hippo_eyeDoc 0.0.1

data/lib/hippo_eyeDoc/segments/SBR.rb

@@ -0,0 +1,79 @@
+module Hippo_eyeDoc::Segments
+  class SBR < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'SBR'
+
+    field :name                 => 'PayerResponsibilitySequenceNumberCode',
+          :sequence             => 1,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => true,
+          :data_element_number  => 1138
+
+    field :name                 => 'IndividualRelationshipCode',
+          :sequence             => 2,
+          :datatype             => :list,
+          :minimum              => 2,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1069
+
+    field :name                 => 'ReferenceIdentification',
+          :sequence             => 3,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 50,
+          :required             => false,
+          :data_element_number  => 127
+
+    field :name                 => 'Name',
+          :sequence             => 4,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 60,
+          :required             => false,
+          :data_element_number  => 93
+
+    field :name                 => 'InsuranceTypeCode',
+          :sequence             => 5,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 3,
+          :required             => false,
+          :data_element_number  => 1336
+
+    field :name                 => 'CoordinationOfBenefitsCode',
+          :sequence             => 6,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1143
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 7,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    field :name                 => 'EmploymentStatusCode',
+          :sequence             => 8,
+          :datatype             => :list,
+          :minimum              => 2,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 584
+
+    field :name                 => 'ClaimFilingIndicatorCode',
+          :sequence             => 9,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1032
+
+  end
+end

data/lib/hippo_eyeDoc/segments/SD1.rb

@@ -0,0 +1,71 @@
+module Hippo_eyeDoc::Segments
+  class SD1 < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'SD1'
+
+    field :name                 => 'ItemDescriptionType',
+          :sequence             => 1,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => true,
+          :data_element_number  => 349
+
+    field :name                 => 'SafetyCharacteristicHazardCode',
+          :sequence             => 2,
+          :datatype             => :list,
+          :minimum              => 3,
+          :maximum              => 3,
+          :required             => true,
+          :data_element_number  => 821
+
+    field :name                 => 'AgencyQualifierCode',
+          :sequence             => 3,
+          :datatype             => :list,
+          :minimum              => 2,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 559
+
+    field :name                 => 'SourceSubqualifier',
+          :sequence             => 4,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 15,
+          :required             => false,
+          :data_element_number  => 822
+
+    field :name                 => 'ProductDescriptionCode',
+          :sequence             => 5,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 12,
+          :required             => false,
+          :data_element_number  => 751
+
+    field :name                 => 'Description',
+          :sequence             => 6,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 80,
+          :required             => false,
+          :data_element_number  => 352
+
+    field :name                 => 'StateOrProvinceCode',
+          :sequence             => 7,
+          :datatype             => :list,
+          :minimum              => 2,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 156
+
+    field :name                 => 'CountryCode',
+          :sequence             => 8,
+          :datatype             => :list,
+          :minimum              => 2,
+          :maximum              => 3,
+          :required             => false,
+          :data_element_number  => 26
+
+  end
+end

data/lib/hippo_eyeDoc/segments/SE.rb

@@ -0,0 +1,23 @@
+module Hippo_eyeDoc::Segments
+  class SE < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'SE'
+
+    field :name                 => 'NumberOfIncludedSegments',
+          :sequence             => 1,
+          :datatype             => :integer,
+          :minimum              => 1,
+          :maximum              => 10,
+          :required             => true,
+          :data_element_number  => 96
+
+    field :name                 => 'TransactionSetControlNumber',
+          :sequence             => 2,
+          :datatype             => :string,
+          :minimum              => 4,
+          :maximum              => 9,
+          :required             => true,
+          :data_element_number  => 329
+
+  end
+end

data/lib/hippo_eyeDoc/segments/ST.rb

@@ -0,0 +1,31 @@
+module Hippo_eyeDoc::Segments
+  class ST < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'ST'
+
+    field :name                 => 'TransactionSetIdentifierCode',
+          :sequence             => 1,
+          :datatype             => :list,
+          :minimum              => 3,
+          :maximum              => 3,
+          :required             => true,
+          :data_element_number  => 143
+
+    field :name                 => 'TransactionSetControlNumber',
+          :sequence             => 2,
+          :datatype             => :string,
+          :minimum              => 4,
+          :maximum              => 9,
+          :required             => true,
+          :data_element_number  => 329
+
+    field :name                 => 'ImplementationConventionReference',
+          :sequence             => 3,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 35,
+          :required             => false,
+          :data_element_number  => 1705
+
+  end
+end

