D:EDIDEV empcSharp Tran278X217ReviewForm1 · D:\EDIDEV\temp\cSharp_Tran278X217Review\Form1.cs 1...

$: D:EDIDEV empcSharp Tran278X217ReviewForm1 · D:\EDIDEV\temp\cSharp_Tran278X217Review\Form1.cs 1 using System; using System.Collections.Generic; using System.ComponentModel; using$
1D:\EDIDEV\temp\cSharp_Tran278X217Review\Form1.cs

using System;using System.Collections.Generic;using System.ComponentModel;using System.Data;using System.Drawing;using System.Text;using System.Windows.Forms;using Edidev.FrameworkEDI;

namespace cSharp_Tran278X217Review{ public partial class Form1 : Form { public Form1() { InitializeComponent(); }

private void btnTranslate_Click(object sender, EventArgs e) { ediDocument oEdiDoc = null; ediSchemas oSchemas = null; ediDataSegment oSegment = null; string sSegmentID; string sLoopSection; int nArea; string sHlQlfr = ""; string sQlfr; string sNm1Qlfr = ""; string sValue; string sPath; string sEdiFile; string sSefFile;

sPath = AppDomain.CurrentDomain.BaseDirectory;

//CREATES EDIDOC OBJECT ediDocument.Set(ref oEdiDoc, new ediDocument());

//THIS MAKES CERTAIN THAT FREDI ONLY USES THE SEF FILE PROVIDED, AND THAT IT DOES //NOT USE ITS BUILT‐IN STANDARD REFERENCE TABLE TO TRANSLATE THE EDI FILE. ediSchemas.Set(ref oSchemas, (ediSchemas)oEdiDoc.GetSchemas()); //oSchemas = (ediSchemas)

oEdiDoc.GetSchemas(); oSchemas.EnableStandardReference = false;

//THIS OPTIONS STOPS FREDI FROM KEEPING ALL THE SEGMENTS IN MEMORY oEdiDoc.CursorType = DocumentCursorTypeConstants.Cursor_ForwardOnly;

//LOADS THE SEF FILE oEdiDoc.ImportSchema(sPath + "278_005010X217Review.SemRef.EVAL0.SEF", 0); //EVALUATION SEF

FILE WILL ONLY WORK WITH FREDI EVALUATION

//LOADS THE EDI FILE oEdiDoc.LoadEdi(sPath + "278_5010X217Review.X12");

//GETS THE FIRST DATA SEGMENT ediDataSegment.Set(ref oSegment, (ediDataSegment)oEdiDoc.FirstDataSegment); //oSegment =

(ediDataSegment) oEdiDoc.FirstDataSegment

//LOOP THAT WILL TRAVERSE THRU EDI FILE FROM TOP TO BOTTOM while (oSegment != null) { //DATA SEGMENTS WILL BE IDENTIFIED BY THEIR ID, THE LOOP SECTION AND AREA //(OR TABLE) NUMBER THAT THEY ARE IN. sSegmentID = oSegment.ID; sLoopSection = oSegment.LoopSection;


nArea = oSegment.Area;

if (nArea == 0) { if (sLoopSection == "") { if (sSegmentID == "ISA") { sValue = oSegment.get_DataElementValue(1, 0); //Authorization Information

Qualifier sValue = oSegment.get_DataElementValue(2, 0); //Authorization Information sValue = oSegment.get_DataElementValue(3, 0); //Security Information

Qualifier sValue = oSegment.get_DataElementValue(4, 0); //Security Information sValue = oSegment.get_DataElementValue(5, 0); //Interchange ID Qualifier sValue = oSegment.get_DataElementValue(6, 0); //Interchange Sender ID sValue = oSegment.get_DataElementValue(7, 0); //Interchange ID Qualifier sValue = oSegment.get_DataElementValue(8, 0); //Interchange Receiver ID sValue = oSegment.get_DataElementValue(9, 0); //Interchange Date sValue = oSegment.get_DataElementValue(10, 0); //Interchange Time sValue = oSegment.get_DataElementValue(11, 0); //Repetition Separator sValue = oSegment.get_DataElementValue(12, 0); //Interchange Control

Version Number sValue = oSegment.get_DataElementValue(13, 0); //Interchange Control Number sValue = oSegment.get_DataElementValue(14, 0); //Acknowledgment Requested sValue = oSegment.get_DataElementValue(15, 0); //Usage Indicator sValue = oSegment.get_DataElementValue(16, 0); //Component Element

Separator } else if (sSegmentID == "GS") { sValue = oSegment.get_DataElementValue(1, 0); //Functional Identifier Code sValue = oSegment.get_DataElementValue(2, 0); //Application Sender's Code sValue = oSegment.get_DataElementValue(3, 0); //Application Receiver's Code sValue = oSegment.get_DataElementValue(4, 0); //Date sValue = oSegment.get_DataElementValue(5, 0); //Time sValue = oSegment.get_DataElementValue(6, 0); //Group Control Number sValue = oSegment.get_DataElementValue(7, 0); //Responsible Agency Code sValue = oSegment.get_DataElementValue(8, 0); //Version / Release /

Industry Identifier Code }//sSegmentID }//sLoopSection }//nArea == 0

else if (nArea == 1) { if (sLoopSection == "") { if (sSegmentID == "ST") { sValue = oSegment.get_DataElementValue(1, 0); //Transaction Set Identifier

Code sValue = oSegment.get_DataElementValue(2, 0); //Transaction Set Control

Number sValue = oSegment.get_DataElementValue(3, 0); //Implementation Convention

Reference } else if (sSegmentID == "BHT") //Beginning of Hierarchical Transaction { sValue = oSegment.get_DataElementValue(1, 0); //Hierarchical Structure Code sValue = oSegment.get_DataElementValue(2, 0); //Transaction Set Purpose

Code sValue = oSegment.get_DataElementValue(3, 0); //Reference Identification sValue = oSegment.get_DataElementValue(4, 0); //Date sValue = oSegment.get_DataElementValue(5, 0); //Time sValue = oSegment.get_DataElementValue(6, 0); //Transaction Type Code


}//sSegmentID }//sLoopSection }//nArea == 1

else if (nArea == 2) { if (sLoopSection == "HL" && sSegmentID == "HL") { sValue = oSegment.get_DataElementValue(1); //Hierarchical ID Number sValue = oSegment.get_DataElementValue(2); //Hierarchical Parent ID Number sHlQlfr = oSegment.get_DataElementValue(3); //Hierarchical Level Code sValue = oSegment.get_DataElementValue(4); //Hierarchical Child Code }

if (sHlQlfr == "20") //2000A UTILIZATION MANAGEMENT ORGANIZATION (UMO) LEVEL { if (sLoopSection == "HL;NM1") //2010A UTILIZATION MANAGEMENT ORGANIZATION (UMO)

NAME { if (sSegmentID == "NM1") //Utilization Management Organization (UMO) Name { sValue = oSegment.get_DataElementValue(1); //Entity Identifier Code listBox1.Items.Add(oSegment.get_DataElementValue(3) + " = UMO Name"); sValue = oSegment.get_DataElementValue(8); //Identification Code

Qualifier listBox1.Items.Add(oSegment.get_DataElementValue(9) + " = UMO Code"); }//sSegmentID == "NM1" }//sLoopSection == "HL;NM1" }//sHlQlfr == "20"

else if (sHlQlfr == "21") //2000B REQUESTER LEVEL { Proc_2000B_Requester(ref oSegment, ref sSegmentID, ref sLoopSection); }//sHlQlfr == "21"

else if (sHlQlfr == "22") //2000C SUBSCRIBER LEVEL { Proc_2000C_Subscriber(ref oSegment, ref sSegmentID, ref sLoopSection); }//sHlQlfr == "22"

else if (sHlQlfr == "23") //2000D DEPENDENT LEVEL { Proc_2000D_Dependent(ref oSegment, ref sSegmentID, ref sLoopSection);

}//sHlQlfr == "23"

else if (sHlQlfr == "EV") //2000E PATIENT EVENT LEVEL { Proc_2000E_PatientEvent(ref oSegment, ref sSegmentID, ref sLoopSection); }

else if (sHlQlfr == "SS") //2000F SERVICE LEVEL { Proc_2000F_ServiceLevel(ref oSegment, ref sSegmentID, ref sLoopSection); }

}//nArea == 2

//GETS THE NEXT DATA SEGMENT ediDataSegment.Set(ref oSegment, (ediDataSegment)oSegment.Next()); //oSegment =

(ediDataSegment) oSegment.Next(); }//while }//btnTranslate_Click


private void Proc_2000B_Requester(ref ediDataSegment oSegment, ref string sSegmentID, ref string sLoopSection)

{ string sValue; string sQlfr = "";

if (sLoopSection == "HL;NM1") //LOOP ID ‐ 2010B REQUESTER NAME { if (sSegmentID == "NM1") { sValue = oSegment.get_DataElementValue(1); //Entity Identifier Code sQlfr = oSegment.get_DataElementValue(2); //Entity Type Qualifier if (sQlfr == "1") { listBox1.Items.Add(oSegment.get_DataElementValue(3) + " = Requester's Last name"); listBox1.Items.Add(oSegment.get_DataElementValue(4) + " = Requester's First name"); sValue = oSegment.get_DataElementValue(5); //Name Middle sValue = oSegment.get_DataElementValue(7); //Name Suffix } else if (sQlfr == "2") { listBox1.Items.Add(oSegment.get_DataElementValue(3) + " = Requester Organization

name"); }

sQlfr = oSegment.get_DataElementValue(8); //Identification Code Qualifier if (sQlfr == "24") //Employer's Identification Number { sValue = oSegment.get_DataElementValue(9); //Identification Code } else if (sQlfr == "34") //Social Security Number { listBox1.Items.Add(oSegment.get_DataElementValue(9) + " = Requester's Social

Security Number"); } }

else if (sSegmentID == "REF") //Requester Supplemental Identification { sValue = oSegment.get_DataElementValue(1); //Reference Identification Qualifier sValue = oSegment.get_DataElementValue(1); //Reference Identification }

else if (sSegmentID == "N3") //Requester Address { sValue = oSegment.get_DataElementValue(1); //Address Information }

else if (sSegmentID == "N4") //Requester City, State, ZIP Code { sValue = oSegment.get_DataElementValue(1); //City Name sValue = oSegment.get_DataElementValue(2); //State or Province Code sValue = oSegment.get_DataElementValue(3); //Postal Code }

else if (sSegmentID == "PER") // Requester Contact Information { sValue = oSegment.get_DataElementValue(1, 0); // Contact Function Code (366) sValue = oSegment.get_DataElementValue(2, 0); // Name (93) sValue = oSegment.get_DataElementValue(3, 0); // Communication Number Qualifier

(365) sValue = oSegment.get_DataElementValue(4, 0); // Communication Number (364) sValue = oSegment.get_DataElementValue(5, 0); // Communication Number Qualifier



(365) sValue = oSegment.get_DataElementValue(8, 0); // Communication Number (364) sValue = oSegment.get_DataElementValue(9, 0); // Contact Inquiry Reference (443) }

else if (sSegmentID == "PRV") // Requester Provider Information { sValue = oSegment.get_DataElementValue(1, 0); // Provider Code (1221) sValue = oSegment.get_DataElementValue(2, 0); // Reference Identification

Qualifier (128) sValue = oSegment.get_DataElementValue(3, 0); // Reference Identification (127) sValue = oSegment.get_DataElementValue(4, 0); // State or Province Code (156) sValue = oSegment.get_DataElementValue(5, 1); // Provider Specialty Code (1222) sValue = oSegment.get_DataElementValue(5, 2); // Agency Qualifier Code (559) sValue = oSegment.get_DataElementValue(5, 3); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(6, 0); // Provider Organization Code

(1223) }//sSegmentID }//sLoopSection == "HL;NM1" }//Proc_2000B_Requester

private void Proc_2000C_Subscriber(ref ediDataSegment oSegment, ref string sSegmentID, ref string sLoopSection)

{ string sValue; string sQlfr = "";

if (sLoopSection == "HL;NM1") {

if (sSegmentID == "NM1") //Subscriber Name { sValue = oSegment.get_DataElementValue(1); //Entity Identifier Code sValue = oSegment.get_DataElementValue(2); //Entity Type Qualifier listBox1.Items.Add(oSegment.get_DataElementValue(3) + " = Subscriber's Last Name"); listBox1.Items.Add(oSegment.get_DataElementValue(4) + " = Subscriber's First Name"); sValue = oSegment.get_DataElementValue(5); //Name Middle sValue = oSegment.get_DataElementValue(7); //Name Suffix }

else if (sSegmentID == "REF") // Subscriber Supplemental Identification { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification

Qualifier (128) sValue = oSegment.get_DataElementValue(2, 0); // Reference Identification (127) sValue = oSegment.get_DataElementValue(3, 0); // Description (352) sValue = oSegment.get_DataElementValue(4, 1); // Reference Identification

Qualifier (128) sValue = oSegment.get_DataElementValue(4, 2); // Reference Identification (127) sValue = oSegment.get_DataElementValue(4, 3); // Reference Identification


Qualifier (128) sValue = oSegment.get_DataElementValue(4, 6); // Reference Identification (127) }

else if (sSegmentID == "N3") //Subscriber Address {


listBox1.Items.Add(oSegment.get_DataElementValue(1) + " = Subscriber's Address Information");

}

else if (sSegmentID == "N4") //Subscriber City, State, ZIP Code { listBox1.Items.Add(oSegment.get_DataElementValue(1) + " = Subscriber's City"); sValue = oSegment.get_DataElementValue(2); //State or Province Code sValue = oSegment.get_DataElementValue(3); //Postal Code }

else if (sSegmentID == "DMG") //Subscriber Demographic Information { sValue = oSegment.get_DataElementValue(1); //Date Time Period Format Qualifier listBox1.Items.Add(oSegment.get_DataElementValue(2) + " = Subscriber's Birthdate"); listBox1.Items.Add(oSegment.get_DataElementValue(3) + " = Subscriber's Gender Code"); sValue = oSegment.get_DataElementValue(4); // Marital Status Code (1067) sValue = oSegment.get_DataElementValue(5, 1); // Race or Ethnicity Code (1109) sValue = oSegment.get_DataElementValue(5, 2); // Code List Qualifier Code (1270) sValue = oSegment.get_DataElementValue(5, 3); // Industry Code (1271) sValue = oSegment.get_DataElementValue(6); // Citizenship Status Code (1066) sValue = oSegment.get_DataElementValue(7); // Country Code (26) sValue = oSegment.get_DataElementValue(8); // Basis of Verification Code (659) sValue = oSegment.get_DataElementValue(9); // Quantity (380) sValue = oSegment.get_DataElementValue(10); // Code List Qualifier Code (1270) sValue = oSegment.get_DataElementValue(11); // Industry Code (1271) }//sSegmentID == "DMG"

else if (sSegmentID == "INS") // Subscriber Relationship { sValue = oSegment.get_DataElementValue(1, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(2, 0); // Individual Relationship Code

