stupidedi 1.1.0

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Files changed (500) hide show
  1. data/README.md +215 -0
  2. data/Rakefile +108 -0
  3. data/bin/edi-ed +71 -0
  4. data/bin/edi-pp +81 -0
  5. data/doc/Defining.md +0 -0
  6. data/doc/Generating.md +321 -0
  7. data/doc/LICENSE.md +0 -0
  8. data/doc/Navigating.md +645 -0
  9. data/doc/Parsing.md +0 -0
  10. data/doc/Serializing.md +7 -0
  11. data/doc/Tokenizing.md +0 -0
  12. data/doc/Validating.md +0 -0
  13. data/doc/design/Parser.md +0 -0
  14. data/doc/design/Reader.md +0 -0
  15. data/lib/ruby/array.rb +164 -0
  16. data/lib/ruby/blank.rb +67 -0
  17. data/lib/ruby/enumerable.rb +35 -0
  18. data/lib/ruby/exception.rb +33 -0
  19. data/lib/ruby/hash.rb +4 -0
  20. data/lib/ruby/instance_exec.rb +26 -0
  21. data/lib/ruby/module.rb +79 -0
  22. data/lib/ruby/object.rb +63 -0
  23. data/lib/ruby/string.rb +73 -0
  24. data/lib/ruby/symbol.rb +24 -0
  25. data/lib/ruby/to_d.rb +81 -0
  26. data/lib/ruby/to_date.rb +33 -0
  27. data/lib/ruby/to_time.rb +24 -0
  28. data/lib/ruby/try.rb +43 -0
  29. data/lib/stupidedi/blank_slate.rb +11 -0
  30. data/lib/stupidedi/builder/builder_dsl.rb +281 -0
  31. data/lib/stupidedi/builder/constraint_table.rb +418 -0
  32. data/lib/stupidedi/builder/generation.rb +112 -0
  33. data/lib/stupidedi/builder/instruction.rb +102 -0
  34. data/lib/stupidedi/builder/instruction_table.rb +204 -0
  35. data/lib/stupidedi/builder/navigation.rb +655 -0
  36. data/lib/stupidedi/builder/state_machine.rb +55 -0
  37. data/lib/stupidedi/builder/states/abstract_state.rb +332 -0
  38. data/lib/stupidedi/builder/states/failure_state.rb +69 -0
  39. data/lib/stupidedi/builder/states/functional_group_state.rb +97 -0
  40. data/lib/stupidedi/builder/states/initial_state.rb +63 -0
  41. data/lib/stupidedi/builder/states/interchange_state.rb +94 -0
  42. data/lib/stupidedi/builder/states/loop_state.rb +79 -0
  43. data/lib/stupidedi/builder/states/table_state.rb +96 -0
  44. data/lib/stupidedi/builder/states/transaction_set_state.rb +112 -0
  45. data/lib/stupidedi/builder/states/transmission_state.rb +59 -0
  46. data/lib/stupidedi/builder/tokenization.rb +196 -0
  47. data/lib/stupidedi/builder.rb +23 -0
  48. data/lib/stupidedi/color.rb +93 -0
  49. data/lib/stupidedi/config/code_list_config.rb +42 -0
  50. data/lib/stupidedi/config/editor_config.rb +51 -0
  51. data/lib/stupidedi/config/functional_group_config.rb +62 -0
  52. data/lib/stupidedi/config/interchange_config.rb +79 -0
  53. data/lib/stupidedi/config/transaction_set_config.rb +91 -0
  54. data/lib/stupidedi/config.rb +101 -0
  55. data/lib/stupidedi/editor/00501.rb +341 -0
  56. data/lib/stupidedi/editor/005010/N2.rb +0 -0
  57. data/lib/stupidedi/editor/005010/N3.rb +0 -0
  58. data/lib/stupidedi/editor/005010/N4.rb +63 -0
  59. data/lib/stupidedi/editor/005010/NM1.rb +0 -0
  60. data/lib/stupidedi/editor/005010.rb +469 -0
  61. data/lib/stupidedi/editor/X222-HC837.rb +195 -0
  62. data/lib/stupidedi/editor/abstract_ed.rb +36 -0
  63. data/lib/stupidedi/editor/claim_ack.rb +9 -0
  64. data/lib/stupidedi/editor/implementation_ack.rb +213 -0
  65. data/lib/stupidedi/editor/interchange_ack.rb +9 -0
  66. data/lib/stupidedi/editor/result.rb +100 -0
  67. data/lib/stupidedi/editor/result_set.rb +69 -0
  68. data/lib/stupidedi/editor/transaction_set_ed.rb +275 -0
  69. data/lib/stupidedi/editor/transmission_ed.rb +90 -0
  70. data/lib/stupidedi/editor.rb +37 -0
  71. data/lib/stupidedi/either.rb +287 -0
  72. data/lib/stupidedi/exceptions/invalid_element_error.rb +8 -0
  73. data/lib/stupidedi/exceptions/invalid_schema_error.rb +8 -0
  74. data/lib/stupidedi/exceptions/output_error.rb +8 -0
  75. data/lib/stupidedi/exceptions/parse_error.rb +8 -0
  76. data/lib/stupidedi/exceptions/stupidedi_error.rb +8 -0
  77. data/lib/stupidedi/exceptions/tokenize_error.rb +8 -0
  78. data/lib/stupidedi/exceptions/zipper_error.rb +8 -0
  79. data/lib/stupidedi/exceptions.rb +11 -0
  80. data/lib/stupidedi/guides/005010/X214-HN277.rb +409 -0
  81. data/lib/stupidedi/guides/005010/X221-HP835.rb +613 -0
  82. data/lib/stupidedi/guides/005010/X221A1-HP835.rb +613 -0
  83. data/lib/stupidedi/guides/005010/X222-HC837P.rb +2291 -0
  84. data/lib/stupidedi/guides/005010/X222A1-HC837P.rb +2297 -0
  85. data/lib/stupidedi/guides/005010/X231-FA999.rb +123 -0
  86. data/lib/stupidedi/guides/005010/X231A1-FA999.rb +119 -0
  87. data/lib/stupidedi/guides/005010/element_reqs.rb +38 -0
  88. data/lib/stupidedi/guides/005010/guide_builder.rb +180 -0
  89. data/lib/stupidedi/guides/005010/segment_reqs.rb +32 -0
  90. data/lib/stupidedi/guides/005010.rb +64 -0
  91. data/lib/stupidedi/guides.rb +5 -0
  92. data/lib/stupidedi/inspect.rb +26 -0
  93. data/lib/stupidedi/reader/input/abstract_input.rb +133 -0
  94. data/lib/stupidedi/reader/input/delegated_input.rb +111 -0
  95. data/lib/stupidedi/reader/input/file_input.rb +155 -0
  96. data/lib/stupidedi/reader/input.rb +30 -0
  97. data/lib/stupidedi/reader/position.rb +69 -0
  98. data/lib/stupidedi/reader/result.rb +168 -0
  99. data/lib/stupidedi/reader/segment_dict.rb +175 -0
  100. data/lib/stupidedi/reader/separators.rb +85 -0
  101. data/lib/stupidedi/reader/stream_reader.rb +172 -0
  102. data/lib/stupidedi/reader/token_reader.rb +466 -0
  103. data/lib/stupidedi/reader/tokens/component_element_tok.rb +56 -0
  104. data/lib/stupidedi/reader/tokens/composite_element_tok.rb +64 -0
  105. data/lib/stupidedi/reader/tokens/repeated_element_tok.rb +64 -0
  106. data/lib/stupidedi/reader/tokens/segment_tok.rb +51 -0
  107. data/lib/stupidedi/reader/tokens/simple_element_tok.rb +63 -0
  108. data/lib/stupidedi/reader.rb +121 -0
  109. data/lib/stupidedi/schema/abstract_def.rb +74 -0
  110. data/lib/stupidedi/schema/abstract_use.rb +73 -0
  111. data/lib/stupidedi/schema/code_list.rb +94 -0
  112. data/lib/stupidedi/schema/element_def.rb +173 -0
  113. data/lib/stupidedi/schema/element_req.rb +56 -0
  114. data/lib/stupidedi/schema/element_use.rb +251 -0
  115. data/lib/stupidedi/schema/functional_group_def.rb +114 -0
  116. data/lib/stupidedi/schema/interchange_def.rb +93 -0
  117. data/lib/stupidedi/schema/loop_def.rb +152 -0
  118. data/lib/stupidedi/schema/repeat_count.rb +85 -0
  119. data/lib/stupidedi/schema/segment_def.rb +108 -0
  120. data/lib/stupidedi/schema/segment_req.rb +43 -0
  121. data/lib/stupidedi/schema/segment_use.rb +98 -0
  122. data/lib/stupidedi/schema/syntax_note.rb +63 -0
  123. data/lib/stupidedi/schema/table_def.rb +139 -0
  124. data/lib/stupidedi/schema/transaction_set_def.rb +88 -0
  125. data/lib/stupidedi/schema.rb +28 -0
  126. data/lib/stupidedi/sets/absolute_set.rb +297 -0
  127. data/lib/stupidedi/sets/abstract_set.rb +174 -0
  128. data/lib/stupidedi/sets/null_set.rb +125 -0
  129. data/lib/stupidedi/sets/relative_complement.rb +137 -0
  130. data/lib/stupidedi/sets/relative_set.rb +269 -0
  131. data/lib/stupidedi/sets/universal_set.rb +104 -0
  132. data/lib/stupidedi/sets.rb +57 -0
  133. data/lib/stupidedi/tail_call.rb +109 -0
  134. data/lib/stupidedi/thread_local.rb +174 -0
  135. data/lib/stupidedi/values/abstract_element_val.rb +19 -0
  136. data/lib/stupidedi/values/abstract_val.rb +130 -0
  137. data/lib/stupidedi/values/composite_element_val.rb +95 -0
  138. data/lib/stupidedi/values/functional_group_val.rb +102 -0
  139. data/lib/stupidedi/values/interchange_val.rb +86 -0
  140. data/lib/stupidedi/values/invalid_envelope_val.rb +61 -0
  141. data/lib/stupidedi/values/invalid_segment_val.rb +78 -0
  142. data/lib/stupidedi/values/loop_val.rb +70 -0
  143. data/lib/stupidedi/values/repeated_element_val.rb +105 -0
  144. data/lib/stupidedi/values/segment_val.rb +104 -0
  145. data/lib/stupidedi/values/segment_val_group.rb +20 -0
  146. data/lib/stupidedi/values/simple_element_val.rb +80 -0
  147. data/lib/stupidedi/values/table_val.rb +66 -0
  148. data/lib/stupidedi/values/transaction_set_val.rb +66 -0
  149. data/lib/stupidedi/values/transmission_val.rb +52 -0
  150. data/lib/stupidedi/values.rb +21 -0
  151. data/lib/stupidedi/version.rb +3 -0
  152. data/lib/stupidedi/versions/functional_groups/004010/element_defs.rb +54 -0
  153. data/lib/stupidedi/versions/functional_groups/004010/element_reqs.rb +18 -0
  154. data/lib/stupidedi/versions/functional_groups/004010/element_types/date_val.rb +527 -0
  155. data/lib/stupidedi/versions/functional_groups/004010/element_types/fixnum_val.rb +335 -0
  156. data/lib/stupidedi/versions/functional_groups/004010/element_types/float_val.rb +299 -0
  157. data/lib/stupidedi/versions/functional_groups/004010/element_types/identifier_val.rb +287 -0
  158. data/lib/stupidedi/versions/functional_groups/004010/element_types/string_val.rb +338 -0
  159. data/lib/stupidedi/versions/functional_groups/004010/element_types/time_val.rb +309 -0
  160. data/lib/stupidedi/versions/functional_groups/004010/element_types.rb +124 -0
  161. data/lib/stupidedi/versions/functional_groups/004010/functional_group_def.rb +30 -0
  162. data/lib/stupidedi/versions/functional_groups/004010/segment_defs/GE.rb +20 -0
  163. data/lib/stupidedi/versions/functional_groups/004010/segment_defs/GS.rb +27 -0
  164. data/lib/stupidedi/versions/functional_groups/004010/segment_defs/SE.rb +20 -0
  165. data/lib/stupidedi/versions/functional_groups/004010/segment_defs/ST.rb +20 -0
  166. data/lib/stupidedi/versions/functional_groups/004010/segment_defs.rb +23 -0
  167. data/lib/stupidedi/versions/functional_groups/004010/segment_reqs.rb +18 -0
  168. data/lib/stupidedi/versions/functional_groups/004010/syntax_notes.rb +174 -0
  169. data/lib/stupidedi/versions/functional_groups/004010.rb +38 -0
  170. data/lib/stupidedi/versions/functional_groups/005010/element_defs.rb +1405 -0
  171. data/lib/stupidedi/versions/functional_groups/005010/element_reqs.rb +18 -0
  172. data/lib/stupidedi/versions/functional_groups/005010/element_types/date_val.rb +577 -0
  173. data/lib/stupidedi/versions/functional_groups/005010/element_types/fixnum_val.rb +322 -0
  174. data/lib/stupidedi/versions/functional_groups/005010/element_types/float_val.rb +354 -0
  175. data/lib/stupidedi/versions/functional_groups/005010/element_types/identifier_val.rb +368 -0
  176. data/lib/stupidedi/versions/functional_groups/005010/element_types/operators.rb +117 -0
  177. data/lib/stupidedi/versions/functional_groups/005010/element_types/string_val.rb +398 -0
  178. data/lib/stupidedi/versions/functional_groups/005010/element_types/time_val.rb +327 -0
  179. data/lib/stupidedi/versions/functional_groups/005010/element_types.rb +132 -0
  180. data/lib/stupidedi/versions/functional_groups/005010/functional_group_def.rb +30 -0
  181. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/AK1.rb +21 -0
  182. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/AK2.rb +21 -0
  183. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/AK9.rb +28 -0
  184. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/AMT.rb +21 -0
  185. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/BHT.rb +24 -0
  186. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/BPR.rb +49 -0
  187. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CAS.rb +56 -0
  188. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CL1.rb +22 -0
  189. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CLM.rb +41 -0
  190. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CLP.rb +34 -0
  191. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CN1.rb +24 -0
  192. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CR1.rb +32 -0
  193. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CR2.rb +35 -0
  194. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CR3.rb +25 -0
  195. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CRC.rb +26 -0
  196. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CTP.rb +36 -0
  197. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CTX.rb +24 -0
  198. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CUR.rb +57 -0
  199. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DMG.rb +34 -0
  200. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DN1.rb +22 -0
  201. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DN2.rb +24 -0
  202. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DTM.rb +24 -0
  203. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DTP.rb +21 -0
  204. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/FRM.rb +25 -0
  205. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/GE.rb +20 -0
  206. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/GS.rb +27 -0
  207. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/HCP.rb +39 -0
  208. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/HI.rb +31 -0
  209. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/HL.rb +22 -0
  210. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/IK3.rb +22 -0
  211. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/IK4.rb +22 -0
  212. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/IK5.rb +24 -0
  213. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/K3.rb +21 -0
  214. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/LIN.rb +69 -0
  215. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/LQ.rb +22 -0
  216. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/LX.rb +19 -0
  217. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/MEA.rb +39 -0
  218. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/MIA.rb +45 -0
  219. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/MOA.rb +28 -0
  220. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/N1.rb +24 -0
  221. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/N2.rb +20 -0
  222. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/N3.rb +20 -0
  223. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/N4.rb +30 -0
  224. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/NM1.rb +35 -0
  225. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/NTE.rb +20 -0
  226. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/OI.rb +24 -0
  227. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PAT.rb +31 -0
  228. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PER.rb +32 -0
  229. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PLB.rb +40 -0
  230. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PRV.rb +26 -0
  231. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PS1.rb +21 -0
  232. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PWK.rb +30 -0
  233. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/QTY.rb +25 -0
  234. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/RDM.rb +23 -0
  235. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/REF.rb +23 -0
  236. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SBR.rb +28 -0
  237. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SE.rb +20 -0
  238. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/ST.rb +21 -0
  239. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/STC.rb +30 -0
  240. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SV1.rb +44 -0
  241. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SV2.rb +29 -0
  242. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SV3.rb +30 -0
  243. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SV5.rb +29 -0
  244. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SVC.rb +26 -0
