stupidedi 1.3.23 → 1.4.0

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Files changed (2005) hide show
  1. checksums.yaml +4 -4
  2. data/README.md +4 -4
  3. data/Rakefile +17 -92
  4. data/bin/edi-ed +8 -12
  5. data/bin/edi-obfuscate +8 -9
  6. data/bin/edi-pp +31 -25
  7. data/doc/{Transcribing.md → Defining.md} +0 -0
  8. data/doc/{unwritten/Parsing.md → Parsing.md} +0 -0
  9. data/doc/{unwritten/Tokenizing.md → Tokenizing.md} +0 -0
  10. data/doc/{unwritten/Validating.md → Validating.md} +0 -0
  11. data/lib/ruby/array.rb +1 -4
  12. data/lib/ruby/blank.rb +0 -3
  13. data/lib/ruby/exception.rb +13 -33
  14. data/lib/ruby/hash.rb +0 -2
  15. data/lib/ruby/module.rb +1 -3
  16. data/lib/ruby/object.rb +0 -13
  17. data/lib/ruby/string.rb +12 -3
  18. data/lib/ruby/to_d.rb +20 -25
  19. data/lib/ruby/to_date.rb +0 -3
  20. data/lib/ruby/to_time.rb +0 -3
  21. data/lib/ruby/try.rb +0 -3
  22. data/lib/stupidedi.rb +27 -41
  23. data/lib/stupidedi/builder.rb +3 -22
  24. data/lib/stupidedi/color.rb +4 -6
  25. data/lib/stupidedi/config.rb +77 -69
  26. data/lib/stupidedi/config/code_list_config.rb +0 -2
  27. data/lib/stupidedi/config/editor_config.rb +0 -2
  28. data/lib/stupidedi/config/functional_group_config.rb +3 -2
  29. data/lib/stupidedi/config/interchange_config.rb +5 -6
  30. data/lib/stupidedi/config/transaction_set_config.rb +17 -48
  31. data/lib/stupidedi/contrib.rb +41 -6
  32. data/lib/stupidedi/editor.rb +0 -3
  33. data/lib/stupidedi/editor/00401.rb +0 -3
  34. data/lib/stupidedi/editor/004010.rb +4 -8
  35. data/lib/stupidedi/editor/004010/N4.rb +0 -4
  36. data/lib/stupidedi/editor/00501.rb +0 -3
  37. data/lib/stupidedi/editor/005010.rb +5 -9
  38. data/lib/stupidedi/editor/005010/N4.rb +0 -4
  39. data/lib/stupidedi/editor/X12.rb +0 -5
  40. data/lib/stupidedi/editor/X222-HC837.rb +0 -5
  41. data/lib/stupidedi/editor/abstract_ed.rb +0 -2
  42. data/lib/stupidedi/editor/claim_ack.rb +0 -2
  43. data/lib/stupidedi/editor/implementation_ack.rb +2 -3
  44. data/lib/stupidedi/editor/interchange_ack.rb +0 -2
  45. data/lib/stupidedi/editor/result.rb +1 -6
  46. data/lib/stupidedi/editor/result_set.rb +1 -3
  47. data/lib/stupidedi/editor/transaction_set_ed.rb +23 -19
  48. data/lib/stupidedi/editor/transmission_ed.rb +0 -3
  49. data/lib/stupidedi/either.rb +0 -5
  50. data/lib/stupidedi/exceptions/invalid_element_error.rb +0 -2
  51. data/lib/stupidedi/exceptions/invalid_schema_error.rb +0 -2
  52. data/lib/stupidedi/exceptions/output_error.rb +0 -2
  53. data/lib/stupidedi/exceptions/parse_error.rb +0 -2
  54. data/lib/stupidedi/exceptions/stupidedi_error.rb +0 -2
  55. data/lib/stupidedi/exceptions/tokenize_error.rb +0 -2
  56. data/lib/stupidedi/exceptions/zipper_error.rb +0 -2
  57. data/lib/stupidedi/guides.rb +7 -3
  58. data/lib/stupidedi/inspect.rb +1 -4
  59. data/lib/stupidedi/interchanges.rb +11 -0
  60. data/lib/stupidedi/interchanges/00200.rb +12 -0
  61. data/lib/stupidedi/interchanges/00200/element_defs.rb +104 -0
  62. data/lib/stupidedi/interchanges/00200/interchange_def.rb +59 -0
