stupidedi 1.3.21 → 1.3.22
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/lib/stupidedi/builder/builder_dsl.rb +5 -0
- data/lib/stupidedi/builder/constraint_table.rb +100 -74
- data/lib/stupidedi/builder/generation.rb +73 -70
- data/lib/stupidedi/builder/instruction.rb +10 -0
- data/lib/stupidedi/builder/instruction_table.rb +19 -7
- data/lib/stupidedi/builder/state_machine.rb +9 -3
- data/lib/stupidedi/builder/states/abstract_state.rb +1 -1
- data/lib/stupidedi/builder/states/failure_state.rb +1 -1
- data/lib/stupidedi/builder/states/initial_state.rb +4 -4
- data/lib/stupidedi/contrib/002001/guides/SH856.rb +4 -4
- data/lib/stupidedi/contrib/002001/transaction_set_defs/PO830.rb +2 -2
- data/lib/stupidedi/contrib/003010/guides/PS830.rb +4 -4
- data/lib/stupidedi/contrib/003010/guides/RA820.rb +22 -12
- data/lib/stupidedi/contrib/003010/transaction_set_defs/PC860.rb +2 -2
- data/lib/stupidedi/contrib/003010/transaction_set_defs/PS830.rb +1 -1
- data/lib/stupidedi/contrib/003050/guides/PO850.rb +2 -2
- data/lib/stupidedi/contrib/003050/transaction_set_defs/PO850.rb +2 -2
- data/lib/stupidedi/contrib/004010/guides.rb +0 -1
- data/lib/stupidedi/contrib/004010/transaction_set_defs/AR943.rb +1 -1
- data/lib/stupidedi/contrib/004010/transaction_set_defs/IM210.rb +2 -2
- data/lib/stupidedi/contrib/004010/transaction_set_defs/RE944.rb +1 -1
- data/lib/stupidedi/contrib/004010/transaction_set_defs/SH856.rb +1 -7
- data/lib/stupidedi/editor.rb +0 -1
- data/lib/stupidedi/guides/004010/guide_builder.rb +1 -1
- data/lib/stupidedi/guides/005010/X223-HC837I.rb +1192 -1195
- data/lib/stupidedi/guides/005010/guide_builder.rb +1 -1
- data/lib/stupidedi/schema.rb +1 -0
- data/lib/stupidedi/schema/auditor.rb +435 -0
- data/lib/stupidedi/schema/loop_def.rb +18 -1
- data/lib/stupidedi/schema/transaction_set_def.rb +12 -0
- data/lib/stupidedi/version.rb +1 -1
- data/lib/stupidedi/versions/functional_groups/004010/transaction_set_defs/HP835.rb +3 -17
- data/lib/stupidedi/versions/functional_groups/005010/element_types/time_val.rb +3 -2
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs.rb +9 -6
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HB271.rb +25 -9
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HP835.rb +2 -2
- data/lib/stupidedi/zipper.rb +20 -1
- data/lib/stupidedi/zipper/memoized_cursor.rb +2 -0
- data/lib/stupidedi/zipper/path.rb +10 -0
- data/lib/stupidedi/zipper/root_cursor.rb +1 -1
- data/lib/stupidedi/zipper/stack_cursor.rb +174 -0
- data/spec/examples/stupidedi/audit_spec.rb +58 -0
- data/spec/spec_helper.rb +21 -13
- data/spec/support/rcov.rb +9 -4
- metadata +4 -1
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@@ -20,6 +20,10 @@ module Stupidedi
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@__drop = Hash.new
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end
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def hash
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[NonEmpty, state].hash
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end
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# @return [InstructionTable]
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def copy(changes = {})
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NonEmpty.new \
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# @return [Array<Instruction>]
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def matches(segment_tok, strict = false)
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-
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if constraints.defined_at?(segment_tok.id)
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constraints.at(segment_tok.id).matches(segment_tok, strict)
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else
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[]
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end
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end
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def constraints
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@__constraints ||= begin
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constraints = Hash.new
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# Group instructions by segment identifier
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@@ -65,12 +77,6 @@ module Stupidedi
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constraints
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end
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-
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if @__matches.defined_at?(segment_tok.id)
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@__matches.at(segment_tok.id).matches(segment_tok, strict)
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else
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[]
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end
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end
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# @return [InstructionTable]
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@@ -138,6 +144,12 @@ module Stupidedi
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end
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end
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end
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private
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def state
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[@instructions, @pop]
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end
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end
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Empty = Class.new(InstructionTable) do
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@@ -14,13 +14,19 @@ module Stupidedi
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# @return [Config]
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attr_reader :config
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# @return [Array<Zipper::AbstractCursor
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# @return [Array<Zipper::AbstractCursor<StateMachine::AbstractState>>]
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attr_reader :active
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def initialize(config, active)
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@config, @active = config, active
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end
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def copy(changes = {})
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StateMachine.new \
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changes.fetch(:config, @config),
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changes.fetch(:active, @active)
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end
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# @return [Reader::Separators]
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def separators
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@active.head.node.separators
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#########################################################################
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# @return [StateMachine]
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def build(config)
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StateMachine.new(config, InitialState.start.cons)
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def build(config, zipper = Zipper::Tree)
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StateMachine.new(config, InitialState.start(zipper).cons)
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end
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# @endgroup
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class << InitialState
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# @return [InitialState]
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def build
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def build(zipper)
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new(
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Reader::Separators.empty,
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Reader::SegmentDict.empty,
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# Create a new parse tree with a Transmission as the root, and descend
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# to the placeholder where the first child node will be placed.
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-
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zipper.build(Values::TransmissionVal.new),
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[])
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end
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# @return [Zipper::AbstractCursor]
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def start
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def start(zipper)
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zipper.build(build(zipper))
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end
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end
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r::Required, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Hierarchical ID Number", b::Values("1")),
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b::Element(e::NotUsed, "Hierarchical Parent ID Number"),
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b::Element(e::
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b::Element(e::Required, "Hierarchical Level Code", b::Values("S")),
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b::Element(e::NotUsed, "Hierarchical Child Code")),
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b::Segment(130, s::MEA, "Measurements",
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r::Situational, d::RepeatCount.bounded(1),
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Hierarchical ID Number"),
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b::Element(e::Situational, "Hierarchical Parent ID Number"),
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b::Element(e::
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b::Element(e::Required, "Hierarchical Level Code", b::Values("T")),
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b::Element(e::Situational, "Hierarchical Child Code", b::Values("0","1"))),
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b::Segment( 200, s::REF, "Reference Numbers",
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r::Situational, d::RepeatCount.bounded(200),
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Hierarchical ID Number"),
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b::Element(e::Situational, "Hierarchical Parent ID Number"),
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b::Element(e::
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b::Element(e::Required, "Hierarchical Level Code", b::Values("I")),
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b::Element(e::Situational, "Hierarchical Child Code", b::Values("0","1"))),
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b::Segment( 60, s::LIN, "Item Identification",
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r::Situational, d::RepeatCount.bounded(1),
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Hierarchical ID Number"),
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b::Element(e::Situational, "Hierarchical Parent ID Number"),
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b::Element(e::
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b::Element(e::Required, "Hierarchical Level Code", b::Values("P")),
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b::Element(e::Situational, "Hierarchical Child Code", b::Values("0"))),
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b::Segment( 80, s::SN1, "Item Detail (Shipment)",
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r::Situational, d::RepeatCount.bounded(1),
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s:: ST.use( 10, r::Mandatory, d::RepeatCount.bounded(1)),
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s::BFR.use( 20, r::Mandatory, d::RepeatCount.bounded(1)),
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s:: N1.use( 90, r::Optional, d::RepeatCount.bounded(
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d::LoopDef.build("N1", d::RepeatCount.bounded(2),
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s:: N1.use( 90, r::Optional, d::RepeatCount.bounded(1)),
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s::PER.use( 140, r::Optional, d::RepeatCount.bounded(3)))),
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d::TableDef.detail("Table 2 - Detail",
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b::Element(e::Required, "Date - Horizon End Date"),
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# b::Segment(30, s::NTE, "Note/Special Instruction",
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b::Element(e::Required, "Ship/Delivery or Calendar Pattern Code", b::Values("Y")),
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b::Element(e::Situational, "Quantity"),
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d::TableDef.header("Summary",
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b::Segment(10, s::CTT, "Transaction Totals",
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d::TableDef.detail("Detail",
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b::Segment( 20, s:: N1, "Name - Invoice Number/Check Number/Bill of Lading Number - Header",
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d::LoopDef.build("RMT", d::RepeatCount.unbounded,
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b::Segment( 30, s::RMT, "Remittance Advice",
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b::Segment( 21, s:: N1, "Name - DM/CM Supplier Authorizer",
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d::LoopDef.build("N1 - 3", d::RepeatCount.bounded(10000),
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b::Segment( 22, s:: N1, "Name - DM/CM Nissan Contact",
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119
127
|
d::LoopDef.build("N1 - 4", d::RepeatCount.bounded(10000),
|
|
120
128
|
b::Segment( 22, s:: N1, "Name - Invoice Number/Check Number/Bill of Lading Number - Line Item",
|
|
121
129
|
r::Required, d::RepeatCount.bounded(1),
|
|
122
130
|
b::Element(e::Required, "Entity Identifier Code", b::Values("LI")),
|
|
123
|
-
b::Element(e::Situational, "Name - Invoice Number/Check Number/Bill of Lading")
|
|
131
|
+
b::Element(e::Situational, "Name - Invoice Number/Check Number/Bill of Lading"),
|
|
132
|
+
b::Element(e::NotUsed, "Unknown"),
|
|
133
|
+
b::Element(e::NotUsed, "Unknown")),
|
|
124
134
|
|
|
125
135
|
d::LoopDef.build("RMT - 2", d::RepeatCount.unbounded,
|
|
126
136
|
b::Segment( 30, s::RMT, "Remittance Advice",
|
|
@@ -21,8 +21,8 @@ module Stupidedi
|
|
|
21
21
|
s:: N9.use( 283, r::Optional, d::RepeatCount.bounded(1)),
|
|
22
22
|
s::MSG.use( 290, r::Optional, d::RepeatCount.bounded(1000))),
|
|
23
23
|
|
|
24
|
-
d::LoopDef.build("N1", d::RepeatCount.bounded(
|
|
25
|
-
s:: N1.use( 300, r::Optional, d::RepeatCount.bounded(
|
|
24
|
+
d::LoopDef.build("N1", d::RepeatCount.bounded(2),
|
|
25
|
+
s:: N1.use( 300, r::Optional, d::RepeatCount.bounded(1)),
|
|
26
26
|
s:: N2.use( 310, r::Optional, d::RepeatCount.bounded(1)),
|
|
27
27
|
s:: N3.use( 320, r::Optional, d::RepeatCount.bounded(1)),
|
|
28
28
|
s:: N4.use( 330, r::Optional, d::RepeatCount.bounded(1)))),
|
|
@@ -31,7 +31,7 @@ module Stupidedi
|
|
|
31
31
|
s::SDP.use( 290, r::Optional, d::RepeatCount.bounded(1)),
|
|
32
32
|
s::FST.use( 301, r::Optional, d::RepeatCount.bounded(1)),
|
|
33
33
|
d::LoopDef.build("NTE", d::RepeatCount.bounded(100),
|
|
34
|
-
s::NTE.use( 30, r::Optional, d::RepeatCount.bounded(
|
|
34
|
+
s::NTE.use( 30, r::Optional, d::RepeatCount.bounded(1)),
|
|
35
35
|
s::FST.use( 300, r::Optional, d::RepeatCount.bounded(260)))),
|
|
36
36
|
|
|
37
37
|
# s::SDP.use( 291, r::Optional, d::RepeatCount.bounded(1)),
|
|
@@ -67,9 +67,9 @@ module Stupidedi
|
|
|
67
67
|
b::Element(e::NotUsed, "Unknown"),
|
|
68
68
|
b::Element(e::Situational, "Description") )),
|
|
69
69
|
|
|
70
|
-
d::LoopDef.build("DTM", d::RepeatCount.bounded(
|
|
70
|
+
d::LoopDef.build("DTM", d::RepeatCount.bounded(10),
|
|
71
71
|
b::Segment(210, s::DTM, "Date/Time Reference",
|
|
72
|
-
r::Situational, d::RepeatCount.bounded(
|
|
72
|
+
r::Situational, d::RepeatCount.bounded(1),
|
|
73
73
|
b::Element(e::Required, "Date/Time Qualifier", b::Values("002")),
|
|
74
74
|
b::Element(e::Situational, "Date"),
|
|
75
75
|
b::Element(e::NotUsed, "Unknown"),
|
|
@@ -26,8 +26,8 @@ module Stupidedi
|
|
|
26
26
|
d::LoopDef.build("PID", d::RepeatCount.bounded(1000),
|
|
27
27
|
s::PID.use( 50, r::Optional, d::RepeatCount.bounded(1))),
|
|
28
28
|
|
|
29
|
-
d::LoopDef.build("DTM", d::RepeatCount.bounded(
|
|
30
|
-
s::DTM.use(210, r::Optional, d::RepeatCount.bounded(
|
|
29
|
+
d::LoopDef.build("DTM", d::RepeatCount.bounded(10),
|
|
30
|
+
s::DTM.use(210, r::Optional, d::RepeatCount.bounded(1))),
|
|
31
31
|
|
|
32
32
|
d::LoopDef.build("N9", d::RepeatCount.bounded(1000),
|
|
33
33
|
s:: N9.use(330, r::Optional, d::RepeatCount.bounded(1))))),
|
|
@@ -10,7 +10,6 @@ module Stupidedi
|
|
|
10
10
|
|
|
11
11
|
autoload :IM210, "stupidedi/contrib/004010/guides/IM210"
|
|
12
12
|
autoload :PO850, "stupidedi/contrib/004010/guides/PO850"
|
|
13
|
-
autoload :PR855, "stupidedi/contrib/004010/guides/PR855"
|
|
14
13
|
autoload :OW940, "stupidedi/contrib/004010/guides/OW940"
|
|
15
14
|
autoload :AR943, "stupidedi/contrib/004010/guides/AR943"
|
|
16
15
|
autoload :RE944, "stupidedi/contrib/004010/guides/RE944"
|
|
@@ -15,7 +15,7 @@ module Stupidedi
|
|
|
15
15
|
s::W06.use( 20, r::Mandatory, d::RepeatCount.bounded(1)),
|
|
16
16
|
|
|
17
17
|
d::LoopDef.build("N1", d::RepeatCount.bounded(10),
|
|
18
|
-
s:: N1.use(140, r::Mandatory, d::RepeatCount.bounded(
|
|
18
|
+
s:: N1.use(140, r::Mandatory, d::RepeatCount.bounded(1))),
|
|
19
19
|
|
|
20
20
|
s::G62.use(110, r::Optional, d::RepeatCount.bounded(2)),
|
|
21
21
|
s::W27.use(130, r::Mandatory, d::RepeatCount.bounded(1))),
|
|
@@ -23,10 +23,10 @@ module Stupidedi
|
|
|
23
23
|
s:: N1.use(110, r::Mandatory, d::RepeatCount.bounded(1)),
|
|
24
24
|
s:: N3.use(130, r::Mandatory, d::RepeatCount.bounded(2)),
|
|
25
25
|
s:: N4.use(140, r::Mandatory, d::RepeatCount.bounded(1)),
|
|
26
|
-
s:: N9.use(150, r::Optional, d::RepeatCount.bounded(5)))
|
|
26
|
+
s:: N9.use(150, r::Optional, d::RepeatCount.bounded(5))),
|
|
27
27
|
|
|
28
28
|
d::LoopDef.build("0200", d::RepeatCount.bounded(10),
|
|
29
|
-
s:: N7.use(160, r::Mandatory, d::RepeatCount.bounded(1))),
|
|
29
|
+
s:: N7.use(160, r::Mandatory, d::RepeatCount.bounded(1)))),
|
|
30
30
|
|
|
31
31
|
d::TableDef.detail("Detail",
|
|
32
32
|
d::LoopDef.build("0400", d::RepeatCount.unbounded,
|
|
@@ -15,7 +15,7 @@ module Stupidedi
|
|
|
15
15
|
s::W17.use(20, r::Mandatory, d::RepeatCount.bounded(1)),
|
|
16
16
|
|
|
17
17
|
d::LoopDef.build("N1", d::RepeatCount.bounded(10),
|
|
18
|
-
s:: N1.use( 40, r::Mandatory, d::RepeatCount.bounded(
|
|
18
|
+
s:: N1.use( 40, r::Mandatory, d::RepeatCount.bounded(1))),
|
|
19
19
|
|
|
20
20
|
s::G62.use(140, r::Optional , d::RepeatCount.bounded(2))),
|
|
21
21
|
|
|
@@ -30,13 +30,7 @@ module Stupidedi
|
|
|
30
30
|
s:: N1.use( 310, r::Optional, d::RepeatCount.bounded(1)),
|
|
31
31
|
s:: N3.use( 330, r::Optional, d::RepeatCount.bounded(2)),
|
|
32
32
|
s:: N4.use( 340, r::Optional, d::RepeatCount.unbounded),
|
|
33
|
-
s::REF.use( 350, r::Optional, d::RepeatCount.bounded(12))),
|
|
34
|
-
d::LoopDef.build("HL", d::RepeatCount.bounded(200),
|
|
35
|
-
s:: N1.use( 310, r::Optional, d::RepeatCount.bounded(1)),
|
|
36
|
-
s:: N1.use( 310, r::Optional, d::RepeatCount.bounded(1)),
|
|
37
|
-
s::REF.use( 350, r::Optional, d::RepeatCount.bounded(12))),
|
|
38
|
-
|
|
39
|
-
),
|
|
33
|
+
s::REF.use( 350, r::Optional, d::RepeatCount.bounded(12)))),
|
|
40
34
|
|
|
41
35
|
d::TableDef.summary("Table 4 - Summary",
|
|
42
36
|
s::CTT.use(100, r::Optional, d::RepeatCount.bounded(1)),
|
data/lib/stupidedi/editor.rb
CHANGED
|
@@ -53,7 +53,7 @@ module Stupidedi
|
|
|
53
53
|
unless elements.length == segment_def.element_uses.length
|
|
54
54
|
raise Exceptions::InvalidSchemaError,
|
|
55
55
|
"segment #{segment_def.id} has #{segment_def.element_uses.length}" +
|
|
56
|
-
" elements but #{elements.length} arguments were
|
|
56
|
+
" elements but #{elements.length} arguments were given"
|
|
57
57
|
end
|
|
58
58
|
|
|
59
59
|
element_index = "00"
|
|
