hccinfhir 0.1.4__py3-none-any.whl → 0.1.5__py3-none-any.whl

hccinfhir/__init__.py

@@ -21,7 +21,7 @@ from .samples import (
     list_available_samples
 )
 
-__version__ = "0.1.2"
+__version__ = "0.1.5"
 __author__ = "Yubin Park"
 __email__ = "yubin.park@mimilabs.ai"
 

hccinfhir/model_calculate.py

@@ -83,9 +83,11 @@ def calculate_raf(diagnosis_codes: List[str],
     coefficients = apply_coefficients(demographics, hcc_set, interactions, model_name)
 
     hcc_chronic = set()
+    interactions_chronic = {}
     for hcc in hcc_set:
         if is_chronic_mapping.get((hcc, model_name), False):
             hcc_chronic.add(hcc)
+        interactions_chronic = apply_interactions(demographics, hcc_chronic, model_name)
 
     demographic_interactions = {}
     for key, value in interactions.items():
@@ -104,11 +106,13 @@ def calculate_raf(diagnosis_codes: List[str],
                                                    model_name)
     coefficients_chronic_only = apply_coefficients(demographics, 
                                                    hcc_chronic, 
-                                                   demographic_interactions, 
+                                                   interactions_chronic, 
                                                    model_name)
     
     # Calculate risk scores
+    print(f"Coefficients: {coefficients}")
     risk_score = sum(coefficients.values())
+    print(f"Risk Score: {risk_score}")
     risk_score_demographics = sum(coefficients_demographics.values())
     risk_score_chronic_only = sum(coefficients_chronic_only.values()) - risk_score_demographics
     risk_score_hcc = risk_score - risk_score_demographics

{hccinfhir-0.1.4.dist-info → hccinfhir-0.1.5.dist-info}/METADATA

@@ -1,6 +1,6 @@
 Metadata-Version: 2.3
 Name: hccinfhir
-Version: 0.1.4
+Version: 0.1.5
 Summary: HCC Algorithm for FHIR Resources
 Project-URL: Homepage, https://github.com/mimilabs/hccinfhir
 Project-URL: Issues, https://github.com/mimilabs/hccinfhir/issues
@@ -60,12 +60,12 @@ print(f"HCCs: {result.hcc_list}")
 HCCInFHIR supports three primary data sources for HCC risk adjustment calculations:
 
 ### 1. **CMS Encounter Data Records (EDRs)**
-- **Input**: X12 837 envelope files (text format) + demographic data from payers
+- **Input**: X12 837 5010 transaction files (text format) + demographic data from payers
 - **Use Case**: Medicare Advantage plans processing encounter data for CMS submissions
 - **Output**: Risk scores with detailed HCC mappings and interactions
 
 ### 2. **Clearinghouse 837 Claims**
-- **Input**: X12 837 institutional/professional claim files + patient demographics
+- **Input**: X12 837 5010 institutional/professional claim files + patient demographics
 - **Use Case**: Health plans and providers calculating risk scores from claims data
 - **Output**: Service-level analysis with filtering and risk score calculations
 
@@ -579,17 +579,99 @@ except ModelNotFoundError as e:
     print(f"Model configuration error: {e}")
 ```
 
-## 🧪 Testing
+### Custom Valuesets
+
+Users can generate custom and more specific valuesets using the mimilabs data lakehouse.
+
+For example, the valuesets in the package are created as follows:
+
+`ra_dx_to_cc_mapping_2026.csv`
+```sql
+WITH latest_years AS (
+  SELECT 
+    model_name,
+    MAX(year) as latest_year
+  FROM mimi_ws_1.cmspayment.ra_dx_to_cc_mapping 
+  WHERE model_type = 'Initial'
+    AND year <= 2026  -- Don't go beyond 2026
+  GROUP BY model_name
+)
+SELECT 
+  r.diagnosis_code, 
+  r.cc, 
+  r.model_name
+FROM mimi_ws_1.cmspayment.ra_dx_to_cc_mapping r
+INNER JOIN latest_years l 
+  ON r.model_name = l.model_name 
+  AND r.year = l.latest_year
+WHERE r.model_type = 'Initial'
+ORDER BY r.model_name, r.diagnosis_code;
+```
+
+`ra_hierarchies_2026.csv`
+```sql
+WITH latest_dates AS (
+  SELECT 
+    model_domain,
+    model_version,
+    model_fullname,
+    MAX(eff_last_date) as latest_eff_last_date
+  FROM mimi_ws_1.cmspayment.ra_hierarchies 
+  GROUP BY model_domain, model_version, model_fullname
+)
+SELECT 
+  r.cc_parent, 
+  r.cc_child, 
+  r.model_domain, 
+  r.model_version, 
+  r.model_fullname
+FROM mimi_ws_1.cmspayment.ra_hierarchies r
+INNER JOIN latest_dates l 
+  ON r.model_domain = l.model_domain 
+  AND r.model_version = l.model_version
+  AND r.model_fullname = l.model_fullname
+  AND r.eff_last_date = l.latest_eff_last_date
+ORDER BY r.model_domain, r.model_version, r.model_fullname, r.cc_parent, r.cc_child;
+```
+
+
+`ra_coefficients_2026.csv`
+```sql
+WITH preferred_records AS (
+  SELECT 
+    model_domain,
+    model_version,
+    MAX(eff_last_date) as latest_eff_last_date
+  FROM mimi_ws_1.cmspayment.ra_coefficients
+  GROUP BY model_domain, model_version
+)
+SELECT 
+  r.coefficient,
+  r.value, 
+  r.model_domain, 
+  r.model_version
+FROM mimi_ws_1.cmspayment.ra_coefficients r
+INNER JOIN preferred_records p
+  ON r.model_domain = p.model_domain 
+  AND r.model_version = p.model_version
+  AND r.eff_last_date = p.latest_eff_last_date
+ORDER BY r.model_domain, r.model_version, r.coefficient;
+```   
+
+`ra_eligible_cpt_hcpcs_2026.csv`
+```sql
+SELECT DISTINCT cpt_hcpcs_code
+FROM mimi_ws_1.cmspayment.ra_eligible_cpt_hcpcs
+WHERE is_included = 'yes' AND YEAR(mimi_src_file_date) = 2025;
+```
 
-```bash
-# Install development dependencies
-pip install -e ".[dev]"
 
-# Run tests
-pytest tests/
+## 🧪 Testing
 
-# Run with coverage
-pytest --cov=hccinfhir tests/
+```bash
+$ hatch shell
+$ pip install -e .
+$ pytest tests/*
 ```
 
