stupidedi 1.3.23 → 1.4.0
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- checksums.yaml +4 -4
- data/README.md +4 -4
- data/Rakefile +17 -92
- data/bin/edi-ed +8 -12
- data/bin/edi-obfuscate +8 -9
- data/bin/edi-pp +31 -25
- data/doc/{Transcribing.md → Defining.md} +0 -0
- data/doc/{unwritten/Parsing.md → Parsing.md} +0 -0
- data/doc/{unwritten/Tokenizing.md → Tokenizing.md} +0 -0
- data/doc/{unwritten/Validating.md → Validating.md} +0 -0
- data/lib/ruby/array.rb +1 -4
- data/lib/ruby/blank.rb +0 -3
- data/lib/ruby/exception.rb +13 -33
- data/lib/ruby/hash.rb +0 -2
- data/lib/ruby/module.rb +1 -3
- data/lib/ruby/object.rb +0 -13
- data/lib/ruby/string.rb +12 -3
- data/lib/ruby/to_d.rb +20 -25
- data/lib/ruby/to_date.rb +0 -3
- data/lib/ruby/to_time.rb +0 -3
- data/lib/ruby/try.rb +0 -3
- data/lib/stupidedi.rb +27 -41
- data/lib/stupidedi/builder.rb +3 -22
- data/lib/stupidedi/color.rb +4 -6
- data/lib/stupidedi/config.rb +77 -69
- data/lib/stupidedi/config/code_list_config.rb +0 -2
- data/lib/stupidedi/config/editor_config.rb +0 -2
- data/lib/stupidedi/config/functional_group_config.rb +3 -2
- data/lib/stupidedi/config/interchange_config.rb +5 -6
- data/lib/stupidedi/config/transaction_set_config.rb +17 -48
- data/lib/stupidedi/contrib.rb +41 -6
- data/lib/stupidedi/editor.rb +0 -3
- data/lib/stupidedi/editor/00401.rb +0 -3
- data/lib/stupidedi/editor/004010.rb +4 -8
- data/lib/stupidedi/editor/004010/N4.rb +0 -4
- data/lib/stupidedi/editor/00501.rb +0 -3
- data/lib/stupidedi/editor/005010.rb +5 -9
- data/lib/stupidedi/editor/005010/N4.rb +0 -4
- data/lib/stupidedi/editor/X12.rb +0 -5
- data/lib/stupidedi/editor/X222-HC837.rb +0 -5
- data/lib/stupidedi/editor/abstract_ed.rb +0 -2
- data/lib/stupidedi/editor/claim_ack.rb +0 -2
- data/lib/stupidedi/editor/implementation_ack.rb +2 -3
- data/lib/stupidedi/editor/interchange_ack.rb +0 -2
- data/lib/stupidedi/editor/result.rb +1 -6
- data/lib/stupidedi/editor/result_set.rb +1 -3
- data/lib/stupidedi/editor/transaction_set_ed.rb +23 -19
- data/lib/stupidedi/editor/transmission_ed.rb +0 -3
- data/lib/stupidedi/either.rb +0 -5
- data/lib/stupidedi/exceptions/invalid_element_error.rb +0 -2
- data/lib/stupidedi/exceptions/invalid_schema_error.rb +0 -2
- data/lib/stupidedi/exceptions/output_error.rb +0 -2
- data/lib/stupidedi/exceptions/parse_error.rb +0 -2
- data/lib/stupidedi/exceptions/stupidedi_error.rb +0 -2
- data/lib/stupidedi/exceptions/tokenize_error.rb +0 -2
- data/lib/stupidedi/exceptions/zipper_error.rb +0 -2
- data/lib/stupidedi/guides.rb +7 -3
- data/lib/stupidedi/inspect.rb +1 -4
- data/lib/stupidedi/interchanges.rb +11 -0
- data/lib/stupidedi/interchanges/00200.rb +12 -0
- data/lib/stupidedi/interchanges/00200/element_defs.rb +104 -0
- data/lib/stupidedi/interchanges/00200/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00200/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00200/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00200/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00200/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00300.rb +12 -0
- data/lib/stupidedi/interchanges/00300/element_defs.rb +105 -0
- data/lib/stupidedi/interchanges/00300/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00300/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00300/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00300/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00300/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00400.rb +12 -0
- data/lib/stupidedi/interchanges/00400/element_defs.rb +97 -0
- data/lib/stupidedi/interchanges/00400/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00400/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00400/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00400/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00400/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00401.rb +12 -0
- data/lib/stupidedi/interchanges/00401/element_defs.rb +96 -0
- data/lib/stupidedi/interchanges/00401/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00401/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00401/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00401/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00401/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00501.rb +12 -0
- data/lib/stupidedi/interchanges/00501/element_defs.rb +130 -0
- data/lib/stupidedi/interchanges/00501/interchange_def.rb +59 -0
- data/lib/stupidedi/interchanges/00501/segment_defs.rb +12 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/IEA.rb +17 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/ISA.rb +31 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/ISB.rb +15 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/ISE.rb +15 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/TA1.rb +20 -0
- data/lib/stupidedi/interchanges/00501/segment_defs/TA3.rb +15 -0
- data/lib/stupidedi/interchanges/element_types.rb +11 -0
- data/lib/stupidedi/interchanges/element_types/separator_val.rb +79 -0
- data/lib/stupidedi/interchanges/element_types/special_val.rb +48 -0
- data/lib/stupidedi/parser.rb +32 -0
- data/lib/stupidedi/parser/builder_dsl.rb +289 -0
- data/lib/stupidedi/parser/constraint_table.rb +488 -0
- data/lib/stupidedi/parser/generation.rb +147 -0
- data/lib/stupidedi/parser/identifier_stack.rb +248 -0
- data/lib/stupidedi/parser/instruction.rb +112 -0
- data/lib/stupidedi/parser/instruction_table.rb +222 -0
- data/lib/stupidedi/parser/navigation.rb +786 -0
- data/lib/stupidedi/parser/state_machine.rb +62 -0
- data/lib/stupidedi/parser/states/abstract_state.rb +325 -0
- data/lib/stupidedi/parser/states/failure_state.rb +69 -0
- data/lib/stupidedi/parser/states/functional_group_state.rb +98 -0
- data/lib/stupidedi/parser/states/initial_state.rb +62 -0
- data/lib/stupidedi/parser/states/interchange_state.rb +93 -0
- data/lib/stupidedi/parser/states/loop_state.rb +80 -0
- data/lib/stupidedi/parser/states/table_state.rb +94 -0
- data/lib/stupidedi/parser/states/transaction_set_state.rb +118 -0
- data/lib/stupidedi/parser/states/transmission_state.rb +59 -0
- data/lib/stupidedi/parser/tokenization.rb +195 -0
- data/lib/stupidedi/reader.rb +0 -2
- data/lib/stupidedi/reader/input.rb +0 -3
- data/lib/stupidedi/reader/input/abstract_input.rb +4 -6
- data/lib/stupidedi/reader/input/delegated_input.rb +0 -5
- data/lib/stupidedi/reader/input/file_input.rb +10 -11
- data/lib/stupidedi/reader/position.rb +13 -8
- data/lib/stupidedi/reader/result.rb +5 -5
- data/lib/stupidedi/reader/segment_dict.rb +0 -3
- data/lib/stupidedi/reader/separators.rb +5 -4
- data/lib/stupidedi/reader/stream_reader.rb +3 -6
- data/lib/stupidedi/reader/token_reader.rb +0 -5
- data/lib/stupidedi/reader/tokens/component_element_tok.rb +4 -4
- data/lib/stupidedi/reader/tokens/composite_element_tok.rb +6 -5
- data/lib/stupidedi/reader/tokens/repeated_element_tok.rb +9 -2
- data/lib/stupidedi/reader/tokens/segment_tok.rb +7 -5
- data/lib/stupidedi/reader/tokens/simple_element_tok.rb +2 -4
- data/lib/stupidedi/schema.rb +17 -20
- data/lib/stupidedi/schema/abstract_def.rb +4 -6
- data/lib/stupidedi/schema/abstract_element_def.rb +35 -0
- data/lib/stupidedi/schema/abstract_element_use.rb +38 -0
- data/lib/stupidedi/schema/abstract_use.rb +6 -4
- data/lib/stupidedi/schema/code_list.rb +6 -5
- data/lib/stupidedi/schema/component_element_use.rb +74 -0
- data/lib/stupidedi/schema/composite_element_def.rb +103 -0
- data/lib/stupidedi/schema/composite_element_use.rb +73 -0
- data/lib/stupidedi/schema/element_req.rb +1 -4
- data/lib/stupidedi/schema/functional_group_def.rb +9 -3
- data/lib/stupidedi/schema/interchange_def.rb +9 -3
- data/lib/stupidedi/schema/loop_def.rb +11 -9
- data/lib/stupidedi/schema/repeat_count.rb +0 -3
- data/lib/stupidedi/schema/segment_def.rb +6 -4
- data/lib/stupidedi/schema/segment_req.rb +2 -3
- data/lib/stupidedi/schema/segment_use.rb +1 -4
- data/lib/stupidedi/schema/simple_element_def.rb +51 -0
- data/lib/stupidedi/schema/simple_element_use.rb +81 -0
- data/lib/stupidedi/schema/syntax_note.rb +1 -12
- data/lib/stupidedi/schema/table_def.rb +55 -18
- data/lib/stupidedi/schema/transaction_set_def.rb +25 -4
- data/lib/stupidedi/sets.rb +0 -3
- data/lib/stupidedi/transaction_sets.rb +14 -0
- data/lib/stupidedi/transaction_sets/002001.rb +11 -0
- data/lib/stupidedi/transaction_sets/002001/implementations.rb +23 -0
- data/lib/stupidedi/transaction_sets/002001/implementations/FA997.rb +66 -0
- data/lib/stupidedi/transaction_sets/002001/implementations/PO830.rb +160 -0
- data/lib/stupidedi/transaction_sets/002001/implementations/SH856.rb +190 -0
- data/lib/stupidedi/transaction_sets/002001/standards.rb +14 -0
- data/lib/stupidedi/transaction_sets/002001/standards/FA997.rb +31 -0
- data/lib/stupidedi/transaction_sets/002001/standards/PO830.rb +45 -0
- data/lib/stupidedi/transaction_sets/002001/standards/SH856.rb +38 -0
- data/lib/stupidedi/transaction_sets/003010.rb +11 -0
- data/lib/stupidedi/transaction_sets/003010/implementations.rb +24 -0
- data/lib/stupidedi/transaction_sets/003010/implementations/PC860.rb +140 -0
- data/lib/stupidedi/transaction_sets/003010/implementations/PO850.rb +132 -0
- data/lib/stupidedi/transaction_sets/003010/implementations/PS830.rb +150 -0
- data/lib/stupidedi/transaction_sets/003010/implementations/RA820.rb +158 -0
- data/lib/stupidedi/transaction_sets/003010/standards.rb +15 -0
- data/lib/stupidedi/transaction_sets/003010/standards/PC860.rb +49 -0
- data/lib/stupidedi/transaction_sets/003010/standards/PO850.rb +49 -0
- data/lib/stupidedi/transaction_sets/003010/standards/PS830.rb +49 -0
- data/lib/stupidedi/transaction_sets/003010/standards/RA820.rb +40 -0
- data/lib/stupidedi/transaction_sets/003040.rb +12 -0
- data/lib/stupidedi/transaction_sets/003040/implementations.rb +21 -0
- data/lib/stupidedi/transaction_sets/003040/implementations/WA142.rb +153 -0
- data/lib/stupidedi/transaction_sets/003040/standards.rb +12 -0
- data/lib/stupidedi/transaction_sets/003040/standards/WA142.rb +53 -0
- data/lib/stupidedi/transaction_sets/003050.rb +12 -0
- data/lib/stupidedi/transaction_sets/003050/implementations.rb +21 -0
- data/lib/stupidedi/transaction_sets/003050/implementations/PO850.rb +77 -0
- data/lib/stupidedi/transaction_sets/003050/standards.rb +12 -0
- data/lib/stupidedi/transaction_sets/003050/standards/PO850.rb +41 -0
- data/lib/stupidedi/transaction_sets/004010.rb +12 -0
- data/lib/stupidedi/transaction_sets/004010/implementations.rb +38 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/AR943.rb +72 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/FA997.rb +65 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/GF990.rb +40 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/IM210.rb +221 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/OW940.rb +98 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/PO850.rb +108 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/PS830.rb +143 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/QM214.rb +106 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/RE944.rb +63 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SH856.rb +156 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SM204.rb +391 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SQ866.rb +103 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SS862.rb +154 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/SW945.rb +99 -0
- data/lib/stupidedi/transaction_sets/004010/implementations/X091A1-HP835.rb +481 -0
- data/lib/stupidedi/transaction_sets/004010/standards.rb +28 -0
- data/lib/stupidedi/transaction_sets/004010/standards/AR943.rb +34 -0
- data/lib/stupidedi/transaction_sets/004010/standards/FA997.rb +31 -0
- data/lib/stupidedi/transaction_sets/004010/standards/GF990.rb +21 -0
- data/lib/stupidedi/transaction_sets/004010/standards/HP835.rb +61 -0
- data/lib/stupidedi/transaction_sets/004010/standards/IM210.rb +47 -0
- data/lib/stupidedi/transaction_sets/004010/standards/OW940.rb +43 -0
- data/lib/stupidedi/transaction_sets/004010/standards/PO850.rb +50 -0
- data/lib/stupidedi/transaction_sets/004010/standards/PR855.rb +35 -0
- data/lib/stupidedi/transaction_sets/004010/standards/PS830.rb +43 -0
- data/lib/stupidedi/transaction_sets/004010/standards/QM214.rb +41 -0
- data/lib/stupidedi/transaction_sets/004010/standards/RE944.rb +34 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SC832.rb +37 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SH856.rb +40 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SM204.rb +85 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SQ866.rb +32 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SS862.rb +42 -0
- data/lib/stupidedi/transaction_sets/004010/standards/SW945.rb +43 -0
- data/lib/stupidedi/transaction_sets/005010.rb +11 -0
