Segment | Element | Description | Req | Min Length | Max Length | Type |
BGN | 1 | Transaction Set Purpose Code | M | 2 | 2 | ID |
BGN | 2 | Reference Identification | M | 1 | 50 | AN |
BGN | 3 | Date | M | 8 | 8 | DT |
BGN | 4 | Time | C | 4 | 8 | TM |
BGN | 5 | Time Code | O | 2 | 2 | ID |
BGN | 6 | Reference Identification | O | 1 | 50 | AN |
BGN | 7 | Transaction Type Code | O | 2 | 2 | ID |
BGN | 8 | Action Code | O | 1 | 2 | ID |
BGN | 9 | Security Level Code | O | 2 | 2 | ID |
N9 | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
N9 | 2 | Reference Identification | C | 1 | 50 | AN |
N9 | 3 | Free-Form Description | C | 1 | 45 | AN |
N9 | 4 | Date | O | 8 | 8 | DT |
N9 | 5 | Time | C | 4 | 8 | TM |
N9 | 6 | Time Code | O | 2 | 2 | ID |
N9 | 7 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 8 | Reference Identification | O | 1 | 50 | AN |
N9 | 9 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 10 | Reference Identification | O | 1 | 50 | AN |
N9 | 11 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 12 | Reference Identification | O | 1 | 50 | AN |
DTM | 1 | Date/Time Qualifier | M | 3 | 3 | ID |
DTM | 2 | Date | C | 8 | 8 | DT |
DTM | 3 | Time | C | 4 | 8 | TM |
DTM | 4 | Time Code | O | 2 | 2 | ID |
DTM | 5 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DTM | 6 | Date Time Period | C | 1 | 35 | AN |
LQ | 1 | Code List Qualifier Code | O | 1 | 3 | ID |
LQ | 2 | Industry Code | C | 1 | 30 | AN |
MTX | 1 | Note Reference Code | O | 3 | 3 | ID |
MTX | 2 | Textual Data | C | 1 | 4096 | AN |
MTX | 3 | Textual Data | O | 1 | 4096 | AN |
MTX | 4 | Printer Carriage Control Code | C | 2 | 2 | ID |
MTX | 5 | Number | O | 1 | 9 | N0 |
MTX | 6 | Language Code | O | 2 | 3 | ID |
NM1 | 1 | Entity Identifier Code | M | 2 | 3 | ID |
NM1 | 2 | Entity Type Qualifier | M | 1 | 1 | ID |
NM1 | 3 | Name Last Or Organization Name | C | 1 | 60 | AN |
NM1 | 4 | Name First | O | 1 | 35 | AN |
NM1 | 5 | Name Middle | O | 1 | 25 | AN |
NM1 | 6 | Name Prefix | O | 1 | 10 | AN |
NM1 | 7 | Name Suffix | O | 1 | 10 | AN |
NM1 | 8 | Identification Code Qualifier | C | 1 | 2 | ID |
NM1 | 9 | Identification Code | C | 2 | 80 | AN |
NM1 | 10 | Entity Relationship Code | C | 2 | 2 | ID |
NM1 | 11 | Entity Identifier Code | O | 2 | 3 | ID |
NM1 | 12 | Name Last Or Organization Name | O | 1 | 60 | AN |
N2 | 1 | Name | M | 1 | 60 | AN |
N2 | 2 | Name | O | 1 | 60 | AN |
N3 | 1 | Address Information | M | 1 | 55 | AN |
N3 | 2 | Address Information | O | 1 | 55 | AN |
N4 | 1 | City Name | O | 2 | 30 | AN |
N4 | 2 | State Or Province Code | C | 2 | 2 | ID |
N4 | 3 | Postal Code | O | 3 | 15 | ID |
N4 | 4 | Country Code | C | 2 | 3 | ID |
N4 | 5 | Location Qualifier | C | 1 | 2 | ID |
N4 | 6 | Location Identifier | O | 1 | 30 | AN |
N4 | 7 | Country Subdivision Code | C | 1 | 3 | ID |
PER | 1 | Contact Function Code | M | 2 | 2 | ID |
PER | 2 | Name | O | 1 | 60 | AN |
PER | 3 | Communication Number Qualifier | C | 2 | 2 | ID |
PER | 4 | Communication Number | C | 1 | 256 | AN |
PER | 5 | Communication Number Qualifier | C | 2 | 2 | ID |
PER | 6 | Communication Number | C | 1 | 256 | AN |
