Search code examples
edix12edifact

Does anyone have a sample file in X12 or EDIFACT that contains binary data?


I'm looking for at least one sample file each in EDIFACT and X12 that show binary enclosures.

The EDIFACT one should include the data wrapped in UNO/UNP segments, and the X12 one needs to use one of the binary segments BIN or BDS.

Thanks for any help you can provide.


Solution

  • Here is a sample X12 message:

    ISA*00*          *01*PASSWORD00*ZZ*X03400000000108*ZZ*X00450000001001*060424*1244*^*00501*000000017*1*T*>
    GS*HI*PARTICIPANTID*PAYER123*20060424*1244*17*X*005010X217
    ST*278*1234*005010X217
    BHT*0007*13*123*20060424*1244
    HL*1**20*1
    NM1*PR*2*AETNA 1234560010*****PI*PAYER123
    HL*2*1*21*1
    NM1*1P*1*POPDELL*ROBERT****24*4376557IM 
    PER*IC**TE*6515551212*FX*6513332222
    HL*3*2*22*1
    NM1*IL*1*SMITH*SARA****MI*352584768003G 
    N4*KANSAS CITY*MO*64108
    DMG*D8*19560414*F
    HL*4*3*EV*1
    UM*HS*I*88
    PWK*04*EL***AC*JONP56789001
    HL*5*4*SS*0
    SV1*N4>0173042304
    MSG* Oxistat Cream, 1%, 60 gram tube
    SE*18*1234
    GE*1*17
    GS*PI*PARTICIPANTID*PAYER123*20060424*1244*17*X*005010X211
    ST*275*1234*005010X211
    BGN*02*123456789*20060424*1244
    NM1*1P*1*POPDELL*ROBERT****24*4376557IM
    NM1*PR*2*AETNA 1234560010*****PI*PAYER123
    NM1*IL*1*SMITH*SARA****MI*352584768003G
    LX*1
    TRN*1*JONP56789001
    DTP*368*D8*20060331
    CAT*AE*HL
    EFI*05***************ASC
    BIN*4896*<levelone xmlns="urn:hl7-org:v3/cda" xmlns:v3dt="urn:hl7-org:v3/v3dt" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3/cda levelone_1.0.attachments.xsd">
        <clinical_document_header>
            <id EX="a123" RT="2.16.840.1.113883.3.933"/>
            <document_type_cd V="99999-7" DN="Imidazole-Related Antifungals Attachment"/>
            <origination_dttm V="2006-01-05"/>
            <provider>
                <provider.type_cd V="PRF"/>
                <person>
                    <id EX="4376557IM" RT="2.16.840.1.113883.19.10.1"/>
                    <person_name>
                        <nm>
                            <v3dt:GIV V="Robert"/>
                            <v3dt:MID V="J"/>
                            <v3dt:FAM V="Podell"/>
                            <v3dt:SFX V="MD"/>
                        </nm>
                        <person_name.type_cd V="L" S="2.16.840.1.113883.12.200"/>
                    </person_name>
                </person>
            </provider>
            <patient>
                <patient.type_cd V="PATSBJ"/>
                <person>
                    <id EX="352584768003G" RT="2.16.840.1.113883.19.10.2"/>
                    <person_name>
                        <nm>
                            <v3dt:GIV V="Sara"/>
                            <v3dt:MID V="J"/>
                            <v3dt:FAM V="Smith"/>
                        </nm>
                        <person_name.type_cd V="L" S="2.16.840.1.113883.12.200"/>
                    </person_name>
                </person>
                <is_known_by>
                    <id EX="184569" RT="2.16.840.1.1138863.19.10.3"/>
                    <is_known_to>
                        <id EX="352584768003G" RT="2.16.840.1.113883.19.10.2"/>
                    </is_known_to>
                </is_known_by>
            </patient>
            <local_header descriptor="Att_ACN">
                <local_attr name="attachment_control_number" value="XA728302"/>
            </local_header>
        </clinical_document_header>
        <body>
            <section>
                <caption>PRESCRIBER INFORMATION</caption>
                <paragraph>
                    <caption>PRESCRIBER INFORMATION, NAME</caption>
                    <content>Robert J. Podell, MD</content>
                </paragraph>
                <paragraph>
                    <caption>PRESCRIBER INFORMATION, IDENTIFIER</caption>
                    <content>4376557IM</content>
                </paragraph>
                <paragraph>
                    <caption>PRESCRIBER INFORMATION, SPECIALTY TAXONOMY</caption>
                    <content>Hepatologist (207RI0008X)</content>
                </paragraph>
            </section>
            <section>
                <caption>PRESCRIBER CONTACT INFORMATION</caption>
                <paragraph>
                    <caption>PRESCRIBER CONTACT INFORMATION, PHONE NUMBER</caption>
                    <content>(765) 228-1234</content>
                </paragraph>
                <paragraph>
                    <caption>PRESCRIBER CONTACT INFORMATION, FAX NUMBER</caption>
                    <content>(765) 228-3123</content>
                </paragraph>
            </section>
            <section>
                <caption>DRUG PRESCRIBED</caption>
                <paragraph>
                    <caption>DRUG PRESCRIBED, NAME</caption>
                    <content>Oxistat Cream, 1%, 60g tube</content>
                </paragraph>
                <paragraph>
                    <caption>DRUG PRESCRIBED, DRUG CODE</caption>
                    <content>0173-0423-04 (NDC)</content>
                </paragraph>
                <paragraph>
                    <caption>DRUG PRESCRIBED, THERAPY TYPE</caption>
                    <content>Replacement (RPLRQ)</content>
                </paragraph>
            </section>
            <section>
                <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS</caption>        
                <paragraph>
                    <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS - DRUG NAME</caption>
                    <content>Tinactin Cream</content>
                </paragraph>
                <paragraph>
                    <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS - DRUG CODE</caption>
                    <content>0085-0715-07 (NDC)</content>
                </paragraph>
                <paragraph>
                    <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS - DURATION OF THERAPY</caption>
                    <content>90 days</content>
                </paragraph>
                <paragraph>
                    <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS - REASON PRIOR THERAPY DISCONTINUED</caption>
                    <content>Not or no longer effective (NTEFF)</content>
                </paragraph>
            </section>
            <section>
                <caption>IMIDAZOLE-RELATED ANTIFUNGALS, RELATED DIAGNOSIS</caption>
                <paragraph>
                    <caption>IMIDAZOLE-RELATED ANTIFUNGALS, RELATED DIAGNOSIS</caption>
                    <content>Tinea Pedia (ICD-9-CM 110.4)</content>
                </paragraph>
                <paragraph>
                    <caption>IMIDAZOLE-RELATED ANTIFUNGALS, RELATED DIAGNOSIS - CONFIRMED BY</caption>
                    <content>KOH Preparation (KOH)</content>
                </paragraph>
            </section>
    