(1069) sValue = oSegment.get_DataElementValue(3, 0); // Maintenance Type Code (875) sValue = oSegment.get_DataElementValue(4, 0); // Maintenance Reason Code (1203) sValue = oSegment.get_DataElementValue(5, 0); // Benefit Status Code (1216) sValue = oSegment.get_DataElementValue(6, 1); // Medicare Plan Code (1218) sValue = oSegment.get_DataElementValue(6, 2); // Eligibility Reason Code (1701) sValue = oSegment.get_DataElementValue(6, 3); // Eligibility Reason Code (1701) sValue = oSegment.get_DataElementValue(6, 4); // Eligibility Reason Code (1701) sValue = oSegment.get_DataElementValue(7, 0); // Consolidated Omnibus Budget

Reconciliation Act (COBRA) Qualify (1219) sValue = oSegment.get_DataElementValue(8, 0); // Employment Status Code (584) sValue = oSegment.get_DataElementValue(9, 0); // Student Status Code (1220) sValue = oSegment.get_DataElementValue(10, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(11, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(12, 0); // Date Time Period (1251) sValue = oSegment.get_DataElementValue(13, 0); // Confidentiality Code (1165) sValue = oSegment.get_DataElementValue(14, 0); // City Name (19) sValue = oSegment.get_DataElementValue(15, 0); // State or Province Code (156) sValue = oSegment.get_DataElementValue(16, 0); // Country Code (26) sValue = oSegment.get_DataElementValue(17, 0); // Number (1470) }// sSegmentID == "INS" }//sLoopSection == "HL;NM1" }//Proc_2000C_Subscriber

private void Proc_2000D_Dependent(ref ediDataSegment oSegment, ref string sSegmentID, ref string sLoopSection)

{ string sValue;


string sQlfr = "";

if (sLoopSection == "HL;NM1") {

if (sSegmentID == "NM1") //Dependent Name { sValue = oSegment.get_DataElementValue(1); //Entity Identifier Code sValue = oSegment.get_DataElementValue(2); //Entity Type Qualifier listBox1.Items.Add(oSegment.get_DataElementValue(3) + " = Dependent's Last Name"); listBox1.Items.Add(oSegment.get_DataElementValue(4) + " = Dependent's First Name"); sValue = oSegment.get_DataElementValue(5); //Name Middle sValue = oSegment.get_DataElementValue(7); //Name Suffix }

else if (sSegmentID == "REF") // Dependent Supplemental Identification { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification




Qualifier (128) sValue = oSegment.get_DataElementValue(4, 6); // Reference Identification (127) }

else if (sSegmentID == "N3") //Dependent Address { listBox1.Items.Add(oSegment.get_DataElementValue(1) + " = Dependent's Address

Information"); }

else if (sSegmentID == "N4") //Dependent City, State, ZIP Code { listBox1.Items.Add(oSegment.get_DataElementValue(1) + " = Dependent's City"); sValue = oSegment.get_DataElementValue(2); //State or Province Code sValue = oSegment.get_DataElementValue(3); //Postal Code }

else if (sSegmentID == "DMG") //Dependent Demographic Information { sValue = oSegment.get_DataElementValue(1); //Date Time Period Format Qualifier listBox1.Items.Add(oSegment.get_DataElementValue(2) + " = Dependent's Birthdate"); listBox1.Items.Add(oSegment.get_DataElementValue(3) + " = Dependent's Gender Code"); sValue = oSegment.get_DataElementValue(4); // Marital Status Code (1067) sValue = oSegment.get_DataElementValue(5, 1); // Race or Ethnicity Code (1109) sValue = oSegment.get_DataElementValue(5, 2); // Code List Qualifier Code (1270) sValue = oSegment.get_DataElementValue(5, 3); // Industry Code (1271) sValue = oSegment.get_DataElementValue(6); // Citizenship Status Code (1066) sValue = oSegment.get_DataElementValue(7); // Country Code (26) sValue = oSegment.get_DataElementValue(8); // Basis of Verification Code (659) sValue = oSegment.get_DataElementValue(9); // Quantity (380) sValue = oSegment.get_DataElementValue(10); // Code List Qualifier Code (1270) sValue = oSegment.get_DataElementValue(11); // Industry Code (1271) }//sSegmentID == "DMG"

else if (sSegmentID == "INS") // Dependent Relationship { sValue = oSegment.get_DataElementValue(1, 0); // Yes/No Condition or Response

Code (1073)


sValue = oSegment.get_DataElementValue(2, 0); // Individual Relationship Code (1069)

sValue = oSegment.get_DataElementValue(3, 0); // Maintenance Type Code (875) sValue = oSegment.get_DataElementValue(4, 0); // Maintenance Reason Code (1203) sValue = oSegment.get_DataElementValue(5, 0); // Benefit Status Code (1216) sValue = oSegment.get_DataElementValue(6, 1); // Medicare Plan Code (1218) sValue = oSegment.get_DataElementValue(6, 2); // Eligibility Reason Code (1701) sValue = oSegment.get_DataElementValue(6, 3); // Eligibility Reason Code (1701) sValue = oSegment.get_DataElementValue(6, 4); // Eligibility Reason Code (1701) sValue = oSegment.get_DataElementValue(7, 0); // Consolidated Omnibus Budget

Reconciliation Act (COBRA) Qualify (1219) sValue = oSegment.get_DataElementValue(8, 0); // Employment Status Code (584) sValue = oSegment.get_DataElementValue(9, 0); // Student Status Code (1220) sValue = oSegment.get_DataElementValue(10, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(11, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(12, 0); // Date Time Period (1251) sValue = oSegment.get_DataElementValue(13, 0); // Confidentiality Code (1165) sValue = oSegment.get_DataElementValue(14, 0); // City Name (19) sValue = oSegment.get_DataElementValue(15, 0); // State or Province Code (156) sValue = oSegment.get_DataElementValue(16, 0); // Country Code (26) sValue = oSegment.get_DataElementValue(17, 0); // Number (1470) }// sSegmentID == "INS" }//sLoopSection == "HL;NM1" }

private void Proc_2000E_PatientEvent(ref ediDataSegment oSegment, ref string sSegmentID, ref string sLoopSection)

{ string sValue; string sQlfr = ""; string sNm1Qlfr = "";

if (sLoopSection == "HL") //2000E PATIENT EVENT LEVEL { if (sSegmentID == "HL") // Hierarchical Level { sValue = oSegment.get_DataElementValue(1, 0); // Hierarchical ID Number (628) sValue = oSegment.get_DataElementValue(2, 0); // Hierarchical Parent ID Number

(734) sValue = oSegment.get_DataElementValue(3, 0); // Hierarchical Level Code (735) sValue = oSegment.get_DataElementValue(4, 0); // Hierarchical Child Code (736)

} else if (sSegmentID == "TRN") // Trace { sValue = oSegment.get_DataElementValue(1, 0); // Trace Type Code (481) sValue = oSegment.get_DataElementValue(2, 0); // Reference Identification (127) sValue = oSegment.get_DataElementValue(3, 0); // Originating Company Identifier

(509) sValue = oSegment.get_DataElementValue(4, 0); // Reference Identification (127)