  245. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SVD.rb +24 -0
  246. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/TOO.rb +21 -0
  247. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/TRN.rb +22 -0
  248. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/TS2.rb +40 -0
  249. data/lib/stupidedi/versions/functional_groups/005010/segment_defs/TS3.rb +45 -0
  250. data/lib/stupidedi/versions/functional_groups/005010/segment_defs.rb +227 -0
  251. data/lib/stupidedi/versions/functional_groups/005010/segment_reqs.rb +18 -0
  252. data/lib/stupidedi/versions/functional_groups/005010/syntax_notes.rb +165 -0
  253. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/FA999.rb +38 -0
  254. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HB271.rb +85 -0
  255. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HC837.rb +163 -0
  256. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HI278.rb +64 -0
  257. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HN277.rb +74 -0
  258. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HP835.rb +68 -0
  259. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HR276.rb +57 -0
  260. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HS270.rb +53 -0
  261. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/RA820.rb +240 -0
  262. data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs.rb +68 -0
  263. data/lib/stupidedi/versions/functional_groups/005010.rb +38 -0
  264. data/lib/stupidedi/versions/functional_groups.rb +8 -0
  265. data/lib/stupidedi/versions/interchanges/00401/element_defs.rb +224 -0
  266. data/lib/stupidedi/versions/interchanges/00401/interchange_def.rb +45 -0
  267. data/lib/stupidedi/versions/interchanges/00401/segment_defs/IEA.rb +20 -0
  268. data/lib/stupidedi/versions/interchanges/00401/segment_defs/ISA.rb +34 -0
  269. data/lib/stupidedi/versions/interchanges/00401/segment_defs/TA1.rb +23 -0
  270. data/lib/stupidedi/versions/interchanges/00401/segment_defs.rb +28 -0
  271. data/lib/stupidedi/versions/interchanges/00401.rb +23 -0
  272. data/lib/stupidedi/versions/interchanges/00501/element_defs.rb +269 -0
  273. data/lib/stupidedi/versions/interchanges/00501/interchange_def.rb +47 -0
  274. data/lib/stupidedi/versions/interchanges/00501/segment_defs/IEA.rb +20 -0
  275. data/lib/stupidedi/versions/interchanges/00501/segment_defs/ISA.rb +34 -0
  276. data/lib/stupidedi/versions/interchanges/00501/segment_defs/ISB.rb +18 -0
  277. data/lib/stupidedi/versions/interchanges/00501/segment_defs/ISE.rb +18 -0
  278. data/lib/stupidedi/versions/interchanges/00501/segment_defs/TA1.rb +23 -0
  279. data/lib/stupidedi/versions/interchanges/00501/segment_defs/TA3.rb +18 -0
  280. data/lib/stupidedi/versions/interchanges/00501/segment_defs.rb +37 -0
  281. data/lib/stupidedi/versions/interchanges/00501.rb +23 -0
  282. data/lib/stupidedi/versions/interchanges.rb +8 -0
  283. data/lib/stupidedi/versions.rb +6 -0
  284. data/lib/stupidedi/writer/claredi.rb +142 -0
  285. data/lib/stupidedi/writer/default.rb +124 -0
  286. data/lib/stupidedi/writer.rb +6 -0
  287. data/lib/stupidedi/zipper/abstract_cursor.rb +351 -0
  288. data/lib/stupidedi/zipper/dangling_cursor.rb +103 -0
  289. data/lib/stupidedi/zipper/edited_cursor.rb +157 -0
  290. data/lib/stupidedi/zipper/memoized_cursor.rb +131 -0
  291. data/lib/stupidedi/zipper/path.rb +124 -0
  292. data/lib/stupidedi/zipper/root_cursor.rb +120 -0
  293. data/lib/stupidedi/zipper.rb +25 -0
  294. data/lib/stupidedi.rb +66 -0
  295. data/spec/examples/integration/generating.example +551 -0
  296. data/spec/examples/integration/navigating.example +214 -0
  297. data/spec/examples/integration/parsing.example +445 -0
  298. data/spec/examples/ruby/array.example +476 -0
  299. data/spec/examples/ruby/blank.example +62 -0
  300. data/spec/examples/ruby/count.example +68 -0
  301. data/spec/examples/ruby/object.example +99 -0
  302. data/spec/examples/ruby/string.example +111 -0
  303. data/spec/examples/ruby/symbol.example +117 -0
  304. data/spec/examples/ruby/to_d.example +90 -0
  305. data/spec/examples/ruby/try.example +50 -0
  306. data/spec/examples/stupidedi/either.example +375 -0
  307. data/spec/examples/stupidedi/reader/failure.example +68 -0
  308. data/spec/examples/stupidedi/reader/input/delegated_input.example +292 -0
  309. data/spec/examples/stupidedi/reader/separators.example +73 -0
  310. data/spec/examples/stupidedi/reader/stream_reader.example +48 -0
  311. data/spec/examples/stupidedi/reader/success.example +34 -0
  312. data/spec/examples/stupidedi/reader/token_reader.example +775 -0
  313. data/spec/examples/stupidedi/reader.example +168 -0
  314. data/spec/examples/stupidedi/sets/absolute_set.example +1577 -0
  315. data/spec/examples/stupidedi/sets/null_set.example +2 -0
  316. data/spec/examples/stupidedi/sets/relative_set.example +2 -0
  317. data/spec/examples/stupidedi/sets/universal_set.example +1 -0
  318. data/spec/examples/stupidedi/versions/005010/element_types/an.example +201 -0
  319. data/spec/examples/stupidedi/versions/005010/element_types/dt.example +258 -0
  320. data/spec/examples/stupidedi/versions/005010/element_types/id.example +192 -0
  321. data/spec/examples/stupidedi/versions/005010/element_types/nn.example +177 -0
  322. data/spec/examples/stupidedi/versions/005010/element_types/r.example +178 -0
  323. data/spec/examples/stupidedi/versions/005010/element_types/tm.example +2 -0
  324. data/spec/examples/stupidedi/zipper/abstract_cursor.example +417 -0
  325. data/spec/examples/stupidedi/zipper.example +9 -0
  326. data/spec/fixtures/X186-AG824/1-bad.txt +21 -0
  327. data/spec/fixtures/X186-AG824/1-good.txt +17 -0
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  333. data/spec/fixtures/X212-HN277/1-good.txt +46 -0
  334. data/spec/fixtures/X212-HN277/2-bad.txt +37 -0
  335. data/spec/fixtures/X212-HN277/2-good.txt +29 -0
  336. data/spec/fixtures/X212-HN277/3-bad.txt +22 -0
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  340. data/spec/fixtures/X212-HR276/1-bad.txt +53 -0
  341. data/spec/fixtures/X212-HR276/1-good.txt +46 -0
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  343. data/spec/fixtures/X212-HR276/2-good.txt +38 -0
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  347. data/spec/fixtures/X212-HR276/4-good.txt +26 -0
  348. data/spec/fixtures/X214-HN277/1-bad.txt +58 -0
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  354. data/spec/fixtures/X214-HN277/4-bad.txt +77 -0
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  356. data/spec/fixtures/X216-HI278/1-bad.txt +42 -0
  357. data/spec/fixtures/X216-HI278/1-good.txt +27 -0
  358. data/spec/fixtures/X216-HI278/2-bad.txt +43 -0
  359. data/spec/fixtures/X216-HI278/2-good.txt +29 -0
  360. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-1.txt +24 -0
  361. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-1_Clean.txt +20 -0
  362. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-2.txt +46 -0
  363. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-2_Clean.txt +30 -0
  364. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-3.txt +38 -0
  365. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-3_Clean.txt +24 -0
  366. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-4a.txt +39 -0
  367. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-4a_Clean.txt +24 -0
  368. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-4b.txt +43 -0
  369. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-4b_Clean.txt +25 -0
  370. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-5.txt +63 -0
  371. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-5_Clean.txt +41 -0
  372. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-6.txt +36 -0