  63. data/lib/stupidedi/interchanges/00200/segment_defs.rb +12 -0
  64. data/lib/stupidedi/interchanges/00200/segment_defs/IEA.rb +17 -0
  65. data/lib/stupidedi/interchanges/00200/segment_defs/ISA.rb +31 -0
  66. data/lib/stupidedi/interchanges/00200/segment_defs/TA1.rb +20 -0
  67. data/lib/stupidedi/interchanges/00300.rb +12 -0
  68. data/lib/stupidedi/interchanges/00300/element_defs.rb +105 -0
  69. data/lib/stupidedi/interchanges/00300/interchange_def.rb +59 -0
  70. data/lib/stupidedi/interchanges/00300/segment_defs.rb +12 -0
  71. data/lib/stupidedi/interchanges/00300/segment_defs/IEA.rb +17 -0
  72. data/lib/stupidedi/interchanges/00300/segment_defs/ISA.rb +31 -0
  73. data/lib/stupidedi/interchanges/00300/segment_defs/TA1.rb +20 -0
  74. data/lib/stupidedi/interchanges/00400.rb +12 -0
  75. data/lib/stupidedi/interchanges/00400/element_defs.rb +97 -0
  76. data/lib/stupidedi/interchanges/00400/interchange_def.rb +59 -0
  77. data/lib/stupidedi/interchanges/00400/segment_defs.rb +12 -0
  78. data/lib/stupidedi/interchanges/00400/segment_defs/IEA.rb +17 -0
  79. data/lib/stupidedi/interchanges/00400/segment_defs/ISA.rb +31 -0
  80. data/lib/stupidedi/interchanges/00400/segment_defs/TA1.rb +20 -0
  81. data/lib/stupidedi/interchanges/00401.rb +12 -0
  82. data/lib/stupidedi/interchanges/00401/element_defs.rb +96 -0
  83. data/lib/stupidedi/interchanges/00401/interchange_def.rb +59 -0
  84. data/lib/stupidedi/interchanges/00401/segment_defs.rb +12 -0
  85. data/lib/stupidedi/interchanges/00401/segment_defs/IEA.rb +17 -0
  86. data/lib/stupidedi/interchanges/00401/segment_defs/ISA.rb +31 -0
  87. data/lib/stupidedi/interchanges/00401/segment_defs/TA1.rb +20 -0
  88. data/lib/stupidedi/interchanges/00501.rb +12 -0
  89. data/lib/stupidedi/interchanges/00501/element_defs.rb +130 -0
  90. data/lib/stupidedi/interchanges/00501/interchange_def.rb +59 -0
  91. data/lib/stupidedi/interchanges/00501/segment_defs.rb +12 -0
  92. data/lib/stupidedi/interchanges/00501/segment_defs/IEA.rb +17 -0
  93. data/lib/stupidedi/interchanges/00501/segment_defs/ISA.rb +31 -0
  94. data/lib/stupidedi/interchanges/00501/segment_defs/ISB.rb +15 -0
  95. data/lib/stupidedi/interchanges/00501/segment_defs/ISE.rb +15 -0
  96. data/lib/stupidedi/interchanges/00501/segment_defs/TA1.rb +20 -0
  97. data/lib/stupidedi/interchanges/00501/segment_defs/TA3.rb +15 -0
  98. data/lib/stupidedi/interchanges/element_types.rb +11 -0
  99. data/lib/stupidedi/interchanges/element_types/separator_val.rb +79 -0
  100. data/lib/stupidedi/interchanges/element_types/special_val.rb +48 -0
  101. data/lib/stupidedi/parser.rb +32 -0
  102. data/lib/stupidedi/parser/builder_dsl.rb +289 -0
  103. data/lib/stupidedi/parser/constraint_table.rb +488 -0
  104. data/lib/stupidedi/parser/generation.rb +147 -0
  105. data/lib/stupidedi/parser/identifier_stack.rb +248 -0
  106. data/lib/stupidedi/parser/instruction.rb +112 -0
  107. data/lib/stupidedi/parser/instruction_table.rb +222 -0
  108. data/lib/stupidedi/parser/navigation.rb +786 -0
  109. data/lib/stupidedi/parser/state_machine.rb +62 -0
  110. data/lib/stupidedi/parser/states/abstract_state.rb +325 -0