} else if (sSegmentID == "UM") // Health Care Services Review Information { listBox1.Items.Add(oSegment.get_DataElementValue(1, 0) + " = Request Category Code");

// (1525) sValue = oSegment.get_DataElementValue(2, 0); // Certification Type Code (1322) sValue = oSegment.get_DataElementValue(3, 0); // Service Type Code (1365) listBox1.Items.Add(oSegment.get_DataElementValue(4, 1) + " = Facility Code Value"); /

/ (1331) sValue = oSegment.get_DataElementValue(4, 2); // Facility Code Qualifier (1332) sValue = oSegment.get_DataElementValue(4, 3); // Claim Frequency Type Code (1325)


sValue = oSegment.get_DataElementValue(5, 1); // Related‐Causes Code (1362) sValue = oSegment.get_DataElementValue(5, 2); // Related‐Causes Code (1362) sValue = oSegment.get_DataElementValue(5, 3); // Related‐Causes Code (1362) sValue = oSegment.get_DataElementValue(5, 4); // State or Province Code (156) sValue = oSegment.get_DataElementValue(5, 5); // Country Code (26) sValue = oSegment.get_DataElementValue(6, 0); // Level of Service Code (1338) sValue = oSegment.get_DataElementValue(7, 0); // Current Health Condition Code

(1213) sValue = oSegment.get_DataElementValue(8, 0); // Prognosis Code (923) sValue = oSegment.get_DataElementValue(9, 0); // Release of Information Code

(1363) sValue = oSegment.get_DataElementValue(10, 0); // Delay Reason Code (1514)

} else if (sSegmentID == "REF") // Reference Identification {

sQlfr = oSegment.get_DataElementValue(1, 0);

if (sQlfr == "BB") //Previous Review Authorization Number { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification

Qualifier (128) sValue = oSegment.get_DataElementValue(2, 0); // Reference Identification

(127) sValue = oSegment.get_DataElementValue(3, 0); // Description (352) sValue = oSegment.get_DataElementValue(4, 1); // Reference Identification


(127) sValue = oSegment.get_DataElementValue(4, 3); // Reference Identification




(127)

} else if (sQlfr == "NT") //Previous Review Administrative Reference Number { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification








(127) }// sQlfr == "NT"

} else if (sSegmentID == "DTP") // Date or Time or Period {



if (sQlfr == "439") //Accident Date { listBox1.Items.Add(oSegment.get_DataElementValue(1, 0) + " = AccidentDate");

// Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period (1251) } else if (sQlfr == "484") //Last Menstrual Period Date { sValue = oSegment.get_DataElementValue(1, 0); // Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period (1251) } else if (sQlfr == "ABC") //Estimated Date of Birth { sValue = oSegment.get_DataElementValue(1, 0); // Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period (1251)

} else if (sQlfr == "431") //Onset of Current Symptoms or Illness Date { sValue = oSegment.get_DataElementValue(1, 0); // Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period (1251) } else if (sQlfr == "AAH") //Event Date { sValue = oSegment.get_DataElementValue(1, 0); // Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period (1251) } else if (sQlfr == "435") //Admission Date { sValue = oSegment.get_DataElementValue(1, 0); // Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period (1251) } else if (sQlfr == "096") //Discharge Date { sValue = oSegment.get_DataElementValue(1, 0); // Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period (1251) }// sQlfr == "096"

} else if (sSegmentID == "HI") // Patient Diagnosis { sValue = oSegment.get_DataElementValue(1, 1); // Code List Qualifier Code (1270) listBox1.Items.Add(oSegment.get_DataElementValue(1, 2) + " = Patient Diagnosis Code");

// Industry Code (1271) sValue = oSegment.get_DataElementValue(1, 3); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(1, 4); // Date Time Period (1251) sValue = oSegment.get_DataElementValue(1, 5); // Monetary Amount (782) sValue = oSegment.get_DataElementValue(1, 6); // Quantity (380) sValue = oSegment.get_DataElementValue(1, 7); // Version Identifier (799)


sValue = oSegment.get_DataElementValue(1, 8); // Industry Code (1271) sValue = oSegment.get_DataElementValue(1, 9); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(2, 1); // Code List Qualifier Code (1270) sValue = oSegment.get_DataElementValue(2, 2); // Industry Code (1271) sValue = oSegment.get_DataElementValue(2, 3); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(2, 4); // Date Time Period (1251) sValue = oSegment.get_DataElementValue(2, 5); // Monetary Amount (782) sValue = oSegment.get_DataElementValue(2, 6); // Quantity (380) sValue = oSegment.get_DataElementValue(2, 7); // Version Identifier (799) sValue = oSegment.get_DataElementValue(2, 8); // Industry Code (1271) sValue = oSegment.get_DataElementValue(2, 9); // Yes/No Condition or Response










Qualifier (1250) sValue = oSegment.get_DataElementValue(7, 4); // Date Time Period (1251) sValue = oSegment.get_DataElementValue(7, 5); // Monetary Amount (782) sValue = oSegment.get_DataElementValue(7, 6); // Quantity (380) sValue = oSegment.get_DataElementValue(7, 7); // Version Identifier (799)


sValue = oSegment.get_DataElementValue(7, 8); // Industry Code (1271) sValue = oSegment.get_DataElementValue(7, 9); // Yes/No Condition or Response











Code (1073)

} else if (sSegmentID == "HSD") // Health Care Services Delivery { sValue = oSegment.get_DataElementValue(1, 0); // Quantity Qualifier (673) sValue = oSegment.get_DataElementValue(2, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(3, 0); // Unit or Basis for Measurement

Code (355)


sValue = oSegment.get_DataElementValue(4, 0); // Sample Selection Modulus (1167) sValue = oSegment.get_DataElementValue(5, 0); // Time Period Qualifier (615) sValue = oSegment.get_DataElementValue(6, 0); // Number of Periods (616) sValue = oSegment.get_DataElementValue(7, 0); // Ship/Delivery or Calendar

Pattern Code (678) sValue = oSegment.get_DataElementValue(8, 0); // Ship/Delivery Pattern Time Code

(679)

} else if (sSegmentID == "CRC") // Conditions Indicator {


if (sQlfr == "07") //Ambulance Certification Information { listBox1.Items.Add(oSegment.get_DataElementValue(1, 0) + " = Ambulance

Certification Code"); // Code Category (1136) sValue = oSegment.get_DataElementValue(2, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(3, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(4, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(5, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(6, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(7, 0); // Condition Indicator (1321) } else if (sQlfr == "08") //Chiropractic Certification Information { sValue = oSegment.get_DataElementValue(1, 0); // Code Category (1136) sValue = oSegment.get_DataElementValue(2, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(3, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(4, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(5, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(6, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(7, 0); // Condition Indicator (1321) } else if (sQlfr == "09") //Durable Medical Equipment Information { sValue = oSegment.get_DataElementValue(1, 0); // Code Category (1136) sValue = oSegment.get_DataElementValue(2, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(3, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(4, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(5, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(6, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(7, 0); // Condition Indicator (1321)

} else if (sQlfr == "11") //Oxygen Therapy Certification Information { sValue = oSegment.get_DataElementValue(1, 0); // Code Category (1136) sValue = oSegment.get_DataElementValue(2, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(3, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(4, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(5, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(6, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(7, 0); // Condition Indicator (1321)

} else if (sQlfr == "75") //Functional Limitations Information { sValue = oSegment.get_DataElementValue(1, 0); // Code Category (1136) sValue = oSegment.get_DataElementValue(2, 0); // Yes/No Condition or Response