- data/lib/stupidedi/transaction_sets/005010/implementations.rb +88 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X212-HR276.rb +329 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X214-HN277.rb +356 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X220-BE834.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X220A1-BE834.rb +623 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X221-HP835.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X221A1-HP835.rb +556 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X222-HC837.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X222-HC837P.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X222A1-HC837.rb +2033 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X222A1-HC837P.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223-HC837.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223-HC837I.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223A1-HC837.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223A2-HC837.rb +2390 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X223A3-HC837.rb +2595 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X231-FA999.rb +15 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X231A1-FA999.rb +106 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X279-HB271.rb +749 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X279-HS270.rb +533 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X279A1-HB271.rb +751 -0
- data/lib/stupidedi/transaction_sets/005010/implementations/X279A1-HS270.rb +533 -0
- data/lib/stupidedi/transaction_sets/005010/standards.rb +22 -0
- data/lib/stupidedi/transaction_sets/005010/standards/BE834.rb +171 -0
- data/lib/stupidedi/transaction_sets/005010/standards/FA997.rb +31 -0
- data/lib/stupidedi/transaction_sets/005010/standards/FA999.rb +35 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HB271.rb +95 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HC837.rb +161 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HI278.rb +62 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HN277.rb +71 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HP835.rb +65 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HR276.rb +54 -0
- data/lib/stupidedi/transaction_sets/005010/standards/HS270.rb +50 -0
- data/lib/stupidedi/transaction_sets/005010/standards/RA820.rb +238 -0
- data/lib/stupidedi/transaction_sets/builder.rb +184 -0
- data/lib/stupidedi/transaction_sets/common.rb +8 -0
- data/lib/stupidedi/transaction_sets/common/implementations.rb +11 -0
- data/lib/stupidedi/transaction_sets/common/implementations/element_reqs.rb +37 -0
- data/lib/stupidedi/transaction_sets/common/implementations/segment_reqs.rb +31 -0
- data/lib/stupidedi/transaction_sets/validation.rb +9 -0
- data/lib/stupidedi/transaction_sets/validation/ambiguity.rb +391 -0
- data/lib/stupidedi/transaction_sets/validation/implementation.rb +12 -0
- data/lib/stupidedi/values.rb +0 -1
- data/lib/stupidedi/values/abstract_element_val.rb +0 -4
- data/lib/stupidedi/values/abstract_val.rb +3 -4
- data/lib/stupidedi/values/composite_element_val.rb +3 -8
- data/lib/stupidedi/values/functional_group_val.rb +3 -4
- data/lib/stupidedi/values/interchange_val.rb +3 -4
- data/lib/stupidedi/values/invalid_envelope_val.rb +2 -6
- data/lib/stupidedi/values/invalid_segment_val.rb +16 -9
- data/lib/stupidedi/values/loop_val.rb +3 -4
- data/lib/stupidedi/values/repeated_element_val.rb +5 -7
- data/lib/stupidedi/values/segment_val.rb +7 -11
- data/lib/stupidedi/values/segment_val_group.rb +0 -4
- data/lib/stupidedi/values/simple_element_val.rb +2 -7
- data/lib/stupidedi/values/table_val.rb +3 -4
- data/lib/stupidedi/values/transaction_set_val.rb +3 -4
- data/lib/stupidedi/values/transmission_val.rb +5 -5
- data/lib/stupidedi/version.rb +1 -2
- data/lib/stupidedi/versions.rb +11 -3
- data/lib/stupidedi/versions/002001.rb +14 -0
- data/lib/stupidedi/versions/002001/element_defs.rb +10576 -0
- data/lib/stupidedi/versions/002001/element_reqs.rb +12 -0
- data/lib/stupidedi/versions/002001/element_types.rb +28 -0
- data/lib/stupidedi/versions/002001/element_types/an.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/dt.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/float_val.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/id.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/nn.rb +11 -0
- data/lib/stupidedi/versions/002001/element_types/tm.rb +11 -0
- data/lib/stupidedi/versions/002001/functional_group_def.rb +24 -0
- data/lib/stupidedi/versions/002001/segment_defs.rb +88 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK1.rb +17 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK2.rb +17 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK3.rb +18 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK4.rb +20 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK5.rb +22 -0
- data/lib/stupidedi/versions/002001/segment_defs/AK9.rb +23 -0
- data/lib/stupidedi/versions/002001/segment_defs/AT7.rb +29 -0
- data/lib/stupidedi/versions/002001/segment_defs/AT8.rb +25 -0
- data/lib/stupidedi/versions/002001/segment_defs/ATH.rb +21 -0
- data/lib/stupidedi/versions/002001/segment_defs/B1.rb +20 -0
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- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-3r.txt +0 -44
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-3r_Clean.txt +0 -26
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-4ar_Clean.txt +0 -28
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-4br_Clean.txt +0 -35
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-5r.txt +0 -60
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-5r_Clean.txt +0 -42
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-6r.txt +0 -40
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-6r_Clean.txt +0 -24
- data/spec/fixtures/X218-RA820/1-bad.txt +0 -31
- data/spec/fixtures/X218-RA820/1-good.txt +0 -25
- data/spec/fixtures/X218-RA820/2-bad.txt +0 -37
- data/spec/fixtures/X218-RA820/2-good.txt +0 -29
- data/spec/fixtures/X218-RA820/3-bad.txt +0 -29
- data/spec/fixtures/X218-RA820/3-good.txt +0 -23
- data/spec/fixtures/X218-RA820/4-bad.txt +0 -36
- data/spec/fixtures/X218-RA820/4-good.txt +0 -27
- data/spec/fixtures/X220-BE834/1-bad.txt +0 -35
- data/spec/fixtures/X220-BE834/1-good.txt +0 -29
- data/spec/fixtures/X220-BE834/10-bad.txt +0 -26
- data/spec/fixtures/X220-BE834/10-good.txt +0 -19
- data/spec/fixtures/X220-BE834/2-bad.txt +0 -31
- data/spec/fixtures/X220-BE834/2-good.txt +0 -23
- data/spec/fixtures/X220-BE834/3-bad.txt +0 -36
- data/spec/fixtures/X220-BE834/3-good.txt +0 -26
- data/spec/fixtures/X220-BE834/4-bad.txt +0 -27
- data/spec/fixtures/X220-BE834/4-good.txt +0 -21
- data/spec/fixtures/X220-BE834/5-bad.txt +0 -26
- data/spec/fixtures/X220-BE834/5-good.txt +0 -17
- data/spec/fixtures/X220-BE834/6-bad.txt +0 -25
- data/spec/fixtures/X220-BE834/6-good.txt +0 -20
- data/spec/fixtures/X220-BE834/7-bad.txt +0 -25
- data/spec/fixtures/X220-BE834/7-good.txt +0 -20
- data/spec/fixtures/X220-BE834/8-bad.txt +0 -25
- data/spec/fixtures/X220-BE834/8-good.txt +0 -20
- data/spec/fixtures/X220-BE834/9-bad.txt +0 -27
- data/spec/fixtures/X220-BE834/9-good.txt +0 -21
- data/spec/fixtures/X221-HP835/1-bad.txt +0 -58
- data/spec/fixtures/X221-HP835/1-good.txt +0 -40
- data/spec/fixtures/X221-HP835/2-bad.txt +0 -51
- data/spec/fixtures/X221-HP835/2-good.txt +0 -40
- data/spec/fixtures/X221-HP835/3a-bad.txt +0 -78
- data/spec/fixtures/X221-HP835/3a-good.txt +0 -49
- data/spec/fixtures/X221-HP835/3b-bad.txt +0 -60
- data/spec/fixtures/X221-HP835/3b-good.txt +0 -32
- data/spec/fixtures/X221-HP835/3c-bad.txt +0 -55
- data/spec/fixtures/X221-HP835/3c-good.txt +0 -34
- data/spec/fixtures/X222-HC837/1-bad.txt +0 -60
- data/spec/fixtures/X222-HC837/1-good.txt +0 -53
- data/spec/fixtures/X222-HC837/10a-bad.txt +0 -52
- data/spec/fixtures/X222-HC837/10a-good.txt +0 -40
- data/spec/fixtures/X222-HC837/10b-bad.txt +0 -99
- data/spec/fixtures/X222-HC837/10b-good.txt +0 -80
- data/spec/fixtures/X222-HC837/10c-bad.txt +0 -105
- data/spec/fixtures/X222-HC837/10c-good.txt +0 -80
- data/spec/fixtures/X222-HC837/11-bad.txt +0 -69
- data/spec/fixtures/X222-HC837/11-good.txt +0 -45
- data/spec/fixtures/X222-HC837/12-bad.txt +0 -73
- data/spec/fixtures/X222-HC837/12-good.txt +0 -51
- data/spec/fixtures/X222-HC837/13-bad.txt +0 -64
- data/spec/fixtures/X222-HC837/13-good.txt +0 -46
- data/spec/fixtures/X222-HC837/3a-bad.txt +0 -83
- data/spec/fixtures/X222-HC837/3a-good.txt +0 -59
- data/spec/fixtures/X222-HC837/3b-bad.txt +0 -97
- data/spec/fixtures/X222-HC837/3b-good.txt +0 -70
- data/spec/fixtures/X222-HC837/3c-bad.txt +0 -95
- data/spec/fixtures/X222-HC837/3c-good.txt +0 -74
- data/spec/fixtures/X222-HC837/4-bad.txt +0 -67
- data/spec/fixtures/X222-HC837/4-good.txt +0 -48
- data/spec/fixtures/X222-HC837/5-bad.txt +0 -73
- data/spec/fixtures/X222-HC837/5-good.txt +0 -60
- data/spec/fixtures/X222-HC837/6-bad.txt +0 -50
- data/spec/fixtures/X222-HC837/6-good.txt +0 -39
- data/spec/fixtures/X222-HC837/7-bad.txt +0 -93
- data/spec/fixtures/X222-HC837/7-good.txt +0 -78
- data/spec/fixtures/X222-HC837/8-bad.txt +0 -64
- data/spec/fixtures/X222-HC837/8-good.txt +0 -52
- data/spec/fixtures/X222-HC837/9-bad.txt +0 -56
- data/spec/fixtures/X222-HC837/9-good.txt +0 -38
- data/spec/fixtures/X223-HC837/1-bad.txt +0 -66
- data/spec/fixtures/X223-HC837/1-good.txt +0 -53
- data/spec/fixtures/X223-HC837/2-bad.txt +0 -69
- data/spec/fixtures/X223-HC837/2-good.txt +0 -60
- data/spec/fixtures/X223-HC837/3-bad.txt +0 -89
- data/spec/fixtures/X223-HC837/3-good.txt +0 -61
- data/spec/fixtures/X223-HC837/4-bad.txt +0 -60
- data/spec/fixtures/X223-HC837/4-good.txt +0 -40
- data/spec/fixtures/X223-HC837/5-bad.txt +0 -75
- data/spec/fixtures/X223-HC837/5-good.txt +0 -58
- data/spec/fixtures/X224-HC837/1-bad.txt +0 -54
- data/spec/fixtures/X224-HC837/1-good.txt +0 -44
- data/spec/fixtures/X224-HC837/2a-bad.txt +0 -52
- data/spec/fixtures/X224-HC837/2a-good.txt +0 -42
- data/spec/fixtures/X224-HC837/2b-bad.txt +0 -67
- data/spec/fixtures/X224-HC837/2b-good.txt +0 -52
- data/spec/fixtures/X224-HC837/3-bad.txt +0 -67
- data/spec/fixtures/X224-HC837/3-good.txt +0 -51
- data/spec/fixtures/X224-HC837/4-bad.txt +0 -49
- data/spec/fixtures/X224-HC837/4-good.txt +0 -40
- data/spec/fixtures/X230-FA997/1-bad.txt +0 -19
- data/spec/fixtures/X230-FA997/1-good.txt +0 -16
- data/spec/fixtures/X231-FA999/1-bad.txt +0 -20
- data/spec/fixtures/X231-FA999/1-good.txt +0 -20
- data/spec/fixtures/X279-HB271/1-bad.txt +0 -36
- data/spec/fixtures/X279-HB271/1-good.txt +0 -30
- data/spec/fixtures/X279-HB271/2-bad.txt +0 -22
- data/spec/fixtures/X279-HB271/2-good.txt +0 -16
- data/spec/fixtures/X279-HB271/3-bad.txt +0 -44
- data/spec/fixtures/X279-HB271/3-good.txt +0 -36
- data/spec/fixtures/X279-HS270/1-bad.txt +0 -29
- data/spec/fixtures/X279-HS270/1-good.txt +0 -23
- data/spec/fixtures/X279-HS270/2-bad.txt +0 -32
- data/spec/fixtures/X279-HS270/2-good.txt +0 -25
- data/spec/spec_helper.rb +0 -55
- data/spec/support/fixtures.rb +0 -26
- data/spec/support/matchers/either_matchers.rb +0 -53
- data/spec/support/matchers/navigation_matchers.rb +0 -247
- data/spec/support/node.rb +0 -41
- data/spec/support/quickcheck.rb +0 -303
- data/spec/support/quickcheck/characters.rb +0 -33
- data/spec/support/quickcheck/property.rb +0 -105
- data/spec/support/quickcheck/serialized_edi.rb +0 -400
- data/spec/support/rcov.rb +0 -41
@@ -1,126 +0,0 @@
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# frozen_string_literal: true
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module Stupidedi
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using Refinements
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module Guides
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module FiftyTen
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module X231
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b = GuideBuilder
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d = Schema
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r = SegmentReqs
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e = ElementReqs
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s = Versions::FunctionalGroups::FiftyTen::SegmentDefs
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t = Versions::FunctionalGroups::FiftyTen::TransactionSetDefs
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FA999 = b.build(t::FA999,
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d::TableDef.header("Table 1 - Header",
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b::Segment(100, s::ST, "Transaction Set Header",
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r::Required, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Transaction Set Identifier Code", b::Values("999")),
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b::Element(e::Required, "Transaction Set Control Number"),
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b::Element(e::Required, "Implementation Guide Version Name", b::Values("005010X231"))),
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b::Segment(200, s::AK1, "Functional Group Response Header",
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r::Required, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Functional Identifier Code"),
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b::Element(e::Required, "Group Control Number"),
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b::Element(e::Required, "Version, Release, or Industry Identifier Code")),
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d::LoopDef.build("2000 TRANSACTION SET RESPONSE HEADER",