  111. data/lib/stupidedi/parser/states/failure_state.rb +69 -0
  112. data/lib/stupidedi/parser/states/functional_group_state.rb +98 -0
  113. data/lib/stupidedi/parser/states/initial_state.rb +62 -0
  114. data/lib/stupidedi/parser/states/interchange_state.rb +93 -0
  115. data/lib/stupidedi/parser/states/loop_state.rb +80 -0
  116. data/lib/stupidedi/parser/states/table_state.rb +94 -0
  117. data/lib/stupidedi/parser/states/transaction_set_state.rb +118 -0
  118. data/lib/stupidedi/parser/states/transmission_state.rb +59 -0
  119. data/lib/stupidedi/parser/tokenization.rb +195 -0
  120. data/lib/stupidedi/reader.rb +0 -2
  121. data/lib/stupidedi/reader/input.rb +0 -3
  122. data/lib/stupidedi/reader/input/abstract_input.rb +4 -6
  123. data/lib/stupidedi/reader/input/delegated_input.rb +0 -5
  124. data/lib/stupidedi/reader/input/file_input.rb +10 -11
  125. data/lib/stupidedi/reader/position.rb +13 -8
  126. data/lib/stupidedi/reader/result.rb +5 -5
  127. data/lib/stupidedi/reader/segment_dict.rb +0 -3
  128. data/lib/stupidedi/reader/separators.rb +5 -4
  129. data/lib/stupidedi/reader/stream_reader.rb +3 -6
  130. data/lib/stupidedi/reader/token_reader.rb +0 -5
  131. data/lib/stupidedi/reader/tokens/component_element_tok.rb +4 -4
  132. data/lib/stupidedi/reader/tokens/composite_element_tok.rb +6 -5
  133. data/lib/stupidedi/reader/tokens/repeated_element_tok.rb +9 -2
  134. data/lib/stupidedi/reader/tokens/segment_tok.rb +7 -5
  135. data/lib/stupidedi/reader/tokens/simple_element_tok.rb +2 -4
  136. data/lib/stupidedi/schema.rb +17 -20
  137. data/lib/stupidedi/schema/abstract_def.rb +4 -6
  138. data/lib/stupidedi/schema/abstract_element_def.rb +35 -0
  139. data/lib/stupidedi/schema/abstract_element_use.rb +38 -0
  140. data/lib/stupidedi/schema/abstract_use.rb +6 -4
  141. data/lib/stupidedi/schema/code_list.rb +6 -5
  142. data/lib/stupidedi/schema/component_element_use.rb +74 -0
  143. data/lib/stupidedi/schema/composite_element_def.rb +103 -0
  144. data/lib/stupidedi/schema/composite_element_use.rb +73 -0
  145. data/lib/stupidedi/schema/element_req.rb +1 -4
  146. data/lib/stupidedi/schema/functional_group_def.rb +9 -3
  147. data/lib/stupidedi/schema/interchange_def.rb +9 -3
  148. data/lib/stupidedi/schema/loop_def.rb +11 -9
  149. data/lib/stupidedi/schema/repeat_count.rb +0 -3
  150. data/lib/stupidedi/schema/segment_def.rb +6 -4
  151. data/lib/stupidedi/schema/segment_req.rb +2 -3
  152. data/lib/stupidedi/schema/segment_use.rb +1 -4
  153. data/lib/stupidedi/schema/simple_element_def.rb +51 -0
  154. data/lib/stupidedi/schema/simple_element_use.rb +81 -0
  155. data/lib/stupidedi/schema/syntax_note.rb +1 -12
  156. data/lib/stupidedi/schema/table_def.rb +55 -18
  157. data/lib/stupidedi/schema/transaction_set_def.rb +25 -4
  158. data/lib/stupidedi/sets.rb +0 -3
  159. data/lib/stupidedi/transaction_sets.rb +14 -0
  160. data/lib/stupidedi/transaction_sets/002001.rb +11 -0
  161. data/lib/stupidedi/transaction_sets/002001/implementations.rb +23 -0
  162. data/lib/stupidedi/transaction_sets/002001/implementations/FA997.rb +66 -0