Code (1073)


sValue = oSegment.get_DataElementValue(3, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(4, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(5, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(6, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(7, 0); // Condition Indicator (1321) } else if (sQlfr == "76") //Activities Permitted Information { sValue = oSegment.get_DataElementValue(1, 0); // Code Category (1136) sValue = oSegment.get_DataElementValue(2, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(3, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(4, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(5, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(6, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(7, 0); // Condition Indicator (1321) } else if (sQlfr == "77") //Mental Status Information { sValue = oSegment.get_DataElementValue(1, 0); // Code Category (1136) sValue = oSegment.get_DataElementValue(2, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(3, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(4, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(5, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(6, 0); // Condition Indicator (1321) sValue = oSegment.get_DataElementValue(7, 0); // Condition Indicator (1321) }// sQlfr == "77"

} else if (sSegmentID == "CL1") // Institutional Claim Code { sValue = oSegment.get_DataElementValue(1, 0); // Admission Type Code (1315) sValue = oSegment.get_DataElementValue(2, 0); // Admission Source Code (1314) sValue = oSegment.get_DataElementValue(3, 0); // Patient Status Code (1352) sValue = oSegment.get_DataElementValue(4, 0); // Nursing Home Residential Status

Code (1345)

} else if (sSegmentID == "CR1") // Ambulance Transport Information { sValue = oSegment.get_DataElementValue(1, 0); // Unit or Basis for Measurement

Code (355) sValue = oSegment.get_DataElementValue(2, 0); // Weight (81) sValue = oSegment.get_DataElementValue(3, 0); // Ambulance Transport Code (1316) sValue = oSegment.get_DataElementValue(4, 0); // Ambulance Transport Reason Code

(1317) sValue = oSegment.get_DataElementValue(5, 0); // Unit or Basis for Measurement

Code (355) sValue = oSegment.get_DataElementValue(6, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(7, 0); // Address Information (166) sValue = oSegment.get_DataElementValue(8, 0); // Address Information (166) sValue = oSegment.get_DataElementValue(9, 0); // Description (352) sValue = oSegment.get_DataElementValue(10, 0); // Description (352)

} else if (sSegmentID == "CR2") // Spinal Manipulation Service Information { sValue = oSegment.get_DataElementValue(1, 0); // Count (609) sValue = oSegment.get_DataElementValue(2, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(3, 0); // Subluxation Level Code (1367) sValue = oSegment.get_DataElementValue(4, 0); // Subluxation Level Code (1367) sValue = oSegment.get_DataElementValue(5, 0); // Unit or Basis for Measurement

Code (355) sValue = oSegment.get_DataElementValue(6, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(7, 0); // Quantity (380)


sValue = oSegment.get_DataElementValue(8, 0); // Nature of Condition Code (1342) sValue = oSegment.get_DataElementValue(9, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(10, 0); // Description (352) sValue = oSegment.get_DataElementValue(11, 0); // Description (352) sValue = oSegment.get_DataElementValue(12, 0); // Yes/No Condition or Response

Code (1073)

} else if (sSegmentID == "CR5") // Home Oxygen Therapy Information { sValue = oSegment.get_DataElementValue(1, 0); // Certification Type Code (1322) sValue = oSegment.get_DataElementValue(2, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(3, 0); // Oxygen Equipment Type Code

(1348) sValue = oSegment.get_DataElementValue(4, 0); // Oxygen Equipment Type Code

(1348) sValue = oSegment.get_DataElementValue(5, 0); // Description (352) sValue = oSegment.get_DataElementValue(6, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(7, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(8, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(9, 0); // Description (352) sValue = oSegment.get_DataElementValue(10, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(11, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(12, 0); // Oxygen Test Condition Code

(1349) sValue = oSegment.get_DataElementValue(13, 0); // Oxygen Test Findings Code (1350)

sValue = oSegment.get_DataElementValue(14, 0); // Oxygen Test Findings Code (1350)

sValue = oSegment.get_DataElementValue(15, 0); // Oxygen Test Findings Code (1350)

sValue = oSegment.get_DataElementValue(16, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(17, 0); // Oxygen Delivery System Code

(1382) sValue = oSegment.get_DataElementValue(18, 0); // Oxygen Equipment Type Code

(1348)

} else if (sSegmentID == "CR6") // Home Health Care Information { sValue = oSegment.get_DataElementValue(1, 0); // Prognosis Code (923) sValue = oSegment.get_DataElementValue(2, 0); // Date (373) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(4, 0); // Date Time Period (1251) sValue = oSegment.get_DataElementValue(5, 0); // Date (373) sValue = oSegment.get_DataElementValue(6, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(7, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(8, 0); // Certification Type Code (1322) sValue = oSegment.get_DataElementValue(9, 0); // Date (373) sValue = oSegment.get_DataElementValue(10, 0); // Product/Service ID Qualifier

(235) sValue = oSegment.get_DataElementValue(11, 0); // Medical Code Value (1137) sValue = oSegment.get_DataElementValue(12, 0); // Date (373) sValue = oSegment.get_DataElementValue(13, 0); // Date (373) sValue = oSegment.get_DataElementValue(14, 0); // Date (373) sValue = oSegment.get_DataElementValue(15, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(16, 0); // Date Time Period (1251) sValue = oSegment.get_DataElementValue(17, 0); // Patient Location Code (1384) sValue = oSegment.get_DataElementValue(18, 0); // Date (373) sValue = oSegment.get_DataElementValue(19, 0); // Date (373) sValue = oSegment.get_DataElementValue(20, 0); // Date (373)


sValue = oSegment.get_DataElementValue(21, 0); // Date (373)

} else if (sSegmentID == "PWK") // Additional Patient Information { sValue = oSegment.get_DataElementValue(1, 0); // Report Type Code (755) sValue = oSegment.get_DataElementValue(2, 0); // Report Transmission Code (756) sValue = oSegment.get_DataElementValue(3, 0); // Report Copies Needed (757) sValue = oSegment.get_DataElementValue(4, 0); // Entity Identifier Code (98) sValue = oSegment.get_DataElementValue(5, 0); // Identification Code Qualifier

(66) sValue = oSegment.get_DataElementValue(6, 0); // Identification Code (67) sValue = oSegment.get_DataElementValue(7, 0); // Description (352) sValue = oSegment.get_DataElementValue(8, 1); // Paperwork/Report Action Code

(704) sValue = oSegment.get_DataElementValue(8, 2); // Paperwork/Report Action Code




(704) sValue = oSegment.get_DataElementValue(9, 0); // Request Category Code (1525)

} else if (sSegmentID == "MSG") // Message Text { sValue = oSegment.get_DataElementValue(1, 0); // Free‐Form Message Text (933) sValue = oSegment.get_DataElementValue(2, 0); // Printer Carriage Control Code

(934) sValue = oSegment.get_DataElementValue(3, 0); // Number (1470)

}// sSegmentID == "MSG" }//sLoopSection == "HL"

else if (sLoopSection == "HL;NM1") { if (sSegmentID == "NM1") { sNm1Qlfr = oSegment.get_DataElementValue(1); }

if ("71,72,73,77,AAJ,DD,DK,DN,FA,G3,P3,QB,QV,SJ".IndexOf(sNm1Qlfr) != ‐1) //2010EA PATIENT EVENT PROVIDER NAME

{ if (sSegmentID == "NM1") // Patient Event Provider Name { sValue = oSegment.get_DataElementValue(1, 0); // Entity Identifier Code (98) sValue = oSegment.get_DataElementValue(2, 0); // Entity Type Qualifier (1065)

listBox1.Items.Add(oSegment.get_DataElementValue(3, 0) + " = Patient Event Provider

