EDI MEDREQ Segments and Elements for the Medical Service Request Standard


AgencySet IDFGTransaction DescriptionSubcommittee
UN/EDIFACTMEDREQ Medical Service RequestEDIFACT


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See the list of EDI MEDREQ segments and elements in below data grid. The Jobisez.com site has an online translation tool that converts the EDI MEDREQ (Medical Service Request) document into a CSV file. If you are researching the MEDREQs, 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.


The EDI MEDREQ Segments and Elements

SegmentDescriptionSectReqMax LoopMax UsagePos
BGMBeginning Of MessageHM011
DTMDate/Time/PeriodHC092
FTXFree TextHC093
PNAParty NameHM9914
ADRAddressHC095
COMCommunication ContactHC096
FTXFree TextHC097
RFFReferencesHC098
SEQSequence DetailsHC019
LANLanguageHC0910
SPROrganisation Classification DetailsHC0111
QUAQualificationHC0912
EMPEmployment DetailsHC0913
FCAFinancial Charges AllocationHM99114
GISGeneral IndicatorHM0115
RFFReferencesHM0916
DTMDate/Time/PeriodHM0917
PTYPriorityHC0118
CINClinical InformationHC0919
FTXFree TextHC0920
LANLanguageHC0921
PACPackageHC0122
IRQInformation RequiredHC0123
TEMTest MethodHC0924
HANHandling InstructionsHC0125
SCCScheduling ConditionsHC99126
QTYQuantityHC0127
DTMDate/Time/PeriodHC0928
FTXFree TextHC0929
DOCDocument/Message DetailsHC99130
RFFReferencesHC0931
DTMDate/Time/PeriodHC0132
ATTAttributeHC99133
RFFReferencesHC0934
ADRAddressHC0935
COMCommunication ContactHC0936
HANHandling InstructionsHC0937
RELRelationshipHC0138
IMDItem DescriptionHC0939
FTXFree TextHC0940
PNAParty NameHC0941
DTMDate/Time/PeriodHC0942
PDIPerson Demographic InfomationHC0143
NATNationalityHC0944
LANLanguageHC0945
CCICharacteristic/Class IdHC0946
PASAttendanceHC9147
LOCPlace/Location IdentificationHC0948
DTMDate/Time/PeriodHC0949
RFFReferencesHC0150
CAVCharacteristic ValueHC999151
CINClinical InformationHC0952
LANLanguageHC0953
DTMDate/Time/PeriodHC0954
FTXFree TextHC09955
RFFReferencesHC0956
STSTransport Status ReportHC99157
SEQSequence DetailsHC0158
GISGeneral IndicatorHC0159
RSLResultHC0160
CCICharacteristic/Class IdHC0961
CINClinical InformationHC0962
DTMDate/Time/PeriodHC09963
FTXFree TextHC09964
RFFReferencesHC09965
RSLResultHC99166
FTXFree TextHC0967
CCICharacteristic/Class IdHC0968
RELRelationshipHC99169
RFFReferencesHC09970
CLIClinical InterventionHC99171
IMDItem DescriptionHC99172
DSGDosage AdministrationHC0973
FTXFree TextHC0974
INPParties And InstructionHC0975
SEQSequence DetailsHC99176
IMDItem DescriptionHC0977
PRCProcess IdentificationHC0978
RFFReferencesHC0979
QTYQuantityHC0180
DTMDate/Time/PeriodHC09981
PACPackageHC0182
PTYPriorityHC0183
FTXFree TextHC0984
TDTDetails Of TransportHC0985
HANHandling InstructionsHC0986
LOCPlace/Location IdentificationHC0987
ADRAddressHC0988
CLIClinical InterventionHC99189
IMDItem DescriptionHC0190
DSGDosage AdministrationHC0191
DTMDate/Time/PeriodHC0992
FTXFree TextHC0993
QTYQuantityHC0194
INPParties And InstructionHC0995
GISGeneral IndicatorHC99196
CCICharacteristic/Class IdHC09997
PTYPriorityHC0998
QTYQuantityHC0199
CINClinical InformationHC09100
DTMDate/Time/PeriodHC09101
FTXFree TextHC09102
TEMTest MethodHC09103
MOAMonetary AmountHC09104
RFFReferencesHC099105
HANHandling InstructionsHC01106
SCCScheduling ConditionsHC991107
QTYQuantityHC01108
DTMDate/Time/PeriodHC09109
FTXFree TextHC09110
AUTAuthentication ResultHC991111
DTMDate/Time/PeriodHC09112


SegmentElementDescriptionReqMin LengthMax LengthType
BGM1Document/Message Name, CodedC13ID
BGM2Code List QualifierC13ID
BGM3Code List Responsible Agency, CodedC13ID
BGM4Document/Message NameC135AN
