Segment | Element | Description | Req | Min Length | Max Length | Type |
BIG | 1 | Date | M | 8 | 8 | DT |
BIG | 2 | Invoice Number | M | 1 | 22 | AN |
BIG | 3 | Date | O | 8 | 8 | DT |
BIG | 4 | Purchase Order Number | O | 1 | 22 | AN |
BIG | 5 | Release Number | O | 1 | 30 | AN |
BIG | 6 | Change Order Sequence Number | O | 1 | 8 | AN |
BIG | 7 | Transaction Type Code | O | 2 | 2 | ID |
BIG | 8 | Transaction Set Purpose Code | O | 2 | 2 | ID |
BIG | 9 | Action Code | O | 1 | 2 | ID |
BIG | 10 | Invoice Number | O | 1 | 22 | AN |
BIG | 11 | Hierarchical Structure Code | O | 4 | 4 | ID |
NTE | 1 | Note Reference Code | O | 3 | 3 | ID |
NTE | 2 | Description | M | 1 | 80 | AN |
CUR | 1 | Entity Identifier Code | M | 2 | 3 | ID |
CUR | 2 | Currency Code | M | 3 | 3 | ID |
CUR | 3 | Exchange Rate | O | 4 | 10 | R |
CUR | 4 | Entity Identifier Code | O | 2 | 3 | ID |
CUR | 5 | Currency Code | O | 3 | 3 | ID |
CUR | 6 | Currency Market/Exchange Code | O | 3 | 3 | ID |
CUR | 7 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 8 | Date | O | 8 | 8 | DT |
CUR | 9 | Time | O | 4 | 8 | TM |
CUR | 10 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 11 | Date | C | 8 | 8 | DT |
CUR | 12 | Time | C | 4 | 8 | TM |
CUR | 13 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 14 | Date | C | 8 | 8 | DT |
CUR | 15 | Time | C | 4 | 8 | TM |
CUR | 16 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 17 | Date | C | 8 | 8 | DT |
CUR | 18 | Time | C | 4 | 8 | TM |
CUR | 19 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 20 | Date | C | 8 | 8 | DT |
CUR | 21 | Time | C | 4 | 8 | TM |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
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 |
ITD | 1 | Terms Type Code | O | 2 | 2 | ID |
ITD | 2 | Terms Basis Date Code | O | 1 | 2 | ID |
ITD | 3 | Terms Discount Percent | O | 1 | 6 | R6 |
ITD | 4 | Terms Discount Due Date | C | 8 | 8 | DT |
ITD | 5 | Terms Discount Days Due | C | 1 | 3 | N0 |
ITD | 6 | Terms Net Due Date | O | 8 | 8 | DT |
ITD | 7 | Terms Net Days | O | 1 | 3 | N0 |
ITD | 8 | Terms Discount Amount | O | 1 | 10 | N2 |
ITD | 9 | Terms Deferred Due Date | O | 8 | 8 | DT |
ITD | 10 | Deferred Amount Due | C | 1 | 10 | N2 |
ITD | 11 | Percent Of Invoice Payable | C | 1 | 5 | R5 |
ITD | 12 | Description | O | 1 | 80 | AN |
ITD | 13 | Day Of Month | C | 1 | 2 | N0 |
ITD | 14 | Payment Method Type Code | O | 1 | 2 | ID |
ITD | 15 | Percentage As Decimal | O | 1 | 10 | R |
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 |
TXI | 1 | Tax Type Code | M | 2 | 2 | ID |
TXI | 2 | Monetary Amount | C | 1 | 18 | R |
TXI | 3 | Percentage As Decimal | C | 1 | 10 | R |
TXI | 4 | Tax Jurisdiction Code Qualifier | C | 2 | 2 | ID |
TXI | 5 | Tax Jurisdiction Code | C | 1 | 10 | AN |
TXI | 6 | Tax Exempt Code | C | 1 | 1 | ID |
TXI | 7 | Relationship Code | O | 1 | 1 | ID |
TXI | 8 | Dollar Basis For Percent | O | 1 | 9 | R9 |
TXI | 9 | Tax Identification Number | O | 1 | 20 | AN |
TXI | 10 | Assigned Identification | O | 1 | 20 | 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 |
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 |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
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 |
DMG | 1 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DMG | 2 | Date Time Period | C | 1 | 35 | AN |
DMG | 3 | Gender Code | O | 1 | 1 | ID |
DMG | 4 | Marital Status Code | O | 1 | 1 | ID |
DMG | 5 | Race Or Ethnicity Code | C | 1 | 1 | ID |
DMG | 6 | Code List Qualifier Code | C | 1 | 3 | ID |
DMG | 7 | Industry Code | C | 1 | 30 | AN |
DMG | 8 | Citizenship Status Code | O | 1 | 2 | ID |
DMG | 9 | Country Code | O | 2 | 3 | ID |
DMG | 10 | Basis Of Verification Code | O | 1 | 2 | ID |
DMG | 11 | Quantity | O | 1 | 15 | R |
DMG | 12 | Code List Qualifier Code | C | 1 | 3 | ID |
DMG | 13 | Industry Code | C | 1 | 30 | AN |
FA1 | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
FA1 | 2 | Service, Promotion, Allowance, Or Charge Code | O | 4 | 4 | ID |
FA1 | 3 | Allowance Or Charge Indicator | O | 1 | 1 | ID |
FA2 | 1 | Breakdown Structure Detail Code | M | 2 | 2 | ID |
FA2 | 2 | Financial Information Code | M | 1 | 80 | AN |
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 |
LX | 1 | Assigned Number | M | 1 | 6 | N0 |
VEH | 1 | Assigned Number | O | 1 | 6 | N0 |
VEH | 2 | Vehicle Identification Number | O | 1 | 30 | AN |
VEH | 3 | Year | O | 4 | 4 | N0 |
VEH | 4 | Agency Qualifier Code | C | 2 | 2 | ID |
VEH | 5 | Reference Identification | C | 1 | 50 | AN |
VEH | 6 | Reference Identification | O | 1 | 50 | AN |
VEH | 7 | Reference Identification | C | 1 | 50 | AN |
VEH | 8 | Length | O | 1 | 8 | R8 |
VEH | 9 | Reference Identification | O | 1 | 50 | AN |
VEH | 10 | State Or Province Code | O | 2 | 2 | ID |
VEH | 11 | Location Identifier | O | 1 | 30 | AN |
VEH | 12 | Yes/No Condition Or Response Code | O | 1 | 1 | ID |
VEH | 13 | Amount | O | 1 | 15 | N2 |
VEH | 14 | Yes/No Condition Or Response Code | O | 1 | 1 | ID |
VEH | 15 | Amount | O | 1 | 15 | N2 |
VEH | 16 | Action Code | O | 1 | 2 | ID |
VEH | 17 | Country Code | O | 2 | 3 | ID |
VEH | 18 | Name | C | 1 | 60 | AN |
VEH | 19 | Country Code | C | 2 | 3 | ID |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
PID | 1 | Item Description Type | M | 1 | 1 | ID |
PID | 2 | Product/Process Characteristic Code | O | 2 | 3 | ID |
PID | 3 | Agency Qualifier Code | C | 2 | 2 | ID |
PID | 4 | Product Description Code | C | 1 | 12 | AN |
PID | 5 | Description | C | 1 | 80 | AN |
PID | 6 | Surface/Layer/Position Code | O | 2 | 2 | ID |
PID | 7 | Source Subqualifier | O | 1 | 15 | AN |