@@ -18,69 +18,69 @@ module Stupidedi
|
|
|
18
18
|
d::RepeatCount.bounded(100),
|
|
19
19
|
b::Segment(1300, s::CLM, "Claim Information",
|
|
20
20
|
r::Required, d::RepeatCount.bounded(1),
|
|
21
|
-
b::Element(e::Required,
|
|
22
|
-
b::Element(e::Required,
|
|
23
|
-
b::Element(e::NotUsed,
|
|
24
|
-
b::Element(e::NotUsed,
|
|
25
|
-
b::Element(e::Required,
|
|
21
|
+
b::Element(e::Required, "Patient Control Number", b::MaxLength(20)),
|
|
22
|
+
b::Element(e::Required, "Total Claim Charge Amount"),
|
|
23
|
+
b::Element(e::NotUsed, "Claim Filing Indicator Code"),
|
|
24
|
+
b::Element(e::NotUsed, "Non-Institutional Claim Type Code"),
|
|
25
|
+
b::Element(e::Required, "HEALTH CARE SERVICE LOCATION INFORMATION",
|
|
26
26
|
b::Element(e::Required, "Facility Type Code"),
|
|
27
27
|
b::Element(e::Required, "Facility Code Qualifier", b::Values("A")),
|
|
28
28
|
b::Element(e::Required, "Claim Frequency Code")),
|
|
29
|
-
b::Element(e::NotUsed,
|
|
30
|
-
b::Element(e::Required,
|
|
31
|
-
b::Element(e::Required,
|
|
32
|
-
b::Element(e::Required,
|
|
33
|
-
b::Element(e::NotUsed,
|
|
34
|
-
b::Element(e::NotUsed,
|
|
35
|
-
b::Element(e::NotUsed,
|
|
36
|
-
b::Element(e::NotUsed,
|
|
37
|
-
b::Element(e::NotUsed,
|
|
38
|
-
b::Element(e::NotUsed,
|
|
39
|
-
b::Element(e::NotUsed,
|
|
40
|
-
b::Element(e::NotUsed,
|
|
41
|
-
b::Element(e::NotUsed,
|
|
42
|
-
b::Element(e::NotUsed,
|
|
29
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"),
|
|
30
|
+
b::Element(e::Required, "Assignment or Plan Participation Code", b::Values("A", "B", "C")),
|
|
31
|
+
b::Element(e::Required, "Benefits Assignment Certification Indicator", b::Values("N", "W", "Y")),
|
|
32
|
+
b::Element(e::Required, "Release of Information Code", b::Values("I", "Y")),
|
|
33
|
+
b::Element(e::NotUsed, "Patient Signature Source Code"),
|
|
34
|
+
b::Element(e::NotUsed, "RELATED CAUSES INFORMATION"),
|
|
35
|
+
b::Element(e::NotUsed, "Special Program Code"),
|
|
36
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"),
|
|
37
|
+
b::Element(e::NotUsed, "Level of Service Code"),
|
|
38
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"),
|
|
39
|
+
b::Element(e::NotUsed, "Provider Agreement Code"),
|
|
40
|
+
b::Element(e::NotUsed, "Claim Status Code"),
|
|
41
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"),
|
|
42
|
+
b::Element(e::NotUsed, "Claim Submission Reason Code"),
|
|
43
43
|
b::Element(e::Situational, "Delay Reason Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "15"))),
|
|
44
44
|
b::Segment(1350, s::DTP, "Discharge Hour",
|
|
45
45
|
r::Situational, d::RepeatCount.bounded(1),
|
|
46
|
-
b::Element(e::Required,
|
|
47
|
-
b::Element(e::Required,
|
|
48
|
-
b::Element(e::Required,
|
|
46
|
+
b::Element(e::Required, "Date Time Qualifier", b::Values("096")),
|
|
47
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("TM")),
|
|
48
|
+
b::Element(e::Required, "Discharge Time")),
|
|
49
49
|
b::Segment(1350, s::DTP, "Statement Dates",
|
|
50
50
|
r::Required, d::RepeatCount.bounded(1),
|
|
51
|
-
b::Element(e::Required,
|
|
52
|
-
b::Element(e::Required,
|
|
53
|
-
b::Element(e::Required,
|
|
51
|
+
b::Element(e::Required, "Date Time Qualifier", b::Values("434")),
|
|
52
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
53
|
+
b::Element(e::Required, "Statement From and To Date")),
|
|
54
54
|
b::Segment(1350, s::DTP, "Admission Date/Hour",
|
|
55
55
|
r::Situational, d::RepeatCount.bounded(1),
|
|
56
|
-
b::Element(e::Required,
|
|
57
|
-
b::Element(e::Required,
|
|
58
|
-
b::Element(e::Required,
|
|
56
|
+
b::Element(e::Required, "Date Time Qualifier", b::Values("435")),
|
|
57
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8", "DT")),
|
|
58
|
+
b::Element(e::Required, "Admission Date and Hour")),
|
|
59
59
|
b::Segment(1350, s::DTP, "Date - Repricer Received Date",
|
|
60
60
|
r::Situational, d::RepeatCount.bounded(1),
|
|
61
|
-
b::Element(e::Required,
|
|
62
|
-
b::Element(e::Required,
|
|
63
|
-
b::Element(e::Required,
|
|
61
|
+
b::Element(e::Required, "Date Time Qualifier", b::Values("050")),
|
|
62
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
63
|
+
b::Element(e::Required, "Repricer Received Date")),
|
|
64
64
|
b::Segment(1400, s::CL1, "Institutional Claim Code",
|
|
65
65
|
r::Required, d::RepeatCount.bounded(1),
|
|
66
66
|
b::Element(e::Situational, "Admission Type Code"),
|
|
67
67
|
b::Element(e::Situational, "Admission Source Code"),
|
|
68
|
-
b::Element(e::Required,
|
|
69
|
-
b::Element(e::NotUsed,
|
|
68
|
+
b::Element(e::Required, "Patient Status Code"),
|
|
69
|
+
b::Element(e::NotUsed, "Nursing Home Residential Status Code")),
|
|
70
70
|
b::Segment(1550, s::PWK, "Claim Supplemental Information",
|
|
71
71
|
r::Situational, d::RepeatCount.bounded(10),
|
|
72
|
-
b::Element(e::Required,
|
|
73
|
-
b::Element(e::Required,
|
|
74
|
-
b::Element(e::NotUsed,
|
|
75
|
-
b::Element(e::NotUsed,
|
|
72
|
+
b::Element(e::Required, "Report Type Code", b::Values("03", "04", "05", "06", "07", "08", "09", "10", "11", "13", "15", "21", "A3", "A4", "AM", "AS", "B2", "B3", "B4", "BR", "BS", "BT", "CB", "CK", "CT", "D2", "DA", "DB", "DG", "DJ", "DS", "EB", "HC", "HR", "I5", "IR", "LA", "M1", "MT", "NN", "OB", "OC", "OD", "OE", "OX", "OZ", "P4", "P5", "PE", "PN", "PO", "PQ", "PY", "PZ", "RB", "RR", "RT", "RX", "SG", "V5", "XP")),
|
|
73
|
+
b::Element(e::Required, "Attachment Transmission Code", b::Values("AA", "BM", "EL", "EM", "FT", "FX")),
|
|
74
|
+
b::Element(e::NotUsed, "Report Copies Needed"),
|
|
75
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
|
76
76
|
b::Element(e::Situational, "Identification Code Qualifier", b::Values("AC")),
|
|
77
77
|
b::Element(e::Situational, "Attachment Control Number", b::MaxLength(50)),
|
|
78
|
-
b::Element(e::NotUsed,
|
|
79
|
-
b::Element(e::NotUsed,
|
|
80
|
-
b::Element(e::NotUsed,
|
|
78
|
+
b::Element(e::NotUsed, "Description"),
|
|
79
|
+
b::Element(e::NotUsed, "ACTIONS INDICATED"),
|
|
80
|
+
b::Element(e::NotUsed, "Request Category Code")),
|
|
81
81
|
b::Segment(1600, s::CN1, "Contract Information",
|
|
82
82
|
r::Situational, d::RepeatCount.bounded(1),
|
|
83
|
-
b::Element(e::Required,
|
|
83
|
+
b::Element(e::Required, "Contract Type Code", b::Values("01", "02", "03", "04", "05", "06", "09")),
|
|
84
84
|
b::Element(e::Situational, "Contract Amount"),
|
|
85
85
|
b::Element(e::Situational, "Contract Percentage"),
|
|
86
86
|
b::Element(e::Situational, "Contract Code"),
|
|
@@ -88,63 +88,63 @@ module Stupidedi
|
|
|
88
88
|
b::Element(e::Situational, "Contract Version Identifier")),
|
|
89
89
|
b::Segment(1750, s::AMT, "Patient Estimated Amount Due",
|
|
90
90
|
r::Situational, d::RepeatCount.bounded(1),
|
|
91
|
-
b::Element(e::Required,
|
|
92
|
-
b::Element(e::Required,
|
|
93
|
-
b::Element(e::NotUsed,
|
|
91
|
+
b::Element(e::Required, "Amount Qualifier Code", b::Values("F3")),
|
|
92
|
+
b::Element(e::Required, "Patient Responsibility Amount"),
|
|
93
|
+
b::Element(e::NotUsed, "Credit/Debit Flag Code")),
|
|
94
94
|
b::Segment(1800, s::REF, "Service Authorization Exception Code",
|
|
95
95
|
r::Situational, d::RepeatCount.bounded(1),
|
|
96
|
-
b::Element(e::Required,
|
|
97
|
-
b::Element(e::Required,
|
|
98
|
-
b::Element(e::NotUsed,
|
|
99
|
-
b::Element(e::NotUsed,
|
|
96
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("4N")),
|
|
97
|
+
b::Element(e::Required, "Service Authorization Exception Code", b::Values("1", "2", "3", "4", "5", "6", "7")),
|
|
98
|
+
b::Element(e::NotUsed, "Description"),
|
|
99
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
100
100
|
b::Segment(1800, s::REF, "Referral Number",
|
|
101
101
|
r::Situational, d::RepeatCount.bounded(1),
|
|
102
|
-
b::Element(e::Required,
|
|
103
|
-
b::Element(e::Required,
|
|
104
|
-
b::Element(e::NotUsed,
|
|
105
|
-
b::Element(e::NotUsed,
|
|
102
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("9F")),
|
|
103
|
+
b::Element(e::Required, "Referral Number"),
|
|
104
|
+
b::Element(e::NotUsed, "Description"),
|
|
105
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
106
106
|
b::Segment(1800, s::REF, "Prior Authorization",
|
|
107
107
|
r::Situational, d::RepeatCount.bounded(1),
|
|
108
|
-
b::Element(e::Required,
|
|
109
|
-
b::Element(e::Required,
|
|
110
|
-
b::Element(e::NotUsed,
|
|
111
|
-
b::Element(e::NotUsed,
|
|
108
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("G1")),
|
|
109
|
+
b::Element(e::Required, "Prior Authorization Number"),
|
|
110
|
+
b::Element(e::NotUsed, "Description"),
|
|
111
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
112
112
|
b::Segment(1800, s::REF, "Payer Claim Control Number",
|
|
113
113
|
r::Situational, d::RepeatCount.bounded(1),
|
|
114
|
-
b::Element(e::Required,
|
|
115
|
-
b::Element(e::Required,
|
|
116
|
-
b::Element(e::NotUsed,
|
|
117
|
-
b::Element(e::NotUsed,
|
|
114
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("F8")),
|
|
115
|
+
b::Element(e::Required, "Payer Claim Control Number"),
|
|
116
|
+
b::Element(e::NotUsed, "Description"),
|
|
117
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
118
118
|
b::Segment(1800, s::REF, "Repriced Claim Number",
|
|
119
119
|
r::Situational, d::RepeatCount.bounded(1),
|
|
120
|
-
b::Element(e::Required,
|
|
121
|
-
b::Element(e::Required,
|
|
122
|
-
b::Element(e::NotUsed,
|
|
123
|
-
b::Element(e::NotUsed,
|
|
120
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("9A")),
|
|
121
|
+
b::Element(e::Required, "Repriced Claim Reference Number"),
|
|
122
|
+
b::Element(e::NotUsed, "Description"),
|
|
123
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
124
124
|
b::Segment(1800, s::REF, "Adjusted Repriced Claim Number",
|
|
125
125
|
r::Situational, d::RepeatCount.bounded(1),
|
|
126
|
-
b::Element(e::Required,
|
|
127
|
-
b::Element(e::Required,
|
|
128
|
-
b::Element(e::NotUsed,
|
|
129
|
-
b::Element(e::NotUsed,
|
|
126
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("9C")),
|
|
127
|
+
b::Element(e::Required, "Adjusted Repriced Claim Reference Number"),
|
|
128
|
+
b::Element(e::NotUsed, "Description"),
|
|
129
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
130
130
|
b::Segment(1800, s::REF, "Investigational Device Exemption Number",
|
|
131
131
|
r::Situational, d::RepeatCount.bounded(5),
|
|
132
|
-
b::Element(e::Required,
|
|
133
|
-
b::Element(e::Required,
|
|
134
|
-
b::Element(e::NotUsed,
|
|
135
|
-
b::Element(e::NotUsed,
|
|
132
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("LX")),
|
|
133
|
+
b::Element(e::Required, "Investigational Device Exemption Identifier"),
|
|
134
|
+
b::Element(e::NotUsed, "Description"),
|
|
135
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
136
136
|
b::Segment(1800, s::REF, "Claim Identifier for Transmission Intermediaries",
|
|
137
137
|
r::Situational, d::RepeatCount.bounded(1),
|
|
138
|
-
b::Element(e::Required,
|
|
139
|
-
b::Element(e::Required,
|
|
140
|
-
b::Element(e::NotUsed,
|
|
141
|
-
b::Element(e::NotUsed,
|
|
138
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("D9")),
|
|
139
|
+
b::Element(e::Required, "Value Added Network Trace Number", b::MaxLength(20)),
|
|
140
|
+
b::Element(e::NotUsed, "Description"),
|
|
141
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
142
142
|
b::Segment(1800, s::REF, "Auto Accident State",
|
|
143
143
|
r::Situational, d::RepeatCount.bounded(1),
|
|
144
|
-
b::Element(e::Required,
|
|
145
|
-
b::Element(e::Required,
|
|
146
|
-
b::Element(e::NotUsed,
|
|
147
|
-
b::Element(e::NotUsed,
|
|
144
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("LU")),
|
|
145
|
+
b::Element(e::Required, "Auto Accident State or Province Code"),
|
|
146
|
+
b::Element(e::NotUsed, "Description"),
|
|
147
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
|
148
148
|
b::Segment(1800, s::REF, "Medical Record Number",
|
|
149
149
|
r::Situational, d::RepeatCount.bounded(1),
|
|
150
150
|
b::Element(e::Required, "Reference Identification Qualifier", b::Values("EA")),
|
|
@@ -192,27 +192,869 @@ module Stupidedi
|
|
|
192
192
|
b::Element(e::Required, "Principal Diagnosis Code"),
|
|
193
193
|
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
194
194
|
b::Element(e::NotUsed, "Date Time Period"),
|
|
195
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
195
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
196
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
197
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
198
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
199
|
+
b::Element(e::Situational, "Yes/No Condition or Response Code", b::Values("N", "U", "W", "Y"))),
|
|
200
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
201
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
202
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
203
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
204
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
205
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
206
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
207
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
208
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
209
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
210
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
211
|
+
b::Segment(2310, s::HI, "Admitting Diagnosis",
|
|
212
|
+
r::Situational, d::RepeatCount.bounded(1),
|
|
213
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
214
|
+
b::Element(e::Required, "Code List Qualifier", b::Values("ABJ", "BJ")),
|
|
215
|
+
b::Element(e::Required, "Admitting Diagnosis Code"),
|
|
216
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
217
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
218
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
219
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
220
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
221
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
222
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
223
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
224
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
225
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
226
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
227
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
228
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
229
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
230
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
231
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
232
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
233
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
234
|
+
b::Segment(2310, s::HI, "Patient's Reason For Visit",
|
|
235
|
+
r::Situational, d::RepeatCount.bounded(1),
|
|
236
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
237
|
+
b::Element(e::Required, "Code List Qualifier", b::Values("APR", "PR")),
|
|
238
|
+
b::Element(e::Required, "Patient Reason For Visit"),
|
|
239
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
240
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
241
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
242
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
243
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
244
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
245
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
246
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
247
|
+
b::Element(e::Required, "Code List Qualifier", b::Values("APR", "PR")),
|
|
248
|
+
b::Element(e::Required, "Patient Reason For Visit"),
|
|
249
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
250
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
251
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
252
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
253
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
254
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
255
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
256
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
257
|
+
b::Element(e::Required, "Code List Qualifier", b::Values("APR", "PR")),
|
|
258
|
+
b::Element(e::Required, "Patient Reason For Visit"),
|
|
259
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
260
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
261
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
262
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
263
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
264
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
265
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
266
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
267
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
268
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
269
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
270
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
271
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
272
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
273
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
274
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
275
|
+
b::Segment(2310, s::HI, "External Cause of Injury",
|
|
276
|
+
r::Situational, d::RepeatCount.bounded(1),
|
|
277
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
278
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
279
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
280
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
281
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
282
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
283
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
284
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
285
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
286
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
287
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
288
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
289
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
290
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
291
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
292
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
293
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
294
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
295
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
296
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
297
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
298
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
299
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
300
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
301
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
302
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
303
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
304
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
305
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
306
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
307
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
308
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
309
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
310
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
311
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
312
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
313
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
314
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
315
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
316
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
317
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
318
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
319
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
320
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
321
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
322
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
323
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
324
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
325
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
326
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
327
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
328
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
329
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
330
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
331
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
332
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
333
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
334
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
335
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
336
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
337
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
338