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d::RepeatCount.unbounded,
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b::Segment(300, s::AK2, "Transaction Set Response Header",
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Transaction Set Identifier Code"),
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b::Element(e::Required, "Transaction Set Control Number"),
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b::Element(e::Situational, "Implementation Convention Reference")),
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d::LoopDef.build("2100 ERROR IDENTIFICATION",
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d::RepeatCount.unbounded,
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b::Segment(400, s::IK3, "Error Identification",
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Segment ID Code"),
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b::Element(e::Required, "Segment Position in Transaction Set"),
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b::Element(e::Situational, "Loop Identifier Code"),
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b::Element(e::Required, "Implementation Segment Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "I4", "I6", "I7", "I8", "I9"))),
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b::Segment(500, s::CTX, "Segment Context",
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r::Situational, d::RepeatCount.bounded(9),
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b::Element(e::Required, "CONTEXT IDENTIFICATION",
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b::Element(e::Required, "Context Name", b::Values("SITUATIONAL TRIGGER")),
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b::Element(e::NotUsed, "Context Reference")),
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b::Element(e::Required, "Segment ID Code"),
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b::Element(e::Required, "Segment Position in Transaction Set"),
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b::Element(e::Situational, "Loop Identifier Code"),
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b::Element(e::Situational, "POSITION IN SEGMENT",
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b::Element(e::Required, "Element Position in Segment"),
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b::Element(e::Situational, "Component Data Element Position in Composite"),
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b::Element(e::Situational, "Repeating Data Element Position")),
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b::Element(e::Situational, "REFERENCE IN SEGMENT",
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b::Element(e::Required, "Data Element Reference Number"),
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b::Element(e::Situational, "Component Data Element Reference Number"))),
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b::Segment(500, s::CTX, "Business Unit Identifier",
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "CONTEXT IDENTIFICATION",
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b::Element(e::Required, "Context Name", b::Values("TRN02", "NM109", "PATIENT NAME NM109", "SUBSCRIBER NAME NM109", "ENT01", "SUBSCRIBER NUMBER REF02", "CLM01")),
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b::Element(e::Required, "Context Reference")),
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b::Element(e::NotUsed, "Segment ID Code"),
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b::Element(e::NotUsed, "Segment Position in Transaction Set"),
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b::Element(e::NotUsed, "Loop Identifier Code"),
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b::Element(e::NotUsed, "POSITION IN SEGMENT"),
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b::Element(e::NotUsed, "REFERENCE IN SEGMENT")),
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d::LoopDef.build("2110 IMPLEMENTATION DATA ELEMENT NOTE",
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d::RepeatCount.unbounded,
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b::Segment(600, s::IK4, "Implementation Data Element Note",
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r::Situational, d::RepeatCount.bounded(1),
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b::Element(e::Required, "POSITION IN SEGMENT",
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b::Element(e::Required, "Element Position in Segment"),
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b::Element(e::Situational, "Component Data Element Position in Composite"),
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b::Element(e::Situational, "Repeating Data Element Position")),
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b::Element(e::Situational, "Data Element Reference Number"),
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b::Element(e::Required, "Implementation Data Element Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "12", "13", "I10", "I11", "I12", "I13", "I6", "I9")),
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b::Element(e::Situational, "Copy of Bad Data Element")),
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b::Segment(700, s::CTX, "Element Context",
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r::Situational, d::RepeatCount.bounded(10),
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b::Element(e::Required, "CONTEXT IDENTIFICATION",
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b::Element(e::Required, "Context Name", b::Values("SITUATIONAL TRIGGER")),
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b::Element(e::NotUsed, "Context Reference")),
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b::Element(e::Required, "Segment ID Code"),
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b::Element(e::Required, "Segment Position in Transaction Set"),
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b::Element(e::Situational, "Loop Identifier Code"),
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b::Element(e::Situational, "POSITION IN SEGMENT",
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b::Element(e::Required, "Element Position in Segment"),
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b::Element(e::Situational, "Component Data Element Position in Composite"),
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b::Element(e::Situational, "Repeating Data Element Position")),
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b::Element(e::Situational, "REFERENCE IN SEGMENT",
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b::Element(e::Required, "Data Element Reference Number"),
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b::Element(e::Situational, "Component Data Element Reference Number"))))),
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98
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b::Segment(800, s::IK5, "Implementation Transaction Set Response Trailer",
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r::Required, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Transaction Set Acknowledgement Code", b::Values("A", "E", "M", "R", "W", "X")),
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b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I6")),
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b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I6")),
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b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I6")),
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b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I6")),
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105
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b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I6")))),
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106
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-
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107
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b::Segment( 900, s::AK9, "Functional Group Response Trailer",
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108
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r::Required, d::RepeatCount.bounded(1),
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109
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b::Element(e::Required, "Functional Group Acknowledgement Code", b::Values("A", "E", "M", "P", "R", "W", "X")),
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110
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b::Element(e::Required, "Number of Transaction Sets Included"),
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111
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b::Element(e::Required, "Number of Received Transaction Sets"),
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112
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b::Element(e::Required, "Number of Accepted Transaction Sets"),
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113
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b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26")),
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114
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b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26")),
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115
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b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26")),
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116
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b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26")),
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117
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b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26"))),
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118
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b::Segment(200, s::SE, "Transaction Set Trailer",
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119
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r::Required, d::RepeatCount.bounded(1),
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120
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b::Element(e::Required, "Transaction Segment Count"),
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121
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b::Element(e::Required, "Transaction Set Control Number"))))
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122
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-
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123
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end
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124
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end
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125
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end
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126
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end
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@@ -1,122 +0,0 @@
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1
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# frozen_string_literal: true
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2
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module Stupidedi
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3
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using Refinements
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4
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-
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5
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module Guides
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6
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module FiftyTen
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7
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module X231A1
|
8
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-
|
9
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b = GuideBuilder
|
10
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d = Schema
|
11
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r = SegmentReqs
|
12
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e = ElementReqs
|
13
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s = Versions::FunctionalGroups::FiftyTen::SegmentDefs
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14
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t = Versions::FunctionalGroups::FiftyTen::TransactionSetDefs
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15
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-
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16
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FA999 = b.build(t::FA999,
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17
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d::TableDef.header("Table 1 - Header",
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18
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b::Segment(100, s::ST, "Transaction Set Header",