PID | 8 | Yes/No Condition Or Response Code | O | 1 | 1 | ID |
PID | 9 | Language Code | O | 2 | 3 | ID |
MEA | 1 | Measurement Reference Id Code | O | 2 | 2 | ID |
MEA | 2 | Measurement Qualifier | O | 1 | 3 | ID |
MEA | 3 | Measurement Value | C | 1 | 20 | R |
MEA | 4 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 5 | Exponent | C | 1 | 15 | R |
MEA | 6 | Multiplier | C | 1 | 10 | R |
MEA | 7 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 8 | Exponent | C | 1 | 15 | R |
MEA | 9 | Multiplier | C | 1 | 10 | R |
MEA | 10 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 11 | Exponent | C | 1 | 15 | R |
MEA | 12 | Multiplier | C | 1 | 10 | R |
MEA | 13 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 14 | Exponent | C | 1 | 15 | R |
MEA | 15 | Multiplier | C | 1 | 10 | R |
MEA | 16 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 17 | Exponent | C | 1 | 15 | R |
MEA | 18 | Multiplier | C | 1 | 10 | R |
MEA | 19 | Range Minimum | C | 1 | 20 | R |
MEA | 20 | Range Maximum | C | 1 | 20 | R |
MEA | 21 | Measurement Significance Code | O | 2 | 2 | ID |
MEA | 22 | Measurement Attribute Code | C | 2 | 2 | ID |
MEA | 23 | Surface/Layer/Position Code | O | 2 | 2 | ID |
MEA | 24 | Measurement Method Or Device | O | 2 | 4 | ID |
MEA | 25 | Code List Qualifier Code | C | 1 | 3 | ID |
MEA | 26 | Industry Code | C | 1 | 30 | AN |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
AMT | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AMT | 2 | Monetary Amount | M | 1 | 18 | R |
AMT | 3 | Credit/Debit Flag Code | O | 1 | 1 | 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 |
TXI | 1 | Tax Type Code | M | 2 | 2 | ID |
TXI | 2 | Monetary Amount | C | 1 | 18 | R |
TXI | 3 | Percentage As Decimal | C | 1 | 10 | R |
TXI | 4 | Tax Jurisdiction Code Qualifier | C | 2 | 2 | ID |
TXI | 5 | Tax Jurisdiction Code | C | 1 | 10 | AN |
TXI | 6 | Tax Exempt Code | C | 1 | 1 | ID |
TXI | 7 | Relationship Code | O | 1 | 1 | ID |
TXI | 8 | Dollar Basis For Percent | O | 1 | 9 | R9 |
TXI | 9 | Tax Identification Number | O | 1 | 20 | AN |
TXI | 10 | Assigned Identification | O | 1 | 20 | AN |
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 |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
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 |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
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 |
TXI | 1 | Tax Type Code | M | 2 | 2 | ID |
TXI | 2 | Monetary Amount | C | 1 | 18 | R |
TXI | 3 | Percentage As Decimal | C | 1 | 10 | R |
TXI | 4 | Tax Jurisdiction Code Qualifier | C | 2 | 2 | ID |
TXI | 5 | Tax Jurisdiction Code | C | 1 | 10 | AN |
TXI | 6 | Tax Exempt Code | C | 1 | 1 | ID |
TXI | 7 | Relationship Code | O | 1 | 1 | ID |
TXI | 8 | Dollar Basis For Percent | O | 1 | 9 | R9 |
TXI | 9 | Tax Identification Number | O | 1 | 20 | AN |
TXI | 10 | Assigned Identification | O | 1 | 20 | AN |
DMG | 1 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DMG | 2 | Date Time Period | C | 1 | 35 | AN |
DMG | 3 | Gender Code | O | 1 | 1 | ID |
DMG | 4 | Marital Status Code | O | 1 | 1 | ID |
DMG | 5 | Race Or Ethnicity Code | C | 1 | 1 | ID |
DMG | 6 | Code List Qualifier Code | C | 1 | 3 | ID |
DMG | 7 | Industry Code | C | 1 | 30 | AN |
DMG | 8 | Citizenship Status Code | O | 1 | 2 | ID |
DMG | 9 | Country Code | O | 2 | 3 | ID |
DMG | 10 | Basis Of Verification Code | O | 1 | 2 | ID |
DMG | 11 | Quantity | O | 1 | 15 | R |
DMG | 12 | Code List Qualifier Code | C | 1 | 3 | ID |
DMG | 13 | Industry Code | C | 1 | 30 | AN |
ITA | 1 | Allowance Or Charge Indicator | M | 1 | 1 | ID |
ITA | 2 | Agency Qualifier Code | C | 2 | 2 | ID |
ITA | 3 | Special Services Code | C | 2 | 10 | ID |
ITA | 4 | Allowance Or Charge Method Of Handling Code | M | 2 | 2 | ID |
ITA | 5 | Allowance Or Charge Number | O | 1 | 16 | AN |
ITA | 6 | Allowance Or Charge Rate | O | 1 | 15 | R |
ITA | 7 | Allowance Or Charge Total Amount | O | 1 | 15 | N2 |
ITA | 8 | Allowance/Charge Percent Qualifier | O | 1 | 1 | ID |
ITA | 9 | Percent, Decimal Format | C | 1 | 6 | R6 |
ITA | 10 | Quantity | C | 1 | 15 | R |
ITA | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
ITA | 12 | Quantity | C | 1 | 15 | R |
ITA | 13 | Description | C | 1 | 80 | AN |
ITA | 14 | Special Charge Or Allowance Code | C | 3 | 3 | ID |
ITA | 15 | Source Subqualifier | O | 1 | 15 | AN |
ITA | 16 | Relationship Code | O | 1 | 1 | ID |
ITA | 17 | Unit Or Basis For Measurement Code | O | 2 | 2 | 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 |
TXI | 1 | Tax Type Code | M | 2 | 2 | ID |
TXI | 2 | Monetary Amount | C | 1 | 18 | R |
TXI | 3 | Percentage As Decimal | C | 1 | 10 | R |
TXI | 4 | Tax Jurisdiction Code Qualifier | C | 2 | 2 | ID |
TXI | 5 | Tax Jurisdiction Code | C | 1 | 10 | AN |
TXI | 6 | Tax Exempt Code | C | 1 | 1 | ID |
TXI | 7 | Relationship Code | O | 1 | 1 | ID |
TXI | 8 | Dollar Basis For Percent | O | 1 | 9 | R9 |
TXI | 9 | Tax Identification Number | O | 1 | 20 | AN |
TXI | 10 | Assigned Identification | O | 1 | 20 | AN |
IT1 | 1 | Assigned Identification | O | 1 | 20 | AN |
IT1 | 2 | Quantity Invoiced | C | 1 | 15 | R |
IT1 | 3 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
IT1 | 4 | Unit Price | C | 1 | 17 | R |
IT1 | 5 | Basis Of Unit Price Code | O | 2 | 2 | ID |