Name"); // Name Last or Organization Name (1035) sValue = oSegment.get_DataElementValue(4, 0); // Name First (1036) sValue = oSegment.get_DataElementValue(5, 0); // Name Middle (1037) sValue = oSegment.get_DataElementValue(6, 0); // Name Prefix (1038) sValue = oSegment.get_DataElementValue(7, 0); // Name Suffix (1039) sValue = oSegment.get_DataElementValue(8, 0); // Identification Code

Qualifier (66) sValue = oSegment.get_DataElementValue(9, 0); // Identification Code (67) sValue = oSegment.get_DataElementValue(10, 0); // Entity Relationship Code

(706) sValue = oSegment.get_DataElementValue(11, 0); // Entity Identifier Code (98) sValue = oSegment.get_DataElementValue(12, 0); // Name Last or Organization

Name (1035) }


else if (sSegmentID == "REF") // Patient Event Provider Supplemental Information { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification








(127) } else if (sSegmentID == "N3") // Patient Event Provider Address { sValue = oSegment.get_DataElementValue(1, 0); // Address Information (166) sValue = oSegment.get_DataElementValue(2, 0); // Address Information (166) } else if (sSegmentID == "N4") // Patient Event Provider City, State, ZIP Code { sValue = oSegment.get_DataElementValue(1, 0); // City Name (19) sValue = oSegment.get_DataElementValue(2, 0); // State or Province Code (156)

sValue = oSegment.get_DataElementValue(3, 0); // Postal Code (116) sValue = oSegment.get_DataElementValue(4, 0); // Country Code (26) sValue = oSegment.get_DataElementValue(5, 0); // Location Qualifier (309) sValue = oSegment.get_DataElementValue(6, 0); // Location Identifier (310) sValue = oSegment.get_DataElementValue(7, 0); // Country Subdivision Code

(1715) } else if (sSegmentID == "PER") // Patient Event Provider Contact Information { sValue = oSegment.get_DataElementValue(1, 0); // Contact Function Code (366) sValue = oSegment.get_DataElementValue(2, 0); // Name (93) sValue = oSegment.get_DataElementValue(3, 0); // Communication Number

Qualifier (365) sValue = oSegment.get_DataElementValue(4, 0); // Communication Number (364) sValue = oSegment.get_DataElementValue(5, 0); // Communication Number

Qualifier (365) sValue = oSegment.get_DataElementValue(6, 0); // Communication Number (364) sValue = oSegment.get_DataElementValue(7, 0); // Communication Number

Qualifier (365) sValue = oSegment.get_DataElementValue(8, 0); // Communication Number (364) sValue = oSegment.get_DataElementValue(9, 0); // Contact Inquiry Reference

(443) } else if (sSegmentID == "PRV") // Patient Event Provider Information { sValue = oSegment.get_DataElementValue(1, 0); // Provider Code (1221) sValue = oSegment.get_DataElementValue(2, 0); // Reference Identification


(127) sValue = oSegment.get_DataElementValue(4, 0); // State or Province Code (156)

sValue = oSegment.get_DataElementValue(5, 1); // Provider Specialty Code

(1222) sValue = oSegment.get_DataElementValue(5, 2); // Agency Qualifier Code (559) sValue = oSegment.get_DataElementValue(5, 3); // Yes/No Condition or Response



(1223) } // sSegmentID == "PRV" }//2010EA

else if ("45,FS,ND,PW,R3".IndexOf(sNm1Qlfr) != ‐1) //2010EB PATIENT EVENT TRANSPORT INFORMATION

{ if (sSegmentID == "NM1") // Patient Event Transport Information { sValue = oSegment.get_DataElementValue(1, 0); // Entity Identifier Code (98) sValue = oSegment.get_DataElementValue(2, 0); // Entity Type Qualifier (1065)

listBox1.Items.Add(oSegment.get_DataElementValue(3, 0) + " = Patient Event

Transport Name"); // Name Last or Organization Name (1035) sValue = oSegment.get_DataElementValue(4, 0); // Name First (1036) sValue = oSegment.get_DataElementValue(5, 0); // Name Middle (1037) sValue = oSegment.get_DataElementValue(6, 0); // Name Prefix (1038) sValue = oSegment.get_DataElementValue(7, 0); // Name Suffix (1039) sValue = oSegment.get_DataElementValue(8, 0); // Identification Code



Name (1035) } else if (sSegmentID == "N3") // Patient Event Transport Location Address { sValue = oSegment.get_DataElementValue(1, 0); // Address Information (166) sValue = oSegment.get_DataElementValue(2, 0); // Address Information (166) } else if (sSegmentID == "N4") // Patient Event Transport Location City/State/ZIP

Code { sValue = oSegment.get_DataElementValue(1, 0); // City Name (19) sValue = oSegment.get_DataElementValue(2, 0); // State or Province Code (156)

sValue = oSegment.get_DataElementValue(3, 0); // Postal Code (116) sValue = oSegment.get_DataElementValue(4, 0); // Country Code (26) sValue = oSegment.get_DataElementValue(5, 0); // Location Qualifier (309) sValue = oSegment.get_DataElementValue(6, 0); // Location Identifier (310) sValue = oSegment.get_DataElementValue(7, 0); // Country Subdivision Code

(1715) }// sSegmentID == "N4" }//2010EB

else if ("00,CA,GG".IndexOf(sNm1Qlfr) != ‐1) //2010EC PATIENT EVENT OTHER UMO NAME { if (sSegmentID == "NM1") // Patient Event Other UMO Name { sValue = oSegment.get_DataElementValue(1, 0); // Entity Identifier Code (98) sValue = oSegment.get_DataElementValue(2, 0); // Entity Type Qualifier (1065)

listBox1.Items.Add(oSegment.get_DataElementValue(3, 0) + " = Patient Event Other

UMO Name"); // Name Last or Organization Name (1035) sValue = oSegment.get_DataElementValue(4, 0); // Name First (1036) sValue = oSegment.get_DataElementValue(5, 0); // Name Middle (1037) sValue = oSegment.get_DataElementValue(6, 0); // Name Prefix (1038) sValue = oSegment.get_DataElementValue(7, 0); // Name Suffix (1039) sValue = oSegment.get_DataElementValue(8, 0); // Identification Code




Name (1035) } else if (sSegmentID == "REF") // Other UMO Denial Reason { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification








(127) } else if (sSegmentID == "DTP") // Other UMO Denial Date { sValue = oSegment.get_DataElementValue(1, 0); // Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) sValue = oSegment.get_DataElementValue(3, 0); // Date Time Period (1251) } // sSegmentID == "DTP" }//2010EC }//sLoopSection == "HL;NM1" }//Proc_2000E

private void Proc_2000F_ServiceLevel(ref ediDataSegment oSegment, ref string sSegmentID, ref string sLoopSection)

{ string sValue; string sQlfr = ""; string sNm1Qlfr = "";

if (sLoopSection == "HL") //2000F SERVICE LEVEL { if (sSegmentID == "HL") // Service Level { sValue = oSegment.get_DataElementValue(1, 0); // Hierarchical ID Number (628) sValue = oSegment.get_DataElementValue(2, 0); // Hierarchical Parent ID Number