  373. data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-6_Clean.txt +20 -0
  374. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-1r.txt +34 -0
  375. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-1r_Clean.txt +23 -0
  376. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-2r.txt +46 -0
  377. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-2r_Clean.txt +31 -0
  378. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-3r.txt +44 -0
  379. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-3r_Clean.txt +26 -0
  380. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-4ar_Clean.txt +28 -0
  381. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-4br_Clean.txt +35 -0
  382. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-5r.txt +60 -0
  383. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-5r_Clean.txt +42 -0
  384. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-6r.txt +40 -0
  385. data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-6r_Clean.txt +24 -0
  386. data/spec/fixtures/X218-RA820/1-bad.txt +31 -0
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  489. data/spec/fixtures/X279-HS270/2-good.txt +25 -0
  490. data/spec/spec_helper.rb +34 -0
  491. data/spec/support/fixtures.rb +26 -0
  492. data/spec/support/matchers/either_matchers.rb +26 -0
  493. data/spec/support/matchers/navigation_matchers.rb +247 -0
  494. data/spec/support/node.rb +41 -0
  495. data/spec/support/quickcheck/characters.rb +28 -0
  496. data/spec/support/quickcheck/property.rb +105 -0
  497. data/spec/support/quickcheck/serialized_edi.rb +399 -0
  498. data/spec/support/quickcheck.rb +302 -0
  499. data/spec/support/rcov.rb +34 -0
  500. metadata +577 -0
data/lib/stupidedi/guides/005010/X221A1-HP835.rb ADDED
@@ -0,0 +1,613 @@
1
+ module Stupidedi
2
+ module Guides
3
+ module FiftyTen
4
+ module X221A1
5
+
6
+ b = GuideBuilder
7
+ d = Schema
8
+ r = SegmentReqs
9
+ e = ElementReqs
10
+ s = Versions::FunctionalGroups::FiftyTen::SegmentDefs
11
+ t = Versions::FunctionalGroups::FiftyTen::TransactionSetDefs
12
+
13
+ HP835 = b.build(t::HP835,
14
+ d::TableDef.header("Table 1 - Header",
15
+ b::Segment(100, s::ST, "Transaction Set Header",
16
+ r::Required, d::RepeatCount.bounded(1),
17
+ b::Element(e::Required, "Transaction Set Identifier Code", b::Values("835")),
18
+ b::Element(e::Required, "Transaction Set Control Number"),
19
+ b::Element(e::NotUsed, "Implementation Guide Version Name")),
20
+ b::Segment(200, s::BPR, "Financial Information",
21
+ r::Required, d::RepeatCount.bounded(1),
22
+ b::Element(e::Required, "Transaction Handling Code", b::Values("C", "D", "H", "I", "P", "U", "X")),
23
+ b::Element(e::Required, "Total Actual Provider Payment Amount", b::MaxLength(10)),
24
+ b::Element(e::Required, "Credit or Debit Flag Code", b::Values("C", "D")),
25
+ b::Element(e::Required, "Payment Method Code", b::Values("ACH", "BOP", "CHK", "FWT", "NON")),
26
+ b::Element(e::Situational, "Payment Format Code", b::Values("CCP", "CTX")),
27
+ b::Element(e::Situational, "Depository Financial Institution (DFI) Identification Number Qualifier", b::Values("01", "04")),
28
+ b::Element(e::Situational, "Sender DFI Number"),
29
+ b::Element(e::Situational, "Account Number Qualifier", b::Values("DA")),
30
+ b::Element(e::Situational, "Sender Bank Account Number"),
31
+ b::Element(e::Situational, "Payer Identifier"),
32
+ b::Element(e::Situational, "Originating Company Supplemental Code"),
33
+ b::Element(e::Situational, "Depository Financial Institution (DFI) Identification Number Qualifier", b::Values("01", "04")),
34
+ b::Element(e::Situational, "Receiver or Provider Bank ID Number"),
35
+ b::Element(e::Situational, "Account Number Qualifier", b::Values("DA", "SG")),
36
+ b::Element(e::Situational, "Receiver or Provider Account Number"),
37
+ b::Element(e::Required, "Check Issue or EFT Effective Date"),
38
+ b::Element(e::NotUsed, "Business Function Code"),
39
+ b::Element(e::NotUsed, "(DFI) ID Number Qualifier"),
40
+ b::Element(e::NotUsed, "(DFI) Identification Number"),
41
+ b::Element(e::NotUsed, "Account Number Qualifier"),
42
+ b::Element(e::NotUsed, "Account Number")),
43
+ b::Segment(400, s::TRN, "Reassociation Trace Number",
44
+ r::Required, d::RepeatCount.bounded(1),
45
+ b::Element(e::Required, "Trace Type Code", b::Values("1")),
46
+ b::Element(e::Required, "Check or EFT Trace Number"),
47
+ b::Element(e::Required, "Payer Identifier"),
48
+ b::Element(e::Situational, "Originating Company Supplemental Code")),
49
+ b::Segment(500, s::CUR, "Foreign Currency Information",
50
+ r::Situational, d::RepeatCount.bounded(1),
51
+ b::Element(e::Required, "Entity Identifier Code", b::Values("PR")),
52
+ b::Element(e::Required, "Currency Code"),
53
+ b::Element(e::NotUsed, "Exchange Rate"),
54
+ b::Element(e::NotUsed, "Entity Identifier Code"),
55
+ b::Element(e::NotUsed, "Currency Code"),
56
+ b::Element(e::NotUsed, "Currency Market/Exchange Code"),
57
+ b::Element(e::NotUsed, "Date/Time Qualifier"),
58
+ b::Element(e::NotUsed, "Date"),
59
+ b::Element(e::NotUsed, "Time"),
60
+ b::Element(e::NotUsed, "Date/Time Qualifier"),
61
+ b::Element(e::NotUsed, "Date"),
62
+ b::Element(e::NotUsed, "Time"),
63
+ b::Element(e::NotUsed, "Date/Time Qualifier"),
64
+ b::Element(e::NotUsed, "Date"),
65
+ b::Element(e::NotUsed, "Time"),
66
+ b::Element(e::NotUsed, "Date/Time Qualifier"),
67
+ b::Element(e::NotUsed, "Date"),
68
+ b::Element(e::NotUsed, "Time"),
69
+ b::Element(e::NotUsed, "Date/Time Qualifier"),
70
+ b::Element(e::NotUsed, "Date"),
71
+ b::Element(e::NotUsed, "Time")),
72
+ b::Segment(600, s::REF, "Receiver Identification",
73
+ r::Situational, d::RepeatCount.bounded(1),
74
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("EV")),
75
+ b::Element(e::Required, "Receiver Identifier"),
76
+ b::Element(e::NotUsed, "Description"),
77
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
78
+ b::Segment(600, s::REF, "Version Identification",
79
+ r::Situational, d::RepeatCount.bounded(1),
80
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("F2")),
81
+ b::Element(e::Required, "Version Identification Code"),
82
+ b::Element(e::NotUsed, "Description"),
83
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
84
+ b::Segment(700, s::DTM, "Production Date",
85
+ r::Situational, d::RepeatCount.bounded(1),
86
+ b::Element(e::Required, "Date/Time Qualifier", b::Values("405")),
87
+ b::Element(e::Required, "Production Date"),
88
+ b::Element(e::NotUsed, "Time"),
89
+ b::Element(e::NotUsed, "Time Code"),
90
+ b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
91
+ b::Element(e::NotUsed, "Date Time Period")),
92
+
93
+ d::LoopDef.build("1000A PAYER IDENTIFICATION",
94
+ d::RepeatCount.bounded(1),
95
+ b::Segment( 800, s::N1, "Payer Identification",
96
+ r::Required, d::RepeatCount.bounded(1),
97
+ b::Element(e::Required, "Entity Identifier Code", b::Values("PR")),
98
+ b::Element(e::Required, "Payer Name"),
99
+ b::Element(e::Situational, "Identification Code Qualifier", b::Values("XV")),
100
+ b::Element(e::Situational, "Payer Identifier"),
101
+ b::Element(e::NotUsed, "Entity Relationship Code"),
102
+ b::Element(e::NotUsed, "Entity Identifier Code")),
103
+ b::Segment(1000, s::N3, "Payer Address",
104
+ r::Required, d::RepeatCount.bounded(1),
105
+ b::Element(e::Required, "Payer Address Line"),
106
+ b::Element(e::Situational, "Payer Address Line")),
107
+ b::Segment(1100, s::N4, "Payer City, State, ZIP Code",
108
+ r::Required, d::RepeatCount.bounded(1),
109
+ b::Element(e::Required, "Payer City Name"),
110
+ b::Element(e::Situational, "Payer State or Province Code"),
111
+ b::Element(e::Situational, "Payer Postal Zone or ZIP Code"),