IT1 | 6 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 7 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 8 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 9 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 10 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 11 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 12 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 13 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 14 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 15 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 16 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 17 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 18 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 19 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 20 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 21 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 22 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 23 | Product/Service Id | C | 1 | 48 | AN |
IT1 | 24 | Product/Service Id Qualifier | C | 2 | 2 | ID |
IT1 | 25 | Product/Service Id | C | 1 | 48 | AN |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
PID | 1 | Item Description Type | M | 1 | 1 | ID |
PID | 2 | Product/Process Characteristic Code | O | 2 | 3 | ID |
PID | 3 | Agency Qualifier Code | C | 2 | 2 | ID |
PID | 4 | Product Description Code | C | 1 | 12 | AN |
PID | 5 | Description | C | 1 | 80 | AN |
PID | 6 | Surface/Layer/Position Code | O | 2 | 2 | ID |
PID | 7 | Source Subqualifier | O | 1 | 15 | AN |
PID | 8 | Yes/No Condition Or Response Code | O | 1 | 1 | ID |
PID | 9 | Language Code | O | 2 | 3 | ID |
MEA | 1 | Measurement Reference Id Code | O | 2 | 2 | ID |
MEA | 2 | Measurement Qualifier | O | 1 | 3 | ID |
MEA | 3 | Measurement Value | C | 1 | 20 | R |
MEA | 4 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 5 | Exponent | C | 1 | 15 | R |
MEA | 6 | Multiplier | C | 1 | 10 | R |
MEA | 7 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 8 | Exponent | C | 1 | 15 | R |
MEA | 9 | Multiplier | C | 1 | 10 | R |
MEA | 10 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 11 | Exponent | C | 1 | 15 | R |
MEA | 12 | Multiplier | C | 1 | 10 | R |
MEA | 13 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 14 | Exponent | C | 1 | 15 | R |
MEA | 15 | Multiplier | C | 1 | 10 | R |
MEA | 16 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 17 | Exponent | C | 1 | 15 | R |
MEA | 18 | Multiplier | C | 1 | 10 | R |
MEA | 19 | Range Minimum | C | 1 | 20 | R |
MEA | 20 | Range Maximum | C | 1 | 20 | R |
MEA | 21 | Measurement Significance Code | O | 2 | 2 | ID |
MEA | 22 | Measurement Attribute Code | C | 2 | 2 | ID |
MEA | 23 | Surface/Layer/Position Code | O | 2 | 2 | ID |
MEA | 24 | Measurement Method Or Device | O | 2 | 4 | ID |
MEA | 25 | Code List Qualifier Code | C | 1 | 3 | ID |
MEA | 26 | Industry Code | C | 1 | 30 | AN |
INC | 1 | Terms Type Code | M | 2 | 2 | ID |
INC | 2 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 3 | Exponent | M | 1 | 15 | R |
INC | 4 | Multiplier | M | 1 | 10 | R |
INC | 5 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 6 | Exponent | M | 1 | 15 | R |
INC | 7 | Multiplier | M | 1 | 10 | R |
INC | 8 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 9 | Exponent | M | 1 | 15 | R |
INC | 10 | Multiplier | M | 1 | 10 | R |
INC | 11 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 12 | Exponent | M | 1 | 15 | R |
INC | 13 | Multiplier | M | 1 | 10 | R |
INC | 14 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 15 | Exponent | M | 1 | 15 | R |
INC | 16 | Multiplier | M | 1 | 10 | R |
INC | 17 | Quantity | M | 1 | 15 | R |
INC | 18 | Quantity | O | 1 | 15 | R |
INC | 19 | Monetary Amount | C | 1 | 18 | R |
INC | 20 | Amount Qualifier Code | C | 1 | 3 | ID |
TXI | 1 | Tax Type Code | M | 2 | 2 | ID |
TXI | 2 | Monetary Amount | C | 1 | 18 | R |
TXI | 3 | Percentage As Decimal | C | 1 | 10 | R |
TXI | 4 | Tax Jurisdiction Code Qualifier | C | 2 | 2 | ID |
TXI | 5 | Tax Jurisdiction Code | C | 1 | 10 | AN |
TXI | 6 | Tax Exempt Code | C | 1 | 1 | ID |
TXI | 7 | Relationship Code | O | 1 | 1 | ID |
TXI | 8 | Dollar Basis For Percent | O | 1 | 9 | R9 |
TXI | 9 | Tax Identification Number | O | 1 | 20 | AN |
TXI | 10 | Assigned Identification | O | 1 | 20 | AN |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | 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 |
MSG | 1 | Free-Form Message Text | M | 1 | 264 | AN |
MSG | 2 | Printer Carriage Control Code | C | 2 | 2 | ID |
MSG | 3 | Number | O | 1 | 9 | N0 |
CAD | 1 | Transportation Method/Type Code | M | 1 | 2 | ID |
CAD | 2 | Equipment Initial | O | 1 | 4 | AN |
CAD | 3 | Equipment Number | O | 1 | 15 | AN |
CAD | 4 | Standard Carrier Alpha Code | C | 2 | 4 | ID |
CAD | 5 | Routing | C | 1 | 35 | AN |
CAD | 6 | Shipment/Order Status Code | O | 2 | 2 | ID |
CAD | 7 | Reference Identification Qualifier | O | 2 | 3 | ID |
CAD | 8 | Reference Identification | C | 1 | 50 | AN |
CAD | 9 | Service Level Code | O | 2 | 2 | ID |
YNQ | 1 | Condition Indicator | C | 2 | 3 | ID |
YNQ | 2 | Yes/No Condition Or Response Code | M | 1 | 1 | ID |
YNQ | 3 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
YNQ | 4 | Date Time Period | C | 1 | 35 | AN |
YNQ | 5 | Free-Form Message Text | O | 1 | 264 | AN |
YNQ | 6 | Free-Form Message Text | O | 1 | 264 | AN |
YNQ | 7 | Free-Form Message Text | O | 1 | 264 | AN |
YNQ | 8 | Code List Qualifier Code | C | 1 | 3 | ID |
YNQ | 9 | Industry Code | C | 1 | 30 | AN |
YNQ | 10 | Free-Form Message Text | C | 1 | 264 | AN |
LQ | 1 | Code List Qualifier Code | O | 1 | 3 | ID |
LQ | 2 | Industry Code | C | 1 | 30 | AN |
LCD | 1 | Assigned Identification | O | 1 | 20 | AN |
LCD | 2 | Entity Identifier Code | O | 2 | 3 | ID |
LCD | 3 | Action Code | O | 1 | 2 | ID |
LCD | 4 | Date | O | 8 | 8 | DT |
LCD | 5 | Identification Code Qualifier | C | 1 | 2 | ID |
LCD | 6 | Identification Code | C | 2 | 80 | AN |
