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patrickgmaydaypatrickgmayday
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Merge remote-tracking branch 'origin/master' into BFD-4348-prune-older-claim-versions-excluding-part-d
# Conflicts: # apps/bfd-pipeline-idr/pipeline_stages.py # apps/bfd-pipeline-idr/pipeline_utils.py
2 parents b55eb57 + bb05a7f commit afc515b

54 files changed

Lines changed: 251 additions & 205 deletions

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‎apps/bfd-db-migrator-ng/migrations/R__beneficiary_part_c_and_d_enrollment_view.sql‎

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DROP VIEW idr.beneficiary_part_c_and_d_enrollment;
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CREATE VIEW idr.beneficiary_part_c_and_d_enrollment AS
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SELECT
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e.bene_sk,
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e.bene_enrlmt_pgm_type_cd,
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e.bene_enrlmt_bgn_dt,
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e.bene_enrlmt_end_dt,
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e.bene_cntrct_num,
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e.bene_pbp_num,
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e.cntrct_pbp_sk,
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e.bene_cvrg_type_cd,
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e.bene_enrlmt_emplr_sbsdy_sw,
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COALESCE(rx.bene_enrlmt_pdp_rx_info_bgn_dt, DATE '9999-12-31') AS bene_enrlmt_pdp_rx_info_bgn_dt,
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rx.bene_pdp_enrlmt_mmbr_id_num,
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rx.bene_pdp_enrlmt_grp_num,
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rx.bene_pdp_enrlmt_prcsr_num,
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rx.bene_pdp_enrlmt_bank_id_num
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FROM idr.beneficiary_ma_part_d_enrollment e
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LEFT JOIN idr.beneficiary_ma_part_d_enrollment_rx rx
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ON e.bene_sk = rx.bene_sk
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AND e.bene_enrlmt_bgn_dt = rx.bene_enrlmt_bgn_dt
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AND e.cntrct_pbp_sk = rx.cntrct_pbp_sk
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AND e.bene_enrlmt_pgm_type_cd in ('2', '3')
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AND rx.idr_trans_obslt_ts >= '9999-12-31'
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WHERE e.idr_trans_obslt_ts >= '9999-12-31';

‎apps/bfd-db-migrator-ng/migrations/V1_36_0__add_bene_ma_part_d_obs_date_idx.sql‎

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CREATE INDEX ON idr.beneficiary_ma_part_d_enrollment(idr_trans_obslt_ts) WHERE idr_trans_obslt_ts < '9999-12-31';

‎apps/bfd-db-migrator-ng/migrations/V1_36_1__add_bene_ma_part_d_rx_obs_date_idx.sql‎

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CREATE INDEX ON idr.beneficiary_ma_part_d_enrollment_rx(idr_trans_obslt_ts) WHERE idr_trans_obslt_ts < '9999-12-31';

‎apps/bfd-db-migrator-ng/pom.xml‎

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<parent>
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<groupId>gov.cms.bfd</groupId>
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<artifactId>bfd-parent</artifactId>
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<version>2.254.0-SNAPSHOT</version>
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<version>2.258.0-SNAPSHOT</version>
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</parent>
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<artifactId>bfd-db-migrator-ng</artifactId>

‎apps/bfd-db-migrator-synthetic/pom.xml‎

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<parent>
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<groupId>gov.cms.bfd</groupId>
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<artifactId>bfd-parent</artifactId>
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<version>2.254.0-SNAPSHOT</version>
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<version>2.258.0-SNAPSHOT</version>
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</parent>
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<artifactId>bfd-db-migrator-synthetic</artifactId>

‎apps/bfd-db-migrator/pom.xml‎

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<parent>
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<groupId>gov.cms.bfd</groupId>
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<artifactId>bfd-parent</artifactId>
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<version>2.254.0-SNAPSHOT</version>
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<version>2.258.0-SNAPSHOT</version>
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</parent>
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<artifactId>bfd-db-migrator</artifactId>

‎apps/bfd-model-idr/dictionary-support-files/ExplanationOfBenefit-Pharmacy.yaml‎

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- Basis
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- Regular
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- CMS
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- inputPath: ExplanationOfBenefit-Pharmacy.EOB_TYPE
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appliesTo:
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- Pharmacy
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sources:
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- DDPS
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bfdDerived: True
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nameOverride: Claim Stream
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definitionOverride: This field can be used to determine which CMS claim stream the claim was processed under.
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fhirPath: ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/EOB-TYPE').code
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profiles:
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- Basis
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- Regular
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- CMS
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- inputPath: ExplanationOfBenefit-Pharmacy.BENE_SK
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appliesTo:
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- Pharmacy

‎apps/bfd-model-idr/dictionary-support-files/ExplanationOfBenefit.yaml‎

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- Basis
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- Regular
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- CMS
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- inputPath: ExplanationOfBenefit-Base.EOB_TYPE
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appliesTo:
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- Inpatient
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- Outpatient
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- HHA
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- Hospice
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- SNF
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- DME
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- Carrier
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sources:
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- FISS
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- MCS
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- NCH
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- VMS
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bfdDerived: True
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nameOverride: Claim Stream
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definitionOverride: This field can be used to determine which CMS claim stream the claim was processed under.
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fhirPath: ExplanationOfBenefit.type.coding.where(system = 'https://bluebutton.cms.gov/fhir/CodeSystem/EOB-TYPE').code
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profiles:
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- Basis
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- Regular
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- CMS
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- inputPath: ExplanationOfBenefit-Base.BENE_SK
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appliesTo:
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- Inpatient

apps/bfd-model-idr/sushi/input/fsh/CodeSystem-CLM-EOB-TYPE.fsh renamed to apps/bfd-model-idr/sushi/input/fsh/CodeSystem-EOB-TYPE.fsh

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CodeSystem: CLM-EOB-TYPE
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CodeSystem: EOB-TYPE
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Title: "Blue Button EOB Type"
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Id: CLM-EOB-TYPE
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Id: EOB-TYPE
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Description: "This is the EOB type code for Blue Button."
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* ^url = "https://bluebutton.cms.gov/fhir/CodeSystem/EOB-TYPE"
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* ^status = #active

‎apps/bfd-model-idr/sushi/input/fsh/Extension-RRB-EXCL-IND.fsh‎

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Extension: RRB_EXCL_IND
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Title: "Railroad Retirement Board Exclusion Indicator"
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Description: "Railroad Retirement Board Exclusion Indicator."
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Id: RRB-EXCL-IND
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* ^url = "https://bluebutton.cms.gov/fhir/StructureDefinition/RRB-EXCL-IND"
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* ^context[+].type = #element
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* ^context[=].expression = "ExplanationOfBenefit.item"
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* value[x] only boolean

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