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19
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r::Required, d::RepeatCount.bounded(1),
|
20
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b::Element(e::Required, "Transaction Set Identifier Code", b::Values("999")),
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21
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b::Element(e::Required, "Transaction Set Control Number"),
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22
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b::Element(e::Required, "Implementation Guide Version Name", b::Values("005010X231A1"))),
|
23
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b::Segment(200, s::AK1, "Functional Group Response Header",
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24
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r::Required, d::RepeatCount.bounded(1),
|
25
|
-
b::Element(e::Required, "Functional Identifier Code"),
|
26
|
-
b::Element(e::Required, "Group Control Number"),
|
27
|
-
b::Element(e::Required, "Version, Release, or Industry Identifier Code")),
|
28
|
-
|
29
|
-
d::LoopDef.build("2000 TRANSACTION SET RESPONSE HEADER",
|
30
|
-
d::RepeatCount.unbounded,
|
31
|
-
b::Segment(300, s::AK2, "Transaction Set Response Header",
|
32
|
-
r::Situational, d::RepeatCount.bounded(1),
|
33
|
-
b::Element(e::Required, "Transaction Set Identifier Code"),
|
34
|
-
b::Element(e::Required, "Transaction Set Control Number"),
|
35
|
-
b::Element(e::Situational, "Implementation Convention Reference")),
|
36
|
-
|
37
|
-
d::LoopDef.build("2100 ERROR IDENTIFICATION",
|
38
|
-
d::RepeatCount.unbounded,
|
39
|
-
b::Segment(400, s::IK3, "Error Identification",
|
40
|
-
r::Situational, d::RepeatCount.bounded(1),
|
41
|
-
b::Element(e::Required, "Segment ID Code"),
|
42
|
-
b::Element(e::Required, "Segment Position in Transaction Set"),
|
43
|
-
b::Element(e::Situational, "Loop Identifier Code"),
|
44
|
-
b::Element(e::Required, "Implementation Segment Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "I4", "I6", "I7", "I8", "I9"))),
|
45
|
-
b::Segment(500, s::CTX, "Segment Context",
|
46
|
-
r::Situational, d::RepeatCount.bounded(9),
|
47
|
-
b::Element(e::Required, "CONTEXT IDENTIFICATION",
|
48
|
-
b::Element(e::Required, "Context Name", b::Values("SITUATIONAL TRIGGER")),
|
49
|
-
b::Element(e::NotUsed, "Context Reference")),
|
50
|
-
b::Element(e::Required, "Segment ID Code"),
|
51
|
-
b::Element(e::Required, "Segment Position in Transaction Set"),
|
52
|
-
b::Element(e::Situational, "Loop Identifier Code"),
|
53
|
-
b::Element(e::Situational, "POSITION IN SEGMENT",
|
54
|
-
b::Element(e::Required, "Element Position in Segment"),
|
55
|
-
b::Element(e::Situational, "Component Data Element Position in Composite"),
|
56
|
-
b::Element(e::Situational, "Repeating Data Element Position")),
|
57
|
-
b::Element(e::NotUsed, "REFERENCE IN SEGMENT")),
|
58
|
-
b::Segment(500, s::CTX, "Business Unit Identifier",
|
59
|
-
r::Situational, d::RepeatCount.bounded(1),
|
60
|
-
b::Element(e::Required, "CONTEXT IDENTIFICATION",
|
61
|
-
b::Element(e::Required, "Context Name", b::Values("TRN02", "NM109", "PATIENT NAME NM109", "SUBSCRIBER NAME NM109", "ENT01", "SUBSCRIBER NUMBER REF02", "CLM01")),
|
62
|
-
b::Element(e::Required, "Context Reference")),
|
63
|
-
b::Element(e::NotUsed, "Segment ID Code"),
|
64
|
-
b::Element(e::NotUsed, "Segment Position in Transaction Set"),
|
65
|
-
b::Element(e::NotUsed, "Loop Identifier Code"),
|
66
|
-
b::Element(e::NotUsed, "POSITION IN SEGMENT"),
|
67
|
-
b::Element(e::NotUsed, "REFERENCE IN SEGMENT")),
|
68
|
-
|
69
|
-
d::LoopDef.build("2110 IMPLEMENTATION DATA ELEMENT NOTE",
|
70
|
-
d::RepeatCount.unbounded,
|
71
|
-
b::Segment(600, s::IK4, "Implementation Data Element Note",
|
72
|
-
r::Situational, d::RepeatCount.bounded(1),
|
73
|
-
b::Element(e::Required, "POSITION IN SEGMENT",
|
74
|
-
b::Element(e::Required, "Element Position in Segment"),
|
75
|
-
b::Element(e::Situational, "Component Data Element Position in Composite"),
|
76
|
-
b::Element(e::Situational, "Repeating Data Element Position")),
|
77
|
-
b::Element(e::Situational, "Data Element Reference Number"),
|
78
|
-
b::Element(e::Required, "Implementation Data Element Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "12", "13", "I10", "I11", "I12", "I13", "I6", "I9")),
|
79
|
-
b::Element(e::Situational, "Copy of Bad Data Element")),
|
80
|
-
b::Segment(700, s::CTX, "Element Context",
|
81
|
-
r::Situational, d::RepeatCount.bounded(10),
|
82
|
-
b::Element(e::Required, "CONTEXT IDENTIFICATION",
|
83
|
-
b::Element(e::Required, "Context Name", b::Values("SITUATIONAL TRIGGER")),
|
84
|
-
b::Element(e::NotUsed, "Context Reference")),
|
85
|
-
b::Element(e::Required, "Segment ID Code"),
|
86
|
-
b::Element(e::Required, "Segment Position in Transaction Set"),
|
87
|
-
b::Element(e::Situational, "Loop Identifier Code"),
|
88
|
-
b::Element(e::Situational, "POSITION IN SEGMENT",
|
89
|
-
b::Element(e::Required, "Element Position in Segment"),
|
90
|
-
b::Element(e::Situational, "Component Data Element Position in Composite"),
|
91
|
-
b::Element(e::Situational, "Repeating Data Element Position")),
|
92
|
-
b::Element(e::NotUsed, "REFERENCE IN SEGMENT")))),
|
93
|
-
|
94
|
-
b::Segment(800, s::IK5, "Implementation Transaction Set Response Trailer",
|
95
|
-
r::Required, d::RepeatCount.bounded(1),
|
96
|
-
b::Element(e::Required, "Transaction Set Acknowledgement Code", b::Values("A", "E", "M", "R", "W", "X")),
|
97
|
-
b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I5", "I6")),
|
98
|
-
b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I5", "I6")),
|
99
|
-
b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I5", "I6")),
|
100
|
-
b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I5", "I6")),
|
101
|
-
b::Element(e::Situational, "Implementation Transaction Set Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "15", "16", "17", "18", "19", "23", "24", "25", "26", "27", "I5", "I6")))),
|
102
|
-
|
103
|
-
b::Segment( 900, s::AK9, "Functional Group Response Trailer",
|
104
|
-
r::Required, d::RepeatCount.bounded(1),
|
105
|
-
b::Element(e::Required, "Functional Group Acknowledgement Code", b::Values("A", "E", "M", "P", "R", "W", "X")),
|
106
|
-
b::Element(e::Required, "Number of Transaction Sets Included"),
|
107
|
-
b::Element(e::Required, "Number of Received Transaction Sets"),
|
108
|
-
b::Element(e::Required, "Number of Accepted Transaction Sets"),
|
109
|
-
b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26")),
|
110
|
-
b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26")),
|
111
|
-
b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26")),
|
112
|
-
b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26")),
|
113
|
-
b::Element(e::Situational, "Functional Group Syntax Error Code", b::Values("1", "2", "3", "4", "5", "6", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "23", "24", "25", "26"))),
|
114
|
-
b::Segment(200, s::SE, "Transaction Set Trailer",
|
115
|
-
r::Required, d::RepeatCount.bounded(1),
|
116
|
-
b::Element(e::Required, "Transaction Segment Count"),
|
117
|
-
b::Element(e::Required, "Transaction Set Control Number"))))
|
118
|
-
|
119
|
-
end
|
120
|
-
end
|
121
|
-
end
|
122
|
-
end
|
@@ -1,832 +0,0 @@
|
|
1
|
-
module Stupidedi
|
2
|
-
module Guides
|
3
|
-
module FiftyTen
|
4
|
-
module X279
|
5
|
-
|
6
|
-
b = GuideBuilder
|
7
|
-
d = Schema
|
8
|
-
r = SegmentReqs
|
9
|
-
e = ElementReqs
|
10
|
-
s = Versions::FunctionalGroups::FiftyTen::SegmentDefs
|
11
|
-
t = Versions::FunctionalGroups::FiftyTen::TransactionSetDefs
|
12
|
-
|
13
|
-
HB271 = b.build(t::HB271,
|
14
|
-
d::TableDef.header("Table 1 - Header",
|
15
|
-
b::Segment(100, s::ST, "Transaction Set Header",
|
16
|
-
r::Required, d::RepeatCount.bounded(1),
|
17
|
-
b::Element(e::Required, "Transaction Set Identifier Code", b::Values("271")),
|
18
|
-
b::Element(e::Required, "Transaction Set Control Number"),
|
19
|
-
b::Element(e::Required, "Implementation Convention Reference", b::Values("005010X279"))),
|
20
|
-
b::Segment(200, s::BHT, "Beginning of Hierarchical Transaction",
|
21
|
-
r::Required, d::RepeatCount.bounded(1),
|
22
|
-
b::Element(e::Required, "Hierarchical Structure Code", b::Values("0022")),
|
23
|
-
b::Element(e::Required, "Transaction Set Purpose Code", b::Values("06", "11")),
|
24
|
-
b::Element(e::Situational, "Submitter Transaction Identifier"),
|
25
|
-
b::Element(e::Required, "Transaction Set Creation Date"),
|
26
|
-
b::Element(e::Required, "Transaction Set Creation Time"),
|
27
|
-
b::Element(e::NotUsed, "Transaction Type Code"))),
|
28
|
-
|
29
|
-
d::TableDef.detail("Table 2 - Information Source Detail",
|
30
|
-
d::LoopDef.build("2000A INFORMATION SOURCE LEVEL",
|
31
|
-
d::RepeatCount.bounded(1),
|
32
|
-
b::Segment(100, s::HL, "Information Source Level",
|
33
|
-
r::Required, d::RepeatCount.bounded(1),
|
34
|
-
b::Element(e::Required, "Hierarchical ID Number"),
|
35
|
-
b::Element(e::NotUsed, "Hierarchical Parent ID Number"),
|
36
|
-
b::Element(e::Required, "Hierarchical Level Code", b::Values("20")),
|
37
|
-
b::Element(e::Required, "Hierarchical Child Code", b::Values("0", "1"))),
|
38
|
-
b::Segment(250, s::AAA, "Request Validation",
|
39
|
-
r::Situational, d::RepeatCount.bounded(9),
|
40
|
-
b::Element(e::Required, "Valid Request Indicator", b::Values("Y", "N")),
|
41
|
-
b::Element(e::NotUsed, "Agency Qualifier Code"),
|
42
|
-
b::Element(e::Required, "Reject Reason Code", b::Values("04", "41", "42", "79")),
|
43
|
-
b::Element(e::Required, "Follow-up Action Code", b::Values("C", "N", "P", "R", "S", "Y"))),
|
44
|
-
|
45
|
-
d::LoopDef.build("2100A INFORMATION SOURCE NAME",
|
46
|
-
d::RepeatCount.bounded(1),
|
47
|
-
b::Segment(300, s::NM1, "Information Source Name",
|
48
|
-
r::Required, d::RepeatCount.bounded(1),
|
49
|
-
b::Element(e::Required, "Entity Identifier Code", b::Values("2B", "36", "GP", "P5", "PR")),
|
50
|
-
b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
|
51
|
-
b::Element(e::Required, "Name Last or Organization Name"),
|
52
|
-
b::Element(e::Situational, "Name First"),
|
53
|
-
b::Element(e::Situational, "Name Middle"),
|
54
|
-
b::Element(e::NotUsed, "Name Prefix"),
|
55
|
-
b::Element(e::Situational, "Name Suffix"),
|
56
|
-
b::Element(e::Required, "Identification Code Qualifier", b::Values("24", "46", "FI", "NI", "PI", "XV", "XX")),
|
57
|
-
b::Element(e::Required, "Identification Code"),
|
58
|
-
b::Element(e::NotUsed, "Entity Relationship Code"),
|
59
|
-
b::Element(e::NotUsed, "Entity Identifier Code"),
|
60
|
-
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
61
|
-
b::Segment(800, s::PER, "Information Source Contact Information",
|
62
|
-
r::Situational, d::RepeatCount.bounded(3),
|
63
|
-
b::Element(e::Required, "Contact Function Code", b::Values("IC")),
|
64
|
-
b::Element(e::Situational, "Information Source Contact Name"),
|
65
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "FX", "TE", "UR")),
|
66
|
-
b::Element(e::Situational, "Communication Number"),
|
67
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "EX", "FX", "TE", "UR")),
|
68
|
-
b::Element(e::Situational, "Communication Number"),
|
69
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "EX", "FX", "TE", "UR")),
|
70
|
-
b::Element(e::Situational, "Communication Number"),
|
71
|
-
b::Element(e::NotUsed, "Contact Inquiry Reference")),
|
72
|
-
b::Segment(850, s::AAA, "Request Validation",
|
73
|
-
r::Situational, d::RepeatCount.bounded(9),
|
74
|
-
b::Element(e::Required, "Valid Request Indicator", b::Values("N", "Y")),
|
75
|
-
b::Element(e::NotUsed, "Agency Qualifier Code"),
|
76
|
-
b::Element(e::Required, "Reject Reason Code", b::Values("04", "41", "42", "79", "80", "T4")),
|
77
|
-
b::Element(e::Required, "Follow-up Action Code", b::Values("C", "N", "P", "R", "S", "W", "X", "Y")))))),
|
78
|
-
|
79
|
-
d::TableDef.detail("Table 2 - Information Receiver Detail",
|
80
|
-
d::LoopDef.build("2000B INFORMATION RECEIVER LEVEL",
|
81
|
-
d::RepeatCount.bounded(1),
|
82
|
-
b::Segment(100, s::HL, "Information Receiver Level",
|
83
|
-
r::Situational, d::RepeatCount.bounded(1),
|
84
|
-
b::Element(e::Required, "Hierarchical ID Number"),
|
85
|
-
b::Element(e::Required, "Hierarchical Parent ID Number"),
|
86
|
-
b::Element(e::Required, "Hierarchical Level Code", b::Values("21")),
|
87
|
-
b::Element(e::Required, "Hierarchical Child Code", b::Values("0", "1"))),
|
88
|
-
|
89
|
-
d::LoopDef.build("2100B INFORMATION RECEIVER NAME",
|
90
|
-
d::RepeatCount.unbounded,
|
91
|
-
b::Segment(300, s::NM1, "Information Receiver Name",
|
92
|
-
r::Required, d::RepeatCount.bounded(1),
|
93
|
-
b::Element(e::Required, "Entity Identifier Code", b::Values("1P", "2B", "36", "80", "FA", "GP", "P5", "PR")),
|
94
|
-
b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
|
95
|
-
b::Element(e::Situational, "Information Receiver Last or Organization Name"),
|
96
|
-
b::Element(e::Situational, "Information Receiver First Name"),
|
97
|
-
b::Element(e::Situational, "Information Receiver Name Middle"),
|
98
|
-
b::Element(e::NotUsed, "Name Prefix"),
|
99
|
-