  163. data/lib/stupidedi/transaction_sets/002001/implementations/PO830.rb +160 -0
  164. data/lib/stupidedi/transaction_sets/002001/implementations/SH856.rb +190 -0
  165. data/lib/stupidedi/transaction_sets/002001/standards.rb +14 -0
  166. data/lib/stupidedi/transaction_sets/002001/standards/FA997.rb +31 -0
  167. data/lib/stupidedi/transaction_sets/002001/standards/PO830.rb +45 -0
  168. data/lib/stupidedi/transaction_sets/002001/standards/SH856.rb +38 -0
  169. data/lib/stupidedi/transaction_sets/003010.rb +11 -0
  170. data/lib/stupidedi/transaction_sets/003010/implementations.rb +24 -0
  171. data/lib/stupidedi/transaction_sets/003010/implementations/PC860.rb +140 -0
  172. data/lib/stupidedi/transaction_sets/003010/implementations/PO850.rb +132 -0
  173. data/lib/stupidedi/transaction_sets/003010/implementations/PS830.rb +150 -0
  174. data/lib/stupidedi/transaction_sets/003010/implementations/RA820.rb +158 -0
  175. data/lib/stupidedi/transaction_sets/003010/standards.rb +15 -0
  176. data/lib/stupidedi/transaction_sets/003010/standards/PC860.rb +49 -0
  177. data/lib/stupidedi/transaction_sets/003010/standards/PO850.rb +49 -0
  178. data/lib/stupidedi/transaction_sets/003010/standards/PS830.rb +49 -0
  179. data/lib/stupidedi/transaction_sets/003010/standards/RA820.rb +40 -0
  180. data/lib/stupidedi/transaction_sets/003040.rb +12 -0
  181. data/lib/stupidedi/transaction_sets/003040/implementations.rb +21 -0
  182. data/lib/stupidedi/transaction_sets/003040/implementations/WA142.rb +153 -0
  183. data/lib/stupidedi/transaction_sets/003040/standards.rb +12 -0
  184. data/lib/stupidedi/transaction_sets/003040/standards/WA142.rb +53 -0
  185. data/lib/stupidedi/transaction_sets/003050.rb +12 -0
  186. data/lib/stupidedi/transaction_sets/003050/implementations.rb +21 -0
  187. data/lib/stupidedi/transaction_sets/003050/implementations/PO850.rb +77 -0
  188. data/lib/stupidedi/transaction_sets/003050/standards.rb +12 -0
  189. data/lib/stupidedi/transaction_sets/003050/standards/PO850.rb +41 -0
  190. data/lib/stupidedi/transaction_sets/004010.rb +12 -0
  191. data/lib/stupidedi/transaction_sets/004010/implementations.rb +38 -0
  192. data/lib/stupidedi/transaction_sets/004010/implementations/AR943.rb +72 -0
  193. data/lib/stupidedi/transaction_sets/004010/implementations/FA997.rb +65 -0
  194. data/lib/stupidedi/transaction_sets/004010/implementations/GF990.rb +40 -0
  195. data/lib/stupidedi/transaction_sets/004010/implementations/IM210.rb +221 -0
  196. data/lib/stupidedi/transaction_sets/004010/implementations/OW940.rb +98 -0
  197. data/lib/stupidedi/transaction_sets/004010/implementations/PO850.rb +108 -0
  198. data/lib/stupidedi/transaction_sets/004010/implementations/PS830.rb +143 -0
  199. data/lib/stupidedi/transaction_sets/004010/implementations/QM214.rb +106 -0
  200. data/lib/stupidedi/transaction_sets/004010/implementations/RE944.rb +63 -0
  201. data/lib/stupidedi/transaction_sets/004010/implementations/SH856.rb +156 -0
  202. data/lib/stupidedi/transaction_sets/004010/implementations/SM204.rb +391 -0