BGM5Document/Message NumberC135AN
BGM6VersionC19AN
BGM7Revision NumberC16AN
BGM8Message Function, CodedC13ID
BGM9Response Type, CodedC13ID
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
PNA1Party QualifierM13ID
PNA2Identity NumberC135AN
PNA3Identity Number QualifierC13ID
PNA4Status, CodedC13ID
PNA5Party IdentificationC135AN
PNA6Code List QualifierC13ID
PNA7Code List Responsible Agency, CodedC13ID
PNA8Name Type, CodedC13ID
PNA9Name Ststua, CodedC13ID
PNA10Name Component QualifierC13ID
PNA11Name ComponentC170AN
PNA12Name Component Status, CodedC13ID
PNA13Name Component Original Representation, CodedC13ID
PNA14Name Component QualifierC13ID
PNA15Name ComponentC170AN
PNA16Name Component Status, CodedC13ID
PNA17Name Component Original Representation, CodedC13ID
PNA18Name Component QualifierC13ID
PNA19Name ComponentC170AN
PNA20Name Component Status, CodedC13ID
PNA21Name Component Original Representation, CodedC13ID
PNA22Name Component QualifierC13ID
PNA23Name ComponentC170AN
PNA24Name Component Status, CodedC13ID
PNA25Name Component Original Representation, CodedC13ID
PNA26Name Component QualifierC13ID
PNA27Name ComponentC170AN
PNA28Name Component Status, CodedC13ID
PNA29Name Component Original Representation, CodedC13ID
ADR1Address Purpose, CodedC13ID
ADR2Address Type, CodedC13ID
ADR3Address Status, CodedC13ID
ADR4Address Format, CodedC13ID
ADR5Address ComponetC170AN
ADR6Address ComponetC170AN
ADR7Address ComponetC170AN
ADR8Address ComponetC170AN
ADR9Address ComponetC170AN
ADR10City NameC135AN
ADR11Postcode IdentificationC19AN
ADR12Country, CodedC13ID
ADR13Country Sub-Entity IdentificationC19AN
ADR14Code List QualifierC13ID
ADR15Code List Responsible Agency, CodedC13ID
ADR16Country Sub-EntityC135AN
ADR17Place/Location IdentificationC125AN
ADR18Code List QualifierC13ID
ADR19Code List Responsible Agency, CodedC13ID
ADR20Place/LocationC170AN
COM1Communication NumberM1512AN
COM2Communication Channel QualifierM13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
SEQ1Status Indicator, CodedC13ID
SEQ2Sequence NumberC110AN
SEQ3Sequence Number Source, CodedC13ID
SEQ4Code List QualifierC13ID
SEQ5Code List Responsible Agency, CodedC13ID
LAN1Language QualifierM13ID
LAN2Language, CodedC13AN
LAN3LanguageC135AN
SPR1Sector/Subject Identification QualifierM13ID
SPR2Organisation Classification, CodedC13ID
SPR3Organisational Class IdentificationC117ID
SPR4Code List QualifierC13ID
SPR5Code List Responsible Agency, CodedC13ID
SPR6Organisational ClassC170AN
QUA1Qualification QualifierM13ID
QUA2Qualification Classification, CodedC13AN
QUA3Code List QualifierC13ID
QUA4Code List Responsible Agency, CodedC13ID
QUA5Qualification ClassificationC135AN
QUA6Qualification ClassificationC135AN
EMP1Employment QualifierM13ID
EMP2Employment Category, CodedC13AN
EMP3Code List QualifierC13ID
EMP4Code List Responsible Agency, CodedC13ID
EMP5Employment CategoryC135AN
EMP6Occupation, CodedC13AN
EMP7Code List QualifierC13ID
EMP8Code List Responsible Agency, CodedC13ID
EMP9OccupationC135AN
EMP10OccupationC135AN
EMP11Qualification Classification, CodedC13AN
EMP12Code List QualifierC13ID
EMP13Code List Responsible Agency, CodedC13ID
EMP14Qualification ClassificationC135AN
EMP15Qualification ClassificationC135AN
EMP16Job TitleC135AN
EMP17Qualification Area, CodedC13ID
FCA1Settlement, CodedM13ID
FCA2Institution Branch NumberC117AN
FCA3Code List QualifierC13ID
FCA4Code List Responsible Agency, CodedC13ID
FCA5Account Holder NumberC135AN
FCA6Currency, CodedC13AN
GIS1Processing Indicator, CodedM13ID
GIS2Code List QualifierM13ID
GIS3Code List Responsible Agency, CodedM13ID
GIS4Process Type IdentificationM117ID