112
+ b::Element(e::Situational, "Country Code"),
113
+ b::Element(e::NotUsed, "Location Qualifier"),
114
+ b::Element(e::NotUsed, "Location Identifier"),
115
+ b::Element(e::Situational, "Country Subdivision Code")),
116
+ b::Segment(1200, s::REF, "Additional Payer Identification",
117
+ r::Situational, d::RepeatCount.bounded(4),
118
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("2U", "EO", "HI", "NF")),
119
+ b::Element(e::Required, "Additional Payer Identifier"),
120
+ b::Element(e::NotUsed, "Description"),
121
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
122
+ b::Segment(1300, s::PER, "Payer Business Contact Information",
123
+ r::Situational, d::RepeatCount.bounded(1),
124
+ b::Element(e::Required, "Contact Function Code", b::Values("CX")),
125
+ b::Element(e::Situational, "Payer Contact Name"),
126
+ b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "FX", "TE")),
127
+ b::Element(e::Situational, "Communication Number"),
128
+ b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "EX", "FX", "TE")),
129
+ b::Element(e::Situational, "Communication Number"),
130
+ b::Element(e::Situational, "Communication Number Qualifier", b::Values("EX")),
131
+ b::Element(e::Situational, "Communication Number"),
132
+ b::Element(e::NotUsed, "Contact Inquiry Reference")),
133
+ b::Segment(1300, s::PER, "Payer Technical Contact Information",
134
+ r::Required, d::RepeatCount.unbounded,
135
+ b::Element(e::Required, "Contact Function Code", b::Values("BL")),
136
+ b::Element(e::Situational, "Payer Contact Name"),
137
+ b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "TE", "UR")),
138
+ b::Element(e::Situational, "Communication Number"),
139
+ b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "EX", "FX", "TE", "UR")),
140
+ b::Element(e::Situational, "Communication Number"),
141
+ b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "EX", "FX", "UR")),
142
+ b::Element(e::Situational, "Communication Number"),
143
+ b::Element(e::NotUsed, "Contact Inquiry Reference")),
144
+ b::Segment(1300, s::PER, "Payer Web Site",
145
+ r::Situational, d::RepeatCount.bounded(1),
146
+ b::Element(e::Required, "Contact Function Code", b::Values("IC")),
147
+ b::Element(e::NotUsed, "Payer Contact Name"),
148
+ b::Element(e::Required, "Communication Number Qualifier", b::Values("UR")),
149
+ b::Element(e::Required, "Communication Number"),
150
+ b::Element(e::NotUsed, "Communication Number Qualifier"),
151
+ b::Element(e::NotUsed, "Communication Number"),
152
+ b::Element(e::NotUsed, "Communication Number Qualifier"),
153
+ b::Element(e::NotUsed, "Communication Number"),
154
+ b::Element(e::NotUsed, "Contact Inquiry Reference"))),
155
+
156
+ d::LoopDef.build("1000B PAYEE IDENTIFICATION",
157
+ d::RepeatCount.bounded(1),
158
+ b::Segment( 800, s::N1, "Payee Identification",
159
+ r::Required, d::RepeatCount.bounded(1),
160
+ b::Element(e::Required, "Entity Identifier Code", b::Values("PE")),
161
+ b::Element(e::Required, "Payee Name"),
162
+ b::Element(e::Required, "Identification Code Qualifier", b::Values("FI", "XV", "XX")),
163
+ b::Element(e::Required, "Payee Identification Code"),
164
+ b::Element(e::NotUsed, "Entity Relationship Code"),
165
+ b::Element(e::NotUsed, "Entity Identifier Code")),
166
+ b::Segment(1000, s::N3, "Payee Address",
167
+ r::Situational, d::RepeatCount.bounded(1),
168
+ b::Element(e::Required, "Payee Address Line"),
169
+ b::Element(e::Situational, "Payee Address Line")),
170
+ b::Segment(1100, s::N4, "Payee City, State, ZIP Code",
171
+ r::Situational, d::RepeatCount.bounded(1),
172
+ b::Element(e::Required, "Payee City Name"),
173
+ b::Element(e::Situational, "Payee State or Province Code"),
174
+ b::Element(e::Situational, "Payee Postal Zone or ZIP Code"),
175
+ b::Element(e::Situational, "Country Code"),
176
+ b::Element(e::NotUsed, "Location Qualifier"),
177
+ b::Element(e::NotUsed, "Location Identifier"),
178
+ b::Element(e::Situational, "Country Subdivision Code")),
179
+ b::Segment(1200, s::REF, "Payee Additional Identification",
180
+ r::Situational, d::RepeatCount.unbounded,
181
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "D3", "PQ", "TJ")),
182
+ b::Element(e::Required, "Additional Payee Identifier"),
183
+ b::Element(e::NotUsed, "Description"),
184
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
185
+ b::Segment(1400, s::RDM, "Remittance Delivery Method",
186
+ r::Situational, d::RepeatCount.bounded(1),
187
+ b::Element(e::Required, "Report Transmission Code", b::Values("BM", "EM", "FT", "OL")),
188
+ b::Element(e::Situational, "Name"),
189
+ b::Element(e::Situational, "Communication Number"),
190
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER"),
191
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")))),
192
+
193
+ d::TableDef.detail("Table 2 - Detail",
194
+ d::LoopDef.build("2000 HEADER NUMBER",
195
+ d::RepeatCount.bounded(1),
196
+ b::Segment(30, s::LX, "Header Number",
197
+ r::Situational, d::RepeatCount.bounded(1),
198
+ b::Element(e::Required, "Assigned Number")),
199
+ b::Segment(50, s::TS3, "Provider Summary Information",
200
+ r::Situational, d::RepeatCount.bounded(1),
201
+ b::Element(e::Required, "Provider Identifier"),
202
+ b::Element(e::Required, "Facility Type Code"),
203
+ b::Element(e::Required, "Fiscal Period Date"),
204
+ b::Element(e::Required, "Total Claim Count"),
205
+ b::Element(e::Required, "Total Claim Charge Amount"),
206
+ b::Element(e::NotUsed, "Monetary Amount"),
207
+ b::Element(e::NotUsed, "Monetary Amount"),
208
+ b::Element(e::NotUsed, "Monetary Amount"),
209
+ b::Element(e::NotUsed, "Monetary Amount"),
210
+ b::Element(e::NotUsed, "Monetary Amount"),
211
+ b::Element(e::NotUsed, "Monetary Amount"),
212
+ b::Element(e::NotUsed, "Monetary Amount"),
213
+ b::Element(e::Situational, "Total MSP Payer Amount"),
214
+ b::Element(e::NotUsed, "Monetary Amount"),
215
+ b::Element(e::Situational, "Total Non-Lab Charge Amount"),
216
+ b::Element(e::NotUsed, "Monetary Amount"),
217
+ b::Element(e::Situational, "Total HCPCS Reported Charge Amount"),
218
+ b::Element(e::Situational, "Total HCPCS Payable Amount"),
219
+ b::Element(e::NotUsed, "Monetary Amount"),
220
+ b::Element(e::Situational, "Total Professional Component Amount"),
221
+ b::Element(e::Situational, "Total MSP Patient Liability Met Amount"),
222
+ b::Element(e::Situational, "Total Patient Reimbursement Amount"),
223
+ b::Element(e::Situational, "Total PIP Claim Count"),
224
+ b::Element(e::Situational, "Total PIP Adjustment Amount")),
225
+ b::Segment(70, s::TS2, "Provider Supplemental Summary Information",
226
+ r::Situational, d::RepeatCount.bounded(1),
227
+ b::Element(e::Situational, "Total DRG Amount"),
228
+ b::Element(e::Situational, "Total Federal Specific Amount"),
229
+ b::Element(e::Situational, "Total Hospital Specific Amount"),
230
+ b::Element(e::Situational, "Total Disproportionate Share Amount"),
231
+ b::Element(e::Situational, "Total Capital Amount"),
232
+ b::Element(e::Situational, "Total Indirect Medical Education Amount"),
233
+ b::Element(e::Situational, "Total Outlier Day Count"),
234
+ b::Element(e::Situational, "Total Day Outlier Count"),
235
+ b::Element(e::Situational, "Total Cost Outlier Amount"),
236
+ b::Element(e::Situational, "Average DRG Length of Stay"),
237
+ b::Element(e::Situational, "Total Discharge Amount"),
238
+ b::Element(e::Situational, "Total Cost Report Day Count"),
239
+ b::Element(e::Situational, "Total Covered Day Count"),
240
+ b::Element(e::Situational, "Total Noncovered Day Count"),
241
+ b::Element(e::Situational, "Total MSP Pass-Through Count"),
242
+ b::Element(e::Situational, "Average DRG Weight"),
243
+ b::Element(e::Situational, "Total PPS Capital FSP DRG Amount"),
