 37 --- # `stack bib attach-oig` diff --git a/docs/docs/cli/bib-backfill-comments.md b/docs/docs/cli/bib-backfill-comments.md index a1956ba..b098014 100644 --- a/docs/docs/cli/bib-backfill-comments.md +++ b/docs/docs/cli/bib-backfill-comments.md @@ -1,6 +1,6 @@ --- title: stack bib backfill-comments -sidebar_position: 19 +sidebar_position: 30 --- # `stack bib backfill-comments` diff --git a/docs/docs/cli/bib-cfr-jump.md b/docs/docs/cli/bib-cfr-jump.md index fe3507d..3346665 100644 --- a/docs/docs/cli/bib-cfr-jump.md +++ b/docs/docs/cli/bib-cfr-jump.md @@ -1,6 +1,6 @@ --- title: stack bib cfr-jump -sidebar_position: 31 +sidebar_position: 42 --- # `stack bib cfr-jump` diff --git a/docs/docs/cli/bib-code-tags.md b/docs/docs/cli/bib-code-tags.md index 9efc2e4..a576d1d 100644 --- a/docs/docs/cli/bib-code-tags.md +++ b/docs/docs/cli/bib-code-tags.md @@ -1,6 +1,6 @@ --- title: stack bib code-tags -sidebar_position: 32 +sidebar_position: 43 --- # `stack bib code-tags` diff --git a/docs/docs/cli/bib-discover-pfs-rules.md b/docs/docs/cli/bib-discover-pfs-rules.md index eef1980..c98b2d8 100644 --- a/docs/docs/cli/bib-discover-pfs-rules.md +++ b/docs/docs/cli/bib-discover-pfs-rules.md @@ -1,6 +1,6 @@ --- title: stack bib discover-pfs-rules -sidebar_position: 15 +sidebar_position: 26 --- # `stack bib discover-pfs-rules` diff --git a/docs/docs/cli/bib-fetch-docket-comments.md b/docs/docs/cli/bib-fetch-docket-comments.md index 427b366..b2ef056 100644 --- a/docs/docs/cli/bib-fetch-docket-comments.md +++ b/docs/docs/cli/bib-fetch-docket-comments.md @@ -1,6 +1,6 @@ --- title: stack bib fetch-docket-comments -sidebar_position: 16 +sidebar_position: 27 --- # `stack bib fetch-docket-comments` diff --git a/docs/docs/cli/bib-fetch-pfs-comments.md b/docs/docs/cli/bib-fetch-pfs-comments.md index 26e3235..93d989a 100644 --- a/docs/docs/cli/bib-fetch-pfs-comments.md +++ b/docs/docs/cli/bib-fetch-pfs-comments.md @@ -1,6 +1,6 @@ --- title: stack bib fetch-pfs-comments -sidebar_position: 17 +sidebar_position: 28 --- # `stack bib fetch-pfs-comments` diff --git a/docs/docs/cli/bib-fr-grab.md b/docs/docs/cli/bib-fr-grab.md index 4d2d3e9..cbf06df 100644 --- a/docs/docs/cli/bib-fr-grab.md +++ b/docs/docs/cli/bib-fr-grab.md @@ -1,6 +1,6 @@ --- title: stack bib fr-grab -sidebar_position: 29 +sidebar_position: 40 --- # `stack bib fr-grab` diff --git a/docs/docs/cli/bib-fr-jump.md b/docs/docs/cli/bib-fr-jump.md index 2b24b37..33aef6d 100644 --- a/docs/docs/cli/bib-fr-jump.md +++ b/docs/docs/cli/bib-fr-jump.md @@ -1,6 +1,6 @@ --- title: stack bib fr-jump -sidebar_position: 30 +sidebar_position: 41 --- # `stack bib fr-jump` diff --git a/docs/docs/cli/bib-import-zotero.md b/docs/docs/cli/bib-import-zotero.md index 7c80bd3..6fcdfdd 100644 --- a/docs/docs/cli/bib-import-zotero.md +++ b/docs/docs/cli/bib-import-zotero.md @@ -1,6 +1,6 @@ --- title: stack bib import-zotero -sidebar_position: 23 +sidebar_position: 34 --- # `stack bib import-zotero` diff --git a/docs/docs/cli/bib-ingest-iom.md b/docs/docs/cli/bib-ingest-iom.md index fdc15af..03c8e22 100644 --- a/docs/docs/cli/bib-ingest-iom.md +++ b/docs/docs/cli/bib-ingest-iom.md @@ -1,6 +1,6 @@ --- title: stack bib ingest-iom -sidebar_position: 20 +sidebar_position: 31 --- # `stack bib ingest-iom` diff --git a/docs/docs/cli/bib-ingest-mail.md b/docs/docs/cli/bib-ingest-mail.md index c03922e..ab80fa9 100644 --- a/docs/docs/cli/bib-ingest-mail.md +++ b/docs/docs/cli/bib-ingest-mail.md @@ -1,6 +1,6 @@ --- title: stack bib ingest-mail -sidebar_position: 18 +sidebar_position: 29 --- # `stack bib ingest-mail` diff --git a/docs/docs/cli/bib-ingest-oig.md b/docs/docs/cli/bib-ingest-oig.md index 3f028e9..3c8cb2c 100644 --- a/docs/docs/cli/bib-ingest-oig.md +++ b/docs/docs/cli/bib-ingest-oig.md @@ -1,6 +1,6 @@ --- title: stack bib ingest-oig -sidebar_position: 25 +sidebar_position: 36 --- # `stack bib ingest-oig` diff --git a/docs/docs/cli/bib-query.md b/docs/docs/cli/bib-query.md index 2edf700..4311440 100644 --- a/docs/docs/cli/bib-query.md +++ b/docs/docs/cli/bib-query.md @@ -1,6 +1,6 @@ --- title: stack bib query -sidebar_position: 14 +sidebar_position: 25 --- # `stack bib query` diff --git a/docs/docs/cli/bib-refresh-iom.md b/docs/docs/cli/bib-refresh-iom.md index 754800a..cc0c7be 100644 --- a/docs/docs/cli/bib-refresh-iom.md +++ b/docs/docs/cli/bib-refresh-iom.md @@ -1,6 +1,6 @@ --- title: stack bib refresh-iom -sidebar_position: 28 +sidebar_position: 39 --- # `stack bib refresh-iom` diff --git a/docs/docs/cli/bib-refresh-oig.md b/docs/docs/cli/bib-refresh-oig.md index 04d4ca9..32b3cd2 100644 --- a/docs/docs/cli/bib-refresh-oig.md +++ b/docs/docs/cli/bib-refresh-oig.md @@ -1,6 +1,6 @@ --- title: stack bib refresh-oig -sidebar_position: 27 +sidebar_position: 38 --- # `stack bib refresh-oig` diff --git a/docs/docs/cli/bib-sync-zotero.md b/docs/docs/cli/bib-sync-zotero.md index b4d0fd4..ec7af77 100644 --- a/docs/docs/cli/bib-sync-zotero.md +++ b/docs/docs/cli/bib-sync-zotero.md @@ -1,6 +1,6 @@ --- title: stack bib sync-zotero -sidebar_position: 24 +sidebar_position: 35 --- # `stack bib sync-zotero` diff --git a/docs/docs/cli/bib-sync.md b/docs/docs/cli/bib-sync.md index ce21e6d..8802c80 100644 --- a/docs/docs/cli/bib-sync.md +++ b/docs/docs/cli/bib-sync.md @@ -1,6 +1,6 @@ --- title: stack bib sync -sidebar_position: 12 +sidebar_position: 23 --- # `stack bib sync` diff --git a/docs/docs/cli/bib-tag.md b/docs/docs/cli/bib-tag.md index 6768524..5fe79df 100644 --- a/docs/docs/cli/bib-tag.md +++ b/docs/docs/cli/bib-tag.md @@ -1,6 +1,6 @@ --- title: stack bib tag -sidebar_position: 13 +sidebar_position: 24 --- # `stack bib tag` diff --git a/docs/docs/cli/bib-watch-iom.md b/docs/docs/cli/bib-watch-iom.md index c0e9dc6..44d1d1c 100644 --- a/docs/docs/cli/bib-watch-iom.md +++ b/docs/docs/cli/bib-watch-iom.md @@ -1,6 +1,6 @@ --- title: stack bib watch-iom -sidebar_position: 22 +sidebar_position: 33 --- # `stack bib watch-iom` diff --git a/docs/docs/cli/bib.md b/docs/docs/cli/bib.md index d501774..44d9f33 100644 --- a/docs/docs/cli/bib.md +++ b/docs/docs/cli/bib.md @@ -1,6 +1,6 @@ --- title: stack bib -sidebar_position: 11 +sidebar_position: 22 --- # `stack bib` diff --git a/docs/docs/cli/bls-ces.md b/docs/docs/cli/bls-ces.md index a78e3bc..ddbe3c4 100644 --- a/docs/docs/cli/bls-ces.md +++ b/docs/docs/cli/bls-ces.md @@ -1,6 +1,6 @@ --- title: stack bls ces -sidebar_position: 35 +sidebar_position: 46 --- # `stack bls ces` diff --git a/docs/docs/cli/bls-oews.md b/docs/docs/cli/bls-oews.md index db2d8f2..ec8a01a 100644 --- a/docs/docs/cli/bls-oews.md +++ b/docs/docs/cli/bls-oews.md @@ -1,6 +1,6 @@ --- title: stack bls oews -sidebar_position: 34 +sidebar_position: 45 --- # `stack bls oews` diff --git a/docs/docs/cli/bls.md b/docs/docs/cli/bls.md index 5c835f0..678e9f7 100644 --- a/docs/docs/cli/bls.md +++ b/docs/docs/cli/bls.md @@ -1,6 +1,6 @@ --- title: stack bls -sidebar_position: 33 +sidebar_position: 44 --- # `stack bls` diff --git a/docs/docs/cli/comments-dockets.md b/docs/docs/cli/comments-dockets.md index 633ee06..20aec18 100644 --- a/docs/docs/cli/comments-dockets.md +++ b/docs/docs/cli/comments-dockets.md @@ -1,6 +1,6 @@ --- title: stack comments dockets -sidebar_position: 40 +sidebar_position: 51 --- # `stack comments dockets` diff --git a/docs/docs/cli/comments-extract-ocr.md b/docs/docs/cli/comments-extract-ocr.md index 52738ea..00d87e5 100644 --- a/docs/docs/cli/comments-extract-ocr.md +++ b/docs/docs/cli/comments-extract-ocr.md @@ -1,6 +1,6 @@ --- title: stack comments extract-ocr -sidebar_position: 38 +sidebar_position: 49 --- # `stack comments extract-ocr` diff --git a/docs/docs/cli/comments-extract.md b/docs/docs/cli/comments-extract.md index f0049f0..4591e9e 100644 --- a/docs/docs/cli/comments-extract.md +++ b/docs/docs/cli/comments-extract.md @@ -1,6 +1,6 @@ --- title: stack comments extract -sidebar_position: 37 +sidebar_position: 48 --- # `stack comments extract` diff --git a/docs/docs/cli/comments-seal.md b/docs/docs/cli/comments-seal.md index c8618bd..e86617b 100644 --- a/docs/docs/cli/comments-seal.md +++ b/docs/docs/cli/comments-seal.md @@ -1,6 +1,6 @@ --- title: stack comments seal -sidebar_position: 41 +sidebar_position: 52 --- # `stack comments seal` diff --git a/docs/docs/cli/comments-stats.md b/docs/docs/cli/comments-stats.md index 26819d9..0c435a4 100644 --- a/docs/docs/cli/comments-stats.md +++ b/docs/docs/cli/comments-stats.md @@ -1,6 +1,6 @@ --- title: stack comments stats -sidebar_position: 39 +sidebar_position: 50 --- # `stack comments stats` diff --git a/docs/docs/cli/comments-unseal.md b/docs/docs/cli/comments-unseal.md index e147684..df5d68c 100644 --- a/docs/docs/cli/comments-unseal.md +++ b/docs/docs/cli/comments-unseal.md @@ -1,6 +1,6 @@ --- title: stack comments unseal -sidebar_position: 42 +sidebar_position: 53 --- # `stack comments unseal` diff --git a/docs/docs/cli/comments.md b/docs/docs/cli/comments.md index d1c5e7a..2a61708 100644 --- a/docs/docs/cli/comments.md +++ b/docs/docs/cli/comments.md @@ -1,6 +1,6 @@ --- title: stack comments -sidebar_position: 36 +sidebar_position: 47 --- # `stack comments` diff --git a/docs/docs/cli/db-comment.md b/docs/docs/cli/db-comment.md index 03fed18..4ea6adc 100644 --- a/docs/docs/cli/db-comment.md +++ b/docs/docs/cli/db-comment.md @@ -1,6 +1,6 @@ --- title: stack db comment -sidebar_position: 59 +sidebar_position: 70 --- # `stack db comment` diff --git a/docs/docs/cli/db-inspect.md b/docs/docs/cli/db-inspect.md index 172a47b..5d33428 100644 --- a/docs/docs/cli/db-inspect.md +++ b/docs/docs/cli/db-inspect.md @@ -1,6 +1,6 @@ --- title: stack db inspect -sidebar_position: 60 +sidebar_position: 71 --- # `stack db inspect` diff --git a/docs/docs/cli/db.md b/docs/docs/cli/db.md index 7967d3c..6b223e5 100644 --- a/docs/docs/cli/db.md +++ b/docs/docs/cli/db.md @@ -1,6 +1,6 @@ --- title: stack db -sidebar_position: 58 +sidebar_position: 69 --- # `stack db` diff --git a/docs/docs/cli/docs-build.md b/docs/docs/cli/docs-build.md index f96d6b5..dd909e8 100644 --- a/docs/docs/cli/docs-build.md +++ b/docs/docs/cli/docs-build.md @@ -1,6 +1,6 @@ --- title: stack docs build -sidebar_position: 62 +sidebar_position: 73 --- # `stack docs build` diff --git a/docs/docs/cli/docs-generate.md b/docs/docs/cli/docs-generate.md index 2b49447..9cda6d0 100644 --- a/docs/docs/cli/docs-generate.md +++ b/docs/docs/cli/docs-generate.md @@ -1,6 +1,6 @@ --- title: stack docs generate -sidebar_position: 64 +sidebar_position: 75 --- # `stack docs generate` diff --git a/docs/docs/cli/docs-serve.md b/docs/docs/cli/docs-serve.md index a7a743b..19f3262 100644 --- a/docs/docs/cli/docs-serve.md +++ b/docs/docs/cli/docs-serve.md @@ -1,6 +1,6 @@ --- title: stack docs serve -sidebar_position: 63 +sidebar_position: 74 --- # `stack docs serve` diff --git a/docs/docs/cli/docs.md b/docs/docs/cli/docs.md index 5feaef7..7dccf7d 100644 --- a/docs/docs/cli/docs.md +++ b/docs/docs/cli/docs.md @@ -1,6 +1,6 @@ --- title: stack docs -sidebar_position: 61 +sidebar_position: 72 --- # `stack docs` diff --git a/docs/docs/cli/generate-models.md b/docs/docs/cli/generate-models.md index 17d4983..bb68333 100644 --- a/docs/docs/cli/generate-models.md +++ b/docs/docs/cli/generate-models.md @@ -1,6 +1,6 @@ --- title: stack generate models -sidebar_position: 10 +sidebar_position: 21 --- # `stack generate models` diff --git a/docs/docs/cli/generate.md b/docs/docs/cli/generate.md index 347e6c4..e532df1 100644 --- a/docs/docs/cli/generate.md +++ b/docs/docs/cli/generate.md @@ -1,6 +1,6 @@ --- title: stack generate -sidebar_position: 9 +sidebar_position: 20 --- # `stack generate` diff --git a/docs/docs/cli/lake-deploy.md b/docs/docs/cli/lake-deploy.md index 3ab6e76..13ce235 100644 --- a/docs/docs/cli/lake-deploy.md +++ b/docs/docs/cli/lake-deploy.md @@ -1,6 +1,6 @@ --- title: stack lake deploy -sidebar_position: 44 +sidebar_position: 55 --- # `stack lake deploy` diff --git a/docs/docs/cli/lake-load.md b/docs/docs/cli/lake-load.md index 547a8e3..1f6c998 100644 --- a/docs/docs/cli/lake-load.md +++ b/docs/docs/cli/lake-load.md @@ -1,6 +1,6 @@ --- title: stack lake load -sidebar_position: 45 +sidebar_position: 56 --- # `stack lake load` diff --git a/docs/docs/cli/lake-parity.md b/docs/docs/cli/lake-parity.md index 8ca1ced..74481e5 100644 --- a/docs/docs/cli/lake-parity.md +++ b/docs/docs/cli/lake-parity.md @@ -1,6 +1,6 @@ --- title: stack lake parity -sidebar_position: 47 +sidebar_position: 58 --- # `stack lake parity` diff --git a/docs/docs/cli/lake-validate.md b/docs/docs/cli/lake-validate.md index 676fe33..de003f3 100644 --- a/docs/docs/cli/lake-validate.md +++ b/docs/docs/cli/lake-validate.md @@ -1,6 +1,6 @@ --- title: stack lake validate -sidebar_position: 46 +sidebar_position: 57 --- # `stack lake validate` diff --git a/docs/docs/cli/lake.md b/docs/docs/cli/lake.md index 9d89d37..0960e99 100644 --- a/docs/docs/cli/lake.md +++ b/docs/docs/cli/lake.md @@ -1,6 +1,6 @@ --- title: stack lake -sidebar_position: 43 +sidebar_position: 54 --- # `stack lake` diff --git a/docs/docs/cli/llm-eval-tags.md b/docs/docs/cli/llm-eval-tags.md index 9192922..3c6b253 100644 --- a/docs/docs/cli/llm-eval-tags.md +++ b/docs/docs/cli/llm-eval-tags.md @@ -1,6 +1,6 @@ --- title: stack llm eval-tags -sidebar_position: 55 +sidebar_position: 66 --- # `stack llm eval-tags` diff --git a/docs/docs/cli/llm-hosts.md b/docs/docs/cli/llm-hosts.md index 14e4326..ad11335 100644 --- a/docs/docs/cli/llm-hosts.md +++ b/docs/docs/cli/llm-hosts.md @@ -1,6 +1,6 @@ --- title: stack llm hosts -sidebar_position: 51 +sidebar_position: 62 --- # `stack llm hosts` diff --git a/docs/docs/cli/llm-index.md b/docs/docs/cli/llm-index.md index 0fb721c..d91c929 100644 --- a/docs/docs/cli/llm-index.md +++ b/docs/docs/cli/llm-index.md @@ -1,6 +1,6 @@ --- title: stack llm index -sidebar_position: 49 +sidebar_position: 60 --- # `stack llm index` diff --git a/docs/docs/cli/llm-prune-rules.md b/docs/docs/cli/llm-prune-rules.md index 5cad852..970e32e 100644 --- a/docs/docs/cli/llm-prune-rules.md +++ b/docs/docs/cli/llm-prune-rules.md @@ -1,6 +1,6 @@ --- title: stack llm prune-rules -sidebar_position: 56 +sidebar_position: 67 --- # `stack llm prune-rules` diff --git a/docs/docs/cli/llm-restamp.md b/docs/docs/cli/llm-restamp.md index 14f189f..31818f8 100644 --- a/docs/docs/cli/llm-restamp.md +++ b/docs/docs/cli/llm-restamp.md @@ -1,6 +1,6 @@ --- title: stack llm restamp -sidebar_position: 50 +sidebar_position: 61 --- # `stack llm restamp` diff --git a/docs/docs/cli/llm-serve.md b/docs/docs/cli/llm-serve.md index f6bbb79..c4a93f3 100644 --- a/docs/docs/cli/llm-serve.md +++ b/docs/docs/cli/llm-serve.md @@ -1,6 +1,6 @@ --- title: stack llm serve -sidebar_position: 52 +sidebar_position: 63 --- # `stack llm serve` diff --git a/docs/docs/cli/llm-stamp-themes.md b/docs/docs/cli/llm-stamp-themes.md index a8ca76c..5764031 100644 --- a/docs/docs/cli/llm-stamp-themes.md +++ b/docs/docs/cli/llm-stamp-themes.md @@ -1,6 +1,6 @@ --- title: stack llm stamp-themes -sidebar_position: 57 +sidebar_position: 68 --- # `stack llm stamp-themes` diff --git a/docs/docs/cli/llm-tag.md b/docs/docs/cli/llm-tag.md index e4a41f3..7361ac2 100644 --- a/docs/docs/cli/llm-tag.md +++ b/docs/docs/cli/llm-tag.md @@ -1,6 +1,6 @@ --- title: stack llm tag -sidebar_position: 54 +sidebar_position: 65 --- # `stack llm tag` diff --git a/docs/docs/cli/llm-vocab.md b/docs/docs/cli/llm-vocab.md index a337cf7..923c8e4 100644 --- a/docs/docs/cli/llm-vocab.md +++ b/docs/docs/cli/llm-vocab.md @@ -1,6 +1,6 @@ --- title: stack llm vocab -sidebar_position: 53 +sidebar_position: 64 --- # `stack llm vocab` diff --git a/docs/docs/cli/llm.md b/docs/docs/cli/llm.md index bc86b9c..3a2687a 100644 --- a/docs/docs/cli/llm.md +++ b/docs/docs/cli/llm.md @@ -1,6 +1,6 @@ --- title: stack llm -sidebar_position: 48 +sidebar_position: 59 --- # `stack llm` diff --git a/docs/docs/cli/mail-attach-smarthost.md b/docs/docs/cli/mail-attach-smarthost.md index 01ca05d..81f4327 100644 --- a/docs/docs/cli/mail-attach-smarthost.md +++ b/docs/docs/cli/mail-attach-smarthost.md @@ -1,6 +1,6 @@ --- title: stack mail attach-smarthost -sidebar_position: 107 +sidebar_position: 118 --- # `stack mail attach-smarthost` diff --git a/docs/docs/cli/mail-dkim-export.md b/docs/docs/cli/mail-dkim-export.md index 5386221..fb64359 100644 --- a/docs/docs/cli/mail-dkim-export.md +++ b/docs/docs/cli/mail-dkim-export.md @@ -1,6 +1,6 @@ --- title: stack mail dkim-export -sidebar_position: 106 +sidebar_position: 117 --- # `stack mail dkim-export` diff --git a/docs/docs/cli/mail-dns.md b/docs/docs/cli/mail-dns.md index 1175da6..20985f0 100644 --- a/docs/docs/cli/mail-dns.md +++ b/docs/docs/cli/mail-dns.md @@ -1,6 +1,6 @@ --- title: stack mail dns -sidebar_position: 105 +sidebar_position: 116 --- # `stack mail dns` diff --git a/docs/docs/cli/mail-down.md b/docs/docs/cli/mail-down.md index 218756c..2eb00b7 100644 --- a/docs/docs/cli/mail-down.md +++ b/docs/docs/cli/mail-down.md @@ -1,6 +1,6 @@ --- title: stack mail down -sidebar_position: 103 +sidebar_position: 114 --- # `stack mail down` diff --git a/docs/docs/cli/mail-provision.md b/docs/docs/cli/mail-provision.md index 3692501..4c7cc6d 100644 --- a/docs/docs/cli/mail-provision.md +++ b/docs/docs/cli/mail-provision.md @@ -1,6 +1,6 @@ --- title: stack mail provision -sidebar_position: 101 +sidebar_position: 112 --- # `stack mail provision` diff --git a/docs/docs/cli/mail-rotate-creds.md b/docs/docs/cli/mail-rotate-creds.md index 57e1df9..af6b9ed 100644 --- a/docs/docs/cli/mail-rotate-creds.md +++ b/docs/docs/cli/mail-rotate-creds.md @@ -1,6 +1,6 @@ --- title: stack mail rotate-creds -sidebar_position: 108 +sidebar_position: 119 --- # `stack mail rotate-creds` diff --git a/docs/docs/cli/mail-seed-mailboxes.md b/docs/docs/cli/mail-seed-mailboxes.md index ae2f65c..3ac98d3 100644 --- a/docs/docs/cli/mail-seed-mailboxes.md +++ b/docs/docs/cli/mail-seed-mailboxes.md @@ -1,6 +1,6 @@ --- title: stack mail seed-mailboxes -sidebar_position: 109 +sidebar_position: 120 --- # `stack mail seed-mailboxes` diff --git a/docs/docs/cli/mail-status.md b/docs/docs/cli/mail-status.md index 1bb60da..fc89ac4 100644 --- a/docs/docs/cli/mail-status.md +++ b/docs/docs/cli/mail-status.md @@ -1,6 +1,6 @@ --- title: stack mail status -sidebar_position: 104 +sidebar_position: 115 --- # `stack mail status` diff --git a/docs/docs/cli/mail-up.md b/docs/docs/cli/mail-up.md index 360dcf4..6988c32 100644 --- a/docs/docs/cli/mail-up.md +++ b/docs/docs/cli/mail-up.md @@ -1,6 +1,6 @@ --- title: stack mail up -sidebar_position: 102 +sidebar_position: 113 --- # `stack mail up` diff --git a/docs/docs/cli/mail-wire-git.md b/docs/docs/cli/mail-wire-git.md index 927ff50..c68a92a 100644 --- a/docs/docs/cli/mail-wire-git.md +++ b/docs/docs/cli/mail-wire-git.md @@ -1,6 +1,6 @@ --- title: stack mail wire-git -sidebar_position: 110 +sidebar_position: 121 --- # `stack mail wire-git` diff --git a/docs/docs/cli/mail.md b/docs/docs/cli/mail.md index 52c072c..626ddd9 100644 --- a/docs/docs/cli/mail.md +++ b/docs/docs/cli/mail.md @@ -1,6 +1,6 @@ --- title: stack mail -sidebar_position: 100 +sidebar_position: 111 --- # `stack mail` diff --git a/docs/docs/cli/perf-show.md b/docs/docs/cli/perf-show.md index 12233a7..4d03297 100644 --- a/docs/docs/cli/perf-show.md +++ b/docs/docs/cli/perf-show.md @@ -1,6 +1,6 @@ --- title: stack perf show -sidebar_position: 68 +sidebar_position: 79 --- # `stack perf show` diff --git a/docs/docs/cli/perf.md b/docs/docs/cli/perf.md index 0f2ca12..5a3296e 100644 --- a/docs/docs/cli/perf.md +++ b/docs/docs/cli/perf.md @@ -1,6 +1,6 @@ --- title: stack perf -sidebar_position: 67 +sidebar_position: 78 --- # `stack perf` diff --git a/docs/docs/cli/pfs-cpt-ingest.md b/docs/docs/cli/pfs-cpt-ingest.md index ffe4599..5095ed8 100644 --- a/docs/docs/cli/pfs-cpt-ingest.md +++ b/docs/docs/cli/pfs-cpt-ingest.md @@ -1,6 +1,6 @@ --- title: stack pfs cpt-ingest -sidebar_position: 82 +sidebar_position: 93 --- # `stack pfs cpt-ingest` diff --git a/docs/docs/cli/pfs-elements.md b/docs/docs/cli/pfs-elements.md index 045814c..d249534 100644 --- a/docs/docs/cli/pfs-elements.md +++ b/docs/docs/cli/pfs-elements.md @@ -1,6 +1,6 @@ --- title: stack pfs elements -sidebar_position: 74 +sidebar_position: 85 --- # `stack pfs elements` diff --git a/docs/docs/cli/pfs-exposure.md b/docs/docs/cli/pfs-exposure.md index 89c53cf..1f4cf05 100644 --- a/docs/docs/cli/pfs-exposure.md +++ b/docs/docs/cli/pfs-exposure.md @@ -1,6 +1,6 @@ --- title: stack pfs exposure -sidebar_position: 79 +sidebar_position: 90 --- # `stack pfs exposure` diff --git a/docs/docs/cli/pfs-families.md b/docs/docs/cli/pfs-families.md index ea0548d..666708b 100644 --- a/docs/docs/cli/pfs-families.md +++ b/docs/docs/cli/pfs-families.md @@ -1,6 +1,6 @@ --- title: stack pfs families -sidebar_position: 76 +sidebar_position: 87 --- # `stack pfs families` diff --git a/docs/docs/cli/pfs-guidance.md b/docs/docs/cli/pfs-guidance.md index 32dc08d..08c4e1d 100644 --- a/docs/docs/cli/pfs-guidance.md +++ b/docs/docs/cli/pfs-guidance.md @@ -1,6 +1,6 @@ --- title: stack pfs guidance -sidebar_position: 77 +sidebar_position: 88 --- # `stack pfs guidance` diff --git a/docs/docs/cli/pfs-lineage.md b/docs/docs/cli/pfs-lineage.md index 7a11271..bed5e38 100644 --- a/docs/docs/cli/pfs-lineage.md +++ b/docs/docs/cli/pfs-lineage.md @@ -1,6 +1,6 @@ --- title: stack pfs lineage -sidebar_position: 75 +sidebar_position: 86 --- # `stack pfs lineage` diff --git a/docs/docs/cli/pfs-reaction.md b/docs/docs/cli/pfs-reaction.md index a58537c..7ff6842 100644 --- a/docs/docs/cli/pfs-reaction.md +++ b/docs/docs/cli/pfs-reaction.md @@ -1,6 +1,6 @@ --- title: stack pfs reaction -sidebar_position: 78 +sidebar_position: 89 --- # `stack pfs reaction` diff --git a/docs/docs/cli/pfs-review.md b/docs/docs/cli/pfs-review.md index 79dae3f..b088cf0 100644 --- a/docs/docs/cli/pfs-review.md +++ b/docs/docs/cli/pfs-review.md @@ -1,6 +1,6 @@ --- title: stack pfs review -sidebar_position: 81 +sidebar_position: 92 --- # `stack pfs review` diff --git a/docs/docs/cli/pfs-utilization.md b/docs/docs/cli/pfs-utilization.md index 0dfb7ec..12bbb79 100644 --- a/docs/docs/cli/pfs-utilization.md +++ b/docs/docs/cli/pfs-utilization.md @@ -1,6 +1,6 @@ --- title: stack pfs utilization -sidebar_position: 80 +sidebar_position: 91 --- # `stack pfs utilization` diff --git a/docs/docs/cli/pfs.md b/docs/docs/cli/pfs.md index 28edc75..ea57562 100644 --- a/docs/docs/cli/pfs.md +++ b/docs/docs/cli/pfs.md @@ -1,6 +1,6 @@ --- title: stack pfs -sidebar_position: 73 +sidebar_position: 84 --- # `stack pfs` diff --git a/docs/docs/cli/prisma-eligible.md b/docs/docs/cli/prisma-eligible.md index 9bbcef2..727026e 100644 --- a/docs/docs/cli/prisma-eligible.md +++ b/docs/docs/cli/prisma-eligible.md @@ -1,6 +1,6 @@ --- title: stack prisma eligible -sidebar_position: 94 +sidebar_position: 105 --- # `stack prisma eligible` diff --git a/docs/docs/cli/prisma-export.md b/docs/docs/cli/prisma-export.md index b8afd39..88bb40e 100644 --- a/docs/docs/cli/prisma-export.md +++ b/docs/docs/cli/prisma-export.md @@ -1,6 +1,6 @@ --- title: stack prisma export -sidebar_position: 91 +sidebar_position: 102 --- # `stack prisma export` diff --git a/docs/docs/cli/prisma-extract.md b/docs/docs/cli/prisma-extract.md index 5d32690..7a89a1b 100644 --- a/docs/docs/cli/prisma-extract.md +++ b/docs/docs/cli/prisma-extract.md @@ -1,6 +1,6 @@ --- title: stack prisma extract -sidebar_position: 95 +sidebar_position: 106 --- # `stack prisma extract` diff --git a/docs/docs/cli/prisma-fetch.md b/docs/docs/cli/prisma-fetch.md index a557f55..7d93b0f 100644 --- a/docs/docs/cli/prisma-fetch.md +++ b/docs/docs/cli/prisma-fetch.md @@ -1,6 +1,6 @@ --- title: stack prisma fetch -sidebar_position: 97 +sidebar_position: 108 --- # `stack prisma fetch` diff --git a/docs/docs/cli/prisma-flow.md b/docs/docs/cli/prisma-flow.md index 382697e..580f223 100644 --- a/docs/docs/cli/prisma-flow.md +++ b/docs/docs/cli/prisma-flow.md @@ -1,6 +1,6 @@ --- title: stack prisma flow -sidebar_position: 96 +sidebar_position: 107 --- # `stack prisma flow` diff --git a/docs/docs/cli/prisma-init.md b/docs/docs/cli/prisma-init.md index 88f734b..c44d303 100644 --- a/docs/docs/cli/prisma-init.md +++ b/docs/docs/cli/prisma-init.md @@ -1,6 +1,6 @@ --- title: stack prisma init -sidebar_position: 90 +sidebar_position: 101 --- # `stack prisma init` diff --git a/docs/docs/cli/prisma-ping-llm.md b/docs/docs/cli/prisma-ping-llm.md index 5118139..839c6b0 100644 --- a/docs/docs/cli/prisma-ping-llm.md +++ b/docs/docs/cli/prisma-ping-llm.md @@ -1,6 +1,6 @@ --- title: stack prisma ping-llm -sidebar_position: 92 +sidebar_position: 103 --- # `stack prisma ping-llm` diff --git a/docs/docs/cli/prisma-run.md b/docs/docs/cli/prisma-run.md index 8a9e670..f501c04 100644 --- a/docs/docs/cli/prisma-run.md +++ b/docs/docs/cli/prisma-run.md @@ -1,6 +1,6 @@ --- title: stack prisma run -sidebar_position: 98 +sidebar_position: 109 --- # `stack prisma run` diff --git a/docs/docs/cli/prisma-screen.md b/docs/docs/cli/prisma-screen.md index e073eb1..791436f 100644 --- a/docs/docs/cli/prisma-screen.md +++ b/docs/docs/cli/prisma-screen.md @@ -1,6 +1,6 @@ --- title: stack prisma screen -sidebar_position: 93 +sidebar_position: 104 --- # `stack prisma screen` diff --git a/docs/docs/cli/prisma-vpn.md b/docs/docs/cli/prisma-vpn.md index c376dc7..17d6180 100644 --- a/docs/docs/cli/prisma-vpn.md +++ b/docs/docs/cli/prisma-vpn.md @@ -1,6 +1,6 @@ --- title: stack prisma vpn -sidebar_position: 99 +sidebar_position: 110 --- # `stack prisma vpn` diff --git a/docs/docs/cli/prisma.md b/docs/docs/cli/prisma.md index 7e5d0a9..c8e2360 100644 --- a/docs/docs/cli/prisma.md +++ b/docs/docs/cli/prisma.md @@ -1,6 +1,6 @@ --- title: stack prisma -sidebar_position: 89 +sidebar_position: 100 --- # `stack prisma` diff --git a/docs/docs/cli/rec-list.md b/docs/docs/cli/rec-list.md index 6c38a79..43fc0d9 100644 --- a/docs/docs/cli/rec-list.md +++ b/docs/docs/cli/rec-list.md @@ -1,6 +1,6 @@ --- title: stack rec list -sidebar_position: 70 +sidebar_position: 81 --- # `stack rec list` diff --git a/docs/docs/cli/rec-opps.md b/docs/docs/cli/rec-opps.md index ece31c0..76f4380 100644 --- a/docs/docs/cli/rec-opps.md +++ b/docs/docs/cli/rec-opps.md @@ -1,6 +1,6 @@ --- title: stack rec opps -sidebar_position: 72 +sidebar_position: 83 --- # `stack rec opps` diff --git a/docs/docs/cli/rec-pfs.md b/docs/docs/cli/rec-pfs.md index 22dbbdd..d1b5bdd 100644 --- a/docs/docs/cli/rec-pfs.md +++ b/docs/docs/cli/rec-pfs.md @@ -1,6 +1,6 @@ --- title: stack rec pfs -sidebar_position: 71 +sidebar_position: 82 --- # `stack rec pfs` diff --git a/docs/docs/cli/rec.md b/docs/docs/cli/rec.md index 2b212c0..a866e70 100644 --- a/docs/docs/cli/rec.md +++ b/docs/docs/cli/rec.md @@ -1,6 +1,6 @@ --- title: stack rec -sidebar_position: 69 +sidebar_position: 80 --- # `stack rec` diff --git a/docs/docs/cli/stack.md b/docs/docs/cli/stack.md index 26c1486..addf063 100644 --- a/docs/docs/cli/stack.md +++ b/docs/docs/cli/stack.md @@ -21,6 +21,7 @@ Usage: stack [OPTIONS] COMMAND [ARGS]... │ validate Verify pipeline output contracts against SQLTable models. │ │ health Run health checks on all platform services. │ │ load Ingest data (CCLF, BCDA, seeds). │ +│ bcda BCDA client and manager (exports, store, load, UI). │ │ generate Regenerate code artefacts. │ │ bib Bibliography operations. │ │ bls BLS occupation wages (OEWS) and health-care employment (CES). │ diff --git a/docs/docs/cli/zot-dump-schema.md b/docs/docs/cli/zot-dump-schema.md index 5791fa2..59b7dd7 100644 --- a/docs/docs/cli/zot-dump-schema.md +++ b/docs/docs/cli/zot-dump-schema.md @@ -1,6 +1,6 @@ --- title: stack zot dump-schema -sidebar_position: 84 +sidebar_position: 95 --- # `stack zot dump-schema` diff --git a/docs/docs/cli/zot-fix-dates.md b/docs/docs/cli/zot-fix-dates.md index f19b368..579f7ff 100644 --- a/docs/docs/cli/zot-fix-dates.md +++ b/docs/docs/cli/zot-fix-dates.md @@ -1,6 +1,6 @@ --- title: stack zot fix-dates -sidebar_position: 85 +sidebar_position: 96 --- # `stack zot fix-dates` diff --git a/docs/docs/cli/zot-fix-fields.md b/docs/docs/cli/zot-fix-fields.md index efa3aed..f34bb5d 100644 --- a/docs/docs/cli/zot-fix-fields.md +++ b/docs/docs/cli/zot-fix-fields.md @@ -1,6 +1,6 @@ --- title: stack zot fix-fields -sidebar_position: 87 +sidebar_position: 98 --- # `stack zot fix-fields` diff --git a/docs/docs/cli/zot-fix-keys.md b/docs/docs/cli/zot-fix-keys.md index 080f462..29c4791 100644 --- a/docs/docs/cli/zot-fix-keys.md +++ b/docs/docs/cli/zot-fix-keys.md @@ -1,6 +1,6 @@ --- title: stack zot fix-keys -sidebar_position: 86 +sidebar_position: 97 --- # `stack zot fix-keys` diff --git a/docs/docs/cli/zot-verify-parity.md b/docs/docs/cli/zot-verify-parity.md index 1b8a31d..7010ffa 100644 --- a/docs/docs/cli/zot-verify-parity.md +++ b/docs/docs/cli/zot-verify-parity.md @@ -1,6 +1,6 @@ --- title: stack zot verify-parity -sidebar_position: 88 +sidebar_position: 99 --- # `stack zot verify-parity` diff --git a/docs/docs/cli/zot.md b/docs/docs/cli/zot.md index a20331f..316e411 100644 --- a/docs/docs/cli/zot.md +++ b/docs/docs/cli/zot.md @@ -1,6 +1,6 @@ --- title: stack zot -sidebar_position: 83 +sidebar_position: 94 --- # `stack zot` diff --git a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md index dde53e0..6c8d7d0 100644 --- a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md +++ b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md @@ -64,3 +64,17 @@ The input_layer connector was still written for v2 and had never run end to end 5. **Contracts inherit.** The header stages subclass `ExplanationOfBenefit`; the outputs subclass the canonical `InputLayer*` models, so the same downstream pipelines run on BCDA output as on CCLF output. `load_bcda(run_pipeline=True)` / `stack load bcda --run-pipeline` and `stack run bcda` land `input_layer.medical_claim`, `pharmacy_claim`, `eligibility`. Run on the Large-entity pull (94 s including re-flattening): 221,021 medical lines on 28,282 claims (16,468 institutional, 11,814 professional — equal to the FinalAction non-PDE EOB counts by type; 4,111 NotFinalAction excluded), 11,968 pharmacy rows (= FinalAction PDEs), 9,582 eligibility rows (7,290 with a Part A/B row, 4,868 with dual status). Every institutional line has a 4-character type of bill, admission date, paid, charge, deductible and coinsurance; every professional line has paid, rendering NPI and (99 %) place of service. + +## BCDA manager (`bcda.ui`, `stack bcda`, 2026-10-25) + +A Streamlit app and a CLI group over the same service layer, mirroring the surface of the CMS server (`CMSgov/bcda-app`, vendored): `/_version`, `/_health`, `metadata`, `/auth/token`, `attribution_status`, `$export` on `Group/all` · `Group/runout` · `Patient` with `_type` / `_since` / `_typeFilter`, job history, status, cancel, `/data` download — plus the local side: the Store's job and file history, flatten + load into `bcda.*`, the connector into `input_layer.*`, the replica for browsing, the v3 data dictionary and CCLF crosswalk, and the vendored-upstream manifest. + +Decisions: +1. **`bcda.ui.service` has no Streamlit in it.** Every operation takes explicit objects (a `Connection`, a `Client`, a `Store`), so the CLI reuses it verbatim and tests hand in mock transports and temp directories. Views are thin. +2. **Connections are presets, environment or custom.** The four public sandbox entities from bcda.cms.gov are built in (the legacy REACH pair pinned to v2); `BCDA_CLIENT_ID` / `BCDA_CLIENT_SECRET` (+ `BCDA_BASE_URL`, `BCDA_API_VERSION`) win when set; production is a selectable environment. +3. **Long work runs on background threads** (`bcda.ui.runner`): a process-level registry that survives Streamlit reruns, captures the `bcda.*` log lines emitted on each run's own thread (job started, progress, files stored) and flips `state` last so readers never see a finished run with an incomplete log. A `st.fragment(run_every="5s")` panel shows runs on every page that starts them. +4. **Exports default to one job per type** with cancel retries, because that is the only shape that survives the shared sandbox's sweeps; the `_typeFilter` builder composes the System-Type `_tag`, `outcome` and `service-date` subqueries from the transition deck; completed jobs under 24 h are offered for *adopt*, in-progress ones for *cancel*. +5. **Data pages read the read-only replica only**, so the manager never holds the primary's single-writer lock; the load page republishes the replica after `load_bcda(run_pipeline=…)`. +6. **Launch:** `stack bcda ui` (port, headless flags) runs `streamlit run src/bcda/ui/app.py`; Streamlit lives in the `bcda` extra. Containerising it (image + traefik route + dashboard tile) is deliberately left out of this slice. + +Tests: service with `httpx.MockTransport`, runner for thread-routed logs and state ordering, every page through `AppTest.from_string` with the service stubbed (buttons, forms, error paths), the app shell through `AppTest.from_file`, and the CLI through `CliRunner` — all at 100 % line coverage. diff --git a/pyproject.toml b/pyproject.toml index b05f3a9..19da8d0 100644 --- a/pyproject.toml +++ b/pyproject.toml @@ -41,6 +41,7 @@ bcda = [ "fsspec>=2024.1.0", "narwhals>=2.17.0", "pyarrow>=23.0.1", + "streamlit>=1.40", ] bib = [ "stack[conf]", diff --git a/src/bcda/ui/__init__.py b/src/bcda/ui/__init__.py new file mode 100644 index 0000000..8d5dc13 --- /dev/null +++ b/src/bcda/ui/__init__.py @@ -0,0 +1,10 @@ +"""bcda.ui — the BCDA manager: a Streamlit app over the client, store, +loader, connector pipeline, crosswalk and vendored-upstream tooling. + + stack bcda ui # launches streamlit on src/bcda/ui/app.py + +``service`` holds every operation with no Streamlit in it (the +``stack bcda`` CLI uses the same functions); ``runner`` runs the long +ones on background threads; ``views`` are the pages; ``app`` is the +navigation shell. +""" diff --git a/src/bcda/ui/app.py b/src/bcda/ui/app.py new file mode 100644 index 0000000..3c755d5 --- /dev/null +++ b/src/bcda/ui/app.py @@ -0,0 +1,40 @@ +"""BCDA manager — Streamlit entry point. + +stack bcda ui +# or: uv run streamlit run src/bcda/ui/app.py +""" + +from __future__ import annotations + +import streamlit as st + +from bcda.ui import views + +PAGES = [ + st.Page(views.connect, title="Connect", icon="🔌", default=True), + st.Page(views.exports, title="Exports", icon="📦"), + st.Page(views.store, title="Store", icon="🗄️"), + st.Page(views.load, title="Flatten + load", icon="⚙️"), + st.Page(views.data, title="Data", icon="📊"), + st.Page(views.dictionary, title="Dictionary + crosswalk", icon="📖"), + st.Page(views.upstream, title="Upstream", icon="🛰️"), +] + + +def main() -> None: + st.set_page_config(page_title="BCDA manager", page_icon="🏥", layout="wide") + conn = st.session_state.get("conn") + with st.sidebar: + st.markdown("### BCDA manager") + st.caption( + f"**{conn.label}** · {conn.environment} · {conn.version}" + if conn + else "not connected" + ) + st.navigation(PAGES).run() + + +if ( + __name__ == "__main__" +): # pragma: no cover — ``streamlit run`` executes this file as __main__ + main() diff --git a/src/bcda/ui/runner.py b/src/bcda/ui/runner.py new file mode 100644 index 0000000..4153159 --- /dev/null +++ b/src/bcda/ui/runner.py @@ -0,0 +1,156 @@ +"""Background runs for the BCDA manager UI. + +Streamlit re-executes the script on every interaction, so anything that +takes longer than a click (a sandbox export, a 2 GB download, a flatten ++ load) runs in a daemon thread and is tracked here, in a process-level +registry that survives reruns. Each run captures the ``bcda`` logger +lines emitted on its own thread (job started, progress, files stored), +so the page can show what the client is doing without the client +knowing about the UI. + + run = runner.submit("export Patient", store.export, client, types=["Patient"]) + ... + runner.get(run.id).state # queued · running · done · failed + runner.get(run.id).log # ["Export ABC started", "Job in progress: 35%", ...] +""" + +from __future__ import annotations + +import logging +import threading +import time +import traceback +import uuid +from collections.abc import Callable +from dataclasses import dataclass, field +from typing import Any + +_LOG_LIMIT = 400 + + +@dataclass +class Run: + """One background job and what it has said so far.""" + + id: str + name: str + state: str = "queued" + started: float = field(default_factory=time.time) + finished: float | None = None + result: Any = None + error: str | None = None + log: list[str] = field(default_factory=list) + thread_id: int | None = None + + @property + def elapsed(self) -> float: + return (self.finished or time.time()) - self.started + + @property + def active(self) -> bool: + return self.state in ("queued", "running") + + def append(self, line: str) -> None: + self.log.append(line) + if len(self.log) > _LOG_LIMIT: + del self.log[: len(self.log) - _LOG_LIMIT] + + +class _ThreadLogHandler(logging.Handler): + """Route ``bcda.*`` log records to the Run owning the emitting thread.""" + + def __init__(self, registry: Runner) -> None: + super().__init__(level=logging.DEBUG) + self._registry = registry + + def emit(self, record: logging.LogRecord) -> None: + run = self._registry._by_thread.get(record.thread) + if run is not None: + run.append(record.getMessage()) + + +class Runner: + """Process-level registry of background runs.""" + + def __init__(self) -> None: + self._runs: dict[str, Run] = {} + self._by_thread: dict[int, Run] = {} + self._lock = threading.Lock() + self._handler: _ThreadLogHandler | None = None + + # ── logging capture ────────────────────────────────────── + + def _ensure_handler(self) -> None: + if self._handler is None: + self._handler = _ThreadLogHandler(self) + logger = logging.getLogger("bcda") + logger.addHandler(self._handler) + if logger.level == logging.NOTSET or logger.level > logging.DEBUG: + logger.setLevel(logging.DEBUG) + + # ── API ────────────────────────────────────────────────── + + def submit( + self, name: str, fn: Callable[..., Any], *args: Any, **kwargs: Any + ) -> Run: + """Start *fn* on a daemon thread; return its Run immediately.""" + self._ensure_handler() + run = Run(id=uuid.uuid4().hex[:8], name=name) + with self._lock: + self._runs[run.id] = run + + def _target() -> None: + run.thread_id = threading.get_ident() + with self._lock: + self._by_thread[run.thread_id] = run + run.state = "running" + run.append(f"started: {name}") + # The state flips last: ``wait()`` and the page read ``state`` + # without a lock, so result, log and finish time must already be + # in place when they see done/failed. + try: + run.result = fn(*args, **kwargs) + run.append("finished") + run.finished = time.time() + run.state = "done" + except Exception as exc: # noqa: BLE001 — surfaced to the page + run.error = f"{type(exc).__name__}: {exc}" + run.append(run.error) + run.append(traceback.format_exc(limit=3)) + run.finished = time.time() + run.state = "failed" + finally: + with self._lock: + self._by_thread.pop(run.thread_id, None) + + threading.Thread(target=_target, name=f"bcda-ui-{run.id}", daemon=True).start() + return run + + def get(self, run_id: str) -> Run | None: + return self._runs.get(run_id) + + def all(self) -> list[Run]: + """Newest first.""" + return sorted(self._runs.values(), key=lambda r: r.started, reverse=True) + + def active(self) -> list[Run]: + return [r for r in self.all() if r.active] + + def wait(self, run_id: str, timeout: float = 30.0) -> Run: + """Block until the run leaves queued/running (tests and the CLI).""" + run = self._runs[run_id] + deadline = time.time() + timeout + while run.active and time.time() < deadline: + time.sleep(0.02) + return run + + def clear_finished(self) -> int: + with self._lock: + gone = [k for k, r in self._runs.items() if not r.active] + for k in gone: + del self._runs[k] + return len(gone) + + +runner = Runner() +"""The registry the UI and CLI share.""" diff --git a/src/bcda/ui/service.py b/src/bcda/ui/service.py new file mode 100644 index 0000000..cd7643b --- /dev/null +++ b/src/bcda/ui/service.py @@ -0,0 +1,537 @@ +"""Service layer for the BCDA manager — every operation the UI and the +``stack bcda`` CLI expose, with no Streamlit in it. + +Mirrors the surface of the CMS server (``CMSgov/bcda-app``, vendored +under ``dev/vendor/bcda-app``): ``/_version``, ``/_health``, +``/api/v3/metadata``, ``/auth/token``, ``/api/v3/attribution_status``, +``$export`` on ``Group/all`` · ``Group/runout`` · ``Patient`` with +``_type`` / ``_since`` / ``_typeFilter``, ``/api/v3/jobs`` (list, status, +cancel) and ``/data`` downloads — plus the local side: the Store's job +and file history, flatten + load into ``bcda.*``, the connector pipeline +into ``input_layer.*``, the replica for browsing, the v3 data dictionary +and CCLF crosswalk, and the vendored-upstream manifest. + +Everything takes explicit objects (a :class:`Connection`, a +:class:`bcda.client.Client`, a :class:`bcda.store.Store`) so tests can +hand in mock transports and temp directories. +""" + +from __future__ import annotations + +import importlib.util +import os +import sys +from dataclasses import dataclass +from datetime import datetime, timedelta, timezone +from pathlib import Path +from typing import Any + +from bcda.client import ( + PRODUCTION, + SANDBOX, + SYSTEM_TYPES, + BcdaError, + Client, + type_filter_tag, +) +from bcda.store import Store + +RESOURCE_TYPES = ("Patient", "Coverage", "ExplanationOfBenefit") +ENDPOINTS = ("Group/all", "Group/runout", "Patient") +ENVIRONMENTS = {"sandbox": SANDBOX, "production": PRODUCTION} + +# ── Connections ────────────────────────────────────────────── + + +@dataclass(frozen=True) +class Connection: + """Where and as whom to talk to BCDA.""" + + label: str + base_url: str + client_id: str + client_secret: str + version: str = "v3" + note: str = "" + + @property + def environment(self) -> str: + return "sandbox" if self.base_url == SANDBOX else "production" + + def masked_secret(self) -> str: + s = self.client_secret + return f"{s[:4]}…{s[-4:]}" if len(s) > 8 else "…" + + +# Public sandbox credentials published at +# https://bcda.cms.gov/api-documentation/get-a-bearer-token.html — synthetic +# entities anyone may use; the legacy REACH pair only speaks v2. +PRESETS: dict[str, Connection] = { + "Large Model Entity": Connection( + "Large Model Entity", + SANDBOX, + "f5b6a686-0d7b-4080-873a-e60534fd2995", + "96ac1483449c652f363396737937f23cdae47a56a116c8a4405dbd54b31d2686f005df502c5c86ab", + note="10,000 synthetic enrollees · adjudicated claims only · shared by every sandbox user", + ), + "Small Model Entity": Connection( + "Small Model Entity", + SANDBOX, + "6dc59a4c-ef93-46c0-9c00-02e500e13731", + "48fe3a3731ee5b68cf4ebeea6d93fa2d9db3396e94f6830f17d7d7c0fa1fb61f413fcde6f6322f84", + note="100 synthetic enrollees · fastest end-to-end run", + ), + "Legacy Large REACH ACO (v2)": Connection( + "Legacy Large REACH ACO (v2)", + SANDBOX, + "1f4575c9-80ea-425c-9d3e-c2b79e9159da", + "78389f5e9a9148cfd14832b4dfa89d8ebf3d09e178763ec3cdfee1373068e3b60f66c1bed2c14025", + version="v2", + note="11,000 synthetic enrollees · v2 only · partially adjudicated Claim/ClaimResponse", + ), + "Legacy Small REACH ACO (v2)": Connection( + "Legacy Small REACH ACO (v2)", + SANDBOX, + "7e57394f-eddb-46c7-a87b-a23f14ded95d", + "2c5130031150cd43afdc24659de2210086f6115fc8d897d7547faaa26c827b53bb70c14089bdeb17", + version="v2", + note="110 synthetic enrollees · v2 only", + ), +} + + +def connection_from_env(env: dict[str, str] | None = None) -> Connection | None: + """A Connection from ``BCDA_CLIENT_ID`` / ``BCDA_CLIENT_SECRET`` (+ ``BCDA_BASE_URL``, + ``BCDA_API_VERSION``), or None when the id or secret is unset.""" + e = os.environ if env is None else env + cid, sec = e.get("BCDA_CLIENT_ID", ""), e.get("BCDA_CLIENT_SECRET", "") + if not cid or not sec: + return None + base = e.get("BCDA_BASE_URL", SANDBOX) + return Connection( + label="environment credentials", + base_url=base, + client_id=cid, + client_secret=sec, + version=e.get("BCDA_API_VERSION", "v3"), + note="from BCDA_CLIENT_ID / BCDA_CLIENT_SECRET", + ) + + +def store_path() -> Path: + from conf import path + + return Path(path("storage.bcda")) + + +def make_client(conn: Connection, *, output_dir: Path | None = None) -> Client: + return Client( + conn.client_id, + conn.client_secret, + base_url=conn.base_url, + version=conn.version, + output_dir=output_dir or store_path(), + ) + + +def make_store(path: Path | None = None) -> Store: + return Store(path=str(path or store_path())) + + +# ── Server side ────────────────────────────────────────────── + + +def preflight(client: Client) -> dict[str, Any]: + """No-token checks: ``/_version``, ``/_health``, ``metadata``.""" + out: dict[str, Any] = {"base_url": client.base_url, "version": client.version} + try: + md = client.metadata() + out["fhir_version"] = md.get("fhirVersion") + sw = md.get("software") or {} + out["software"] = sw.get("version") + out["release_date"] = sw.get("releaseDate") + out["resources"] = [ + r.get("type") for r in (md.get("rest") or [{}])[0].get("resource", []) + ] + out["ok"] = True + except Exception as exc: # noqa: BLE001 — shown on the page + out["ok"] = False + out["error"] = str(exc) + return out + for key, fn in ( + ("server_version", client.server_version), + ("health", client.health), + ): + try: + out[key] = fn() + except BcdaError as exc: + out[key] = {"error": str(exc)} + return out + + +def auth_check(client: Client) -> dict[str, Any]: + """Token + attribution status; raises on bad credentials.""" + token = client.authenticate() + attribution = client.attribution_status() + ingest = {d["type"]: d["timestamp"] for d in attribution.get("ingestion_dates", [])} + expire = { + d["type"]: d["timestamp"] for d in attribution.get("expiration_dates", []) + } + return { + "token_chars": len(token), + "last_attribution_update": ingest.get("last_attribution_update"), + "last_runout_update": ingest.get("last_runout_update"), + "attribution_access_expiration": expire.get("attribution_access_expiration"), + "runout_access_expiration": expire.get("runout_access_expiration"), + } + + +def _parse_instant(value: str) -> datetime | None: + if not value: + return None + try: + return datetime.fromisoformat(value.replace("Z", "+00:00")) + except ValueError: + return None + + +def server_jobs( + client: Client, *, limit: int = 100, now: datetime | None = None +) -> list[dict]: + """The entity's job history, newest first, with a ``reusable`` flag. + + A