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
PTY1Priority QualifierM13ID
PTY2Priority, CodedC13AN
PTY3Code List QualifierC13ID
PTY4Code List Responsible Agency, CodedC13ID
PTY5PriorityC135AN
CIN1Clinical Information QualifierM13ID
CIN2Clinical Information IdentificationC117AN
CIN3Code List QualifierC13ID
CIN4Code List Responsible Agency, CodedC13ID
CIN5Clinical InformationC170AN
CIN6Certainty, CodedC13ID
CIN7Code List QualifierC13ID
CIN8Code List Responsible Agency, CodedC13ID
CIN9CertaintyC135AN
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
LAN1Language QualifierM13ID
LAN2Language, CodedC13AN
LAN3LanguageC135AN
PAC1Number Of PackagesC18R8
PAC2Packaging Level, CodedC13ID
PAC3Packaging Related Information, CodedC13ID
PAC4Packaging Terms And Conditions, CodedC13ID
PAC5Type Of Packages IdentificationC117AN
PAC6Code List QualifierC13ID
PAC7Code List Responsible Agency, CodedC13ID
PAC8Type Of PackagesC135AN
PAC9Item Description Type, CodedC13ID
PAC10Type Of PackagesC135AN
PAC11Item Number Type, CodedC13ID
PAC12Type Of PackagesC135AN
PAC13Item Number Type, CodedC13ID
PAC14Returnable Package Freight Payment Responsibility,C13ID
PAC15Returnable Package Load Contents, CodedC13ID
IRQ1Requested InformationM13ID
IRQ2Code List QualifierM13ID
IRQ3Code List Responsible Agency, CodedM13ID
IRQ4Requested InformationM135AN
TEM1Test Method IdentificationC117AN
TEM2Code List QualifierC13ID
TEM3Code List Responsible Agency, CodedC13ID
TEM4Test DescriptionC170AN
TEM5Test Route Of Administering, CodedC13ID
TEM6Test Medium, CodedC13ID
TEM7Measurement Purpose QualifierC13ID
TEM8Test Revision NumberC130AN
TEM9Test Reason IdentificationC117AN
TEM10Code List QualifierC13ID
TEM11Code List Responsible Agency, CodedC13ID
TEM12Test ReasonC135AN
HAN1Handling Instructions, CodedC13AN
HAN2Code List QualifierC13ID
HAN3Code List Responsible Agency, CodedC13ID
HAN4Handling InstructionsC170AN
HAN5Hazardous Material Class Code, IdentificationC14AN
HAN6Code List QualifierC13ID
HAN7Code List Responsible Agency, CodedC13ID
HAN8Hazardous Material ClassC135AN
SCC1Delivery Plan Status Indicator, CodedM13ID
SCC2Delivery Instruction, CodedC13ID
SCC3Frequency, CodedC13ID
SCC4Despatch Pattern, CodedC13ID
SCC5Despatch Pattern Timing, CodedC13ID
QTY1Quantity QualifierM13ID
QTY2QuantityM115R
QTY3Measure Unit QualifierM13ID
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
DOC1Document/Message Name, CodedM13ID
DOC2Code List QualifierM13ID
DOC3Code List Responsible Agency, CodedM13ID
DOC4Document/Message NameM135AN
DOC5Document/Message NumberC135AN
DOC6Document/Message Status, CodedC13ID
DOC7Document/Message SourceC135AN
DOC8Language, CodedC13AN
DOC9Communication Channel Identifier, CodedC13ID
DOC10Number Of Copies Of Document RequiredC12N0
DOC11Number Of Originals Of Document RequiredC12N0
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
ATT1Attribute Function QualifierM13ID
ATT2Attribute Type, CodedC13AN
ATT3Code List QualifierC13ID
ATT4Code List Responsible Agency, CodedC13ID
ATT5Attribute, CodedC13AN
ATT6Code List QualifierC13ID
ATT7Code List Responsible Agency, CodedC13ID
ATT8AttributeC135AN
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
ADR1Address Purpose, CodedC13ID
ADR2Address Type, CodedC13ID
ADR3Address Status, CodedC13ID
ADR4Address Format, CodedC13ID
ADR5Address ComponetC170AN
ADR6Address ComponetC170AN
ADR7Address ComponetC170AN
ADR8Address ComponetC170AN
ADR9Address ComponetC170AN
ADR10City NameC135AN
ADR11Postcode IdentificationC19AN
ADR12Country, CodedC13ID
ADR13Country Sub-Entity IdentificationC19AN
ADR14Code List QualifierC13ID
ADR15Code List Responsible Agency, CodedC13ID