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
339
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
340
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
341
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
342
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
343
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
344
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
345
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
346
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
347
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
348
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
349
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
350
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
351
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
352
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
353
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
354
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
355
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
356
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
357
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
358
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
359
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
360
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
361
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
362
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
363
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
364
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
365
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
366
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
367
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
368
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
369
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
370
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
371
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
372
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
373
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
374
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
375
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
376
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
377
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
378
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
379
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
380
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
381
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
382
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
383
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
384
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
385
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
386
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
387
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
388
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
389
|
+
b::Element(e::Required, "External Cause of Injury Code"),
|
|
390
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
391
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
392
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
393
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
394
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
395
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
396
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y")))),
|
|
397
|
+
b::Segment(2310, s::HI, "Diagnosis Related Group (DRG) Information",
|
|
398
|
+
r::Situational, d::RepeatCount.bounded(1),
|
|
399
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
400
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("DR")),
|
|
401
|
+
b::Element(e::Required, "Diagnosis Related Group (DRG) Code"),
|
|
402
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
403
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
404
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
405
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
406
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
407
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
408
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
409
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
410
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
411
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
412
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
413
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
414
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
415
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
416
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
417
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
418
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
419
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
420
|
+
b::Segment(2310, s::HI, "Other Diagnosis Information",
|
|
421
|
+
r::Situational, d::RepeatCount.bounded(2),
|
|
422
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
423
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
424
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
425
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
426
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
427
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
428
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
429
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
430
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
431
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
432
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
433
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
434
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
435
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
436
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
437
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
438
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
439
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
440
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
441
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
442
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
443
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
444
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
445
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
446
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
447
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
448
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
449
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
450
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
451
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
452
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
453
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
454
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
455
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
456
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
457
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
458
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
459
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
460
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
461
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
462
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
463
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
464
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
465
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
466
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
467
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
468
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
469
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
470
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
471
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
472
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
473
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
474
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
475
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
476
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
477
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
478
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
479
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
480
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
481
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
482
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
483
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
484
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
485
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
486
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
487
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
488
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
489
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
490
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
491
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
492
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
493
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
494
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
495
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
496
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
497
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
498
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
499
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
500
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
501
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
502
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
503
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
504
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
505
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
506
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
507
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
508
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
509
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
510
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
511
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
512
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
513
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
514
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
515
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
516
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
517
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
518
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
519
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
520
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
521
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
522
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
523
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
524
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
525
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
526
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
527
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
528
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
529
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
530
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
531
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
532
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
533
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABF", "BF")),
|
|
534
|
+
b::Element(e::Required, "Other Diagnosis"),
|
|
535
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
536
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
537
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
538
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
539
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
540
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
541
|
+
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y")))),
|
|
542
|
+
b::Segment(2310, s::HI, "Principal Procedure Information",
|
|
543
|
+
r::Situational, d::RepeatCount.bounded(1),
|
|
544
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
545
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBR", "BR", "CAH")),
|
|
546
|
+
b::Element(e::Required, "Principal Procedure Code"),
|
|
547
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
548
|
+
b::Element(e::Required, "Principal Procedure Date"),
|
|
549
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
550
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
551
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
552
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
553
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
554
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
555
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
556
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
557
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
558
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
559
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
560
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
561
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
562
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
563
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
564
|
+
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
565
|
+
b::Segment(2310, s::HI, "Other Procedure Information",
|
|
566
|
+
r::Situational, d::RepeatCount.bounded(2),
|
|
567
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
568
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
569
|
+
b::Element(e::Required, "Procedure Code"),
|
|
570
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
571
|
+
b::Element(e::Required, "Procedure Date"),
|
|
572
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
573
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
574
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
575
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
576
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
577
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
578
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
579
|
+
b::Element(e::Required, "Procedure Code"),
|
|
580
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
581
|
+
b::Element(e::Required, "Procedure Date"),
|
|
582
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
583
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
584
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
585
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
586
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
587
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
588
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
589
|
+
b::Element(e::Required, "Procedure Code"),
|
|
590
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
591
|
+
b::Element(e::Required, "Procedure Date"),
|
|
592
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
593
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
594
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
595
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
596
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
597
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
598
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
599
|
+
b::Element(e::Required, "Procedure Code"),
|
|
600
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
601
|
+
b::Element(e::Required, "Procedure Date"),
|
|
602
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
603
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
604
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
605
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
606
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
607
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
608
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
609
|
+
b::Element(e::Required, "Procedure Code"),
|
|
610
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
611
|
+
b::Element(e::Required, "Procedure Date"),
|
|
612
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
613
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
614
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
615
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
616
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
617
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
618
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
619
|
+
b::Element(e::Required, "Procedure Code"),
|
|
620
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
621
|
+
b::Element(e::Required, "Procedure Date"),
|
|
622
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
623
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
624
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
625
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
626
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
627
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
628
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
629
|
+
b::Element(e::Required, "Procedure Code"),
|
|
630
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
631
|
+
b::Element(e::Required, "Procedure Date"),
|
|
632
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
633
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
634
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
635
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
636
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
637
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
638
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
639
|
+
b::Element(e::Required, "Procedure Code"),
|
|
640
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
641
|
+
b::Element(e::Required, "Procedure Date"),
|
|
642
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
643
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
644
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
645
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
646
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
647
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
648
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
649
|
+
b::Element(e::Required, "Procedure Code"),
|
|
650
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
651
|
+
b::Element(e::Required, "Procedure Date"),
|
|
652
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
653
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
654
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
655
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
656
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
657
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
658
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
659
|
+
b::Element(e::Required, "Procedure Code"),
|
|
660
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
661
|
+
b::Element(e::Required, "Procedure Date"),
|
|
662
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
663
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
664
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
665
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
666
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
667
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
668
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
669
|
+
b::Element(e::Required, "Procedure Code"),
|
|
670
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
671
|
+
b::Element(e::Required, "Procedure Date"),
|
|
672
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
673
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
674
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
675
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
676
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
677
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
678
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
679
|
+
b::Element(e::Required, "Procedure Code"),
|
|
680
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
681
|
+
b::Element(e::Required, "Procedure Date"),
|
|
682
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
683
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
684
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
685
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
686
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
687
|
+
b::Segment(2310, s::HI, "Occurrence Span Information",
|
|
688
|
+
r::Situational, d::RepeatCount.bounded(2),
|
|
689
|
+
b::Element(e::Required, "HEALTH CLAIM CODE INFORMATION",
|
|
690
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
691
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
692
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
693
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
694
