EDI 500 Segments and Elements for the Medical Event Reporting Standard


AgencySet IDFGTransaction DescriptionSubcommitteeStandard
ANSI500MMMedical Event Reporting GovernmentDownload


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Research and Development:
See the list of EDI 500 segments and elements in below data grid. The Jobisez.com site has an online translation tool that converts the EDI 500 (Medical Event Reporting) document into a CSV file. If you are researching the 500s, you can view other trading partner's mapping specifications. You can also gain knowledge by researching all EDI document types. Jobisez LLC can also provide assistance if you need additional help.

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The EDI 500 Segments and Elements

SegmentDescriptionSectReqMax LoopMax UsagePos
BGNBeginning SegmentHM011
NM1Individual Or Organizational NameHO99999912
N2Additional Name InformationHO023
N3Party LocationHO024
N4Geographic LocationHO015
REFReference InformationHO09999996
PERAdministrative Communications ContactHO09999997
DTMDate/Time ReferenceHO09999998
QTYQuantity InformationHO09999999
TRNTraceHO099999910
LMCode Source InformationHO999999111
LQIndustry Code IdentificationHM099999912
HLHierarchical LevelDO999999113
LMCode Source InformationDO999999114
LQIndustry Code IdentificationDM999999115
DTMDate/Time ReferenceDO099999916
REFReference InformationDO099999917
QTYQuantity InformationDO099999918
MTXTextDO099999919
LINItem IdentificationDO999999120
PIDProduct/Item DescriptionDO099999921
QTYQuantity InformationDO099999922
DTMDate/Time ReferenceDO099999923
REFReference InformationDO099999924
MEAMeasurementsDO099999925
TRNTraceDO099999926
MTXTextDO099999927
NM1Individual Or Organizational NameDO999999128
N2Additional Name InformationDO0229
N3Party LocationDO0230
N4Geographic LocationDO0131
REFReference InformationDO099999932
PERAdministrative Communications ContactDO099999933
DTMDate/Time ReferenceDO099999934
DMGDemographic InformationDO099999935
MEAMeasurementsDO099999936
PWKPaperworkDO099999937
TRNTraceDO099999938
QTYQuantity InformationDO999999139
LMCode Source InformationDO999999140
LQIndustry Code IdentificationDM099999941
PIDProduct/Item DescriptionDO999999142
DTMDate/Time ReferenceDO099999943
QTYQuantity InformationDO099999944
MTXTextDO999999145
DTMDate/Time ReferenceDO099999946
CTTTransaction TotalsDO0147


