Add updated logic for mapping of additional reasons. (#523)

lib/aca_entities/atp/functions/applicant_builder.rb

@@ -32,17 +32,28 @@ def call(cache)
         end
 
         def referral_activity(applicant)
-          additional_reason_codes = applicant[:additional_reason_codes]&.flat_map {|e| e[:additional_reason_codes]}
-          reason_code = applicant[:reason_code].blank? ? "FullDetermination" : applicant[:reason_code]
-          {
+          referral_activity_values = {
             activity_id: { identification_id: ["SBM", DateTime.now.strftime("%Y%m%d%H%M%S"), "pe#{applicant[:person_hbx_id]}"&.slice(-3..-1)].join },
             activity_date: { date_time: DateTime.now },
             sender_reference: { :ref => "Sender" }, # TODO
             receiver_reference: { :ref => "medicaidReceiver" }, # TODO
-            status: { :status_code => "Initiated" }, # TODO
-            reason_code: reason_code, # TODO
-            additional_reason_codes: additional_reason_codes
+            status: { :status_code => "Initiated" } # TODO
           }
+          referral_activity_values[:reason_code] = applicant[:reason_code] unless applicant[:reason_code].blank?
+          unless applicant[:additional_reason_codes].nil?
+            referral_activity_values[:additional_reason_codes] = extract_additional_reason_codes(applicant[:additional_reason_codes])
+          end
+          referral_activity_values
+        end
+
+        # I don't know why the transformer 'double-nests' my array value,
+        # but I'm not going to fix it at the risk of damaging overall behaviour
+        def extract_additional_reason_codes(reason_codes_value)
+          if reason_codes_value.is_a?(Array) && reason_codes_value.first.is_a?(Hash)
+            reason_codes_value.first.values.first
+          else
+            reason_codes_value
+          end
         end
 
         def get_enrolled_non_esi_indicator(enrolled_non_esi_benfits)