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
695
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
696
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
697
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
698
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
699
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
700
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
701
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
702
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
703
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
704
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
705
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
706
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
707
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
708
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
709
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
710
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
711
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
712
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
713
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
714
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
715
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
716
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
717
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
718
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
719
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
720
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
721
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
722
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
723
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
724
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
725
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
726
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
727
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
728
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
729
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
730
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
731
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
732
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
733
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
734
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
735
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
736
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
737
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
738
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
739
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
740
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
741
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
742
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
743
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
744
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
745
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
746
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
747
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
748
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
749
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
750
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
751
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
752
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
753
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
754
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
755
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
756
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
757
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
758
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
759
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
760
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
761
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
762
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
763
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
764
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
765
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
766
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
767
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
768
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
769
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
770
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
771
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
772
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
773
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
774
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
775
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
776
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
777
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
778
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
779
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
780
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
781
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
782
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
783
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
784
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
785
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
786
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
787
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
788
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
789
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
790
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
791
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
792
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
793
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
794
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
795
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
796
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
797
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
798
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
799
|
+
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
800
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
801
|
+
b::Element(e::Required, "Occurrence Span Code"),
|
|
802
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
803
|
+
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
804
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
805
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
806
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
807
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
808
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
809
|
+
b::Segment(2310, s::HI, "Occurrence Information",
|
|
810
|
+
r::Situational, d::RepeatCount.bounded(2),
|
|
811
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
812
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
813
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
814
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
815
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
816
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
817
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
818
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
819
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
820
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
821
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
822
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
823
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
824
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
825
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
826
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
827
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
828
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
829
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
830
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
831
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
832
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
833
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
834
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
835
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
836
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
837
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
838
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
839
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
840
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
841
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
842
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
843
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
844
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
845
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
846
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
847
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
848
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
849
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
850
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
851
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
852
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
853
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
854
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
855
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
856
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
857
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
858
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
859
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
860
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
861
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
862
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
863
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
864
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
865
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
866
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
867
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
868
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
869
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
870
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
871
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
872
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
873
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
874
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
875
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
876
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
877
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
878
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
879
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
880
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
881
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
882
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
883
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
884
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
885
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
886
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
887
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
888
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
889
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
890
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
891
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
892
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
893
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
894
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
895
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
896
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
897
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
898
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
899
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
900
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
901
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
902
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
903
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
904
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
905
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
906
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
907
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
908
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
909
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
910
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
911
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
912
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
913
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
914
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
915
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
916
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
917
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
918
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
919
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
920
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
921
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
922
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
923
|
+
b::Element(e::Required, "Occurrence Code"),
|
|
924
|
+
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
925
|
+
b::Element(e::Required, "Occurrence Code Date"),
|
|
926
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
927
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
928
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
929
|
+
b::Element(e::NotUsed, "Industy Code"),
|
|
930
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
931
|
+
b::Segment(2310, s::HI, "Value Information",
|
|
932
|
+
r::Situational, d::RepeatCount.bounded(2),
|
|
933
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
934
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
935
|
+
b::Element(e::Required, "Value Code"),
|
|
936
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
937
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
938
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
939
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
940
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
941
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
942
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
943
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
944
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
945
|
+
b::Element(e::Required, "Value Code"),
|
|
946
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
947
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
948
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
949
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
950
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
951
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
952
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
953
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
954
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
955
|
+
b::Element(e::Required, "Value Code"),
|
|
956
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
957
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
958
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
959
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
960
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
961
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
962
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
963
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
964
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
965
|
+
b::Element(e::Required, "Value Code"),
|
|
966
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
967
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
968
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
969
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
970
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
971
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
972
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
973
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
974
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
975
|
+
b::Element(e::Required, "Value Code"),
|
|
976
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
977
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
978
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
979
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
980
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
981
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
982
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
983
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
984
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
985
|
+
b::Element(e::Required, "Value Code"),
|
|
986
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
987
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
988
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
989
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
990
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
991
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
992
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
993
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
994
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
995
|
+
b::Element(e::Required, "Value Code"),
|
|
996
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
997
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
998
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
999
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1000
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1001
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1002
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1003
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1004
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1005
|
+
b::Element(e::Required, "Value Code"),
|
|
1006
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1007
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1008
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
1009
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1010
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1011
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1012
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1013
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1014
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1015
|
+
b::Element(e::Required, "Value Code"),
|
|
1016
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1017
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1018
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
1019
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1020
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1021
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1022
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1023
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1024
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1025
|
+
b::Element(e::Required, "Value Code"),
|
|
1026
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1027
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1028
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
1029
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1030
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1031
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1032
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1033
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1034
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1035
|
+
b::Element(e::Required, "Value Code"),
|
|
1036
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1037
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1038
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
1039
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1040
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1041
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1042
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1043
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1044
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1045
|
+
b::Element(e::Required, "Value Code"),
|
|
1046
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1047
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1048
|
+
b::Element(e::Required, "Value Code Amount"),
|
|
196
1049
|
b::Element(e::NotUsed, "Quantity"),
|
|
197
1050
|
b::Element(e::NotUsed, "Version Identifier"),
|
|
198
1051
|
b::Element(e::NotUsed, "Industry Code"),
|
|
199
|
-
b::Element(e::
|
|
200
|
-
|
|
201
|
-
|
|
202
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
203