  203. data/lib/stupidedi/transaction_sets/004010/implementations/SQ866.rb +103 -0
  204. data/lib/stupidedi/transaction_sets/004010/implementations/SS862.rb +154 -0
  205. data/lib/stupidedi/transaction_sets/004010/implementations/SW945.rb +99 -0
  206. data/lib/stupidedi/transaction_sets/004010/implementations/X091A1-HP835.rb +481 -0
  207. data/lib/stupidedi/transaction_sets/004010/standards.rb +28 -0
  208. data/lib/stupidedi/transaction_sets/004010/standards/AR943.rb +34 -0
  209. data/lib/stupidedi/transaction_sets/004010/standards/FA997.rb +31 -0
  210. data/lib/stupidedi/transaction_sets/004010/standards/GF990.rb +21 -0
  211. data/lib/stupidedi/transaction_sets/004010/standards/HP835.rb +61 -0
  212. data/lib/stupidedi/transaction_sets/004010/standards/IM210.rb +47 -0
  213. data/lib/stupidedi/transaction_sets/004010/standards/OW940.rb +43 -0
  214. data/lib/stupidedi/transaction_sets/004010/standards/PO850.rb +50 -0
  215. data/lib/stupidedi/transaction_sets/004010/standards/PR855.rb +35 -0
  216. data/lib/stupidedi/transaction_sets/004010/standards/PS830.rb +43 -0
  217. data/lib/stupidedi/transaction_sets/004010/standards/QM214.rb +41 -0
  218. data/lib/stupidedi/transaction_sets/004010/standards/RE944.rb +34 -0
  219. data/lib/stupidedi/transaction_sets/004010/standards/SC832.rb +37 -0
  220. data/lib/stupidedi/transaction_sets/004010/standards/SH856.rb +40 -0
  221. data/lib/stupidedi/transaction_sets/004010/standards/SM204.rb +85 -0
  222. data/lib/stupidedi/transaction_sets/004010/standards/SQ866.rb +32 -0
  223. data/lib/stupidedi/transaction_sets/004010/standards/SS862.rb +42 -0
  224. data/lib/stupidedi/transaction_sets/004010/standards/SW945.rb +43 -0
  225. data/lib/stupidedi/transaction_sets/005010.rb +11 -0
  226. data/lib/stupidedi/transaction_sets/005010/implementations.rb +88 -0
  227. data/lib/stupidedi/transaction_sets/005010/implementations/X212-HR276.rb +329 -0
  228. data/lib/stupidedi/transaction_sets/005010/implementations/X214-HN277.rb +356 -0
  229. data/lib/stupidedi/transaction_sets/005010/implementations/X220-BE834.rb +15 -0
  230. data/lib/stupidedi/transaction_sets/005010/implementations/X220A1-BE834.rb +623 -0
  231. data/lib/stupidedi/transaction_sets/005010/implementations/X221-HP835.rb +15 -0
  232. data/lib/stupidedi/transaction_sets/005010/implementations/X221A1-HP835.rb +556 -0
  233. data/lib/stupidedi/transaction_sets/005010/implementations/X222-HC837.rb +15 -0
  234. data/lib/stupidedi/transaction_sets/005010/implementations/X222-HC837P.rb +15 -0
  235. data/lib/stupidedi/transaction_sets/005010/implementations/X222A1-HC837.rb +2033 -0
  236. data/lib/stupidedi/transaction_sets/005010/implementations/X222A1-HC837P.rb +15 -0
  237. data/lib/stupidedi/transaction_sets/005010/implementations/X223-HC837.rb +15 -0
  238. data/lib/stupidedi/transaction_sets/005010/implementations/X223-HC837I.rb +15 -0
  239. data/lib/stupidedi/transaction_sets/005010/implementations/X223A1-HC837.rb +15 -0
  240. data/lib/stupidedi/transaction_sets/005010/implementations/X223A2-HC837.rb +2390 -0
  241. data/lib/stupidedi/transaction_sets/005010/implementations/X223A3-HC837.rb +2595 -0