lib/aca_entities/atp/xml/constraint/exchange/SBM_MESBM.xsd

@@ -1,25 +1,18 @@
-<?xml version="1.0" encoding="UTF-8"?>  
+<?xml version="1.0" encoding="UTF-8"?>
 <xsd:schema xmlns:exch="http://at.dsh.cms.gov/exchange/1.0"
-            xmlns:xsd="http://www.w3.org/2001/XMLSchema"
-            xmlns:hix-ee="http://hix.cms.gov/0.1/hix-ee"
-            xmlns:i="http://niem.gov/niem/appinfo/2.0"
-            xmlns:hix-types="http://hix.cms.gov/0.1/hix-types"
-            xmlns:s="http://niem.gov/niem/structures/2.0"
-            xmlns:me-atp="http://xmlns.coverme.gov/atp/hix-ee"
-            attributeFormDefault="qualified"
-            elementFormDefault="qualified" targetNamespace="http://xmlns.coverme.gov/atp/hix-ee" version="1">
-    <xsd:import namespace="http://hix.cms.gov/0.1/hix-types"
-                schemaLocation="../niem/domains/hix/0.1/hix-tupes/hix-types.xsd" />
-    <xsd:import namespace="http://hix.cms.gov/0.1/hix-ee"
-                schemaLocation="../niem/domains/hix/0.1/hix-ee/hix-ee.xsd" />
-   <xsd:import namespace="http://niem.gov/niem/structures/2.0"
-      schemaLocation="../../subset/niem/structures/2.0/structures.xsd"/>
-
-    <xsd:element abstract="false" name="ReferralActivity"
-                 substitutionGroup="hix-ee:ReferralActivity"
-                 type="me-atp:ReferralActivityType">
-    </xsd:element>
-
+   xmlns:xsd="http://www.w3.org/2001/XMLSchema"
+   xmlns:hix-ee="http://hix.cms.gov/0.1/hix-ee"
+   xmlns:i="http://niem.gov/niem/appinfo/2.0"
+   xmlns:hix-types="http://hix.cms.gov/0.1/hix-types"
+   xmlns:s="http://niem.gov/niem/structures/2.0"
+   xmlns:me-atp="http://xmlns.coverme.gov/atp/hix-ee" attributeFormDefault="qualified" elementFormDefault="qualified" targetNamespace="http://xmlns.coverme.gov/atp/hix-ee" version="1">
+   <xsd:import namespace="http://hix.cms.gov/0.1/hix-types" schemaLocation="../niem/domains/hix/0.1/hix-tupes/hix-types.xsd" />
+   <xsd:import namespace="http://hix.cms.gov/0.1/hix-ee" schemaLocation="../niem/domains/hix/0.1/hix-ee/hix-ee.xsd" />
+   <xsd:import namespace="http://niem.gov/niem/structures/2.0" schemaLocation="../../subset/niem/structures/2.0/structures.xsd"/>
+
+   <xsd:element abstract="false" name="ReferralActivity" substitutionGroup="hix-ee:ReferralActivity" type="me-atp:ReferralActivityType">
+   </xsd:element>
+
    <xsd:complexType abstract="false" mixed="false" name="ReferralActivityType">
       <xsd:annotation>
          <xsd:appinfo>
@@ -35,6 +28,51 @@
          </xsd:extension>
       </xsd:complexContent>
    </xsd:complexType>
-
-   <xsd:element name="AdditionalReferralActivityReasonCode" type="hix-types:ReferralActivityReasonCodeType" />
+
+   <xsd:simpleType name="AdditionalReferralActivityReasonCodeSimpleType">
+      <xsd:annotation>
+         <xsd:appinfo>
+            <i:Base i:name="Object" i:namespace="http://niem.gov/niem/structures/2.0"/>
+         </xsd:appinfo>
+         <xsd:documentation source="">A data type for a reason for a referral activity.</xsd:documentation>
+      </xsd:annotation>
+      <xsd:restriction base="xsd:token">
+         <xsd:enumeration value="FullDetermination">
+            <xsd:annotation>
+               <xsd:documentation source="">The applicant has requested a full determination be made for Medicaid and Children's Health Insurance Program eligibility.</xsd:documentation>
+            </xsd:annotation>
+         </xsd:enumeration>
+         <xsd:enumeration value="WaitingPeriodException">
+            <xsd:annotation>
+               <xsd:documentation source="">The marketplace has requested that a Children's Health Insurance Program (CHIP) system determine if an applicant qualifies for an exception to the normal waiting period rules for the Children's Health Insurance Program. (This reason can apply either in the case of an initial referral from a marketplace to a CHIP system or in the case of a rejected referral initiated by a CHIP system.)</xsd:documentation>
+            </xsd:annotation>
+         </xsd:enumeration>
+         <xsd:enumeration value="GapFilling">
+            <xsd:annotation>
+               <xsd:documentation source="">The sender is referring an applicant under the gap filling rules established by the Centers for Medicare &amp; Medicaid Services.</xsd:documentation>
+            </xsd:annotation>
+         </xsd:enumeration>
+         <xsd:enumeration value="Renewal">
+            <xsd:annotation>
+               <xsd:documentation source="">The sender is referring an applicant under a renewal application.</xsd:documentation>
+            </xsd:annotation>
+         </xsd:enumeration>
+      </xsd:restriction>
+   </xsd:simpleType>
+
+   <xsd:complexType name="AdditionalReferralActivityReasonCodeType">
+      <xsd:annotation>
+         <xsd:appinfo>
+            <i:Base i:name="Object" i:namespace="http://niem.gov/niem/structures/2.0"/>
+         </xsd:appinfo>
+         <xsd:documentation source="">A data type for an additional reason for a referral activity.</xsd:documentation>
+      </xsd:annotation>
+      <xsd:simpleContent>
+         <xsd:extension base="me-atp:AdditionalReferralActivityReasonCodeSimpleType">
+            <xsd:attributeGroup ref="s:SimpleObjectAttributeGroup"/>
+         </xsd:extension>
+      </xsd:simpleContent>
+   </xsd:complexType>
+
+   <xsd:element name="AdditionalReferralActivityReasonCode" type="me-atp:AdditionalReferralActivityReasonCodeType" />
 </xsd:schema>

lib/aca_entities/medicaid/contracts/account_transfer_request_contract.rb

@@ -13,7 +13,6 @@ class AccountTransferRequestContract < Dry::Validation::Contract
           required(:people).array(:hash)
           required(:senders).filled(:array)
           required(:receivers).filled(:array)
-          required(:insurance_application).filled(:hash)
           optional(:medicaid_households).array(:hash)
           optional(:assister).maybe(:hash)
           optional(:authorized_representative).maybe(:hash)

lib/aca_entities/serializers/xml/medicaid/atp/additional_referral_activity.rb

@@ -26,9 +26,11 @@ class AdditionalReferralActivity
             has_one :receiver_reference, ReferralActivityReceiverReference
             has_one :status, ReferralActivityStatus
             element :reason_code, String, tag: 'ReferralActivityReasonCode', namespace: "hix-ee"
-            has_many :additional_reason_codes, String, tag: 'AdditionalReferralActivityReasonCode', namespace: 'me-atp'
             has_many :eligibility_reason_reference, ReferralActivityEligibilityReasonReference
 