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
204
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
205
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
206
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
207
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
208
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
209
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
210
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
211
|
-
b::Segment(2310, s::HI, "Admitting Diagnosis",
|
|
212
|
-
r::Situational, d::RepeatCount.bounded(1),
|
|
1052
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
1053
|
+
b::Segment(2310, s::HI, "Condition Information",
|
|
1054
|
+
r::Situational, d::RepeatCount.bounded(2),
|
|
213
1055
|
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
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214
|
-
b::Element(e::Required, "Code List Qualifier", b::Values("
|
|
215
|
-
b::Element(e::Required, "
|
|
1056
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1057
|
+
b::Element(e::Required, "Condition Code"),
|
|
216
1058
|
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
217
1059
|
b::Element(e::NotUsed, "Date Time Period"),
|
|
218
1060
|
b::Element(e::NotUsed, "Monetary Amount"),
|
|
@@ -220,22 +1062,9 @@ module Stupidedi
|
|
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220
1062
|
b::Element(e::NotUsed, "Version Identifier"),
|
|
221
1063
|
b::Element(e::NotUsed, "Industry Code"),
|
|
222
1064
|
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
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223
|
-
b::Element(e::
|
|
224
|
-
|
|
225
|
-
|
|
226
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
227
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
228
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
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229
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
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230
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
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231
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
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232
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
233
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
234
|
-
b::Segment(2310, s::HI, "Patient's Reason For Visit",
|
|
235
|
-
r::Situational, d::RepeatCount.bounded(1),
|
|
236
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
237
|
-
b::Element(e::Required, "Code List Qualifier", b::Values("APR", "PR")),
|
|
238
|
-
b::Element(e::Required, "Patient Reason For Visit"),
|
|
1065
|
+
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1066
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1067
|
+
b::Element(e::Required, "Condition Code"),
|
|
239
1068
|
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
240
1069
|
b::Element(e::NotUsed, "Date Time Period"),
|
|
241
1070
|
b::Element(e::NotUsed, "Monetary Amount"),
|
|
@@ -244,8 +1073,8 @@ module Stupidedi
|
|
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244
1073
|
b::Element(e::NotUsed, "Industry Code"),
|
|
245
1074
|
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
246
1075
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
247
|
-
b::Element(e::Required, "Code List Qualifier", b::Values("
|
|
248
|
-
b::Element(e::Required, "
|
|
1076
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1077
|
+
b::Element(e::Required, "Condition Code"),
|
|
249
1078
|
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
250
1079
|
b::Element(e::NotUsed, "Date Time Period"),
|
|
251
1080
|
b::Element(e::NotUsed, "Monetary Amount"),
|
|
@@ -254,8 +1083,8 @@ module Stupidedi
|
|
|
254
1083
|
b::Element(e::NotUsed, "Industry Code"),
|
|
255
1084
|
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
256
1085
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
257
|
-
b::Element(e::Required, "Code List Qualifier", b::Values("
|
|
258
|
-
b::Element(e::Required, "
|
|
1086
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1087
|
+
b::Element(e::Required, "Condition Code"),
|
|
259
1088
|
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
260
1089
|
b::Element(e::NotUsed, "Date Time Period"),
|
|
261
1090
|
b::Element(e::NotUsed, "Monetary Amount"),
|
|
@@ -263,1040 +1092,208 @@ module Stupidedi
|
|
|
263
1092
|
b::Element(e::NotUsed, "Version Identifier"),
|
|
264
1093
|
b::Element(e::NotUsed, "Industry Code"),
|
|
265
1094
|
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
266
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
267
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
268
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
269
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
270
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
271
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
272
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
273
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
274
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
275
|
-
b::Segment(2310, s::HI, "External Cause of Injury",
|
|
276
|
-
r::Situational, d::RepeatCount.bounded(1),
|
|
277
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
278
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
279
|
-
b::Element(e::Required, "External Cause of Injury Code"),
|
|
280
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
281
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
282
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
283
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
284
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
285
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
286
|
-
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
287
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
288
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
289
|
-
b::Element(e::Required, "External Cause of Injury Code"),
|
|
290
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
291
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
292
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
293
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
294
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
295
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
296
|
-
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
297
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
298
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
299
|
-
b::Element(e::Required, "External Cause of Injury Code"),
|
|
300
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
301
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
302
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
303
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
304
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
305
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
306
|
-
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
307
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
308
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("ABN", "BN")),
|
|
309
|
-
b::Element(e::Required, "External Cause of Injury Code"),
|
|
310
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
311
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
312
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
313
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
314
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
315
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
316
|
-
b::Element(e::Situational, "Present on Admission Indicator", b::Values("N", "U", "W", "Y"))),
|
|
317
1095
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
318
|
-
b::Element(e::Required,
|
|
319
|
-
b::Element(e::Required,
|
|
320
|
-
b::Element(e::NotUsed,
|
|
321
|
-
b::Element(e::NotUsed,
|
|
322
|
-
b::Element(e::NotUsed,
|
|
323
|
-
b::Element(e::NotUsed,
|
|
324
|
-
b::Element(e::NotUsed,
|
|
325
|
-
b::Element(e::NotUsed,
|
|
326
|
-
b::Element(e::
|
|
1096
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1097
|
+
b::Element(e::Required, "Condition Code"),
|
|
1098
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1099
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1100
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1101
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1102
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1103
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1104
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
327
1105
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
328
|
-
b::Element(e::Required,
|
|
329
|
-
b::Element(e::Required,
|
|
330
|
-
b::Element(e::NotUsed,
|
|
331
|
-
b::Element(e::NotUsed,
|
|
332
|
-
b::Element(e::NotUsed,
|
|
333
|
-
b::Element(e::NotUsed,
|
|
334
|
-
b::Element(e::NotUsed,
|
|
335
|
-
b::Element(e::NotUsed,
|
|
336
|
-
b::Element(e::
|
|
1106
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1107
|
+
b::Element(e::Required, "Condition Code"),
|
|
1108
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1109
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1110
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1111
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1112
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1113
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1114
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
337
1115
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
338
|
-
b::Element(e::Required,
|
|
339
|
-
b::Element(e::Required,
|
|
340
|
-
b::Element(e::NotUsed,
|
|
341
|
-
b::Element(e::NotUsed,
|
|
342
|
-
b::Element(e::NotUsed,
|
|
343
|
-
b::Element(e::NotUsed,
|
|
344
|
-
b::Element(e::NotUsed,
|
|
345
|
-
b::Element(e::NotUsed,
|
|
346
|
-
b::Element(e::
|
|
1116
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1117
|
+
b::Element(e::Required, "Condition Code"),
|
|
1118
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1119
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1120
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1121
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1122
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1123
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1124
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
347
1125
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
348
|
-
b::Element(e::Required,
|
|
349
|
-
b::Element(e::Required,
|
|
350
|
-
b::Element(e::NotUsed,
|
|
351
|
-
b::Element(e::NotUsed,
|
|
352
|
-
b::Element(e::NotUsed,
|
|
353
|
-
b::Element(e::NotUsed,
|
|
354
|
-
b::Element(e::NotUsed,
|
|
355
|
-
b::Element(e::NotUsed,
|
|
356
|
-
b::Element(e::
|
|
1126
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1127
|
+
b::Element(e::Required, "Condition Code"),
|
|
1128
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1129
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1130
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1131
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1132
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1133
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1134
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
357
1135
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
358
|
-
b::Element(e::Required,
|
|
359
|
-
b::Element(e::Required,
|
|
360
|
-
b::Element(e::NotUsed,
|
|
361
|
-
b::Element(e::NotUsed,
|
|
362
|
-
b::Element(e::NotUsed,
|
|
363
|
-
b::Element(e::NotUsed,
|
|
364
|
-
b::Element(e::NotUsed,
|
|
365
|
-
b::Element(e::NotUsed,
|
|
366
|
-
b::Element(e::
|
|
1136
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1137
|
+
b::Element(e::Required, "Condition Code"),
|
|
1138
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1139
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1140
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1141
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1142
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1143
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1144
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
367
1145
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
368
|
-
b::Element(e::Required,
|
|
369
|
-
b::Element(e::Required,
|
|
370
|
-
b::Element(e::NotUsed,
|
|
371
|
-
b::Element(e::NotUsed,
|
|
372
|
-
b::Element(e::NotUsed,
|
|
373
|
-
b::Element(e::NotUsed,
|
|
374
|
-
b::Element(e::NotUsed,
|
|
375
|
-
b::Element(e::NotUsed,
|
|
376
|
-
b::Element(e::
|
|
1146
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1147
|
+
b::Element(e::Required, "Condition Code"),
|
|
1148
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1149
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1150
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1151
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1152
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1153
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1154
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
377
1155
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
378
|
-
b::Element(e::Required,
|
|
379
|
-
b::Element(e::Required,
|
|
380
|
-
b::Element(e::NotUsed,
|
|
381
|
-
b::Element(e::NotUsed,
|
|
382
|
-
b::Element(e::NotUsed,
|
|
383
|
-
b::Element(e::NotUsed,
|
|
384
|
-
b::Element(e::NotUsed,
|
|
385
|
-
b::Element(e::NotUsed,
|
|
386
|
-
b::Element(e::
|
|
1156
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1157
|
+
b::Element(e::Required, "Condition Code"),
|
|
1158
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1159
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1160
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1161
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1162
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1163
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1164
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
387
1165
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
388
|
-
b::Element(e::Required,
|
|
389
|
-
b::Element(e::Required,
|
|
390
|
-
b::Element(e::NotUsed,
|
|
391
|
-
b::Element(e::NotUsed,
|
|
392
|
-
b::Element(e::NotUsed,
|
|
393
|
-
b::Element(e::NotUsed,
|
|
394
|
-
b::Element(e::NotUsed,
|
|
395
|
-
b::Element(e::NotUsed,
|
|
396
|
-
b::Element(e::
|
|
397
|
-
b::Segment(2310, s::HI, "
|
|
398
|
-
r::Situational, d::RepeatCount.bounded(1),
|
|
399
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
400
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("DR")),
|
|
401
|
-
b::Element(e::Required, "Diagnosis Related Group (DRG) Code"),
|
|
402
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
403
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
404
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
405
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
406
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
407
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
408
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
409
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
410
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
411
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
412
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
413
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
414
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
415
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
416
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
417
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
418
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
419
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
|
420
|
-
b::Segment(2310, s::HI, "Other Diagnosis Information",
|
|
1166
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1167
|
+
b::Element(e::Required, "Condition Code"),
|
|
1168
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1169
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1170
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1171
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1172
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1173
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1174
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
1175
|
+
b::Segment(2310, s::HI, "Treatment Code Information",
|
|
421
1176
|
r::Situational, d::RepeatCount.bounded(2),
|
|
422
|
-
b::Element(e::Required,
|
|
423
|
-
b::Element(e::Required,
|
|
424
|
-
b::Element(e::Required,
|
|
425
|
-
b::Element(e::NotUsed,
|
|
426
|
-
b::Element(e::NotUsed,
|
|
427
|
-
b::Element(e::NotUsed,
|
|
428
|
-
b::Element(e::NotUsed,
|
|
429
|
-
b::Element(e::NotUsed,
|
|
430
|
-
b::Element(e::NotUsed,
|
|
431
|
-
b::Element(e::
|
|
1177
|
+
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
1178
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1179
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1180
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1181
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1182
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1183
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1184
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1185
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1186
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
432
1187
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
433
|
-
b::Element(e::Required,
|
|
434
|
-
b::Element(e::Required,
|
|
435
|
-
b::Element(e::NotUsed,
|
|
436
|
-
b::Element(e::NotUsed,
|
|
437
|
-
b::Element(e::NotUsed,
|
|
438
|
-
b::Element(e::NotUsed,
|
|
439
|
-
b::Element(e::NotUsed,
|
|
440
|
-
b::Element(e::NotUsed,
|
|
441
|
-
b::Element(e::
|
|
1188
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1189
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1190
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1191
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1192
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1193
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1194
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1195
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1196
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
442
1197
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
443
|
-
b::Element(e::Required,
|
|
444
|
-
b::Element(e::Required,
|
|
445
|
-
b::Element(e::NotUsed,
|
|
446
|
-
b::Element(e::NotUsed,
|
|
447
|
-
b::Element(e::NotUsed,
|
|
448
|
-
b::Element(e::NotUsed,
|
|
449
|
-
b::Element(e::NotUsed,
|
|
450
|
-
b::Element(e::NotUsed,
|
|
451
|
-
b::Element(e::
|
|
1198
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1199
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1200
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1201
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1202
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1203
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1204
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1205
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1206
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
452
1207
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
453
|
-
b::Element(e::Required,
|
|
454
|
-
b::Element(e::Required,
|
|
455
|
-
b::Element(e::NotUsed,
|
|
456
|
-
b::Element(e::NotUsed,
|
|
457
|
-
b::Element(e::NotUsed,
|
|
458
|
-
b::Element(e::NotUsed,
|
|
459
|
-
b::Element(e::NotUsed,
|
|
460
|
-
b::Element(e::NotUsed,
|
|
461
|
-
b::Element(e::
|
|
1208
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1209
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1210
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1211
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1212
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1213
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1214
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1215
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1216
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
462
1217
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
463
|
-
b::Element(e::Required,
|
|
464
|
-
b::Element(e::Required,
|
|
465
|
-
b::Element(e::NotUsed,
|
|
466
|
-
b::Element(e::NotUsed,
|
|
467
|
-
b::Element(e::NotUsed,
|
|
468
|
-
b::Element(e::NotUsed,
|
|
469
|
-
b::Element(e::NotUsed,
|
|
470
|
-
b::Element(e::NotUsed,
|
|
471
|
-
b::Element(e::
|
|
1218
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1219
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1220
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1221
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1222
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1223
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1224
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1225
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1226