  242. data/lib/stupidedi/transaction_sets/005010/implementations/X231-FA999.rb +15 -0
  243. data/lib/stupidedi/transaction_sets/005010/implementations/X231A1-FA999.rb +106 -0
  244. data/lib/stupidedi/transaction_sets/005010/implementations/X279-HB271.rb +749 -0
  245. data/lib/stupidedi/transaction_sets/005010/implementations/X279-HS270.rb +533 -0
  246. data/lib/stupidedi/transaction_sets/005010/implementations/X279A1-HB271.rb +751 -0
  247. data/lib/stupidedi/transaction_sets/005010/implementations/X279A1-HS270.rb +533 -0
  248. data/lib/stupidedi/transaction_sets/005010/standards.rb +22 -0
  249. data/lib/stupidedi/transaction_sets/005010/standards/BE834.rb +171 -0
  250. data/lib/stupidedi/transaction_sets/005010/standards/FA997.rb +31 -0
  251. data/lib/stupidedi/transaction_sets/005010/standards/FA999.rb +35 -0
  252. data/lib/stupidedi/transaction_sets/005010/standards/HB271.rb +95 -0
  253. data/lib/stupidedi/transaction_sets/005010/standards/HC837.rb +161 -0
  254. data/lib/stupidedi/transaction_sets/005010/standards/HI278.rb +62 -0
  255. data/lib/stupidedi/transaction_sets/005010/standards/HN277.rb +71 -0
  256. data/lib/stupidedi/transaction_sets/005010/standards/HP835.rb +65 -0
  257. data/lib/stupidedi/transaction_sets/005010/standards/HR276.rb +54 -0
  258. data/lib/stupidedi/transaction_sets/005010/standards/HS270.rb +50 -0
  259. data/lib/stupidedi/transaction_sets/005010/standards/RA820.rb +238 -0
  260. data/lib/stupidedi/transaction_sets/builder.rb +184 -0
  261. data/lib/stupidedi/transaction_sets/common.rb +8 -0
  262. data/lib/stupidedi/transaction_sets/common/implementations.rb +11 -0
  263. data/lib/stupidedi/transaction_sets/common/implementations/element_reqs.rb +37 -0
  264. data/lib/stupidedi/transaction_sets/common/implementations/segment_reqs.rb +31 -0
  265. data/lib/stupidedi/transaction_sets/validation.rb +9 -0
  266. data/lib/stupidedi/transaction_sets/validation/ambiguity.rb +391 -0
  267. data/lib/stupidedi/transaction_sets/validation/implementation.rb +12 -0
  268. data/lib/stupidedi/values.rb +0 -1
  269. data/lib/stupidedi/values/abstract_element_val.rb +0 -4
  270. data/lib/stupidedi/values/abstract_val.rb +3 -4
  271. data/lib/stupidedi/values/composite_element_val.rb +3 -8
  272. data/lib/stupidedi/values/functional_group_val.rb +3 -4
  273. data/lib/stupidedi/values/interchange_val.rb +3 -4
  274. data/lib/stupidedi/values/invalid_envelope_val.rb +2 -6
  275. data/lib/stupidedi/values/invalid_segment_val.rb +16 -9
  276. data/lib/stupidedi/values/loop_val.rb +3 -4
  277. data/lib/stupidedi/values/repeated_element_val.rb +5 -7
  278. data/lib/stupidedi/values/segment_val.rb +7 -11
  279. data/lib/stupidedi/values/segment_val_group.rb +0 -4
  280. data/lib/stupidedi/values/simple_element_val.rb +2 -7
  281. data/lib/stupidedi/values/table_val.rb +3 -4
  282. data/lib/stupidedi/values/transaction_set_val.rb +3 -4
  283. data/lib/stupidedi/values/transmission_val.rb +5 -5
  284. data/lib/stupidedi/version.rb +1 -2
  285. data/lib/stupidedi/versions.rb +11 -3