PER | 7 | Communication Number Qualifier | C | 2 | 2 | ID |
PER | 8 | Communication Number | C | 1 | 256 | AN |
PER | 9 | Contact Inquiry Reference | O | 1 | 20 | AN |
N9 | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
N9 | 2 | Reference Identification | C | 1 | 50 | AN |
N9 | 3 | Free-Form Description | C | 1 | 45 | AN |
N9 | 4 | Date | O | 8 | 8 | DT |
N9 | 5 | Time | C | 4 | 8 | TM |
N9 | 6 | Time Code | O | 2 | 2 | ID |
N9 | 7 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 8 | Reference Identification | O | 1 | 50 | AN |
N9 | 9 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 10 | Reference Identification | O | 1 | 50 | AN |
N9 | 11 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 12 | Reference Identification | O | 1 | 50 | AN |
AWD | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AWD | 2 | Amount Qualifier Code | M | 1 | 3 | ID |
AWD | 3 | Value Detail Code | M | 1 | 1 | ID |
AWD | 4 | Measurement Significance Code | M | 2 | 2 | ID |
AWD | 5 | Unit Of Time Period Or Interval | M | 2 | 2 | ID |
AWD | 6 | Net/Gross Code | M | 1 | 1 | ID |
AWD | 7 | Measurement Significance Code | M | 2 | 2 | ID |
AWD | 8 | Description | M | 1 | 80 | AN |
AWD | 9 | Industry Code | M | 1 | 30 | AN |
AWD | 10 | Code List Qualifier Code | M | 1 | 3 | ID |
AWD | 11 | Monetary Amount | C | 1 | 18 | R |
AWD | 12 | Free-Form Information | C | 1 | 30 | AN |
AWD | 13 | Currency Code | O | 3 | 3 | ID |
LQ | 1 | Code List Qualifier Code | O | 1 | 3 | ID |
LQ | 2 | Industry Code | C | 1 | 30 | AN |
MTX | 1 | Note Reference Code | O | 3 | 3 | ID |
MTX | 2 | Textual Data | C | 1 | 4096 | AN |
MTX | 3 | Textual Data | O | 1 | 4096 | AN |
MTX | 4 | Printer Carriage Control Code | C | 2 | 2 | ID |
MTX | 5 | Number | O | 1 | 9 | N0 |
MTX | 6 | Language Code | O | 2 | 3 | ID |
HL | 1 | Hierarchical Id Number | M | 1 | 12 | AN |
HL | 2 | Hierarchical Parent Id Number | O | 1 | 12 | AN |
HL | 3 | Hierarchical Level Code | M | 1 | 2 | ID |
HL | 4 | Hierarchical Child Code | O | 1 | 1 | ID |
N9 | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
N9 | 2 | Reference Identification | C | 1 | 50 | AN |
N9 | 3 | Free-Form Description | C | 1 | 45 | AN |
N9 | 4 | Date | O | 8 | 8 | DT |
N9 | 5 | Time | C | 4 | 8 | TM |
N9 | 6 | Time Code | O | 2 | 2 | ID |
N9 | 7 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 8 | Reference Identification | O | 1 | 50 | AN |
N9 | 9 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 10 | Reference Identification | O | 1 | 50 | AN |
N9 | 11 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 12 | Reference Identification | O | 1 | 50 | AN |
DTM | 1 | Date/Time Qualifier | M | 3 | 3 | ID |
DTM | 2 | Date | C | 8 | 8 | DT |
DTM | 3 | Time | C | 4 | 8 | TM |
DTM | 4 | Time Code | O | 2 | 2 | ID |
DTM | 5 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DTM | 6 | Date Time Period | C | 1 | 35 | AN |
NX2 | 1 | Address Component Qualifier | M | 2 | 2 | ID |
NX2 | 2 | Address Information | M | 1 | 55 | AN |
NX2 | 3 | County Designator | O | 5 | 5 | ID |
NX2 | 4 | Address Component Qualifier | C | 2 | 2 | ID |