(734) sValue = oSegment.get_DataElementValue(3, 0); // Hierarchical Level Code (735) sValue = oSegment.get_DataElementValue(4, 0); // Hierarchical Child Code (736) } else if (sSegmentID == "TRN") // Service Trace Number { sValue = oSegment.get_DataElementValue(1, 0); // Trace Type Code (481) listBox1.Items.Add(oSegment.get_DataElementValue(2, 0) + " = Service Trace Number ");

// Reference Identification (127) sValue = oSegment.get_DataElementValue(3, 0); // Originating Company Identifier

(509) sValue = oSegment.get_DataElementValue(4, 0); // Reference Identification (127) } else if (sSegmentID == "UM") // Health Care Services Review Information { sValue = oSegment.get_DataElementValue(1, 0); // Request Category Code (1525) sValue = oSegment.get_DataElementValue(2, 0); // Certification Type Code (1322)


sValue = oSegment.get_DataElementValue(3, 0); // Service Type Code (1365) sValue = oSegment.get_DataElementValue(4, 1); // Facility Code Value (1331) sValue = oSegment.get_DataElementValue(4, 2); // Facility Code Qualifier (1332) sValue = oSegment.get_DataElementValue(4, 3); // Claim Frequency Type Code (1325)

sValue = oSegment.get_DataElementValue(5, 1); // Related‐Causes Code (1362) sValue = oSegment.get_DataElementValue(5, 2); // Related‐Causes Code (1362) sValue = oSegment.get_DataElementValue(5, 3); // Related‐Causes Code (1362) sValue = oSegment.get_DataElementValue(5, 4); // State or Province Code (156) sValue = oSegment.get_DataElementValue(5, 5); // Country Code (26) sValue = oSegment.get_DataElementValue(6, 0); // Level of Service Code (1338) sValue = oSegment.get_DataElementValue(7, 0); // Current Health Condition Code

(1213) sValue = oSegment.get_DataElementValue(8, 0); // Prognosis Code (923) sValue = oSegment.get_DataElementValue(9, 0); // Release of Information Code

(1363) sValue = oSegment.get_DataElementValue(10, 0); // Delay Reason Code (1514) } else if (sSegmentID == "REF") // Previous Review Authorization Number {


if (sQlfr == "BB") //Previous Review Authorization Number { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification

Qualifier (128) listBox1.Items.Add(oSegment.get_DataElementValue(2, 0) + " = Previous Review

Authorization Number"); // Reference Identification (127) sValue = oSegment.get_DataElementValue(3, 0); // Description (352) sValue = oSegment.get_DataElementValue(4, 1); // Reference Identification






(127) } else if (sQlfr == "NT") //Previous Review Administrative Reference Number { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification








(127) } // sQlfr == "NT" } else if (sSegmentID == "DTP") // Service Date {


sValue = oSegment.get_DataElementValue(1, 0); // Date/Time Qualifier (374) sValue = oSegment.get_DataElementValue(2, 0); // Date Time Period Format

Qualifier (1250) listBox1.Items.Add(oSegment.get_DataElementValue(3, 0) + " = Service Date"); //

Date Time Period (1251) } else if (sSegmentID == "SV1") // Professional Service { sValue = oSegment.get_DataElementValue(1, 1); // Product/Service ID Qualifier

(235) listBox1.Items.Add(oSegment.get_DataElementValue(1, 2) + " = Service ID"); //

Product/Service ID (234) sValue = oSegment.get_DataElementValue(1, 3); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(1, 4); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(1, 5); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(1, 6); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(1, 7); // Description (352) sValue = oSegment.get_DataElementValue(1, 8); // Product/Service ID (234) sValue = oSegment.get_DataElementValue(2, 0); // Monetary Amount (782) sValue = oSegment.get_DataElementValue(3, 0); // Unit or Basis for Measurement

Code (355) sValue = oSegment.get_DataElementValue(4, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(5, 0); // Facility Code Value (1331) sValue = oSegment.get_DataElementValue(6, 0); // Service Type Code (1365) sValue = oSegment.get_DataElementValue(7, 1); // Diagnosis Code Pointer (1328) sValue = oSegment.get_DataElementValue(7, 2); // Diagnosis Code Pointer (1328) sValue = oSegment.get_DataElementValue(7, 3); // Diagnosis Code Pointer (1328) sValue = oSegment.get_DataElementValue(7, 4); // Diagnosis Code Pointer (1328) sValue = oSegment.get_DataElementValue(8, 0); // Monetary Amount (782) sValue = oSegment.get_DataElementValue(9, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(10, 0); // Multiple Procedure Code (1340) sValue = oSegment.get_DataElementValue(11, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(12, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(13, 0); // Review Code (1364) sValue = oSegment.get_DataElementValue(14, 0); // National or Local Assigned

Review Value (1341) sValue = oSegment.get_DataElementValue(15, 0); // Copay Status Code (1327) sValue = oSegment.get_DataElementValue(16, 0); // Health Care Professional

Shortage Area Code (1334) sValue = oSegment.get_DataElementValue(17, 0); // Reference Identification (127) sValue = oSegment.get_DataElementValue(18, 0); // Postal Code (116) sValue = oSegment.get_DataElementValue(19, 0); // Monetary Amount (782) sValue = oSegment.get_DataElementValue(20, 0); // Level of Care Code (1337) sValue = oSegment.get_DataElementValue(21, 0); // Provider Agreement Code (1360) } else if (sSegmentID == "SV2") // Institutional Service { sValue = oSegment.get_DataElementValue(1, 0); // Product/Service ID (234) sValue = oSegment.get_DataElementValue(2, 1); // Product/Service ID Qualifier

(235) sValue = oSegment.get_DataElementValue(2, 2); // Product/Service ID (234) sValue = oSegment.get_DataElementValue(2, 3); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(2, 4); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(2, 5); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(2, 6); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(2, 7); // Description (352) sValue = oSegment.get_DataElementValue(2, 8); // Product/Service ID (234) sValue = oSegment.get_DataElementValue(3, 0); // Monetary Amount (782) sValue = oSegment.get_DataElementValue(4, 0); // Unit or Basis for Measurement

Code (355) sValue = oSegment.get_DataElementValue(5, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(6, 0); // Unit Rate (1371) sValue = oSegment.get_DataElementValue(7, 0); // Monetary Amount (782)


sValue = oSegment.get_DataElementValue(8, 0); // Yes/No Condition or Response Code (1073)

sValue = oSegment.get_DataElementValue(9, 0); // Nursing Home Residential Status Code (1345)

sValue = oSegment.get_DataElementValue(10, 0); // Level of Care Code (1337) } else if (sSegmentID == "SV3") // Dental Service { sValue = oSegment.get_DataElementValue(1, 1); // Product/Service ID Qualifier

(235) sValue = oSegment.get_DataElementValue(1, 2); // Product/Service ID (234) sValue = oSegment.get_DataElementValue(1, 3); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(1, 4); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(1, 5); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(1, 6); // Procedure Modifier (1339) sValue = oSegment.get_DataElementValue(1, 7); // Description (352) sValue = oSegment.get_DataElementValue(1, 8); // Product/Service ID (234) sValue = oSegment.get_DataElementValue(2, 0); // Monetary Amount (782) sValue = oSegment.get_DataElementValue(3, 0); // Facility Code Value (1331) sValue = oSegment.get_DataElementValue(4, 1); // Oral Cavity Designation Code

(1361) sValue = oSegment.get_DataElementValue(4, 2); // Oral Cavity Designation Code




(1361) sValue = oSegment.get_DataElementValue(5, 0); // Prosthesis, Crown or Inlay Code