244
+ b::Element(e::Situational, "Total PPS Capital HSP DRG Amount"),
245
+ b::Element(e::Situational, "Total PPS DSH DRG Amount")),
246
+
247
+ d::LoopDef.build("2100 CLAIM PAYMENT INFORMATION",
248
+ d::RepeatCount.unbounded,
249
+ b::Segment( 100, s::CLP, "Claim Payment Information",
250
+ r::Required, d::RepeatCount.bounded(1),
251
+ b::Element(e::Required, "Patient Control Number"),
252
+ b::Element(e::Required, "Claim Status Code", b::Values("1", "2", "3", "4", "19", "20", "21", "22", "23", "25")),
253
+ b::Element(e::Required, "Total Claim Charge Amount"),
254
+ b::Element(e::Required, "Claim Payment Amount"),
255
+ b::Element(e::Situational, "Patient Responsibility Amount"),
256
+ b::Element(e::Required, "Claim Filing Indicator Code", b::Values("12", "13", "14", "15", "16", "17", "AM", "CH", "DS", "HM", "LM", "MA", "MB", "MC", "OF", "TV", "VA", "WC", "ZZ")),
257
+ b::Element(e::Required, "Payer Claim Control Number"),
258
+ b::Element(e::Situational, "Facility Type Code"),
259
+ b::Element(e::Situational, "Claim Frequency Type Code"),
260
+ b::Element(e::NotUsed, "Patient Status Code"),
261
+ b::Element(e::Situational, "Diagnosis Related Group (DRG) Code"),
262
+ b::Element(e::Situational, "Diagnosis Related Group (DRG) Weight"),
263
+ b::Element(e::Situational, "Discharge Fraction"),
264
+ b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
265
+ b::Segment( 200, s::CAS, "Claim Adjustment",
266
+ r::Situational, d::RepeatCount.bounded(99),
267
+ b::Element(e::Required, "Claim Adjustment Group Code", b::Values("CO", "CR", "OA", "PI", "PR")),
268
+ b::Element(e::Required, "Adjustment Reason Code"),
269
+ b::Element(e::Required, "Adjustment Amount"),
270
+ b::Element(e::Situational, "Adjustment Quantity"),
271
+ b::Element(e::Situational, "Adjustment Reason Code"),
272
+ b::Element(e::Situational, "Adjustment Amount"),
273
+ b::Element(e::Situational, "Adjustment Quantity"),
274
+ b::Element(e::Situational, "Adjustment Reason Code"),
275
+ b::Element(e::Situational, "Adjustment Amount"),
276
+ b::Element(e::Situational, "Adjustment Quantity"),
277
+ b::Element(e::Situational, "Adjustment Reason Code"),
278
+ b::Element(e::Situational, "Adjustment Amount"),
279
+ b::Element(e::Situational, "Adjustment Quantity"),
280
+ b::Element(e::Situational, "Adjustment Reason Code"),
281
+ b::Element(e::Situational, "Adjustment Amount"),
282
+ b::Element(e::Situational, "Adjustment Quantity"),
283
+ b::Element(e::Situational, "Adjustment Reason Code"),
284
+ b::Element(e::Situational, "Adjustment Amount"),
285
+ b::Element(e::Situational, "Adjustment Quantity")),
286
+ b::Segment( 300, s::NM1, "Patient Name",
287
+ r::Required, d::RepeatCount.bounded(1),
288
+ b::Element(e::Required, "Entity Identifier Code", b::Values("QC")),
289
+ b::Element(e::Required, "Entity Type Qualifier", b::Values("1")),
290
+ b::Element(e::Situational, "Patient Last Name"),
291
+ b::Element(e::Situational, "Patient First Name"),
292
+ b::Element(e::Situational, "Patient Middle Name or Initial"),
293
+ b::Element(e::NotUsed, "Name Prefix"),
294
+ b::Element(e::Situational, "Patient Name Suffix"),
295
+ b::Element(e::Situational, "Identification Code Qualifier", b::Values("34", "HN", "II", "MI", "MR")),
296
+ b::Element(e::Situational, "Patient Identifier"),
297
+ b::Element(e::NotUsed, "Entity Relationship Code"),
298
+ b::Element(e::NotUsed, "Entity Identifier Code"),
299
+ b::Element(e::NotUsed, "Name Last or Organization Name")),
300
+ b::Segment( 300, s::NM1, "Insured Name",
301
+ r::Situational, d::RepeatCount.bounded(1),
302
+ b::Element(e::Required, "Entity Identifier Code", b::Values("IL")),
303
+ b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
304
+ b::Element(e::Situational, "Subscriber Last Name"),
305
+ b::Element(e::Situational, "Subscriber First Name"),
306
+ b::Element(e::Situational, "Subscriber Middle Name or Initial"),
307
+ b::Element(e::NotUsed, "Name Prefix"),
308
+ b::Element(e::Situational, "Subscriber Name Suffix"),
309
+ b::Element(e::Required, "Identification Code Qualifier", b::Values("FI", "II", "MI")),
310
+ b::Element(e::Required, "Subscriber Identifier"),
311
+ b::Element(e::NotUsed, "Entity Relationship Code"),
312
+ b::Element(e::NotUsed, "Entity Identifier Code"),
313
+ b::Element(e::NotUsed, "Name Last or Organization Name")),
314
+ b::Segment( 300, s::NM1, "Corrected Patient/Insured Name",
315
+ r::Situational, d::RepeatCount.bounded(1),
316
+ b::Element(e::Required, "Entity Identifier Code", b::Values("74")),
317
+ b::Element(e::Required, "Entity Type Qualifier", b::Values("1")),
318
+ b::Element(e::Situational, "Corrected Patient or Insured Last Name"),
319
+ b::Element(e::Situational, "Corrected Patient or Insured First Name"),
320
+ b::Element(e::Situational, "Corrected Patient or Insured Middle Name or Initial"),
321
+ b::Element(e::NotUsed, "Name Prefix"),
322
+ b::Element(e::Situational, "Corrected Patient or Insured Name Suffix"),
323
+ b::Element(e::Situational, "Identification Code Qualifier", b::Values("C")),
324
+ b::Element(e::Situational, "Corrected Insured Identification Indicator"),
325
+ b::Element(e::NotUsed, "Entity Relationship Code"),
326
+ b::Element(e::NotUsed, "Entity Identifier Code"),
327
+ b::Element(e::NotUsed, "Name Last or Organization Name")),
328
+ b::Segment( 300, s::NM1, "Service Provider Name",
329
+ r::Situational, d::RepeatCount.bounded(1),
330
+ b::Element(e::Required, "Entity Identifier Code", b::Values("82")),
331
+ b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
332
+ b::Element(e::Situational, "Rendering Provider Last or Organization Name"),
333
+ b::Element(e::Situational, "Rendering Provider First Name"),
334
+ b::Element(e::Situational, "Rendering Provider Middle Name or Initial"),
335
+ b::Element(e::NotUsed, "Name Prefix"),
336
+ b::Element(e::Situational, "Rendering Provider Name Suffix"),
337
+ b::Element(e::Required, "Identification Code Qualifier", b::Values("BD", "BS", "FI", "MC", "PC", "SL", "UP", "XX")),
338
+ b::Element(e::Required, "Rendering Provider Identifier"),
339
+ b::Element(e::NotUsed, "Entity Relationship Code"),
340
+ b::Element(e::NotUsed, "Entity Identifier Code"),
341
+ b::Element(e::NotUsed, "Name Last or Organization Name")),
342
+ b::Segment( 300, s::NM1, "Crossover Carrier Name",
343
+ r::Situational, d::RepeatCount.bounded(1),
344
+ b::Element(e::Required, "Entity Identifier Code", b::Values("TT")),
345
+ b::Element(e::Required, "Entity Type Qualifier", b::Values("2")),
346
+ b::Element(e::Required, "Coordination of Benefits Carrier Name"),
347
+ b::Element(e::NotUsed, "Name First"),
348
+ b::Element(e::NotUsed, "Name Middle"),
349
+ b::Element(e::NotUsed, "Name Prefix"),
350
+ b::Element(e::Situational, "Rendering Provider Name Suffix"),
351
+ b::Element(e::Required, "Identification Code Qualifier", b::Values("AD", "FI", "NI", "PI", "PP", "XV")),
352
+ b::Element(e::Required, "Coordination of Benefits Carrient Identifier"),
353
+ b::Element(e::NotUsed, "Entity Relationship Code"),
354
+ b::Element(e::NotUsed, "Entity Identifier Code"),
355
+ b::Element(e::NotUsed, "Name Last or Organization Name")),
356
+ b::Segment( 300, s::NM1, "Corrected Priority Payer Name",
357
+ r::Situational, d::RepeatCount.bounded(1),
358
+ b::Element(e::Required, "Entity Identifier Code", b::Values("PR")),
359
+ b::Element(e::Required, "Entity Type Qualifier", b::Values("2")),
360
+ b::Element(e::Required, "Corrected Priority Payer Name"),
361
+ b::Element(e::NotUsed, "Name First"),
362
+ b::Element(e::NotUsed, "Name Middle"),
363
+ b::Element(e::NotUsed, "Name Prefix"),
364
+ b::Element(e::Situational, "Rendering Provider Name Suffix"),
365