data/lib/hippo_eyeDoc/segments/STC.rb

@@ -0,0 +1,187 @@
+module Hippo_eyeDoc::Segments
+  class STC < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'STC'
+
+    composite_field 'HealthCareClaimStatus' do
+
+      field :name                 => 'IndustryCode',
+            :sequence             => 1,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 30,
+            :required             => true,
+            :data_element_number  => 1271
+
+      field :name                 => 'IndustryCode',
+            :sequence             => 2,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 30,
+            :required             => true,
+            :data_element_number  => 1271
+
+      field :name                 => 'EntityIdentifierCode',
+            :sequence             => 3,
+            :datatype             => :list,
+            :minimum              => 2,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 98
+
+      field :name                 => 'CodeListQualifierCode',
+            :sequence             => 4,
+            :datatype             => :list,
+            :minimum              => 1,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 1270
+
+    end
+
+    field :name                 => 'Date',
+          :sequence             => 2,
+          :datatype             => :date,
+          :minimum              => 8,
+          :maximum              => 8,
+          :required             => false,
+          :data_element_number  => 373
+
+    field :name                 => 'ActionCode',
+          :sequence             => 3,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 306
+
+    field :name                 => 'MonetaryAmount',
+          :sequence             => 4,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 18,
+          :required             => false,
+          :data_element_number  => 782
+
+    field :name                 => 'MonetaryAmount',
+          :sequence             => 5,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 18,
+          :required             => false,
+          :data_element_number  => 782
+
+    field :name                 => 'Date',
+          :sequence             => 6,
+          :datatype             => :date,
+          :minimum              => 8,
+          :maximum              => 8,
+          :required             => false,
+          :data_element_number  => 373
+
+    field :name                 => 'PaymentMethodCode',
+          :sequence             => 7,
+          :datatype             => :list,
+          :minimum              => 3,
+          :maximum              => 3,
+          :required             => false,
+          :data_element_number  => 591
+
+    field :name                 => 'Date',
+          :sequence             => 8,
+          :datatype             => :date,
+          :minimum              => 8,
+          :maximum              => 8,
+          :required             => false,
+          :data_element_number  => 373
+
+    field :name                 => 'CheckNumber',
+          :sequence             => 9,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 16,
+          :required             => false,
+          :data_element_number  => 429
+
+    composite_field 'HealthCareClaimStatus' do
+
+      field :name                 => 'IndustryCode',
+            :sequence             => 1,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 30,
+            :required             => true,
+            :data_element_number  => 1271
+
+      field :name                 => 'IndustryCode',
+            :sequence             => 2,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 30,
+            :required             => true,
+            :data_element_number  => 1271
+
+      field :name                 => 'EntityIdentifierCode',
+            :sequence             => 3,
+            :datatype             => :list,
+            :minimum              => 2,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 98
+
+      field :name                 => 'CodeListQualifierCode',
+            :sequence             => 4,
+            :datatype             => :list,
+            :minimum              => 1,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 1270
+
+    end
+
+    composite_field 'HealthCareClaimStatus' do
+
+      field :name                 => 'IndustryCode',
+            :sequence             => 1,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 30,
+            :required             => true,
+            :data_element_number  => 1271
+
+      field :name                 => 'IndustryCode',
+            :sequence             => 2,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 30,
+            :required             => true,
+            :data_element_number  => 1271
+
+      field :name                 => 'EntityIdentifierCode',
+            :sequence             => 3,
+            :datatype             => :list,
+            :minimum              => 2,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 98
+
+      field :name                 => 'CodeListQualifierCode',
+            :sequence             => 4,
+            :datatype             => :list,
+            :minimum              => 1,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 1270
+
+    end
+
+    field :name                 => 'FreeFormMessageText',
+          :sequence             => 12,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 264,
+          :required             => false,
+          :data_element_number  => 933
+
+  end
+end

