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TIBCO BusinessConnect™ Container Edition - EDI Protocol HIPAA Edition powered by Instream® 1.0.0

# Transaction Configuration Files

To configure a HIPAA transaction in the Operations Editor, the following files are needed for each transaction:

| • | HIPAA Transaction Guideline

| • | HIPAA Transaction Schema

| • | HIPAA Transaction Map File for EDI to XML or EDI to Text Conversion

| • | HIPAA Transaction Map File for XML to EDI Conversion

The HIPAA transaction guidelines contain rules that are used to validate HIPAA X12 transactions according to the HIPAA Implementation Guides (IGs) or Type 3 Technical Reports (TR3s). The HIPAA transaction guidelines provided with BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream are located in multiple locations:

- `BCCE-1.3.0_Home/images/services/cms/bcce-cms/config` and `BCCE-1.3.0_Home/images/services/is/bcce-is/config`

- Fsrest mount path

- `bcce-edihipaa-1.0.0_InstallerFolder>/samples/sampleDocs/guidelines`

The HIPAA transaction schemas contain the definition of the XML that can be used by the backend process for handling HIPAA transaction data. The schemas associated with the HIPAA transaction guidelines provided with BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream are in the directory: `bcce-edihipaa-1.0.0_InstallerFolder>/samples/sampleDocs/schemas`

The HIPAA transaction map files are used by the EDI conversion engine to convert HIPAA transaction EDI data into XML and the reverse. The HIPAA transaction map files can also be used to convert HIPAA transaction EDI data into textual data.

The map files associated with the HIPAA transaction schemas provided with BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream are in the directory: `bcce-edihipaa-1.0.0_InstallerFolder>/samples/sampleDocs/maps`.

The map files, which contain the mapping for converting from XML to EDI data have file names of the form schema_name_`XE.map`. The map files used for converting inbound EDI data into XML data have file names of the form schema_name_`EX.map`.

Notice that the names of the HIPAA transaction schemas and maps files are similar to each other but they are not similar to the names of the HIPAA transaction guidelines. This is because the HIPAA transaction schemas and maps files are created using TIBCO EDISIM Standards Editor, which cannot read the HIPAA transaction guidelines because the rules in the guidelines are encrypted. So to create the HIPAA transaction schemas and maps files, you must use the unencrypted guideline from TIBCO EDISIM, which only contains level 1 and 2 syntax checks but not the level 3 and above HIPAA validation rules.

The following table lists the TIBCO EDISIM guideline used to generate the schemas and map files for each HIPAA transaction.

TIBCO EDISIM Guidelines

HIPAA Transaction | HIPAA Guideline | EDISIM Guideline
00307/003070X070A1/277 | PDSA3070277UX070A1.std | 277-X070A1
00401/004010X092A1/270 | PDSA270.std | 270AA120
00401/004010X092A1/271 | PDSA271.std | 271AA120
00401/004010X093A1/276 | PDSA276 .std | 276AA120
00401/004010X093A1/277 | PDSA277.std | 277AA120
00401/004010X094A1/278 (RQ) | PDA278RQ.std | 278AREQ
00401/004010X094A1/278 (RSP) | PDA278RP.std | 278ARES
00401/004010X061A1/820 | PDSA820.std | 820AA120
00401/004010X095A1/834 | PDSA834.std | 834AA120
00401/004010X096A1/837 (I) | PDSA837I.std | 837AQ320
00401/004010X097A1/837 (D) | PDSA837D.std | 837AQ220
00401/004010X098A1/837 (P) | PDSA837P.std | 837AQ120
00404/004040X167/277 | PDSA4040277UX167.std | 277-X167
00405/004050X150/277 | PDSA4050277X150.std | 277-X150
00405/004050X151/275 | PDSA4050275X151.std | 275-X151
00405/004050X166/824 | PDSA4050824X166.std | 824-X166
00501/005010X279A1/270 | PDSA5010270X279.std | 270-X279
00501/005010X279A1/271 | PDSA5010271X279.std | 271-X279
00501/005010X212/276 | PDSA5010276X212.std | 276-X212
00501/005010X212/277 | PDSA5010277X212.std | 277-X212
00501/005010X217/278 (RQ) | PDSA5010278X217Q.std | 278X217Q
00501/005010X217/278 (RSP) | PDSA5010278X217R.std | 278X217
00501/005010X218/820 | PDSA5010820.std | 820-X218
00501/005010X220A1/834 | PDSA5010834.std | 834-X220
00501/005010X221A1/835 | PDSA5010835.std | 835-X221
00501/005010X222A1/837 (P) | PDSA5010837P.std | 837-X222
00501/005010X223A2/837 (I) | PDSA5010837I.std | 837-X223
00501/005010X224A2/837 (D) | PDSA5010837D.std | 837-X224
00501/005010X214/277 | PDSA5010277CAX214.std | 277CA-X214
00501/005010X186A1/824 | PDSA5010824X186.std | 824-X186
00501/005010X210/275 | PDSA5010275X210.std | 275-X210
00501/005010X213/277 | PDSA5010277X213.std | 277-X213

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TIBCO BusinessConnect™ Container Edition - EDI Protocol HIPAA Edition powered by Instream®

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