AMT | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AMT | 2 | Monetary Amount | M | 1 | 18 | R |
AMT | 3 | Credit/Debit Flag Code | O | 1 | 1 | ID |
CUR | 1 | Entity Identifier Code | M | 2 | 3 | ID |
CUR | 2 | Currency Code | M | 3 | 3 | ID |
CUR | 3 | Exchange Rate | O | 4 | 10 | R |
CUR | 4 | Entity Identifier Code | O | 2 | 3 | ID |
CUR | 5 | Currency Code | O | 3 | 3 | ID |
CUR | 6 | Currency Market/Exchange Code | O | 3 | 3 | ID |
CUR | 7 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 8 | Date | O | 8 | 8 | DT |
CUR | 9 | Time | O | 4 | 8 | TM |
CUR | 10 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 11 | Date | C | 8 | 8 | DT |
CUR | 12 | Time | C | 4 | 8 | TM |
CUR | 13 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 14 | Date | C | 8 | 8 | DT |
CUR | 15 | Time | C | 4 | 8 | TM |
CUR | 16 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 17 | Date | C | 8 | 8 | DT |
CUR | 18 | Time | C | 4 | 8 | TM |
CUR | 19 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 20 | Date | C | 8 | 8 | DT |
CUR | 21 | Time | C | 4 | 8 | TM |
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 |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
ITA | 1 | Allowance Or Charge Indicator | M | 1 | 1 | ID |
ITA | 2 | Agency Qualifier Code | C | 2 | 2 | ID |
ITA | 3 | Special Services Code | C | 2 | 10 | ID |
ITA | 4 | Allowance Or Charge Method Of Handling Code | M | 2 | 2 | ID |
ITA | 5 | Allowance Or Charge Number | O | 1 | 16 | AN |
ITA | 6 | Allowance Or Charge Rate | O | 1 | 15 | R |
ITA | 7 | Allowance Or Charge Total Amount | O | 1 | 15 | N2 |
ITA | 8 | Allowance/Charge Percent Qualifier | O | 1 | 1 | ID |
ITA | 9 | Percent, Decimal Format | C | 1 | 6 | R6 |
ITA | 10 | Quantity | C | 1 | 15 | R |
ITA | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
ITA | 12 | Quantity | C | 1 | 15 | R |
ITA | 13 | Description | C | 1 | 80 | AN |
ITA | 14 | Special Charge Or Allowance Code | C | 3 | 3 | ID |
ITA | 15 | Source Subqualifier | O | 1 | 15 | AN |
ITA | 16 | Relationship Code | O | 1 | 1 | ID |
ITA | 17 | Unit Or Basis For Measurement Code | O | 2 | 2 | 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 |
TXI | 1 | Tax Type Code | M | 2 | 2 | ID |
TXI | 2 | Monetary Amount | C | 1 | 18 | R |
TXI | 3 | Percentage As Decimal | C | 1 | 10 | R |
TXI | 4 | Tax Jurisdiction Code Qualifier | C | 2 | 2 | ID |
TXI | 5 | Tax Jurisdiction Code | C | 1 | 10 | AN |
TXI | 6 | Tax Exempt Code | C | 1 | 1 | ID |
TXI | 7 | Relationship Code | O | 1 | 1 | ID |
TXI | 8 | Dollar Basis For Percent | O | 1 | 9 | R9 |
TXI | 9 | Tax Identification Number | O | 1 | 20 | AN |
TXI | 10 | Assigned Identification | O | 1 | 20 | AN |
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 |
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 |
DMG | 1 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DMG | 2 | Date Time Period | C | 1 | 35 | AN |
DMG | 3 | Gender Code | O | 1 | 1 | ID |
DMG | 4 | Marital Status Code | O | 1 | 1 | ID |
DMG | 5 | Race Or Ethnicity Code | C | 1 | 1 | ID |
DMG | 6 | Code List Qualifier Code | C | 1 | 3 | ID |
DMG | 7 | Industry Code | C | 1 | 30 | AN |
DMG | 8 | Citizenship Status Code | O | 1 | 2 | ID |
DMG | 9 | Country Code | O | 2 | 3 | ID |
DMG | 10 | Basis Of Verification Code | O | 1 | 2 | ID |
DMG | 11 | Quantity | O | 1 | 15 | R |
DMG | 12 | Code List Qualifier Code | C | 1 | 3 | ID |
DMG | 13 | Industry Code | C | 1 | 30 | AN |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
LCD | 1 | Assigned Identification | O | 1 | 20 | AN |
LCD | 2 | Entity Identifier Code | O | 2 | 3 | ID |
LCD | 3 | Action Code | O | 1 | 2 | ID |
LCD | 4 | Date | O | 8 | 8 | DT |
LCD | 5 | Identification Code Qualifier | C | 1 | 2 | ID |
LCD | 6 | Identification Code | C | 2 | 80 | AN |
SLN | 1 | Assigned Identification | M | 1 | 20 | AN |
SLN | 2 | Assigned Identification | O | 1 | 20 | AN |
SLN | 3 | Relationship Code | M | 1 | 1 | ID |
SLN | 4 | Quantity | C | 1 | 15 | R |
SLN | 5 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
SLN | 6 | Exponent | C | 1 | 15 | R |
SLN | 7 | Multiplier | C | 1 | 10 | R |
SLN | 8 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
SLN | 9 | Exponent | C | 1 | 15 | R |
SLN | 10 | Multiplier | C | 1 | 10 | R |
SLN | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
SLN | 12 | Exponent | C | 1 | 15 | R |
SLN | 13 | Multiplier | C | 1 | 10 | R |
SLN | 14 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
SLN | 15 | Exponent | C | 1 | 15 | R |
SLN | 16 | Multiplier | C | 1 | 10 | R |
SLN | 17 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
SLN | 18 | Exponent | C | 1 | 15 | R |
SLN | 19 | Multiplier | C | 1 | 10 | R |
SLN | 20 | Unit Price | C | 1 | 17 | R |
SLN | 21 | Basis Of Unit Price Code | O | 2 | 2 | ID |
SLN | 22 | Relationship Code | O | 1 | 1 | ID |
SLN | 23 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 24 | Product/Service Id | C | 1 | 48 | AN |
SLN | 25 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 26 | Product/Service Id | C | 1 | 48 | AN |
SLN | 27 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 28 | Product/Service Id | C | 1 | 48 | AN |
SLN | 29 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 30 | Product/Service Id | C | 1 | 48 | AN |
SLN | 31 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 32 | Product/Service Id | C | 1 | 48 | AN |
SLN | 33 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 34 | Product/Service Id | C | 1 | 48 | AN |
SLN | 35 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 36 | Product/Service Id | C | 1 | 48 | AN |
SLN | 37 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 38 | Product/Service Id | C | 1 | 48 | AN |