NX2 | 5 | Address Information | C | 1 | 55 | AN |
LQ | 1 | Code List Qualifier Code | O | 1 | 3 | ID |
LQ | 2 | Industry Code | C | 1 | 30 | AN |
MTX | 1 | Note Reference Code | O | 3 | 3 | ID |
MTX | 2 | Textual Data | C | 1 | 4096 | AN |
MTX | 3 | Textual Data | O | 1 | 4096 | AN |
MTX | 4 | Printer Carriage Control Code | C | 2 | 2 | ID |
MTX | 5 | Number | O | 1 | 9 | N0 |
MTX | 6 | Language Code | O | 2 | 3 | ID |
NM1 | 1 | Entity Identifier Code | M | 2 | 3 | ID |
NM1 | 2 | Entity Type Qualifier | M | 1 | 1 | ID |
NM1 | 3 | Name Last Or Organization Name | C | 1 | 60 | AN |
NM1 | 4 | Name First | O | 1 | 35 | AN |
NM1 | 5 | Name Middle | O | 1 | 25 | AN |
NM1 | 6 | Name Prefix | O | 1 | 10 | AN |
NM1 | 7 | Name Suffix | O | 1 | 10 | AN |
NM1 | 8 | Identification Code Qualifier | C | 1 | 2 | ID |
NM1 | 9 | Identification Code | C | 2 | 80 | AN |
NM1 | 10 | Entity Relationship Code | C | 2 | 2 | ID |
NM1 | 11 | Entity Identifier Code | O | 2 | 3 | ID |
NM1 | 12 | Name Last Or Organization Name | O | 1 | 60 | AN |
N2 | 1 | Name | M | 1 | 60 | AN |
N2 | 2 | Name | O | 1 | 60 | AN |
N3 | 1 | Address Information | M | 1 | 55 | AN |
N3 | 2 | Address Information | O | 1 | 55 | AN |
N4 | 1 | City Name | O | 2 | 30 | AN |
N4 | 2 | State Or Province Code | C | 2 | 2 | ID |
N4 | 3 | Postal Code | O | 3 | 15 | ID |
N4 | 4 | Country Code | C | 2 | 3 | ID |
N4 | 5 | Location Qualifier | C | 1 | 2 | ID |
N4 | 6 | Location Identifier | O | 1 | 30 | AN |
N4 | 7 | Country Subdivision Code | C | 1 | 3 | ID |
PER | 1 | Contact Function Code | M | 2 | 2 | ID |
PER | 2 | Name | O | 1 | 60 | AN |
PER | 3 | Communication Number Qualifier | C | 2 | 2 | ID |
PER | 4 | Communication Number | C | 1 | 256 | AN |
PER | 5 | Communication Number Qualifier | C | 2 | 2 | ID |
PER | 6 | Communication Number | C | 1 | 256 | AN |
PER | 7 | Communication Number Qualifier | C | 2 | 2 | ID |
PER | 8 | Communication Number | C | 1 | 256 | AN |
PER | 9 | Contact Inquiry Reference | O | 1 | 20 | AN |
N9 | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
N9 | 2 | Reference Identification | C | 1 | 50 | AN |
N9 | 3 | Free-Form Description | C | 1 | 45 | AN |
N9 | 4 | Date | O | 8 | 8 | DT |
N9 | 5 | Time | C | 4 | 8 | TM |
N9 | 6 | Time Code | O | 2 | 2 | ID |
N9 | 7 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 8 | Reference Identification | O | 1 | 50 | AN |
N9 | 9 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 10 | Reference Identification | O | 1 | 50 | AN |
N9 | 11 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 12 | Reference Identification | O | 1 | 50 | AN |
DTM | 1 | Date/Time Qualifier | M | 3 | 3 | ID |
DTM | 2 | Date | C | 8 | 8 | DT |
DTM | 3 | Time | C | 4 | 8 | TM |
DTM | 4 | Time Code | O | 2 | 2 | ID |
DTM | 5 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DTM | 6 | Date Time Period | C | 1 | 35 | AN |
NX2 | 1 | Address Component Qualifier | M | 2 | 2 | ID |
NX2 | 2 | Address Information | M | 1 | 55 | AN |
NX2 | 3 | County Designator | O | 5 | 5 | ID |
NX2 | 4 | Address Component Qualifier | C | 2 | 2 | ID |
NX2 | 5 | Address Information | C | 1 | 55 | AN |