b::Element(e::Situational, "Information Receiver Name Suffix"),
|
100
|
-
b::Element(e::Required, "Identification Code Qualifier", b::Values("24", "34", "FI", "PI", "PP", "SV", "XV", "XX")),
|
101
|
-
b::Element(e::Required, "Identification Code"),
|
102
|
-
b::Element(e::NotUsed, "Entity Relationship Code"),
|
103
|
-
b::Element(e::NotUsed, "Entity Identifier Code"),
|
104
|
-
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
105
|
-
b::Segment(400, s::REF, "Information Receiver Additional Identification",
|
106
|
-
r::Situational, d::RepeatCount.bounded(9),
|
107
|
-
b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "1C", "1D", "1J", "4A", "CT", "EL", "EO", "HPI", "JD", "N5", "N7", "Q4", "SY", "TJ")),
|
108
|
-
b::Element(e::Required, "Reference Identification"),
|
109
|
-
b::Element(e::Situational, "Information Receiver Addtional Identifier State"),
|
110
|
-
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
111
|
-
b::Segment(850, s::AAA, "Information Receiver Request Validation",
|
112
|
-
r::Situational, d::RepeatCount.bounded(9),
|
113
|
-
b::Element(e::Required, "Valid Request Indicator", b::Values("N", "Y")),
|
114
|
-
b::Element(e::NotUsed, "Agency Qualifier Code"),
|
115
|
-
b::Element(e::Required, "Reject Reason Code", b::Values("15", "41", "43", "44", "45", "46", "47", "48", "50", "51", "79", "97", "T4")),
|
116
|
-
b::Element(e::Required, "Follow-up Action Code", b::Values("C", "N", "R", "S", "W", "X", "Y"))),
|
117
|
-
b::Segment(900, s::PRV, "Information Receiver Provider Information",
|
118
|
-
r::Situational, d::RepeatCount.bounded(1),
|
119
|
-
b::Element(e::Required, "Provider Code", b::Values("AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SB", "SK", "SU")),
|
120
|
-
b::Element(e::Situational, "Reference Identification Qualifier", b::Values("PXC")),
|
121
|
-
b::Element(e::Situational, "Receiver Provider Specialty Code"),
|
122
|
-
b::Element(e::NotUsed, "State or Province Code"),
|
123
|
-
b::Element(e::NotUsed, "PROVIDER SPECIALTY INFORMATION"),
|
124
|
-
b::Element(e::NotUsed, "Provider Organization Code"))))),
|
125
|
-
|
126
|
-
d::TableDef.detail("Table 2 - Subscriber Detail",
|
127
|
-
d::LoopDef.build("2000C SUBSCRIBER LEVEL",
|
128
|
-
d::RepeatCount.bounded(1),
|
129
|
-
b::Segment(100, s::HL, "Subscriber Level",
|
130
|
-
r::Situational, d::RepeatCount.bounded(1),
|
131
|
-
b::Element(e::Required, "Hierarchical ID Number"),
|
132
|
-
b::Element(e::Required, "Hierarchical Parent ID Number"),
|
133
|
-
b::Element(e::Required, "Hierarchical Level Code", b::Values("22")),
|
134
|
-
b::Element(e::Required, "Hierarchical Child Code", b::Values("0", "1"))),
|
135
|
-
b::Segment(200, s::TRN, "Subscriber Trace Number",
|
136
|
-
r::Situational, d::RepeatCount.bounded(3),
|
137
|
-
b::Element(e::Required, "Trace Type Code", b::Values("1", "2")),
|
138
|
-
b::Element(e::Required, "Trace Number"),
|
139
|
-
b::Element(e::Required, "Trace Assigning Entity Identifier"),
|
140
|
-
b::Element(e::Situational, "Trace Assigning Entity Additional Identifier")),
|
141
|
-
|
142
|
-
d::LoopDef.build("2100C SUBSCRIBER NAME",
|
143
|
-
d::RepeatCount.bounded(1),
|
144
|
-
b::Segment(300, s::NM1, "Subscriber Name",
|
145
|
-
r::Required, d::RepeatCount.bounded(1),
|
146
|
-
b::Element(e::Required, "Entity Identifier Code", b::Values("IL")),
|
147
|
-
b::Element(e::Required, "Entity Type Qualifier", b::Values("1")),
|
148
|
-
b::Element(e::Situational, "Subscriber Last Name"),
|
149
|
-
b::Element(e::Situational, "Subscriber First Name"),
|
150
|
-
b::Element(e::Situational, "Subscriber Middle Name or Initial"),
|
151
|
-
b::Element(e::NotUsed, "Name Prefix"),
|
152
|
-
b::Element(e::Situational, "Subscriber Name Suffix"),
|
153
|
-
b::Element(e::Situational, "Identification Code Qualifier", b::Values("II", "MI")),
|
154
|
-
b::Element(e::Situational, "Subscriber Primary Identifier"),
|
155
|
-
b::Element(e::NotUsed, "Entity Relationship Code"),
|
156
|
-
b::Element(e::NotUsed, "Entity Identifier Code"),
|
157
|
-
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
158
|
-
b::Segment(400, s::REF, "Subscriber Additional Information",
|
159
|
-
r::Situational, d::RepeatCount.bounded(9),
|
160
|
-
b::Element(e::Required, "Reference Identification Qualifier", b::Values("18", "1L", "1W", "3H", "49", "6P", "CT", "EA", "EJ", "F6", "GH", "HJ", "IF", "IG", "N6", "NQ", "Q4", "SY", "Y4")),
|
161
|
-
b::Element(e::Required, "Subscriber Supplemental Identifier"),
|
162
|
-
b::Element(e::Situational, "Plan, Group or Plan Network Name"),
|
163
|
-
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
164
|
-
b::Segment(600, s::N3, "Subscriber Address",
|
165
|
-
r::Situational, d::RepeatCount.bounded(1),
|
166
|
-
b::Element(e::Required, "Subscriber Address Line"),
|
167
|
-
b::Element(e::Situational, "Subscriber Address Line")),
|
168
|
-
b::Segment(700, s::N4, "Subscriber City, State, ZIP Code",
|
169
|
-
r::Situational, d::RepeatCount.bounded(1),
|
170
|
-
b::Element(e::Required, "Subscriber City Name"),
|
171
|
-
b::Element(e::Situational, "Subscriber State Code"),
|
172
|
-
b::Element(e::Situational, "Subscriber Postal Zone or ZIP Code"),
|
173
|
-
b::Element(e::Situational, "Subscriber Country Code"),
|
174
|
-
b::Element(e::NotUsed, "Location Qualifier"),
|
175
|
-
b::Element(e::NotUsed, "Location Identifier"),
|
176
|
-
b::Element(e::Situational, "Subscriber Country Subdivision Code")),
|
177
|
-
b::Segment(850, s::AAA, "Subscriber Request Validation",
|
178
|
-
r::Situational, d::RepeatCount.bounded(9),
|
179
|
-
b::Element(e::Required, "Valid Request Indicator", b::Values("N", "Y")),
|
180
|
-
b::Element(e::NotUsed, "Agency Qualifier Code"),
|
181
|
-
b::Element(e::Required, "Reject Reason Code", b::Values("15", "35", "42", "43", "45", "47", "48", "49", "51", "52", "56", "57", "58", "60", "61", "62", "63", "71", "72", "73", "74", "75", "76", "78")),
|
182
|
-
b::Element(e::Required, "Follow-up Action Code", b::Values("C", "N", "R", "S", "W", "X", "Y"))),
|
183
|
-
b::Segment(900, s::PRV, "Provider Information",
|
184
|
-
r::Situational, d::RepeatCount.bounded(1),
|
185
|
-
b::Element(e::Required, "Provider Code", b::Values("AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SK", "SU")),
|
186
|
-
b::Element(e::Situational, "Reference Identifier", b::Values("PXC")),
|
187
|
-
b::Element(e::Situational, "Provider Identifier"),
|
188
|
-
b::Element(e::NotUsed, "State or Province Code"),
|
189
|
-
b::Element(e::NotUsed, "PROVIDER SPECIALTY INFORMATION"),
|
190
|
-
b::Element(e::NotUsed, "Provider Organization Code")),
|
191
|
-
b::Segment(1000, s::DMG, "Subscriber Demographic Information",
|
192
|
-
r::Situational, d::RepeatCount.bounded(1),
|
193
|
-
b::Element(e::Situational, "Date Time Period Format Qualifier"),
|
194
|
-
b::Element(e::Situational, "Subscriber Birth Date"),
|
195
|
-
b::Element(e::Situational, "Subscriber Gender Code", b::Values("F", "M", "U")),
|
196
|
-
b::Element(e::NotUsed, "Marital Status Code"),
|
197
|
-
b::Element(e::NotUsed, "COMPOSITE RACE OR ETHNICITY INFORMATION"),
|
198
|
-
b::Element(e::NotUsed, "Citizenship Status Code"),
|
199
|
-
b::Element(e::NotUsed, "Country Code"),
|
200
|
-
b::Element(e::NotUsed, "Basis of Verification Code"),
|
201
|
-
b::Element(e::NotUsed, "Quantity"),
|
202
|
-
b::Element(e::NotUsed, "Code List Qualifier Code"),
|
203
|
-
b::Element(e::NotUsed, "Industry Code")),
|
204
|
-
b::Segment(1100, s::INS, "Subscriber Relationship",
|
205
|
-
r::Situational, d::RepeatCount.bounded(1),
|
206
|
-
b::Element(e::Required, "Insured Indicator", b::Values("Y")),
|
207
|
-
b::Element(e::Required, "Individual Relationsihp Code", b::Values("18")),
|
208
|
-
b::Element(e::Situational, "Maintenance Type Code", b::Values("001")),
|
209
|
-
b::Element(e::Situational, "Maintenance Reason Code", b::Values("25")),
|
210
|
-
b::Element(e::NotUsed, "Benefit Status Code"),
|
211
|
-
b::Element(e::NotUsed, "MEDICARE STATUS CODE"),
|
212
|
-
b::Element(e::NotUsed, "Consolidated Omnibus Budget Reconciliation Act (CORBA) Qualifying"),
|
213
|
-
b::Element(e::NotUsed, "Employment Status Code"),
|
214
|
-
b::Element(e::NotUsed, "Student Status Code"),
|
215
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response"),
|
216
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
217
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
218
|
-
b::Element(e::NotUsed, "Confidentiality Code"),
|
219
|
-
b::Element(e::NotUsed, "City Name"),
|
220
|
-
b::Element(e::NotUsed, "State or Province Code"),
|
221
|
-
b::Element(e::NotUsed, "Country Code"),
|
222
|
-
b::Element(e::Situational, "Birth Sequence Number")),
|
223
|
-
b::Segment(1150, s::HI, "Subscriber Health Care Diagnosis Code",
|
224
|
-
r::Situational, d::RepeatCount.bounded(1),
|
225
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
226
|
-
b::Element(e::Required, "Diagnosis Code Type", b::Values("ABK", "BK")),
|
227
|
-
b::Element(e::Required, "Diagnosis Code"),
|
228
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
229
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
230
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
231
|
-
b::Element(e::NotUsed, "Quantity"),
|
232
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
233
|
-
b::Element(e::NotUsed, "Industry Code"),
|
234
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
235
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
236
|
-
b::Element(e::Required, "Diagnosis Code Type", b::Values("ABF", "BF")),
|
237
|
-
b::Element(e::Required, "Diagnosis Code"),
|
238
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
239
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
240
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
241
|
-
b::Element(e::NotUsed, "Quantity"),
|
242
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
243
|
-
b::Element(e::NotUsed, "Industry Code"),
|
244
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
245
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
246
|
-
b::Element(e::Required, "Diagnosis Code Type", b::Values("ABF", "BF")),
|
247
|
-
b::Element(e::Required, "Diagnosis Code"),
|
248
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
249
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
250
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
251
|
-
b::Element(e::NotUsed, "Quantity"),
|
252
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
253
|
-
b::Element(e::NotUsed, "Industry Code"),
|
254
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
255
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
256
|
-
b::Element(e::Required, "Diagnosis Code Type", b::Values("ABF", "BF")),
|
257
|
-
b::Element(e::Required, "Diagnosis Code"),
|
258
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
259
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
260
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
261
|
-
b::Element(e::NotUsed, "Quantity"),
|
262
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
263
|
-
b::Element(e::NotUsed, "Industry Code"),
|
264
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
265
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
266
|
-
b::Element(e::Required, "Diagnosis Code Type", b::Values("ABF", "BF")),
|
267
|
-
b::Element(e::Required, "Diagnosis Code"),
|
268
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
269
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
270
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
271
|
-
b::Element(e::NotUsed, "Quantity"),
|
272
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
273
|
-
b::Element(e::NotUsed, "Industry Code"),
|
274
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
275
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
276
|
-
b::Element(e::Required, "Diagnosis Code Type", b::Values("ABF", "BF")),
|
277
|
-
b::Element(e::Required, "Diagnosis Code"),
|
278
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
279
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
280
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
281
|
-
b::Element(e::NotUsed, "Quantity"),
|
282
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
283
|
-
b::Element(e::NotUsed, "Industry Code"),
|
284
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
285
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
286
|
-
b::Element(e::Required, "Diagnosis Code Type", b::Values("ABF", "BF")),
|
287
|
-
b::Element(e::Required, "Diagnosis Code"),
|
288
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
289
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
290
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
291
|
-
b::Element(e::NotUsed, "Quantity"),
|
292
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
293
|
-
b::Element(e::NotUsed, "Industry Code"),
|
294
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
295
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
296
|
-
b::Element(e::Required, "Diagnosis Code Type", b::Values("ABF", "BF")),
|
297
|
-
b::Element(e::Required, "Diagnosis Code"),
|
298
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
299
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
300
|
-
b::Element(e::NotUsed, "Monetary Amount"),
|
301
|
-
b::Element(e::NotUsed, "Quantity"),
|
302
|
-
b::Element(e::NotUsed, "Version Identifier"),
|
303