+ b::Element(e::Required, "Identification Code Qualifier", b::Values("AD", "FI", "NI", "PI", "PP", "XV")),
366
+ b::Element(e::Required, "Corrected Priority Payer Identification Number"),
367
+ b::Element(e::NotUsed, "Entity Relationship Code"),
368
+ b::Element(e::NotUsed, "Entity Identifier Code"),
369
+ b::Element(e::NotUsed, "Name Last or Organization Name")),
370
+ b::Segment( 300, s::NM1, "Other Subscriber Name",
371
+ r::Situational, d::RepeatCount.bounded(1),
372
+ b::Element(e::Required, "Entity Identifier Code", b::Values("GB")),
373
+ b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
374
+ b::Element(e::Situational, "Other Subscriber Last Name"),
375
+ b::Element(e::Situational, "Other Subscriber First Name"),
376
+ b::Element(e::Situational, "Other Subscriber Middle Name or Initial"),
377
+ b::Element(e::NotUsed, "Name Prefix"),
378
+ b::Element(e::Situational, "Other Subscriber Name Suffix"),
379
+ b::Element(e::Situational, "Identification Code Qualifier", b::Values("FI", "II", "MI")),
380
+ b::Element(e::Situational, "Other Subscriber Identifier"),
381
+ b::Element(e::NotUsed, "Entity Relationship Code"),
382
+ b::Element(e::NotUsed, "Entity Identifier Code"),
383
+ b::Element(e::NotUsed, "Name Last or Organization Name")),
384
+ b::Segment( 330, s::MIA, "Inpatient Adjudication Information",
385
+ r::Situational, d::RepeatCount.bounded(1),
386
+ b::Element(e::Required, "Covered Days or Visits Count"),
387
+ b::Element(e::Situational, "PPS Operating Outlier Amount"),
388
+ b::Element(e::Situational, "Lifetime Psychiatric Days Count"),
389
+ b::Element(e::Situational, "Claim DRG Amount"),
390
+ b::Element(e::Situational, "Claim Payment Remark Code"),
391
+ b::Element(e::Situational, "Claim Disproportionate Share Amount"),
392
+ b::Element(e::Situational, "Claim MSP Pass-Through Amount"),
393
+ b::Element(e::Situational, "Claim PPS Capital Amount"),
394
+ b::Element(e::Situational, "PPS-Capital FSP DRG Amount"),
395
+ b::Element(e::Situational, "PPS-Capital HSP DRG Amount"),
396
+ b::Element(e::Situational, "PPS-Capital DSH DRG Amount"),
397
+ b::Element(e::Situational, "Old Capital Amount"),
398
+ b::Element(e::Situational, "PPS-Capital IME Amount"),
399
+ b::Element(e::Situational, "PPS-Operating Hospital Specific DRG Amount"),
400
+ b::Element(e::Situational, "Cost Report Day Count"),
401
+ b::Element(e::Situational, "PPS-Operating Federal Specific DRG Amount"),
402
+ b::Element(e::Situational, "Claim PPS Capital Outlier Amount"),
403
+ b::Element(e::Situational, "Claim Indirect Teaching Amount"),
404
+ b::Element(e::Situational, "Nonpayable Professional Component Amount"),
405
+ b::Element(e::Situational, "Claim Payment Remark Code"),
406
+ b::Element(e::Situational, "Claim Payment Remark Code"),
407
+ b::Element(e::Situational, "Claim Payment Remark Code"),
408
+ b::Element(e::Situational, "Claim Payment Remark Code"),
409
+ b::Element(e::Situational, "PPS-Capital Exception Amount")),
410
+ b::Segment( 350, s::MOA, "Outpatient Adjudication Information",
411
+ r::Situational, d::RepeatCount.bounded(1),
412
+ b::Element(e::Situational, "Reimbursement Rate"),
413
+ b::Element(e::Situational, "Claim HCPCS Payable Amount", b::MaxLength(10)),
414
+ b::Element(e::Situational, "Claim Payment Remark Code"),
415
+ b::Element(e::Situational, "Claim Payment Remark Code"),
416
+ b::Element(e::Situational, "Claim Payment Remark Code"),
417
+ b::Element(e::Situational, "Claim Payment Remark Code"),
418
+ b::Element(e::Situational, "Claim Payment Remark Code"),
419
+ b::Element(e::Situational, "Claim ESRD Payment Amount", b::MaxLength(10)),
420
+ b::Element(e::Situational, "Nonpayable Professional Component Amount", b::MaxLength(10))),
421
+ b::Segment( 400, s::REF, "Other Claim Related Identification",
422
+ r::Situational, d::RepeatCount.bounded(5),
423
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("1L", "1W", "28", "6P", "9A", "9C", "BB", "CE", "EA", "F8", "G1", "G3", "IG", "SY")),
424
+ b::Element(e::Required, "Other Claim Related Identifier"),
425
+ b::Element(e::NotUsed, "Description"),
426
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
427
+ b::Segment( 400, s::REF, "Rendering Provider Identification",
428
+ r::Situational, d::RepeatCount.bounded(10),
429
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "1A", "1B", "1C", "1D", "1G", "1H", "1J", "D3", "G2", "LU")),
430
+ b::Element(e::Required, "Rendering Provider Secondary Identifier"),
431
+ b::Element(e::NotUsed, "Description"),
432
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
433
+ b::Segment( 500, s::DTM, "Statement From or To Date",
434
+ r::Situational, d::RepeatCount.bounded(2),
435
+ b::Element(e::Required, "Date/Time Qualifier", b::Values("232", "233")),
436
+ b::Element(e::Required, "Claim Date"),
437
+ b::Element(e::NotUsed, "Time"),
438
+ b::Element(e::NotUsed, "Time Code"),
439
+ b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
440
+ b::Element(e::NotUsed, "Date Time Period")),
441
+ b::Segment( 500, s::DTM, "Coverage Expiration Date",
442
+ r::Situational, d::RepeatCount.bounded(1),
443
+ b::Element(e::Required, "Date/Time Qualifier", b::Values("036")),
444
+ b::Element(e::Required, "Date"),
445
+ b::Element(e::NotUsed, "Time"),
446
+ b::Element(e::NotUsed, "Time Code"),
447
+ b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
448
+ b::Element(e::NotUsed, "Date Time Period")),
449
+ b::Segment( 500, s::DTM, "Claim Received Date",
450
+ r::Situational, d::RepeatCount.bounded(1),
451
+ b::Element(e::Required, "Date/Time Qualifier", b::Values("050")),
452
+ b::Element(e::Required, "Date"),
453
+ b::Element(e::NotUsed, "Time"),
454
+ b::Element(e::NotUsed, "Time Code"),
455
+ b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
456
+ b::Element(e::NotUsed, "Date Time Period")),
457
+ b::Segment( 600, s::PER, "Claim Contact Information",
458
+ r::Situational, d::RepeatCount.bounded(2),
459
+ b::Element(e::Required, "Contact Function Code", b::Values("CX")),
460
+ b::Element(e::Situational, "Claim Contact Name"),
461
+ b::Element(e::Required, "Communication Number Qualifier", b::Values("EM", "FX", "TE")),
462
+ b::Element(e::Required, "Claim Contact Communication Number"),
463
+ b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "EX", "FX", "TE")),
464
+ b::Element(e::Situational, "Claim Contact Communication Number"),
465
+ b::Element(e::Situational, "Communication Number Qualifier", b::Values("EX")),
466
+ b::Element(e::Situational, "Claim Contact Communication Number Extension"),
467
+ b::Element(e::NotUsed, "Contact Inquiry Reference")),
468
+ b::Segment( 620, s::AMT, "Claim Supplemental Information",
469
+ r::Situational, d::RepeatCount.bounded(13),
470
+ b::Element(e::Required, "Amount Qualifier Code", b::Values("AU", "D8", "DY", "F5", "I", "NL", "T", "T2", "ZK", "ZL", "ZM", "ZN", "ZO")),
471
+ b::Element(e::Required, "Claim Supplemental Information Amount"),
472
+ b::Element(e::NotUsed, "Credit/Debit Flag Code")),
473
+ b::Segment( 640, s::QTY, "Claim Supplemental Information Quantity",
474
+ r::Situational, d::RepeatCount.bounded(14),
475
+ b::Element(e::Required, "Quantity Qualifier", b::Values("CA", "CD", "LA", "LE", "NE", "NR", "OU", "PS", "VS", "ZK", "ZL", "ZM", "ZN", "ZO")),
476
+ b::Element(e::Required, "Claim Supplemental Information Quantity"),
477
+ b::Element(e::NotUsed, "COMPOSITE UNIT OF MEASURE"),
478
+ b::Element(e::NotUsed, "Free-Form Information")),
479
+
480
+ d::LoopDef.build("2110 SERVICE PAYMENT INFORMATION",
481
+ d::RepeatCount.bounded(999),
482
+ b::Segment( 700, s::SVC, "Service Payment Information",
483
+ r::Situational, d::RepeatCount.bounded(1),
484
+ b::Element(e::Required, "COMPOSITE MEDICAL PROCEDURE IDENTIFIER",
485