SegmentElementDescriptionReqMin LengthMax LengthType
BGN1Transaction Set Purpose CodeM22ID
BGN2Reference IdentificationM150AN
BGN3DateM88DT
BGN4TimeC48TM
BGN5Time CodeO22ID
BGN6Reference IdentificationO150AN
BGN7Transaction Type CodeO22ID
BGN8Action CodeO12ID
BGN9Security Level CodeO22ID
NM11Entity Identifier CodeM23ID
NM12Entity Type QualifierM11ID
NM13Name Last Or Organization NameC160AN
NM14Name FirstO135AN
NM15Name MiddleO125AN
NM16Name PrefixO110AN
NM17Name SuffixO110AN
NM18Identification Code QualifierC12ID
NM19Identification CodeC280AN
NM110Entity Relationship CodeC22ID
NM111Entity Identifier CodeO23ID
NM112Name Last Or Organization NameO160AN
N21NameM160AN
N22NameO160AN
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
DTM1Date/Time QualifierM33ID
DTM2DateC88DT
DTM3TimeC48TM
DTM4Time CodeO22ID
DTM5Date Time Period Format QualifierC23ID
DTM6Date Time PeriodC135AN
QTY1Quantity QualifierM22ID
QTY2QuantityC115R
QTY3Unit Or Basis For Measurement CodeO22ID
QTY4ExponentO115R
QTY5MultiplierO110R
QTY6Unit Or Basis For Measurement CodeO22ID
QTY7ExponentO115R
QTY8MultiplierO110R
QTY9Unit Or Basis For Measurement CodeO22ID
QTY10ExponentO115R
QTY11MultiplierO110R
QTY12Unit Or Basis For Measurement CodeO22ID
QTY13ExponentO115R
QTY14MultiplierO110R
QTY15Unit Or Basis For Measurement CodeO22ID
QTY16ExponentO115R
QTY17MultiplierO110R
QTY18Free-Form InformationC130AN
TRN1Trace Type CodeM12ID
TRN2Reference IdentificationM150AN
TRN3Originating Company IdentifierO1010AN
TRN4Reference IdentificationO150AN
LM1Agency Qualifier CodeM22ID
LM2Source SubqualifierO115AN
LQ1Code List Qualifier CodeO13ID
LQ2Industry CodeC130AN
HL1Hierarchical Id NumberM112AN
HL2Hierarchical Parent Id NumberO112AN
HL3Hierarchical Level CodeM12ID
HL4Hierarchical Child CodeO11ID
LM1Agency Qualifier CodeM22ID
LM2Source SubqualifierO115AN
LQ1Code List Qualifier CodeO13ID
LQ2Industry CodeC130AN
DTM1Date/Time QualifierM33ID
DTM2DateC88DT
DTM3TimeC48TM
DTM4Time CodeO22ID
DTM5Date Time Period Format QualifierC23ID
DTM6Date Time PeriodC135AN
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
QTY1Quantity QualifierM22ID
QTY2QuantityC115R
QTY3Unit Or Basis For Measurement CodeO22ID
QTY4ExponentO115R
QTY5MultiplierO110R
QTY6Unit Or Basis For Measurement CodeO22ID
QTY7ExponentO115R
QTY8MultiplierO110R
QTY9Unit Or Basis For Measurement CodeO22ID
QTY10ExponentO115R
QTY11MultiplierO110R
QTY12Unit Or Basis For Measurement CodeO22ID
QTY13ExponentO115R
QTY14MultiplierO110R
QTY15Unit Or Basis For Measurement CodeO22ID
QTY16ExponentO115R
QTY17MultiplierO110R
QTY18Free-Form InformationC130AN
MTX1Note Reference CodeO33ID
MTX2Textual DataC14096AN
MTX3Textual DataO14096AN
MTX4Printer Carriage Control CodeC22ID
MTX5NumberO19N0
MTX6Language CodeO23ID
LIN1Assigned IdentificationO120AN
LIN2Product/Service Id QualifierM22ID
LIN3Product/Service IdM148AN
LIN4Product/Service Id QualifierC22ID
LIN5Product/Service IdC148AN
LIN6Product/Service Id QualifierC22ID
LIN7Product/Service IdC148AN
LIN8Product/Service Id QualifierC22ID
LIN9Product/Service IdC148AN
LIN10Product/Service Id QualifierC22ID
LIN11Product/Service IdC148AN
LIN12Product/Service Id QualifierC22ID
LIN13Product/Service IdC148AN
LIN14Product/Service Id QualifierC22ID
LIN15Product/Service IdC148AN
LIN16Product/Service Id QualifierC22ID
LIN17Product/Service IdC148AN
LIN18Product/Service Id QualifierC22ID
LIN19Product/Service IdC148AN
LIN20Product/Service Id QualifierC22ID
LIN21Product/Service IdC148AN
LIN22Product/Service Id QualifierC22ID
LIN23Product/Service IdC148AN
LIN24Product/Service Id QualifierC22ID
LIN25Product/Service IdC148AN
LIN26Product/Service Id QualifierC22ID
LIN27Product/Service IdC148AN
LIN28Product/Service Id QualifierC22ID
LIN29Product/Service IdC148AN
LIN30Product/Service Id QualifierC22ID
LIN31Product/Service IdC148AN
PID1Item Description TypeM11ID