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
472
1227
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
473
|
-
b::Element(e::Required,
|
|
474
|
-
b::Element(e::Required,
|
|
475
|
-
b::Element(e::NotUsed,
|
|
476
|
-
b::Element(e::NotUsed,
|
|
477
|
-
b::Element(e::NotUsed,
|
|
478
|
-
b::Element(e::NotUsed,
|
|
479
|
-
b::Element(e::NotUsed,
|
|
480
|
-
b::Element(e::NotUsed,
|
|
481
|
-
b::Element(e::
|
|
1228
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1229
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1230
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1231
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1232
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1233
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1234
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1235
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1236
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
482
1237
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
483
|
-
b::Element(e::Required,
|
|
484
|
-
b::Element(e::Required,
|
|
485
|
-
b::Element(e::NotUsed,
|
|
486
|
-
b::Element(e::NotUsed,
|
|
487
|
-
b::Element(e::NotUsed,
|
|
488
|
-
b::Element(e::NotUsed,
|
|
489
|
-
b::Element(e::NotUsed,
|
|
490
|
-
b::Element(e::NotUsed,
|
|
491
|
-
b::Element(e::
|
|
1238
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1239
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1240
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1241
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1242
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1243
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1244
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1245
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1246
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
492
1247
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
493
|
-
b::Element(e::Required,
|
|
494
|
-
b::Element(e::Required,
|
|
495
|
-
b::Element(e::NotUsed,
|
|
496
|
-
b::Element(e::NotUsed,
|
|
497
|
-
b::Element(e::NotUsed,
|
|
498
|
-
b::Element(e::NotUsed,
|
|
499
|
-
b::Element(e::NotUsed,
|
|
500
|
-
b::Element(e::NotUsed,
|
|
501
|
-
b::Element(e::
|
|
1248
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1249
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1250
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1251
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1252
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1253
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1254
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1255
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1256
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
502
1257
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
503
|
-
b::Element(e::Required,
|
|
504
|
-
b::Element(e::Required,
|
|
505
|
-
b::Element(e::NotUsed,
|
|
506
|
-
b::Element(e::NotUsed,
|
|
507
|
-
b::Element(e::NotUsed,
|
|
508
|
-
b::Element(e::NotUsed,
|
|
509
|
-
b::Element(e::NotUsed,
|
|
510
|
-
b::Element(e::NotUsed,
|
|
511
|
-
b::Element(e::
|
|
1258
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1259
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1260
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1261
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1262
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1263
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1264
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1265
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1266
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
512
1267
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
513
|
-
b::Element(e::Required,
|
|
514
|
-
b::Element(e::Required,
|
|
515
|
-
b::Element(e::NotUsed,
|
|
516
|
-
b::Element(e::NotUsed,
|
|
517
|
-
b::Element(e::NotUsed,
|
|
518
|
-
b::Element(e::NotUsed,
|
|
519
|
-
b::Element(e::NotUsed,
|
|
520
|
-
b::Element(e::NotUsed,
|
|
521
|
-
b::Element(e::
|
|
1268
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1269
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1270
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1271
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1272
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1273
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1274
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1275
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1276
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
522
1277
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
523
|
-
b::Element(e::Required,
|
|
524
|
-
b::Element(e::Required,
|
|
525
|
-
b::Element(e::NotUsed,
|
|
526
|
-
b::Element(e::NotUsed,
|
|
527
|
-
b::Element(e::NotUsed,
|
|
528
|
-
b::Element(e::NotUsed,
|
|
529
|
-
b::Element(e::NotUsed,
|
|
530
|
-
b::Element(e::NotUsed,
|
|
531
|
-
b::Element(e::
|
|
1278
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1279
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1280
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1281
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1282
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1283
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1284
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1285
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1286
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
532
1287
|
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
533
|
-
b::Element(e::Required,
|
|
534
|
-
b::Element(e::Required,
|
|
535
|
-
b::Element(e::NotUsed,
|
|
536
|
-
b::Element(e::NotUsed,
|
|
537
|
-
b::Element(e::NotUsed,
|
|
538
|
-
b::Element(e::NotUsed,
|
|
539
|
-
b::Element(e::NotUsed,
|
|
540
|
-
b::Element(e::NotUsed,
|
|
541
|
-
b::Element(e::
|
|
542
|
-
),
|
|
543
|
-
b::Segment(2310, s::HI, "Principal Procedure Information",
|
|
544
|
-
r::Situational, d::RepeatCount.bounded(1),
|
|
545
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
546
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBR", "BR", "CAH")),
|
|
547
|
-
b::Element(e::Required, "Principal Procedure Code"),
|
|
548
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
549
|
-
b::Element(e::Required, "Principal Procedure Date"),
|
|
550
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
551
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
552
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
553
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
554
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
555
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
556
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
557
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
558
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
559
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
560
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
561
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
562
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
563
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
564
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
|
565
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")
|
|
566
|
-
),
|
|
567
|
-
b::Segment(2310, s::HI, "Other Procedure Information",
|
|
568
|
-
r::Situational, d::RepeatCount.bounded(2),
|
|
569
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
570
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
571
|
-
b::Element(e::Required, "Procedure Code"),
|
|
572
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
573
|
-
b::Element(e::Required, "Procedure Date"),
|
|
574
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
575
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
576
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
577
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
578
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
579
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
580
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
581
|
-
b::Element(e::Required, "Procedure Code"),
|
|
582
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
583
|
-
b::Element(e::Required, "Procedure Date"),
|
|
584
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
585
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
586
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
587
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
588
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
589
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
590
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
591
|
-
b::Element(e::Required, "Procedure Code"),
|
|
592
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
593
|
-
b::Element(e::Required, "Procedure Date"),
|
|
594
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
595
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
596
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
597
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
598
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
599
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
600
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
601
|
-
b::Element(e::Required, "Procedure Code"),
|
|
602
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
603
|
-
b::Element(e::Required, "Procedure Date"),
|
|
604
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
605
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
606
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
607
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
608
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
609
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
610
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
611
|
-
b::Element(e::Required, "Procedure Code"),
|
|
612
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
613
|
-
b::Element(e::Required, "Procedure Date"),
|
|
614
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
615
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
616
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
617
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
618
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
619
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
620
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
621
|
-
b::Element(e::Required, "Procedure Code"),
|
|
622
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
623
|
-
b::Element(e::Required, "Procedure Date"),
|
|
624
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
625
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
626
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
627
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
628
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
629
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
630
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
631
|
-
b::Element(e::Required, "Procedure Code"),
|
|
632
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
633
|
-
b::Element(e::Required, "Procedure Date"),
|
|
634
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
635
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
636
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
637
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
638
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
639
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
640
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
641
|
-
b::Element(e::Required, "Procedure Code"),
|
|
642
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
643
|
-
b::Element(e::Required, "Procedure Date"),
|
|
644
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
645
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
646
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
647
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
648
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
649
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
650
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
651
|
-
b::Element(e::Required, "Procedure Code"),
|
|
652
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
653
|
-
b::Element(e::Required, "Procedure Date"),
|
|
654
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
655
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
656
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
657
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
658
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
659
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
660
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
661
|
-
b::Element(e::Required, "Procedure Code"),
|
|
662
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
663
|
-
b::Element(e::Required, "Procedure Date"),
|
|
664
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
665
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
666
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
667
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
668
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
669
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
670
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
671
|
-
b::Element(e::Required, "Procedure Code"),
|
|
672
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
673
|
-
b::Element(e::Required, "Procedure Date"),
|
|
674
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
675
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
676
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
677
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
678
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
679
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
680
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BBQ", "BQ")),
|
|
681
|
-
b::Element(e::Required, "Procedure Code"),
|
|
682
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
683
|
-
b::Element(e::Required, "Procedure Date"),
|
|
684
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
685
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
686
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
687
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
688
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
689
|
-
b::Segment(2310, s::HI, "Occurrence Span Information",
|
|
690
|
-
r::Situational, d::RepeatCount.bounded(2),
|
|
691
|
-
b::Element(e::Required, "HEALTH CLAIM CODE INFORMATION",
|
|
692
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
693
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
694
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
695
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
696
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
697
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
698
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
699
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
700
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
701
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
702
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
703
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
704
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
705
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
706
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
707
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
708
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
709
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
710
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
711
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
712
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
713
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
714
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
715
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
716
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
717
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
718
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
719
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
720
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
721
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
722
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
723
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
724
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
725
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
726
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
727
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
728
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
729
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
730
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
731
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
732
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
733
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
734
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
735
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
736
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
737
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
738
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
739
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
740
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
741
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
742
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
743
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
744
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
745
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
746
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
747
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
748
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
749
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
750
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
751
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
752
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
753
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
754
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
755
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
756
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
757
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
758
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
759
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
760
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
761
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
762
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
763
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
764
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
765
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
766
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
767
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
768
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
769
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
770
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
771
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
772
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
773
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
774
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
775
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
776
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
777
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
778
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
779
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
780
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
781
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
782
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
783
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
784
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
785
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
786
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
787
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
788
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
789
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
790
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
791
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
792
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
793
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
794
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
795
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
796
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
797
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
798
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
799
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
800
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
801
|