  286. data/lib/stupidedi/versions/002001.rb +14 -0
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  2000. data/spec/support/node.rb +0 -41
  2001. data/spec/support/quickcheck.rb +0 -303
  2002. data/spec/support/quickcheck/characters.rb +0 -33
  2003. data/spec/support/quickcheck/property.rb +0 -105
  2004. data/spec/support/quickcheck/serialized_edi.rb +0 -400
  2005. data/spec/support/rcov.rb +0 -41
@@ -1,126 +0,0 @@
1
- # frozen_string_literal: true
2
- module Stupidedi
3
- using Refinements
4
-
5
- module Guides
6
- module FiftyTen
7
- module X231
8
-
9
- b = GuideBuilder
10
- d = Schema
11
- r = SegmentReqs
12
- e = ElementReqs
13
- s = Versions::FunctionalGroups::FiftyTen::SegmentDefs
14
- t = Versions::FunctionalGroups::FiftyTen::TransactionSetDefs
15
-
16
- FA999 = b.build(t::FA999,
17
- d::TableDef.header("Table 1 - Header",
18
- b::Segment(100, s::ST, "Transaction Set Header",
19
- r::Required, d::RepeatCount.bounded(1),
20
- b::Element(e::Required, "Transaction Set Identifier Code", b::Values("999")),
21
- b::Element(e::Required, "Transaction Set Control Number"),
22
- b::Element(e::Required, "Implementation Guide Version Name", b::Values("005010X231"))),
23
- b::Segment(200, s::AK1, "Functional Group Response Header",
24
- 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::Situational, "REFERENCE IN SEGMENT",
58
- b::Element(e::Required, "Data Element Reference Number"),
59
- b::Element(e::Situational, "Component Data Element Reference Number"))),
60
- b::Segment(500, s::CTX, "Business Unit Identifier",
61
- r::Situational, d::RepeatCount.bounded(1),
62
- b::Element(e::Required, "CONTEXT IDENTIFICATION",
63
- b::Element(e::Required, "Context Name", b::Values("TRN02", "NM109", "PATIENT NAME NM109", "SUBSCRIBER NAME NM109", "ENT01", "SUBSCRIBER NUMBER REF02", "CLM01")),
64
- b::Element(e::Required, "Context Reference")),
65
- b::Element(e::NotUsed, "Segment ID Code"),
66
- b::Element(e::NotUsed, "Segment Position in Transaction Set"),
67
- b::Element(e::NotUsed, "Loop Identifier Code"),
68
- b::Element(e::NotUsed, "POSITION IN SEGMENT"),
69
- b::Element(e::NotUsed, "REFERENCE IN SEGMENT")),
70
-
71
- d::LoopDef.build("2110 IMPLEMENTATION DATA ELEMENT NOTE",
72
- d::RepeatCount.unbounded,
73
- b::Segment(600, s::IK4, "Implementation Data Element Note",
74
- r::Situational, d::RepeatCount.bounded(1),
75
- b::Element(e::Required, "POSITION IN SEGMENT",
76
- b::Element(e::Required, "Element Position in Segment"),
77
- b::Element(e::Situational, "Component Data Element Position in Composite"),
78
- b::Element(e::Situational, "Repeating Data Element Position")),
79
- b::Element(e::Situational, "Data Element Reference Number"),
80
- 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")),
81
- b::Element(e::Situational, "Copy of Bad Data Element")),
82
- b::Segment(700, s::CTX, "Element Context",
83
- r::Situational, d::RepeatCount.bounded(10),
84
- b::Element(e::Required, "CONTEXT IDENTIFICATION",
85
- b::Element(e::Required, "Context Name", b::Values("SITUATIONAL TRIGGER")),
86
- b::Element(e::NotUsed, "Context Reference")),
87
- b::Element(e::Required, "Segment ID Code"),