PID2Product/Process Characteristic CodeO23ID
PID3Agency Qualifier CodeC22ID
PID4Product Description CodeC112AN
PID5DescriptionC180AN
PID6Surface/Layer/Position CodeO22ID
PID7Source SubqualifierO115AN
PID8Yes/No Condition Or Response CodeO11ID
PID9Language CodeO23ID
QTY1Quantity QualifierM22ID
QTY2QuantityC115R
QTY3Unit Or Basis For Measurement CodeO22ID
QTY4ExponentO115R
QTY5MultiplierO110R
QTY6Unit Or Basis For Measurement CodeO22ID
QTY7ExponentO115R
QTY8MultiplierO110R
QTY9Unit Or Basis For Measurement CodeO22ID
QTY10ExponentO115R
QTY11MultiplierO110R
QTY12Unit Or Basis For Measurement CodeO22ID
QTY13ExponentO115R
QTY14MultiplierO110R
QTY15Unit Or Basis For Measurement CodeO22ID
QTY16ExponentO115R
QTY17MultiplierO110R
QTY18Free-Form InformationC130AN
DTM1Date/Time QualifierM33ID
DTM2DateC88DT
DTM3TimeC48TM
DTM4Time CodeO22ID
DTM5Date Time Period Format QualifierC23ID
DTM6Date Time PeriodC135AN
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
MEA1Measurement Reference Id CodeO22ID
MEA2Measurement QualifierO13ID
MEA3Measurement ValueC120R
MEA4Unit Or Basis For Measurement CodeC22ID
MEA5ExponentC115R
MEA6MultiplierC110R
MEA7Unit Or Basis For Measurement CodeC22ID
MEA8ExponentC115R
MEA9MultiplierC110R
MEA10Unit Or Basis For Measurement CodeC22ID
MEA11ExponentC115R
MEA12MultiplierC110R
MEA13Unit Or Basis For Measurement CodeC22ID
MEA14ExponentC115R
MEA15MultiplierC110R
MEA16Unit Or Basis For Measurement CodeC22ID
MEA17ExponentC115R
MEA18MultiplierC110R
MEA19Range MinimumC120R
MEA20Range MaximumC120R
MEA21Measurement Significance CodeO22ID
MEA22Measurement Attribute CodeC22ID
MEA23Surface/Layer/Position CodeO22ID
MEA24Measurement Method Or DeviceO24ID
MEA25Code List Qualifier CodeC13ID
MEA26Industry CodeC130AN
TRN1Trace Type CodeM12ID
TRN2Reference IdentificationM150AN
TRN3Originating Company IdentifierO1010AN
TRN4Reference IdentificationO150AN
MTX1Note Reference CodeO33ID
MTX2Textual DataC14096AN
MTX3Textual DataO14096AN
MTX4Printer Carriage Control CodeC22ID
MTX5NumberO19N0
MTX6Language CodeO23ID
NM11Entity Identifier CodeM23ID
NM12Entity Type QualifierM11ID
NM13Name Last Or Organization NameC160AN
NM14Name FirstO135AN
NM15Name MiddleO125AN
NM16Name PrefixO110AN
NM17Name SuffixO110AN
NM18Identification Code QualifierC12ID
NM19Identification CodeC280AN
NM110Entity Relationship CodeC22ID
NM111Entity Identifier CodeO23ID
NM112Name Last Or Organization NameO160AN
N21NameM160AN
N22NameO160AN
N31Address InformationM155AN
N32Address InformationO155AN
N41City NameO230AN
N42State Or Province CodeC22ID
N43Postal CodeO315ID
N44Country CodeC23ID
N45Location QualifierC12ID
N46Location IdentifierO130AN
N47Country Subdivision CodeC13ID
REF1Reference Identification QualifierM23ID
REF2Reference IdentificationC150AN
REF3DescriptionC180AN
REF4Reference Identification QualifierO23ID
REF5Reference IdentificationO150AN
REF6Reference Identification QualifierO23ID
REF7Reference IdentificationO150AN
REF8Reference Identification QualifierO23ID
REF9Reference IdentificationO150AN
PER1Contact Function CodeM22ID
PER2NameO160AN
PER3Communication Number QualifierC22ID
PER4Communication NumberC1256AN
PER5Communication Number QualifierC22ID
PER6Communication NumberC1256AN
PER7Communication Number QualifierC22ID
PER8Communication NumberC1256AN
PER9Contact Inquiry ReferenceO120AN
DTM1Date/Time QualifierM33ID
DTM2DateC88DT
DTM3TimeC48TM
DTM4Time CodeO22ID
DTM5Date Time Period Format QualifierC23ID
DTM6Date Time PeriodC135AN
DMG1Date Time Period Format QualifierC23ID
DMG2Date Time PeriodC135AN
DMG3Gender CodeO11ID
DMG4Marital Status CodeO11ID
DMG5Race Or Ethnicity CodeC11ID
DMG6Code List Qualifier CodeC13ID
DMG7Industry CodeC130AN
DMG8Citizenship Status CodeO12ID
DMG9Country CodeO23ID
DMG10Basis Of Verification CodeO12ID
DMG11QuantityO115R
DMG12Code List Qualifier CodeC13ID