EMS | 1 | Description | O | 1 | 80 | AN |
EMS | 2 | Employment Class Code | O | 2 | 3 | ID |
EMS | 3 | Occupation Code | O | 4 | 6 | ID |
EMS | 4 | Employment Status Code | O | 2 | 2 | ID |
EMS | 5 | Reference Identification Qualifier | C | 2 | 3 | ID |
EMS | 6 | Reference Identification | C | 1 | 50 | AN |
EMS | 7 | Reference Identification | C | 1 | 50 | AN |
EMS | 8 | Reference Identification Qualifier | C | 2 | 3 | ID |
EMS | 9 | Identification Code Qualifier | C | 1 | 2 | ID |
EMS | 10 | Identification Code | C | 2 | 80 | AN |
EMS | 11 | Percent, Decimal Format | O | 1 | 6 | R6 |
EMS | 12 | Employment Status Code | O | 2 | 2 | ID |
EMS | 13 | Identification Code Qualifier | C | 1 | 2 | ID |
EMS | 14 | Identification Code | C | 2 | 80 | AN |
EMS | 15 | Employment Class Code | O | 2 | 3 | ID |
TPB | 1 | Business Professional Title Code | C | 1 | 3 | ID |
TPB | 2 | Free-Form Message Text | C | 1 | 264 | AN |
TPB | 3 | Agency Qualifier Code | C | 2 | 2 | ID |
TPB | 4 | Source Subqualifier | O | 1 | 15 | AN |
PWK | 1 | Report Type Code | M | 2 | 2 | ID |
PWK | 2 | Report Transmission Code | O | 1 | 2 | ID |
PWK | 3 | Report Copies Needed | O | 1 | 2 | N0 |
PWK | 4 | Entity Identifier Code | O | 2 | 3 | ID |
PWK | 5 | Identification Code Qualifier | C | 1 | 2 | ID |
PWK | 6 | Identification Code | C | 2 | 80 | AN |
PWK | 7 | Description | O | 1 | 80 | AN |
PWK | 8 | Paperwork/Report Action Code | O | 1 | 2 | ID |
PWK | 9 | Paperwork/Report Action Code | O | 1 | 2 | ID |
PWK | 10 | Paperwork/Report Action Code | O | 1 | 2 | ID |
PWK | 11 | Paperwork/Report Action Code | O | 1 | 2 | ID |
PWK | 12 | Paperwork/Report Action Code | O | 1 | 2 | ID |
PWK | 13 | Request Category Code | O | 1 | 2 | ID |
PAM | 1 | Quantity Qualifier | C | 2 | 2 | ID |
PAM | 2 | Quantity | C | 1 | 15 | R |
PAM | 3 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
PAM | 4 | Exponent | C | 1 | 15 | R |
PAM | 5 | Multiplier | C | 1 | 10 | R |
PAM | 6 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
PAM | 7 | Exponent | C | 1 | 15 | R |
PAM | 8 | Multiplier | C | 1 | 10 | R |
PAM | 9 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
PAM | 10 | Exponent | C | 1 | 15 | R |
PAM | 11 | Multiplier | C | 1 | 10 | R |
PAM | 12 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
PAM | 13 | Exponent | C | 1 | 15 | R |
PAM | 14 | Multiplier | C | 1 | 10 | R |
PAM | 15 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
PAM | 16 | Exponent | C | 1 | 15 | R |
PAM | 17 | Multiplier | C | 1 | 10 | R |
PAM | 18 | Amount Qualifier Code | C | 1 | 3 | ID |
PAM | 19 | Monetary Amount | C | 1 | 18 | R |
PAM | 20 | Unit Of Time Period Or Interval | C | 2 | 2 | ID |
PAM | 21 | Date/Time Qualifier | C | 3 | 3 | ID |
PAM | 22 | Date | C | 8 | 8 | DT |
PAM | 23 | Time | C | 4 | 8 | TM |
PAM | 24 | Date/Time Qualifier | C | 3 | 3 | ID |
PAM | 25 | Date | C | 8 | 8 | DT |
PAM | 26 | Time | C | 4 | 8 | TM |
PAM | 27 | Percent Qualifier | C | 1 | 2 | ID |
PAM | 28 | Percentage As Decimal | C | 1 | 10 | R |
PAM | 29 | Yes/No Condition Or Response Code | O | 1 | 1 | ID |