ADR16Country Sub-EntityC135AN
ADR17Place/Location IdentificationC125AN
ADR18Code List QualifierC13ID
ADR19Code List Responsible Agency, CodedC13ID
ADR20Place/LocationC170AN
COM1Communication NumberM1512AN
COM2Communication Channel QualifierM13ID
HAN1Handling Instructions, CodedC13AN
HAN2Code List QualifierC13ID
HAN3Code List Responsible Agency, CodedC13ID
HAN4Handling InstructionsC170AN
HAN5Hazardous Material Class Code, IdentificationC14AN
HAN6Code List QualifierC13ID
HAN7Code List Responsible Agency, CodedC13ID
HAN8Hazardous Material ClassC135AN
REL1Relationship QualifierM13ID
REL2Relationship, CodedC13AN
REL3Code List QualifierC13ID
REL4Code List Responsible Agency, CodedC13ID
REL5RelationshipC135AN
IMD1Item Description Type, CodedC13ID
IMD2Item Characteristic, CodedC13ID
IMD3Item Description IdentificationC117AN
IMD4Code List QualifierC13ID
IMD5Code List Responsible Agency, CodedC13ID
IMD6Item DescriptionC135AN
IMD7Item DescriptionC135AN
IMD8Language, CodedC13AN
IMD9Surface/Layer Indicator, CodedC13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
PNA1Party QualifierM13ID
PNA2Identity NumberC135AN
PNA3Identity Number QualifierC13ID
PNA4Status, CodedC13ID
PNA5Party IdentificationC135AN
PNA6Code List QualifierC13ID
PNA7Code List Responsible Agency, CodedC13ID
PNA8Name Type, CodedC13ID
PNA9Name Ststua, CodedC13ID
PNA10Name Component QualifierC13ID
PNA11Name ComponentC170AN
PNA12Name Component Status, CodedC13ID
PNA13Name Component Original Representation, CodedC13ID
PNA14Name Component QualifierC13ID
PNA15Name ComponentC170AN
PNA16Name Component Status, CodedC13ID
PNA17Name Component Original Representation, CodedC13ID
PNA18Name Component QualifierC13ID
PNA19Name ComponentC170AN
PNA20Name Component Status, CodedC13ID
PNA21Name Component Original Representation, CodedC13ID
PNA22Name Component QualifierC13ID
PNA23Name ComponentC170AN
PNA24Name Component Status, CodedC13ID
PNA25Name Component Original Representation, CodedC13ID
PNA26Name Component QualifierC13ID
PNA27Name ComponentC170AN
PNA28Name Component Status, CodedC13ID
PNA29Name Component Original Representation, CodedC13ID
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
PDI1Sex, CodedC13AN
PDI2Martial Status, CodedC13ID
PDI3Code List QualifierC13ID
PDI4Code List Responsible Agency, CodedC13ID
PDI5Martial StatusC135AN
PDI6Religion, CodedC13AN
PDI7Code List QualifierC13ID
PDI8Code List Responsible Agency, CodedC13ID
PDI9ReligionC135AN
NAT1Nationality QualifierM13ID
NAT2Nationality, CodedC13AN
NAT3Code List QualifierC13ID
NAT4Code List Responsible Agency, CodedC13ID
NAT5NationalityC135AN
LAN1Language QualifierM13ID
LAN2Language, CodedC13AN
LAN3LanguageC135AN
CCI1Property Class, CodedC13ID
CCI2Property Mesured, CodedC13ID
CCI3Measurement Significance, CodedC13ID
CCI4Measurement Attribute IdentificationC117ID
CCI5Measurement AttributeC170AN
CCI6Characteristic IdentificationC117AN
CCI7Code List QualifierC13ID
CCI8Code List Responsible Agency, CodedC13ID
CCI9CharacteristicC135AN
CCI10CharacteristicC135AN
CCI11Characteristic Relevance, CodedC13ID
PAS1Attemdance QualifierM13ID
PAS2Attendee Category, CodedC13ID
PAS3Code List QualifierC13ID
PAS4Code List Responsible Agency, CodedC13ID
PAS5Attendee CategoryC135AN
PAS6Admission Type, CodedC13ID
PAS7Code List QualifierC13ID
PAS8Code List Responsible Agency, CodedC13ID
PAS9Admission TypeC135AN
PAS10Discharge Type, CodedC13ID
PAS11Code List QualifierC13ID
PAS12Code List Responsible Agency, CodedC13ID
PAS13Discharge TypeC135AN
LOC1Place/Location QualifierM13ID
LOC2Place/Location IdentificationC125AN
LOC3Code List QualifierC13ID
LOC4Code List Responsible Agency, CodedC13ID