-
b::Element(e::Situational, "HEALTH CLAIM CODE INFORMATION",
|
|
802
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BI")),
|
|
803
|
-
b::Element(e::Required, "Occurrence Span Code"),
|
|
804
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("RD8")),
|
|
805
|
-
b::Element(e::Required, "Occurrence Span Code Date"),
|
|
806
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
807
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
808
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
809
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
810
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
811
|
-
b::Segment(2310, s::HI, "Occurrence Information",
|
|
812
|
-
r::Situational, d::RepeatCount.bounded(2),
|
|
813
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
814
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
815
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
816
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
817
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
818
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
819
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
820
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
821
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
822
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
823
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
824
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
825
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
826
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
827
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
828
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
829
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
830
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
831
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
832
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
833
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
834
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
835
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
836
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
837
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
838
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
839
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
840
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
841
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
842
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
843
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
844
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
845
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
846
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
847
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
848
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
849
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
850
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
851
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
852
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
853
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
854
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
855
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
856
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
857
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
858
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
859
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
860
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
861
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
862
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
863
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
864
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
865
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
866
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
867
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
868
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
869
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
870
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
871
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
872
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
873
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
874
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
875
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
876
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
877
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
878
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
879
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
880
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
881
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
882
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
883
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
884
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
885
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
886
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
887
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
888
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
889
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
890
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
891
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
892
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
893
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
894
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
895
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
896
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
897
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
898
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
899
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
900
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
901
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
902
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
903
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
904
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
905
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
906
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
907
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
908
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
909
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
910
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
911
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
912
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
913
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
914
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
915
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
916
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
917
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
918
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
919
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
920
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
921
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
922
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
923
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
924
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BH")),
|
|
925
|
-
b::Element(e::Required, "Occurrence Code"),
|
|
926
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8")),
|
|
927
|
-
b::Element(e::Required, "Occurrence Code Date"),
|
|
928
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
929
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
930
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
931
|
-
b::Element(e::NotUsed, "Industy Code"),
|
|
932
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
933
|
-
),
|
|
934
|
-
b::Segment(2310, s::HI, "Value Information",
|
|
935
|
-
r::Situational, d::RepeatCount.bounded(2),
|
|
936
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
937
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
938
|
-
b::Element(e::Required, "Value Code"),
|
|
939
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
940
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
941
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
942
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
943
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
944
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
945
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
946
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
947
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
948
|
-
b::Element(e::Required, "Value Code"),
|
|
949
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
950
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
951
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
952
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
953
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
954
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
955
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
956
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
957
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
958
|
-
b::Element(e::Required, "Value Code"),
|
|
959
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
960
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
961
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
962
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
963
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
964
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
965
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
966
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
967
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
968
|
-
b::Element(e::Required, "Value Code"),
|
|
969
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
970
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
971
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
972
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
973
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
974
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
975
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
976
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
977
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
978
|
-
b::Element(e::Required, "Value Code"),
|
|
979
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
980
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
981
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
982
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
983
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
984
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
985
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
986
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
987
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
988
|
-
b::Element(e::Required, "Value Code"),
|
|
989
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
990
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
991
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
992
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
993
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
994
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
995
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
996
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
997
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
998
|
-
b::Element(e::Required, "Value Code"),
|
|
999
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1000
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1001
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
1002
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1003
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1004
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1005
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1006
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1007
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1008
|
-
b::Element(e::Required, "Value Code"),
|
|
1009
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1010
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1011
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
1012
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1013
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1014
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1015
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1016
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1017
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1018
|
-
b::Element(e::Required, "Value Code"),
|
|
1019
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1020
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1021
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
1022
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1023
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1024
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1025
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1026
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1027
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1028
|
-
b::Element(e::Required, "Value Code"),
|
|
1029
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1030
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1031
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
1032
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1033
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1034
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1035
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1036
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1037
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1038
|
-
b::Element(e::Required, "Value Code"),
|
|
1039
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1040
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1041
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
1042
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1043
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1044
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1045
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1046
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1047
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BE")),
|
|
1048
|
-
b::Element(e::Required, "Value Code"),
|
|
1049
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1050
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1051
|
-
b::Element(e::Required, "Value Code Amount"),
|
|
1052
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1053
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1054
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1055
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
1056
|
-
b::Segment(2310, s::HI, "Condition Information",
|
|
1057
|
-
r::Situational, d::RepeatCount.bounded(2),
|
|
1058
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
1059
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1060
|
-
b::Element(e::Required, "Condition Code"),
|
|
1061
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1062
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1063
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1064
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1065
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1066
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1067
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1068
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1069
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1070
|
-
b::Element(e::Required, "Condition Code"),
|
|
1071
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1072
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1073
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1074
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1075
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1076
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1077
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1078
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1079
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1080
|
-
b::Element(e::Required, "Condition Code"),
|
|
1081
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1082
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1083
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1084
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1085
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1086
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1087
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1088
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1089
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1090
|
-
b::Element(e::Required, "Condition Code"),
|
|
1091
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1092
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1093
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1094
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1095
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1096
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1097
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1098
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1099
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1100
|
-
b::Element(e::Required, "Condition Code"),
|
|
1101
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1102
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1103
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1104
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1105
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1106
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1107
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1108
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1109
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1110
|
-
b::Element(e::Required, "Condition Code"),
|
|
1111
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1112
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1113
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1114
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1115
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1116
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1117
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1118
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1119
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1120
|
-
b::Element(e::Required, "Condition Code"),
|
|
1121
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1122
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1123
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1124
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1125
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1126
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1127
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1128
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1129
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1130
|
-
b::Element(e::Required, "Condition Code"),
|
|
1131
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1132
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1133
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1134
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1135
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1136
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1137
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1138
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1139
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1140
|
-
b::Element(e::Required, "Condition Code"),
|
|
1141
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1142
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1143
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1144
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1145
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1146
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1147
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1148
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1149
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1150
|
-
b::Element(e::Required, "Condition Code"),
|
|
1151
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1152
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1153
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1154
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1155
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1156
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1157
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1158
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1159
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1160
|
-