completed job younger than 24 h still serves its files; the flag + marks those so the page can offer *adopt* instead of a new export. + Only this client's API version is listed (``/data`` payloads differ). + """ + now = now or datetime.now(timezone.utc) + cutoff = now - timedelta(hours=23) + rows = [] + for task in client.jobs(): + ident = (task.get("identifier") or [{}])[0] + request = ((task.get("input") or [{}])[0]).get("valueString", "") + if f"/api/{client.version}/" not in request: + continue + period = task.get("executionPeriod") or {} + end = _parse_instant(period.get("end", "")) + status = str(task.get("status", "")) + rows.append( + { + "job_id": ident.get("value"), + "status": status, + "types": ",".join(_types_from_request(request)) or "(all)", + "endpoint": _endpoint_from_request(request), + "started": period.get("start", ""), + "ended": period.get("end", ""), + "reusable": status.lower() == "completed" + and end is not None + and end >= cutoff, + "job_url": f"{client.base_url}/api/{client.version}/jobs/{ident.get('value')}", + } + ) + rows.sort(key=lambda r: r["started"], reverse=True) + return rows[:limit] + + +def _types_from_request(request: str) -> list[str]: + from bcda.client import _requested_types + + return _requested_types(request) + + +def _endpoint_from_request(request: str) -> str: + url = request.split(" ", 1)[-1] + for ep in ENDPOINTS: + if f"/{ep}/$export" in url: + return ep + return "?" + + +def build_type_filter( + *, + system_types: list[str] | None = None, + outcome: str | None = None, + service_date_from: str | None = None, +) -> str | None: + """Compose a v3 ``_typeFilter`` subquery from the three filters the + transition deck documents: System-Type ``_tag``, ``outcome`` + (partial / complete) and ``service-date``. None when nothing is set.""" + params: list[str] = [] + if system_types: + bad = [s for s in system_types if s not in SYSTEM_TYPES] + if bad: + raise ValueError(f"unknown System-Type {bad}; choose from {SYSTEM_TYPES}") + params.append(type_filter_tag(*system_types).split("?", 1)[1]) + if outcome: + if outcome not in ("partial", "complete"): + raise ValueError("outcome must be 'partial' or 'complete'") + params.append(f"outcome={outcome}") + if service_date_from: + params.append(f"service-date=gt{service_date_from}") + return "ExplanationOfBenefit?" + "&".join(params) if params else None + + +def start_export( + store: Store, + client: Client, + *, + endpoint: str = "Group/all", + types: list[str] | None = None, + since: str | None = None, + type_filter: str | None = None, + cancel_retries: int = 6, + poll_interval: float = 15.0, +) -> str: + """Run one export through the Store (blocking; the UI runs it on the Runner).""" + if endpoint not in ENDPOINTS: + raise ValueError(f"endpoint must be one of {ENDPOINTS}") + return store.export( + client, + endpoint=endpoint, + types=types or None, + since=since or None, + type_filter=type_filter or None, + poll_interval=poll_interval, + cancel_retries=cancel_retries, + ) + + +def export_per_type( + store: Store, + client: Client, + *, + types: list[str] | None = None, + endpoint: str = "Group/all", + since: str | None = None, + type_filter: str | None = None, + cancel_retries: int = 6, + poll_interval: float = 15.0, +) -> dict[str, str]: + """One job per resource type — the only shape that survives the shared + sandbox's cancellation sweeps. Returns ``{type: job_key}``.""" + keys: dict[str, str] = {} + for rtype in types or RESOURCE_TYPES: + keys[rtype] = start_export( + store, + client, + endpoint=endpoint, + types=[rtype], + since=since, + type_filter=type_filter if rtype == "ExplanationOfBenefit" else None, + cancel_retries=cancel_retries, + poll_interval=poll_interval, + ) + return keys + + +def adopt_job( + store: Store, client: Client, job_url: str, *, types: list[str] | None = None +) -> str: + return store.adopt(client, job_url, types=types, poll_interval=10) + + +def cancel_job(client: Client, job_url: str) -> None: + client.cancel(job_url) + + +# ── Local side: store ──────────────────────────────────────── + + +def store_jobs(store: Store) -> list[dict]: + """Current state of every store job, newest first, with file counts and bytes.""" + rows = [] + for job in store.list_jobs(): + files = store.get_files(job["key"]) + rows.append( + { + "key": job["key"], + "status": job["status"], + "endpoint": job["endpoint"], + "types": job["types"], + "since": job["since"], + "job_url": job["job_url"], + "ts": job["ts"], + "files": len(files), + "bytes": sum(int(f.get("file_size") or 0) for f in files), + "error": job.get("error", ""), + } + ) + rows.sort(key=lambda r: str(r["ts"]), reverse=True) + return rows + + +def store_files(store: Store, key: str) -> list[dict]: + return store.get_files(key) + + +def export_dirs(path: Path | None = None) -> list[dict]: + """``exports//`` directories on disk with the resource files they hold.""" + root = (path or store_path()) / "exports" + out = [] + if not root.exists(): + return out + for d in sorted(root.iterdir(), key=lambda p: p.stat().st_mtime, reverse=True): + if not d.is_dir(): + continue + files = list(d.glob("*.ndjson")) + out.append( + { + "key": d.name, + "modified": datetime.fromtimestamp(d.stat().st_mtime).isoformat( + timespec="seconds" + ), + "types": sorted({f.name.split(".")[0] for f in files}), + "files": len(files), + "bytes": sum(f.stat().st_size for f in files), + } + ) + return out + + +# ── Local side: load, pipeline, replica ────────────────────── + + +def load_and_publish( + *, run_pipeline: bool = True, skip_flatten: bool = False +) -> dict[str, int]: + """Newest export per type → ``bcda.*`` (→ ``input_layer.*``) → replica.""" + from aco.load.bcda import load_bcda + from conf import connect + + stats = load_bcda(skip_flatten=skip_flatten, run_pipeline=run_pipeline) + connect.publish_replica("aco") + return stats + + +def replica_connect() -> Any: + from conf import connect + + return connect.duckdb("aco", read_only=True) + + +def table_counts(con: Any) -> dict[str, int]: + """Row counts of the ``bcda.*`` and ``input_layer.*`` tables present.""" + rows = con.execute( + "select table_schema, table_name from information_schema.tables " + "where table_schema in ('bcda', 'input_layer') order by 1, 2" + ).fetchall() + out: dict[str, int] = {} + for schema, table in rows: + out[f"{schema}.{table}"] = con.execute( + f'select count(*) from "{schema}"."{table}"' + ).fetchone()[0] + return out + + +SUMMARY_QUERIES: dict[str, str] = { + "Claims by System-Type × EOB-TYPE": ( + "select system_type, eob_type, final_action, count(*) claims, round(sum(clm_pmt_amt)) paid " + "from bcda.explanation_of_benefit group by 1, 2, 3 order by 1, 2, 3" + ), + "Coverage rows by plan": ( + "select class_plan, status, count(*) rows_, count(distinct subscriber_id) beneficiaries " + "from bcda.coverage group by 1, 2 order by 1, 2" + ), + "input_layer.medical_claim by claim_type": ( + "select claim_type, count(*) lines, count(distinct claim_id) claims, " + "round(sum(paid_amount)) paid, round(sum(charge_amount)) charge " + "from input_layer.medical_claim group by 1 order by 1" + ), + "Patients": ( + "select count(*) patients, count(bene_mbi_id) with_mbi, count(bene_death_dt) deceased, " + "count(distinct geo_usps_state_cd) states from bcda.patient" + ), +} + + +def run_query(con: Any, sql: str, *, limit: int = 1000) -> Any: + """Read-only query → polars frame (the replica connection is read-only).""" + return con.execute(f"select * from ({sql}) q limit {int(limit)}").pl() + + +# ── Dictionary + crosswalk ─────────────────────────────────── + + +def dictionary_frames(con: Any | None = None) -> dict[str, Any]: + """Data dictionary, CCLF crosswalk and absent-field frames. + + From ``reference_data`` when ``stack load seed`` has run, else from + the committed ``dev/seeds`` CSVs; empty dict when neither exists. + """ + import polars as pl + + names = ("bcda_v3_data_dictionary", "bcda_v3_cclf_crosswalk", "bcda_v3_cclf_absent") + if con is not None: + present = { + r[0] + for r in con.execute( + "select table_name from information_schema.tables where table_schema = 'reference_data'" + ).fetchall() + } + if set(names) <= present: + return { + n: con.execute(f"select * from reference_data.{n}").pl() for n in names + } + from conf import ROOT + + seeds = Path(ROOT) / "dev" / "seeds" + if all((seeds / f"{n}.csv").exists() for n in names): + return { + n: pl.read_csv(seeds / f"{n}.csv", infer_schema_length=10000) for n in names + } + return {} + + +# ── Vendored upstream ──────────────────────────────────────── + + +def _vendor_module() -> Any | None: + from conf import ROOT + + script = Path(ROOT) / "dev" / "scripts" / "vendor_bcda_app.py" + if not script.exists(): + return None + spec = importlib.util.spec_from_file_location("vendor_bcda_app", script) + mod = importlib.util.module_from_spec(spec) + sys.modules.setdefault("vendor_bcda_app", mod) + spec.loader.exec_module(mod) + return mod + + +def vendor_status() -> dict[str, Any]: + """Manifest sources + offline verification of the vendored tree.""" + mod = _vendor_module() + if mod is None: + return {"available": False} + m = mod.load_manifest() + problems = mod.verify(m) + return { + "available": True, + "sources": [ + { + "name": s["name"], + "kind": s["kind"], + "origin": s.get("repo") or s.get("base"), + "commit": s.get("commit", ""), + "files": len(s["files"]), + } + for s in m["source"] + ], + "files": [ + { + "path": f"{s['name']}/{f}", + "sha256": m["sha256"].get(f"{s['name']}/{f}", "")[:12], + } + for s in m["source"] + for f in s["files"] + ], + "problems": problems, + } + + +def vendor_check() -> list[str]: + """Online drift check against GitHub and bcda.cms.gov (empty = no drift).""" + mod = _vendor_module() + if mod is None: + return ["vendor script not available in this checkout"] + return mod.check(mod.load_manifest()) diff --git a/src/bcda/ui/views.py b/src/bcda/ui/views.py new file mode 100644 index 0000000..8f05adf --- /dev/null +++ b/src/bcda/ui/views.py @@ -0,0 +1,543 @@ +"""Pages of the BCDA manager. Thin: every operation is in ``service``. + +Session state keys: ``conn`` (the active :class:`service.Connection`), +``last_preflight``, ``last_auth``, ``server_jobs``, ``last_query``. +Long operations go through :mod:`bcda.ui.runner` and are shown by the +``runs_panel`` fragment, which re-renders itself every few seconds. +""" + +from __future__ import annotations + +from datetime import date +from typing import Any + +import polars as pl +import streamlit as st + +from bcda.ui import service as svc +from bcda.ui.runner import runner + +# ── shared ─────────────────────────────────────────────────── + + +def _conn() -> svc.Connection | None: + return st.session_state.get("conn") + + +def _require_conn() -> svc.Connection | None: + conn = _conn() + if conn is None: + st.info("No connection yet — pick one on the **Connect** page.") + return conn + + +def _client() -> Any: + return svc.make_client(_conn()) + + +def _store() -> Any: + return svc.make_store() + + +def _fmt_bytes(n: int) -> str: + size = float(n) + for unit in ("B", "KB", "MB", "GB", "TB"): + if size < 1024 or unit == "TB": + return f"{size:,.0f} {unit}" if unit == "B" else f"{size:,.1f} {unit}" + size /= 1024 + return f"{n}" # pragma: no cover — loop always returns + + +@st.fragment(run_every="5s") +def runs_panel() -> None: + """Background runs: state, elapsed, last log lines.""" + runs = runner.all() + if not runs: + return + st.subheader("Background runs") + for run in runs[:8]: + icon = {"queued": "⏳", "running": "🔄", "done": "✅", "failed": "❌"}[ + run.state + ] + with st.expander( + f"{icon} {run.name} — {run.state}, {run.elapsed:,.0f}s", expanded=run.active + ): + if run.error: + st.error(run.error) + if run.result is not None and not run.active: + st.json( + run.result + if isinstance(run.result, (dict, list)) + else {"result": str(run.result)} + ) + if run.log: + st.code("\n".join(run.log[-12:]), language="text") + if st.button("Clear finished runs", key="clear_runs"): + runner.clear_finished() + st.rerun() + + +# ── Connect ────────────────────────────────────────────────── + + +def connect() -> None: + st.title("Connect") + st.caption( + "BCDA v3 (v1/v2 end 2027-07-30). `/auth` and `/data` are shared by every version; " + "only the `/api//` segment differs." + ) + env_conn = svc.connection_from_env() + sources = ( + (["Environment credentials"] if env_conn else []) + + list(svc.PRESETS) + + ["Custom"] + ) + choice = st.radio("Credentials", sources, horizontal=True, key="conn_source") + + if choice == "Environment credentials": + candidate = env_conn + elif choice == "Custom": + c1, c2 = st.columns(2) + env_name = c1.selectbox("Environment", list(svc.ENVIRONMENTS), key="custom_env") + version = c2.selectbox("API version", ["v3", "v2"], key="custom_version") + cid = st.text_input("Client ID", key="custom_id") + sec = st.text_input("Client secret", type="password", key="custom_secret") + candidate = ( + svc.Connection( + "custom", svc.ENVIRONMENTS[env_name], cid, sec, version=version + ) + if cid and sec + else None + ) + else: + candidate = svc.PRESETS[choice] + + if candidate is not None: + st.write( + f"**{candidate.label}** · {candidate.environment} · `{candidate.version}` · " + f"client `{candidate.client_id}` · secret `{candidate.masked_secret()}`" + ) + if candidate.note: + st.caption(candidate.note) + if st.button("Use this connection", type="primary", key="use_conn"): + st.session_state["conn"] = candidate + st.session_state.pop("last_preflight", None) + st.session_state.pop("last_auth", None) + st.session_state.pop("server_jobs", None) + st.toast(f"Connected to {candidate.label}") + + conn = _conn() + if conn is None: + return + st.divider() + st.subheader(f"Active: {conn.label}") + c1, c2 = st.columns(2) + if c1.button("Preflight (no token)", key="btn_preflight"): + st.session_state["last_preflight"] = svc.preflight(_client()) + if c2.button("Authenticate + attribution", key="btn_auth"): + try: + st.session_state["last_auth"] = svc.auth_check(_client()) + except Exception as exc: # noqa: BLE001 — bad credentials are the common case + st.session_state["last_auth"] = {"error": str(exc)} + + pre = st.session_state.get("last_preflight") + if pre: + if pre.get("ok"): + m1, m2, m3 = st.columns(3) + m1.metric("FHIR", pre.get("fhir_version") or "?") + m2.metric("bcda-app", pre.get("software") or "?") + health = pre.get("health") or {} + m3.metric("database", health.get("database") or health.get("error") or "?") + st.write("Resources: " + ", ".join(pre.get("resources") or [])) + st.caption( + f"release {pre.get('release_date')} · /_version {pre.get('server_version')}" + ) + else: + st.error(f"Preflight failed: {pre.get('error')}") + auth = st.session_state.get("last_auth") + if auth: + if "error" in auth: + st.error(f"Authentication failed: {auth['error']}") + else: + st.success( + f"Token issued ({auth['token_chars']} chars, 20-minute lifetime)" + ) + st.json(auth) + + +# ── Exports ────────────────────────────────────────────────── + + +def exports() -> None: + st.title("Exports") + conn = _require_conn() + if conn is None: + return + + with st.form("export_form"): + c1, c2, c3 = st.columns(3) + endpoint = c1.selectbox("Endpoint", list(svc.ENDPOINTS), key="exp_endpoint") + types = c2.multiselect( + "Resource types", + list(svc.RESOURCE_TYPES), + default=list(svc.RESOURCE_TYPES), + key="exp_types", + ) + per_type = c3.checkbox( + "One job per type", + value=True, + key="exp_per_type", + help="A combined job on the shared sandbox rarely survives its cancellation sweeps; EOB-only finishes in ~6 min.", + ) + c4, c5, c6 = st.columns(3) + use_since = c4.checkbox("_since", key="exp_use_since") + since_date = c5.date_input( + "updated after", value=date.today().replace(day=1), key="exp_since" + ) + retries = c6.number_input( + "cancel retries", min_value=0, max_value=20, value=6, key="exp_retries" + ) + st.markdown("**`_typeFilter`** (v3 — EOB only; default omits SharedSystem)") + f1, f2, f3 = st.columns(3) + system_types = f1.multiselect( + "System-Type _tag", list(svc.SYSTEM_TYPES), key="exp_system_types" + ) + outcome = f2.selectbox( + "outcome", ["", "complete", "partial"], key="exp_outcome" + ) + use_svc = f3.checkbox("service-date after", key="exp_use_svc_date") + svc_date = f3.date_input( + "service date", + value=date(date.today().year, 1, 1), + key="exp_svc_date", + label_visibility="collapsed", + ) + submitted = st.form_submit_button("Start export", type="primary") + + if submitted: + since = f"{since_date.isoformat()}T00:00:00+00:00" if use_since else None + type_filter = svc.build_type_filter( + system_types=system_types or None, + outcome=outcome or None, + service_date_from=svc_date.isoformat() if use_svc else None, + ) + store, client = _store(), _client() + if per_type: + run = runner.submit( + f"export {', '.join(types)} ({endpoint})", + svc.export_per_type, + store, + client, + types=types, + endpoint=endpoint, + since=since, + type_filter=type_filter, + cancel_retries=int(retries), + ) + else: + run = runner.submit( + f"export {endpoint} {','.join(types)}", + svc.start_export, + store, + client, + endpoint=endpoint, + types=types, + since=since, + type_filter=type_filter, + cancel_retries=int(retries), + ) + st.toast(f"Started run {run.id}") + if type_filter: + st.caption(f"`_typeFilter={type_filter}`") + + st.divider() + st.subheader("Server job history") + st.caption( + "Shared entity: other sandbox users' jobs appear here too. Completed jobs serve their files for 24 h." + ) + if st.button("Refresh jobs", key="btn_jobs"): + try: + st.session_state["server_jobs"] = svc.server_jobs(_client()) + except Exception as exc: # noqa: BLE001 + st.error(f"Could not list jobs: {exc}") + jobs = st.session_state.get("server_jobs") + if jobs: + st.dataframe( + pl.DataFrame(jobs).drop("job_url"), hide_index=True, width="stretch" + ) + reusable = [j for j in jobs if j["reusable"]] + active = [ + j + for j in jobs + if j["status"].lower() in ("in-progress", "pending", "in progress") + ] + a1, a2 = st.columns(2) + if reusable: + pick = a1.selectbox( + "Adopt a completed job (download its files)", + [f"{j['job_id']} · {j['types']} · {j['ended']}" for j in reusable], + key="adopt_pick", + ) + if a1.button("Adopt", key="btn_adopt"): + job = reusable[ + [ + f"{j['job_id']} · {j['types']} · {j['ended']}" for j in reusable + ].index(pick) + ] + run = runner.submit( + f"adopt job {job['job_id']}", + svc.adopt_job, + _store(), + _client(), + job["job_url"], + types=[t for t in job["types"].split(",") if t and t != "(all)"] + or None, + ) + st.toast(f"Adopting {job['job_id']} as run {run.id}") + if active: + pick = a2.selectbox( + "Cancel an in-progress job", + [f"{j['job_id']} · {j['types']}" for j in active], + key="cancel_pick", + ) + if a2.button("Cancel", key="btn_cancel"): + job = active[ + [f"{j['job_id']} · {j['types']}" for j in active].index(pick) + ] + try: + svc.cancel_job(_client(), job["job_url"]) + st.toast(f"Cancelled {job['job_id']}") + st.session_state.pop("server_jobs", None) + except Exception as exc: # noqa: BLE001 + st.error(f"Cancel failed: {exc}") + runs_panel() + + +# ── Store ──────────────────────────────────────────────────── + + +def store() -> None: + st.title("Store") + path = svc.store_path() + st.caption( + f"`{path}` — append-only `jobs.parquet` / `files.parquet`; the last row per key is the current state." + ) + s = _store() + jobs = svc.store_jobs(s) + if not jobs: + st.info("No store jobs yet.") + else: + df = pl.DataFrame(jobs).with_columns( + pl.col("bytes") + .map_elements(_fmt_bytes, return_dtype=pl.String) + .alias("size") + ) + st.dataframe(df.drop("bytes", "job_url"), hide_index=True, width="stretch") + key = st.selectbox("Files for job", [j["key"] for j in jobs], key="store_key") + files = svc.store_files(s, key) + if files: + fdf = pl.DataFrame(files).with_columns( + pl.col("file_size") + .map_elements(_fmt_bytes, return_dtype=pl.String) + .alias("size") + ) + st.dataframe( + fdf.select("resource_type", "status", "size", "storage_path", "ts"), + hide_index=True, + width="stretch", + ) + st.subheader("Export directories on disk") + dirs = svc.export_dirs(path) + if dirs: + ddf = pl.DataFrame(dirs).with_columns( + pl.col("bytes") + .map_elements(_fmt_bytes, return_dtype=pl.String) + .alias("size"), + pl.col("types").list.join(", "), + ) + st.dataframe(ddf.drop("bytes"), hide_index=True, width="stretch") + else: + st.caption("none") + runs_panel() + + +# ── Load ───────────────────────────────────────────────────── + + +def load() -> None: + st.title("Flatten + load") + st.caption( + "Newest export per resource type → `bcda.*` in aco.duckdb (v2 or v3 dialect per resource, " + "streamed from multi-part ndjson) → connector pipeline → `input_layer.*` → replica republished." + ) + c1, c2 = st.columns(2) + run_pipeline = c1.checkbox( + "Run connector pipeline into input_layer.*", value=True, key="load_pipeline" + ) + skip_flatten = c2.checkbox( + "Skip flatten (reuse existing Parquet)", value=False, key="load_skip" + ) + if st.button("Load now", type="primary", key="btn_load"): + run = runner.submit( + "flatten + load", + svc.load_and_publish, + run_pipeline=run_pipeline, + skip_flatten=skip_flatten, + ) + st.toast(f"Load started as run {run.id}") + runs_panel() + + +# ── Data ───────────────────────────────────────────────────── + + +def data() -> None: + st.title("Data") + try: + con = svc.replica_connect() + except Exception as exc: # noqa: BLE001 — no replica yet + st.warning(f"Replica not available: {exc}") + return + counts = svc.table_counts(con) + if not counts: + st.info("No `bcda.*` / `input_layer.