LOC5Place/LocationC170AN
LOC6Related Place/Location One IdentificationC125AN
LOC7Code List QualifierC13ID
LOC8Code List Responsible Agency, CodedC13ID
LOC9Related Place/Location OneC170AN
LOC10Related Place/Location Two IdentificationC125AN
LOC11Code List QualifierC13ID
LOC12Code List Responsible Agency, CodedC13ID
LOC13Related Place/Location TwoC170AN
LOC14Relation, CodedC13AN
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
CAV1Characteristic Value, CodedM13AN
CAV2Code List QualifierM13ID
CAV3Code List Responsible Agency, CodedM13ID
CAV4Characteristic ValueM135AN
CAV5Characteristic ValueM135AN
CIN1Clinical Information QualifierM13ID
CIN2Clinical Information IdentificationC117AN
CIN3Code List QualifierC13ID
CIN4Code List Responsible Agency, CodedC13ID
CIN5Clinical InformationC170AN
CIN6Certainty, CodedC13ID
CIN7Code List QualifierC13ID
CIN8Code List Responsible Agency, CodedC13ID
CIN9CertaintyC135AN
LAN1Language QualifierM13ID
LAN2Language, CodedC13AN
LAN3LanguageC135AN
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
STS1Status Type, CodedC13ID
STS2Code List QualifierC13ID
STS3Code List Responsible Agency, CodedC13ID
STS4Status Event, CodedC13ID
STS5Code List QualifierC13ID
STS6Code List Responsible Agency, CodedC13ID
STS7Status EventC135AN
STS8Status Reason, CodedC13ID
STS9Code List QualifierC13ID
STS10Code List Responsible Agency, CodedC13ID
STS11Status ReasonC135AN
STS12Status Reason, CodedC13ID
STS13Code List QualifierC13ID
STS14Code List Responsible Agency, CodedC13ID
STS15Status ReasonC135AN
STS16Status Reason, CodedC13ID
STS17Code List QualifierC13ID
STS18Code List Responsible Agency, CodedC13ID
STS19Status ReasonC135AN
STS20Status Reason, CodedC13ID
STS21Code List QualifierC13ID
STS22Code List Responsible Agency, CodedC13ID
STS23Status ReasonC135AN
STS24Status Reason, CodedC13ID
STS25Code List QualifierC13ID
STS26Code List Responsible Agency, CodedC13ID
STS27Status ReasonC135AN
SEQ1Status Indicator, CodedC13ID
SEQ2Sequence NumberC110AN
SEQ3Sequence Number Source, CodedC13ID
SEQ4Code List QualifierC13ID
SEQ5Code List Responsible Agency, CodedC13ID
GIS1Processing Indicator, CodedM13ID
GIS2Code List QualifierM13ID
GIS3Code List Responsible Agency, CodedM13ID
GIS4Process Type IdentificationM117ID
RSL1Result QualifierM13ID
RSL2Result Type, CodedC13ID
RSL3Measurement ValueC118AN
RSL4Measurement Significance, CodedC13ID
RSL5Measurement Attribute IdentificationC117ID
RSL6Code List QualifierC13ID
RSL7Code List Responsible Agency, CodedC13ID
RSL8Measurement AttributeC170AN
RSL9Measurement ValueC118AN
RSL10Measurement Significance, CodedC13ID
RSL11Measurement Attribute IdentificationC117ID
RSL12Code List QualifierC13ID
RSL13Code List Responsible Agency, CodedC13ID
RSL14Measurement AttributeC170AN
RSL15Measurement Unit IdentificationC18AN
RSL16Code List QualifierC13ID
RSL17Code List Responsible Agency, CodedC13ID
RSL18Measurement UnitC135AN
RSL19Result Normalcy Indicator, CodedC13ID
CCI1Property Class, CodedC13ID
CCI2Property Mesured, CodedC13ID
CCI3Measurement Significance, CodedC13ID
CCI4Measurement Attribute IdentificationC117ID
CCI5Measurement AttributeC170AN
CCI6Characteristic IdentificationC117AN
CCI7Code List QualifierC13ID
CCI8Code List Responsible Agency, CodedC13ID
CCI9CharacteristicC135AN
CCI10CharacteristicC135AN
CCI11Characteristic Relevance, CodedC13ID
CIN1Clinical Information QualifierM13ID
CIN2Clinical Information IdentificationC117AN
CIN3Code List QualifierC13ID
CIN4Code List Responsible Agency, CodedC13ID
CIN5Clinical InformationC170AN
CIN6Certainty, CodedC13ID
CIN7Code List QualifierC13ID
CIN8Code List Responsible Agency, CodedC13ID
