Skip to content

azoner/pyx12

Repository files navigation

Pyx12

Build Status

Pyx12 is a HIPAA X12 document parser, validator and converter. It reads an ANSI X12 data file and validates it against a representation of the X12 Implementation Guidelines. By default, it creates a 997 response for 4010 and a 999 response for 5010. It can create an HTML representation of the X12 document and can translate to and from an XML representation of the data file.

Usage

As a command line X12 validator

x12valid.exe <filename>

Fixes common X12 structural errors. Can add or remove line breaks. Can fix loop and segment counting.

x12norm.exe --fix --eol <filename>

Code Examples

Iterate over a loop.  Alter children. Show changes
    src = pyx12.x12context.X12ContextReader(param, errh, fd_in)
    for datatree in src.iter_segments('2300'):
        # do something with a 2300 claim loop
        # we have access to the 2300 loop and all its children
        for loop2400 in datatree.select('2400'):
            print(loop2400.get_value('SV101'))
            # update something
            loop2400.set_value('SV102', 'xx')
            # delete something
            if loop2400.exists('PWK'):
                loop2400.delete('PWK')
        # iterate over all the child segments
        for seg_node in datatree.iterate_segments():
            print(seg_node.format())

Install

uv pip install pyx12

Contributing

The most useful contributions are new implementation-guide maps — either upgrading an existing 4010 map to its 5010 counterpart, or adding support for an X12 transaction pyx12 doesn't yet cover. Pyx12's design already handles the engine; the bottleneck is map coverage.

Where the maps live

XML maps live under pyx12/map/, one file per (transaction, version) pair, named like <transaction>.<version>.<X-number>[.A<n>].xml — e.g. 834.4010.X095.A1.xml, 837.5010.X222.A1.xml. The index that pyx12 consults at runtime is pyx12/map/maps.xml; each entry binds a (vriic, fic[, tspc]) triple to a map filename:

Name Abbreviation X12 Element
Interchange Control Version Number ICVN ISA12
Version / Release / Industry Identifier Code VRIIC GS08
Functional Identifier Code FIC GS01
Transaction Set Purpose Code (used only for 278) TSPC BHT02

Converting a 4010 map to 5010

Several 4010 maps don't yet have 5010 siblings — the candidates are listed in the commented-out block in maps.xml (270/271 eligibility, 276/277 claim status, 277U, 278 services review, 837D dental, 841). To add one:

  1. Get the 5010 implementation guide for the transaction from X12.org or its HIPAA companion guide.

  2. Copy the existing 4010 map as a starting point — cp pyx12/map/270.4010.X092.A1.xml pyx12/map/270.5010.X279.A1.xml (the X-number changes between versions).

  3. Walk the IG diff and apply structural changes: new loops, new segments, renamed elements, added or removed code values, changed usage flags, changed max_use, changed repeat, changed syntax rules. The 834.4010 ↔ 834.5010 pair is a good reference for the typical scope of changes.

  4. Update the <valid_codes> lists from the 5010 code list. Many external-code references (<external>) stay pointed at the same bundled list in codes.xml but the lists themselves may need refreshing — see the commit history for codes.xml for the pattern.

  5. Register the new file under the <version icvn="00501"> block in maps.xml:

    <map vriic="005010X279A1" fic="HS" abbr="270">270.5010.X279.A1.xml</map>
  6. Add a fixture and a test. Tests live under pyx12/test/; the simplest pattern is a test_x12n_document.py entry that runs x12n_document against a sample file from the IG and compares the 997/999 output, or a focused test_map_if_load.py entry that just confirms the map parses cleanly.

Adding a new X12 IG

The same shape applies — pyx12 is HIPAA-focused but the map engine is transaction-agnostic. Drop a new XML map into pyx12/map/, register it in maps.xml with the right (icvn, vriic, fic[, tspc]), and you're in. If the transaction uses code lists that aren't already bundled, add them under <codeset> blocks in codes.xml and reference them from your map's <external> elements.

Running the project

# Set up the dev environment
uv sync --extra dev

# Tests
uv run pytest

# Type check
uv run mypy

# Format & sort imports
uv run ruff format pyx12/
uv run ruff check --select I --fix pyx12/

A green pytest and mypy --strict run is required for CI to pass. PRs welcome via github.com/azoner/pyx12.

Licensing

Pyx12 uses a BSD license. The full license text is included with the source code for the package.

About

HIPAA X12 document parser, validator and converter

Topics

Resources

License

Stars

Watchers

Forks

Packages

 
 
 

Contributors