b::Element(e::Required, "Condition Code"),
|
|
1161
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1162
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1163
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1164
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1165
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1166
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1167
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1168
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1169
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("BG")),
|
|
1170
|
-
b::Element(e::Required, "Condition Code"),
|
|
1171
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1172
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1173
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1174
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1175
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1176
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1177
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
1178
|
-
b::Segment(2310, s::HI, "Treatment Code Information",
|
|
1179
|
-
r::Situational, d::RepeatCount.bounded(2),
|
|
1180
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
|
1181
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1182
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1183
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1184
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1185
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1186
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1187
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1188
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1189
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1190
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1191
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1192
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1193
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1194
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1195
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1196
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1197
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1198
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1199
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1200
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1201
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1202
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1203
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1204
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1205
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1206
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1207
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1208
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1209
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1210
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1211
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1212
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1213
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1214
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1215
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1216
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1217
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1218
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1219
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1220
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1221
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1222
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1223
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1224
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1225
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1226
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1227
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1228
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1229
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1230
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1231
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1232
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1233
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1234
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1235
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1236
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1237
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1238
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1239
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1240
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1241
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1242
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1243
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1244
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1245
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1246
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1247
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1248
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1249
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1250
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1251
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1252
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1253
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1254
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1255
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1256
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1257
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1258
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1259
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1260
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1261
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1262
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1263
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1264
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1265
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1266
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1267
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1268
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1269
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1270
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1271
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1272
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1273
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1274
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1275
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1276
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1277
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1278
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1279
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1280
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1281
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1282
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1283
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1284
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1285
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1286
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1287
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1288
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1289
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
|
1290
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
|
1291
|
-
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1292
|
-
b::Element(e::Required, "Treatment Code"),
|
|
1293
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1294
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
|
1295
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1296
|
-
b::Element(e::NotUsed, "Quantity"),
|
|
1297
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
|
1298
|
-
b::Element(e::NotUsed, "Industry Code"),
|
|
1299
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
1288
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("TC")),
|
|
1289
|
+
b::Element(e::Required, "Treatment Code"),
|
|
1290
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
|
1291
|
+
b::Element(e::NotUsed, "Date Time Period"),
|
|
1292
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1293
|
+
b::Element(e::NotUsed, "Quantity"),
|
|
1294
|
+
b::Element(e::NotUsed, "Version Identifier"),
|
|
1295
|
+
b::Element(e::NotUsed, "Industry Code"),
|
|
1296
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code"))),
|
|
1300
1297
|
b::Segment(2410, s::HCP, "Claim Pricing/Repricing Information",
|
|
1301
1298
|
r::Situational, d::RepeatCount.bounded(1),
|
|
1302
1299
|
b::Element(e::Required, "Pricing Methodology", b::Values("00", "01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14")),
|
|
@@ -1309,8 +1306,8 @@ module Stupidedi
|
|
|
1309
1306
|
b::Element(e::Situational, "Repriced Approved Revenue Code"),
|
|
1310
1307
|
b::Element(e::NotUsed, "Product/Service Qualifier"),
|
|
1311
1308
|
b::Element(e::NotUsed, "Product/Service ID"),
|
|
1312
|
-
b::Element(e::Situational,
|
|
1313
|
-
b::Element(e::Situational,
|
|
1309
|
+
b::Element(e::Situational, "Unit or Basis of Measurement Code", b::Values("DA", "UN")),
|
|
1310
|
+
b::Element(e::Situational, "Repriced Approved Service Unit Count"),
|
|
1314
1311
|
b::Element(e::Situational, "Reject Reason Code", b::Values("T1", "T2", "T3", "T4", "T5", "T6")),
|
|
1315
1312
|
b::Element(e::Situational, "Policy Compliance Code", b::Values("1", "2", "3", "4", "5")),
|
|
1316
1313
|
b::Element(e::Situational, "Exception Code", b::Values("1", "2", "3", "4", "5", "6"))),
|
|
@@ -1333,12 +1330,12 @@ module Stupidedi
|
|
|
1333
1330
|
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
|
1334
1331
|
b::Segment(2550, s::PRV, "Attending Provider Specialty Information",
|
|
1335
1332
|
r::Situational, d::RepeatCount.bounded(1),
|
|
1336
|
-
b::Element(e::Required,
|
|
1337
|
-
b::Element(e::Required,
|
|
1338
|
-
b::Element(e::Required,
|
|
1339
|
-
b::Element(e::NotUsed,
|
|
1340
|
-
b::Element(e::NotUsed,
|
|
1341
|
-
b::Element(e::NotUsed,
|
|
1333
|
+
b::Element(e::Required, "Provider Code", b::Values("AT")),
|
|
1334
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("PXC")),
|
|
1335
|
+
b::Element(e::Required, "Provider Taxonomy Code"),
|
|
1336
|
+
b::Element(e::NotUsed, "State or Province Code"),
|
|
1337
|
+
b::Element(e::NotUsed, "PROVIDER SPECIALITY INFORMATION"),
|
|
1338
|
+
b::Element(e::NotUsed, "Provider Organization Code")),
|
|
1342
1339
|
b::Segment(2710, s::REF, "Attending Provider Secondary Information",
|
|
1343
1340
|
r::Situational, d::RepeatCount.bounded(3),
|
|
1344
1341
|
b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "1G", "G2")),
|
|
@@ -1446,24 +1443,24 @@ module Stupidedi
|
|
|
1446
1443
|
b::Element(e::Situational, "Country Subdivision Code")),
|
|
1447
1444
|
b::Segment(2710, s::REF, "Service Facility Location Secondary Identification",
|
|
1448
1445
|
r::Situational, d::RepeatCount.bounded(3),
|
|
1449
|
-
b::Element(e::Required,
|
|
1450
|
-
b::Element(e::Required,
|
|
1451
|
-
b::Element(e::NotUsed,
|
|
1452
|
-
b::Element(e::NotUsed,
|
|
1446
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "G2", "LU")),
|
|
1447
|
+
b::Element(e::Required, "Laboratory or Facility Secondary Identifier"),
|
|
1448
|
+
b::Element(e::NotUsed, "Description"),
|
|
1449
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER"))),
|
|
1453
1450
|
|
|
1454
1451
|
d::LoopDef.build("2310F REFERRING PROVIDER NAME",
|
|
1455
1452
|
d::RepeatCount.bounded(1),
|
|
1456
1453
|
b::Segment(2500, s::NM1, "Referring Provider Name",
|
|
1457
|
-
r::Situational, d::RepeatCount.bounded(
|
|
1454
|
+
r::Situational, d::RepeatCount.bounded(1),
|
|
1458
1455
|
b::Element(e::Required, "Entity Identifier Code", b::Values("DN")),
|
|
1459
1456
|
b::Element(e::Required, "Entity Type Qualifier", b::Values("1")),
|
|
1460
1457
|
b::Element(e::Required, "Referring Provider Last Name"),
|
|
1461
|
-
b::Element(e::Situational,
|
|
1462
|
-
b::Element(e::Situational,
|
|
1458
|
+
b::Element(e::Situational, "Referring Provider First Name"),
|
|
1459
|
+
b::Element(e::Situational, "Referring Provider Middle Name or Initial"),
|
|
1463
1460
|
b::Element(e::NotUsed, "Name Prefix"),
|
|
1464
|
-
b::Element(e::Situational,
|
|
1465
|
-
b::Element(e::Situational,
|
|
1466
|
-
b::Element(e::Situational,
|
|
1461
|
+
b::Element(e::Situational, "Referring Provider Name Suffix"),
|
|
1462
|
+
b::Element(e::Situational, "Identification Code Qualifier", b::Values("XX")),
|
|
1463
|
+
b::Element(e::Situational, "Identification Code"),
|
|
1467
1464
|
b::Element(e::NotUsed, "Entity Relationship Code"),
|
|
1468
1465
|
b::Element(e::NotUsed, "Entity Identifier Code"),
|
|
1469
1466
|
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
|
@@ -1520,9 +1517,9 @@ module Stupidedi
|
|
|
1520
1517
|
b::Element(e::NotUsed, "Credit/Debit Flag")),
|
|
1521
1518
|
b::Segment(3000, s::AMT, "Coordination of Benefits (COB) Total Non-Covered Amount",
|
|
1522
1519
|
r::Situational, d::RepeatCount.bounded(1),
|
|
1523
|
-
b::Element(e::Required,
|
|
1524
|
-
b::Element(e::Required,
|
|
1525
|
-
b::Element(e::NotUsed,
|
|
1520
|
+
b::Element(e::Required, "Amount Qualifier Code", b::Values("A8")),
|
|
1521
|
+
b::Element(e::Required, "Non-Covered Charge Amount"),
|
|
1522
|
+
b::Element(e::NotUsed, "Credit/Debit Flag Code")),
|
|
1526
1523
|
b::Segment(3100, s::OI, "Other Insurance Coverage Information",
|
|
1527
1524
|
r::Required, d::RepeatCount.bounded(1),
|
|
1528
1525
|
b::Element(e::NotUsed, "Claim Filing Indicator Code"),
|
|
@@ -1533,8 +1530,8 @@ module Stupidedi
|
|
|
1533
1530
|
b::Element(e::Required, "Release of Information Code", b::Values("I", "Y"))),
|
|
1534
1531
|
b::Segment(3150, s::MIA, "Inpatient Adjudication Information",
|
|
1535
1532
|
r::Situational, d::RepeatCount.bounded(1),
|
|
1536
|
-
b::Element(e::Required,
|
|
1537
|
-
b::Element(e::NotUsed,
|
|
1533
|
+
b::Element(e::Required, "Covered Days or Visits Count"),
|
|
1534
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
|
1538
1535
|
b::Element(e::Situational, "Lifetime Psychiatric Days Count"),
|
|
1539
1536
|
b::Element(e::Situational, "Claim DRG Amount"),
|
|
1540
1537
|
b::Element(e::Situational, "Claim Payment Remark Code"),
|
|
@@ -1789,47 +1786,47 @@ module Stupidedi
|
|
|
1789
1786
|
d::RepeatCount.bounded(1),
|
|
1790
1787
|
b::Segment(3250, s::NM1, "Other Payer Referring Provider",
|
|
1791
1788
|
r::Situational, d::RepeatCount.bounded(1),
|
|
1792
|
-
b::Element(e::Required,
|
|
1793
|
-
b::Element(e::Required,
|
|
1794
|
-
b::Element(e::NotUsed,
|
|
1795
|
-
b::Element(e::NotUsed,
|
|
1796
|
-
b::Element(e::NotUsed,
|
|
1797
|
-
b::Element(e::NotUsed,
|
|
1798
|
-
b::Element(e::NotUsed,
|
|
1799
|
-
b::Element(e::NotUsed,
|
|
1800
|
-
b::Element(e::NotUsed,
|
|
1801
|
-
b::Element(e::NotUsed,
|
|
1802
|
-
b::Element(e::NotUsed,
|
|
1803
|
-
b::Element(e::NotUsed,
|
|
1789
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("DN")),
|
|
1790
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("1")),
|
|
1791
|
+
b::Element(e::NotUsed, "Name Last or Organization Name"),
|
|
1792
|
+
b::Element(e::NotUsed, "Name First"),
|
|
1793
|
+
b::Element(e::NotUsed, "Name Middle"),
|
|
1794
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
|
1795
|
+
b::Element(e::NotUsed, "Name Suffix"),
|
|
1796
|
+
b::Element(e::NotUsed, "Identification Code Qualifier"),
|
|
1797
|
+
b::Element(e::NotUsed, "Identification Code"),
|
|
1798
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
|
1799
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
|
1800
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
|
1804
1801
|
b::Segment(3550, s::REF, "Other Payer Referring Provider Secondary Identification",
|
|
1805
1802
|
r::Required, d::RepeatCount.bounded(3),
|
|
1806
|
-
b::Element(e::Required,
|
|
1807
|
-
b::Element(e::Required,
|
|
1808
|
-
b::Element(e::NotUsed,
|
|
1809
|
-
b::Element(e::NotUsed,
|
|
1803
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "1G", "G2")),
|
|
1804
|
+
b::Element(e::Required, "Other Payer Referring Provider Identifier"),
|
|
1805
|
+
b::Element(e::NotUsed, "Description"),
|
|
1806
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER"))),
|
|
1810
1807
|
|
|
1811
1808
|
d::LoopDef.build("2330I OTHER PAYER BILLING PROVIDER",
|
|
1812
1809
|
d::RepeatCount.bounded(1),
|
|
1813
1810
|
b::Segment(3250, s::NM1, "Other Payer Billing Provider",
|
|
1814
1811
|
r::Situational, d::RepeatCount.bounded(1),
|
|
1815
|
-
b::Element(e::Required,
|
|
1816
|
-
b::Element(e::Required,
|
|
1817
|
-
b::Element(e::NotUsed,
|
|
1818
|
-
b::Element(e::NotUsed,
|
|
1819
|
-
b::Element(e::NotUsed,
|
|
1820
|
-
b::Element(e::NotUsed,
|
|
1821
|
-
b::Element(e::NotUsed,
|
|
1822
|
-
b::Element(e::NotUsed,
|
|
1823
|
-
b::Element(e::NotUsed,
|
|
1824
|
-
b::Element(e::NotUsed,
|
|
1825
|
-
b::Element(e::NotUsed,
|
|
1826
|
-
b::Element(e::NotUsed,
|
|
1812
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("85")),
|
|
1813
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("2")),
|
|
1814
|
+
b::Element(e::NotUsed, "Name Last or Organization Name"),
|
|
1815
|
+
b::Element(e::NotUsed, "Name First"),
|
|
1816
|
+
b::Element(e::NotUsed, "Name Middle"),
|
|
1817
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
|
1818
|
+
b::Element(e::NotUsed, "Name Suffix"),
|
|
1819
|
+
b::Element(e::NotUsed, "Identification Code Qualifier"),
|
|
1820
|
+
b::Element(e::NotUsed, "Identification Code"),
|
|
1821
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
|
1822
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
|
1823
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
|
1827
1824
|
b::Segment(3550, s::REF, "Other Payer Billing Provider Secondary Information",
|
|
1828
1825
|
r::Required, d::RepeatCount.bounded(2),
|
|
1829
|
-
b::Element(e::Required,
|
|
1830
|
-
b::Element(e::Required,
|
|
1831
|
-
b::Element(e::NotUsed,
|
|
1832
|
-
b::Element(e::NotUsed,
|
|
1826
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("G2", "LU")),
|
|
1827
|
+
b::Element(e::Required, "Other Payer Billing Provider Identifier"),
|
|
1828
|
+
b::Element(e::NotUsed, "Description"),
|
|
1829
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER"))),
|
|
1833
1830
|
|
|
1834
1831
|
d::LoopDef.build("2400 SERVICE LINE NUMBER",
|
|
1835
1832
|
d::RepeatCount.bounded(999),
|
|
@@ -1840,14 +1837,14 @@ module Stupidedi
|
|
|
1840
1837
|
r::Required, d::RepeatCount.bounded(1),
|
|
1841
1838
|
b::Element(e::Required, "Service Line Revenue Code"),
|
|
1842
1839
|
b::Element(e::Situational, "COMPOSITE MEDICAL PROCEDURE IDENTIFIER",
|
|
1843
|
-
b::Element(e::Required,
|
|
1844
|
-
b::Element(e::Required,
|
|
1840
|
+
b::Element(e::Required, "Product or Service ID Qualifier", b::Values("ER", "HC", "HP", "IV", "WK")),
|
|
1841
|
+
b::Element(e::Required, "Procedure Code"),
|
|
1845
1842
|
b::Element(e::Situational, "Procedure Modifier"),
|
|
1846
1843
|
b::Element(e::Situational, "Procedure Modifier"),
|
|
1847
1844
|
b::Element(e::Situational, "Procedure Modifier"),
|
|
1848
1845
|
b::Element(e::Situational, "Procedure Modifier"),
|
|
1849
1846
|
b::Element(e::Situational, "Description"),
|
|
1850
|
-
b::Element(e::NotUsed,
|
|
1847
|
+
b::Element(e::NotUsed, "Product/Service ID")),
|
|
1851
1848
|
b::Element(e::Required, "Line Item Charge Amount"),
|
|
1852
1849
|
b::Element(e::Required, "Unit or Basis for Measurement Code", b::Values("DA", "UN")),
|
|
1853
1850
|
b::Element(e::Required, "Service Unit Count"),
|
|
@@ -2014,12 +2011,12 @@ module Stupidedi
|
|
|
2014
2011
|
b::Element(e::Required, "Operating Physician Secondary Identifier"),
|
|
2015
2012
|
b::Element(e::NotUsed, "Description"),
|
|
2016
2013
|
b::Element(e::Situational, "REFERENCE IDENTIFIER",
|
|
2017
|
-
b::Element(e::Required,
|
|
2018
|
-
b::Element(e::Required,
|
|
2019
|
-
b::Element(e::NotUsed,
|
|
2020
|
-
b::Element(e::NotUsed,
|
|
2021
|
-
b::Element(e::NotUsed,
|
|
2022
|
-
b::Element(e::NotUsed,
|
|
2014
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("2U")),
|
|
2015
|
+
b::Element(e::Required, "Other Payer Primary Identifier"),
|
|
2016
|
+
b::Element(e::NotUsed, "Reference Identification Qualifier"),
|
|
2017
|
+
b::Element(e::NotUsed, "Reference Identification"),
|
|
2018
|
+
b::Element(e::NotUsed, "Reference Identification Qualifier"),
|
|
2019
|
+
b::Element(e::NotUsed, "Reference Identification")))),
|
|
2023
2020
|
|
|
2024
2021
|
d::LoopDef.build("2420B OTHER OPERATING PHYSICIAN NAME",
|
|
2025
2022
|
d::RepeatCount.bounded(1),
|