CIN9CertaintyC135AN
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
RSL1Result QualifierM13ID
RSL2Result Type, CodedC13ID
RSL3Measurement ValueC118AN
RSL4Measurement Significance, CodedC13ID
RSL5Measurement Attribute IdentificationC117ID
RSL6Code List QualifierC13ID
RSL7Code List Responsible Agency, CodedC13ID
RSL8Measurement AttributeC170AN
RSL9Measurement ValueC118AN
RSL10Measurement Significance, CodedC13ID
RSL11Measurement Attribute IdentificationC117ID
RSL12Code List QualifierC13ID
RSL13Code List Responsible Agency, CodedC13ID
RSL14Measurement AttributeC170AN
RSL15Measurement Unit IdentificationC18AN
RSL16Code List QualifierC13ID
RSL17Code List Responsible Agency, CodedC13ID
RSL18Measurement UnitC135AN
RSL19Result Normalcy Indicator, CodedC13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
CCI1Property Class, CodedC13ID
CCI2Property Mesured, CodedC13ID
CCI3Measurement Significance, CodedC13ID
CCI4Measurement Attribute IdentificationC117ID
CCI5Measurement AttributeC170AN
CCI6Characteristic IdentificationC117AN
CCI7Code List QualifierC13ID
CCI8Code List Responsible Agency, CodedC13ID
CCI9CharacteristicC135AN
CCI10CharacteristicC135AN
CCI11Characteristic Relevance, CodedC13ID
REL1Relationship QualifierM13ID
REL2Relationship, CodedC13AN
REL3Code List QualifierC13ID
REL4Code List Responsible Agency, CodedC13ID
REL5RelationshipC135AN
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
CLI1Clinical Intervention QualifierM13ID
CLI2Clinical Intervention IdentificationC117AN
CLI3Code List QualifierC13ID
CLI4Code List Responsible Agency, CodedC13ID
CLI5Clinical InterventionC170AN
IMD1Item Description Type, CodedC13ID
IMD2Item Characteristic, CodedC13ID
IMD3Item Description IdentificationC117AN
IMD4Code List QualifierC13ID
IMD5Code List Responsible Agency, CodedC13ID
IMD6Item DescriptionC135AN
IMD7Item DescriptionC135AN
IMD8Language, CodedC13AN
IMD9Surface/Layer Indicator, CodedC13ID
DSG1Dosage Administration QualifierM13ID
DSG2Dosage IdentificationC18AN
DSG3Code List QualifierC13ID
DSG4Code List Responsible Agency, CodedC13ID
DSG5DosageC170AN
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
INP1Party Enacting Instruction IdentificationC117ID
INP2Recipient Of The Instruction IdentificationC117ID
INP3Instruction QualifierC13ID
INP4Instruction, CodedC13ID
INP5Code List QualifierC13ID
INP6Code List Responsible Agency, CodedC13ID
INP7InstructionC135AN
INP8Status, CodedC13ID
INP9Party NameC135AN
INP10Action Request/Notification, CodedC13ID
SEQ1Status Indicator, CodedC13ID
SEQ2Sequence NumberC110AN
SEQ3Sequence Number Source, CodedC13ID
SEQ4Code List QualifierC13ID
SEQ5Code List Responsible Agency, CodedC13ID
IMD1Item Description Type, CodedC13ID
IMD2Item Characteristic, CodedC13ID
IMD3Item Description IdentificationC117AN
IMD4Code List QualifierC13ID
IMD5Code List Responsible Agency, CodedC13ID
IMD6Item DescriptionC135AN
IMD7Item DescriptionC135AN
IMD8Language, CodedC13AN
IMD9Surface/Layer Indicator, CodedC13ID
PRC1Process Type IdentificationC117ID
PRC2Code List QualifierC13ID
PRC3Code List Responsible Agency, CodedC13ID
PRC4Process TypeC135AN
PRC5Process TypeC135AN
PRC6Process IdentificationC117AN
PRC7Code List QualifierC13ID
PRC8Code List Responsible Agency, CodedC13ID
PRC9ProcessC170AN
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
QTY1Quantity QualifierM13ID
QTY2QuantityM115R
QTY3Measure Unit QualifierM13ID
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
PAC1Number Of PackagesC18R8
PAC2Packaging Level, CodedC13ID
PAC3Packaging Related Information, CodedC13ID
PAC4Packaging Terms And Conditions, CodedC13ID
PAC5Type Of Packages IdentificationC117AN