*` tables in the replica yet — run a load.") + return + cols = st.columns(min(4, len(counts))) + for i, (name, n) in enumerate(counts.items()): + cols[i % len(cols)].metric(name, f"{n:,}") + st.subheader("Summaries") + pick = st.selectbox("Summary", list(svc.SUMMARY_QUERIES), key="summary_pick") + try: + st.dataframe( + svc.run_query(con, svc.SUMMARY_QUERIES[pick]), + hide_index=True, + width="stretch", + ) + except Exception as exc: # noqa: BLE001 — table may be absent + st.warning(str(exc)) + st.subheader("SQL (read-only replica)") + sql = st.text_area( + "query", + value="select eob_type, count(*) n from bcda.explanation_of_benefit group by 1 order by 2 desc", + key="sql", + label_visibility="collapsed", + ) + if st.button("Run", key="btn_sql"): + try: + st.session_state["last_query"] = svc.run_query(con, sql) + except Exception as exc: # noqa: BLE001 + st.session_state["last_query"] = str(exc) + res = st.session_state.get("last_query") + if isinstance(res, pl.DataFrame): + st.dataframe(res, hide_index=True, width="stretch") + st.caption(f"{len(res):,} rows (capped at 1,000)") + elif isinstance(res, str): + st.error(res) + + +# ── Dictionary ─────────────────────────────────────────────── + + +def dictionary() -> None: + st.title("Data dictionary + CCLF crosswalk") + try: + con = svc.replica_connect() + except Exception: # noqa: BLE001 + con = None + frames = svc.dictionary_frames(con) + if not frames: + st.info( + "Crosswalk seeds not found — run `uv run python dev/scripts/gen_bcda_v3_crosswalk.py`." + ) + return + needle = ( + st.text_input( + "Search field, source column, fhirPath, CCW or CCLF mapping", + key="dict_search", + ) + .strip() + .lower() + ) + dd = frames["bcda_v3_data_dictionary"] + if needle: + mask = pl.lit(False) + for col in ( + "field_name", + "source_column", + "fhir_path", + "ccw_mapping", + "cclf_mapping", + ): + if col in dd.columns: + mask = mask | pl.col(col).cast( + pl.String + ).str.to_lowercase().str.contains(needle, literal=True).fill_null(False) + dd = dd.filter(mask) + t1, t2, t3 = st.tabs( + [f"Dictionary ({len(dd):,})", "CCLF → BCDA v3", "CCLF fields absent from v3"] + ) + with t1: + st.dataframe( + dd.select( + [ + c + for c in ( + "fhir_resource", + "claim_type", + "field_name", + "source_column", + "ccw_mapping", + "cclf_mapping", + "fhir_path", + ) + if c in dd.columns + ] + ), + hide_index=True, + width="stretch", + ) + with t2: + xw = frames["bcda_v3_cclf_crosswalk"] + only_mapped = st.checkbox( + "Only elements with a v3 field", value=True, key="xw_mapped" + ) + if only_mapped and "bcda_v3_field" in xw.columns: + xw = xw.filter( + pl.col("bcda_v3_field").is_not_null() + & (pl.col("bcda_v3_field").cast(pl.String) != "") + ) + st.dataframe(xw, hide_index=True, width="stretch") + with t3: + st.dataframe(frames["bcda_v3_cclf_absent"], hide_index=True, width="stretch") + + +# ── Upstream ───────────────────────────────────────────────── + + +def upstream() -> None: + st.title("Upstream: CMSgov/bcda-app + bcda.cms.gov") + status = svc.vendor_status() + if not status.get("available"): + st.info( + "Vendor manifest not available in this checkout (`dev/vendor/MANIFEST.toml`)." + ) + return + st.dataframe(pl.DataFrame(status["sources"]), hide_index=True, width="stretch") + if status["problems"]: + st.error( + "Vendored tree does not match the manifest:\n\n" + + "\n".join(f"- {p}" for p in status["problems"]) + ) + else: + st.success( + f"Vendored tree matches the manifest ({len(status['files'])} files)." + ) + with st.expander("Files"): + st.dataframe(pl.DataFrame(status["files"]), hide_index=True, width="stretch") + if st.button("Check upstream for drift (network)", key="btn_vendor_check"): + run = runner.submit("vendor drift check", svc.vendor_check) + st.toast(f"Checking upstream as run {run.id}") + st.caption( + "A weekly workflow runs the same check and files an issue on drift; refresh with `vendor_bcda_app.py --sync` then `gen_bcda_v3_crosswalk.py`." + ) + runs_panel() diff --git a/src/cli/__init__.py b/src/cli/__init__.py index b1cd7af..49219c6 100644 --- a/src/cli/__init__.py +++ b/src/cli/__init__.py @@ -13,6 +13,7 @@ from __future__ import annotations import typer from cli.api import app as api_app +from cli.bcda import app as bcda_app from cli.bib import app as bib_app from cli.bls import app as bls_app from cli.comments import app as comments_app @@ -42,6 +43,9 @@ app.command()(run) app.command()(validate) app.command()(health) app.add_typer(load_app, name="load", help="Ingest data (CCLF, BCDA, seeds).") +app.add_typer( + bcda_app, name="bcda", help="BCDA client and manager (exports, store, load, UI)." +) app.add_typer(generate_app, name="generate", help="Regenerate code artefacts.") app.add_typer(bib_app, name="bib", help="Bibliography operations.") app.add_typer( diff --git a/src/cli/bcda.py b/src/cli/bcda.py new file mode 100644 index 0000000..33a7dda --- /dev/null +++ b/src/cli/bcda.py @@ -0,0 +1,280 @@ +"""stack bcda — the BCDA client and manager from the terminal. + +The same operations the Streamlit manager exposes (``stack bcda ui``): +preflight, authentication, job history, exports with ``_typeFilter``, +adopting and cancelling jobs, the local store, flatten + load + connector +pipeline, and the vendored-upstream drift check. + +Credentials: ``BCDA_CLIENT_ID`` / ``BCDA_CLIENT_SECRET`` (+ ``BCDA_BASE_URL``, +``BCDA_API_VERSION``) win; otherwise ``--preset`` picks one of the public +sandbox entities (default *Large Model Entity*). +""" + +from __future__ import annotations + +import json +from pathlib import Path + +import typer + +app = typer.Typer(no_args_is_help=True) + +_PRESET_OPT = typer.Option( + "Large Model Entity", + "--preset", + help="Public sandbox entity when BCDA_CLIENT_ID is unset.", +) + + +def _connection(preset: str): # noqa: ANN202 + from bcda.ui import service as svc + + conn = svc.connection_from_env() + if conn is not None: + return conn + if preset not in svc.PRESETS: + typer.echo( + f"Unknown preset '{preset}'. Choose from: {', '.join(svc.PRESETS)}", + err=True, + ) + raise typer.Exit(1) + return svc.PRESETS[preset] + + +def _echo_json(obj) -> None: # noqa: ANN001 + typer.echo(json.dumps(obj, indent=2, default=str)) + + +@app.command() +def ui( + port: int = typer.Option(8501, help="Port for the Streamlit server."), + headless: bool = typer.Option(True, help="Do not open a browser."), +) -> None: + """Launch the BCDA manager (Streamlit).""" + import subprocess + import sys + + from bcda.ui import app as ui_app + + cmd = [ + sys.executable, + "-m", + "streamlit", + "run", + str(Path(ui_app.__file__)), + "--server.port", + str(port), + "--server.headless", + "true" if headless else "false", + ] + typer.echo(f"BCDA manager on http://localhost:{port}") + raise typer.Exit(subprocess.call(cmd)) + + +@app.command() +def preflight(preset: str = _PRESET_OPT) -> None: + """/_version, /_health and metadata — no token needed.""" + from bcda.ui import service as svc + + conn = _connection(preset) + with svc.make_client(conn) as client: + out = svc.preflight(client) + _echo_json(out) + if not out.get("ok"): + raise typer.Exit(1) + + +@app.command() +def auth(preset: str = _PRESET_OPT) -> None: + """Issue a token and show attribution status.""" + from bcda.ui import service as svc + + conn = _connection(preset) + with svc.make_client(conn) as client: + _echo_json(svc.auth_check(client)) + + +@app.command() +def jobs( + preset: str = _PRESET_OPT, + limit: int = typer.Option(25, help="Newest N jobs."), +) -> None: + """Server job history for the entity (shared on the sandbox).""" + from bcda.ui import service as svc + + conn = _connection(preset) + with svc.make_client(conn) as client: + rows = svc.server_jobs(client, limit=limit) + for r in rows: + flag = " reusable" if r["reusable"] else "" + typer.echo( + f"{r['job_id']:>7} {r['status']:<12} {r['endpoint']:<13} {r['types']:<40} {r['started']} → {r['ended']}{flag}" + ) + typer.echo(f"{len(rows)} job(s)") + + +@app.command() +def export( + preset: str = _PRESET_OPT, + types: list[str] = typer.Option( + None, "--type", "-t", help="Resource type(s); default all three." + ), + endpoint: str = typer.Option( + "Group/all", help="Group/all, Group/runout or Patient." + ), + since: str = typer.Option("", help="FHIR instant, e.g. 2026-01-01T00:00:00+00:00"), + system_type: list[str] = typer.Option( + None, "--system-type", help="_typeFilter System-Type tag(s)." + ), + outcome: str = typer.Option("", help="_typeFilter outcome: partial or complete."), + service_date_from: str = typer.Option( + "", help="_typeFilter service-date > YYYY-MM-DD." + ), + per_type: bool = typer.Option( + True, "--per-type/--one-job", help="One job per type (survives sandbox sweeps)." + ), + cancel_retries: int = typer.Option( + 6, help="Restarts after server-side cancellation." + ), + poll_interval: float = typer.Option(15.0, help="Seconds between status polls."), +) -> None: + """Run an export through the store (blocks until downloaded).""" + from bcda.ui import service as svc + + conn = _connection(preset) + type_filter = svc.build_type_filter( + system_types=system_type or None, + outcome=outcome or None, + service_date_from=service_date_from or None, + ) + if type_filter: + typer.echo(f"_typeFilter={type_filter}") + store = svc.make_store() + with svc.make_client(conn) as client: + if per_type: + keys = svc.export_per_type( + store, + client, + types=types or None, + endpoint=endpoint, + since=since or None, + type_filter=type_filter, + cancel_retries=cancel_retries, + poll_interval=poll_interval, + ) + else: + keys = { + ",".join(types or svc.RESOURCE_TYPES): svc.start_export( + store, + client, + endpoint=endpoint, + types=types or None, + since=since or None, + type_filter=type_filter, + cancel_retries=cancel_retries, + poll_interval=poll_interval, + ) + } + for rtype, key in keys.items(): + files = store.get_files(key) + typer.echo(f"{rtype}: job {key}, {len(files)} file(s)") + + +@app.command() +def adopt( + job_id: str = typer.Argument(help="Server job id (see `stack bcda jobs`)."), + preset: str = _PRESET_OPT, + types: list[str] = typer.Option( + None, + "--type", + "-t", + help="Resource type(s) the job holds, for the store record.", + ), +) -> None: + """Download a completed job this store did not start.""" + from bcda.ui import service as svc + + conn = _connection(preset) + store = svc.make_store() + with svc.make_client(conn) as client: + job_url = f"{client.base_url}/api/{client.version}/jobs/{job_id}" + key = svc.adopt_job(store, client, job_url, types=types or None) + typer.echo(f"adopted job {job_id} as {key}, {len(store.get_files(key))} file(s)") + + +@app.command() +def cancel( + job_id: str = typer.Argument(help="Server job id."), + preset: str = _PRESET_OPT, +) -> None: + """Cancel an in-progress job.""" + from bcda.ui import service as svc + + conn = _connection(preset) + with svc.make_client(conn) as client: + svc.cancel_job(client, f"{client.base_url}/api/{client.version}/jobs/{job_id}") + typer.echo(f"cancelled {job_id}") + + +@app.command() +def store() -> None: + """Local store: jobs, files, bytes.""" + from bcda.ui import service as svc + + rows = svc.store_jobs(svc.make_store()) + for r in rows: + typer.echo( + f"{r['key']} {r['status']:<10} {r['types']:<40} {r['files']:>4} file(s) {r['bytes']:>14,} B {r['ts']}" + ) + typer.echo(f"{len(rows)} job(s) in {svc.store_path()}") + + +@app.command() +def load( + pipeline: bool = typer.Option( + True, "--pipeline/--no-pipeline", help="Run the connector into input_layer.*" + ), + skip_flatten: bool = typer.Option( + False, "--skip-flatten", help="Reuse existing Parquet." + ), +) -> None: + """Flatten + load the newest export per type, run the connector, publish the replica.""" + from bcda.ui import service as svc + + stats = svc.load_and_publish(run_pipeline=pipeline, skip_flatten=skip_flatten) + for table, n in sorted(stats.items()): + typer.echo(f" {table}: {n:,} rows") + typer.echo("Replica published.") + + +@app.command() +def vendor( + check: bool = typer.Option( + False, "--check", help="Also query GitHub / bcda.cms.gov for drift." + ), +) -> None: + """Vendored upstream (CMSgov/bcda-app, bcda.cms.gov): manifest, verification, drift.""" + from bcda.ui import service as svc + + status = svc.vendor_status() + if not status.get("available"): + typer.echo("vendor manifest not available", err=True) + raise typer.Exit(1) + for s in status["sources"]: + typer.echo( + f"{s['name']:<10} {s['kind']:<7} {s['origin']} {s['commit'][:12]} ({s['files']} files)" + ) + if status["problems"]: + for p in status["problems"]: + typer.echo(f" ! {p}") + raise typer.Exit(1) + typer.echo("vendored tree matches the manifest") + if check: + drift = svc.vendor_check() + for d in drift: + typer.echo(f" ~ {d}") + typer.echo( + "no upstream drift" if not drift else f"{len(drift)} upstream change(s)" + ) + if drift: + raise typer.Exit(1) diff --git a/tests/bcda/test_ui_runner.py b/tests/bcda/test_ui_runner.py new file mode 100644 index 0000000..cceb68a --- /dev/null +++ b/tests/bcda/test_ui_runner.py @@ -0,0 +1,91 @@ +"""bcda.ui.runner — background runs with per-thread log capture.""" + +from __future__ import annotations + +import logging +import threading +import time + +from bcda.ui.runner import Runner + + +def test_run_success_captures_bcda_logs() -> None: + r = Runner() + log = logging.getLogger("bcda.test") + + def work(x: int) -> int: + log.info("working on %d", x) + return x * 2 + + run = r.submit("double", work, 21) + done = r.wait(run.id) + assert done.state == "done" and done.result == 42 + assert ( + "working on 21" in done.log + and done.log[0] == "started: double" + and done.log[-1] == "finished" + ) + assert not done.active and done.elapsed >= 0 and done.finished is not None + assert r.get(run.id) is done and r.get("nope") is None + assert r.all() == [done] and r.active() == [] + assert r.clear_finished() == 1 and r.all() == [] + + +def test_run_failure_records_error_and_traceback() -> None: + r = Runner() + + def boom() -> None: + raise ValueError("bad input") + + run = r.wait(r.submit("boom", boom).id) + assert run.state == "failed" and run.error == "ValueError: bad input" + assert any("Traceback" in line for line in run.log) + + +def test_logs_are_routed_by_thread() -> None: + r = Runner() + log = logging.getLogger("bcda.routing") + gate = threading.Event() + + def slow() -> str: + log.info("from slow") + gate.wait(5) + return "ok" + + def quick() -> str: + log.info("from quick") + return "ok" + + slow_run = r.submit("slow", slow) + quick_run = r.wait(r.submit("quick", quick).id) + log.info("from main thread") # no run owns the main thread → dropped + gate.set() + r.wait(slow_run.id) + assert "from quick" in quick_run.log and "from slow" not in quick_run.log + assert "from slow" in slow_run.log and "from quick" not in slow_run.log + assert "from main thread" not in slow_run.log + quick_run.log + assert r.active() == [] + + +def test_log_is_bounded() -> None: + r = Runner() + log = logging.getLogger("bcda.flood") + + def flood() -> None: + for i in range(500): + log.info("line %d", i) + + run = r.wait(r.submit("flood", flood).id) + assert len(run.log) == 400 and run.log[-1] == "finished" + + +def test_wait_times_out_on_active_run() -> None: + r = Runner() + gate = threading.Event() + run = r.submit("hang", gate.wait, 5) + t0 = time.time() + waited = r.wait(run.id, timeout=0.1) + assert waited.active and time.time() - t0 < 2 + assert r.active() == [waited] and r.clear_finished() == 0 + gate.set() + r.wait(run.id) diff --git a/tests/bcda/test_ui_service.py b/tests/bcda/test_ui_service.py new file mode 100644 index 0000000..d20126a --- /dev/null +++ b/tests/bcda/test_ui_service.py @@ -0,0 +1,485 @@ +"""bcda.ui.service — the manager's operations, with mock transports.""" + +from __future__ import annotations + +import json +from datetime import datetime, timezone +from pathlib import Path + +import duckdb +import httpx +import polars as pl +import pytest + +from bcda.client import SANDBOX, Client +from bcda.store import Store +from bcda.ui import service as svc + +ROOT = Path(__file__).resolve().parents[2] + + +def _token() -> httpx.Response: + return httpx.Response(200, json={"access_token": "t" * 40, "expires_in": 1200}) + + +def _client(handler, version: str = "v3", tmp_path: Path | None = None) -> Client: + c = Client( + "cid", "csec", version=version, output_dir=tmp_path or Path("/tmp/bcda-ui-test") + ) + c._http = httpx.Client(transport=httpx.MockTransport(handler)) + return c + + +def _task(job_id: str, status: str, request: str, start: str, end: str) -> dict: + return { + "resourceType": "Task", + "identifier": [{"value": job_id}], + "status": status, + "input": [{"valueString": request}], + "executionPeriod": {"start": start, "end": end}, + } + + +# ── connections ────────────────────────────────────────────── + + +class TestConnections: + def test_presets_are_public_sandbox_entities(self) -> None: + assert set(svc.PRESETS) >= {"Large Model Entity", "Small Model Entity"} + large = svc.PRESETS["Large Model Entity"] + assert ( + large.base_url == SANDBOX + and large.environment == "sandbox" + and large.version == "v3" + ) + assert svc.PRESETS["Legacy Large REACH ACO (v2)"].version == "v2" + assert large.masked_secret().startswith("96ac") and "…" in large.masked_secret() + assert svc.Connection("x", SANDBOX, "a", "short").masked_secret() == "…" + assert svc.Connection("x", svc.PRODUCTION, "a", "b").environment == "production" + + def test_connection_from_env(self) -> None: + assert svc.connection_from_env({}) is None + assert svc.connection_from_env({"BCDA_CLIENT_ID": "a"}) is None + c = svc.connection_from_env({"BCDA_CLIENT_ID": "a", "BCDA_CLIENT_SECRET": "b"}) + assert c is not None and c.base_url == SANDBOX and c.version == "v3" + c = svc.connection_from_env( + { + "BCDA_CLIENT_ID": "a", + "BCDA_CLIENT_SECRET": "b", + "BCDA_BASE_URL": svc.PRODUCTION, + "BCDA_API_VERSION": "v2", + } + ) + assert c.environment == "production" and c.version == "v2" + + def test_connection_from_real_env(self, monkeypatch) -> None: + monkeypatch.setenv("BCDA_CLIENT_ID", "id") + monkeypatch.setenv("BCDA_CLIENT_SECRET", "secret") + assert svc.connection_from_env().client_id == "id" + + def test_make_client_and_store(self, tmp_path) -> None: + c = svc.make_client(svc.PRESETS["Small Model Entity"], output_dir=tmp_path) + assert c.version == "v3" and c.base_url == SANDBOX and c.output_dir == tmp_path + c.close() + s = svc.make_store(tmp_path) + assert str(tmp_path) in s._root + assert svc.store_path().name == "bcda" + + +# ── server side ────────────────────────────────────────────── + + +class TestServerSide: + def test_preflight_ok(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + url = str(req.url) + if url.endswith("/metadata"): + return httpx.Response( + 200, + json={ + "fhirVersion": "4.0.1", + "software": {"version": "r302", "releaseDate": "2026-10-25"}, + "rest": [ + { + "resource": [ + {"type": "Patient"}, + {"type": "ExplanationOfBenefit"}, + ] + } + ], + }, + ) + if url.endswith("/_version"): + return httpx.Response(200, json={"version": "r302"}) + return httpx.Response(200, json={"database": "ok"}) + + out = svc.preflight(_client(handler)) + assert ( + out["ok"] and out["fhir_version"] == "4.0.1" and out["software"] == "r302" + ) + assert out["resources"] == ["Patient", "ExplanationOfBenefit"] + assert out["server_version"] == {"version": "r302"} and out["health"] == { + "database": "ok" + } + + def test_preflight_degrades(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + url = str(req.url) + if url.endswith("/metadata"): + return httpx.Response(200, json={"fhirVersion": "4.0.1"}) + return httpx.Response( + 404, + json={ + "resourceType": "OperationOutcome", + "issue": [{"diagnostics": "no"}], + }, + ) + + out = svc.preflight(_client(handler)) + assert ( + out["ok"] and "error" in out["server_version"] and "error" in out["health"] + ) + + def down(req: httpx.Request) -> httpx.Response: + raise httpx.ConnectError("boom") + + out = svc.preflight(_client(down)) + assert out["ok"] is False and "boom" in out["error"] + + def test_auth_check(self) -> None: + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token() + return httpx.Response( + 200, + json={ + "ingestion_dates": [ + {"type": "last_attribution_update", "timestamp": "A"} + ], + "expiration_dates": [ + {"type": "attribution_access_expiration", "timestamp": "E"} + ], + }, + ) + + out = svc.auth_check(_client(handler)) + assert out["token_chars"] == 40 and out["last_attribution_update"] == "A" + assert ( + out["attribution_access_expiration"] == "E" + and out["last_runout_update"] is None + ) + + def test_server_jobs(self) -> None: + tasks = [ + _task( + "1", + "completed", + f"GET {SANDBOX}/api/v3/Group/all/$export?_type=Patient", + "2026-10-25T10:00:00Z", + "2026-10-25T10:30:00Z", + ), + _task( + "2", + "completed", + f"GET {SANDBOX}/api/v3/Group/runout/$export", + "2026-10-20T10:00:00Z", + "2026-10-20T11:00:00Z", + ), + _task( + "3", + "in-progress", + f"GET {SANDBOX}/api/v3/Patient/$export?_type=Coverage", + "2026-10-25T11:00:00Z", + "", + ), + _task( + "4", + "completed", + f"GET {SANDBOX}/api/v2/Group/all/$export", + "2026-10-25T12:00:00Z", + "2026-10-25T12:30:00Z", + ), + _task( + "5", + "cancelled", + f"GET {SANDBOX}/api/v3/Group/all/$export", + "2026-10-25T09:00:00Z", + "bad-instant", + ), + ] + + def handler(req: httpx.Request) -> httpx.Response: + if "/auth/token" in str(req.url): + return _token() + return httpx.Response( + 200, + json={ + "resourceType": "Bundle", + "entry": [{"resource": t} for t in tasks], + }, + ) + + now = datetime(2026, 10, 25, 12, 0, tzinfo=timezone.utc) + rows = svc.server_jobs(_client(handler), now=now) + assert [r["job_id"] for r in rows] == [ + "3", + "1", + "5", + "2", + ] # newest first, v2 dropped + by = {r["job_id"]: r for r in rows} + assert ( + by["1"]["reusable"] is True + and by["1"]["types"] == "Patient" + and by["1"]["endpoint"] == "Group/all" + ) + assert ( + by["2"]["reusable"] is False + and by["2"]["types"] == "(all)" + and by["2"]["endpoint"] == "Group/runout" + ) + assert by["3"]["endpoint"] == "Patient" and by["3"]["reusable"] is False + assert by["5"]["reusable"] is False + assert by["1"]["job_url"].endswith("/api/v3/jobs/1") + assert len(svc.server_jobs(_client(handler), limit=2, now=now)) == 2 + assert svc._endpoint_from_request("GET https://x/api/v3/Other/$export") == "?" + + def test_build_type_filter(self) -> None: + assert svc.build_type_filter() is None + assert ( + svc.build_type_filter(system_types=["DDPS"]) + == "ExplanationOfBenefit?_tag=https://bluebutton.cms.gov/fhir/CodeSystem/System-Type|DDPS" + ) + tf = svc.build_type_filter( + system_types=["SharedSystem", "NationalClaimsHistory"], + outcome="partial", + service_date_from="2026-01-01", + ) + assert ( + tf.startswith("ExplanationOfBenefit?