278 Health Care Services Review Information (006020)
This is the standard X12 006020 spec, with 2 loops and 40 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.
Use the 278 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 278 files into TS278 objects. See ediFabric .NET.
ediFabric Native
Map version 006020 to the Native model with set_map, then parse 278 files to JSON from Python, Java, C or C#. See Convert between EDI and JSON.
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 278 classes in Python, Java, Node.js, Go, Rust or C
ediFabric Native returns each 278 as JSON, with the property names of the OpenEDI schema. To work with that JSON as typed objects, generate classes from the OpenEDI file in your language and deserialize the JSON into TS278. Serialize the objects back to JSON to build EDI with ediFabric Native. The classes keep the loops, segments, lengths and code lists, but not the EDI data formats, so validate files with ediFabric Native. Read more in Generate a class from OpenEDI.
Python: datamodel-code-generator. Node.js: openapi-typescript. Java, Go, Rust and C: OpenAPI Generator.
278 structure
Loops and segments of the standard 278, with their usage and maximum repeats.
| ID | Name | Usage | Max use |
|---|---|---|---|
| ST | Transaction Set Header | Optional | 1 |
| BHT | Beginning of Hierarchical Transaction | Mandatory | 1 |
| Loop HL | Hierarchical Level | Mandatory | >1 |
| HL | Hierarchical Level | Mandatory | 1 |
| TRN | Trace | Optional | 9 |
| AAA | Request Validation | Optional | 9 |
| UM | Health Care Services Review Information | Optional | 1 |
| HCR | Health Care Services Review | Optional | 1 |
| REF | Reference Information | Optional | 9 |
| DTP | Date or Time or Period | Optional | 9 |
| HI | Health Care Information Codes | Optional | 1 |
| SV1 | Professional Service | Optional | 1 |
| SV2 | Institutional Service | Optional | 1 |
| SV3 | Dental Service | Optional | 1 |
| TOO | Tooth Identification | Optional | 32 |
| DN2 | Tooth Summary | Optional | 35 |
| DRA | Drug Authorization | Optional | >1 |
| HSD | Health Care Services Delivery | Optional | 1 |
| CRC | Conditions Indicator | Optional | 9 |
| CL1 | Claim Codes | Optional | 1 |
| CR1 | Ambulance Certification | Optional | 1 |
| CR2 | Chiropractic Certification | Optional | 1 |
| CR4 | Enteral or Parenteral Therapy Certification | Optional | 1 |
| CR5 | Oxygen Therapy Certification | Optional | 1 |
| CR6 | Home Health Care Certification | Optional | 1 |
| CR7 | Home Health Treatment Plan Certification | Optional | 1 |
| CR8 | Pacemaker Certification | Optional | 1 |
| PWK | Paperwork | Optional | >1 |
| MSG | Message Text | Optional | 1 |
| Loop NM1 | Individual or Organizational Name | Optional | >1 |
| NM1 | Individual or Organizational Name | Mandatory | 1 |
| REF | Reference Information | Optional | 9 |
| N2 | Additional Name Information | Optional | 1 |
| N3 | Party Location | Optional | 1 |
| N4 | Geographic Location | Optional | 1 |
| PER | Administrative Communications Contact | Optional | 3 |
| AAA | Request Validation | Optional | 9 |
| PRV | Provider Information | Optional | 1 |
| DMG | Demographic Information | Optional | 1 |
| INS | Insured Benefit | Optional | 1 |
| DTP | Date or Time or Period | Optional | 9 |
| SE | Transaction Set Trailer | Optional | 1 |