|
-
b::Element(e::NotUsed, "Industry Code"),
|
304
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
305
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
306
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
307
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION"),
|
308
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFORMATION")),
|
309
|
-
b::Segment(1200, s::DTP, "Subscriber Date",
|
310
|
-
r::Situational, d::RepeatCount.bounded(9),
|
311
|
-
b::Element(e::Required, "Date Time Qualifier", b::Values("096", "102", "152", "291", "307", "318", "340", "341", "342", "343", "346", "347", "356", "357", "382", "435", "442", "458", "472", "539", "540", "636", "771")),
|
312
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8", "RD8")),
|
313
|
-
b::Element(e::Required, "Date Time Period")),
|
314
|
-
b::Segment(1275, s::MPI, "Subscriber Military Personnel Information",
|
315
|
-
r::Situational, d::RepeatCount.bounded(9),
|
316
|
-
b::Element(e::Required, "Information Status Code", b::Values("A", "C", "L", "O", "P", "S", "T")),
|
317
|
-
b::Element(e::Required, "Employment Status Code", b::Values("AE", "AO", "AS", "AT", "AU", "CC", "DD", "HD", "IR", "LX", "PE", "RE", "RM", "RR", "RU")),
|
318
|
-
b::Element(e::Required, "Government Service Affiliation Code", b::Values("A", "B", "C", "D", "E", "F", "G", "H", "I", "J", "K", "L", "M", "N", "O", "Q", "R", "S", "U", "W")),
|
319
|
-
b::Element(e::Situational, "Descrption"),
|
320
|
-
b::Element(e::Situational, "Military Service Rank", b::Values("A1", "A2", "A3", "B1", "B2", "C1", "C2", "C3", "C4", "C5", "C6", "C7", "C8", "C9", "E1", "F1", "F2", "F3", "F4", "G1", "G4", "L1", "L2", "L3", "L4", "L5", "L6", "M1", "M2", "M3", "M4", "M5", "M6", "P1", "P2", "P3", "P4", "P5", "R1", "R2", "S1", "S2", "S3", "S4", "S5", "S6", "S7", "S8", "S9", "SA", "SB", "SC", "T1", "V1", "W1")),
|
321
|
-
b::Element(e::Situational, "Date Time Period Format Qualifier", b::Values("D8", "RD8")),
|
322
|
-
b::Element(e::Situational, "Date Time Period")),
|
323
|
-
|
324
|
-
d::LoopDef.build("2110C SUBSCRIBER ELIGIBILITY OR BENEFIT INFORMATION",
|
325
|
-
d::RepeatCount.unbounded,
|
326
|
-
b::Segment(1300, s::EB, "Subscriber Eligibility or Benefit Information",
|
327
|
-
r::Situational, d::RepeatCount.bounded(1),
|
328
|
-
b::Element(e::Required, "Eligibility or Benefit Information", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "A", "B", "C", "CB", "D", "E", "F", "G", "H", "I", "J", "K", "L", "M", "MC", "N", "O", "P", "Q", "R", "S", "T", "U", "V", "W", "X", "Y")),
|
329
|
-
b::Element(e::Situational, "Benefit Coverage Level Code", b::Values("CHD", "DEP", "ECH", "EMP", "ESP", "FAM", "IND", "SPC", "SPO")),
|
330
|
-
b::Element(e::Situational, "Service Type Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "27", "28", "30", "32", "33", "34", "35", "36", "37", "38", "39", "40", "41", "42", "43", "44", "45", "46", "47", "48", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "59", "60", "61", "62", "63", "64", "65", "66", "67", "68", "69", "70", "71", "72", "73", "74", "75", "76", "77", "78", "79", "80", "81", "82", "83", "84", "85", "86", "87", "88", "89", "90", "91", "92", "93", "94", "95", "96", "97", "98", "99", "A0", "A1", "A2", "A3", "A4", "A5", "A6", "A7", "A8", "A9", "AA", "AB", "AC", "AD", "AE", "AF", "AG", "AH", "AI", "AJ", "AK", "AL", "AM", "AN", "AO", "AQ", "AR", "B1", "B2", "B3", "BA", "BB", "BC", "BD", "BE", "BF", "BG", "BH", "BI", "BJ", "BK", "BL", "BM", "BN", "BP", "BQ", "BR", "BS", "BT", "BU", "BV", "BW", "BX", "BY", "BZ", "C1", "CA", "CB", "CC", "CD", "CE", "CF", "CG", "CH", "CI", "CJ", "CK", "CL", "CM", "CN", "CO", "CP", "CQ", "DG", "DM", "DS", "GF", "GN", "IC", "MH", "NI", "ON", "PT", "PU", "RN", "RT", "TC", "TN", "UC")),
|
331
|
-
b::Element(e::Situational, "Insurance Type Code", b::Values("12", "13", "14", "15", "16", "41", "42", "43", "47", "AP", "C1", "CO", "CP", "D", "DB", "EP", "FF", "GP", "HM", "HN", "HS", "IN", "IP", "LC", "LD", "LI", "LT", "MA", "MB", "MC", "MH", "MI", "MP", "OT", "PE", "PL", "PP", "PR", "PS", "QM", "RP", "SP", "TF", "WC", "WU")),
|
332
|
-
b::Element(e::Situational, "Plan Coverage Description"),
|
333
|
-
b::Element(e::Situational, "Time Period Qualifier", b::Values("6", "7", "13", "21", "22", "23", "24", "25", "26", "27", "28", "29", "30", "31", "32", "33", "34", "35", "36")),
|
334
|
-
b::Element(e::Situational, "Monetary Amount"),
|
335
|
-
b::Element(e::Situational, "Benefit Percent"),
|
336
|
-
b::Element(e::Situational, "Quantity Qualifier", b::Values("8H", "99", "CA", "CE", "D3", "DB", "DY", "HS", "LA", "LE", "M2", "MN", "P6", "QA", "S7", "S8")),
|
337
|
-
b::Element(e::Situational, "Benefit Quantity"),
|
338
|
-
b::Element(e::Situational, "Authorization or Certification Indicator", b::Values("N", "U", "Y")),
|
339
|
-
b::Element(e::Situational, "In Plan Network Indicator", b::Values("N", "U", "W", "Y")),
|
340
|
-
b::Element(e::Situational, "COMPOSITE MEDICAL PROCEDURE IDENTIFIER",
|
341
|
-
b::Element(e::Required, "Product or Service ID Qualifier", b::Values("AD", "CJ", "HC", "ID", "IV", "N4", "ZZ")),
|
342
|
-
b::Element(e::Required, "Procedure Code"),
|
343
|
-
b::Element(e::Situational, "Procedure Modifier"),
|
344
|
-
b::Element(e::Situational, "Procedure Modifier"),
|
345
|
-
b::Element(e::Situational, "Procedure Modifier"),
|
346
|
-
b::Element(e::Situational, "Procedure Modifier"),
|
347
|
-
b::Element(e::NotUsed, "Description"),
|
348
|
-
b::Element(e::Situational, "Product or Service ID")),
|
349
|
-
b::Element(e::Situational, "COMPOSITE DIAGNOSIS CODE POINTER",
|
350
|
-
b::Element(e::Required, "Diagnosis Code Pointer"),
|
351
|
-
b::Element(e::Situational, "Diagnosis Code Pointer"),
|
352
|
-
b::Element(e::Situational, "Diagnosis Code Pointer"),
|
353
|
-
b::Element(e::Situational, "Diagnosis Code Pointer"))),
|
354
|
-
b::Segment(1350, s::HSD, "Health Care Services Delivery",
|
355
|
-
r::Situational, d::RepeatCount.bounded(9),
|
356
|
-
b::Element(e::Situational, "Quantity Qualifier", b::Values("DY", "FL", "HS", "MN", "VS")),
|
357
|
-
b::Element(e::Situational, "Benefit Quantity"),
|
358
|
-
b::Element(e::Situational, "Unit or Basis for Measurement Code", b::Values("DA", "MO", "VS", "WK", "YR")),
|
359
|
-
b::Element(e::Situational, "Sample Selection Modulus"),
|
360
|
-
b::Element(e::Situational, "Time Period Qualifier", b::Values("6", "7", "21", "22", "23", "24", "25", "26", "27", "28", "29", "30", "31", "32", "33", "34", "35")),
|
361
|
-
b::Element(e::Situational, "Period Count"),
|
362
|
-
b::Element(e::Situational, "Delivery Frequency Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "A", "B", "C", "D", "E", "F", "G", "H", "J", "K", "L", "M", "N", "O", "P", "Q", "R", "S", "SG", "SL", "SP", "SX", "SY", "SZ", "T", "U", "V", "W", "X", "Y")),
|
363
|
-
b::Element(e::Situational, "Delivery Pattern Time Code", b::Values("A", "B", "C", "D", "E", "F", "G", "Y"))),
|
364
|
-
b::Segment(1400, s::REF, "Subscriber Additional Identification",
|
365
|
-
r::Situational, d::RepeatCount.bounded(9),
|
366
|
-
b::Element(e::Required, "Reference Identifier Qualifier", b::Values("18", "1L", "1W", "49", "6P", "9F", "ALS", "CLI", "F6", "FO", "G1", "IG", "M7", "N6", "NQ")),
|
367
|
-
b::Element(e::Required, "Subscriber Eligibility or Benefit Identifier"),
|
368
|
-
b::Element(e::Situational, "Plan, Group or Plan Network Name"),
|
369
|
-
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
370
|
-
b::Segment(1500, s::DTP, "Subscriber Eligibility/Benefit Date",
|
371
|
-
r::Situational, d::RepeatCount.bounded(20),
|
372
|
-
b::Element(e::Required, "Date Time Qualifier", b::Values("096", "193", "194", "198", "290", "291", "292", "295", "304", "307", "318", "346", "348", "349", "356", "357", "435", "472", "636", "771")),
|
373
|
-
b::Element(e::Required, "Date Time Period Qualifier", b::Values("D8", "RD8")),
|
374
|
-
b::Element(e::Required, "Eligibility or Benefit Date Time Period")),
|
375
|
-
b::Segment(1600, s::AAA, "Subscriber Request Validation",
|
376
|
-
r::Situational, d::RepeatCount.bounded(9),
|
377
|
-
b::Element(e::Required, "Valid Request Indicator", b::Values("N", "Y")),
|
378
|
-
b::Element(e::NotUsed, "Agency Qualifier Code"),
|
379
|
-
b::Element(e::Required, "Reject Reason Code", b::Values("15", "33", "52", "53", "54", "55", "56", "57", "60", "61", "62", "63", "69", "70", "98", "AA", "AE", "AF", "AG", "AO", "CI", "E8", "IA", "MA")),
|
380
|
-
b::Element(e::Required, "Follow-up Action Code", b::Values("C", "N", "R", "W", "X", "Y"))),
|
381
|
-
b::Segment(2500, s::MSG, "Message Text",
|
382
|
-
r::Situational, d::RepeatCount.bounded(10),
|
383
|
-
b::Element(e::Required, "Free Form Message Text"),
|
384
|
-
b::Element(e::NotUsed, "Printer Carriage Control Code"),
|
385
|
-
b::Element(e::NotUsed, "Number")),
|
386
|
-
|
387
|
-
d::LoopDef.build("2115C SUBSCRIBER ELEGIBILITY OR BENEFIT ADDITIONAL INFORMATION",
|
388
|
-
d::RepeatCount.bounded(10),
|
389
|
-
b::Segment(2600, s::III, "Subscriber Elegibility or Benefit Additional Information",
|
390
|
-
r::Situational, d::RepeatCount.bounded(1),
|
391
|
-
b::Element(e::Situational, "Code List Qualifier Code", b::Values("GR", "NI", "ZZ")),
|
392
|
-
b::Element(e::Situational, "Industry Code"),
|
393
|
-
b::Element(e::Situational, "Code Category", b::Values("44")),
|
394
|
-
b::Element(e::Situational, "Injured Body Part Name"),
|
395
|
-
b::Element(e::NotUsed, "Quantity"),
|
396
|
-
b::Element(e::NotUsed, "COMPOSITE UNIT OF MEASURE"),
|
397
|
-
b::Element(e::NotUsed, "Surface/Layer/Position Code"),
|
398
|
-
b::Element(e::NotUsed, "Surface/Layer/Position Code"),
|
399
|
-
b::Element(e::NotUsed, "Surface/Layer/Position Code"))),
|
400
|
-
|
401
|
-
# The X12 standard and X279 specification place the LS and LE segments
|
402
|
-
# at the same depth as 2115C and 2120C loops. This is not supported by
|
403
|
-
# stupidedi -- loops must be contain zero or more header segments, followed
|
404
|
-
# by zero or more child loops, finally followed by zero or more trailer
|
405
|
-
# segments.
|
406
|
-
#
|
407
|
-
# To work around this issue, we've constructed the "2120C LOOP HEADER"
|
408
|
-
# merely to serve as a container for the LS and LE segments.
|
409
|
-
#
|
410
|
-
d::LoopDef.build("2120C LOOP HEADER",
|
411
|
-
d::RepeatCount.bounded(1),
|
412
|
-
b::Segment(3300, s::LS, "Loop Header",
|
413
|
-
r::Situational, d::RepeatCount.bounded(1),
|
414
|
-
b::Element(e::Required, "Loop Identifier Code", b::Values("2120"))),
|
415
|
-
|
416
|
-
d::LoopDef.build("2120C SUBSCRIBER BENEFIT RELATED ENTITY NAME",
|
417
|
-
d::RepeatCount.bounded(23),
|
418
|
-
b::Segment(3400, s::NM1, "Subscriber Benefit Related Entity Name",
|
419
|
-
r::Situational, d::RepeatCount.bounded(1),
|
420
|
-
b::Element(e::Required, "Entity Code Identifier", b::Values("13", "1I", "1P", "2B", "36", "73", "FA", "GP", "GW", "I3", "IL", "LR", "OC", "P3", "P4", "P5", "PR", "PRP", "SEP", "TTP", "VN", "VY", "X3")),
|
421
|
-
b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
|
422
|
-
b::Element(e::Situational, "Benefit Related Entity Last or Organization Name"),
|
423
|
-
b::Element(e::Situational, "Benefit Related Entity First Name"),
|
424
|
-
b::Element(e::Situational, "Benefit Related Entity Middle Name"),
|
425
|
-
b::Element(e::NotUsed, "Name Prefix"),
|
426
|
-
b::Element(e::Situational, "Benefit Related Entity Name Suffix"),
|
427
|
-
b::Element(e::Situational, "Identification Code Qualifier", b::Values("24", "34", "46", "FA", "FI", "II", "MI", "NI", "PI", "PP", "SV", "XV", "XX")),
|
428
|
-
b::Element(e::Situational, "Identification Code"),
|
429
|
-
b::Element(e::Situational, "Benefit Related Entity Relationsihp Code", b::Values("01", "02", "27", "41", "48", "65", "72")),
|
430
|
-
b::Element(e::NotUsed, "Entity Identifier Code"),
|
431
|
-
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
432
|
-
b::Segment(3600, s::N3, "Subscriber Benefit Related Entity Address",
|
433
|
-
r::Situational, d::RepeatCount.bounded(1),
|
434
|
-
b::Element(e::Required, "Benefit Related Entity Address Line"),
|
435
|
-
b::Element(e::Situational, "Benefit Related Entity Address Line")),
|
436
|
-
b::Segment(3700, s::N4, "Subscriber Benefit Related Entity City, State, ZIP Code",
|
437
|
-
r::Situational, d::RepeatCount.bounded(1),
|
438
|
-
b::Element(e::Required, "Benefit Related Entity City Name"),
|
439
|
-
b::Element(e::Situational, "Benefit Related Entity State Code"),
|
440
|
-
b::Element(e::Situational, "Benefit Related Entity Postal Zone or ZIP Code"),
|
441
|
-
b::Element(e::Situational, "Benefit Related Entity Country Code"),
|
442
|
-
b::Element(e::Situational, "Benefit Related Entity Location Qualifier", b::Values("RJ")),
|
443
|
-
b::Element(e::Situational, "Benefit Related Entity DOD Health Service Region"),
|
444
|
-
b::Element(e::Situational, "Benefit Related Entity Country Subdivision Code")),
|
445
|
-
b::Segment(3800, s::PER, "Subscriber Benefit Related Entity Contact Information",
|
446
|
-
r::Situational, d::RepeatCount.bounded(3),
|
447
|
-
b::Element(e::Required, "Contact Function Code", b::Values("IC")),
|
448
|
-
b::Element(e::Situational, "Benefit Related Entity Contact Name"),
|
449
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "FX", "TE", "UR", "WP")),