_tag=") + and "&outcome=partial&service-date=gt2026-01-01" in tf + ) + with pytest.raises(ValueError, match="System-Type"): + svc.build_type_filter(system_types=["Nope"]) + with pytest.raises(ValueError, match="outcome"): + svc.build_type_filter(outcome="maybe") + + def _export_handler(self, calls: list[str]): # noqa: ANN202 + def handler(req: httpx.Request) -> httpx.Response: + url = str(req.url) + calls.append(url) + if "/auth/token" in url: + return _token() + if "$export" in url: + n = sum(1 for c in calls if "$export" in c) + return httpx.Response( + 202, headers={"Content-Location": f"{SANDBOX}/api/v3/jobs/{n}"} + ) + if "/jobs/" in url and req.method == "GET": + jid = url.rsplit("/", 1)[1] + return httpx.Response( + 200, + json={ + "output": [ + {"type": "Patient", "url": f"{SANDBOX}/data/{jid}/a.ndjson"} + ] + }, + ) + if req.method == "DELETE": + return httpx.Response(202) + return httpx.Response(200, content=b'{"resourceType":"Patient"}\n') + + return handler + + def test_start_export_and_per_type(self, tmp_path) -> None: + calls: list[str] = [] + client = _client(self._export_handler(calls), tmp_path=tmp_path) + store = Store(path=str(tmp_path)) + key = svc.start_export( + store, + client, + endpoint="Patient", + types=["Patient"], + since="2026-01-01T00:00:00+00:00", + type_filter="ExplanationOfBenefit?outcome=complete", + poll_interval=0, + ) + assert store.get_job(key)["status"] == "complete" + assert any( + "/api/v3/Patient/$export" in c and "_since=" in c and "_typeFilter=" in c + for c in calls + ) + with pytest.raises(ValueError, match="endpoint"): + svc.start_export(store, client, endpoint="Nope") + keys = svc.export_per_type( + store, + client, + type_filter="ExplanationOfBenefit?outcome=partial", + poll_interval=0, + ) + assert set(keys) == set(svc.RESOURCE_TYPES) + exports = [c for c in calls if "$export" in c] + # the EOB job carries the _typeFilter, the Patient/Coverage jobs do not + assert sum(1 for c in exports if "_typeFilter" in c) == 2 # first call + EOB + assert all(store.get_job(k)["status"] == "complete" for k in keys.values()) + client.close() + + def test_adopt_and_cancel(self, tmp_path) -> None: + calls: list[str] = [] + client = _client(self._export_handler(calls), tmp_path=tmp_path) + store = Store(path=str(tmp_path)) + key = svc.adopt_job( + store, client, f"{SANDBOX}/api/v3/jobs/77", types=["Patient"] + ) + assert store.get_job(key)["job_url"].endswith("/jobs/77") + svc.cancel_job(client, f"{SANDBOX}/api/v3/jobs/77") + assert any(c.endswith("/jobs/77") for c in calls) + client.close() + + +# ── local side ─────────────────────────────────────────────── + + +class TestLocalSide: + def test_store_jobs_files_and_dirs(self, tmp_path) -> None: + store = Store(path=str(tmp_path)) + assert svc.store_jobs(store) == [] + store._append_job( + key="K1", + status="complete", + endpoint="Group/all", + types="Patient", + job_url="u", + ) + store._append_file( + job_key="K1", + resource_type="Patient", + url="u1", + storage_path="p", + file_size=10, + status="complete", + ) + store._append_job(key="K2", status="failed", error="boom") + rows = svc.store_jobs(store) + assert [r["key"] for r in rows] == ["K2", "K1"] + k1 = next(r for r in rows if r["key"] == "K1") + assert k1["files"] == 1 and k1["bytes"] == 10 + assert next(r for r in rows if r["key"] == "K2")["error"] == "boom" + assert svc.store_files(store, "K1")[0]["storage_path"] == "p" + assert svc.export_dirs(tmp_path) == [] + d = tmp_path / "exports" / "K1" + d.mkdir(parents=True) + (d / "Patient.ndjson").write_text("{}\n") + (d / "Patient.1.ndjson").write_text("{}\n") + (tmp_path / "exports" / "stray.txt").write_text("x") + dirs = svc.export_dirs(tmp_path) + assert ( + dirs[0]["key"] == "K1" + and dirs[0]["types"] == ["Patient"] + and dirs[0]["files"] == 2 + and dirs[0]["bytes"] == 6 + ) + + def test_load_and_publish(self, monkeypatch) -> None: + calls = {} + + def fake_load(**kw): # noqa: ANN003, ANN202 + calls["load"] = kw + return {"bcda.patient": 1} + + monkeypatch.setattr("aco.load.bcda.load_bcda", fake_load) + monkeypatch.setattr( + "conf.connect.publish_replica", + lambda name: calls.setdefault("publish", name), + ) + assert svc.load_and_publish(run_pipeline=False, skip_flatten=True) == { + "bcda.patient": 1 + } + assert ( + calls["load"] == {"skip_flatten": True, "run_pipeline": False} + and calls["publish"] == "aco" + ) + + def test_replica_queries(self, tmp_path) -> None: + db = tmp_path / "r.duckdb" + con = duckdb.connect(str(db)) + con.execute("create schema bcda; create schema input_layer") + con.execute( + "create table bcda.patient as select 'A' bene_mbi_id, null::date bene_death_dt, 'TX' geo_usps_state_cd" + ) + con.execute( + "create table bcda.explanation_of_benefit as select 'DDPS' system_type, 'PDE' eob_type, 'FinalAction' final_action, 1.5 clm_pmt_amt" + ) + con.execute( + "create table bcda.coverage as select 'Part A' class_plan, 'active' status, 'A' subscriber_id" + ) + con.execute( + "create table input_layer.medical_claim as select 'institutional' claim_type, 'c' claim_id, 1.0 paid_amount, 2.0 charge_amount" + ) + con.close() + ro = duckdb.connect(str(db), read_only=True) + counts = svc.table_counts(ro) + assert counts == { + "bcda.coverage": 1, + "bcda.explanation_of_benefit": 1, + "bcda.patient": 1, + "input_layer.medical_claim": 1, + } + for sql in svc.SUMMARY_QUERIES.values(): + assert isinstance(svc.run_query(ro, sql), pl.DataFrame) + assert len(svc.run_query(ro, "select * from bcda.patient", limit=5)) == 1 + ro.close() + + def test_replica_connect_uses_conf(self, monkeypatch) -> None: + monkeypatch.setattr( + "conf.connect.duckdb", lambda name, read_only: (name, read_only) + ) + assert svc.replica_connect() == ("aco", True) + + def test_dictionary_frames_from_seeds_and_reference_data(self, tmp_path) -> None: + frames = svc.dictionary_frames(None) + assert set(frames) == { + "bcda_v3_data_dictionary", + "bcda_v3_cclf_crosswalk", + "bcda_v3_cclf_absent", + } + assert len(frames["bcda_v3_data_dictionary"]) > 300 + con = duckdb.connect(str(tmp_path / "ref.duckdb")) + con.execute("create schema reference_data") + for n, df in frames.items(): + con.register("df", df.to_arrow()) + con.execute(f"create table reference_data.{n} as select * from df") + again = svc.dictionary_frames(con) + assert len(again["bcda_v3_cclf_absent"]) == len(frames["bcda_v3_cclf_absent"]) + con.close() + # a connection without the tables falls back to the seeds + con = duckdb.connect() + assert len(svc.dictionary_frames(con)) == 3 + con.close() + + def test_dictionary_frames_missing(self, monkeypatch, tmp_path) -> None: + monkeypatch.setattr("conf.ROOT", tmp_path) + assert svc.dictionary_frames(None) == {} + + def test_vendor_status_and_check(self, monkeypatch) -> None: + status = svc.vendor_status() + assert status["available"] and status["problems"] == [] + names = {s["name"] for s in status["sources"]} + assert names == {"bcda-app", "bcda-site"} + assert any(f["path"].endswith("swagger.json") for f in status["files"]) + mod = svc._vendor_module() + monkeypatch.setattr(mod, "check", lambda m: ["bcda-app: swagger.json changed"]) + monkeypatch.setattr(svc, "_vendor_module", lambda: mod) + assert svc.vendor_check() == ["bcda-app: swagger.json changed"] + + def test_vendor_unavailable(self, monkeypatch, tmp_path) -> None: + monkeypatch.setattr("conf.ROOT", tmp_path) + assert svc.vendor_status() == {"available": False} + assert svc.vendor_check() == ["vendor script not available in this checkout"] + + def test_types_from_request(self) -> None: + assert svc._types_from_request("GET x?_type=Patient%2CCoverage") == [ + "Patient", + "Coverage", + ] + json.dumps(svc.SUMMARY_QUERIES) # plain strings diff --git a/tests/bcda/test_ui_views.py b/tests/bcda/test_ui_views.py new file mode 100644 index 0000000..3433289 --- /dev/null +++ b/tests/bcda/test_ui_views.py @@ -0,0 +1,438 @@ +"""bcda.ui.views — every page through Streamlit's AppTest with the +service layer stubbed, so no network, no replica, no real store.""" + +from __future__ import annotations + +import logging +import threading +import time +from pathlib import Path + +import duckdb +import pytest +from streamlit.testing.v1 import AppTest + +from bcda.store import Store +from bcda.ui import service as svc +from bcda.ui import views +from bcda.ui.runner import Runner + +SMALL = svc.PRESETS["Small Model Entity"] + + +def _page( + name: str, *, conn: svc.Connection | None = SMALL, timeout: float = 60 +) -> AppTest: + at = AppTest.from_string( + f"from bcda.ui import views\nviews.{name}()\n", default_timeout=timeout + ) + if conn is not None: + at.session_state["conn"] = conn + return at + + +def _button(at: AppTest, label: str): # noqa: ANN202 + return next(b for b in at.button if b.label == label) + + +@pytest.fixture(autouse=True) +def fresh_runner(monkeypatch): + """Each test gets its own Runner so background runs never leak across tests.""" + r = Runner() + monkeypatch.setattr(views, "runner", r) + return r + + +@pytest.fixture +def fake_client(monkeypatch): + """A client stand-in; service functions are stubbed to accept it.""" + + class FakeClient: + base_url = svc.SANDBOX + version = "v3" + + def close(self) -> None: + pass + + client = FakeClient() + monkeypatch.setattr(svc, "make_client", lambda conn, output_dir=None: client) + return client + + +@pytest.fixture +def tmp_store(monkeypatch, tmp_path): + monkeypatch.setattr(svc, "store_path", lambda: tmp_path) + return Store(path=str(tmp_path)) + + +# ── Connect ────────────────────────────────────────────────── + + +class TestConnect: + def test_preset_then_preflight_and_auth(self, monkeypatch, fake_client) -> None: + monkeypatch.setattr( + svc, + "preflight", + lambda c: { + "ok": True, + "fhir_version": "4.0.1", + "software": "r302", + "release_date": "2026", + "resources": ["Patient"], + "health": {"database": "ok"}, + "server_version": {"version": "r302"}, + }, + ) + monkeypatch.setattr( + svc, + "auth_check", + lambda c: {"token_chars": 40, "last_attribution_update": "x"}, + ) + at = _page("connect", conn=None).run() + assert at.session_state.get("conn") is None + _button(at, "Use this connection").click().run() + assert at.session_state["conn"].label == "Large Model Entity" + _button(at, "Preflight (no token)").click().run() + assert any(m.value == "4.0.1" for m in at.metric) + _button(at, "Authenticate + attribution").click().run() + assert any("Token issued" in s.value for s in at.success) + + def test_preflight_failure_and_auth_error(self, monkeypatch, fake_client) -> None: + monkeypatch.setattr( + svc, "preflight", lambda c: {"ok": False, "error": "unreachable"} + ) + + def bad_auth(c): # noqa: ANN001, ANN202 + raise RuntimeError("401 invalid client") + + monkeypatch.setattr(svc, "auth_check", bad_auth) + at = _page("connect").run() + _button(at, "Preflight (no token)").click().run() + assert any("unreachable" in e.value for e in at.error) + _button(at, "Authenticate + attribution").click().run() + assert any("invalid client" in e.value for e in at.error) + + def test_environment_and_custom_sources(self, monkeypatch) -> None: + monkeypatch.setenv("BCDA_CLIENT_ID", "env-id") + monkeypatch.setenv("BCDA_CLIENT_SECRET", "env-secret-long-enough") + at = _page("connect", conn=None).run() + radio = at.radio[0] + assert radio.options[0] == "Environment credentials" + _button(at, "Use this connection").click().run() + assert at.session_state["conn"].client_id == "env-id" + radio.set_value("Custom").run() + assert not [ + b for b in at.button if b.label == "Use this connection" + ] # needs id + secret first + at.text_input(key="custom_id").input("abc").run() + at.text_input(key="custom_secret").input("def").run() + at.selectbox(key="custom_version").set_value("v2").run() + _button(at, "Use this connection").click().run() + conn = at.session_state["conn"] + assert (conn.client_id, conn.client_secret, conn.version, conn.label) == ( + "abc", + "def", + "v2", + "custom", + ) + + +# ── Exports ────────────────────────────────────────────────── + + +class TestExports: + def test_requires_connection(self) -> None: + at = _page("exports", conn=None).run() + assert any("Connect" in i.value for i in at.info) + + def test_start_export_per_type_and_one_job( + self, monkeypatch, fake_client, tmp_store, fresh_runner + ) -> None: + calls: list[dict] = [] + monkeypatch.setattr( + svc, + "export_per_type", + lambda store, client, **kw: ( + calls.append({"per_type": True, **kw}) or {"Patient": "K1"} + ), + ) + monkeypatch.setattr( + svc, + "start_export", + lambda store, client, **kw: calls.append({"per_type": False, **kw}) or "K2", + ) + at = _page("exports").run() + at.multiselect(key="exp_types").set_value(["Patient"]) + at.multiselect(key="exp_system_types").set_value(["DDPS"]) + at.selectbox(key="exp_outcome").set_value("complete") + at.checkbox(key="exp_use_since").check() + _button(at, "Start export").click().run() + run = fresh_runner.wait(fresh_runner.all()[0].id) + assert run.state == "done" and run.result == {"Patient": "K1"} + assert calls[0]["per_type"] and calls[0]["types"] == ["Patient"] + assert calls[0]["type_filter"].endswith("|DDPS&outcome=complete") and calls[0][ + "since" + ].endswith("T00:00:00+00:00") + assert any("_typeFilter=" in c.value for c in at.caption) + at.checkbox(key="exp_per_type").uncheck() + at.checkbox(key="exp_use_svc_date").check() + _button(at, "Start export").click().run() + fresh_runner.wait(fresh_runner.all()[0].id) + assert ( + calls[-1]["per_type"] is False + and "service-date=gt" in calls[-1]["type_filter"] + ) + + def test_jobs_adopt_and_cancel( + self, monkeypatch, fake_client, tmp_store, fresh_runner + ) -> None: + jobs = [ + { + "job_id": "11", + "status": "completed", + "types": "Patient,Coverage", + "endpoint": "Group/all", + "started": "s", + "ended": "e", + "reusable": True, + "job_url": "u11", + }, + { + "job_id": "12", + "status": "in-progress", + "types": "(all)", + "endpoint": "Group/all", + "started": "s", + "ended": "", + "reusable": False, + "job_url": "u12", + }, + ] + monkeypatch.setattr(svc, "server_jobs", lambda c: jobs) + adopted: list = [] + monkeypatch.setattr( + svc, + "adopt_job", + lambda store, client, url, types=None: adopted.append((url, types)) or "KA", + ) + cancelled: list = [] + monkeypatch.setattr(svc, "cancel_job", lambda c, url: cancelled.append(url)) + at = _page("exports").run() + _button(at, "Refresh jobs").click().run() + assert len(at.dataframe) == 1 + _button(at, "Adopt").click().run() + run = fresh_runner.wait(fresh_runner.all()[0].id) + assert run.result == "KA" and adopted == [("u11", ["Patient", "Coverage"])] + _button(at, "Cancel").click().run() + assert cancelled == ["u12"] and "server_jobs" not in at.session_state + + def test_jobs_errors(self, monkeypatch, fake_client, tmp_store) -> None: + def boom(*a, **k): # noqa: ANN002, ANN003, ANN202 + raise RuntimeError("nope") + + monkeypatch.setattr(svc, "server_jobs", boom) + at = _page("exports").run() + _button(at, "Refresh jobs").click().run() + assert any("Could not list jobs" in e.value for e in at.error) + jobs = [ + { + "job_id": "12", + "status": "in-progress", + "types": "(all)", + "endpoint": "Group/all", + "started": "s", + "ended": "", + "reusable": False, + "job_url": "u12", + } + ] + monkeypatch.setattr(svc, "server_jobs", lambda c: jobs) + monkeypatch.setattr(svc, "cancel_job", boom) + _button(at, "Refresh jobs").click().run() + _button(at, "Cancel").click().run() + assert any("Cancel failed" in e.value for e in at.error) + + +# ── Store / Load ───────────────────────────────────────────── + + +class TestStoreAndLoad: + def test_store_empty_and_populated(self, tmp_store, tmp_path) -> None: + at = _page("store").run() + assert any("No store jobs" in i.value for i in at.info) + tmp_store._append_job( + key="K1", + status="complete", + endpoint="Group/all", + types="Patient", + job_url="u", + ) + tmp_store._append_file( + job_key="K1", + resource_type="Patient", + url="u1", + storage_path="p", + file_size=2048, + status="complete", + ) + d = tmp_path / "exports" / "K1" + d.mkdir(parents=True) + (d / "Patient.ndjson").write_text("{}\n") + at = _page("store").run() + assert at.selectbox(key="store_key").value == "K1" + assert len(at.dataframe) == 3 # jobs, files, dirs + assert ( + views._fmt_bytes(2048) == "2.0 KB" + and views._fmt_bytes(5) == "5 B" + and views._fmt_bytes(3 * 1024**4) == "3.0 TB" + ) + + def test_load_runs_in_background(self, monkeypatch, fresh_runner) -> None: + seen = {} + monkeypatch.setattr( + svc, "load_and_publish", lambda **kw: seen.update(kw) or {"bcda.patient": 3} + ) + at = _page("load").run() + at.checkbox(key="load_skip").check() + _button(at, "Load now").click().run() + run = fresh_runner.wait(fresh_runner.all()[0].id) + assert run.result == {"bcda.patient": 3} and seen == { + "run_pipeline": True, + "skip_flatten": True, + } + at.run() # the runs panel now shows the finished run + assert any("flatten + load" in e.label for e in at.expander) + _button(at, "Clear finished runs").click().run() + assert fresh_runner.all() == [] + + +# ── Data ───────────────────────────────────────────────────── + + +class TestData: + def test_no_replica(self, monkeypatch) -> None: + def boom(): # noqa: ANN202 + raise OSError("no replica") + + monkeypatch.setattr(svc, "replica_connect", boom) + at = _page("data").run() + assert any("Replica not available" in w.value for w in at.warning) + + def test_empty_replica(self, monkeypatch) -> None: + con = duckdb.connect() + monkeypatch.setattr(svc, "replica_connect", lambda: con) + at = _page("data").run() + assert any("No `bcda.*`" in i.value for i in at.info) + + def test_tables_summaries_and_sql(self, monkeypatch, tmp_path) -> None: + db = tmp_path / "r.duckdb" + con = duckdb.connect(str(db)) + con.execute("create schema bcda") + con.execute( + "create table bcda.explanation_of_benefit as select 'DDPS' system_type, 'PDE' eob_type, 'FinalAction' final_action, 1.0 clm_pmt_amt" + ) + con.close() + ro = duckdb.connect(str(db), read_only=True) + monkeypatch.setattr(svc, "replica_connect", lambda: ro) + at = _page("data").run() + assert ( + at.metric[0].label == "bcda.explanation_of_benefit" + and at.metric[0].value == "1" + ) + assert len(at.dataframe) == 1 # the default summary + at.selectbox(key="summary_pick").set_value("Coverage rows by plan").run() + assert any( + "coverage" in w.value.lower() for w in at.warning + ) # table absent → warning + _button(at, "Run").click().run() + assert any("1 rows" in c.value for c in at.caption) + at.text_area(key="sql").input("select * from nope").run() + _button(at, "Run").click().run() + assert at.error + + +# ── Dictionary / Upstream ──────────────────────────────────── + + +class TestDictionaryAndUpstream: + def test_dictionary_search(self, monkeypatch) -> None: + monkeypatch.setattr(svc, "replica_connect", lambda: duckdb.connect()) + at = _page("dictionary").run() + assert len(at.dataframe) == 3 + at.text_input(key="dict_search").input("CLM_CNTL_NUM").run() + assert ( + "Dictionary (" in at.tabs[0].label and at.tabs[0].label != "Dictionary (0)" + ) + at.checkbox(key="xw_mapped").uncheck().run() + assert len(at.dataframe) == 3 + + def test_dictionary_missing(self, monkeypatch) -> None: + def boom(): # noqa: ANN202 + raise OSError("no replica") + + monkeypatch.setattr(svc, "replica_connect", boom) + monkeypatch.setattr(svc, "dictionary_frames", lambda con: {}) + at = _page("dictionary").run() + assert any("Crosswalk seeds not found" in i.value for i in at.info) + + def test_upstream(self, monkeypatch, fresh_runner) -> None: + monkeypatch.setattr(svc, "vendor_status", lambda: {"available": False}) + at = _page("upstream").run() + assert any("not available" in i.value for i in at.info) + status = { + "available": True, + "sources": [ + { + "name": "bcda-app", + "kind": "github", + "origin": "CMSgov/bcda-app", + "commit": "abc", + "files": 1, + } + ], + "files": [{"path": "bcda-app/LICENSE", "sha256": "0" * 12}], + "problems": ["missing bcda-app/LICENSE"], + } + monkeypatch.setattr(svc, "vendor_status", lambda: status) + monkeypatch.setattr(svc, "vendor_check", lambda: []) + at = _page("upstream").run() + assert any("does not match" in e.value for e in at.error) + _button(at, "Check upstream for drift (network)").click().run() + assert fresh_runner.wait(fresh_runner.all()[0].id).result == [] + status["problems"] = [] + at = _page("upstream").run() + assert any("matches the manifest" in s.value for s in at.success) + + +# ── runs panel states ──────────────────────────────────────── + + +class TestRunsPanel: + def test_failed_and_active_runs_render(self, fresh_runner) -> None: + gate = threading.Event() + logging.getLogger("bcda.ui.test") + + def fail() -> None: + raise RuntimeError("kaput") + + fresh_runner.wait(fresh_runner.submit("will fail", fail).id) + fresh_runner.submit("hangs", gate.wait, 10) + time.sleep(0.05) + at = _page("load").run() + labels = [e.label for e in at.expander] + assert any("will fail" in lbl and "failed" in lbl for lbl in labels) + assert any("hangs" in lbl and "running" in lbl for lbl in labels) + assert any("kaput" in e.value for e in at.error) + gate.set() + fresh_runner.wait(fresh_runner.all()[0].id) + + +def test_app_shell_renders() -> None: + at = AppTest.from_file( + str(Path(views.__file__).with_name("app.py")), default_timeout=60 + ).run() + assert not at.exception + assert any("not connected" in c.value for c in at.sidebar.caption) + at.session_state["conn"] = SMALL + at.run() + assert any("Small Model Entity" in c.value for c in at.sidebar.caption) diff --git a/tests/cli/test_cli_bcda.py b/tests/cli/test_cli_bcda.py new file mode 100644 index 0000000..940d77d --- /dev/null +++ b/tests/cli/test_cli_bcda.py @@ -0,0 +1,251 @@ +"""stack bcda — the manager's CLI face, with the service layer stubbed.""" + +from __future__ import annotations + +from unittest.mock import patch + +import pytest +from typer.testing import CliRunner + +from bcda.ui import service as svc +from cli import app + +runner = CliRunner() + + +class _FakeClient: + base_url = svc.SANDBOX + version = "v3" + + def __enter__(self): # noqa: ANN204 + return self + + def __exit__(self, *exc): # noqa: ANN002, ANN204 + return False + + +@pytest.fixture(autouse=True) +def _no_env(monkeypatch): + monkeypatch.delenv("BCDA_CLIENT_ID", raising=False) + monkeypatch.delenv("BCDA_CLIENT_SECRET", raising=False) + monkeypatch.setattr(svc, "make_client", lambda conn, output_dir=None: _FakeClient()) + + +def test_help_lists_commands() -> None: + result = runner.invoke(app, ["bcda", "--help"]) + assert result.exit_code == 0 + for cmd in ( + "ui", + "preflight", + "auth", + "jobs", + "export", + "adopt", + "cancel", + "store", + "load", + "vendor", + ): + assert cmd in result.output + + +def test_unknown_preset() -> None: + result = runner.invoke(app, ["bcda", "preflight", "--preset", "Nope"]) + assert result.exit_code == 1 and "Unknown preset" in result.output + + +def test_env_credentials_win(monkeypatch) -> None: + monkeypatch.setenv("BCDA_CLIENT_ID", "env") + monkeypatch.setenv("BCDA_CLIENT_SECRET", "secret") + seen = {} + + def remember(conn, output_dir=None): # noqa: ANN001, ANN202 + seen["conn"] = conn + return _FakeClient() + + monkeypatch.setattr(svc, "make_client", remember) + monkeypatch.setattr(svc, "preflight", lambda c: {"ok": True}) + assert runner.invoke(app, ["bcda", "preflight", "--preset", "Nope"]).exit_code == 0 + assert seen["conn"].client_id == "env" + + +def test_preflight_and_auth(monkeypatch) -> None: + monkeypatch.setattr( + svc, "preflight", lambda c: {"ok": True, "fhir_version": "4.0.1"} + ) + result = runner.invoke(app, ["bcda", "preflight"]) + assert result.exit_code == 0 and '"fhir_version": "4.0.1"' in result.output + monkeypatch.setattr(svc, "preflight", lambda c: {"ok": False, "error": "down"}) + assert runner.invoke(app, ["bcda", "preflight"]).exit_code == 1 + monkeypatch.setattr(svc, "auth_check", lambda c: {"token_chars": 40}) + result = runner.invoke(app, ["bcda", "auth", "--preset", "Small Model Entity"]) + assert result.exit_code == 0 and '"token_chars": 40' in result.output + + +def test_jobs(monkeypatch) -> None: + rows = [ + { + "job_id": "1", + "status": "completed", + "endpoint": "Group/all", + "types": "Patient", + "started": "s", + "ended": "e", + "reusable": True, + "job_url": "u", + } + ] + monkeypatch.setattr(svc, "server_jobs", lambda c, limit: rows[:limit]) + result = runner.invoke(app, ["bcda", "jobs", "--limit", "1"]) + assert ( + result.exit_code == 0 + and "reusable" in result.output + and "1 job(s)" in result.output + ) + + +class _FakeStore: + def get_files(self, key): # noqa: ANN001, ANN202 + return [{"storage_path": f"{key}/a"}] + + +def test_export_per_type_and_one_job(monkeypatch) -> None: + monkeypatch.setattr(svc, "make_store", lambda path=None: _FakeStore()) + calls = [] + monkeypatch.setattr( + svc, + "export_per_type", + lambda store, client, **kw: calls.append(("per", kw)) or {"Patient": "K1"}, + ) + monkeypatch.setattr( + svc, + "start_export", + lambda store, client, **kw: calls.append(("one", kw)) or "K2", + ) + result = runner.invoke( + app, + [ + "bcda", + "export", + "-t", + "Patient", + "--system-type", + "DDPS", + "--outcome", + "complete", + "--since", + "2026-01-01T00:00:00+00:00", + ], + ) + assert result.exit_code == 0, result.output + assert ( + "_typeFilter=ExplanationOfBenefit?