G86 | 1 | Signature | O | 1 | 12 | AN |
G86 | 2 | Name | O | 1 | 60 | AN |
MTX | 1 | Note Reference Code | O | 3 | 3 | ID |
MTX | 2 | Textual Data | C | 1 | 4096 | AN |
MTX | 3 | Textual Data | O | 1 | 4096 | AN |
MTX | 4 | Printer Carriage Control Code | C | 2 | 2 | ID |
MTX | 5 | Number | O | 1 | 9 | N0 |
MTX | 6 | Language Code | O | 2 | 3 | ID |
LQ | 1 | Code List Qualifier Code | O | 1 | 3 | ID |
LQ | 2 | Industry Code | C | 1 | 30 | AN |
N9 | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
N9 | 2 | Reference Identification | C | 1 | 50 | AN |
N9 | 3 | Free-Form Description | C | 1 | 45 | AN |
N9 | 4 | Date | O | 8 | 8 | DT |
N9 | 5 | Time | C | 4 | 8 | TM |
N9 | 6 | Time Code | O | 2 | 2 | ID |
N9 | 7 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 8 | Reference Identification | O | 1 | 50 | AN |
N9 | 9 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 10 | Reference Identification | O | 1 | 50 | AN |
N9 | 11 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 12 | Reference Identification | O | 1 | 50 | AN |
DTM | 1 | Date/Time Qualifier | M | 3 | 3 | ID |
DTM | 2 | Date | C | 8 | 8 | DT |
DTM | 3 | Time | C | 4 | 8 | TM |
DTM | 4 | Time Code | O | 2 | 2 | ID |
DTM | 5 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DTM | 6 | Date Time Period | C | 1 | 35 | AN |
PCT | 1 | Percent Qualifier | M | 1 | 2 | ID |
PCT | 2 | Percentage As Decimal | M | 1 | 10 | R |
QTY | 1 | Quantity Qualifier | M | 2 | 2 | ID |
QTY | 2 | Quantity | C | 1 | 15 | R |
QTY | 3 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 4 | Exponent | O | 1 | 15 | R |
QTY | 5 | Multiplier | O | 1 | 10 | R |
QTY | 6 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 7 | Exponent | O | 1 | 15 | R |
QTY | 8 | Multiplier | O | 1 | 10 | R |
QTY | 9 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 10 | Exponent | O | 1 | 15 | R |
QTY | 11 | Multiplier | O | 1 | 10 | R |
QTY | 12 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 13 | Exponent | O | 1 | 15 | R |
QTY | 14 | Multiplier | O | 1 | 10 | R |
QTY | 15 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 16 | Exponent | O | 1 | 15 | R |
QTY | 17 | Multiplier | O | 1 | 10 | R |
QTY | 18 | Free-Form Information | C | 1 | 30 | AN |
MTX | 1 | Note Reference Code | O | 3 | 3 | ID |
MTX | 2 | Textual Data | C | 1 | 4096 | AN |
MTX | 3 | Textual Data | O | 1 | 4096 | AN |
MTX | 4 | Printer Carriage Control Code | C | 2 | 2 | ID |
MTX | 5 | Number | O | 1 | 9 | N0 |
MTX | 6 | Language Code | O | 2 | 3 | ID |
AWD | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AWD | 2 | Amount Qualifier Code | M | 1 | 3 | ID |
AWD | 3 | Value Detail Code | M | 1 | 1 | ID |
AWD | 4 | Measurement Significance Code | M | 2 | 2 | ID |
AWD | 5 | Unit Of Time Period Or Interval | M | 2 | 2 | ID |
AWD | 6 | Net/Gross Code | M | 1 | 1 | ID |
AWD | 7 | Measurement Significance Code | M | 2 | 2 | ID |
AWD | 8 | Description | M | 1 | 80 | AN |
AWD | 9 | Industry Code | M | 1 | 30 | AN |
AWD | 10 | Code List Qualifier Code | M | 1 | 3 | ID |
AWD | 11 | Monetary Amount | C | 1 | 18 | R |
AWD | 12 | Free-Form Information | C | 1 | 30 | AN |