|
450
|
-
b::Element(e::Situational, "Benefit Related Entity Communication Number"),
|
451
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "EX", "FX", "TE", "UR", "WP")),
|
452
|
-
b::Element(e::Situational, "Communication Number"),
|
453
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "EX", "FX", "TE", "UR", "WP")),
|
454
|
-
b::Element(e::Situational, "Communication Number"),
|
455
|
-
b::Element(e::NotUsed, "Contact Inquiry Reference")),
|
456
|
-
b::Segment(3900, s::PRV, "Subscriber Benefit Related Provider Information",
|
457
|
-
r::Situational, d::RepeatCount.bounded(1),
|
458
|
-
b::Element(e::Required, "Provider Code", b::Values("AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SB", "SK", "SU")),
|
459
|
-
b::Element(e::Situational, "Reference Identification Qualifier", b::Values("PXC")),
|
460
|
-
b::Element(e::Situational, "Provider Identifier"),
|
461
|
-
b::Element(e::NotUsed, "State or Province Code"),
|
462
|
-
b::Element(e::NotUsed, "PROVIDER SPECIALTY INFORMATION"),
|
463
|
-
b::Element(e::NotUsed, "Provider Organization Code"))),
|
464
|
-
|
465
|
-
b::Segment(4000, s::LE, "Loop Trailer",
|
466
|
-
r::Situational, d::RepeatCount.bounded(1),
|
467
|
-
b::Element(e::Required, "Loop Identifier Code", b::Values("2120")))))))),
|
468
|
-
|
469
|
-
d::TableDef.detail("Table 2 - Dependent Detail",
|
470
|
-
d::LoopDef.build("2000D DEPENDENT DETAIL",
|
471
|
-
d::RepeatCount.bounded(1),
|
472
|
-
b::Segment(100, s::HL, "Dependent Level",
|
473
|
-
r::Required, d::RepeatCount.bounded(1),
|
474
|
-
b::Element(e::Required, "Hierarchical ID Number"),
|
475
|
-
b::Element(e::Required, "Hierarchical Parent ID Number"),
|
476
|
-
b::Element(e::Required, "Hierarchical Level Code", b::Values("23")),
|
477
|
-
b::Element(e::Required, "Hierarchical Child Code", b::Values("0"))),
|
478
|
-
b::Segment(200, s::TRN, "Dependent Trace Number",
|
479
|
-
r::Situational, d::RepeatCount.bounded(3),
|
480
|
-
b::Element(e::Required, "Trace Type Code", b::Values("1", "2")),
|
481
|
-
b::Element(e::Required, "Trace Number"),
|
482
|
-
b::Element(e::Required, "Trace Assigning Entity Identifier"),
|
483
|
-
b::Element(e::Situational, "Trace Assigning Entity Additional Identifier")),
|
484
|
-
d::LoopDef.build("2100D DEPENDENT NAME",
|
485
|
-
d::RepeatCount.unbounded,
|
486
|
-
b::Segment(300, s::NM1, "Dependent Name",
|
487
|
-
r::Required, d::RepeatCount.bounded(1),
|
488
|
-
b::Element(e::Required, "Entity Identifier Code", b::Values("03")),
|
489
|
-
b::Element(e::Required, "Entity Type Qualifier", b::Values("1")),
|
490
|
-
b::Element(e::Situational, "Dependent Last Name"),
|
491
|
-
b::Element(e::Situational, "Dependent First Name"),
|
492
|
-
b::Element(e::Situational, "Dependent Middle Name"),
|
493
|
-
b::Element(e::NotUsed, "Name Prefix"),
|
494
|
-
b::Element(e::Situational, "Dependent Name Suffix"),
|
495
|
-
b::Element(e::NotUsed, "Identification Code Qualifier"),
|
496
|
-
b::Element(e::NotUsed, "Identification Code"),
|
497
|
-
b::Element(e::NotUsed, "Entity Relationship Code"),
|
498
|
-
b::Element(e::NotUsed, "Entity Identifier Code"),
|
499
|
-
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
500
|
-
b::Segment(400, s::REF, "Dependent Additional Identification",
|
501
|
-
r::Situational, d::RepeatCount.bounded(9),
|
502
|
-
b::Element(e::Required, "Reference Identification Qualifier", b::Values("18", "1L", "49", "6P", "CT", "EA", "EJ", "F6", "GH", "HJ", "IF", "IG", "MRC", "N6", "NQ", "Q4", "SY", "Y4")),
|
503
|
-
b::Element(e::Required, "Dependent Supplemental Identfier"),
|
504
|
-
b::Element(e::Situational, "Plan, Group or Plan Network Name"),
|
505
|
-
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
506
|
-
b::Segment(600, s::N3, "Dependent Address",
|
507
|
-
r::Situational, d::RepeatCount.bounded(1),
|
508
|
-
b::Element(e::Required, "Dependent Address Line"),
|
509
|
-
b::Element(e::Situational, "Dependent Address Line")),
|
510
|
-
b::Segment(700, s::N4, "Dependent City, State, ZIP Code",
|
511
|
-
r::Situational, d::RepeatCount.bounded(1),
|
512
|
-
b::Element(e::Required, "Dependent City Name"),
|
513
|
-
b::Element(e::Situational, "Dependent State Code"),
|
514
|
-
b::Element(e::Situational, "Dependent Postal Zone or ZIP Code"),
|
515
|
-
b::Element(e::Situational, "Dependent Country Code"),
|
516
|
-
b::Element(e::NotUsed, "Location Qualifier"),
|
517
|
-
b::Element(e::NotUsed, "Location Identifier"),
|
518
|
-
b::Element(e::Situational, "Dependent Country Subdivision Code")),
|
519
|
-
b::Segment(850, s::AAA, "Dependent Request Validation",
|
520
|
-
r::Situational, d::RepeatCount.bounded(9),
|
521
|
-
b::Element(e::Required, "Valid Request Indicator", b::Values("Y", "N")),
|
522
|
-
b::Element(e::NotUsed, "Agency Qualifier Code"),
|
523
|
-
b::Element(e::Required, "Reject Reason Code", b::Values("15", "35", "42", "43", "45", "47", "48", "49", "51", "52", "56", "57", "58", "60", "61", "62", "63", "64", "65", "66", "67", "68", "71", "77")),
|
524
|
-
b::Element(e::Required, "Follow-up Action Code", b::Values("C", "N", "R", "S", "W", "X", "Y"))),
|
525
|
-
b::Segment(900, s::PRV, "Provider Information",
|
526
|
-
r::Situational, d::RepeatCount.bounded(1),
|
527
|
-
b::Element(e::Required, "Provider Code", b::Values("AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "SK", "SU")),
|
528
|
-
b::Element(e::Situational, "Reference Identification Qualifier", b::Values("PXC")),
|
529
|
-
b::Element(e::Situational, "Provider Identifier"),
|
530
|
-
b::Element(e::NotUsed, "State or Province Code"),
|
531
|
-
b::Element(e::NotUsed, "PROVIDER SPECIALTY INFORMATION"),
|
532
|
-
b::Element(e::NotUsed, "Provider Organization Code")),
|
533
|
-
b::Segment(1000, s::DMG, "Dependent Demographic Information",
|
534
|
-
r::Situational, d::RepeatCount.bounded(1),
|
535
|
-
b::Element(e::Situational, "Date Time Period Format Qualifier", b::Values("D8")),
|
536
|
-
b::Element(e::Situational, "Dependent Birth Date"),
|
537
|
-
b::Element(e::Situational, "Dependent Gender Code", b::Values("F", "M", "U")),
|
538
|
-
b::Element(e::NotUsed, "Marital Status Code"),
|
539
|
-
b::Element(e::NotUsed, "COMPOSITE RACE OR ETHNICITY INFORMATION"),
|
540
|
-
b::Element(e::NotUsed, "Citizenship Status Code"),
|
541
|
-
b::Element(e::NotUsed, "Country Code"),
|
542
|
-
b::Element(e::NotUsed, "Basis of Verification Code"),
|
543
|
-
b::Element(e::NotUsed, "Quantity"),
|
544
|
-
b::Element(e::NotUsed, "Code List Qualifier Code"),
|
545
|
-
b::Element(e::NotUsed, "Industry Code")),
|
546
|
-
b::Segment(1100, s::INS, "Dependent Relationship",
|
547
|
-
r::Situational, d::RepeatCount.bounded(1),
|
548
|
-
b::Element(e::Required, "Insured Indicator", b::Values("N")),
|
549
|
-
b::Element(e::Required, "Individual Relationship Code", b::Values("01", "19", "20", "21", "39", "40", "53", "G8")),
|
550
|
-
b::Element(e::Situational, "Maintenance Type Code", b::Values("001")),
|
551
|
-
b::Element(e::Situational, "Maintenance Reason Code", b::Values("25")),
|
552
|
-
b::Element(e::NotUsed, "Benefit Status Code"),
|
553
|
-
b::Element(e::NotUsed, "MEDICARE STATUS CODE"),
|
554
|
-
b::Element(e::NotUsed, "Consolidated Omnibus Budget Reconciliation Act (CORBA) Qualifying"),
|
555
|
-
b::Element(e::NotUsed, "Employment Status Code"),
|
556
|
-
b::Element(e::NotUsed, "Student Status Code"),
|
557
|
-
b::Element(e::NotUsed, "Yes/No Condition or Response Code"),
|
558
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
559
|
-
b::Element(e::NotUsed, "Date TIme Period"),
|
560
|
-
b::Element(e::NotUsed, "Confidentiality Code"),
|
561
|
-
b::Element(e::NotUsed, "City Name"),
|
562
|
-
b::Element(e::NotUsed, "State or Province Code"),
|
563
|
-
b::Element(e::NotUsed, "Country Code"),
|
564
|
-
b::Element(e::Situational, "Birth Sequence Number")),
|
565
|
-
b::Segment(1150, s::HI, "Dependent Health Care Diagnosis Code",
|
566
|
-
r::Situational, d::RepeatCount.bounded(1),
|
567
|
-
b::Element(e::Required, "HEALTH CARE CODE INFORMATION",
|
568
|
-
b::Element(e::Required, "Diagnosis Type Code", b::Values("ABK", "BK")),
|
569
|
-
b::Element(e::Required, "Diagnosis Code"),
|
570
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
571
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
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")),
|
577
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
578
|
-
b::Element(e::Required, "Diagnosis Type Code", b::Values("ABF", "BF")),
|
579
|
-
b::Element(e::Required, "Diagnosis Code"),
|
580
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
581
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
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")),
|
587
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
588
|
-
b::Element(e::Required, "Diagnosis Type Code", b::Values("ABF", "BF")),
|
589
|
-
b::Element(e::Required, "Diagnosis Code"),
|
590
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
591
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
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")),
|
597
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
598
|
-
b::Element(e::Required, "Diagnosis Type Code", b::Values("ABF", "BF")),
|
599
|
-
b::Element(e::Required, "Diagnosis Code"),
|
600
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
601
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
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")),
|
607
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
608
|
-
b::Element(e::Required, "Diagnosis Type Code", b::Values("ABF", "BF")),
|
609
|
-
b::Element(e::Required, "Diagnosis Code"),
|
610
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
611
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
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")),
|
617
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
618
|
-
b::Element(e::Required, "Diagnosis Type Code", b::Values("ABF", "BF")),
|
619
|
-
b::Element(e::Required, "Diagnosis Code"),
|
620
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
621
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
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")),
|
627
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
628
|
-
b::Element(e::Required, "Diagnosis Type Code", b::Values("ABF", "BF")),
|
629
|
-
b::Element(e::Required, "Diagnosis Code"),
|
630
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
631
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
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")),
|
637
|
-
b::Element(e::Situational, "HEALTH CARE CODE INFORMATION",
|
638
|
-
b::Element(e::Required, "Diagnosis Type Code", b::Values("ABF", "BF")),
|
639
|
-
b::Element(e::Required, "Diagnosis Code"),
|
640
|
-
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
641
|
-
b::Element(e::NotUsed, "Date Time Period"),
|
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")),
|
647
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFROMATION"),
|
648
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFROMATION"),
|
649
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFROMATION"),
|
650
|
-
b::Element(e::NotUsed, "HEALTH CARE CODE INFROMATION")),
|
651
|
-
b::Segment(1200, s::DTP, "Dependent Date",
|
652
|
-
r::Situational, d::RepeatCount.bounded(9),
|
653
|
-
b::Element(e::Required, "Date Time Qualifier", b::Values("096", "102", "152", "291", "307", "318", "340", "341", "342", "343", "346", "347", "356", "357", "382", "435", "442", "458", "472", "539", "540", "636", "771")),
|
654
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8", "RD8")),
|
655
|
-
b::Element(e::Required, "Date Time Period")),
|
656
|
-
b::Segment(1275, s::MPI, "Dependent Military Personnel Information",
|
657
|
-
r::Situational, d::RepeatCount.bounded(1),
|
658
|
-
b::Element(e::Required, "Information Status Code", b::Values("A", "C", "L", "O", "P", "S", "T")),
|
659
|
-
b::Element(e::Required, "Employment Status Code", b::Values("AE", "AO", "AS", "AT", "AU", "CC", "DD", "HD", "IR", "LX", "PE", "RE", "RM", "RR", "RU")),
|
660
|
-
b::Element(e::Required, "Government Service Affilition Code", b::Values("A", "B", "C", "D", "E", "F", "G", "H", "I", "J", "K", "L", "M", "N", "O", "Q", "R", "S", "U", "W")),
|
661
|
-
b::Element(e::Situational, "Description"),
|
662
|
-
b::Element(e::Situational, "Military Service Rank", b::Values("A1", "A2", "A3", "B1", "B2", "C1", "C2", "C3", "C4", "C5", "C6", "C7", "C8", "C9", "E1", "F1", "F2", "F3", "F4", "G1", "G4", "L1", "L2", "L3", "L4", "L5", "L6", "M1", "M2", "M3", "M4", "M5", "M6", "P1", "P2", "P3", "P4", "P5", "R1", "R2", "S1", "S2", "S3", "S4", "S5", "S6", "S7", "S8", "S9", "SA", "SB", "SC", "T1", "V1", "W1")),
|
663
|
-
b::Element(e::Situational, "Date Time Period Format Qualifier", b::Values("D8", "RD8")),
|
664
|
-
b::Element(e::Situational, "Date Time Period")),
|
665
|
-
|
666
|
-
d::LoopDef.build("2110D DEPENDENT ELIGIBILITY OR BENEFIT INFORMATION",
|
667
|
-
d::RepeatCount.unbounded,
|
668
|
-
b::Segment(1300, s::EB, "Dependent Eligibility or Benefit Information",
|
669
|
-
r::Situational, d::RepeatCount.bounded(1),
|
670
|
-
b::Element(e::Required, "Eligibility or Benefit Information", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "A", "B", "C", "CB", "D", "E", "F", "G", "H", "I", "J", "K", "L", "M", "MC", "N", "O", "P", "Q", "R", "S", "T", "U", "V", "W", "X", "Y")),