_tag=" in result.output + and "Patient: job K1, 1 file(s)" in result.output + ) + assert ( + calls[0][0] == "per" + and calls[0][1]["types"] == ["Patient"] + and calls[0][1]["since"].startswith("2026") + ) + result = runner.invoke( + app, ["bcda", "export", "--one-job", "--endpoint", "Group/runout"] + ) + assert ( + result.exit_code == 0 + and "Patient,Coverage,ExplanationOfBenefit: job K2" in result.output + ) + assert ( + calls[-1][0] == "one" + and calls[-1][1]["endpoint"] == "Group/runout" + and calls[-1][1]["type_filter"] is None + ) + + +def test_adopt_and_cancel(monkeypatch) -> None: + monkeypatch.setattr(svc, "make_store", lambda path=None: _FakeStore()) + seen = {} + monkeypatch.setattr( + svc, + "adopt_job", + lambda store, client, url, types=None: ( + seen.update(url=url, types=types) or "KA" + ), + ) + result = runner.invoke(app, ["bcda", "adopt", "77", "-t", "Patient"]) + assert result.exit_code == 0 and "adopted job 77 as KA" in result.output + assert seen["url"].endswith("/api/v3/jobs/77") and seen["types"] == ["Patient"] + monkeypatch.setattr(svc, "cancel_job", lambda client, url: seen.update(cancel=url)) + result = runner.invoke(app, ["bcda", "cancel", "78"]) + assert result.exit_code == 0 and seen["cancel"].endswith("/jobs/78") + + +def test_store_load_vendor(monkeypatch, tmp_path) -> None: + monkeypatch.setattr(svc, "make_store", lambda path=None: object()) + monkeypatch.setattr(svc, "store_path", lambda: tmp_path) + monkeypatch.setattr( + svc, + "store_jobs", + lambda s: [ + { + "key": "K1", + "status": "complete", + "types": "Patient", + "files": 2, + "bytes": 1234, + "ts": "t", + } + ], + ) + result = runner.invoke(app, ["bcda", "store"]) + assert ( + result.exit_code == 0 and "K1" in result.output and "1 job(s)" in result.output + ) + monkeypatch.setattr( + svc, "load_and_publish", lambda **kw: {"bcda.patient": 5, **{"kw": len(kw)}} + ) + result = runner.invoke(app, ["bcda", "load", "--no-pipeline", "--skip-flatten"]) + assert ( + result.exit_code == 0 + and "bcda.patient: 5 rows" in result.output + and "Replica published" in result.output + ) + + monkeypatch.setattr(svc, "vendor_status", lambda: {"available": False}) + assert runner.invoke(app, ["bcda", "vendor"]).exit_code == 1 + status = { + "available": True, + "sources": [ + { + "name": "bcda-app", + "kind": "github", + "origin": "CMSgov/bcda-app", + "commit": "abcdef123456789", + "files": 3, + } + ], + "files": [], + "problems": [], + } + monkeypatch.setattr(svc, "vendor_status", lambda: status) + monkeypatch.setattr(svc, "vendor_check", lambda: []) + result = runner.invoke(app, ["bcda", "vendor", "--check"]) + assert ( + result.exit_code == 0 + and "matches the manifest" in result.output + and "no upstream drift" in result.output + ) + monkeypatch.setattr(svc, "vendor_check", lambda: ["bcda-app: swagger.json changed"]) + result = runner.invoke(app, ["bcda", "vendor", "--check"]) + assert result.exit_code == 1 and "1 upstream change(s)" in result.output + status["problems"] = ["missing x"] + result = runner.invoke(app, ["bcda", "vendor"]) + assert result.exit_code == 1 and "! missing x" in result.output + + +def test_ui_launches_streamlit(monkeypatch) -> None: + with patch("subprocess.call", return_value=0) as call: + result = runner.invoke(app, ["bcda", "ui", 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stats, no file watcher); health is /_stcore/health. The compose service `bcda` sits on the gateway network, mounts ./data read-write (exports, aco.duckdb, replica publish) and ./dev read-only (vendored upstream, crosswalk seeds, vendor script), and takes BCDA_CLIENT_ID / BCDA_CLIENT_SECRET / BCDA_BASE_URL from .env with the public sandbox credentials as the default. Routed at bcda. behind git-sso with secure-headers, tiled on the dashboard, and added to [platform].subdomains (CoreDNS hosts and the SSO cert list follow) and [images] (deploy.yml builds, scans and pushes it on src/**, pyproject.toml or image-file changes; harden/rebuild-all/infra-ci regenerated accordingly). Built locally (2.15 GB), /_stcore/health -> ok, root -> 200; brought up on the host with compose. refs #1139 --- .dockerignore | 3 + .gitea/workflows/deploy.yml | 56 ++++++++++++++++++- .gitea/workflows/harden.yml | 14 ++++- .gitea/workflows/infra-ci.yml | 41 ++++++++++++++ .gitea/workflows/rebuild-all.yml | 14 ++++- compose.yml | 29 ++++++++++ .../specs/2026-10-25-bcda-v3-design.md | 4 ++ infra/coredns/hosts | 1 + infra/images/bcda.Dockerfile | 36 ++++++++++++ infra/images/bcda/streamlit.toml | 15 +++++ infra/nginx/index.html | 10 ++++ infra/traefik/dynamic/services.yml | 1 + stack.toml | 8 ++- 13 files changed, 228 insertions(+), 4 deletions(-) create mode 100644 infra/images/bcda.Dockerfile create mode 100644 infra/images/bcda/streamlit.toml diff --git a/.dockerignore b/.dockerignore index 49e312a..f882ce6 100644 --- a/.dockerignore +++ b/.dockerignore @@ -32,3 +32,6 @@ assets/ cloud/ mirrors/ .claude/ +# Streamlit server config COPYed by bcda.Dockerfile (repo-root context). +!infra/images/bcda/ +!infra/images/bcda/** diff --git a/.gitea/workflows/deploy.yml b/.gitea/workflows/deploy.yml index 7e7e594..28a9435 100644 --- a/.gitea/workflows/deploy.yml +++ b/.gitea/workflows/deploy.yml @@ -15,6 +15,7 @@ jobs: zotero: ${{ steps.filter.outputs.zotero }} docs: ${{ steps.filter.outputs.docs }} api: ${{ steps.filter.outputs.api }} + bcda: ${{ steps.filter.outputs.bcda }} llm: ${{ steps.filter.outputs.llm }} mc: ${{ steps.filter.outputs.mc }} steps: @@ -59,6 +60,7 @@ jobs: match zotero 'infra/images/zotero.Dockerfile' 'infra/images/zotero/*' match docs 'docs/*' 'infra/images/docs.Dockerfile' match api 'infra/images/api.Dockerfile' 'src/*' 'pyproject.toml' + match bcda 'infra/images/bcda.Dockerfile' 'infra/images/bcda/*' 'src/*' 'pyproject.toml' match llm 'infra/images/llm.Dockerfile' 'src/*' 'pyproject.toml' match mc 'infra/rustfs/*' 'infra/images/mc.Dockerfile' @@ -270,6 +272,58 @@ jobs: --sha "${{ github.sha }}" \ --ref "${{ github.ref }}" || true + bcda: + runs-on: ubuntu-latest + needs: [changes] + if: needs.changes.outputs.bcda == 'true' + steps: + - name: Checkout + uses: https://github.com/actions/checkout@v4 + + - name: Install crane + run: curl -sL https://github.com/google/go-containerregistry/releases/latest/download/go-containerregistry_Linux_x86_64.tar.gz | tar xz -C /usr/local/bin crane + + - name: Log in to registry + run: crane auth login git:3000 -u "${{ secrets.REGISTRY_USER }}" -p "${{ secrets.REGISTRY_TOKEN }}" + env: + CRANE_INSECURE: "true" + + + - name: Install trivy + run: curl -sfL https://raw.githubusercontent.com/aquasecurity/trivy/main/contrib/install.sh | sh -s -- -b /usr/local/bin + + - name: Scan bcda + run: trivy image --severity HIGH,CRITICAL --exit-code 0 --format json -o bcda-scan.json local/bcda:build + + - name: Compute short SHA + run: echo "SHORT_SHA=$(echo $GITHUB_SHA | head -c 8)" >> "$GITHUB_ENV" + + - name: Build bcda + run: docker build -f infra/images/bcda.Dockerfile -t local/bcda:build . + + - name: Push bcda + run: | + docker save local/bcda:build -o /tmp/bcda.tar + crane push /tmp/bcda.tar git:3000/homelab/stack/bcda:${{ env.SHORT_SHA }} --insecure + crane push /tmp/bcda.tar git:3000/homelab/stack/bcda:latest --insecure + + - name: File failure issue + if: failure() + env: + GITEA_TOKEN: ${{ secrets.DEPLOY_TOKEN }} + run: | + # Jobs that never install uv (image builds, infra checks) still + # need it here — otherwise the filer dies with "uv: command not + # found" and the failure is never filed. + command -v uv >/dev/null 2>&1 || curl -LsSf https://astral.sh/uv/install.sh | sh + export PATH="$HOME/.local/bin:$PATH" + uv sync --no-dev --quiet 2>/dev/null || true + uv run python -m api.diag.ci \ + --workflow "Deploy" --job "bcda" \ + --run "${{ github.run_number }}" \ + --sha "${{ github.sha }}" \ + --ref "${{ github.ref }}" || true + llm: runs-on: ubuntu-latest needs: [changes] @@ -370,7 +424,7 @@ jobs: report: runs-on: ubuntu-latest - needs: [changes, notebooks, zotero, docs, api, llm, mc] + needs: [changes, notebooks, zotero, docs, api, bcda, llm, mc] if: always() && !cancelled() steps: - name: Checkout diff --git a/.gitea/workflows/harden.yml b/.gitea/workflows/harden.yml index 993a480..cd31727 100644 --- a/.gitea/workflows/harden.yml +++ b/.gitea/workflows/harden.yml @@ -67,6 +67,15 @@ jobs: crane push /tmp/api.tar git:3000/homelab/stack/api:hardened --insecure crane push /tmp/api.tar git:3000/homelab/stack/api:latest --insecure + - name: Build bcda + run: docker build --no-cache -f infra/images/bcda.Dockerfile -t local/bcda:build . + + - name: Push bcda + run: | + docker save local/bcda:build -o /tmp/bcda.tar + crane push /tmp/bcda.tar git:3000/homelab/stack/bcda:hardened --insecure + crane push /tmp/bcda.tar git:3000/homelab/stack/bcda:latest --insecure + - name: Build llm run: docker build --no-cache -f infra/images/llm.Dockerfile -t local/llm:build . @@ -97,6 +106,9 @@ jobs: - name: Scan api run: trivy image --severity HIGH,CRITICAL --exit-code 0 --format json -o api-scan.json local/api:build + - name: Scan bcda + run: trivy image --severity HIGH,CRITICAL --exit-code 0 --format json -o bcda-scan.json local/bcda:build + - name: Scan llm run: trivy image --severity HIGH,CRITICAL --exit-code 0 --format json -o llm-scan.json local/llm:build @@ -105,7 +117,7 @@ jobs: GITEA_TOKEN: ${{ secrets.DEPLOY_TOKEN }} run: | uv sync --no-dev - for f in notebooks-scan.json zotero-scan.json docs-scan.json api-scan.json llm-scan.json; do + for f in notebooks-scan.json zotero-scan.json docs-scan.json api-scan.json bcda-scan.json llm-scan.json; do if [ -f "$f" ]; then uv run python -m api.diag.vuln --close "$f" || \ uv run python -m api.diag.vuln "$f" || true diff --git a/.gitea/workflows/infra-ci.yml b/.gitea/workflows/infra-ci.yml index 7d6464f..7363a2a 100644 --- a/.gitea/workflows/infra-ci.yml +++ b/.gitea/workflows/infra-ci.yml @@ -16,6 +16,10 @@ on: - 'infra/images/api.Dockerfile' - 'src/**' - 'pyproject.toml' + - 'infra/images/bcda.Dockerfile' + - 'infra/images/bcda/**' + - 'src/**' + - 'pyproject.toml' - 'infra/images/llm.Dockerfile' - 'src/**' - 'pyproject.toml' @@ -33,6 +37,10 @@ on: - 'infra/images/api.Dockerfile' - 'src/**' - 'pyproject.toml' + - 'infra/images/bcda.Dockerfile' + - 'infra/images/bcda/**' + - 'src/**' + - 'pyproject.toml' - 'infra/images/llm.Dockerfile' - 'src/**' - 'pyproject.toml' @@ -175,6 +183,39 @@ jobs: --sha "${{ github.sha }}" \ --ref "${{ github.ref }}" || true + bcda: + runs-on: ubuntu-latest + steps: + - name: Checkout + uses: https://github.com/actions/checkout@v4 + + - name: Hadolint bcda + uses: https://github.com/hadolint/hadolint-action@v3.1.0 + with: + dockerfile: infra/images/bcda.Dockerfile + + + + - name: Build bcda + run: docker build -f infra/images/bcda.Dockerfile -t local/bcda:build . + + - name: File failure issue + if: failure() + env: + GITEA_TOKEN: ${{ secrets.DEPLOY_TOKEN }} + run: | + # Jobs that never install uv (image builds, infra checks) still + # need it here — otherwise the filer dies with "uv: command not + # found" and the failure is never filed. + command -v uv >/dev/null 2>&1 || curl -LsSf https://astral.sh/uv/install.sh | sh + export PATH="$HOME/.local/bin:$PATH" + uv sync --no-dev --quiet 2>/dev/null || true + uv run python -m api.diag.ci \ + --workflow "Infra CI" --job "bcda" \ + --run "${{ github.run_number }}" \ + --sha "${{ github.sha }}" \ + --ref "${{ github.ref }}" || true + llm: runs-on: ubuntu-latest steps: diff --git a/.gitea/workflows/rebuild-all.yml b/.gitea/workflows/rebuild-all.yml index 7eb6a93..9df61de 100644 --- a/.gitea/workflows/rebuild-all.yml +++ b/.gitea/workflows/rebuild-all.yml @@ -68,6 +68,15 @@ jobs: crane push /tmp/api.tar git:3000/homelab/stack/api:${{ env.SHORT_SHA }} --insecure crane push /tmp/api.tar git:3000/homelab/stack/api:latest --insecure + - name: Build bcda + run: docker build -f infra/images/bcda.Dockerfile -t local/bcda:build . + + - name: Push bcda + run: | + docker save local/bcda:build -o /tmp/bcda.tar + crane push /tmp/bcda.tar git:3000/homelab/stack/bcda:${{ env.SHORT_SHA }} --insecure + crane push /tmp/bcda.tar git:3000/homelab/stack/bcda:latest --insecure + - name: Build llm run: docker build -f infra/images/llm.Dockerfile -t local/llm:build . @@ -98,6 +107,9 @@ jobs: - name: Scan api run: trivy image --severity HIGH,CRITICAL --exit-code 0 --format json -o api-scan.json local/api:build + - name: Scan bcda + run: trivy image --severity HIGH,CRITICAL --exit-code 0 --format json -o bcda-scan.json local/bcda:build + - name: Scan llm run: trivy image --severity HIGH,CRITICAL --exit-code 0 --format json -o llm-scan.json local/llm:build @@ -106,7 +118,7 @@ jobs: GITEA_TOKEN: ${{ secrets.DEPLOY_TOKEN }} run: | uv sync --no-dev - for f in notebooks-scan.json zotero-scan.json docs-scan.json api-scan.json llm-scan.json; do + for f in notebooks-scan.json zotero-scan.json docs-scan.json api-scan.json bcda-scan.json llm-scan.json; do [ -f "$f" ] && uv run python -m api.diag.vuln "$f" || true done diff --git a/compose.yml b/compose.yml index b5ca748..8b13537 100644 --- a/compose.yml +++ b/compose.yml @@ -669,6 +669,35 @@ services: - no-new-privileges:true restart: unless-stopped + # BCDA manager (P52): Streamlit over the bcda client, store, loader, + # connector pipeline, crosswalk and vendored-upstream tooling. Routed at + # bcda.fhirworx.io behind git-sso. Writes data/bcda (exports) and + # aco.duckdb (flatten + load + input_layer) and republishes the replica, + # so it mounts ./data read-write like the api; dev/ is mounted read-only + # for the vendored upstream, the crosswalk seeds and the vendor script. + # Public sandbox credentials are built in; BCDA_CLIENT_ID/SECRET override. + bcda: + image: ${IMAGE_PREFIX:-fhirworx}/bcda:${COMMIT_SHA:-latest} + pull_policy: if_not_present + build: + context: . + dockerfile: infra/images/bcda.Dockerfile + container_name: bcda + networks: + - gateway + environment: + - BCDA_CLIENT_ID=${BCDA_CLIENT_ID:-} + - BCDA_CLIENT_SECRET=${BCDA_CLIENT_SECRET:-} + - BCDA_BASE_URL=${BCDA_BASE_URL:-https://sandbox.bcda.cms.gov} + volumes: + - ./data:/app/data + - ./dev:/app/dev:ro + labels: + - "promtail=true" + security_opt: + - no-new-privileges:true + restart: unless-stopped + # SSO-guarded RAG chat UI (P34). Routed at llm.fhirworx.io via Traefik's # git-sso middleware ($reef in infra/traefik/dynamic/services.yml). Joins # gateway (Traefik), storage (postgres:5432 / pgvector), and data diff --git a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md index 6c8d7d0..b278cd4 100644 --- a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md +++ b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md @@ -78,3 +78,7 @@ Decisions: 6. **Launch:** `stack bcda ui` (port, headless flags) runs `streamlit run src/bcda/ui/app.py`; Streamlit lives in the `bcda` extra. Containerising it (image + traefik route + dashboard tile) is deliberately left out of this slice. Tests: service with `httpx.MockTransport`, runner for thread-routed logs and state ordering, every page through `AppTest.from_string` with the service stubbed (buttons, forms, error paths), the app shell through `AppTest.from_file`, and the CLI through `CliRunner` — all at 100 % line coverage. + +### Containerised (2026-10-25) + +`infra/images/bcda.Dockerfile` (same base and install pattern as the api image; `uv sync --extra cli --extra bcda`, Streamlit settings in `infra/images/bcda/streamlit.toml`, health at `/_stcore/health`), compose service `bcda` on the gateway network with `./data` read-write (exports, aco.duckdb, replica publish) and `./dev` read-only (vendored upstream, crosswalk seeds, vendor script), Traefik route `bcda.` behind git-sso, a dashboard tile, the `bcda` subdomain in stack.toml (CoreDNS hosts and the SSO cert list follow) and an `[images.bcda]` entry so the deploy workflow builds, scans and pushes it on changes to `src/**`, `pyproject.toml` or the image files. Public sandbox credentials are built in; `BCDA_CLIENT_ID` / `BCDA_CLIENT_SECRET` / `BCDA_BASE_URL` in `.env` override. diff --git a/infra/coredns/hosts b/infra/coredns/hosts index 8eacfe1..167aa6d 100644 --- a/infra/coredns/hosts +++ b/infra/coredns/hosts @@ -17,3 +17,4 @@ 192.168.1.192 s3.fhirworx.io 192.168.1.192 s3console.fhirworx.io 192.168.1.192 llm.fhirworx.io +192.168.1.192 bcda.fhirworx.io diff --git a/infra/images/bcda.Dockerfile b/infra/images/bcda.Dockerfile new file mode 100644 index 0000000..ce76e5a --- /dev/null +++ b/infra/images/bcda.Dockerfile @@ -0,0 +1,36 @@ +# syntax=docker/dockerfile:1 +# BCDA manager — Streamlit app over the bcda client, store, loader, +# connector pipeline, crosswalk and vendored-upstream tooling +# (src/bcda/ui, `stack bcda ui`). Same base and install pattern as +# api.Dockerfile; the bcda extra brings streamlit, the cli bundle brings +# aco (flatten + load + pipeline) and conf. +FROM ghcr.io/astral-sh/uv:python3.13-bookworm-slim + +WORKDIR /app + +ARG PYPI_INDEX_URL="" + +RUN apt-get update && apt-get upgrade -y && apt-get install -y --no-install-recommends curl && rm -rf /var/lib/apt/lists/* + +COPY pyproject.toml uv.lock README.md ./ +COPY src/ src/ + +ENV UV_PYTHON_PREFERENCE=only-system \ + UV_LINK_MODE=copy \ + UV_PROJECT_ENVIRONMENT=.venv \ + UV_INDEX_URL=${PYPI_INDEX_URL} +RUN uv sync --no-dev --extra cli --extra bcda && uv pip install -e . + +COPY stack.toml ./ + +# Streamlit reads its server settings from here (headless, no usage +# stats, bound to all interfaces, websocket-friendly behind Traefik). +COPY infra/images/bcda/streamlit.toml /app/.streamlit/config.toml + +EXPOSE 8501 + +# /_stcore/health answers "ok" once the Streamlit server is up. +HEALTHCHECK --interval=30s --timeout=5s --retries=3 \ + CMD curl -sf --max-time 4 http://localhost:8501/_stcore/health || exit 1 + +CMD ["uv", "run", "--no-sync", "streamlit", "run", "src/bcda/ui/app.py"] diff --git a/infra/images/bcda/streamlit.toml b/infra/images/bcda/streamlit.toml new file mode 100644 index 0000000..1025971 --- /dev/null +++ b/infra/images/bcda/streamlit.toml @@ -0,0 +1,15 @@ +# Streamlit server config for the containerised BCDA manager. +[server] +headless = true +address = "0.0.0.0" +port = 8501 +enableXsrfProtection = true +enableCORS = false +fileWatcherType = "none" +runOnSave = false + +[browser] +gatherUsageStats = false + +[theme] +base = "light" diff --git a/infra/nginx/index.html b/infra/nginx/index.html index 82c2117..9fc1436 100644 --- a/infra/nginx/index.html +++ b/infra/nginx/index.html @@ -42,6 +42,16 @@
+ + + 🏥 +
Claims
+
BCDA Manager
+

Beneficiary Claims Data API v3 — exports, store, load, crosswalk

+ +
+ + 🔗 diff --git a/infra/traefik/dynamic/services.yml b/infra/traefik/dynamic/services.yml index c2ad5cb..ca84522 100644 --- a/infra/traefik/dynamic/services.yml +++ b/infra/traefik/dynamic/services.yml @@ -8,6 +8,7 @@ "webdav" (dict "port" "8080" "theme" false "mw" "secure-headers") "api" (dict "port" "8000" "theme" false "mw" "secure-headers") "llm" (dict "port" "8000" "theme" false "mw" "git-sso,secure-headers") + "bcda" (dict "port" "8501" "theme" false "mw" "git-sso,secure-headers") "nessie" (dict "port" "19120" "theme" false "mw" "git-sso,infra-headers") "trino" (dict "port" "8080" "theme" true "mw" "git-sso,infra-headers") "polaris" (dict "port" "8181" "theme" false "mw" "git-sso,infra-headers") diff --git a/stack.toml b/stack.toml index bf5ac17..969588e 100644 --- a/stack.toml +++ b/stack.toml @@ -24,7 +24,7 @@ subdomains = [ "dashboard", "docs", "git", "ci", "notebooks", "zotero", "webdav", "api", "nessie", "trino", "polaris", "grafana", "prometheus", "tempo", "loki", - "s3", "s3console", "llm", + "s3", "s3console", "llm", "bcda", ] [services] @@ -311,6 +311,12 @@ dockerfile = "infra/images/api.Dockerfile" context = "." path_filter = ["infra/images/api.Dockerfile", "src/**", "pyproject.toml"] +# BCDA manager (Streamlit, src/bcda/ui) — P52. +[images.bcda] +dockerfile = "infra/images/bcda.Dockerfile" +context = "." +path_filter = ["infra/images/bcda.Dockerfile", "infra/images/bcda/**", "src/**", "pyproject.toml"] + [images.llm] dockerfile = "infra/images/llm.Dockerfile" context = "." From e31282c02d6a01cbfb261a9dc2e7b53cc712fcd0 Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 14:40:31 -0400 Subject: [PATCH 08/18] =?UTF-8?q?feat(bcda):=20/metrics=20for=20the=20BCDA?= =?UTF-8?q?=20manager=20=E2=80=94=20OTel=20instruments=20on=20a=20second?= =?UTF-8?q?=20port,=20scraped=20by=20Prometheus?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit bcda.ui.metrics follows the #579 convention: perf.meter hands back an OTel meter + PrometheusMetricReader when STACK_TELEMETRY is on and a no-op MockMeter otherwise. Streamlit cannot mount a route and only executes the app script when a browser session opens, so the registry is published from a second port (BCDA_METRICS_PORT, 8502) by a new `python -m bcda.ui` entrypoint that starts the metrics server first and then boots Streamlit's CLI in the same process; the image CMD and `stack bcda ui` use it. Prometheus scrapes bcda:8502/metrics directly (infra/prometheus/targets/services.yml) like api and llm. Instruments: stack_bcda_runs_total{kind,state}, stack_bcda_runs_inflight {kind}, stack_bcda_run_seconds{kind} (recorded by the runner, which now labels runs export / adopt / load / vendor_check / other), stack_bcda_page_views_total{page}, and two observable gauges read at scrape time, stack_bcda_store_jobs{status} and stack_bcda_store_bytes. Attribute values are closed sets. The image installs the perf extra; the compose service joins the observability network with OTEL_SERVICE_NAME=bcda. polars joins the bcda extra: the views import it, and it had only been a dev dependency, so the first metrics image crash-looped on `No module named polars` the moment the entrypoint imported the app at process start. Verified in the stack: bcda:8502/metrics serves stack_bcda_* series, the prometheus target is up and stack_bcda_store_jobs answers a query. refs #1139 --- compose.yml | 7 + .../specs/2026-10-25-bcda-v3-design.md | 4 + infra/images/bcda.Dockerfile | 11 +- infra/prometheus/targets/services.yml | 8 + pyproject.toml | 1 + src/bcda/ui/__main__.py | 36 ++++ src/bcda/ui/app.py | 3 +- src/bcda/ui/metrics.py | 188 ++++++++++++++++++ src/bcda/ui/runner.py | 20 +- src/bcda/ui/views.py | 14 +- src/cli/bcda.py | 9 +- tests/bcda/test_ui_main.py | 41 ++++ tests/bcda/test_ui_metrics.py | 127 ++++++++++++ tests/cli/test_cli_bcda.py | 2 +- uv.lock | 3 + 15 files changed, 457 insertions(+), 17 deletions(-) create mode 100644 src/bcda/ui/__main__.py create mode 100644 src/bcda/ui/metrics.py create mode 100644 tests/bcda/test_ui_main.py create mode 100644 tests/bcda/test_ui_metrics.py diff --git a/compose.yml b/compose.yml index 8b13537..c2998b7 100644 --- a/compose.yml +++ b/compose.yml @@ -685,10 +685,17 @@ services: container_name: bcda networks: - gateway + - observability environment: - BCDA_CLIENT_ID=${BCDA_CLIENT_ID:-} - BCDA_CLIENT_SECRET=${BCDA_CLIENT_SECRET:-} - BCDA_BASE_URL=${BCDA_BASE_URL:-https://sandbox.bcda.cms.gov} + # /metrics on :8502 scraped by prometheus (infra/prometheus/targets); + # traces to the collector like api and llm. + - STACK_TELEMETRY=true + - BCDA_METRICS_PORT=8502 + - OTEL_SERVICE_NAME=bcda + - OTEL_EXPORTER_OTLP_ENDPOINT=http://otel-collector:4317 volumes: - ./data:/app/data - ./dev:/app/dev:ro diff --git a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md index b278cd4..170ac9e 100644 --- a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md +++ b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md @@ -82,3 +82,7 @@ Tests: service with `httpx.MockTransport`, runner for thread-routed logs and sta ### Containerised (2026-10-25) `infra/images/bcda.Dockerfile` (same base and install pattern as the api image; `uv sync --extra cli --extra bcda`, Streamlit settings in `infra/images/bcda/streamlit.toml`, health at `/_stcore/health`), compose service `bcda` on the gateway network with `./data` read-write (exports, aco.duckdb, replica publish) and `./dev` read-only (vendored upstream, crosswalk seeds, vendor script), Traefik route `bcda.