AWD | 13 | Currency Code | O | 3 | 3 | ID |
DTM | 1 | Date/Time Qualifier | M | 3 | 3 | ID |
DTM | 2 | Date | C | 8 | 8 | DT |
DTM | 3 | Time | C | 4 | 8 | TM |
DTM | 4 | Time Code | O | 2 | 2 | ID |
DTM | 5 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DTM | 6 | Date Time Period | C | 1 | 35 | AN |
PCT | 1 | Percent Qualifier | M | 1 | 2 | ID |
PCT | 2 | Percentage As Decimal | M | 1 | 10 | R |
QTY | 1 | Quantity Qualifier | M | 2 | 2 | ID |
QTY | 2 | Quantity | C | 1 | 15 | R |
QTY | 3 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 4 | Exponent | O | 1 | 15 | R |
QTY | 5 | Multiplier | O | 1 | 10 | R |
QTY | 6 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 7 | Exponent | O | 1 | 15 | R |
QTY | 8 | Multiplier | O | 1 | 10 | R |
QTY | 9 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 10 | Exponent | O | 1 | 15 | R |
QTY | 11 | Multiplier | O | 1 | 10 | R |
QTY | 12 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 13 | Exponent | O | 1 | 15 | R |
QTY | 14 | Multiplier | O | 1 | 10 | R |
QTY | 15 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
QTY | 16 | Exponent | O | 1 | 15 | R |
QTY | 17 | Multiplier | O | 1 | 10 | R |
QTY | 18 | Free-Form Information | C | 1 | 30 | AN |
N9 | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
N9 | 2 | Reference Identification | C | 1 | 50 | AN |
N9 | 3 | Free-Form Description | C | 1 | 45 | AN |
N9 | 4 | Date | O | 8 | 8 | DT |
N9 | 5 | Time | C | 4 | 8 | TM |
N9 | 6 | Time Code | O | 2 | 2 | ID |
N9 | 7 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 8 | Reference Identification | O | 1 | 50 | AN |
N9 | 9 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 10 | Reference Identification | O | 1 | 50 | AN |
N9 | 11 | Reference Identification Qualifier | O | 2 | 3 | ID |
N9 | 12 | Reference Identification | O | 1 | 50 | AN |
PDL | 1 | Payment Method Code | M | 3 | 3 | ID |
PDL | 2 | Amount Qualifier Code | C | 1 | 3 | ID |
PDL | 3 | Monetary Amount | C | 1 | 18 | R |
PDL | 4 | Percentage As Decimal | C | 1 | 10 | R |
PDL | 5 | Credit/Debit Flag Code | O | 1 | 1 | ID |
PDL | 6 | Frequency Code | O | 1 | 1 | ID |
PDL | 7 | (Dfi) Id Number Qualifier | C | 2 | 2 | ID |
PDL | 8 | (Dfi) Identification Number | C | 3 | 12 | AN |
PDL | 9 | Account Number Qualifier | C | 1 | 3 | ID |
PDL | 10 | Account Number | C | 1 | 35 | AN |
PDL | 11 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
PDL | 12 | Date Time Period | C | 1 | 35 | AN |
LQ | 1 | Code List Qualifier Code | O | 1 | 3 | ID |
LQ | 2 | Industry Code | C | 1 | 30 | AN |
N1 | 1 | Entity Identifier Code | M | 2 | 3 | ID |
N1 | 2 | Name | C | 1 | 60 | AN |
N1 | 3 | Identification Code Qualifier | C | 1 | 2 | ID |
N1 | 4 | Identification Code | C | 2 | 80 | AN |
N1 | 5 | Entity Relationship Code | O | 2 | 2 | ID |
N1 | 6 | Entity Identifier Code | O | 2 | 3 | ID |
MTX | 1 | Note Reference Code | O | 3 | 3 | ID |
MTX | 2 | Textual Data | C | 1 | 4096 | AN |
MTX | 3 | Textual Data | O | 1 | 4096 | AN |
MTX | 4 | Printer Carriage Control Code | C | 2 | 2 | ID |
MTX | 5 | Number | O | 1 | 9 | N0 |
MTX | 6 | Language Code | O | 2 | 3 | ID |