SLN | 39 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 40 | Product/Service Id | C | 1 | 48 | AN |
SLN | 41 | Product/Service Id Qualifier | C | 2 | 2 | ID |
SLN | 42 | Product/Service Id | C | 1 | 48 | AN |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
PID | 1 | Item Description Type | M | 1 | 1 | ID |
PID | 2 | Product/Process Characteristic Code | O | 2 | 3 | ID |
PID | 3 | Agency Qualifier Code | C | 2 | 2 | ID |
PID | 4 | Product Description Code | C | 1 | 12 | AN |
PID | 5 | Description | C | 1 | 80 | AN |
PID | 6 | Surface/Layer/Position Code | O | 2 | 2 | ID |
PID | 7 | Source Subqualifier | O | 1 | 15 | AN |
PID | 8 | Yes/No Condition Or Response Code | O | 1 | 1 | ID |
PID | 9 | Language Code | O | 2 | 3 | ID |
MEA | 1 | Measurement Reference Id Code | O | 2 | 2 | ID |
MEA | 2 | Measurement Qualifier | O | 1 | 3 | ID |
MEA | 3 | Measurement Value | C | 1 | 20 | R |
MEA | 4 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 5 | Exponent | C | 1 | 15 | R |
MEA | 6 | Multiplier | C | 1 | 10 | R |
MEA | 7 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 8 | Exponent | C | 1 | 15 | R |
MEA | 9 | Multiplier | C | 1 | 10 | R |
MEA | 10 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 11 | Exponent | C | 1 | 15 | R |
MEA | 12 | Multiplier | C | 1 | 10 | R |
MEA | 13 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 14 | Exponent | C | 1 | 15 | R |
MEA | 15 | Multiplier | C | 1 | 10 | R |
MEA | 16 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
MEA | 17 | Exponent | C | 1 | 15 | R |
MEA | 18 | Multiplier | C | 1 | 10 | R |
MEA | 19 | Range Minimum | C | 1 | 20 | R |
MEA | 20 | Range Maximum | C | 1 | 20 | R |
MEA | 21 | Measurement Significance Code | O | 2 | 2 | ID |
MEA | 22 | Measurement Attribute Code | C | 2 | 2 | ID |
MEA | 23 | Surface/Layer/Position Code | O | 2 | 2 | ID |
MEA | 24 | Measurement Method Or Device | O | 2 | 4 | ID |
MEA | 25 | Code List Qualifier Code | C | 1 | 3 | ID |
MEA | 26 | Industry Code | C | 1 | 30 | AN |
CUR | 1 | Entity Identifier Code | M | 2 | 3 | ID |
CUR | 2 | Currency Code | M | 3 | 3 | ID |
CUR | 3 | Exchange Rate | O | 4 | 10 | R |
CUR | 4 | Entity Identifier Code | O | 2 | 3 | ID |
CUR | 5 | Currency Code | O | 3 | 3 | ID |
CUR | 6 | Currency Market/Exchange Code | O | 3 | 3 | ID |
CUR | 7 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 8 | Date | O | 8 | 8 | DT |
CUR | 9 | Time | O | 4 | 8 | TM |
CUR | 10 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 11 | Date | C | 8 | 8 | DT |
CUR | 12 | Time | C | 4 | 8 | TM |
CUR | 13 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 14 | Date | C | 8 | 8 | DT |
CUR | 15 | Time | C | 4 | 8 | TM |
CUR | 16 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 17 | Date | C | 8 | 8 | DT |
CUR | 18 | Time | C | 4 | 8 | TM |
CUR | 19 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 20 | Date | C | 8 | 8 | DT |
CUR | 21 | Time | C | 4 | 8 | TM |
INC | 1 | Terms Type Code | M | 2 | 2 | ID |
INC | 2 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 3 | Exponent | M | 1 | 15 | R |
INC | 4 | Multiplier | M | 1 | 10 | R |
INC | 5 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 6 | Exponent | M | 1 | 15 | R |
INC | 7 | Multiplier | M | 1 | 10 | R |
INC | 8 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 9 | Exponent | M | 1 | 15 | R |
INC | 10 | Multiplier | M | 1 | 10 | R |
INC | 11 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 12 | Exponent | M | 1 | 15 | R |
INC | 13 | Multiplier | M | 1 | 10 | R |
INC | 14 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
INC | 15 | Exponent | M | 1 | 15 | R |
INC | 16 | Multiplier | M | 1 | 10 | R |
INC | 17 | Quantity | M | 1 | 15 | R |
INC | 18 | Quantity | O | 1 | 15 | R |
INC | 19 | Monetary Amount | C | 1 | 18 | R |
INC | 20 | Amount Qualifier Code | C | 1 | 3 | ID |
ITA | 1 | Allowance Or Charge Indicator | M | 1 | 1 | ID |
ITA | 2 | Agency Qualifier Code | C | 2 | 2 | ID |
ITA | 3 | Special Services Code | C | 2 | 10 | ID |
ITA | 4 | Allowance Or Charge Method Of Handling Code | M | 2 | 2 | ID |
ITA | 5 | Allowance Or Charge Number | O | 1 | 16 | AN |
ITA | 6 | Allowance Or Charge Rate | O | 1 | 15 | R |
ITA | 7 | Allowance Or Charge Total Amount | O | 1 | 15 | N2 |
ITA | 8 | Allowance/Charge Percent Qualifier | O | 1 | 1 | ID |
ITA | 9 | Percent, Decimal Format | C | 1 | 6 | R6 |
ITA | 10 | Quantity | C | 1 | 15 | R |
ITA | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
ITA | 12 | Quantity | C | 1 | 15 | R |
ITA | 13 | Description | C | 1 | 80 | AN |
ITA | 14 | Special Charge Or Allowance Code | C | 3 | 3 | ID |
ITA | 15 | Source Subqualifier | O | 1 | 15 | AN |
ITA | 16 | Relationship Code | O | 1 | 1 | ID |
ITA | 17 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
TXI | 1 | Tax Type Code | M | 2 | 2 | ID |
TXI | 2 | Monetary Amount | C | 1 | 18 | R |
TXI | 3 | Percentage As Decimal | C | 1 | 10 | R |
TXI | 4 | Tax Jurisdiction Code Qualifier | C | 2 | 2 | ID |
TXI | 5 | Tax Jurisdiction Code | C | 1 | 10 | AN |
TXI | 6 | Tax Exempt Code | C | 1 | 1 | ID |
TXI | 7 | Relationship Code | O | 1 | 1 | ID |
TXI | 8 | Dollar Basis For Percent | O | 1 | 9 | R9 |
TXI | 9 | Tax Identification Number | O | 1 | 20 | AN |
TXI | 10 | Assigned Identification | O | 1 | 20 | AN |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
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 |
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 |
AMT | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AMT | 2 | Monetary Amount | M | 1 | 18 | R |
AMT | 3 | Credit/Debit Flag Code | O | 1 | 1 | ID |
