IHCLME Health care claim or encounter request and response (D14A)

This is the standard EDIFACT D14A spec, with 2 loops and 14 segment positions, as OpenEDI JSON, an ediFabric C# template and an ediFabric Native model. To change it for a trading partner, customize it in the EDI Spec Builder.

Loading the spec…
The spec as an OpenAPI 3 schema with x-openedi-* extensions, for ediFabric Native, ediFabric Cloud and the EDI Spec Builder. Download OpenEDI (45 KB) Generate classes
The ediFabric .NET template, class TSIHCLME. It needs the common segments, composites and codes of EDIFACT D14A, one download for every transaction in the version. Download C# (1 KB) Common files (68 KB)
The intermediary model ediFabric Native loads with set_map. Native supports X12 today, and EDIFACT is coming. Download Native (1 KB)

Use the IHCLME spec in your code

ediFabric .NET

Add the C# template and its common files to your project, or reference the template NuGet package, and read IHCLME files into TSIHCLME objects. See ediFabric .NET.

ediFabric Native

Native supports X12 today, and EDIFACT is coming. When it's available, map version D14A to this Native model with set_map to parse IHCLME files to JSON from Python, Java, C or C#. See ediFabric Native.

OpenEDI

Select Customize in Spec Builder to copy the spec under your own name, change it for your partner, and parse files against it in EdiNation, ediFabric Native or ediFabric Cloud. Read about OpenEDI.

Generate IHCLME classes in Python, Java, Node.js, Go, Rust or C

The OpenEDI file describes each IHCLME as JSON. To work with IHCLME data as typed objects, generate classes from the OpenEDI file in your language; the root class is TSIHCLME. The classes keep the loops, segments, lengths and code lists, but not the EDI data formats. Read more in Generate a class from OpenEDI.

Python: datamodel-code-generator. Node.js: openapi-typescript. Java, Go, Rust and C: OpenAPI Generator.

IHCLME structure

Loops and segments of the standard IHCLME, with their usage and maximum repeats.

IDNameUsageMax use
UIHUIHMandatory1
MSDMSDOptional1
PRTPRTOptional9
NAANAAOptional9
CONCONOptional9
BLIBLIOptional1
ITCITCOptional1
ADIADIOptional99
FRMFRMOptional99
Loop OTIOTIOptional3
OTIOTIMandatory1
NAANAAOptional2
Loop PSIPSIOptional99
PSIPSIMandatory1
DNTDNTOptional35
UITUITMandatory1