(1358) sValue = oSegment.get_DataElementValue(6, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(7, 0); // Description (352) sValue = oSegment.get_DataElementValue(8, 0); // Copay Status Code (1327) sValue = oSegment.get_DataElementValue(9, 0); // Provider Agreement Code (1360) sValue = oSegment.get_DataElementValue(10, 0); // Yes/No Condition or Response

Code (1073) sValue = oSegment.get_DataElementValue(11, 1); // Diagnosis Code Pointer (1328) sValue = oSegment.get_DataElementValue(11, 2); // Diagnosis Code Pointer (1328) sValue = oSegment.get_DataElementValue(11, 3); // Diagnosis Code Pointer (1328) sValue = oSegment.get_DataElementValue(11, 4); // Diagnosis Code Pointer (1328) } else if (sSegmentID == "TOO") // Tooth Identification { sValue = oSegment.get_DataElementValue(1, 0); // Code List Qualifier Code (1270) sValue = oSegment.get_DataElementValue(2, 0); // Industry Code (1271) sValue = oSegment.get_DataElementValue(3, 1); // Tooth Surface Code (1369) sValue = oSegment.get_DataElementValue(3, 2); // Tooth Surface Code (1369) sValue = oSegment.get_DataElementValue(3, 3); // Tooth Surface Code (1369) sValue = oSegment.get_DataElementValue(3, 4); // Tooth Surface Code (1369) sValue = oSegment.get_DataElementValue(3, 5); // Tooth Surface Code (1369) } else if (sSegmentID == "HSD") // Health Care Services Delivery { sValue = oSegment.get_DataElementValue(1, 0); // Quantity Qualifier (673) sValue = oSegment.get_DataElementValue(2, 0); // Quantity (380) sValue = oSegment.get_DataElementValue(3, 0); // Unit or Basis for Measurement

Code (355) sValue = oSegment.get_DataElementValue(4, 0); // Sample Selection Modulus (1167) sValue = oSegment.get_DataElementValue(5, 0); // Time Period Qualifier (615) sValue = oSegment.get_DataElementValue(6, 0); // Number of Periods (616) sValue = oSegment.get_DataElementValue(7, 0); // Ship/Delivery or Calendar

Pattern Code (678) sValue = oSegment.get_DataElementValue(8, 0); // Ship/Delivery Pattern Time Code

(679) }


else if (sSegmentID == "PWK") // Additional Service Information { sValue = oSegment.get_DataElementValue(1, 0); // Report Type Code (755) sValue = oSegment.get_DataElementValue(2, 0); // Report Transmission Code (756) sValue = oSegment.get_DataElementValue(3, 0); // Report Copies Needed (757) sValue = oSegment.get_DataElementValue(4, 0); // Entity Identifier Code (98) sValue = oSegment.get_DataElementValue(5, 0); // Identification Code Qualifier

(66) sValue = oSegment.get_DataElementValue(6, 0); // Identification Code (67) sValue = oSegment.get_DataElementValue(7, 0); // Description (352) sValue = oSegment.get_DataElementValue(8, 1); // Paperwork/Report Action Code





(704) sValue = oSegment.get_DataElementValue(9, 0); // Request Category Code (1525) } else if (sSegmentID == "MSG") // Message Text { sValue = oSegment.get_DataElementValue(1, 0); // Free‐Form Message Text (933) sValue = oSegment.get_DataElementValue(2, 0); // Printer Carriage Control Code

(934) sValue = oSegment.get_DataElementValue(3, 0); // Number (1470) } // sSegmentID == "MSG" }//sLoopSection == "HL"

else if (sLoopSection == "HL;NM1") //2010F SERVICE PROVIDER NAME { if (sSegmentID == "NM1") // Service Provider Name { sValue = oSegment.get_DataElementValue(1, 0); // Entity Identifier Code (98) sValue = oSegment.get_DataElementValue(2, 0); // Entity Type Qualifier (1065) listBox1.Items.Add(oSegment.get_DataElementValue(3, 0) + " = Service Provider Name");

// Name Last or Organization Name (1035) sValue = oSegment.get_DataElementValue(4, 0); // Name First (1036) sValue = oSegment.get_DataElementValue(5, 0); // Name Middle (1037) sValue = oSegment.get_DataElementValue(6, 0); // Name Prefix (1038) sValue = oSegment.get_DataElementValue(7, 0); // Name Suffix (1039) sValue = oSegment.get_DataElementValue(8, 0); // Identification Code Qualifier

(66) sValue = oSegment.get_DataElementValue(9, 0); // Identification Code (67) sValue = oSegment.get_DataElementValue(10, 0); // Entity Relationship Code (706) sValue = oSegment.get_DataElementValue(11, 0); // Entity Identifier Code (98) sValue = oSegment.get_DataElementValue(12, 0); // Name Last or Organization Name

(1035) } else if (sSegmentID == "REF") // Service Provider Supplemental Identification { sValue = oSegment.get_DataElementValue(1, 0); // Reference Identification




Qualifier (128) sValue = oSegment.get_DataElementValue(4, 6); // Reference Identification (127)


} else if (sSegmentID == "N3") // Service Provider Address { sValue = oSegment.get_DataElementValue(1, 0); // Address Information (166) sValue = oSegment.get_DataElementValue(2, 0); // Address Information (166) } else if (sSegmentID == "N4") // Service Provider City, State, ZIP Code { sValue = oSegment.get_DataElementValue(1, 0); // City Name (19) sValue = oSegment.get_DataElementValue(2, 0); // State or Province Code (156) sValue = oSegment.get_DataElementValue(3, 0); // Postal Code (116) sValue = oSegment.get_DataElementValue(4, 0); // Country Code (26) sValue = oSegment.get_DataElementValue(5, 0); // Location Qualifier (309) sValue = oSegment.get_DataElementValue(6, 0); // Location Identifier (310) sValue = oSegment.get_DataElementValue(7, 0); // Country Subdivision Code (1715) } else if (sSegmentID == "PER") // Service Provider Contact Information { sValue = oSegment.get_DataElementValue(1, 0); // Contact Function Code (366) sValue = oSegment.get_DataElementValue(2, 0); // Name (93) sValue = oSegment.get_DataElementValue(3, 0); // Communication Number Qualifier



(365) sValue = oSegment.get_DataElementValue(8, 0); // Communication Number (364) sValue = oSegment.get_DataElementValue(9, 0); // Contact Inquiry Reference (443) } else if (sSegmentID == "PRV") // Service Provider Information { sValue = oSegment.get_DataElementValue(1, 0); // Provider Code (1221) sValue = oSegment.get_DataElementValue(2, 0); // Reference Identification

Qualifier (128) sValue = oSegment.get_DataElementValue(3, 0); // Reference Identification (127) sValue = oSegment.get_DataElementValue(4, 0); // State or Province Code (156) sValue = oSegment.get_DataElementValue(5, 1); // Provider Specialty Code (1222) sValue = oSegment.get_DataElementValue(5, 2); // Agency Qualifier Code (559) sValue = oSegment.get_DataElementValue(5, 3); // Yes/No Condition or Response


(1223) }// sSegmentID == "PRV" }//sLoopSection == "HL;NM1" }//Proc_2000F }}

D:EDIDEV empcSharp Tran278X217ReviewForm1 · D:\EDIDEV\temp\cSharp_Tran278X217Review\Form1.cs 1...

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Transcript of D:EDIDEV empcSharp Tran278X217ReviewForm1 · D:\EDIDEV\temp\cSharp_Tran278X217Review\Form1.cs 1...