PAC6Code List QualifierC13ID
PAC7Code List Responsible Agency, CodedC13ID
PAC8Type Of PackagesC135AN
PAC9Item Description Type, CodedC13ID
PAC10Type Of PackagesC135AN
PAC11Item Number Type, CodedC13ID
PAC12Type Of PackagesC135AN
PAC13Item Number Type, CodedC13ID
PAC14Returnable Package Freight Payment Responsibility,C13ID
PAC15Returnable Package Load Contents, CodedC13ID
PTY1Priority QualifierM13ID
PTY2Priority, CodedC13AN
PTY3Code List QualifierC13ID
PTY4Code List Responsible Agency, CodedC13ID
PTY5PriorityC135AN
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
TDT1Transport Stage QualifierM13ID
TDT2Conveyance Reference NumberC117AN
TDT3Mode Of Transport, CodedC13AN
TDT4Mode Of TransportC117AN
TDT5Type Of Means Of Transport IdentificationC18ID
TDT6Type Of Means Of TransportC117AN
TDT7Carrier IdentificationC117AN
TDT8Code List QualifierC13ID
TDT9Code List Responsible Agency, CodedC13ID
TDT10Carrier NameC135AN
TDT11Transit Direction, CodedC13ID
TDT12Excess Transportation Reason, CodedC13ID
TDT13Excess Transportation Responsibility, CodedC13ID
TDT14Customer Authorization NumberC117AN
TDT15Id Of Means Of Transport IdentificationC19AN
TDT16Code List QualifierC13ID
TDT17Code List Responsible Agency, CodedC13ID
TDT18Id Of The Means Of TransportC135AN
TDT19Nationality Of Means Of Transport, CodedC13AN
TDT20Transport Ownership, CodedC13ID
HAN1Handling Instructions, CodedC13AN
HAN2Code List QualifierC13ID
HAN3Code List Responsible Agency, CodedC13ID
HAN4Handling InstructionsC170AN
HAN5Hazardous Material Class Code, IdentificationC14AN
HAN6Code List QualifierC13ID
HAN7Code List Responsible Agency, CodedC13ID
HAN8Hazardous Material ClassC135AN
LOC1Place/Location QualifierM13ID
LOC2Place/Location IdentificationC125AN
LOC3Code List QualifierC13ID
LOC4Code List Responsible Agency, CodedC13ID
LOC5Place/LocationC170AN
LOC6Related Place/Location One IdentificationC125AN
LOC7Code List QualifierC13ID
LOC8Code List Responsible Agency, CodedC13ID
LOC9Related Place/Location OneC170AN
LOC10Related Place/Location Two IdentificationC125AN
LOC11Code List QualifierC13ID
LOC12Code List Responsible Agency, CodedC13ID
LOC13Related Place/Location TwoC170AN
LOC14Relation, CodedC13AN
ADR1Address Purpose, CodedC13ID
ADR2Address Type, CodedC13ID
ADR3Address Status, CodedC13ID
ADR4Address Format, CodedC13ID
ADR5Address ComponetC170AN
ADR6Address ComponetC170AN
ADR7Address ComponetC170AN
ADR8Address ComponetC170AN
ADR9Address ComponetC170AN
ADR10City NameC135AN
ADR11Postcode IdentificationC19AN
ADR12Country, CodedC13ID
ADR13Country Sub-Entity IdentificationC19AN
ADR14Code List QualifierC13ID
ADR15Code List Responsible Agency, CodedC13ID
ADR16Country Sub-EntityC135AN
ADR17Place/Location IdentificationC125AN
ADR18Code List QualifierC13ID
ADR19Code List Responsible Agency, CodedC13ID
ADR20Place/LocationC170AN
CLI1Clinical Intervention QualifierM13ID
CLI2Clinical Intervention IdentificationC117AN
CLI3Code List QualifierC13ID
CLI4Code List Responsible Agency, CodedC13ID
CLI5Clinical InterventionC170AN
IMD1Item Description Type, CodedC13ID
IMD2Item Characteristic, CodedC13ID
IMD3Item Description IdentificationC117AN
IMD4Code List QualifierC13ID
IMD5Code List Responsible Agency, CodedC13ID
IMD6Item DescriptionC135AN
IMD7Item DescriptionC135AN
IMD8Language, CodedC13AN
IMD9Surface/Layer Indicator, CodedC13ID
DSG1Dosage Administration QualifierM13ID
DSG2Dosage IdentificationC18AN
DSG3Code List QualifierC13ID
DSG4Code List Responsible Agency, CodedC13ID
DSG5DosageC170AN
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
QTY1Quantity QualifierM13ID
QTY2QuantityM115R
QTY3Measure Unit QualifierM13ID