88
- b::Element(e::Required, "Segment Position in Transaction Set"),
89
- b::Element(e::Situational, "Loop Identifier Code"),
90
- b::Element(e::Situational, "POSITION IN SEGMENT",
91
- b::Element(e::Required, "Element Position in Segment"),
92
- b::Element(e::Situational, "Component Data Element Position in Composite"),
93
- b::Element(e::Situational, "Repeating Data Element Position")),
94
- b::Element(e::Situational, "REFERENCE IN SEGMENT",
95
- b::Element(e::Required, "Data Element Reference Number"),
96
- b::Element(e::Situational, "Component Data Element Reference Number"))))),
97
-
98
- b::Segment(800, s::IK5, "Implementation Transaction Set Response Trailer",
99
- r::Required, d::RepeatCount.bounded(1),
100
- b::Element(e::Required, "Transaction Set Acknowledgement Code", b::Values("A", "E", "M", "R", "W", "X")),
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", "I6")),
102
- 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")),
103
- 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")),
104
- 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")),
105
- 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")))),
106
-
107
- b::Segment( 900, s::AK9, "Functional Group Response Trailer",
108
- r::Required, d::RepeatCount.bounded(1),
109
- b::Element(e::Required, "Functional Group Acknowledgement Code", b::Values("A", "E", "M", "P", "R", "W", "X")),
110
- b::Element(e::Required, "Number of Transaction Sets Included"),
111
- b::Element(e::Required, "Number of Received Transaction Sets"),
112
- b::Element(e::Required, "Number of Accepted Transaction Sets"),
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::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")),
115
- 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")),
116
- 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")),
117
- 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"))),
118
- b::Segment(200, s::SE, "Transaction Set Trailer",
119
- r::Required, d::RepeatCount.bounded(1),
120
- b::Element(e::Required, "Transaction Segment Count"),
121
- b::Element(e::Required, "Transaction Set Control Number"))))
122
-
123
- end
124
- end
125
- end
126
- end
@@ -1,122 +0,0 @@
1
- # frozen_string_literal: true
2
- module Stupidedi
3
- using Refinements
4
-
5
- module Guides
6
- module FiftyTen
7
- module X231A1
8
-
9
- b = GuideBuilder
10
- d = Schema
11
- r = SegmentReqs
12
- e = ElementReqs
13
- s = Versions::FunctionalGroups::FiftyTen::SegmentDefs
14
- t = Versions::FunctionalGroups::FiftyTen::TransactionSetDefs
15
-
16
- FA999 = b.build(t::FA999,
17
- d::TableDef.header("Table 1 - Header",
18
- b::Segment(100, s::ST, "Transaction Set Header",
19
- r::Required, d::RepeatCount.bounded(1),
20
- b::Element(e::Required, "Transaction Set Identifier Code", b::Values("999")),
21
- b::Element(e::Required, "Transaction Set Control Number"),
22
- b::Element(e::Required, "Implementation Guide Version Name", b::Values("005010X231A1"))),
23
- b::Segment(200, s::AK1, "Functional Group Response Header",
24
- 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