+ b::Element(e::Required, "Product or Service ID Qualifier", b::Values("AD", "ER", "HC", "HP", "IV", "N4", "N6", "NU", "UI", "WK")),
486
+ b::Element(e::Required, "Adjudicated Procedure Code"),
487
+ b::Element(e::Situational, "Procedure Modifier"),
488
+ b::Element(e::Situational, "Procedure Modifier"),
489
+ b::Element(e::Situational, "Procedure Modifier"),
490
+ b::Element(e::Situational, "Procedure Modifier"),
491
+ b::Element(e::NotUsed, "Description"),
492
+ b::Element(e::NotUsed, "Product/Service ID")),
493
+ b::Element(e::Required, "Line Item Charge Amount", b::MaxLength(10)),
494
+ b::Element(e::Required, "Line Item Provider Payment Amount", b::MaxLength(10)),
495
+ b::Element(e::Situational, "National Uniform Billing Committee Revenue Code"),
496
+ b::Element(e::Situational, "Units of Service Paid Count"),
497
+ b::Element(e::Situational, "COMPOSITE MEDICAL PROCEDURE IDENTIFIER",
498
+ b::Element(e::Required, "Product or Service ID Qualifier", b::Values("AD", "ER", "HC", "HP", "IV", "N4", "N6", "NU", "UI", "WK")),
499
+ b::Element(e::Required, "Procedure Code"),
500
+ b::Element(e::Situational, "Procedure Modifier"),
501
+ b::Element(e::Situational, "Procedure Modifier"),
502
+ b::Element(e::Situational, "Procedure Modifier"),
503
+ b::Element(e::Situational, "Procedure Modifier"),
504
+ b::Element(e::NotUsed, "Description"),
505
+ b::Element(e::NotUsed, "Product/Service ID")),
506
+ b::Element(e::Situational, "Original Units of Service Count")),
507
+ b::Segment( 800, s::DTM, "Service Date",
508
+ r::Situational, d::RepeatCount.bounded(2),
509
+ b::Element(e::Required, "Date/Time Qualifier", b::Values("150", "151", "472")),
510
+ b::Element(e::Required, "Service Date"),
511
+ b::Element(e::NotUsed, "Time"),
512
+ b::Element(e::NotUsed, "Time Code"),
513
+ b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
514
+ b::Element(e::NotUsed, "Date Time Period")),
515
+ b::Segment( 900, s::CAS, "Service Adjustment",
516
+ r::Situational, d::RepeatCount.bounded(99),
517
+ b::Element(e::Required, "Claim Adjustment Group Code", b::Values("CO", "CR", "OA", "PI", "PR")),
518
+ b::Element(e::Required, "Adjustment Reason Code"),
519
+ b::Element(e::Required, "Adjustment Amount", b::MaxLength(10)),
520
+ b::Element(e::Situational, "Adjustment Quantity"),
521
+ b::Element(e::Situational, "Adjustment Reason Code"),
522
+ b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
523
+ b::Element(e::Situational, "Adjustment Quantity"),
524
+ b::Element(e::Situational, "Adjustment Reason Code"),
525
+ b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
526
+ b::Element(e::Situational, "Adjustment Quantity"),
527
+ b::Element(e::Situational, "Adjustment Reason Code"),
528
+ b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
529
+ b::Element(e::Situational, "Adjustment Quantity"),
530
+ b::Element(e::Situational, "Adjustment Reason Code"),
531
+ b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
532
+ b::Element(e::Situational, "Adjustment Quantity"),
533
+ b::Element(e::Situational, "Adjustment Reason Code"),
534
+ b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
535
+ b::Element(e::Situational, "Adjustment Quantity")),
536
+ b::Segment(1000, s::REF, "Service Identification",
537
+ r::Situational, d::RepeatCount.bounded(8),
538
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("1S", "APC", "BB", "E9", "G1", "G3", "LU", "RB")),
539
+ b::Element(e::Required, "Provider Identifier"),
540
+ b::Element(e::NotUsed, "Description"),
541
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
542
+ b::Segment(1000, s::REF, "Line Item Control Number",
543
+ r::Situational, d::RepeatCount.bounded(1),
544
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("6R")),
545
+ b::Element(e::Required, "Line Item Control Number"),
546
+ b::Element(e::NotUsed, "Description"),
547
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
548
+ b::Segment(1000, s::REF, "Rendering Provider Information",
549
+ r::Situational, d::RepeatCount.bounded(10),
550
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "1A", "1B", "1C", "1D", "1G", "1H", "1J", "D3", "G2", "HPI", "SY", "TJ")),
551
+ b::Element(e::Required, "Rendering Provider Identifier"),
552
+ b::Element(e::NotUsed, "Description"),
553
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
554
+ b::Segment(1000, s::REF, "HealthCare Policy Identification",
555
+ r::Situational, d::RepeatCount.bounded(5),
556
+ b::Element(e::Required, "Reference Identification Qualifier", b::Values("0K")),
557
+ b::Element(e::Required, "Healthcare Policy Identification"),
558
+ b::Element(e::NotUsed, "Description"),
559
+ b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
560
+ b::Segment(1100, s::AMT, "Service Supplemental Amount",
561
+ r::Situational, d::RepeatCount.bounded(9),
562
+ b::Element(e::Required, "Amount Qualifier Code", b::Values("B6", "KH", "T", "T2", "ZK", "ZL", "ZM", "ZN", "ZO")),
563
+ b::Element(e::Required, "Service Supplemental Amount", b::MaxLength(10)),
564
+ b::Element(e::NotUsed, "Credit/Debit Flag Code")),
565
+ b::Segment(1200, s::QTY, "Service Supplemental Quantity",
566
+ r::Situational, d::RepeatCount.bounded(6),
567
+ b::Element(e::Required, "Quantity Qualifier", b::Values("ZK", "ZL", "ZM", "ZN", "ZO")),
568
+ b::Element(e::Required, "Service Supplemental Quantity Count"),
569
+ b::Element(e::NotUsed, "COMPOSITE UNIT OF MEASURE"),
570
+ b::Element(e::NotUsed, "Free-Form Information")),
571
+ b::Segment(1300, s::LQ, "Health Care Remark Codes",
572
+ r::Situational, d::RepeatCount.bounded(99),
573
+ b::Element(e::Required, "Code List Qualifier Code", b::Values("HE", "RX")),
574
+ b::Element(e::Required, "Remark Code")))))),
575
+
576
+ d::TableDef.summary("Table 3 - Summary",
577
+ b::Segment(100, s::PLB, "Provider Adjustment",
578
+ r::Situational, d::RepeatCount.unbounded,
579
+ b::Element(e::Required, "Provider Identifier"),
580
+ b::Element(e::Required, "Fiscal Period Date"),
581
+ b::Element(e::Required, "ADJUSTMENT IDENTIFIER",
582
+ b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
583
+ b::Element(e::Situational, "Provider Adjustment Identifier")),
584
+ b::Element(e::Required, "Provider Adjustment Amount", b::MaxLength(10)),
585
+ b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
586
+ b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
587
+ b::Element(e::Situational, "Provider Adjustment Identifier")),
588
+ b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10)),
589
+ b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
590
+ b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
591
+ b::Element(e::Situational, "Provider Adjustment Identifier")),
592
+ b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10)),
593
+ b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
594
+ b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
595
+ b::Element(e::Situational, "Provider Adjustment Identifier")),
596
+ b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10)),
597
+ b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
598
+ b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
599
+ b::Element(e::Situational, "Provider Adjustment Identifier")),
600
+ b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10)),
601
+ b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
602
+ b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
603
+ b::Element(e::Situational, "Provider Adjustment Identifier")),
604
+ b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10))),
605
+ b::Segment(200, s::SE, "Transaction Set Trailer",
606
+ r::Required, d::RepeatCount.bounded(1),
607
+ b::Element(e::Required, "Transaction Segment Count"),
608
+ b::Element(e::Required, "Transaction Set Control Number"))))
609
+
610
+ end
611
+ end
612
+ end
613
+ end