MSG | 1 | Free-Form Message Text | M | 1 | 264 | AN |
MSG | 2 | Printer Carriage Control Code | C | 2 | 2 | ID |
MSG | 3 | Number | O | 1 | 9 | N0 |
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 |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
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 |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
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 |
DMG | 1 | Date Time Period Format Qualifier | C | 2 | 3 | ID |
DMG | 2 | Date Time Period | C | 1 | 35 | AN |
DMG | 3 | Gender Code | O | 1 | 1 | ID |
DMG | 4 | Marital Status Code | O | 1 | 1 | ID |
DMG | 5 | Race Or Ethnicity Code | C | 1 | 1 | ID |
DMG | 6 | Code List Qualifier Code | C | 1 | 3 | ID |
DMG | 7 | Industry Code | C | 1 | 30 | AN |
DMG | 8 | Citizenship Status Code | O | 1 | 2 | ID |
DMG | 9 | Country Code | O | 2 | 3 | ID |
DMG | 10 | Basis Of Verification Code | O | 1 | 2 | ID |
DMG | 11 | Quantity | O | 1 | 15 | R |
DMG | 12 | Code List Qualifier Code | C | 1 | 3 | ID |
DMG | 13 | Industry Code | C | 1 | 30 | AN |
TCD | 1 | Assigned Identification | O | 1 | 20 | AN |
TCD | 2 | Date | O | 8 | 8 | DT |
TCD | 3 | Time | O | 4 | 8 | TM |
TCD | 4 | Location Qualifier | C | 1 | 2 | ID |
TCD | 5 | Location Identifier | C | 1 | 30 | AN |
TCD | 6 | State Or Province Code | O | 2 | 2 | ID |
TCD | 7 | Location Qualifier | C | 1 | 2 | ID |
TCD | 8 | Location Identifier | C | 1 | 30 | AN |
TCD | 9 | State Or Province Code | O | 2 | 2 | ID |
TCD | 10 | Measurement Value | O | 1 | 20 | R |
TCD | 11 | Measurement Value | O | 1 | 20 | R |
TCD | 12 | Monetary Amount | O | 1 | 18 | R |
TCD | 13 | Monetary Amount | O | 1 | 18 | R |
TCD | 14 | Monetary Amount | O | 1 | 18 | R |
TCD | 15 | Monetary Amount | O | 1 | 18 | R |
TCD | 16 | Relationship Code | O | 1 | 1 | ID |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
TXI | 1 | Tax Type Code | M | 2 | 2 | ID |
TXI | 2 | Monetary Amount | C | 1 | 18 | R |
TXI | 3 | Percentage As Decimal | C | 1 | 10 | R |
TXI | 4 | Tax Jurisdiction Code Qualifier | C | 2 | 2 | ID |
TXI | 5 | Tax Jurisdiction Code | C | 1 | 10 | AN |
TXI | 6 | Tax Exempt Code | C | 1 | 1 | ID |
TXI | 7 | Relationship Code | O | 1 | 1 | ID |
TXI | 8 | Dollar Basis For Percent | O | 1 | 9 | R9 |
TXI | 9 | Tax Identification Number | O | 1 | 20 | AN |
TXI | 10 | Assigned Identification | O | 1 | 20 | AN |
ITA | 1 | Allowance Or Charge Indicator | M | 1 | 1 | ID |
ITA | 2 | Agency Qualifier Code | C | 2 | 2 | ID |
ITA | 3 | Special Services Code | C | 2 | 10 | ID |
ITA | 4 | Allowance Or Charge Method Of Handling Code | M | 2 | 2 | ID |
ITA | 5 | Allowance Or Charge Number | O | 1 | 16 | AN |
ITA | 6 | Allowance Or Charge Rate | O | 1 | 15 | R |
ITA | 7 | Allowance Or Charge Total Amount | O | 1 | 15 | N2 |
ITA | 8 | Allowance/Charge Percent Qualifier | O | 1 | 1 | ID |
ITA | 9 | Percent, Decimal Format | C | 1 | 6 | R6 |
ITA | 10 | Quantity | C | 1 | 15 | R |
ITA | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
ITA | 12 | Quantity | C | 1 | 15 | R |
ITA | 13 | Description | C | 1 | 80 | AN |
ITA | 14 | Special Charge Or Allowance Code | C | 3 | 3 | ID |
ITA | 15 | Source Subqualifier | O | 1 | 15 | AN |
ITA | 16 | Relationship Code | O | 1 | 1 | ID |
ITA | 17 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
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 |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
USD | 1 | Relationship Code | M | 1 | 1 | ID |
USD | 2 | Assigned Identification | O | 1 | 20 | AN |
USD | 3 | Rate | C | 1 | 9 | R9 |
USD | 4 | Percentage As Decimal | C | 1 | 10 | R |
USD | 5 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 6 | Exponent | C | 1 | 15 | R |
USD | 7 | Multiplier | C | 1 | 10 | R |
USD | 8 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 9 | Exponent | C | 1 | 15 | R |
USD | 10 | Multiplier | C | 1 | 10 | R |
USD | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 12 | Exponent | C | 1 | 15 | R |
USD | 13 | Multiplier | C | 1 | 10 | R |
USD | 14 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 15 | Exponent | C | 1 | 15 | R |
USD | 16 | Multiplier | C | 1 | 10 | R |
USD | 17 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 18 | Exponent | C | 1 | 15 | R |
USD | 19 | Multiplier | C | 1 | 10 | R |
USD | 20 | Quantity | C | 1 | 15 | R |
USD | 21 | Quantity | C | 1 | 15 | R |
USD | 22 | Monetary Amount | C | 1 | 18 | R |
USD | 23 | Amount | C | 1 | 15 | N2 |
USD | 24 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 25 | Exponent | C | 1 | 15 | R |
USD | 26 | Multiplier | C | 1 | 10 | R |
USD | 27 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 28 | Exponent | C | 1 | 15 | R |
USD | 29 | Multiplier | C | 1 | 10 | R |
USD | 30 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 31 | Exponent | C | 1 | 15 | R |
USD | 32 | Multiplier | C | 1 | 10 | R |
USD | 33 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 34 | Exponent | C | 1 | 15 | R |
USD | 35 | Multiplier | C | 1 | 10 | R |
USD | 36 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
USD | 37 | Exponent | C | 1 | 15 | R |
USD | 38 | Multiplier | C | 1 | 10 | R |
USD | 39 | Range Minimum | C | 1 | 20 | R |
USD | 40 | Range Maximum | C | 1 | 20 | R |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
ITA | 1 | Allowance Or Charge Indicator | M | 1 | 1 | ID |
ITA | 2 | Agency Qualifier Code | C | 2 | 2 | ID |
ITA | 3 | Special Services Code | C | 2 | 10 | ID |
ITA | 4 | Allowance Or Charge Method Of Handling Code | M | 2 | 2 | ID |
ITA | 5 | Allowance Or Charge Number | O | 1 | 16 | AN |
ITA | 6 | Allowance Or Charge Rate | O | 1 | 15 | R |
