CLAIMelement.csvTEXTMSIE›Ìµôåwµôåw ,,Tab1. CLAIM@ver1.0ƒGƒŒƒƒ“ƒgˆê——•\ ,,,,,,,,,,, ,,,,,,,,,,,,, ,,,,,,,,,,,,, ,ƒ^ƒOiƒŒƒxƒ‹‚ɉž‚¶‚ăCƒ“ƒfƒ“ƒg‚³‚ê‚Ä‚¢‚éj,,,,,,È—ª,”½•œ,ƒGƒŒƒƒ“ƒg–¼Ì,Œ^,ŽQƃe[ƒuƒ‹”Ô†,ƒCƒxƒ“ƒg,ƒƒ‚ ,CPR-CLAIM,,,,,,•s‰Â,,CLAIMŠJŽnEI—¹ƒ^ƒO,section,,, ,,GENERAL-INFORMATION-SECTION,,,,,•s‰Â,,ˆê”ʃwƒbƒ_î•ñ,section,,Žó•tŽž, ,,,VERSION-ID,,,,•s‰Â,,CLAIMƒo[ƒWƒ‡ƒ“,ST,,,CLAIM_V1.0 ,,,CLAIM-CODE-SYSTEM,,,,•s‰Â,,ˆãŽ–ƒR[ƒh‘ÌŒn–¼,ST,,,‘S‘̂Ŏg—p‚·‚éˆãŽ–ƒR[ƒh‘ÌŒn–¼D—áF•W€ƒ}ƒXƒ^Dƒ[ƒJƒ‹‚É‚à•ÏX‰Â ,,,RECORD-INFORMATION-SECTION,,,,•s‰Â,,CLAIM¶¬î•ñ,section,,,\‘¢‚ÍMML‚ÌRECORD-INFORMATION-SECTION‚ðŽQÆ ,,PATIENT-ID-SECTION,,,,,•s‰Â,,гŽÒޝ•Êî•ñ,section,,Žó•tŽž,\‘¢‚ÍMML‚ÌPATIENT-ID-SECTION‚ðŽQÆ ,,HEALTH-INSURANCE-SECTION,,,,,,‚ ‚è,Œ’N•ÛŒ¯ƒZƒNƒVƒ‡ƒ“,section,,Žó•tŽž,CLAIM“ÆŽ©‚̃ZƒNƒVƒ‡ƒ“‚ł͂Ȃ­CMML‚æ‚èƒf[ƒ^’ŠoD ,,,INSURANCE-REF-CLASS,,,,•s‰Â,,•ÛŒ¯‘g‡‚¹‹æ•ª,ST,,,Žg—p‰Â”\•ÛŒ¯EŒö”ï‚Ì‘g‡‚¹ƒŠƒXƒg‚̃R[ƒhD—\‚ߌÂl—p‚Ì‘g‡‚¹ƒŠƒXƒg‚ð쬂µCƒR[ƒh‰»‚µ‚Ä‚¨‚­D ,,,INSURANCE-NO,,,,•s‰Â,,Œ’N•ÛŒ¯ŽÒ”Ô†,ST,,, ,,,CLIENT-ID-SECTION,,,,,,”í•ÛŒ¯ŽÒIDƒZƒNƒVƒ‡ƒ“,section,,, ,,,,CLIENT-GROUP,,,•s‰Â,,”í•ÛŒ¯ŽÒ‹L†,ST,,, ,,,,CLIENT-NO,,,•s‰Â,,”í•ÛŒ¯ŽÒ”Ô†,ST,,, ,,,FAMILY-CLASS,,,,•s‰Â,,–{l‰Æ‘°‹æ•ª,ML,,,–{l‚rA‰Æ‘°‚e ,,,CONTINUED-DISEASES,,,,,‚ ‚è,Œp‘±“K‰žŽ¾Š³–¼,ST,,,Œp‘±“K‰ž‚ÌŽ¾Š³–¼ ,,,START-DATE,,,,•s‰Â,,ŠJŽn“ú,DT,,, ,,,EXPIRED-DATE,,,,•s‰Â,,—LŒøŠúŒÀ,DT,,, ,,,PAYMENT-RATIO,,,,•s‰Â,,•‰’S—¦,NM,,,0[.0][0]`1[.0][0]@i—áF3Š„•‰’S‚È‚ç‚Î0.3j ,,,PUBLIC-INSURANCE-SECTION,,,,,‚ ‚è,Œö”’Sˆã—ÃZƒNƒVƒ‡ƒ“,section,,,Œö”ï‚̕ی¯î•ñ ,,,,PRIORITY,,,,,—D懈Ê,ST,,,•¡”‚ÌŒö”ï‚Ì—Dæ‡ˆÊ ,,,,PROVIDER-ID,,,,,•‰’SŽÒ”Ô†,ST,,, ,,,,RECIPIENT-ID,,,,,Žó‹‹ŽÒ”Ô†,ST,,, ,,REGISTERED-DIAGNOSIS-SECTION,,,,,•s‰Â,‚ ‚è,f’f—š—ðƒZƒNƒVƒ‡ƒ“,section,,fŽ@I—¹Žž,•ÛŒ¯“K‰žŽ¾Š³î•ñDCLAIM“ÆŽ©‚̃ZƒNƒVƒ‡ƒ“‚ł͂Ȃ­CMML‚æ‚èƒf[ƒ^’ŠoD ,,,DIAGNOSIS-SECTION,,,,•s‰Â,,޾гƒZƒNƒVƒ‡ƒ“,section,,, ,,,,DIAGNOSIS,,,•s‰Â,,޾г–¼,ST,,,CüŒê‚ðŠÜ‚߂ĕa–¼‘S‘Ì‚ðŠi”[‚·‚éD ,,,,CODE,,,,,޾гƒR[ƒh,ST,,, ,,,,CODE-SYSTEM,,,,,޾гƒR[ƒh‘ÌŒn–¼,ST,,,Žg—p‚µ‚½Ž¾Š³ƒR[ƒh‚̑̌n–¼D ,,,,DIAGNOSIS-ELEMENT-SECTION,,,,‚ ‚è,޾г—v‘fƒZƒNƒVƒ‡ƒ“,section,,,•a–¼‚ðCв•a–¼‚âCüŒê‚Ì—v‘f‚É•ª‚¯‚ÄŠi”[‚·‚éD ,,,,,DIAGNOSIS-ELEMENT,,•s‰Â,,޾г—v‘f–¼,ST,,,•a–¼‚Ì—v‘f ,,,,,CODE,,,,޾гƒR[ƒh,ST,,, ,,,,,CODE-SYSTEM,,,,޾гƒR[ƒh‘ÌŒn–¼,ST,,,Žg—p‚µ‚½Ž¾Š³ƒR[ƒh‚̑̌n–¼D ,,,,DIAGNOSIS-CLASS,,,,,޾г–¼‹æ•ª,ML,,,—Õ°f’f–¼C•a—f’f–¼C‚»‚Ì‘¼Dƒe[ƒuƒ‹ì¬’†D ,,,RECORD-INFORMATION-SECTION,,,,,,‹L˜^ŽÒî•ñƒZƒNƒVƒ‡ƒ“,section,,,\‘¢‚ÍMML‚ÌRECORD-INFORMATION-SECTION‚ðŽQÆ ,,,START-DATE,,,,•s‰Â,,޾гŠJŽn“ú,DT,,, ,,,END-DATE,,,,•s‰Â,,޾гI—¹“ú,DT,,, ,,,OUTCOME,,,,•s‰Â,,“]‹A,ML,,,޾гI—¹“ú‚É‚¨‚¯‚é“]‹ADŽ€–SAŒp‘±A“]ˆãAŽ¡–üA’†Ž~A•s–¾ ,,,DIAGNOSIS-DATE,,,,•s‰Â,,޾г‚̉f“ú,DT,,,f—ÊJŽn“ú ,,,INSURANCE-REF-CLASS,,,,,,•ÛŒ¯‘g‡‚¹‹æ•ª,ST,,,Žg—p‰Â”\•ÛŒ¯EŒö”ï‚Ì‘g‡‚¹ƒŠƒXƒg‚̃R[ƒh ,,,PRINT,,,,,,ƒŒƒZƒvƒgˆóŽšƒtƒ‰ƒO,ML,CLAIM-12,,ƒŒƒZƒvƒgˆóŽš‚Ì—L–³D0:ˆóŽš‚µ‚È‚¢C1:ˆóŽš‚·‚é ,,,INSURANCE-DISEASE-CLASS,,,,,,•ÛŒ¯“Á’èŽ¾Š³‹æ•ª,ML,CLAIM-13,,•ÛŒ¯¿‹‚É‚¨‚¯‚éŽw“±‘ÎÛ•a–¼‹æ•ª ,,REGISTRATION-SECTION,,,,,,‚ ‚è,Žó•tƒZƒNƒVƒ‡ƒ“,section,,,Žó•tî•ñ ,,,RECORD-INFORMATION-SECTION,,,,,,‹L˜^ŽÒî•ñƒZƒNƒVƒ‡ƒ“,section,,Žó•tŽž,\‘¢‚ÍMML‚ÌRECORD-INFORMATION-SECTION‚ðŽQÆ ,,,DATE,,,,•s‰Â,,Žó•t“ú,DT,,Žó•tŽž, ,,,TIME,,,,•s‰Â,,Žó•tŽžŠÔ,TM,,Žó•tŽž, ,,,RESERVATION-SECTION,,,,,‚ ‚è,—\–ñî•ñƒZƒNƒVƒ‡ƒ“,section,,fŽ@I—¹Žž, ,,,,RESERVATION-CLASS,,,,,—\–ñ‹æ•ª,ML,CLAIM-01,,Ž{Ý‚²‚Ƃɕª—Þ‚µƒR[ƒhì¬iŒŒ‰tŒŸ¸C•úŽËüDDDj ,,,,RESERVATION-NAME,,,,,—\–ñ–¼,ST,,,‹ï‘Ì“I‚ÈŽwަ–¼ ,,,,DATE,,,,,—\–ñ“ú,DT,,, ,,,,TIME,,,,,—\–ñŽžŠÔ,TM,,, ,,,,TIME-NAME,,,,,—\–ñ“úŽž–¼Ì,ST,,,—áFŒŽ‰‚ß‚Ìʼn‚ÌŽóf“ú ,,,,COMPLETION,,,,,—\–ñŽwަЮ—¹ƒtƒ‰ƒO,ML,CLAIM-02,,—\–ñŒŸ¸“™‚ÌŠ®—¹ó‹µ ,,,,MEMO,,,,,ƒƒ‚,TX,,,Žó•tŽwަ“à—e ,,,PATIENT-STATUS-SECTION,,,,,‚ ‚è,гŽÒ󋵃ZƒNƒVƒ‡ƒ“,section,,‘Sƒgƒ‰ƒ“ƒUƒNƒVƒ‡ƒ“, ,,,,STATUS-CLASS,,,,,󋵎í•Ê,ML,CLAIM-03,,Ž{Ý‚²‚ƂɃR[ƒhì¬D ,,,,STATUS,,,,,ó‹µ,ML,CLAIM-04,,Ž{Ý‚²‚ƂɃR[ƒhì¬D ,,,,TIME,,,,,Š®—¹“úŽž,TS,,, ,,,,MEMO,,,,,ƒƒ‚,TX,,, ,,CLAIM-SECTION,,,,,•s‰Â,,¿‹ƒZƒNƒVƒ‡ƒ“,section,,, ,,,SERIAL-CLAIM-SECTION,,,,•s‰Â,‚ ‚è,ˆê˜A¿‹ƒZƒNƒVƒ‡ƒ“,section,,,“¯ˆêˆãŽt‚̈ê˜A‚Ìf—Ãsˆ×‚ðˆê‚‚̈ê˜A¿‹ƒZƒNƒVƒ‡ƒ“‚ÉŽû‚ß‚éD ,,,,CLAIM-INFORMATION-SECTION,,,•s‰Â,,¿‹ƒwƒbƒ_î•ñ,section,,fŽ@I—¹Žž, ,,,,,OPERATOR-ID-SECTION,,,,‹L˜^ŽÒޝ•Êî•ñ,section,,,\‘¢‚ÍMML‚ÌOPERATOR-ID-SECTION‚ðŽQÆD ,,,,,OPERATOR-FACILITY-SECTION,,,,‹L˜^ŽÒŠ‘®f—ÉÈî•ñ,section,,,fŽ@ˆã‚ÌŠ‘®f—ÉÈD\‘¢‚ÍMML‚ÌFACILITY-SECTION‚ðŽQÆD ,,,,,DATE,,•s‰Â,,f—ÔNŒŽ“ú,DT,,, ,,,,,TIME,,•s‰Â,,f—ÃŽžŠÔ,TM,,, ,,,,,DEPARTMENT-SECTION,,•s‰Â,,f—ÉÈ,section,,,f—ÂðŽÀŽ{‚µ‚½‰ÈBfŽ@ˆã‚ÌŠ‘®‰È‚ł͂Ȃ¢B\‘¢‚ÍMML‚ÌFACILITY-SECTION‚ðŽQÆD ,,,,,WARD-SECTION,,,,•a“,section,,,f—ÂðŽÀŽ{‚µ‚½•a“BfŽ@ˆã‚ÌŠ‘®‰È‚ł͂Ȃ¢B\‘¢‚ÍMML‚ÌFACILITY-SECTION‚ðŽQÆD ,,,,,PATIENT-CLASS,,,,“ü‰@ŠO—ˆ‹æ•ª,ML,CLAIM-05,, ,,,,,TIME-CLASS,,,,ŽžŠÔŠO‹æ•ª,ML,CLAIM-06,, ,,,,CLAIM-BUNDLE-SECTION,,,•s‰Â,‚ ‚è,f—ʇ‚èƒZƒNƒVƒ‡ƒ“,section,,,ˆêŒŸ¸Cˆêˆ•ûiâ³j‚Ȃǂ̈ê‚‚̃I[ƒ_[‚ðŽû‚ß‚éD ,,,,,CLAIM-CLASS,,•s‰Â,,f—Ãsˆ×‹æ•ª,ML,CLAIM-07,fŽ@I—¹Žž, ,,,,,INSURANCE-REF-CLASS,,•s‰Â,,•ÛŒ¯‘g‡‚¹‹æ•ª,ST,,fŽ@I—¹Žž,Žg—p‰Â”\•ÛŒ¯EŒö”ï‚Ì‘g‡‚¹ƒŠƒXƒg‚ÌŽQƃR[ƒh ,,,,,CLAIM-COMPONENT-SECTION,,•s‰Â,‚ ‚è,f—À–ÚƒZƒNƒVƒ‡ƒ“,section,,,BUNCƒAƒŠƒiƒ~ƒ“Cƒhƒbƒvƒ‰[‰ÁŽZ‚È‚ÇCŬ‚Ìf—À–Ú’PˆÊ‚ðŽû‚ß‚éD ,,,,,,CLAIM-SUBCLASS,,,f—ÃŽí•ʋ敪,ML,CLAIM-08,fŽ@I—¹Žž, ,,,,,,CLAIM-CODE,,,ˆãŽ–ƒR[ƒh,ST,,fŽ@I—¹Žž, ,,,,,,CLAIM-CODE-SYSTEM,,,ˆãŽ–ƒR[ƒh‘ÌŒn–¼,ST,,fŽ@I—¹Žž,Žg—p‚µ‚½ˆãŽ–ƒR[ƒh‚̑̌n–¼DCLAIM-INFORMATION-SECTION‚Æ“¯‚¶ê‡‚ÍÈ—ª‰ÂD ,,,,,,CLAIM-NAME,,,ˆãŽ––¼Ì,ST,,fŽ@I—¹Žž,f—Ãsˆ×–¼Ì ,,,,,,QUANTITY1,,,”—Ê‚P,NM,,fŽ@I—¹Žž, ,,,,,,UNIT1,,,’PˆÊ1,ST,,fŽ@I—¹Žž, ,,,,,,QUANTITY2,,,”—Ê‚Q,NM,,fŽ@I—¹Žž, ,,,,,,UNIT2,,,’PˆÊ2,ST,,fŽ@I—¹Žž, ,,,,,,DURATION,,,Š—vŽžŠÔ,NM,,fŽ@I—¹Žž, ,,,,,,DURATION-UNIT,,,ŽžŠÔ•\‹LŒ`Ž®,ML,CLAIM-09,fŽ@I—¹Žž,“úAŽžŠÔA•ª ,,,,,,AMOUNT,,,“_”,NM,,‰ïŒvI—¹Žž, ,,,,,,AMOUNT-UNIT,,,“_”•\‹LŒ`Ž®,ML,CLAIM-10,‰ïŒvI—¹Žž,‹àŠzC“_” ,,,,,,PPS-CLASS,,,•‹æ•ª,ML,CLAIM-11,‰ïŒvI—¹Žž,•‚µ‚È‚¢/•‚ ‚è ,,,,,,MEMO,,,ƒƒ‚,TX,,Žž, ,,,,,CLAIM-AMOUNT-SECTION,,,,f—Ó_”ƒZƒNƒVƒ‡ƒ“,section,,‰ïŒvI—¹Žž,f—ʇ‚è‚Ì“_”D‰ñ”‚ð‚©‚¯‚é‘O‚Ì’l‚Å“ü—ÍD ,,,,,,TECHNIQUE-AMOUNT,,,Žè‹Z—¿,ST,,,f—ʇ‚辸¼®Ý“à‚ÌŽè‹Z—¿‚̇Œv“_” ,,,,,,DRUG-AMOUNT,,,–ò•i—¿,ST,,,f—ʇ‚辸¼®Ý“à‚Ì–ò•i—¿‚̇Œv“_” ,,,,,,MATERIAL-AMOUNT,,,ŠíÞ—¿,ST,,,f—ʇ‚辸¼®Ý“à‚ÌŠíÞ—¿‚̇Œv“_” ,,,,,REPEAT,,,,‰ñ”,NM,,fŽ@I—¹Žž,f—ʇ‚è‚̉ñ”DÈ—ªŽž‚P‰ñ ,,,,,MEMO,,,,ƒƒ‚,NM,,Žž, ,,,,MEMO,,,,,ƒƒ‚,TX,,Žž, ,,,MEMO,,,,,,ƒƒ‚,TX,,Žž, ,,MEMO,,,,,,,ƒƒ‚,TX,,Žž,ˆãŽ–“]‘——pºÒÝÄ ,END,,,,,,,,,,,,