            <section>
                <caption>FUNGAL INFECTION LOCATION</caption>
                <paragraph>
                    <content>Between Toes, right foot (OTH)</content>
                </paragraph>
            </section>
            <section>
                <caption>DRUG PRESCRIBED, REASON FOR TOPICAL THERAPY</caption>
                <paragraph>
                    <content>Hepatic Dysfunction (HDS)</content>
                </paragraph>
            </section>
            <section>
                <caption>CO-MORBID CONDITION INFORMATION</caption>
                <paragraph>
                    <caption>CO-MORBID CONDITION INFORMATION, LIVER DYSFUNCTION INDICATOR</caption>
                    <content>yes (Y)</content>
                </paragraph>
                <paragraph>
                    <caption>CO-MORBID CONDITION INFORMATION, LIVER DYSFUNCTION CONFIRMED BY</caption>
                    <content>Hepatic Function Panel (HFP)</content>
                </paragraph>
            </section>
    
            <section>
                <caption>MEDICARE ESRD CERTIFICATION INDICATOR</caption>
                <paragraph>
                    <content>Yes (Y)</content>
                </paragraph>
            </section>
            <section>
                <caption>IMIDAZOLE-RELATED ANTIFUNGALS, PRIOR THERAPY TYPE</caption>
                <paragraph>
                    <content>Topical (TOP)</content>
                </paragraph>
            </section>
        </body>
    </levelone>
    SE*12*1234
    GE*1*17
    IEA*2*000000017