ITA | 7 | Allowance Or Charge Total Amount | O | 1 | 15 | N2 |
ITA | 8 | Allowance/Charge Percent Qualifier | O | 1 | 1 | ID |
ITA | 9 | Percent, Decimal Format | C | 1 | 6 | R6 |
ITA | 10 | Quantity | C | 1 | 15 | R |
ITA | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
ITA | 12 | Quantity | C | 1 | 15 | R |
ITA | 13 | Description | C | 1 | 80 | AN |
ITA | 14 | Special Charge Or Allowance Code | C | 3 | 3 | ID |
ITA | 15 | Source Subqualifier | O | 1 | 15 | AN |
ITA | 16 | Relationship Code | O | 1 | 1 | ID |
ITA | 17 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
TRF | 1 | Quantity Qualifier | M | 2 | 2 | ID |
TRF | 2 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 3 | Exponent | M | 1 | 15 | R |
TRF | 4 | Multiplier | M | 1 | 10 | R |
TRF | 5 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 6 | Exponent | M | 1 | 15 | R |
TRF | 7 | Multiplier | M | 1 | 10 | R |
TRF | 8 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 9 | Exponent | M | 1 | 15 | R |
TRF | 10 | Multiplier | M | 1 | 10 | R |
TRF | 11 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 12 | Exponent | M | 1 | 15 | R |
TRF | 13 | Multiplier | M | 1 | 10 | R |
TRF | 14 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 15 | Exponent | M | 1 | 15 | R |
TRF | 16 | Multiplier | M | 1 | 10 | R |
TRF | 17 | Quantity | M | 1 | 15 | R |
TRF | 18 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 19 | Exponent | M | 1 | 15 | R |
TRF | 20 | Multiplier | M | 1 | 10 | R |
TRF | 21 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 22 | Exponent | M | 1 | 15 | R |
TRF | 23 | Multiplier | M | 1 | 10 | R |
TRF | 24 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 25 | Exponent | M | 1 | 15 | R |
TRF | 26 | Multiplier | M | 1 | 10 | R |
TRF | 27 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 28 | Exponent | M | 1 | 15 | R |
TRF | 29 | Multiplier | M | 1 | 10 | R |
TRF | 30 | Unit Or Basis For Measurement Code | M | 2 | 2 | ID |
TRF | 31 | Exponent | M | 1 | 15 | R |
TRF | 32 | Multiplier | M | 1 | 10 | R |
TRF | 33 | Quantity | M | 1 | 15 | 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 |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
III | 1 | Code List Qualifier Code | C | 1 | 3 | ID |
III | 2 | Industry Code | C | 1 | 30 | AN |
III | 3 | Code Category | O | 2 | 2 | ID |
III | 4 | Free-Form Message Text | C | 1 | 264 | AN |
III | 5 | Quantity | C | 1 | 15 | R |
III | 6 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
III | 7 | Exponent | O | 1 | 15 | R |
III | 8 | Multiplier | O | 1 | 10 | R |
III | 9 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
III | 10 | Exponent | O | 1 | 15 | R |
III | 11 | Multiplier | O | 1 | 10 | R |
III | 12 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
III | 13 | Exponent | O | 1 | 15 | R |
III | 14 | Multiplier | O | 1 | 10 | R |
III | 15 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
III | 16 | Exponent | O | 1 | 15 | R |
III | 17 | Multiplier | O | 1 | 10 | R |
III | 18 | Unit Or Basis For Measurement Code | O | 2 | 2 | ID |
III | 19 | Exponent | O | 1 | 15 | R |
III | 20 | Multiplier | O | 1 | 10 | R |
III | 21 | Surface/Layer/Position Code | O | 2 | 2 | ID |
III | 22 | Surface/Layer/Position Code | O | 2 | 2 | ID |
III | 23 | Surface/Layer/Position Code | O | 2 | 2 | ID |
DTP | 1 | Date/Time Qualifier | M | 3 | 3 | ID |
DTP | 2 | Date Time Period Format Qualifier | M | 2 | 3 | ID |
DTP | 3 | Date Time Period | M | 1 | 35 | AN |
AMT | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AMT | 2 | Monetary Amount | M | 1 | 18 | R |
AMT | 3 | Credit/Debit Flag Code | O | 1 | 1 | ID |
PCT | 1 | Percent Qualifier | M | 1 | 2 | ID |
PCT | 2 | Percentage As Decimal | M | 1 | 10 | R |
LQ | 1 | Code List Qualifier Code | O | 1 | 3 | ID |
LQ | 2 | Industry Code | C | 1 | 30 | AN |
AMT | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AMT | 2 | Monetary Amount | M | 1 | 18 | R |
AMT | 3 | Credit/Debit Flag Code | O | 1 | 1 | ID |
PCT | 1 | Percent Qualifier | M | 1 | 2 | ID |
PCT | 2 | Percentage As Decimal | M | 1 | 10 | R |
FA1 | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
FA1 | 2 | Service, Promotion, Allowance, Or Charge Code | O | 4 | 4 | ID |
FA1 | 3 | Allowance Or Charge Indicator | O | 1 | 1 | ID |
FA2 | 1 | Breakdown Structure Detail Code | M | 2 | 2 | ID |
FA2 | 2 | Financial Information Code | M | 1 | 80 | AN |
TDS | 1 | Amount | M | 1 | 15 | N2 |
TDS | 2 | Amount | O | 1 | 15 | N2 |
TDS | 3 | Amount | O | 1 | 15 | N2 |
TDS | 4 | Amount | O | 1 | 15 | N2 |
ITA | 1 | Allowance Or Charge Indicator | M | 1 | 1 | ID |
ITA | 2 | Agency Qualifier Code | C | 2 | 2 | ID |
ITA | 3 | Special Services Code | C | 2 | 10 | ID |
ITA | 4 | Allowance Or Charge Method Of Handling Code | M | 2 | 2 | ID |
ITA | 5 | Allowance Or Charge Number | O | 1 | 16 | AN |
ITA | 6 | Allowance Or Charge Rate | O | 1 | 15 | R |
ITA | 7 | Allowance Or Charge Total Amount | O | 1 | 15 | N2 |
ITA | 8 | Allowance/Charge Percent Qualifier | O | 1 | 1 | ID |
ITA | 9 | Percent, Decimal Format | C | 1 | 6 | R6 |
ITA | 10 | Quantity | C | 1 | 15 | R |
ITA | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
ITA | 12 | Quantity | C | 1 | 15 | R |
ITA | 13 | Description | C | 1 | 80 | AN |
ITA | 14 | Special Charge Or Allowance Code | C | 3 | 3 | ID |
ITA | 15 | Source Subqualifier | O | 1 | 15 | AN |
ITA | 16 | Relationship Code | O | 1 | 1 | ID |
ITA | 17 | Unit Or Basis For Measurement Code | O | 2 | 2 | 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 |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
BAL | 1 | Balance Type Code | M | 1 | 2 | ID |
BAL | 2 | Amount Qualifier Code | M | 1 | 3 | ID |