data/lib/hippo_eyeDoc/segments/SV1.rb

@@ -0,0 +1,263 @@
+module Hippo_eyeDoc::Segments
+  class SV1 < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'SV1'
+
+    composite_field 'CompositeMedicalProcedureIdentifier' do
+
+      field :name                 => 'ProductServiceIdQualifier',
+            :sequence             => 1,
+            :datatype             => :list,
+            :minimum              => 2,
+            :maximum              => 2,
+            :required             => true,
+            :data_element_number  => 235
+
+      field :name                 => 'ProductServiceId',
+            :sequence             => 2,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 48,
+            :required             => true,
+            :data_element_number  => 234
+
+      field :name                 => 'ProcedureModifier',
+            :sequence             => 3,
+            :datatype             => :string,
+            :minimum              => 2,
+            :maximum              => 2,
+            :required             => false,
+            :data_element_number  => 1339
+
+      field :name                 => 'ProcedureModifier',
+            :sequence             => 4,
+            :datatype             => :string,
+            :minimum              => 2,
+            :maximum              => 2,
+            :required             => false,
+            :data_element_number  => 1339
+
+      field :name                 => 'ProcedureModifier',
+            :sequence             => 5,
+            :datatype             => :string,
+            :minimum              => 2,
+            :maximum              => 2,
+            :required             => false,
+            :data_element_number  => 1339
+
+      field :name                 => 'ProcedureModifier',
+            :sequence             => 6,
+            :datatype             => :string,
+            :minimum              => 2,
+            :maximum              => 2,
+            :required             => false,
+            :data_element_number  => 1339
+
+      field :name                 => 'Description',
+            :sequence             => 7,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 80,
+            :required             => false,
+            :data_element_number  => 352
+
+      field :name                 => 'ProductServiceId',
+            :sequence             => 8,
+            :datatype             => :string,
+            :minimum              => 1,
+            :maximum              => 48,
+            :required             => false,
+            :data_element_number  => 234
+
+    end
+
+    field :name                 => 'MonetaryAmount',
+          :sequence             => 2,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 18,
+          :required             => false,
+          :data_element_number  => 782
+
+    field :name                 => 'UnitOrBasisForMeasurementCode',
+          :sequence             => 3,
+          :datatype             => :list,
+          :minimum              => 2,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 355
+
+    field :name                 => 'Quantity',
+          :sequence             => 4,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 15,
+          :required             => false,
+          :data_element_number  => 380
+
+    field :name                 => 'FacilityCodeValue',
+          :sequence             => 5,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1331
+
+    field :name                 => 'ServiceTypeCode',
+          :sequence             => 6,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1365
+
+    composite_field 'CompositeDiagnosisCodePointer' do
+
+      field :name                 => 'DiagnosisCodePointer',
+            :sequence             => 1,
+            :datatype             => :integer,
+            :minimum              => 1,
+            :maximum              => 2,
+            :required             => true,
+            :data_element_number  => 1328
+
+      field :name                 => 'DiagnosisCodePointer',
+            :sequence             => 2,
+            :datatype             => :integer,
+            :minimum              => 1,
+            :maximum              => 2,
+            :required             => false,
+            :data_element_number  => 1328
+
+      field :name                 => 'DiagnosisCodePointer',
+            :sequence             => 3,
+            :datatype             => :integer,
+            :minimum              => 1,
+            :maximum              => 2,
+            :required             => false,
+            :data_element_number  => 1328
+
+      field :name                 => 'DiagnosisCodePointer',
+            :sequence             => 4,
+            :datatype             => :integer,
+            :minimum              => 1,
+            :maximum              => 2,
+            :required             => false,
+            :data_element_number  => 1328
+
+    end
+
+    field :name                 => 'MonetaryAmount',
+          :sequence             => 8,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 18,
+          :required             => false,
+          :data_element_number  => 782
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 9,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    field :name                 => 'MultipleProcedureCode',
+          :sequence             => 10,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1340
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 11,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 12,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    field :name                 => 'ReviewCode',
+          :sequence             => 13,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1364
+
+    field :name                 => 'NationalOrLocalAssignedReviewValue',
+          :sequence             => 14,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1341
+
+    field :name                 => 'CopayStatusCode',
+          :sequence             => 15,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1327
+
+    field :name                 => 'HealthCareProfessionalShortageAreaCode',
+          :sequence             => 16,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1334
+
+    field :name                 => 'ReferenceIdentification',
+          :sequence             => 17,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 50,
+          :required             => false,
+          :data_element_number  => 127
+
+    field :name                 => 'PostalCode',
+          :sequence             => 18,
+          :datatype             => :list,
+          :minimum              => 3,
+          :maximum              => 15,
+          :required             => false,
+          :data_element_number  => 116
+
+    field :name                 => 'MonetaryAmount',
+          :sequence             => 19,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 18,
+          :required             => false,
+          :data_element_number  => 782
+
+    field :name                 => 'LevelOfCareCode',
+          :sequence             => 20,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1337
+
+    field :name                 => 'ProviderAgreementCode',
+          :sequence             => 21,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1360
+
+  end
+end