` behind git-sso, a dashboard tile, the `bcda` subdomain in stack.toml (CoreDNS hosts and the SSO cert list follow) and an `[images.bcda]` entry so the deploy workflow builds, scans and pushes it on changes to `src/**`, `pyproject.toml` or the image files. Public sandbox credentials are built in; `BCDA_CLIENT_ID` / `BCDA_CLIENT_SECRET` / `BCDA_BASE_URL` in `.env` override. + +### `/metrics` (2026-10-25) + +`bcda.ui.metrics` follows the #579 convention (`perf.meter` → OTel meter + Prometheus reader when `STACK_TELEMETRY` is on, a no-op `MockMeter` otherwise). Streamlit cannot mount a route, so the manager publishes the process's Prometheus registry from a second port (`BCDA_METRICS_PORT`, 8502) via `prometheus_client.start_http_server`, and Prometheus scrapes `bcda:8502/metrics` directly like `api` and `llm`. Instruments: `stack_bcda_runs_total{kind,state}`, `stack_bcda_runs_inflight{kind}`, `stack_bcda_run_seconds{kind}`, `stack_bcda_page_views_total{page}`, and two observable gauges read at scrape time, `stack_bcda_store_jobs{status}` and `stack_bcda_store_bytes`. Run kinds are a closed set (export, adopt, load, vendor_check, other). The image installs the `perf` extra; the compose service joins the observability network and sets `OTEL_SERVICE_NAME=bcda`. diff --git a/infra/images/bcda.Dockerfile b/infra/images/bcda.Dockerfile index ce76e5a..ff0eb65 100644 --- a/infra/images/bcda.Dockerfile +++ b/infra/images/bcda.Dockerfile @@ -3,7 +3,8 @@ # connector pipeline, crosswalk and vendored-upstream tooling # (src/bcda/ui, `stack bcda ui`). Same base and install pattern as # api.Dockerfile; the bcda extra brings streamlit, the cli bundle brings -# aco (flatten + load + pipeline) and conf. +# aco (flatten + load + pipeline) and conf, perf brings the OTel meter +# and Prometheus reader behind /metrics. FROM ghcr.io/astral-sh/uv:python3.13-bookworm-slim WORKDIR /app @@ -19,7 +20,7 @@ ENV UV_PYTHON_PREFERENCE=only-system \ UV_LINK_MODE=copy \ UV_PROJECT_ENVIRONMENT=.venv \ UV_INDEX_URL=${PYPI_INDEX_URL} -RUN uv sync --no-dev --extra cli --extra bcda && uv pip install -e . +RUN uv sync --no-dev --extra cli --extra bcda --extra perf && uv pip install -e . COPY stack.toml ./ @@ -27,10 +28,12 @@ COPY stack.toml ./ # stats, bound to all interfaces, websocket-friendly behind Traefik). COPY infra/images/bcda/streamlit.toml /app/.streamlit/config.toml -EXPOSE 8501 +# 8501 Streamlit · 8502 Prometheus registry (/metrics, perf meter via STACK_TELEMETRY) +EXPOSE 8501 8502 # /_stcore/health answers "ok" once the Streamlit server is up. HEALTHCHECK --interval=30s --timeout=5s --retries=3 \ CMD curl -sf --max-time 4 http://localhost:8501/_stcore/health || exit 1 -CMD ["uv", "run", "--no-sync", "streamlit", "run", "src/bcda/ui/app.py"] +# python -m bcda.ui starts the /metrics server, then streamlit in-process. +CMD ["uv", "run", "--no-sync", "python", "-m", "bcda.ui"] diff --git a/infra/prometheus/targets/services.yml b/infra/prometheus/targets/services.yml index 53308aa..85dd706 100644 --- a/infra/prometheus/targets/services.yml +++ b/infra/prometheus/targets/services.yml @@ -58,3 +58,11 @@ labels: job: llm __metrics_path__: /metrics + +# BCDA manager — Streamlit cannot mount a route, so bcda.ui.metrics serves +# the same OTel Prometheus registry from a second port: stack_bcda_runs_*, +# stack_bcda_page_views_total, stack_bcda_store_*. +- targets: ['bcda:8502'] + labels: + job: bcda + __metrics_path__: /metrics diff --git a/pyproject.toml b/pyproject.toml index 19da8d0..e2b7fe6 100644 --- a/pyproject.toml +++ b/pyproject.toml @@ -42,6 +42,7 @@ bcda = [ "narwhals>=2.17.0", "pyarrow>=23.0.1", "streamlit>=1.40", + "polars>=1.0", ] bib = [ "stack[conf]", diff --git a/src/bcda/ui/__main__.py b/src/bcda/ui/__main__.py new file mode 100644 index 0000000..8ab643d --- /dev/null +++ b/src/bcda/ui/__main__.py @@ -0,0 +1,36 @@ +"""``python -m bcda.ui`` — start the BCDA manager with its metrics endpoint. + +Streamlit executes ``app.py`` only when a browser session opens, so a +``metrics.serve()`` call inside the page never runs on a fresh +container and Prometheus sees a closed port. This entrypoint starts the +``/metrics`` server first (a no-op when ``STACK_TELEMETRY`` is off), then +boots Streamlit's CLI in the same process so page views and background +runs land in the same registry. + + python -m bcda.ui # :8501, metrics on BCDA_METRICS_PORT + python -m bcda.ui --server.port 9000 # extra args go to `streamlit run` +""" + +from __future__ import annotations + +import sys +from pathlib import Path + + +def main(argv: list[str] | None = None) -> int: + from streamlit.web import cli as stcli + + from bcda.ui import app, metrics + + metrics.serve() + args = list(sys.argv[1:] if argv is None else argv) + sys.argv = ["streamlit", "run", str(Path(app.__file__)), *args] + try: + stcli.main() + except SystemExit as exc: # click exits through SystemExit + return int(exc.code or 0) + return 0 + + +if __name__ == "__main__": # pragma: no cover — module entrypoint + sys.exit(main()) diff --git a/src/bcda/ui/app.py b/src/bcda/ui/app.py index 3c755d5..929bb5f 100644 --- a/src/bcda/ui/app.py +++ b/src/bcda/ui/app.py @@ -8,7 +8,7 @@ from __future__ import annotations import streamlit as st -from bcda.ui import views +from bcda.ui import metrics, views PAGES = [ st.Page(views.connect, title="Connect", icon="🔌", default=True), @@ -23,6 +23,7 @@ PAGES = [ def main() -> None: st.set_page_config(page_title="BCDA manager", page_icon="🏥", layout="wide") + metrics.serve() # /metrics on BCDA_METRICS_PORT when STACK_TELEMETRY is on; no-op otherwise conn = st.session_state.get("conn") with st.sidebar: st.markdown("### BCDA manager") diff --git a/src/bcda/ui/metrics.py b/src/bcda/ui/metrics.py new file mode 100644 index 0000000..5c74b17 --- /dev/null +++ b/src/bcda/ui/metrics.py @@ -0,0 +1,188 @@ +"""OpenTelemetry instruments for the BCDA manager, served on ``/metrics``. + +Follows the P26/#579 convention (``perf.meter`` returns a real OTel meter +when ``STACK_TELEMETRY`` is on and a zero-cost ``MockMeter`` otherwise; +the ``PrometheusMetricReader`` fills the in-process ``prometheus_client`` +registry). Streamlit cannot mount a route, so :func:`serve` publishes +that registry from a second port in the same process — Prometheus +scrapes ``bcda:8502/metrics`` directly, like ``api`` and ``llm``. + +Instruments (all ``stack_bcda_…``):: + + stack_bcda_runs_total{kind,state} background runs finished: done / failed + stack_bcda_runs_inflight{kind} runs executing right now + stack_bcda_run_seconds{kind} wall time of a run + stack_bcda_page_views_total{page} page renders + stack_bcda_store_jobs{status} store jobs by current status (gauge) + stack_bcda_store_bytes bytes held in exports/ (gauge) + +Attribute values are closed sets — run kind (export, adopt, load, +vendor_check, other), state, page name, store status — never job keys +or MBIs, so the series count stays bounded. +""" + +from __future__ import annotations + +import logging +import os +import threading +from typing import Any + +METER_NAME = "stack.bcda" +DEFAULT_PORT = 8502 +KINDS = ("export", "adopt", "load", "vendor_check", "other") + +log = logging.getLogger(__name__) + +_instruments: _Instruments | None = None +_build_lock = threading.Lock() +_server_port: int | None = None + + +class _Instruments: + def __init__(self) -> None: + from perf import meter + + m: Any = meter(METER_NAME) + self.runs_total = m.create_counter( + "stack_bcda_runs_total", + unit="1", + description="Background runs finished, by kind and state", + ) + self.runs_inflight = m.create_up_down_counter( + "stack_bcda_runs_inflight", + unit="1", + description="Background runs executing right now", + ) + self.run_seconds = m.create_histogram( + "stack_bcda_run_seconds", + unit="s", + description="Wall time of a background run", + ) + self.page_views = m.create_counter( + "stack_bcda_page_views_total", unit="1", description="Manager page renders" + ) + # Observable gauges read the store on each scrape; the callback is + # installed by observe_store() once a store path is known. + self._store_callbacks: list[Any] = [] + self.store_jobs = m.create_observable_gauge( + "stack_bcda_store_jobs", + callbacks=[self._observe_jobs], + unit="1", + description="Store jobs by current status", + ) + self.store_bytes = m.create_observable_gauge( + "stack_bcda_store_bytes", + callbacks=[self._observe_bytes], + unit="By", + description="Bytes held in the store's exports directory", + ) + self._store_path: Any = None + + # ── gauge callbacks (run at scrape time) ───────────────── + + def _observe_jobs(self, options: Any = None) -> list[Any]: + from opentelemetry.metrics import Observation + + return [ + Observation(n, {"status": status}) + for status, n in store_job_counts(self._store_path).items() + ] + + def _observe_bytes(self, options: Any = None) -> list[Any]: + from opentelemetry.metrics import Observation + + return [Observation(store_bytes(self._store_path))] + + +def _get() -> _Instruments: + global _instruments + if _instruments is None: + with _build_lock: + if _instruments is None: + _instruments = _Instruments() + return _instruments + + +def _kind(kind: str) -> str: + return kind if kind in KINDS else "other" + + +# ── store observation helpers (pure, used by the callbacks and tests) ── + + +def store_job_counts(path: Any = None) -> dict[str, int]: + """``{status: count}`` over the store's current job states.""" + try: + from bcda.ui import service as svc + + store = svc.make_store(path) + counts: dict[str, int] = {} + for job in store.list_jobs(): + counts[job["status"]] = counts.get(job["status"], 0) + 1 + return counts + except Exception: # noqa: BLE001 — a scrape must never raise + return {} + + +def store_bytes(path: Any = None) -> int: + try: + from bcda.ui import service as svc + + return sum(d["bytes"] for d in svc.export_dirs(path)) + except Exception: # noqa: BLE001 + return 0 + + +# ── recording API (called by runner and views) ────────────── + + +def observe_store(path: Any) -> None: + """Point the store gauges at *path* (``None`` = the configured store).""" + _get()._store_path = path + + +def run_started(kind: str) -> None: + _get().runs_inflight.add(1, {"kind": _kind(kind)}) + + +def run_finished(kind: str, state: str, seconds: float) -> None: + inst = _get() + k = _kind(kind) + inst.runs_inflight.add(-1, {"kind": k}) + inst.runs_total.add(1, {"kind": k, "state": state}) + inst.run_seconds.record(max(0.0, seconds), {"kind": k}) + + +def page_view(page: str) -> None: + _get().page_views.add(1, {"page": page}) + + +# ── the /metrics server ────────────────────────────────────── + + +def serve(port: int | None = None) -> int | None: + """Publish the process's Prometheus registry on ``:/metrics``. + + No-op (returns ``None``) when telemetry is off. Idempotent: the + first call starts the server, later calls return its port. Reads + ``BCDA_METRICS_PORT`` when *port* is not given. + """ + global _server_port + from perf import _enabled, init + + if not _enabled(): + return None + if _server_port is not None: + return _server_port + init() # meter provider + Prometheus reader (idempotent) + from prometheus_client import start_http_server + + port = int( + port if port is not None else os.environ.get("BCDA_METRICS_PORT", DEFAULT_PORT) + ) + server, _thread = start_http_server(port) + _server_port = server.server_address[1] + _get() # build the instrument set so the gauges exist before the first scrape + log.info("bcda metrics on :%d/metrics", _server_port) + return _server_port diff --git a/src/bcda/ui/runner.py b/src/bcda/ui/runner.py index 4153159..854310e 100644 --- a/src/bcda/ui/runner.py +++ b/src/bcda/ui/runner.py @@ -34,6 +34,7 @@ class Run: id: str name: str + kind: str = "other" state: str = "queued" started: float = field(default_factory=time.time) finished: float | None = None @@ -91,11 +92,22 @@ class Runner: # ── API ────────────────────────────────────────────────── def submit( - self, name: str, fn: Callable[..., Any], *args: Any, **kwargs: Any + self, + name: str, + fn: Callable[..., Any], + *args: Any, + kind: str = "other", + **kwargs: Any, ) -> Run: - """Start *fn* on a daemon thread; return its Run immediately.""" + """Start *fn* on a daemon thread; return its Run immediately. + + ``kind`` labels the run for metrics (export, adopt, load, + vendor_check, other) — see :mod:`bcda.ui.metrics`. + """ + from bcda.ui import metrics + self._ensure_handler() - run = Run(id=uuid.uuid4().hex[:8], name=name) + run = Run(id=uuid.uuid4().hex[:8], name=name, kind=kind) with self._lock: self._runs[run.id] = run @@ -105,6 +117,7 @@ class Runner: self._by_thread[run.thread_id] = run run.state = "running" run.append(f"started: {name}") + metrics.run_started(kind) # The state flips last: ``wait()`` and the page read ``state`` # without a lock, so result, log and finish time must already be # in place when they see done/failed. @@ -120,6 +133,7 @@ class Runner: run.finished = time.time() run.state = "failed" finally: + metrics.run_finished(kind, run.state, run.elapsed) with self._lock: self._by_thread.pop(run.thread_id, None) diff --git a/src/bcda/ui/views.py b/src/bcda/ui/views.py index 8f05adf..acfe1e4 100644 --- a/src/bcda/ui/views.py +++ b/src/bcda/ui/views.py @@ -14,6 +14,7 @@ from typing import Any import polars as pl import streamlit as st +from bcda.ui import metrics from bcda.ui import service as svc from bcda.ui.runner import runner @@ -81,6 +82,7 @@ def runs_panel() -> None: def connect() -> None: + metrics.page_view("connect") st.title("Connect") st.caption( "BCDA v3 (v1/v2 end 2027-07-30). `/auth` and `/data` are shared by every version; " @@ -169,6 +171,7 @@ def connect() -> None: def exports() -> None: + metrics.page_view("exports") st.title("Exports") conn = _require_conn() if conn is None: @@ -228,6 +231,7 @@ def exports() -> None: svc.export_per_type, store, client, + kind="export", types=types, endpoint=endpoint, since=since, @@ -240,6 +244,7 @@ def exports() -> None: svc.start_export, store, client, + kind="export", endpoint=endpoint, types=types, since=since, @@ -290,6 +295,7 @@ def exports() -> None: _store(), _client(), job["job_url"], + kind="adopt", types=[t for t in job["types"].split(",") if t and t != "(all)"] or None, ) @@ -317,6 +323,7 @@ def exports() -> None: def store() -> None: + metrics.page_view("store") st.title("Store") path = svc.store_path() st.caption( @@ -365,6 +372,7 @@ def store() -> None: def load() -> None: + metrics.page_view("load") st.title("Flatten + load") st.caption( "Newest export per resource type → `bcda.*` in aco.duckdb (v2 or v3 dialect per resource, " @@ -381,6 +389,7 @@ def load() -> None: run = runner.submit( "flatten + load", svc.load_and_publish, + kind="load", run_pipeline=run_pipeline, skip_flatten=skip_flatten, ) @@ -392,6 +401,7 @@ def load() -> None: def data() -> None: + metrics.page_view("data") st.title("Data") try: con = svc.replica_connect() @@ -439,6 +449,7 @@ def data() -> None: def dictionary() -> None: + metrics.page_view("dictionary") st.title("Data dictionary + CCLF crosswalk") try: con = svc.replica_connect() @@ -515,6 +526,7 @@ def dictionary() -> None: def upstream() -> None: + metrics.page_view("upstream") st.title("Upstream: CMSgov/bcda-app + bcda.cms.gov") status = svc.vendor_status() if not status.get("available"): @@ -535,7 +547,7 @@ def upstream() -> None: with st.expander("Files"): st.dataframe(pl.DataFrame(status["files"]), hide_index=True, width="stretch") if st.button("Check upstream for drift (network)", key="btn_vendor_check"): - run = runner.submit("vendor drift check", svc.vendor_check) + run = runner.submit("vendor drift check", svc.vendor_check, kind="vendor_check") st.toast(f"Checking upstream as run {run.id}") st.caption( "A weekly workflow runs the same check and files an issue on drift; refresh with `vendor_bcda_app.py --sync` then `gen_bcda_v3_crosswalk.py`." diff --git a/src/cli/bcda.py b/src/cli/bcda.py index 33a7dda..53a57f4 100644 --- a/src/cli/bcda.py +++ b/src/cli/bcda.py @@ -13,7 +13,6 @@ sandbox entities (default *Large Model Entity*). from __future__ import annotations import json -from pathlib import Path import typer @@ -50,18 +49,14 @@ def ui( port: int = typer.Option(8501, help="Port for the Streamlit server."), headless: bool = typer.Option(True, help="Do not open a browser."), ) -> None: - """Launch the BCDA manager (Streamlit).""" + """Launch the BCDA manager (Streamlit; /metrics when STACK_TELEMETRY is on).""" import subprocess import sys - from bcda.ui import app as ui_app - cmd = [ sys.executable, "-m", - "streamlit", - "run", - str(Path(ui_app.__file__)), + "bcda.ui", "--server.port", str(port), "--server.headless", diff --git a/tests/bcda/test_ui_main.py b/tests/bcda/test_ui_main.py new file mode 100644 index 0000000..4da5f68 --- /dev/null +++ b/tests/bcda/test_ui_main.py @@ -0,0 +1,41 @@ +"""python -m bcda.ui — metrics first, then Streamlit in-process.""" + +from __future__ import annotations + +import sys + +from bcda.ui import __main__ as entry +from bcda.ui import metrics + + +def test_main_serves_metrics_then_boots_streamlit(monkeypatch) -> None: + calls: list = [] + monkeypatch.setattr(metrics, "serve", lambda: calls.append("serve") or 8502) + + class FakeCli: + @staticmethod + def main() -> None: + calls.append(("argv", list(sys.argv))) + raise SystemExit(0) + + monkeypatch.setattr("streamlit.web.cli.main", FakeCli.main) + assert entry.main(["--server.port", "9000"]) == 0 + assert calls[0] == "serve" + argv = calls[1][1] + assert argv[:2] == ["streamlit", "run"] and argv[2].endswith("bcda/ui/app.py") + assert argv[3:] == ["--server.port", "9000"] + + +def test_main_passes_exit_code_and_default_argv(monkeypatch) -> None: + monkeypatch.setattr(metrics, "serve", lambda: None) + monkeypatch.setattr(sys, "argv", ["bcda.ui", "--server.headless", "true"]) + + def exits() -> None: + raise SystemExit(3) + + monkeypatch.setattr("streamlit.web.cli.main", exits) + assert entry.main() == 3 + assert sys.argv[3:] == ["--server.headless", "true"] + + monkeypatch.setattr("streamlit.web.cli.main", lambda: None) + assert entry.main([]) == 0 diff --git a/tests/bcda/test_ui_metrics.py b/tests/bcda/test_ui_metrics.py new file mode 100644 index 0000000..38a7543 --- /dev/null +++ b/tests/bcda/test_ui_metrics.py @@ -0,0 +1,127 @@ +"""bcda.ui.metrics — instruments, store gauges and the /metrics server.""" + +from __future__ import annotations + +import socket +import urllib.request + +import pytest + +from bcda.store import Store +from bcda.ui import metrics +from bcda.ui.runner import Runner + + +@pytest.fixture(autouse=True) +def _fresh_instruments(monkeypatch): + """Rebuild the instrument set per test; keep any server from leaking state.""" + monkeypatch.setattr(metrics, "_instruments", None) + yield + monkeypatch.setattr(metrics, "_instruments", None) + + +def test_mock_meter_path_is_free(monkeypatch) -> None: + monkeypatch.setenv("STACK_TELEMETRY", "false") + metrics.run_started("export") + metrics.run_finished("export", "done", 1.5) + metrics.run_finished("bogus kind", "failed", -1) # clamps and folds to "other" + metrics.page_view("connect") + metrics.observe_store(None) + assert metrics.serve(port=0) is None + assert metrics._kind("load") == "load" and metrics._kind("nope") == "other" + + +def test_store_observations(tmp_path, monkeypatch) -> None: + assert ( + metrics.store_job_counts(tmp_path) == {} and metrics.store_bytes(tmp_path) == 0 + ) + store = Store(path=str(tmp_path)) + store._append_job(key="A", status="complete") + store._append_job(key="B", status="failed") + store._append_job(key="C", status="complete") + d = tmp_path / "exports" / "A" + d.mkdir(parents=True) + (d / "Patient.ndjson").write_bytes(b"x" * 10) + assert metrics.store_job_counts(tmp_path) == {"complete": 2, "failed": 1} + assert metrics.store_bytes(tmp_path) == 10 + # errors never propagate to a scrape + from bcda.ui import service as svc + + def boom(*a, **k): # noqa: ANN002, ANN003, ANN202 + raise OSError("disk gone") + + monkeypatch.setattr(svc, "make_store", boom) + monkeypatch.setattr(svc, "export_dirs", boom) + assert ( + metrics.store_job_counts(tmp_path) == {} and metrics.store_bytes(tmp_path) == 0 + ) + + +def test_runner_records_runs(monkeypatch) -> None: + seen: list = [] + monkeypatch.setattr( + metrics, "run_started", lambda kind: seen.append(("start", kind)) + ) + monkeypatch.setattr( + metrics, + "run_finished", + lambda kind, state, secs: seen.append(("end", kind, state, secs >= 0)), + ) + r = Runner() + r.wait(r.submit("ok", lambda: 1, kind="load").id) + + def boom() -> None: + raise RuntimeError("x") + + r.wait(r.submit("bad", boom).id) + assert seen == [ + ("start", "load"), + ("end", "load", "done", True), + ("start", "other"), + ("end", "other", "failed", True), + ] + assert r.all()[0].kind == "other" and r.all()[1].kind == "load" + + +def _free_port() -> int: + with socket.socket() as s: + s.bind(("127.0.0.1", 0)) + return s.getsockname()[1] + + +def test_serve_publishes_registry(monkeypatch, tmp_path) -> None: + """With telemetry on, /metrics carries stack_bcda_* series incl. the store gauges.""" + import perf + from perf import _meter + + monkeypatch.setenv("STACK_TELEMETRY", "true") + monkeypatch.setattr(perf, "_initialised", False) + monkeypatch.setattr(_meter, "_provider_ready", False) + monkeypatch.setattr(metrics, "_server_port", None) + store = Store(path=str(tmp_path)) + store._append_job(key="A", status="complete") + + port = metrics.serve(port=_free_port()) + assert port and metrics.serve() == port # idempotent + metrics.observe_store(tmp_path) + metrics.run_started("export") + metrics.run_finished("export", "done", 2.0) + metrics.page_view("exports") + + body = ( + urllib.request.urlopen(f"http://127.0.0.1:{port}/metrics", timeout=5) + .read() + .decode() + ) + assert 'stack_bcda_runs_total{kind="export",state="done"} 1.0' in body + assert 'stack_bcda_page_views_total{page="exports"} 1.0' in body + assert 'stack_bcda_store_jobs{status="complete"} 1.0' in body + assert "stack_bcda_store_bytes 0.0" in body + assert "stack_bcda_run_seconds" in body + + # the default port comes from the environment + monkeypatch.setattr(metrics, "_server_port", None) + env_port = _free_port() + monkeypatch.setenv("BCDA_METRICS_PORT", str(env_port)) + assert metrics.serve() == env_port + perf.shutdown() diff --git a/tests/cli/test_cli_bcda.py b/tests/cli/test_cli_bcda.py index 940d77d..17544d3 100644 --- a/tests/cli/test_cli_bcda.py +++ b/tests/cli/test_cli_bcda.py @@ -247,5 +247,5 @@ def test_ui_launches_streamlit(monkeypatch) -> None: result = runner.invoke(app, ["bcda", "ui", "--port", "9999", "--no-headless"]) assert result.exit_code == 0 and "http://localhost:9999" in result.output cmd = call.call_args.args[0] - assert cmd[1:4] == ["-m", "streamlit", "run"] and cmd[4].endswith("bcda/ui/app.py") + assert cmd[1:3] == ["-m", "bcda.ui"] assert cmd[cmd.index("--server.headless") + 1] == "false" diff --git a/uv.lock b/uv.lock index 4919f68..4c4af6f 100644 --- a/uv.lock +++ b/uv.lock @@ -3959,6 +3959,7 @@ all = [ { name = "opentelemetry-instrumentation-fastapi" }, { name = "opentelemetry-sdk" }, { name = "opentelemetry-semantic-conventions" }, + { name = "polars" }, { name = "psutil" }, { name = "psycopg", extra = ["binary"] }, { name = "pyarrow" }, @@ -3995,6 +3996,7 @@ bcda = [ { name = "fsspec" }, { name = "httpx" }, { name = "narwhals" }, + { name = "polars" }, { name = "pyarrow" }, { name = "pydantic" }, { name = "streamlit" }, @@ -4209,6 +4211,7 @@ requires-dist = [ { name = "opentelemetry-sdk", marker = "extra == 'perf'", specifier = ">=1.25.0" }, { name = "opentelemetry-semantic-conventions", marker = "extra == 'perf'", specifier = ">=0.46b0" }, { name = "pdfminer-six", marker = "extra == 'prisma'", specifier = ">=20221105" }, + { name = "polars", marker = "extra == 'bcda'", specifier = ">=1.0" }, { name = "psutil", marker = "extra == 'perf'", specifier = ">=5.9.0" }, { name = "psycopg", extras = ["binary"], marker = "extra == 'llm'", specifier = ">=3.2.0" }, { name = "pyarrow", marker = "extra == 'aco'", specifier = ">=23.0.1" }, From ae9e6f5e6783e5644cc45499f815282b60c4de94 Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 14:49:49 -0400 Subject: [PATCH 09/18] =?UTF-8?q?fix(infra):=20publish=20bcda.fhirworx.io?