INP1Party Enacting Instruction IdentificationC117ID
INP2Recipient Of The Instruction IdentificationC117ID
INP3Instruction QualifierC13ID
INP4Instruction, CodedC13ID
INP5Code List QualifierC13ID
INP6Code List Responsible Agency, CodedC13ID
INP7InstructionC135AN
INP8Status, CodedC13ID
INP9Party NameC135AN
INP10Action Request/Notification, CodedC13ID
GIS1Processing Indicator, CodedM13ID
GIS2Code List QualifierM13ID
GIS3Code List Responsible Agency, CodedM13ID
GIS4Process Type IdentificationM117ID
CCI1Property Class, CodedC13ID
CCI2Property Mesured, CodedC13ID
CCI3Measurement Significance, CodedC13ID
CCI4Measurement Attribute IdentificationC117ID
CCI5Measurement AttributeC170AN
CCI6Characteristic IdentificationC117AN
CCI7Code List QualifierC13ID
CCI8Code List Responsible Agency, CodedC13ID
CCI9CharacteristicC135AN
CCI10CharacteristicC135AN
CCI11Characteristic Relevance, CodedC13ID
PTY1Priority QualifierM13ID
PTY2Priority, CodedC13AN
PTY3Code List QualifierC13ID
PTY4Code List Responsible Agency, CodedC13ID
PTY5PriorityC135AN
QTY1Quantity QualifierM13ID
QTY2QuantityM115R
QTY3Measure Unit QualifierM13ID
CIN1Clinical Information QualifierM13ID
CIN2Clinical Information IdentificationC117AN
CIN3Code List QualifierC13ID
CIN4Code List Responsible Agency, CodedC13ID
CIN5Clinical InformationC170AN
CIN6Certainty, CodedC13ID
CIN7Code List QualifierC13ID
CIN8Code List Responsible Agency, CodedC13ID
CIN9CertaintyC135AN
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
TEM1Test Method IdentificationC117AN
TEM2Code List QualifierC13ID
TEM3Code List Responsible Agency, CodedC13ID
TEM4Test DescriptionC170AN
TEM5Test Route Of Administering, CodedC13ID
TEM6Test Medium, CodedC13ID
TEM7Measurement Purpose QualifierC13ID
TEM8Test Revision NumberC130AN
TEM9Test Reason IdentificationC117AN
TEM10Code List QualifierC13ID
TEM11Code List Responsible Agency, CodedC13ID
TEM12Test ReasonC135AN
MOA1Monetary Amount Type QualifierM13ID
MOA2Monetary AmountM118R
MOA3Currency, CodedM13AN
MOA4Currency QualifierM13ID
MOA5Status, CodedM13ID
RFF1Reference QualifierM13ID
RFF2Reference NumberM135AN
RFF3Line NumberM16AN
RFF4Reference Version NumberM135AN
HAN1Handling Instructions, CodedC13AN
HAN2Code List QualifierC13ID
HAN3Code List Responsible Agency, CodedC13ID
HAN4Handling InstructionsC170AN
HAN5Hazardous Material Class Code, IdentificationC14AN
HAN6Code List QualifierC13ID
HAN7Code List Responsible Agency, CodedC13ID
HAN8Hazardous Material ClassC135AN
SCC1Delivery Plan Status Indicator, CodedM13ID
SCC2Delivery Instruction, CodedC13ID
SCC3Frequency, CodedC13ID
SCC4Despatch Pattern, CodedC13ID
SCC5Despatch Pattern Timing, CodedC13ID
QTY1Quantity QualifierM13ID
QTY2QuantityM115R
QTY3Measure Unit QualifierM13ID
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID
FTX1Text Subject QualifierM13ID
FTX2Text Function, CodedC13ID
FTX3Free Text IdentificationC117AN
FTX4Code List QualifierC13ID
FTX5Code List Responsible Agency, CodedC13ID
FTX6Free TextC170AN
FTX7Free TextC170AN
FTX8Free TextC170AN
FTX9Free TextC170AN
FTX10Free TextC170AN
FTX11Language, CodedC13AN
AUT1Validation ResultM135AN
AUT2Validation Key IdentificationC135AN
DTM1Date/Time/Period QualifierM13ID
DTM2Date/Time/PeriodM135AN
DTM3Date/Time/Period Format QualifierM13ID

Solutions:
Are you looking to trade the EDI MEDREQ transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the MEDREQ? Or perhaps you would like to use a Cloud-Based application, so you can plug your MEDREQ transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI MEDREQ by using the EDI Mobile Device solution.



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