stupidedi 1.3.21 → 1.3.22
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- 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
@@ -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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@@ -50,7 +54,15 @@ module Stupidedi
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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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@@ -47,8 +53,8 @@ module Stupidedi
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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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@@ -40,7 +40,7 @@ module Stupidedi
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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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@@ -52,13 +52,13 @@ module Stupidedi
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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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@@ -100,7 +100,7 @@ module Stupidedi
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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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@@ -14,8 +14,8 @@ module Stupidedi
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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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d::LoopDef.build("N1", d::RepeatCount.bounded(
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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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@@ -31,7 +31,7 @@ module Stupidedi
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b::Element(e::Required, "Date - Horizon End Date"),
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b::Element(e::Required, "Date - Release Issue Date"),
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b::Element(e::Required, "Date"),
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b::Element(e::Situational, "Purchase Order Number"))
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b::Element(e::Situational, "Purchase Order Number")),
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# b::Segment(30, s::NTE, "Note/Special Instruction",
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# r::Situational, d::RepeatCount.bounded(100),
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d::LoopDef.build("SDP", d::RepeatCount.bounded(100),
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b::Segment( 290, s::SDP, "Ship/Delivery Pattern",
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r::Situational, d::RepeatCount.
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Ship/Delivery or Calendar Pattern Code", b::Values("Y")),
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b::Element(e::Required, "Ship/Delivery Pattern Time Code", b::Values("Y"))),
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@@ -123,7 +123,7 @@ module Stupidedi
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d::LoopDef.build("NTE", d::RepeatCount.bounded(100),
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b::Segment(30, s::NTE, "Note/Special Instruction",
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r::Situational, d::RepeatCount.bounded(
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Situational, "Note Reference Code", b::Values("GEN","LIN")),
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b::Element(e::Required, "Free Form Message")),
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@@ -146,7 +146,7 @@ module Stupidedi
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b::Element(e::Situational, "Quantity"),
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b::Element(e::Situational, "Date/Time Qualifier", b::Values("003")),
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b::Element(e::Situational, "Date - Forecast Start Date"),
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b::Element(e::Situational, "Date - Estimated Delivery/Horizon End Date")))),
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b::Element(e::Situational, "Date - Estimated Delivery/Horizon End Date"))))),
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d::TableDef.header("Summary",
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b::Segment(10, s::CTT, "Transaction Totals",
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b::Element(e::Required, "Payment Method Code", b::Values("PBC")),
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b::Element(e::Required, "Monetary Amount"),
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b::Element(e::Required, "Transaction Handling Code", b::Values("I")),
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b::Element(e::NotUsed, "Unknown")
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b::Element(e::NotUsed, "Unknown")
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b::Element(e::NotUsed, "Unknown")
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b::Element(e::NotUsed, "Unknown")
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b::Element(e::NotUsed, "Unknown")
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b::Element(e::NotUsed, "Unknown")
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b::Element(e::NotUsed, "Unknown")
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::Situational, "Account Number - Supplier Number"),
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b::Element(e::Situational, "Effective Entry Date - Issue Date")),
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b::Segment(50, s::REF, "Reference Numbers",
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@@ -47,7 +47,9 @@ module Stupidedi
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b::Segment(70, s:: N1, "Name",
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Entity Identifier Code", b::Values("SU")),
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b::Element(e::Situational, "Name - Supplier Contact")
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b::Element(e::Situational, "Name - Supplier Contact"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown")))),
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d::TableDef.detail("Detail",
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@@ -59,7 +61,9 @@ module Stupidedi
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b::Segment( 20, s:: N1, "Name - Invoice Number/Check Number/Bill of Lading Number - Header",
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r::Required, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Entity Identifier Code", b::Values("HH")),
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b::Element(e::Situational, "Name - Header Reference Number")
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b::Element(e::Situational, "Name - Header Reference Number"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown")),
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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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@@ -108,19 +112,25 @@ module Stupidedi
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b::Segment( 21, s:: N1, "Name - DM/CM Supplier Authorizer",
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Entity Identifier Code", b::Values("AA")),
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b::Element(e::Situational, "Name - Supplier Authorizer")
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b::Element(e::Situational, "Name - Supplier Authorizer"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown"))),
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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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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Entity Identifier Code", b::Values("PJ")),
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b::Element(e::Situational, "Name - Nissan Contact")
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b::Element(e::Situational, "Name - Nissan Contact"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown"))),
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d::LoopDef.build("N1 - 4", d::RepeatCount.bounded(10000),
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b::Segment( 22, s:: N1, "Name - Invoice Number/Check Number/Bill of Lading Number - Line Item",
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r::Required, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Entity Identifier Code", b::Values("LI")),
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b::Element(e::Situational, "Name - Invoice Number/Check Number/Bill of Lading")
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b::Element(e::Situational, "Name - Invoice Number/Check Number/Bill of Lading"),
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b::Element(e::NotUsed, "Unknown"),
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b::Element(e::NotUsed, "Unknown")),
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d::LoopDef.build("RMT - 2", d::RepeatCount.unbounded,
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b::Segment( 30, s::RMT, "Remittance Advice",
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@@ -21,8 +21,8 @@ module Stupidedi
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s:: N9.use( 283, r::Optional, d::RepeatCount.bounded(1)),
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s::MSG.use( 290, r::Optional, d::RepeatCount.bounded(1000))),
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d::LoopDef.build("N1", d::RepeatCount.bounded(
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s:: N1.use( 300, r::Optional, d::RepeatCount.bounded(
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d::LoopDef.build("N1", d::RepeatCount.bounded(2),
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s:: N1.use( 300, r::Optional, d::RepeatCount.bounded(1)),
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s:: N2.use( 310, r::Optional, d::RepeatCount.bounded(1)),
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s:: N3.use( 320, r::Optional, d::RepeatCount.bounded(1)),
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s:: N4.use( 330, r::Optional, d::RepeatCount.bounded(1)))),
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@@ -31,7 +31,7 @@ module Stupidedi
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s::SDP.use( 290, r::Optional, d::RepeatCount.bounded(1)),
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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",
|
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
|
|
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")),
|
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"),
|
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"),
|
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
|
|
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),
|