BAL | 3 | Monetary Amount | M | 1 | 18 | R |
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 |
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 |
BAL | 1 | Balance Type Code | M | 1 | 2 | ID |
BAL | 2 | Amount Qualifier Code | M | 1 | 3 | ID |
BAL | 3 | Monetary Amount | M | 1 | 18 | R |
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 |
ITA | 1 | Allowance Or Charge Indicator | M | 1 | 1 | ID |
ITA | 2 | Agency Qualifier Code | C | 2 | 2 | ID |
ITA | 3 | Special Services Code | C | 2 | 10 | ID |
ITA | 4 | Allowance Or Charge Method Of Handling Code | M | 2 | 2 | ID |
ITA | 5 | Allowance Or Charge Number | O | 1 | 16 | AN |
ITA | 6 | Allowance Or Charge Rate | O | 1 | 15 | R |
ITA | 7 | Allowance Or Charge Total Amount | O | 1 | 15 | N2 |
ITA | 8 | Allowance/Charge Percent Qualifier | O | 1 | 1 | ID |
ITA | 9 | Percent, Decimal Format | C | 1 | 6 | R6 |
ITA | 10 | Quantity | C | 1 | 15 | R |
ITA | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
ITA | 12 | Quantity | C | 1 | 15 | R |
ITA | 13 | Description | C | 1 | 80 | AN |
ITA | 14 | Special Charge Or Allowance Code | C | 3 | 3 | ID |
ITA | 15 | Source Subqualifier | O | 1 | 15 | AN |
ITA | 16 | Relationship Code | O | 1 | 1 | ID |
ITA | 17 | Unit Or Basis For Measurement Code | O | 2 | 2 | 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 |
AMT | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AMT | 2 | Monetary Amount | M | 1 | 18 | R |
AMT | 3 | Credit/Debit Flag Code | O | 1 | 1 | ID |
SI | 1 | Agency Qualifier Code | M | 2 | 2 | ID |
SI | 2 | Service Characteristics Qualifier | M | 2 | 3 | AN |
SI | 3 | Product/Service Id | M | 1 | 48 | AN |
SI | 4 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 5 | Product/Service Id | C | 1 | 48 | AN |
SI | 6 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 7 | Product/Service Id | C | 1 | 48 | AN |
SI | 8 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 9 | Product/Service Id | C | 1 | 48 | AN |
SI | 10 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 11 | Product/Service Id | C | 1 | 48 | AN |
SI | 12 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 13 | Product/Service Id | C | 1 | 48 | AN |
SI | 14 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 15 | Product/Service Id | C | 1 | 48 | AN |
SI | 16 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 17 | Product/Service Id | C | 1 | 48 | AN |
SI | 18 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 19 | Product/Service Id | C | 1 | 48 | AN |
SI | 20 | Service Characteristics Qualifier | C | 2 | 3 | AN |
SI | 21 | Product/Service Id | C | 1 | 48 | AN |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
CUR | 1 | Entity Identifier Code | M | 2 | 3 | ID |
CUR | 2 | Currency Code | M | 3 | 3 | ID |
CUR | 3 | Exchange Rate | O | 4 | 10 | R |
CUR | 4 | Entity Identifier Code | O | 2 | 3 | ID |
CUR | 5 | Currency Code | O | 3 | 3 | ID |
CUR | 6 | Currency Market/Exchange Code | O | 3 | 3 | ID |
CUR | 7 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 8 | Date | O | 8 | 8 | DT |
CUR | 9 | Time | O | 4 | 8 | TM |
CUR | 10 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 11 | Date | C | 8 | 8 | DT |
CUR | 12 | Time | C | 4 | 8 | TM |
CUR | 13 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 14 | Date | C | 8 | 8 | DT |
CUR | 15 | Time | C | 4 | 8 | TM |
CUR | 16 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 17 | Date | C | 8 | 8 | DT |
CUR | 18 | Time | C | 4 | 8 | TM |
CUR | 19 | Date/Time Qualifier | C | 3 | 3 | ID |
CUR | 20 | Date | C | 8 | 8 | DT |
CUR | 21 | Time | C | 4 | 8 | TM |
LX | 1 | Assigned Number | M | 1 | 6 | N0 |
REF | 1 | Reference Identification Qualifier | M | 2 | 3 | ID |
REF | 2 | Reference Identification | C | 1 | 50 | AN |
REF | 3 | Description | C | 1 | 80 | AN |
REF | 4 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 5 | Reference Identification | O | 1 | 50 | AN |
REF | 6 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 7 | Reference Identification | O | 1 | 50 | AN |
REF | 8 | Reference Identification Qualifier | O | 2 | 3 | ID |
REF | 9 | Reference Identification | O | 1 | 50 | AN |
AMT | 1 | Amount Qualifier Code | M | 1 | 3 | ID |
AMT | 2 | Monetary Amount | M | 1 | 18 | R |
AMT | 3 | Credit/Debit Flag Code | O | 1 | 1 | 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 |
ITA | 1 | Allowance Or Charge Indicator | M | 1 | 1 | ID |
ITA | 2 | Agency Qualifier Code | C | 2 | 2 | ID |
ITA | 3 | Special Services Code | C | 2 | 10 | ID |
ITA | 4 | Allowance Or Charge Method Of Handling Code | M | 2 | 2 | ID |
ITA | 5 | Allowance Or Charge Number | O | 1 | 16 | AN |
ITA | 6 | Allowance Or Charge Rate | O | 1 | 15 | R |
ITA | 7 | Allowance Or Charge Total Amount | O | 1 | 15 | N2 |
ITA | 8 | Allowance/Charge Percent Qualifier | O | 1 | 1 | ID |
ITA | 9 | Percent, Decimal Format | C | 1 | 6 | R6 |
ITA | 10 | Quantity | C | 1 | 15 | R |
ITA | 11 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
ITA | 12 | Quantity | C | 1 | 15 | R |
ITA | 13 | Description | C | 1 | 80 | AN |
ITA | 14 | Special Charge Or Allowance Code | C | 3 | 3 | ID |
ITA | 15 | Source Subqualifier | O | 1 | 15 | AN |
ITA | 16 | Relationship Code | O | 1 | 1 | ID |
ITA | 17 | Unit Or Basis For Measurement Code | O | 2 | 2 | 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 |
CTT | 1 | Number Of Line Items | M | 1 | 6 | N0 |
CTT | 2 | Hash Total | O | 1 | 10 | R |
CTT | 3 | Weight | C | 1 | 10 | R |
CTT | 4 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
CTT | 5 | Volume | C | 1 | 8 | R8 |
CTT | 6 | Unit Or Basis For Measurement Code | C | 2 | 2 | ID |
CTT | 7 | Description | O | 1 | 80 | AN |