Michael,

The good news is that the HIPAA attachments, with BIN segment and all, only 
include 7-bit data and all of it is printable. No control characters either.

The magic is done by MIME-encoding any images (jpeg, tiff, pdf) before sending 
them inside the BIN, and the MIME-encoding gives you the base64 encoding you 
need to avoid non-printable characters.

So, even with the HIPAA attachments there is no "binary" data being sent in 
the BIN, only "text".

Kepa Zubeldia
Claredi



On Wednesday 23 March 2005 08:59 am, Michael Mattias wrote:
> 
> > Michael, just wait until healthcare gets going with the proposed 
electronic
> > claims attachments!!! This will be a 275 transaction set, with the BIN
> > segment into which an HL7 XML-based message containing either structured
> > data, images, text files, etc. is poured. There are even some who believe
> > that this will be a fairly easy adoption since health care providers and
> > payers are already using X12!!!!
> 
> Well, that's exactly what I was looking at. As you know I develop and market 
software for "healthcare EDI" and with this attachment
> thing coming down the pike I thought about creating something to handle 
this. (You know, automatically extract the attachments or
> print them out or create an API for the billing/practice management software 
developers  or something like that).
> 
> But when I stepped back from the tree to look at the forest, this 
'high-order ASCII character thing' hit me...
> 
> Even though communications is no longer the black art it once was (when just 
making a connection required one priest, six acolytes
> and the live sacrifice of five goats and one virgin), I cannot help but see 
that 'smoothly' embedding and extracting binary data
> into/from ANSI ASC X12 data amd moving it from Point A to Point B will be a 
challenge(?) for a lot of providers, service bureaus and
> others.
> 
> (Yes, I know it's not technically difficult - in the abstract. But I work 
mostly with smaller firms who cannot afford a full time
> "Computer Communications Department").
> 
> I guess I'll just have to stick this in my navel and contemplate a bit 
further.....
> 
> Michael Mattias
> Tal Systems, Inc.
> Racine WI
> [EMAIL PROTECTED]
> 
> 
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