|
671
|
-
b::Element(e::Situational, "Benefit Coverage Level Code", b::Values("CHD", "DEP", "ECH", "ESP", "FAM", "IND", "SPC", "SPO")),
|
672
|
-
b::Element(e::Situational, "Service Type Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "10", "11", "12", "3", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "27", "28", "30", "32", "33", "34", "35", "36", "37", "38", "39", "40", "41", "42", "43", "44", "45", "46", "47", "48", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "59", "60", "61", "62", "63", "64", "65", "66", "67", "68", "69", "70", "71", "72", "73", "74", "75", "76", "77", "78", "79", "80", "81", "82", "83", "84", "85", "86", "87", "88", "89", "90", "91", "92", "93", "94", "95", "96", "97", "98", "99", "A0", "A1", "A2", "A3", "A4", "A5", "A6", "A7", "A8", "A9", "AA", "AB", "AC", "AD", "AE", "AF", "AG", "AH", "AI", "AJ", "AK", "AL", "AM", "AN", "AO", "AQ", "AR", "B1", "B2", "B3", "BA", "BB", "BC", "BD", "BE", "BF", "BG", "BH", "BI", "BJ", "BK", "BL", "BM", "BN", "BQ", "BR", "BS", "BT", "BU", "BV", "BW", "BX", "BY", "BZ", "C1", "CA", "CB", "CC", "CD", "CE", "CF", "CG", "CH", "CI", "CJ", "CK", "CL", "CM", "CN", "CO", "CP", "CQ", "DG", "DM", "DS", "GF", "GN", "IC", "MH", "NI", "ON", "PT", "PU", "RN", "RT", "TN", "UC")),
|
673
|
-
b::Element(e::Situational, "Insurance Type Code", b::Values("12", "13", "14", "15", "16", "41", "42", "43", "47", "AP", "C1", "CO", "CP", "D", "DB", "EP", "FF", "GP", "HM", "HN", "HS", "IN", "IP", "LC", "LD", "LI", "LT", "MA", "MB", "MC", "MH", "MI", "MP", "OT", "PE", "PL", "PP", "PR", "PS", "QM", "RP", "SP", "TF", "WC", "WU")),
|
674
|
-
b::Element(e::Situational, "Plan Coverage Description"),
|
675
|
-
b::Element(e::Situational, "Time Period Qualifier", b::Values("6", "7", "13", "21", "22", "23", "24", "25", "26", "27", "28", "29", "30", "31", "32", "33", "34", "35", "36")),
|
676
|
-
b::Element(e::Situational, "Benefit Amount"),
|
677
|
-
b::Element(e::Situational, "Benefit Percent"),
|
678
|
-
b::Element(e::Situational, "Quantity Qualifier", b::Values("8H", "99", "CA", "CE", "D3", "DB", "DY", "HS", "LA", "LE", "M2", "MN", "P6", "QA", "S7", "S8", "VS", "YY")),
|
679
|
-
b::Element(e::Situational, "Benefit Quantity"),
|
680
|
-
b::Element(e::Situational, "Authorization or Certification Indicator", b::Values("N", "U", "Y")),
|
681
|
-
b::Element(e::Situational, "In Plan Network Indicator", b::Values("N", "U", "W", "Y")),
|
682
|
-
b::Element(e::Situational, "COMPOSITE MEDICAL PROCEDURE IDENTIFIER",
|
683
|
-
b::Element(e::Required, "Produce or Service ID Qualifier", b::Values("AD", "CJ", "HC", "ID", "IV", "N4", "ZZ")),
|
684
|
-
b::Element(e::Required, "Procedure Code"),
|
685
|
-
b::Element(e::Situational, "Procedure Modifier"),
|
686
|
-
b::Element(e::Situational, "Procedure Modifier"),
|
687
|
-
b::Element(e::Situational, "Procedure Modifier"),
|
688
|
-
b::Element(e::Situational, "Procedure Modifier"),
|
689
|
-
b::Element(e::NotUsed, "Description"),
|
690
|
-
b::Element(e::Situational, "Product or Service ID")),
|
691
|
-
b::Element(e::Situational, "COMPOSITE DIAGNOSIS CODE POINTER",
|
692
|
-
b::Element(e::Required, "Diagnosis Code Pointer"),
|
693
|
-
b::Element(e::Situational, "Diagnosis Code Pointer"),
|
694
|
-
b::Element(e::Situational, "Diagnosis Code Pointer"),
|
695
|
-
b::Element(e::Situational, "Diagnosis Code Pointer"))),
|
696
|
-
b::Segment(1350, s::HSD, "Health Care Services Delivery",
|
697
|
-
r::Situational, d::RepeatCount.bounded(9),
|
698
|
-
b::Element(e::Situational, "Quantity Qualifier", b::Values("DY", "FL", "HS", "MN", "VS")),
|
699
|
-
b::Element(e::Situational, "Benefit Quantity"),
|
700
|
-
b::Element(e::Situational, "Unit or Basis for Measurement Code", b::Values("DA", "MO", "VS", "WK", "YR")),
|
701
|
-
b::Element(e::Situational, "Sample Selection Modulus"),
|
702
|
-
b::Element(e::Situational, "Time Period Qualifier", b::Values("6", "7", "21", "22", "23", "24", "25", "26", "27", "28", "29", "30", "31", "32", "33", "34", "35")),
|
703
|
-
b::Element(e::Situational, "Period Count"),
|
704
|
-
b::Element(e::Situational, "Delivery Frequency Code", b::Values("1", "2", "3", "4", "5", "6", "7", "8", "9", "A", "B", "C", "D", "E", "F", "G", "H", "J", "K", "L", "M", "N", "O", "P", "Q", "R", "S", "SG", "SL", "SP", "SX", "SY", "SZ", "T", "U", "V", "W", "X", "Y")),
|
705
|
-
b::Element(e::Situational, "Delivery Pattern Time Code", b::Values("A", "B", "C", "D", "E", "F", "G", "Y"))),
|
706
|
-
b::Segment(1400, s::REF, "Dependent Additional Identification",
|
707
|
-
r::Situational, d::RepeatCount.bounded(9),
|
708
|
-
b::Element(e::Required, "Reference Identification Qualifier", b::Values("18", "1L", "1W", "49", "6P", "9F", "ALS", "CLI", "F6", "FO", "G1", "IG", "N6", "NQ")),
|
709
|
-
b::Element(e::Required, "Dependent Eligibility or Benefit Identifier"),
|
710
|
-
b::Element(e::Situational, "Plan, Group or Plan Network Name"),
|
711
|
-
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
712
|
-
b::Segment(1500, s::DTP, "Dependent Eligibility/Benefit Date",
|
713
|
-
r::Situational, d::RepeatCount.bounded(20),
|
714
|
-
b::Element(e::Required, "Date Time Qualifier", b::Values("096", "193", "194", "198", "290", "291", "292", "295", "304", "307", "318", "346", "348", "349", "356", "357", "435", "472", "636", "771")),
|
715
|
-
b::Element(e::Required, "Date Time Period Format Qualifier", b::Values("D8", "RD8")),
|
716
|
-
b::Element(e::Required, "Eligibility or Benefit Date Time Period")),
|
717
|
-
b::Segment(1600, s::AAA, "Dependent Request Validation",
|
718
|
-
r::Situational, d::RepeatCount.bounded(9),
|
719
|
-
b::Element(e::Required, "Valid Request Indicator", b::Values("N", "Y")),
|
720
|
-
b::Element(e::NotUsed, "Agency Qualifier Code"),
|
721
|
-
b::Element(e::Required, "Reject Reason Code", b::Values("15", "33", "52", "53", "54", "55", "56", "57", "60", "61", "62", "63", "69", "70", "98", "AA", "AE", "AF", "AG", "AO", "CI", "E8", "IA", "MA")),
|
722
|
-
b::Element(e::Required, "Follow-up Action Code", b::Values("C", "N", "R", "W", "X", "Y"))),
|
723
|
-
b::Segment(2500, s::MSG, "Message Text",
|
724
|
-
r::Situational, d::RepeatCount.bounded(10),
|
725
|
-
b::Element(e::Required, "Free Form Message Text"),
|
726
|
-
b::Element(e::NotUsed, "Printer Carriage Control Code"),
|
727
|
-
b::Element(e::NotUsed, "Number")),
|
728
|
-
|
729
|
-
d::LoopDef.build("2115D DEPENDENT ELIGIBILITY OR BENEFIT ADDITIONAL INFORMATION",
|
730
|
-
d::RepeatCount.unbounded,
|
731
|
-
b::Segment(2600, s::III, "Dependent Eligibility or Benefit Additional Information",
|
732
|
-
r::Situational, d::RepeatCount.bounded(1),
|
733
|
-
b::Element(e::Situational, "Code List Qualifier", b::Values("GR", "NI", "ZZ")),
|
734
|
-
b::Element(e::Situational, "Industry Code"),
|
735
|
-
b::Element(e::Situational, "Code Category", b::Values("44")),
|
736
|
-
b::Element(e::Situational, "Injured Body Part Name"),
|
737
|
-
b::Element(e::NotUsed, "Quantity"),
|
738
|
-
b::Element(e::NotUsed, "COMPOSITE UNIT OF MEASURE"),
|
739
|
-
b::Element(e::NotUsed, "Surface/Layer/Position Code"),
|
740
|
-
b::Element(e::NotUsed, "Surface/Layer/Position Code"),
|
741
|
-
b::Element(e::NotUsed, "Surface/Layer/Position Code"))),
|
742
|
-
|
743
|
-
# The X12 standard and X279 specification place the LS and LE segments
|
744
|
-
# at the same depth as 2115D and 2120D loops. This is not supported by
|
745
|
-
# stupidedi -- loops must be contain zero or more header segments, followed
|
746
|
-
# by zero or more child loops, finally followed by zero or more trailer
|
747
|
-
# segments.
|
748
|
-
#
|
749
|
-
# To work around this issue, we've constructed the "2120D LOOP HEADER"
|
750
|
-
# merely to serve as a container for the LS and LE segments.
|
751
|
-
#
|
752
|
-
d::LoopDef.build("2120D LOOP HEADER",
|
753
|
-
d::RepeatCount.bounded(1),
|
754
|
-
b::Segment(3300, s::LS, "Loop Header",
|
755
|
-
r::Situational, d::RepeatCount.bounded(1),
|
756
|
-
b::Element(e::Required, "Loop Identifier Code", b::Values("2120"))),
|
757
|
-
|
758
|
-
d::LoopDef.build("2120D DEPENDENT BENEFIT RELATED ENTITY NAME",
|
759
|
-
d::RepeatCount.unbounded,
|
760
|
-
b::Segment(3400, s::NM1, "Dependent Benefit Related Entity Name",
|
761
|
-
r::Situational, d::RepeatCount.bounded(1),
|
762
|
-
b::Element(e::Required, "Entity Identifier Code", b::Values("13", "1I", "1P", "2B", "36", "73", "FA", "GP", "GW", "I3", "IL", "LR", "OC", "P3", "P4", "P5", "PR", "PRP", "SEP", "TTP", "VN", "VY", "X3")),
|
763
|
-
b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
|
764
|
-
b::Element(e::Situational, "Benefit Related Entity Last or Organization Name"),
|
765
|
-
b::Element(e::Situational, "Benefit Related Entity First Name"),
|
766
|
-
b::Element(e::Situational, "Benefit Related Entity Middle Name"),
|
767
|
-
b::Element(e::Situational, "Benefit Related Entity Name Suffix"),
|
768
|
-
b::Element(e::NotUsed, "Name Prefix"),
|
769
|
-
b::Element(e::Situational, "Identification Code Qualifier", b::Values("24", "34", "46", "FA", "FI", "II", "MI", "NI", "PI", "PP", "SV", "XV", "XX")),
|
770
|
-
b::Element(e::Situational, "Benefit Related Entity Identifier"),
|
771
|
-
b::Element(e::Situational, "Benefit Related Entity Relationship Code", b::Values("01", "02", "27", "41", "48", "65", "72")),
|
772
|
-
b::Element(e::NotUsed, "Entity Identifier Code"),
|
773
|
-
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
774
|
-
b::Segment(3600, s::N3, "Dependent Benefit Related Entity Address",
|
775
|
-
r::Situational, d::RepeatCount.bounded(1),
|
776
|
-
b::Element(e::Required, "Benefit Related Entity Address Line"),
|
777
|
-
b::Element(e::Situational, "Benefit Related Entity Address Line")),
|
778
|
-
b::Segment(3700, s::N4, "Dependent Benefit Related Entity City, State, ZIP Code",
|
779
|
-
r::Situational, d::RepeatCount.bounded(1),
|
780
|
-
b::Element(e::Required, "Benefit Related Entity City Name"),
|
781
|
-
b::Element(e::Situational, "Benefit Related Entity State Code"),
|
782
|
-
b::Element(e::Situational, "Benefit Related Entity Postal Zone or ZIP Code"),
|
783
|
-
b::Element(e::Situational, "Benefit Related Entity Country Code"),
|
784
|
-
b::Element(e::Situational, "Benefit Related Entity Location Qualifier", b::Values("RJ")),
|
785
|
-
b::Element(e::Situational, "Benefit Related Entity DOD Health Service Region"),
|
786
|
-
b::Element(e::Situational, "Benefit Related Entity Country Subdivision Code")),
|
787
|
-
b::Segment(3800, s::PER, "Dependent Benefit Related Entity Contact Information",
|
788
|
-
r::Situational, d::RepeatCount.bounded(3),
|
789
|
-
b::Element(e::Required, "Contact Function Code", b::Values("IC")),
|
790
|
-
b::Element(e::Situational, "Benefit Related Entity Contact Name"),
|
791
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "FX", "TE", "UR", "WP")),
|
792
|
-
b::Element(e::Situational, "Benefit Related Entity Communication Number"),
|
793
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "EX", "FX", "TE", "UR", "WP")),
|
794
|
-
b::Element(e::Situational, "Benefit Related Entity Communication Number"),
|
795
|
-
b::Element(e::Situational, "Communication Number Qualifier", b::Values("ED", "EM", "EX", "FX", "TE", "UR", "WP")),
|
796
|
-
b::Element(e::Situational, "Benefit Related Entity Communication Number"),
|
797
|
-
b::Element(e::NotUsed, "Contact Inquiry Reference")),
|
798
|
-
b::Segment(3900, s::PRV, "Dependent Benefit Related Provider Information",
|
799
|
-
r::Situational, d::RepeatCount.bounded(1),
|
800
|
-
b::Element(e::Required, "Provider Code", b::Values("AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SB", "SK", "SU")),
|
801
|
-
b::Element(e::Situational, "Reference Identification Qualifier", b::Values("PXC")),
|
802
|
-
b::Element(e::Situational, "Provider Identifier"),
|
803
|
-
b::Element(e::NotUsed, "State or Province Code"),
|
804
|
-
b::Element(e::NotUsed, "PROVIDER SPECIALTY INFORMATION"),
|
805
|
-
b::Element(e::NotUsed, "Provider Organization Code"))),
|
806
|
-
|
807
|
-
b::Segment(4000, s::LE, "Loop Trailer",
|
808
|
-
r::Situational, d::RepeatCount.bounded(1),
|
809
|
-
b::Element(e::Required, "Loop Identifier Code", b::Values("2120")))))))),
|
810
|
-
|
811
|
-
# The X12 standard and X222 specification place the SE segment at what
|
812
|
-
# appears to be the end of Table 2 - Patient Detail. This doesn't make
|
813
|
-
# sense because Table 2 - Patient Detail doesn't occur if the patient
|
814
|
-
# is the subscriber.
|
815
|
-
#
|
816
|
-
# If we placed it in both Table 2 - Subscriber Detail and Table 2 -
|
817
|
-
# Patient Detail, it would incorrectly allow the segment to occur in
|
818
|
-
# each table.
|
819
|
-
#
|
820
|
-
# This structure doesn't match the specification, but it does ensure
|
821
|
-
# that the first occurrence of SE terminates the transaction set.
|
822
|
-
d::TableDef.summary("Table 3 - Summary",
|
823
|
-
b::Segment(4100, s::SE, "Transaction Set Trailer",
|
824
|
-
r::Required, d::RepeatCount.bounded(1),
|
825
|
-
b::Element(e::Required, "Transaction Segment Count"),
|
826
|
-
b::Element(e::Required, "Transaction Set Control Number")
|
827
|
-
)))
|
828
|
-
|
829
|
-
end
|
830
|
-
end
|
831
|
-
end
|
832
|
-
end
|