 ## 📄 License

{hccinfhir-0.1.4.dist-info → hccinfhir-0.1.5.dist-info}/RECORD

@@ -1,11 +1,11 @@
-hccinfhir/__init__.py,sha256=nO2iJmzXCpLuY3FB8YVZP3KENGZiba7DORlnlMjPgYo,1043
+hccinfhir/__init__.py,sha256=G_5m6jm3_BK5NdcZWoi0NEKJEsE_LjAU1RaLaL9xNPU,1043
 hccinfhir/datamodels.py,sha256=Vp64Blwq8qWe-q1slCK8jMO9SIErUgkXusGZ0laXiWo,5936
 hccinfhir/extractor.py,sha256=xL9c2VT-e2I7_c8N8j4Og42UEgVuCzyn9WFp3ntM5Ro,1822
 hccinfhir/extractor_837.py,sha256=Jhxb5glRA8Yi8lbRwdltggXCvr_84nlsZEMRIgxyy4A,13169
 hccinfhir/extractor_fhir.py,sha256=Rg_L0Vg5tz_L2VJ_jvZwWz6RMlPAkHwj4LiK-OWQvrQ,8458
 hccinfhir/filter.py,sha256=j_yD2g6RBXVUV9trKkWzsQ35x3fRvfKUPvEXKUefI64,2007
 hccinfhir/hccinfhir.py,sha256=6jvLoJF1TcqTGXbDA-_l3os6-xO68SKRr2l26LjzlgM,6982
-hccinfhir/model_calculate.py,sha256=a9W5Lp3KK5ZwZcudOJcEzcuk7SuQfmJaS8eNpqDzbOc,5491
+hccinfhir/model_calculate.py,sha256=fPhSqfxN9-9EPyp8z-O8XZWMXmLU6Hun7OhXAgsgDFw,5688
 hccinfhir/model_coefficients.py,sha256=ZsVY0S_X_BzDvcCmzCEf31v8uixbGmPAsR6nVEyCbIA,5530
 hccinfhir/model_demographics.py,sha256=7W5NLW7aAjpn25BJzqfP8iSouD9uA6epGguJJ6BPuC0,7043
 hccinfhir/model_dx_to_cc.py,sha256=guJny2Mb9z8YRNWCXGSIE3APbE06zwnA2NRkjAeUs60,1765
@@ -43,7 +43,7 @@ hccinfhir/sample_files/sample_eob_1.json,sha256=_NGSVR2ysFpx-DcTvyga6dFCzhQ8Vi9f
 hccinfhir/sample_files/sample_eob_2.json,sha256=FcnJcx0ApOczxjJ_uxVLzCep9THfNf4xs9Yf7hxk8e4,1769
 hccinfhir/sample_files/sample_eob_200.ndjson,sha256=CxpjeQ1DCMUzZILaM68UEhfxO0p45YGhDDoCZeq8PxU,1917986
 hccinfhir/sample_files/sample_eob_3.json,sha256=4BW4wOMBEEU9RDfJR15rBEvk0KNHyuMEh3e055y87Hc,2306
-hccinfhir-0.1.4.dist-info/METADATA,sha256=zi36h0T3rmj2fpWG_GTr2DpvuV1z7WltvR5euUQrclQ,19876
-hccinfhir-0.1.4.dist-info/WHEEL,sha256=C2FUgwZgiLbznR-k0b_5k3Ai_1aASOXDss3lzCUsUug,87
-hccinfhir-0.1.4.dist-info/licenses/LICENSE,sha256=xx0jnfkXJvxRnG63LTGOxlggYnIysveWIZ6H3PNdCrQ,11357
-hccinfhir-0.1.4.dist-info/RECORD,,
+hccinfhir-0.1.5.dist-info/METADATA,sha256=2FjYMUdQ67RQHeayhpmAhCuVyEGYSnUxcVbyC1mTn8w,21979
+hccinfhir-0.1.5.dist-info/WHEEL,sha256=C2FUgwZgiLbznR-k0b_5k3Ai_1aASOXDss3lzCUsUug,87
+hccinfhir-0.1.5.dist-info/licenses/LICENSE,sha256=xx0jnfkXJvxRnG63LTGOxlggYnIysveWIZ6H3PNdCrQ,11357
+hccinfhir-0.1.5.dist-info/RECORD,,