= =?UTF-8?q?=20through=20the=20tunnel=20=E2=80=94=20add=20it=20to=20the=20h?= =?UTF-8?q?ostname=20list=20and=20give=20bootstrap=5Fsso=20a=20--dns-only?= =?UTF-8?q?=20mode?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit The tunnel runs on a remote ingress list pushed by bootstrap_sso (it overrides the wildcard in infra/cloudflared/config.yml), and the public CNAMEs are created from the same SUBDOMAINS list, so a service that only exists in stack.toml and Traefik answers 530 at the Cloudflare edge and NXDOMAIN on public DNS — which is what bcda.fhirworx.io did. Adding a service now means appending it here and running `CF_API_TOKEN=… uv run python dev/scripts/bootstrap_sso.py --dns-only`, which does the two Cloudflare writes without the Gitea admin flow. refs #1139 --- dev/scripts/bootstrap_sso.py | 21 +++++++++++++++++++++ 1 file changed, 21 insertions(+) diff --git a/dev/scripts/bootstrap_sso.py b/dev/scripts/bootstrap_sso.py index 7fd2f19..03a505b 100644 --- a/dev/scripts/bootstrap_sso.py +++ b/dev/scripts/bootstrap_sso.py @@ -275,6 +275,7 @@ SUBDOMAINS = [ "traefik", "auth", "llm", + "bcda", # BCDA manager (P52) — Streamlit behind git-sso ] @@ -352,6 +353,26 @@ def _sync_tunnel_dns(client: httpx.Client) -> None: def main() -> None: + # `--dns-only`: a new subdomain needs two Cloudflare writes — the tunnel's + # remote ingress list (it overrides the wildcard in infra/cloudflared/ + # config.yml, so an unlisted hostname answers 530 at the edge) and a + # proxied CNAME to the tunnel (otherwise NXDOMAIN). Both come from + # SUBDOMAINS above and only need CF_API_TOKEN, not the Gitea admin + # password, so they can run on their own after adding a service. + if "--dns-only" in sys.argv[1:]: + if not os.environ.get("CF_API_TOKEN"): + print( + "ERROR: CF_API_TOKEN not set (Zone:DNS:Edit + Account:Cloudflare Tunnel:Edit)" + ) + sys.exit(1) + with httpx.Client(timeout=10) as client: + print("==> Syncing tunnel config") + _sync_tunnel_dns(client) + print("==> Ensuring DNS records") + _ensure_dns(client) + print("==> Done") + return + if not ADMIN_PASS: print("ERROR: GITEA_ADMIN_PASSWORD not set") sys.exit(1) From 926acd8f86b0f60507e22145f84124eea75882f8 Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 14:57:50 -0400 Subject: [PATCH 10/18] fix(infra): bootstrap_sso --dns-only says which zone scope the token is missing Running it with the corwins.media-scoped token updated the tunnel (account scope) and then failed the DNS step with a bare 'Authentication error'; the record needs Zone:DNS:Edit on fhirworx.io specifically. refs #1139 --- dev/scripts/bootstrap_sso.py | 7 +++++++ 1 file changed, 7 insertions(+) diff --git a/dev/scripts/bootstrap_sso.py b/dev/scripts/bootstrap_sso.py index 03a505b..9654ed6 100644 --- a/dev/scripts/bootstrap_sso.py +++ b/dev/scripts/bootstrap_sso.py @@ -460,6 +460,13 @@ def _ensure_dns(client: httpx.Client) -> None: if not r.json().get("success"): err = r.json().get("errors", [{}])[0].get("message", "unknown") print(f" FAIL: DNS list — {err}") + if "Authentication" in err: + # The tunnel write above only needs Account:Cloudflare Tunnel:Edit; + # this one needs Zone:DNS:Edit *on the fhirworx.io zone*. A token + # scoped to another zone passes the first and fails here. + print( + f" hint: the token must include Zone:DNS:Edit for {DOMAIN} (zone {zone})" + ) return existing = {rec["name"] for rec in r.json()["result"]} From 6c218b5898c4c45eaeba5eeb4a85ae3323a4c1db Mon Sep 17 00:00:00 2001 From: kert Date: Sun, 25 Oct 2026 15:21:30 -0400 Subject: [PATCH 11/18] =?UTF-8?q?feat(bcda):=20fhirworx=20house=20style=20?= =?UTF-8?q?for=20the=20manager=20=E2=80=94=20theme=20file,=20brand=20masth?= =?UTF-8?q?ead=20and=20eyebrows,=20favicon?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit src/bcda/ui/theme.toml is a Streamlit theme file carrying the dashboard tokens from assets/css/dashboard.css (cream paper, near-black ink, navy primary and sidebar, warm beige surfaces, 2px radius, Playfair Display / Source Serif 4 / JetBrains Mono). `python -m bcda.ui` passes it as --theme.base unless the caller set one, so the container and `stack bcda ui` look the same without a .streamlit/config.toml per cwd; the image's streamlit.toml keeps only server settings. bcda.ui.brand adds what a theme file cannot: the Google Fonts import, the dashboard masthead (rule, display title, monospace eyebrow) at the top of the sidebar, and brand.title() eyebrows above every page title. app.py renders its own page links after the masthead (navigation position="hidden") so the masthead comes first as on the dashboard. The favicon is the repo's assets/icons/fav32.png, baked into the image. Family names in the theme file stay double-quoted: Streamlit 1.66 emits the body font unquoted, and an unquoted family with a digit ("Source Serif 4") is an invalid font-family, so the browser silently fell back to its default serif while the headings (quoted on their path) were fine. Found by rendering the rolled container headlessly on the compose network and reading computed styles. tests/bcda/test_ui_brand.py pins the theme's hexes and font stacks to dashboard.css and renders inject/masthead/title through AppTest; test_ui_main covers the --theme.base handling. refs #1139 --- .dockerignore | 4 + .../specs/2026-10-25-bcda-v3-design.md | 6 ++ infra/images/bcda.Dockerfile | 6 +- infra/images/bcda/streamlit.toml | 3 - src/bcda/ui/__main__.py | 10 +- src/bcda/ui/app.py | 15 ++- src/bcda/ui/brand.py | 93 +++++++++++++++++++ src/bcda/ui/theme.toml | 51 ++++++++++ src/bcda/ui/views.py | 16 ++-- tests/bcda/test_ui_brand.py | 92 ++++++++++++++++++ tests/bcda/test_ui_main.py | 23 ++++- tests/bcda/test_ui_views.py | 11 +++ 12 files changed, 310 insertions(+), 20 deletions(-) create mode 100644 src/bcda/ui/brand.py create mode 100644 src/bcda/ui/theme.toml create mode 100644 tests/bcda/test_ui_brand.py diff --git a/.dockerignore b/.dockerignore index f882ce6..135f994 100644 --- a/.dockerignore +++ b/.dockerignore @@ -35,3 +35,7 @@ mirrors/ # Streamlit server config COPYed by bcda.Dockerfile (repo-root context). !infra/images/bcda/ !infra/images/bcda/** +# Favicon COPYed by bcda.Dockerfile; dir entries first so BuildKit can descend. +!assets/ +!assets/icons/ +!assets/icons/fav32.png diff --git a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md index 170ac9e..7fe76cf 100644 --- a/docs/superpowers/specs/2026-10-25-bcda-v3-design.md +++ b/docs/superpowers/specs/2026-10-25-bcda-v3-design.md @@ -86,3 +86,9 @@ Tests: service with `httpx.MockTransport`, runner for thread-routed logs and sta ### `/metrics` (2026-10-25) `bcda.ui.metrics` follows the #579 convention (`perf.meter` → OTel meter + Prometheus reader when `STACK_TELEMETRY` is on, a no-op `MockMeter` otherwise). Streamlit cannot mount a route, so the manager publishes the process's Prometheus registry from a second port (`BCDA_METRICS_PORT`, 8502) via `prometheus_client.start_http_server`, and Prometheus scrapes `bcda:8502/metrics` directly like `api` and `llm`. Instruments: `stack_bcda_runs_total{kind,state}`, `stack_bcda_runs_inflight{kind}`, `stack_bcda_run_seconds{kind}`, `stack_bcda_page_views_total{page}`, and two observable gauges read at scrape time, `stack_bcda_store_jobs{status}` and `stack_bcda_store_bytes`. Run kinds are a closed set (export, adopt, load, vendor_check, other). The image installs the `perf` extra; the compose service joins the observability network and sets `OTEL_SERVICE_NAME=bcda`. + +### Published and styled (2026-10-25) + +Reachability needs more than `stack.toml` + Traefik + CoreDNS: the Cloudflare tunnel runs on a remote ingress list that overrides the wildcard in `infra/cloudflared/config.yml` (an unlisted host answers 530 at the edge), and the public CNAME to the tunnel is created from the same list. Both come from `SUBDOMAINS` in `dev/scripts/bootstrap_sso.py`, which gained `bcda` and a `--dns-only` mode that does just those two writes with a token holding Account:Cloudflare Tunnel:Edit and Zone:DNS:Edit for fhirworx.io. Resolvers that had asked before the record existed cache NXDOMAIN for the zone's negative TTL (1800 s). + +House style: `src/bcda/ui/theme.toml` is a Streamlit theme file carrying the dashboard tokens (`assets/css/dashboard.css`: cream paper, near-black ink, navy primary and sidebar, warm beige surfaces, 2px radius, Playfair Display / Source Serif 4 / JetBrains Mono). `python -m bcda.ui` passes it as `--theme.base` so the container and `stack bcda ui` match without a per-cwd `.streamlit/config.toml`. `bcda.ui.brand` adds what a theme file cannot: the Google Fonts import, the dashboard masthead in the sidebar (rule, display title, monospace eyebrow) and `brand.title()` eyebrows above every page title; the favicon is the repo's `assets/icons/fav32.png`, baked into the image. `tests/bcda/test_ui_brand.py` fails if the theme's hexes or font stacks drift from `dashboard.css`. diff --git a/infra/images/bcda.Dockerfile b/infra/images/bcda.Dockerfile index ff0eb65..b860cfe 100644 --- a/infra/images/bcda.Dockerfile +++ b/infra/images/bcda.Dockerfile @@ -23,9 +23,13 @@ ENV UV_PYTHON_PREFERENCE=only-system \ RUN uv sync --no-dev --extra cli --extra bcda --extra perf && uv pip install -e . COPY stack.toml ./ +# Favicon for st.set_page_config — bcda.ui.brand resolves assets/icons/fav32.png +# relative to the package root (/app here, the repo root in a checkout). +COPY assets/icons/fav32.png assets/icons/fav32.png # Streamlit reads its server settings from here (headless, no usage -# stats, bound to all interfaces, websocket-friendly behind Traefik). +# stats, bound to all interfaces). The fhirworx theme is not here: the +# entrypoint passes src/bcda/ui/theme.toml as --theme.base. COPY infra/images/bcda/streamlit.toml /app/.streamlit/config.toml # 8501 Streamlit · 8502 Prometheus registry (/metrics, perf meter via STACK_TELEMETRY) diff --git a/infra/images/bcda/streamlit.toml b/infra/images/bcda/streamlit.toml index 1025971..68363bd 100644 --- a/infra/images/bcda/streamlit.toml +++ b/infra/images/bcda/streamlit.toml @@ -10,6 +10,3 @@ runOnSave = false [browser] gatherUsageStats = false - -[theme] -base = "light" diff --git a/src/bcda/ui/__main__.py b/src/bcda/ui/__main__.py index 8ab643d..fd87257 100644 --- a/src/bcda/ui/__main__.py +++ b/src/bcda/ui/__main__.py @@ -9,6 +9,9 @@ runs land in the same registry. python -m bcda.ui # :8501, metrics on BCDA_METRICS_PORT python -m bcda.ui --server.port 9000 # extra args go to `streamlit run` + +The fhirworx theme file (``bcda/ui/theme.toml``) is passed as +``--theme.base`` unless the arguments already set one. """ from __future__ import annotations @@ -20,10 +23,15 @@ from pathlib import Path def main(argv: list[str] | None = None) -> int: from streamlit.web import cli as stcli - from bcda.ui import app, metrics + from bcda.ui import app, brand, metrics metrics.serve() args = list(sys.argv[1:] if argv is None else argv) + if not any(a == "--theme.base" or a.startswith("--theme.base=") for a in args): + # The fhirworx look (bcda/ui/theme.toml) travels with the package, so + # the container and `stack bcda ui` render the same without a + # .streamlit/config.toml in every cwd. A caller's --theme.base wins. + args = ["--theme.base", str(brand.THEME_PATH), *args] sys.argv = ["streamlit", "run", str(Path(app.__file__)), *args] try: stcli.main() diff --git a/src/bcda/ui/app.py b/src/bcda/ui/app.py index 929bb5f..15788f5 100644 --- a/src/bcda/ui/app.py +++ b/src/bcda/ui/app.py @@ -8,7 +8,7 @@ from __future__ import annotations import streamlit as st -from bcda.ui import metrics, views +from bcda.ui import brand, metrics, views PAGES = [ st.Page(views.connect, title="Connect", icon="🔌", default=True), @@ -22,17 +22,24 @@ PAGES = [ def main() -> None: - st.set_page_config(page_title="BCDA manager", page_icon="🏥", layout="wide") + st.set_page_config(page_title="BCDA manager", page_icon=brand.icon(), layout="wide") + brand.inject() # web fonts + masthead/eyebrow rules; colours come from theme.toml metrics.serve() # /metrics on BCDA_METRICS_PORT when STACK_TELEMETRY is on; no-op otherwise conn = st.session_state.get("conn") + # position="hidden" keeps Streamlit from drawing its own nav above our + # sidebar content; the masthead goes first (as on the dashboard) and the + # page links follow, in PAGES order. + page = st.navigation(PAGES, position="hidden") with st.sidebar: - st.markdown("### BCDA manager") + brand.masthead() + for p in PAGES: + st.page_link(p, label=p.title, icon=p.icon) st.caption( f"**{conn.label}** · {conn.environment} · {conn.version}" if conn else "not connected" ) - st.navigation(PAGES).run() + page.run() if ( diff --git a/src/bcda/ui/brand.py b/src/bcda/ui/brand.py new file mode 100644 index 0000000..c9b7e77 --- /dev/null +++ b/src/bcda/ui/brand.py @@ -0,0 +1,93 @@ +"""Fhirworx house style for the BCDA manager. + +Colour, radius and font *families* come from :data:`THEME_PATH`, a +Streamlit theme file that ``python -m bcda.ui`` passes as +``--theme.base`` (see :mod:`bcda.ui.__main__`). What a theme file cannot +do — load the web fonts, draw the dashboard's masthead rule and +monospace eyebrows — :func:`inject` adds as one ``") + + +def masthead(product: str = "Fhirworx", eyebrow: str = "bcda · manager") -> None: + """The dashboard masthead, sized for the sidebar: rule, display title, eyebrow.""" + st.html( + '
' + f"

{html.escape(product)}

" + f'{html.escape(eyebrow)}' + '
' + ) + + +def title(text: str, eyebrow: str) -> None: + """A page title with the dashboard's monospace eyebrow above it.""" + st.html(f'{html.escape(eyebrow)}') + st.title(text) diff --git a/src/bcda/ui/theme.toml b/src/bcda/ui/theme.toml new file mode 100644 index 0000000..a75f31b --- /dev/null +++ b/src/bcda/ui/theme.toml @@ -0,0 +1,51 @@ +# Fhirworx theme for the BCDA manager (Streamlit ≥ 1.46 theme file). +# +# Source of truth is the dashboard stylesheet, assets/css/dashboard.css — +# the same tokens the Gitea and marimo themes derive from: cream paper, +# near-black ink, deep-navy primary and sidebar, warm beige surfaces, a +# 2px "civic forms" radius. Fonts are the editorial trio (Playfair +# Display headings, Source Serif 4 body, JetBrains Mono for eyebrows and +# code); bcda.ui.brand imports them from Google Fonts at page start. +# tests/bcda/test_ui_brand.py keeps the hexes in step with dashboard.css. +# +# Loaded by `python -m bcda.ui` as --theme.base , so the +# container and `stack bcda ui` look the same. + +[theme] +base = "light" +primaryColor = "#1C2B3A" +backgroundColor = "#F7F5F0" +secondaryBackgroundColor = "#EDEBE6" +textColor = "#1A1A18" +linkColor = "#2D5F7F" +linkUnderline = true +borderColor = "#D4D0C8" +dataframeBorderColor = "#D4D0C8" +dataframeHeaderBackgroundColor = "#EDEBE6" +codeBackgroundColor = "#EDEBE6" +redColor = "#C0392B" +greenColor = "#2E8B6E" +orangeColor = "#C8702A" +blueColor = "#2D5F7F" +grayColor = "#6B6B68" +# Family names stay double-quoted: Streamlit 1.66 passes the body font +# through unquoted, and an unquoted family with a digit ("Source Serif 4") +# is an invalid CSS font-family — the browser silently falls back to its +# default serif. Quoted, the same stack applies and loads. +font = '"Source Serif 4", Georgia, serif' +headingFont = '"Playfair Display", Georgia, serif' +headingFontWeights = [800, 700, 600] +codeFont = '"JetBrains Mono", "Fira Code", monospace' +baseRadius = "2px" +buttonRadius = "2px" +showWidgetBorder = true +showSidebarBorder = false + +[theme.sidebar] +backgroundColor = "#1C2B3A" +secondaryBackgroundColor = "#253748" +textColor = "#B8C5D0" +primaryColor = "#F0F4F8" +linkColor = "#F0F4F8" +borderColor = "#2E4359" +codeBackgroundColor = "#253748" diff --git a/src/bcda/ui/views.py b/src/bcda/ui/views.py index acfe1e4..9e10ce1 100644 --- a/src/bcda/ui/views.py +++ b/src/bcda/ui/views.py @@ -14,7 +14,7 @@ from typing import Any import polars as pl import streamlit as st -from bcda.ui import metrics +from bcda.ui import brand, metrics from bcda.ui import service as svc from bcda.ui.runner import runner @@ -83,7 +83,7 @@ def runs_panel() -> None: def connect() -> None: metrics.page_view("connect") - st.title("Connect") + brand.title("Connect", "sandbox · credentials · server") st.caption( "BCDA v3 (v1/v2 end 2027-07-30). `/auth` and `/data` are shared by every version; " "only the `/api//` segment differs." @@ -172,7 +172,7 @@ def connect() -> None: def exports() -> None: metrics.page_view("exports") - st.title("Exports") + brand.title("Exports", "bulk export · $export · _typeFilter") conn = _require_conn() if conn is None: return @@ -324,7 +324,7 @@ def exports() -> None: def store() -> None: metrics.page_view("store") - st.title("Store") + brand.title("Store", "jobs · exports on disk") path = svc.store_path() st.caption( f"`{path}` — append-only `jobs.parquet` / `files.parquet`; the last row per key is the current state." @@ -373,7 +373,7 @@ def store() -> None: def load() -> None: metrics.page_view("load") - st.title("Flatten + load") + brand.title("Flatten + load", "ndjson → parquet → replica") st.caption( "Newest export per resource type → `bcda.*` in aco.duckdb (v2 or v3 dialect per resource, " "streamed from multi-part ndjson) → connector pipeline → `input_layer.*` → replica republished." @@ -402,7 +402,7 @@ def load() -> None: def data() -> None: metrics.page_view("data") - st.title("Data") + brand.title("Data", "replica · tables · sql") try: con = svc.replica_connect() except Exception as exc: # noqa: BLE001 — no replica yet @@ -450,7 +450,7 @@ def data() -> None: def dictionary() -> None: metrics.page_view("dictionary") - st.title("Data dictionary + CCLF crosswalk") + brand.title("Data dictionary + CCLF crosswalk", "v3 data dictionary · cclf") try: con = svc.replica_connect() except Exception: # noqa: BLE001 @@ -527,7 +527,7 @@ def dictionary() -> None: def upstream() -> None: metrics.page_view("upstream") - st.title("Upstream: CMSgov/bcda-app + bcda.cms.gov") + brand.title("Upstream: CMSgov/bcda-app + bcda.cms.gov", "vendored sources · drift") status = svc.vendor_status() if not status.get("available"): st.info( diff --git a/tests/bcda/test_ui_brand.py b/tests/bcda/test_ui_brand.py new file mode 100644 index 0000000..d692cf3 --- /dev/null +++ b/tests/bcda/test_ui_brand.py @@ -0,0 +1,92 @@ +"""bcda.ui.brand — the fhirworx look: theme file, fonts, masthead, eyebrow titles.""" + +from __future__ import annotations + +import re +import tomllib +from pathlib import Path + +from streamlit.testing.v1 import AppTest + +from bcda.ui import brand + +ROOT = Path(__file__).resolve().parents[2] +DASHBOARD_CSS = ROOT / "assets" / "css" / "dashboard.css" + +# theme.toml key → dashboard.css custom property it must equal. +TOKEN_MAP = { + ("backgroundColor",): "--background", + ("textColor",): "--foreground", + ("primaryColor",): "--primary", + ("secondaryBackgroundColor",): "--secondary", + ("borderColor",): "--border", + ("grayColor",): "--muted-foreground", + ("redColor",): "--destructive", + ("greenColor",): "--chart-4", + ("orangeColor",): "--chart-5", + ("sidebar", "backgroundColor"): "--sidebar", + ("sidebar", "textColor"): "--sidebar-foreground", + ("sidebar", "secondaryBackgroundColor"): "--sidebar-accent", +} +FONT_MAP = { + "font": "--font-body", + "headingFont": "--font-display", + "codeFont": "--font-mono", +} + + +def _css_tokens() -> dict[str, str]: + root = DASHBOARD_CSS.read_text().split(":root", 1)[1].split("}", 1)[0] + return { + m.group(1): m.group(2).strip() + for m in re.finditer(r"(--[\w-]+)\s*:\s*([^;]+);", root) + } + + +def _theme() -> dict: + return tomllib.loads(brand.THEME_PATH.read_text())["theme"] + + +def test_theme_file_tracks_dashboard_css() -> None: + css, theme = _css_tokens(), _theme() + for path, var in TOKEN_MAP.items(): + node = theme + for key in path: + node = node[key] + assert node.upper() == css[var].upper(), f"{'.'.join(path)} vs {var}" + for key, var in FONT_MAP.items(): + # exact stack, quotes included — Streamlit drops an unquoted "Source Serif 4" + assert theme[key] == css[var], key + assert theme[key].startswith('"'), key + assert theme["base"] == "light" and theme["baseRadius"] == "2px" + assert brand.theme() == theme # cached loader returns the same table + + +def test_css_and_icon() -> None: + css = brand.css() + assert brand.FONTS_URL in css and ".fw-eyebrow" in css and ".fw-mast h1" in css + for family in ("Playfair+Display", "Source+Serif+4", "JetBrains+Mono"): + assert family in brand.FONTS_URL + # the repo ships the favicon; the fallback is an emoji when it does not + assert brand.icon() == str(brand.ICON_PATH) and brand.ICON_PATH.is_file() + assert brand.ICON_FALLBACK == "🏥" + + +def test_inject_masthead_and_title_render() -> None: + at = AppTest.from_string( + "import streamlit as st\n" + "from bcda.ui import brand\n" + "brand.inject()\n" + "with st.sidebar:\n" + " brand.masthead(eyebrow='bcda ')\n" + "brand.title('Exports', 'bulk export · $export')\n" + ).run() + assert not at.exception + bodies = [h.value for h in at.html] + assert any("