hippo_eyeDoc 0.0.1

data/lib/hippo_eyeDoc/segments/SV2.rb

@@ -0,0 +1,147 @@
+module Hippo_eyeDoc::Segments
+  class SV2 < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'SV2'
+
+    field :name                 => 'ProductServiceId',
+          :sequence             => 1,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 48,
+          :required             => false,
+          :data_element_number  => 234
+
+    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             => 3,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 18,
+          :required             => false,
+          :data_element_number  => 782
+
+    field :name                 => 'UnitOrBasisForMeasurementCode',
+          :sequence             => 4,
+          :datatype             => :list,
+          :minimum              => 2,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 355
+
+    field :name                 => 'Quantity',
+          :sequence             => 5,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 15,
+          :required             => false,
+          :data_element_number  => 380
+
+    field :name                 => 'UnitRate',
+          :sequence             => 6,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 10,
+          :required             => false,
+          :data_element_number  => 1371
+
+    field :name                 => 'MonetaryAmount',
+          :sequence             => 7,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 18,
+          :required             => false,
+          :data_element_number  => 782
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 8,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    field :name                 => 'NursingHomeResidentialStatusCode',
+          :sequence             => 9,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1345
+
+    field :name                 => 'LevelOfCareCode',
+          :sequence             => 10,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1337
+
+  end
+end

data/lib/hippo_eyeDoc/segments/SV3.rb

@@ -0,0 +1,219 @@
+module Hippo_eyeDoc::Segments
+  class SV3 < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'SV3'
+
+    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                 => 'FacilityCodeValue',
+          :sequence             => 3,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1331
+
+    composite_field 'OralCavityDesignation' do
+
+      field :name                 => 'OralCavityDesignationCode',
+            :sequence             => 1,
+            :datatype             => :list,
+            :minimum              => 1,
+            :maximum              => 3,
+            :required             => true,
+            :data_element_number  => 1361
+
+      field :name                 => 'OralCavityDesignationCode',
+            :sequence             => 2,
+            :datatype             => :list,
+            :minimum              => 1,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 1361
+
+      field :name                 => 'OralCavityDesignationCode',
+            :sequence             => 3,
+            :datatype             => :list,
+            :minimum              => 1,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 1361
+
+      field :name                 => 'OralCavityDesignationCode',
+            :sequence             => 4,
+            :datatype             => :list,
+            :minimum              => 1,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 1361
+
+      field :name                 => 'OralCavityDesignationCode',
+            :sequence             => 5,
+            :datatype             => :list,
+            :minimum              => 1,
+            :maximum              => 3,
+            :required             => false,
+            :data_element_number  => 1361
+
+    end
+
+    field :name                 => 'ProsthesisCrownOrInlayCode',
+          :sequence             => 5,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1358
+
+    field :name                 => 'Quantity',
+          :sequence             => 6,
+          :datatype             => :decimal,
+          :minimum              => 1,
+          :maximum              => 15,
+          :required             => false,
+          :data_element_number  => 380
+
+    field :name                 => 'Description',
+          :sequence             => 7,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 80,
+          :required             => false,
+          :data_element_number  => 352
+
+    field :name                 => 'CopayStatusCode',
+          :sequence             => 8,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1327
+
+    field :name                 => 'ProviderAgreementCode',
+          :sequence             => 9,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1360
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 10,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    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
+
+  end
+end

data/lib/hippo_eyeDoc/segments/SV4.rb

@@ -0,0 +1,211 @@
+module Hippo_eyeDoc::Segments
+  class SV4 < Hippo_eyeDoc::Segments::Base
+
+    segment_identifier 'SV4'
+
+    field :name                 => 'ReferenceIdentification',
+          :sequence             => 1,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 50,
+          :required             => true,
+          :data_element_number  => 127
+
+    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                 => 'ReferenceIdentification',
+          :sequence             => 3,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 50,
+          :required             => false,
+          :data_element_number  => 127
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 4,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    field :name                 => 'DispenseAsWrittenCode',
+          :sequence             => 5,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1329
+
+    field :name                 => 'LevelOfServiceCode',
+          :sequence             => 6,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 3,
+          :required             => false,
+          :data_element_number  => 1338
+
+    field :name                 => 'PrescriptionOriginCode',
+          :sequence             => 7,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1356
+
+    field :name                 => 'Description',
+          :sequence             => 8,
+          :datatype             => :string,
+          :minimum              => 1,
+          :maximum              => 80,
+          :required             => false,
+          :data_element_number  => 352
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 9,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    field :name                 => 'YesNoConditionOrResponseCode',
+          :sequence             => 10,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1073
+
+    field :name                 => 'UnitDoseCode',
+          :sequence             => 11,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1370
+
+    field :name                 => 'BasisOfCostDeterminationCode',
+          :sequence             => 12,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1319
+
+    field :name                 => 'BasisOfDaysSupplyDeterminationCode',
+          :sequence             => 13,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1320
+
+    field :name                 => 'DosageFormCode',
+          :sequence             => 14,
+          :datatype             => :list,
+          :minimum              => 2,
+          :maximum              => 2,
+          :required             => false,
+          :data_element_number  => 1330
+
+    field :name                 => 'CopayStatusCode',
+          :sequence             => 15,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1327
+
+    field :name                 => 'PatientLocationCode',
+          :sequence             => 16,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1384
+
+    field :name                 => 'LevelOfCareCode',
+          :sequence             => 17,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1337
+
+    field :name                 => 'PriorAuthorizationTypeCode',
+          :sequence             => 18,
+          :datatype             => :list,
+          :minimum              => 1,
+          :maximum              => 1,
+          :required             => false,
+          :data_element_number  => 1357
+
+  end
+end