+            # As this is derived by extension, new elements must come last.
+            has_many :additional_reason_codes, String, tag: 'AdditionalReferralActivityReasonCode', namespace: 'me-atp'
+
             def self.domain_to_mapper(referral_activity)
               mapper = self.new
               mapper.activity_id = ActivityIdentification.domain_to_mapper(referral_activity.activity_id)
@@ -37,9 +39,8 @@ def self.domain_to_mapper(referral_activity)
               mapper.receiver_reference = ReferralActivityReceiverReference.domain_to_mapper(referral_activity.receiver_reference)
               mapper.status = ReferralActivityStatus.domain_to_mapper(referral_activity.status)
               other_reason_codes = referral_activity.additional_reason_codes || []
-              encoded_additional_reasons = other_reason_codes - [referral_activity.reason_code]
-              mapper.reason_code = referral_activity.reason_code
-              mapper.additional_reason_codes = encoded_additional_reasons
+              mapper.reason_code = referral_activity.reason_code unless referral_activity.reason_code.blank?
+              mapper.additional_reason_codes = other_reason_codes
               mapper
             end
 

lib/aca_entities/serializers/xml/medicaid/atp/insurance_applicant.rb

@@ -187,10 +187,10 @@ def to_hash # rubocop:disable Metrics/CyclomaticComplexity, Metrics/MethodLength
             def self.encode_ref_activity(mapper, ref_activity)
               return unless ref_activity
 
-              if ref_activity.additional_reason_codes.present? && ref_activity.additional_reason_codes.any?
-                mapper.additional_referral_activity = AdditionalReferralActivity.domain_to_mapper(ref_activity)
-              else
+              if ref_activity.additional_reason_codes.nil?
                 mapper.referral_activity = ReferralActivity.domain_to_mapper(ref_activity)
+              else
+                mapper.additional_referral_activity = AdditionalReferralActivity.domain_to_mapper(ref_activity)
               end
             end
           end

lib/aca_entities/serializers/xml/medicaid/atp/referral_activity.rb

@@ -32,7 +32,7 @@ def self.domain_to_mapper(referral_activity)
               mapper.sender_reference = ReferralActivitySenderReference.domain_to_mapper(referral_activity.sender_reference)
               mapper.receiver_reference = ReferralActivityReceiverReference.domain_to_mapper(referral_activity.receiver_reference)
               mapper.status = ReferralActivityStatus.domain_to_mapper(referral_activity.status)
-              mapper.reason_code = referral_activity.reason_code
+              mapper.reason_code = referral_activity.reason_code unless referral_activity.reason_code.blank?
               mapper
             end
 

spec/aca_entities/atp/operations/aces/generate_xml_spec.rb

@@ -75,12 +75,12 @@
       expect(texts&.first&.content&.strip).to eq "true"
     end
 
-    it 'should include the default referral activity reason code' do
+    it 'should not include any default activity code' do
       payload_hash[:family][:magi_medicaid_applications][:applicants].first[:is_temporarily_out_of_state] = true
       result = described_class.new.call(payload_hash.to_json)
       doc = Nokogiri::XML.parse(result.value!)
       texts = doc.xpath("//hix-ee:InsuranceApplicant/hix-ee:ReferralActivity/hix-ee:ReferralActivityReasonCode", namespaces).map(&:content)
-      expect(texts).to eq ["FullDetermination", "FullDetermination", "FullDetermination"]
+      expect(texts).to eq []
     end
 
     context 'when person has contact with unmappable kind' do
@@ -1078,11 +1078,11 @@
   let(:payload) { File.read(Pathname.pwd.join("spec/support/atp/sample_payloads/multiple_reason_L_cv_payload.json")) }
   let(:payload_hash) { JSON.parse(payload, symbolize_names: true) }
 
-  it 'should include additional referral activity reason codes, excluding the primary one' do
+  it 'should include additional referral activity reason codes' do
     payload_hash[:family][:magi_medicaid_applications][:applicants].first[:is_temporarily_out_of_state] = true
     result = described_class.new.call(payload_hash.to_json)
     doc = Nokogiri::XML.parse(result.value!)
     texts = doc.xpath("//hix-ee:InsuranceApplicant/me-atp:ReferralActivity/me-atp:AdditionalReferralActivityReasonCode", namespaces).map(&:content)
-    expect(texts).to eq ["GapFilling"]
+    expect(texts).to eq ["FullDetermination", "GapFilling"]
   end
 end