DMG13Industry CodeC130AN
MEA1Measurement Reference Id CodeO22ID
MEA2Measurement QualifierO13ID
MEA3Measurement ValueC120R
MEA4Unit Or Basis For Measurement CodeC22ID
MEA5ExponentC115R
MEA6MultiplierC110R
MEA7Unit Or Basis For Measurement CodeC22ID
MEA8ExponentC115R
MEA9MultiplierC110R
MEA10Unit Or Basis For Measurement CodeC22ID
MEA11ExponentC115R
MEA12MultiplierC110R
MEA13Unit Or Basis For Measurement CodeC22ID
MEA14ExponentC115R
MEA15MultiplierC110R
MEA16Unit Or Basis For Measurement CodeC22ID
MEA17ExponentC115R
MEA18MultiplierC110R
MEA19Range MinimumC120R
MEA20Range MaximumC120R
MEA21Measurement Significance CodeO22ID
MEA22Measurement Attribute CodeC22ID
MEA23Surface/Layer/Position CodeO22ID
MEA24Measurement Method Or DeviceO24ID
MEA25Code List Qualifier CodeC13ID
MEA26Industry CodeC130AN
PWK1Report Type CodeM22ID
PWK2Report Transmission CodeO12ID
PWK3Report Copies NeededO12N0
PWK4Entity Identifier CodeO23ID
PWK5Identification Code QualifierC12ID
PWK6Identification CodeC280AN
PWK7DescriptionO180AN
PWK8Paperwork/Report Action CodeO12ID
PWK9Paperwork/Report Action CodeO12ID
PWK10Paperwork/Report Action CodeO12ID
PWK11Paperwork/Report Action CodeO12ID
PWK12Paperwork/Report Action CodeO12ID
PWK13Request Category CodeO12ID
TRN1Trace Type CodeM12ID
TRN2Reference IdentificationM150AN
TRN3Originating Company IdentifierO1010AN
TRN4Reference IdentificationO150AN
QTY1Quantity QualifierM22ID
QTY2QuantityC115R
QTY3Unit Or Basis For Measurement CodeO22ID
QTY4ExponentO115R
QTY5MultiplierO110R
QTY6Unit Or Basis For Measurement CodeO22ID
QTY7ExponentO115R
QTY8MultiplierO110R
QTY9Unit Or Basis For Measurement CodeO22ID
QTY10ExponentO115R
QTY11MultiplierO110R
QTY12Unit Or Basis For Measurement CodeO22ID
QTY13ExponentO115R
QTY14MultiplierO110R
QTY15Unit Or Basis For Measurement CodeO22ID
QTY16ExponentO115R
QTY17MultiplierO110R
QTY18Free-Form InformationC130AN
LM1Agency Qualifier CodeM22ID
LM2Source SubqualifierO115AN
LQ1Code List Qualifier CodeO13ID
LQ2Industry CodeC130AN
PID1Item Description TypeM11ID
PID2Product/Process Characteristic CodeO23ID
PID3Agency Qualifier CodeC22ID
PID4Product Description CodeC112AN
PID5DescriptionC180AN
PID6Surface/Layer/Position CodeO22ID
PID7Source SubqualifierO115AN
PID8Yes/No Condition Or Response CodeO11ID
PID9Language CodeO23ID
DTM1Date/Time QualifierM33ID
DTM2DateC88DT
DTM3TimeC48TM
DTM4Time CodeO22ID
DTM5Date Time Period Format QualifierC23ID
DTM6Date Time PeriodC135AN
QTY1Quantity QualifierM22ID
QTY2QuantityC115R
QTY3Unit Or Basis For Measurement CodeO22ID
QTY4ExponentO115R
QTY5MultiplierO110R
QTY6Unit Or Basis For Measurement CodeO22ID
QTY7ExponentO115R
QTY8MultiplierO110R
QTY9Unit Or Basis For Measurement CodeO22ID
QTY10ExponentO115R
QTY11MultiplierO110R
QTY12Unit Or Basis For Measurement CodeO22ID
QTY13ExponentO115R
QTY14MultiplierO110R
QTY15Unit Or Basis For Measurement CodeO22ID
QTY16ExponentO115R
QTY17MultiplierO110R
QTY18Free-Form InformationC130AN
MTX1Note Reference CodeO33ID
MTX2Textual DataC14096AN
MTX3Textual DataO14096AN
MTX4Printer Carriage Control CodeC22ID
MTX5NumberO19N0
MTX6Language CodeO23ID
DTM1Date/Time QualifierM33ID
DTM2DateC88DT
DTM3TimeC48TM
DTM4Time CodeO22ID
DTM5Date Time Period Format QualifierC23ID
DTM6Date Time PeriodC135AN
CTT1Number Of Line ItemsM16N0
CTT2Hash TotalO110R
CTT3WeightC110R
CTT4Unit Or Basis For Measurement CodeC22ID
CTT5VolumeC18R8
CTT6Unit Or Basis For Measurement CodeC22ID
CTT7DescriptionO180AN


Official Definition:
Data contents of the Medical Event Reporting Transaction Set (500) for use within the context of an Electronic Data Interchange (EDI) environment. This standard can be used to make voluntary, mandatory, baseline, annual and semi-annual reports on medication and medical device adverse effects and product problems.



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